Page 1 CARESCAPE ONE User Manual DRAFT 26 October 2017 CARESCAPE ONE User Manual Software version 1 CARESCAPE ONE English 1st edition 2094480-001 paper © 2017 General Electric Company. All rights reserved.
Page 2 The information in this manual applies to the software version listed on the first page of the manual. 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.
Page 3: Table Of Contents
CARESCAPE ONE User Manual DRAFT 26 October 2017 Contents About this manual ..................23 Intended use of this manual................. 23 Intended audience of this manual ............... 23 Training requirements .................. 23 Manual conventions ..................24 Monitor naming conventions ..............24 Other naming conventions ................. 24 Illustrations and names ................
Page 4 Battery status indicator ................42 Installing batteries..................42 Docks ......................45 Connecting the CARESCAPE ONE to a dock..........45 Disconnecting the CARESCAPE ONE from a dock ........46 CARESCAPE Dock F0..................46 Mini Dock ..................... 48 Parameter Dock 1 and Parameter Dock 5..........48 Equipment symbols ..................
Page 5 CARESCAPE ONE User Manual DRAFT 26 October 2017 Monitoring basics ..................55 Main screen layout..................55 Main keys....................... 56 An example of a menu.................. 56 Menu options....................57 Selecting menu options with a touchscreen ..........57 Data field entries ................... 58 Entering data ....................
Page 6 CARESCAPE ONE User Manual DRAFT 26 October 2017 Turning off the CARESCAPE ONE ..............67 Starting monitoring..................67 Pre-monitoring checklist................68 Performance check..................69 Entering patient data..................69 Resetting a case/discharging a patient............69 About continuing monitoring ............... 69 About standby....................70 Starting standby..................
Page 7 ECG cautions ....................99 ECG measurement limitations..............99 ECG points to note ..................99 ECG measurement setup................99 ECG equipment to patient connection with CARESCAPE ONE....99 Preparing the patient’s electrode sites ............ 100 Applying the electrodes to the patient............. 100 2094480-001...
Page 8 CARESCAPE ONE User Manual DRAFT 26 October 2017 3- lead or 5-lead ECG electrode placement ..........101 6-lead ECG electrode placement ............. 101 10–lead ECG electrode placement for cardiac monitoring ....102 Standard resting 10–lead ECG electrode placement ......103 Checking the ECG measurement .............
Page 9 CARESCAPE ONE User Manual DRAFT 26 October 2017 Pacemaker detection warnings ............... 113 Pacemaker detection points to note............113 Selecting the pacemaker detection ............114 Pacemaker detection troubleshooting ............ 114 Arrhythmia monitoring ................115 Arrhythmia monitoring warnings............. 115 Arrhythmia measurement limitations............116 Setting the arrhythmia category to alarm..........
Page 10 CARESCAPE ONE User Manual DRAFT 26 October 2017 Respiration lead I electrode placement ........... 126 Respiration lead II electrode placement ..........126 Respiration lead RL-LL electrode placement........... 127 Respiration measurement checks............127 Respiration measurement on the monitor screen........127 Using the respiration measurement ............128 Turning on the respiration measurement..........
Page 11 OxiMax ™ technology and sensor measurement guidelines....................142 SpO₂ measurement setup ................143 equipment to patient connection with CARESCAPE ONE ....143 Preparing the SpO connection..............143 Checking the SpO measurement ............143 Using the SpO₂ measurement..............144 Changing the SpO waveform scale ............
Page 12 NIBP measurement limitations ..............155 NIBP points to note ..................155 NIBP measurement setup................156 NIBP equipment to patient connection with CARESCAPE ONE....156 Preparing the NIBP patient connection ........... 156 Checking the NIBP measurement ............156 NIBP measurement on screen ..............157 Manual NIBP measurements..............
Page 13 CARESCAPE ONE User Manual DRAFT 26 October 2017 Setting NIBP alarms .................. 160 NIBP alarms’ deactivation with pause audio key ........161 NIBP recheck after alarm violation (control measurement) ....161 NIBP measurement description ..............161 NIBP measurement technologies .............. 162 DINAMAP SuperSTAT NIBP technology.............
Page 14 CARESCAPE ONE User Manual DRAFT 26 October 2017 Selecting the invasive pressure noise reduction filter......170 Selecting the primary arterial source ............171 Selecting Smart BP..................171 Compensating for intra-aortic balloon pump (IABP) waveform irregularities....................171 Setting an arterial invasive pressure disconnection alarm ...... 172 Setting invasive pressure alarm limits ............
