B30 Patient Monitor
2039822-002 A (paper)
© 2009 General Electric Company.
All rights reserved.
B30 Patient Monitor
Related to software L-DICU08
All specifications are subject to change without notice.
Document no. 2039822-002 A
9th January 2009
GE Medical Systems Information Technologies, Inc.
8200 West Tower Avenue
Milwaukee, WI USA
Tel: 1 414 355 5000 (outside US)
800 558 5102 (US only)
Fax: 1 414 355 3790
Copyright © 2009 General Electric Company. All rights reserved.
3F Building 1, GE Technology Park
1 Huatuo Road
Shanghai PRC 201203
Tel: +86 21 3877 7888
Fax: +86 21 3877 7451
About this guide
This User's Guide describes the features and functions offered by the
B30 monitor. Descriptions refer to the software L-DICU08.
This manual is an integral part of the product and describes its
intended use. Keep it always close to the equipment. Observance of
the manual is a prerequisite for proper product performance and
correct operation and ensures patient and operator safety.
If you are a new user of the monitor, we suggest you begin with
sections "Safety precautions", "System introduction" and "Monitoring
basics." The following conventions are used:
− Names of the hard keys on the Command Board and modules
are written in the following way: ECG.
− Menu items are written in bold italic typeface: ECG Setup.
− Menu access is described from top to bottom. For example, the
selection of the Screen Setup menu item and the Waveform
Fields menu item would be shown as Screen Setup - Waveform
− Messages (alarm messages, informative messages) displayed on
the screen are written inside single quotes: 'Learning.'
− When referring to different sections in this manual, section
names are enclosed in double quotes: "Cleaning and care."
− In this manual, the word "select" means choosing and
− Clinical aspects, basic methods of measurement and technical
background: B30 Patient Monitor User's Reference Manual
− Installation, technical solutions and servicing: B30 Patient
Monitor Technical Reference Manual
− Options and selections of the software: B30 Patient Monitor
Default Configuration Worksheet
− Compatible supplies and accessories: B30 Patient Monitor
Supplies and Accessories
− Other devices closely related to the monitor: iCentral User's
Dash, Datex, Ohmeda, S/5, D-fend, D-fend+, Mini D-fend, OxyTip+,
ComBar, ComWheel, EarSat, FingerSat, FlexSat are trademarks of GE
Healthcare. All other product and company names are property of
their respective owners.
Some of the products mentioned in this manual may not be
available in all countries. Please, consult your local representative
for the availability.
The Service lifetime of this patient monitor is 5 years. At the end of its
service lifetime, the product described in this manual, as well as its
accessories, must be disposed of in compliance with the guidelines
regulating the disposal of such products. If you have questions
concerning disposal of the product, please contact GE
Intended purpose (Indications for use)
The B30 patient monitor is intended for multiparameter patient
monitoring. The B30 monitor is indicated for continuous monitoring
of hemodynamic parameters (including arrhythmia and ST segment
analysis) and respiratory status and creation of limit alarms.
The B30 monitor is intended for all hospital patients and all hospital
departments including intra-hospital transport but excluding harsh
physical environment like MRI.
In accordance with IEC 60601-1:
− Class I and internally powered equipment - the type of
The Patient side module E-PSM(P)W and accessories are indicated
for monitoring of hemodynamic parameters of all hospital patients.
The hemodynamic parameters of the module comprise ECG
(including ST-Segment and arrhythmia), impedance respiration,
oscillometric NIBP (sys/dia/mean), temperature, SpO2 (including
monitoring during conditions of clinical patient motion), and invasive
blood pressure. Impedance respiration measurement is indicated for
patients ages three years and up. The NIBP measurement is
indicated for patients who weight 5kg (11 lb) or up.The E-PSM(P)W is
intended for all hospital departments including intra-hospital
transport but excluding harsh physical environment like MRI.
The extension module N-FCREC (option N-FCREC or N-FC) is
indicated for monitoring of CO2 and respiration rate of all hospital
patients. CO2 measurements are indicated for patients who weight
over 5 kg (11 lb).
The B30 monitor and N-F(C)(REC) Extension Module and E-PSM(P)W
Patient Side Module are indicated for use by qualified medical
protection against electric shock.
− Type BF or CF equipment. The degree of protection against
electric shock is indicated by a symbol on each parameter
− Equipment is not suitable for use in the presence of a flammable
anesthetic mixture with air or with oxygen or nitrous oxide.
− Continuous operation according to the mode of operation.
− Portable Monitor
In accordance with IEC 60529:
− IPX1 - degree of protection against harmful ingress of water.