Page 15 CARESCAPE ONE User Manual DRAFT 26 October 2017 warnings..................... 185 cautions ....................186 points to note ..................186 CO₂ measurement setup ................187 Equipment connection with CARESCAPE CO .......... 187 Preparing the setup for CARESCAPE CO ..........187 About sidestream kits ................188 Using the CO₂...
Page 16 CARESCAPE ONE User Manual DRAFT 26 October 2017 About snapshots and graphic trends ............197 17 Cleaning and care..................199 Cleaning and care overview............... 199 Cleaning....................... 199 Cleaning safety precautions..............199 Permitted detergents ................200 Cleaning points to note................200 Setting the touchscreen off for cleaning ..........200 General cleaning instructions..............
Page 17 CARESCAPE ONE User Manual DRAFT 26 October 2017 Monitoring basics..................240 Alarms......................240 Transport ..................... 241 ECG....................... 241 Impedance respiration ................243 Pulse oximetry (SpO ) .................. 243 Non-invasive blood pressure..............244 Invasive pressures..................245 Temperature....................245 ....................... 246 Trends ......................246 Compatibility ....................247...
Page 18 Oximax ™ technology ....... 301 Accuracy of Masimo SET technology with Masimo SET sensors.... 301 Accuracy of GE TruSignal technology with TruSignal sensors ....302 test methods used to establish accuracy claims during motion......................302 CARESCAPE ONE 2094480-001...
Page 19 CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ test methods used to establish accuracy claims during low perfusion...................... 303 Low perfusion accuracy of Nellcor Oximax technology with Oximax sensors....................... 303 Low perfusion accuracy of Masimo SET technology ......303 Low perfusion accuracy of GE TruSignal technology with TruSignal sensors.......................
Page 20 CARESCAPE ONE User Manual DRAFT 26 October 2017 Current patient settings ................326 Configuring care unit settings ..............326 Alarm settings ................... 326 Parameter alarms settings ............... 327 Admit/discharge settings................330 Unit of measure settings................330 Parameter settings..................330 Configuring profile settings ................ 331 Alarm delay settings .................
Page 21 Improving battery performance............... 382 Battery storage recommendations............382 Testing the battery charge ............... 383 Charging a battery inside the CARESCAPE ONE ........383 Charging a battery using an external battery charger......383 Conditioning the battery................383 Replacing the CARESCAPE ONE battery........... 383 Battery recycling ..................
Page 22 CARESCAPE ONE User Manual DRAFT 26 October 2017 Electromagnetic compatibility safety precautions ........388 Electromagnetic compatibility warnings ..........388 Electromagnetic compatibility cautions ..........388 Electromagnetic emissions ................ 388 Electromagnetic immunity ................. 389 Recommended separation distances............390 Compliant cables and accessories ............391 Minimizing electromagnetic interference..........
Page 23: About This Manual
Using the system should never replace nor impede the human intervention and required patient care provided by clinical professionals. Training requirements No product-specific training is required for the use of the CARESCAPE ONE. 2094480-001 CARESCAPE ONE...
Page 24: Manual Conventions
Monitor naming conventions In this manual, the CARESCAPE ONE is also referred to as CS ONE. When a generic term is more appropriate, it is referred to as the device, acquisition platform, or monitor. In this manual, the CARESCAPE B850 monitor is referred to as the host.
Page 25: Illustrations And Names
● CARESCAPE ONE Service Manual ● Ordering manuals A paper copy of this manual will be provided upon request. Contact your local GE representative and request the part number on the first page of the manual. Product availability NOTE Due to continual product innovation, design and specifications for these products are subject to change without notice.
Page 26: Third Party Trademarks
Multi-Link is a trademark of CareFusion Corporation or one of its affiliates. LoFlo is a trademark of Koninklijke Philips Electronics N.V. Manufacturer responsibility GE is responsible for the effects on safety, reliability, and performance of the equipment only if: Assembly operations, extensions, readjustments, modifications, servicing, or ●...
Page 27: Safety
CARESCAPE ONE User Manual DRAFT 26 October 2017 Safety Safety message signal words Safety message signal words designate the severity of a potential hazard. DANGER Indicates a hazardous situation that, if not avoided, will result in death or serious injury.