In accordance with EU Medical Device Directive: IIb
In accordance with CISPR 11:
Group 1 Class B; see page 3 of this User's Guide.
Responsibility of the manufacturer
GE Medical Systems Information Technologies, Inc. is responsible for
the safety, reliability and performance of the equipment only if:
− Assembly, extensions, readjustments, modifications, service and
repairs are carried out by personnel authorized by GE.
− Electrical installation complies with appropriate requirements.
− The equipment is used in accordance with this User's Guide.
Safety precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Pulse oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Non-invasive blood pressure (NIBP) . . . . . . . . . . . .67
System introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Invasive blood pressure . . . . . . . . . . . . . . . . . . . . . . .71
Monitor introduction . . . . . . . . . . . . . . . . . . . . . . . . . .11
Airway gas (CO2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
Monitoring basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79
Setting up the monitor before use . . . . . . . . . . . . . .25
Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Entering and loading patient data . . . . . . . . . . . . .31
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
Starting and ending . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Screen setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
ElectroMagnetic Compatibility . . . . . . . . . . . . . . . . .97
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
End User License Agreement . . . . . . . . . . . . . . . . 105
Printing and recording . . . . . . . . . . . . . . . . . . . . . . . . .41
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Cleaning and care . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
ECG and ST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Impedance respiration . . . . . . . . . . . . . . . . . . . . . . . .59
Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61
These precautions refer to the entire system. Warnings and cautions specific to parts of the system can be found in the relevant section.
A WARNING indicates a situation in which the user or
the patient may be in danger of injury or death.
Connect only one patient to the monitor at a time.
Do not use the monitor without manufacturer approved
Use only hospital-grade grounded power outlets and power
To avoid the risk of electric shock, this equipment must only be
connected to a supply mains with protective earth.
Do not use an additional multiple socket outlet or extension cord.
After transferring or reinstalling the monitor, always check that it
is properly connected and all parts are securely attached. Pay
special attention to this in case of stacked mounting.
If you accidentally drop the monitor or modules, have them
checked by authorized service personnel prior to clinical use.
Vibrations during intrahospital transport may disturb SpO2, ECG,
impedance respiration, NIBP and InvBP measurements.
Some equipment malfunctions may not generate a monitor
alarm. Always keep the patient under close surveillance.
To avoid explosion hazard, do not use the monitor in presence of
Do not use the monitor in high electromagnetic fields (for
example, during MRI.)
Do not connect any external devices to the system other than
Do not touch the patient, table, instruments, modules or the
monitor during defibrillation.
If the integrity of the external protective earth conductor
arrangement is in doubt, use the monitor with battery operation.
When detaching modules, be careful not to drop them. Always
support with one hand while pulling out with the other.
Use only approved accessories, batteries, mounts and
defibrillator-proof cables and invasive pressure transducers. For
a list of approved supplies and accessories, see the "Supplies
and Accessories" catalog delivered with the monitor. Other
cables, batteries, transducers and accessories may cause a
safety hazard, damage the equipment or the system, result in
increased emissions or decreased immunity of the equipment or
system or interfere with the measurement. Protection against
cardiac defibrillator discharge is due in part to the accessories
for pulse oximetry (SpO2), temperature (T) and invasive pressure
Single-use accessories are not designed to be re-used. Re-use
may cause a risk of contamination and affect the measurement
Do not incinerate a battery or store at high temperatures, as it
The monitor or its components should not be used adjacent to or
stacked with other equipment. If adjacent or stacked use is
necessary, the monitor and its components should be observed
to verify normal operation in the configuration in which it will be
Connecting electrical equipment together or using the same
extension cord for more than one device may cause their
leakage currents to exceed the limits specified in relevant safety
standards. Always make sure that the combination complies
with the international safety standard IEC 60601-1-1 for medical
electrical systems and with the requirements of local authorities.
Pins of connectors identified with the ESD warning symbol
should not be touched. Connections should not be made to
these connectors unless ESD precautionary procedures are
used. See "Safety precautions: ESD precautionary procedures" in
the"User's Reference Manual" for details.
Other equipment may interfere with the system, even if that
other equipment complies with CISPR emission requirements.
If liquid has accidentally entered the system or its parts,
disconnect the power cord from the power supply and have the
equipment serviced by authorized service personnel.
If the unit fails to respond as described, do not use the monitor
until tested and repaired by authorized service personnel.
The system is intended for use by qualified medical personnel
Before cleaning, disconnect the monitor from the power supply.
Use only an intact power cord. Replace the power cord if it is
cracked, frayed, broken or otherwise damaged.
Do not apply tension to the power cord otherwise the cord may
The power cord may only be connected to a three-wire,
grounded, hospital grade receptacle.
NOTE: The monitor is always internally powered when the
batteries are connected.
The B30 is always energized by the internal batteries. A short
circuit may cause internal damage. Do not touch any exposed
wiring or conductive surface inside, this may cause an electric
Make sure that the Pole Mount for PSMW is always used in
vertical position to prevent water from entering the E-PSM(P)W
A CAUTION indicates a situation in which the unit or
devices connected to it may be damaged.
Before connecting the power cord to the power supply, check
that the local voltage and frequency correspond with the rating
stated on the device plate.
Leave space for circulation of air to prevent the monitor from
Refresh the batteries completely every six months (see "Cleaning
Do not store or use the monitor outside the temperature and
humidity ranges specified in the "Performance" section of this
After replacing a battery, always make sure that you close the
battery compartment by sliding the lid back to the right until it
Perform regular functional testing of each of the parameters and
The monitor display is fragile. Ensure that it is not placed near a
heat source or exposed to mechanical shocks, pressure,
moisture or direct sunlight.
Do not immerse any part of the device in liquids or allow liquid to
enter the interior.
Do not autoclave any part of the system with steam or sterilize
with ethylene oxide.
Do not apply pressurized air to any outlet or tubing connected to
the monitor. Pressure may destroy sensitive elements.
Before use, allow two minutes for warm-up and note any error
messages or deviations from normal operation.
Do not short-circuit the battery terminals, this may produce a
very high current, which will damage the battery.
Do not store or transport the monitor outside the specified
temperature, pressure and humidity ranges.
Dispose of the whole device, parts of it, its packing material and
this manual in accordance with local environmental and waste
Points to note
This manual is intended for clinical professionals. Clinical
professionals are expected to have a working knowledge of
medical procedures, practices, and terminology, as required for
monitoring of critically ill patients.
Medical electrical equipment needs special precautions
regarding electromagnetic compatibility and needs to be
installed and put into service according to the electromagnetic
compatibility information provided in the "Technical Reference
Manual" by qualified personnel.
Portable and mobile RF communications equipment can affect
the medical electrical equipment.
The allowed cables, transducers, accessories and mounts for the
system are listed in the "Supplies and Accessories" catalog.
The equipment is suitable for use in the presence of
electrosurgery. Please notice the possible limitations in the
parameter sections and in the "Performance" section.
Service and repairs are allowed for authorized service personnel
CISPR 11 classification: Group 1, Class B:
− Group 1 contains all ISM (Industrial, scientific and medical)
equipment in which there is intentionally generated and/or
used conductively coupled radio-frequency energy which is
necessary for the internal functioning of the equipment itself.
− Class B equipment is suitable for use in domestic
establishments and in establishments directly connected to
a low voltage power supply network which supplies buildings
used for domestic purposes.
For your notes:
− Attention, consult accompanying documents.
− On the modules or frames indicates that
modules with identical measurements should
not be used in the same monitor. If such
modules have been inserted, remove the
module that has been most recently connected.
You can also remove both modules and reconnect the new module after five second.
− On the E-PSM(P)W module indicates that
protection against cardiac defibrillator
discharge is due in part to the accessories for
pulse oximetry (SpO2), temperature (T) and
invasive pressure (P) measurement.
− On the N-FC(REC) module indicates that airway
gases should be calibrated every six months in
normal use and every two months in continuous
− On top of the monitor beside the battery cover:
Use manufacturer recommended batteries only.
Follow the regional regulations for disposal.
− On the rear panel this symbol indicates the
following warnings and cautions:
−Electric shock hazard. Do not open the cover or
the back. Refer servicing to qualified
−For continued protection against fire hazard,
replace the fuse only with one of the same
type and rating.
−Disconnect from the power supply before
−Do not touch the monitor during defibrillation.
−Do not use the monitor without manufacturer
approved mounting attached.
Type BF (IEC 60601-1) protection against electric
Type BF (IEC 60601-1) defibrillator-proof protection
against electric shock
Type CF (IEC 60601-1) protection against electric
Type CF (IEC 60601-1) defibrillator-proof protection
against electric shock
When displayed in the upper left corner of the
screen, indicates that the alarms are silenced. When
displayed in the menu or digit fields, indicates that
the alarm source has been turned off or alarm does
not meet the alarm-specific activation criteria.
Battery (A) missing
In the front panel: mains/external DC power
Equipotentiality. Monitor can be connected to
potential equalization conductor.
ESD warning symbol for electrostatic sensitive
devices. Pins of connectors identified with the ESD
warning symbol should not be touched.
Connections should not be made to these
connectors unless ESD precautionary procedures
are used. See "Safety precautions: ESD
precautionary procedures" in the "User's Reference
Manual" for details.
Fuse. Replace the fuse only with one of the same
type and rating.
In the front panel: battery.
Symbol for non-ionizing electromagnetic radiation.
Interference may occur in the vicinity of equipment
marked with this symbol.
Battery operation and remaining capacity. The
height of the green bar indicates the charging level.
Submenu. Selecting a menu item with this symbol
opens a new menu.
Battery (A) charging (white bar)
The monitor is connected to Network.
Battery (A) failure
A blinking heart next to the heart rate or pulse rate
value indicates the beats detected.
Both batteries failed
A lung next to the respiration rate value indicates
that respiration rate is calculated from the
impedance respiration measurement.
Date of manufacture
This symbol indicates that the waste of electrical
and electronic equipment must not be disposed as
unsorted municipal waste and must be collected
separately. Please, contact an authorized
representative of the manufacturer for information
concerning the decommissioning of your
The separate collection symbol is affixed to a
battery, or its packaging, to advise you that the
battery must be recycled or disposed of in
accordance with local or country laws. To minimize
potential effects on the environment and human
health, it is important that all marked batteries that
you remove from the product are properly recycled
or disposed. For information on how the battery
may be safely removed from the device, please
consult the service manual or equipment
instructions. Information on the potential effects on
the environment and human health of the
substances used in batteries is available at this url:
This product consists of devices that may contain
mercury, which must be recycled or disposed of in
accordance with local, state, or country laws.
(Within this system, the backlight lamps in the
monitor display contain mercury.)
For your notes:
(1) B30 monitor with modules
(3) Other monitors in the network
NOTE: You cannot view other monitors on the
B30 monitor with L-DICU08 software.
NOTE: The monitor display is fragile. Ensure that it is not
placed near a heat source or exposed to mechanical shocks,
pressure, moisture, or direct sunlight.
NOTE: Your system may not include all these components.
Consult your local representative for the available
Optional components for the B30 monitor are:
• Patient Side Modules E-PSMW and E-PSMPW
• Extension Modules N-FREC, N-FCREC and N-FC
For details regarding modules, see section "Measurement modules."
The monitor provides places for one E-PSM(P)W and/or one N-Fx
If the monitor is connected to the network, the alarm limits can also
be changed using the Central if this feature has been enabled in the
If the monitor is connected to the network, the bedside alarms can
also be silenced using the Central if this feature has been enabled in
the Central configuration.
For more information on alarms, see “Alarms“ on page 37.
WARNING: Connect only one patient to the monitor at
WARNING: Never install the monitor so that it is
above the patient.
WARNING: After transferring or reinstalling the
monitor, always check that it is properly connected
and all parts are securely attached. Pay special
attention to this in case of stacked mounting.
WARNING: Do not use the monitor without
manufacturer approved mounting attached.
WARNING: Always make sure that the audio alarm
volume level is adequate in your care environment.
WARNING: Before starting to use the system, ensure
that the whole combination complies with the
international standard IEC 60601-1-1 and the
requirements of the local authorities. Do not connect
any external devices to the system other than those
WARNING: If you accidentally drop the monitor or
modules, have them checked by authorized service
personnel prior to clinical use.
(1) Battery compartment, see below
(2) Transportation handle
(3) Alarm light, see page 39
(4) Alarm LEDs, see page 37
(5) Side panel keys, see page 14
(6) The ComWheel
(7) Command Board keys, see page 13
(8) Guide rail for GCX mounting
(9) Mains power and battery LEDs, see page 15
(10) ON/standby key
(11) Defibrillator & IABP synchronization connector (marked with X5)
(12) Measurement modules, see page 19
Rear panel connections
(1) Battery compartment
(2) Slot for infusion pole mount
(3) Module connector (marked with X4)
(4) Guide rail for GCX mounting
(5) Receptacle for power cord
(6) Fuse holder
(7) Serial port (marked with X9)
(8) Network ID connector (marked with X8)
(9) Connector for future use (marked with X7)
(10) Accessory: multi I/O adapter (with connectors 7 - 9
(11) Network connector
(12) Equipotential connector
Command Board keys
(1) ON/standby key
(2) Mains power ON (lit) or OFF (dark): indicates mains or external DC
(3) For admitting or discharging a patient; for selecting user modes
(4) For viewing trends and alarm history
(5) For activating parameter specific menus. NOTE: All modules do
not measure all of these parameters. For more information, see
(6) For returning the Normal Screen view to the screen
(7) For activating pulse oximetry, impedance respiration and
temperature setup menus
(8) For printing and recording different trends and waveforms
(9) For setting up the monitor and for activating the Help menu
(10) Battery operation LEDs, see page 15
Side panel keys
Alarm LED indicators: see page 37
For silencing the alarms, see page 40
For activating the Alarms Setup menu
For zeroing the invasive pressure channels, see page 71
NOTE: Functional with the E-PSMP module only.
For starting the NIBP autocycling, see page 68
For starting or stopping the NIBP manual cycling, see page 68
For starting or stopping local recording, see page 41
NOTE: Functional with the N-FREC and N-FCREC modules only.
The B30 monitor allow to use two lithium-ion batteries at most,
located in the battery compartment. They can be charged
separately, and screen symbols and monitor frame LEDs indicate
their charging level and possible failure, see table on the right. You
can also check the battery status through Monitor Setup - Battery
If you wish to have the battery charge visible at all times, select it in
one of the digit fields: Monitor Setup - Screen Setup - Digit Fields Battery. You can now see how much charging time is left for each
battery separately both in numbers and as symbols, and the total
charging time in numbers.
NOTE: Always use the B30 monitor with battery inserted. Otherwise
all trend data and temporary settings are lost if the power cable is
detached from the mains.
NOTE: When the monitor is battery powered, the green battery LED
is on. When the monitor is mains powered, the green mains LED is
on. See also sections "Conditioning the batteries" and "Messages."
NOTE: When useable batteries are installed, if the monitor loses AC
power, it automatically switches to battery power without
interruption of operation.
Front panel battery LEDs
Monitor is battery
powered. Batteries are
fully charged; the size of
the green bar indicates the
Monitor is battery
powered. Battery A is
empty, battery B charge is
Monitor is battery
powered. Battery A failure, Orange flashing
battery B is full.
NOTE: If both batteries fail, the green battery LED is dark.
Monitor is battery
powered. Battery A
missing, battery B is full.
Monitor is mains powered. Green lit
Battery A is being charged Orange flashing
(white bar), battery B is
Monitor is mains powered.
'No battery backup'
message on screen.
Batteries have failed or
they are not inserted.
Checking the battery charge when the monitor is turned
When the monitor is turned off, you can check the battery charging
level by pressing the test button on the battery as indicated in the
drawing. The charging indicator bar (1) lights up and the number of
lit segments indicates the charging level.
WARNING: Do not incinerate a battery or store at
high temperatures, as it will explod
CAUTION: Do not dismantle the battery.
Replacing the batteries
Battery capacity indicators in the upper right corner of the screen
tell you when you should replace a battery, and which one is out of
charge, missing or not working, see above. You can replace one
battery at a time.
CAUTION: After replacing a battery, always make sure
to close the battery compartment by sliding the lid back
to the right until it clicks.
(1) Open the lid of the battery compartment
located behind the transportation handle
by sliding it to the left.
(2) Lift up the battery you want to change.
Check the indicators and messages on
screen to make sure that you change the
battery with lower charge.
(3) Push in the new battery. Make sure that
the charging indicator is facing forward
and push the battery down all the way.
Check the monitor indicators, see above.
For your notes:
There are five modules for the B30 monitor: hemodynamic Patient
Side Modules E-PSMW and E-PSMPW, and the B30 monitor specific
Extension Modules N-FREC, N-FCREC and N-FC.
You can use simultaneously either one E-PSM(P)W module or one
N-Fx module or one of each. See the following pictures and
explanations for module features.
Patient Side Modules E-PSMW and E-PSMPW (in the drawing)
(1) Module keys, see below
(2) NIBP connector
(3) InvBP connector in the E-PSMPW only: 2-channel
(4) Temperature connector: 2-channel measurement
(5) SpO2 connector
(6) ECG (3/5) and impedance respiration connector
(7) Tab for removing the module
The Patient Side Modules have the following measurement
Auto On/Off: for starting or stopping the
NIBP automatic cycling, see page 68
Start Cancel: for starting or stopping the
NIBP manual cycling, see page 68
Non-invasive blood pressure
ECG and impedance respiration
E-PSMPW (in the drawing above):
In E-PSMP only:
Zero P1: for zeroing pressure channel P1
Zero P2: for zeroing pressure channel P2
Non-invasive blood pressure
Invasive blood pressures
ECG and impedance respiration