Page 28: System Safety
CARESCAPE ONE User Manual DRAFT 26 October 2017 Safety Symbol Explanation MR Unsafe. Indicates that the device is not intended for use in an MR environment. This symbol is identified by a white background, red or black circular band, and a black symbol.
Page 29: Accessories Warnings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Safety Accessories warnings WARNING Single-use products are not designed to be reused. Reuse may cause a risk of cross-contamination, affect the measurement accuracy and/or system performance, and cause a malfunction as a result of the product being physically damaged due to cleaning, disinfection, re-sterilization and/or reuse.
Page 30: Electrical Warnings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Safety Electrical warnings WARNING POWER SUPPLY. Always connect the device power cable to a properly installed power outlet with protective earth contacts before connecting any other interface cables. If the integrity of the protective earth conductor is in doubt, disconnect the monitor from the power line and use it with the battery option.
Page 31: System Warnings
Alterations or modifications may affect patient safety, performance, and accuracy. WARNING Do not place the CARESCAPE ONE in a patient bed. Site requirement warnings WARNING BEFORE INSTALLATION. Compatibility is critical to safe and effective use of this device.
Page 32: System Caution Safety Messages
Indications for use Contraindications for using the monitor The CARESCAPE ONE is not intended for use in a controlled MR environment. CARESCAPE ONE indications for use The CARESCAPE ONE is both a multi-parameter physiological patient monitor and an accessory to a multi-parameter patient monitor intended for use in multiple areas and intra-hospital transport within a professional healthcare facility.
Page 33: Indications For Use Safety Precautions
In addition, both a power button and touchscreen lock button are provided. The CARESCAPE ONE can be used as a standalone monitor. In this mode of operation, the CARESCAPE ONE provides ECG, ST segment, arrhythmia detection, impedance...
Page 34: Indications For Use Cautions
CAUTION SUPERVISED USE. This equipment is intended for use under the direct supervision of a licensed healthcare practitioner. Training requirements No product-specific training is required for the use of the CARESCAPE ONE. Electromagnetic compatibility EMC warnings WARNING Use only approved accessories, including mounts, and defibrillator-proof cables and invasive pressure transducers.
Page 35: Emc Cautions
CARESCAPE ONE User Manual DRAFT 26 October 2017 Safety WARNING Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. If such use is necessary, this equipment and the other equipment should be observed to verify that they are operating normally.
Page 36 CARESCAPE ONE User Manual DRAFT 26 October 2017 Safety CARESCAPE ONE 2094480-001...
Page 37: System Introduction
Alterations or modifications may affect patient safety, performance, and accuracy. WARNING Do not place the CARESCAPE ONE in a patient bed. Operation warnings WARNING After transferring or reinstalling the device, always check that it is properly connected and all parts are securely attached.
Page 38: Short Description Of The Equipment
In addition, both a power button and touchscreen lock button are provided. The CARESCAPE ONE can be used as a standalone monitor. In this mode of operation, the CARESCAPE ONE provides ECG, ST segment, arrhythmia detection, impedance...
Page 39: Carescape One System Components
It also enables ECG diagnostic analysis and measurement. Visual and audible alarms, user controls, and user interface on the CARESCAPE ONE are not active in this mode. CARESCAPE ONE system components Your system may not include all these components. Consult your local representative for the available components.
Page 40: Carescape One Front And Back Views
CARESCAPE ONE User Manual DRAFT 26 October 2017 System introduction CARESCAPE ONE front and back views Alarm light area (blue, yellow, or red) Audio alarm paused/off indicator (blue) Battery status indicator (yellow or green) Power on/standby button Screen lock/unlock button...
Page 41: Carescape One Side View
CARESCAPE ONE User Manual DRAFT 26 October 2017 System introduction CARESCAPE ONE side view NIBP hose connector Analog out / Defibrillator synchronization connector Connect IEC 60601-1 compliant medical devices to this port only. CARESCAPE Parameter connectors CARESCAPE Parameters Parameter CARESCAPE Parameter...
Page 42: Battery
The unlit on/standby key indicates there is no power applied to the device. Battery The CARESCAPE ONE is designed to operate on battery power when used in transport or whenever AC power is interrupted. A complete battery management system allows you to obtain maximum battery performance.
Page 43 CAUTION LOSS OF MONITORING. To prevent loss of monitoring, only change the CARESCAPE ONE battery when CARESCAPE ONE is connected to a powered CARESCAPE Dock F0. 2094480-001 CARESCAPE ONE...
Page 44 CARESCAPE ONE User Manual DRAFT 26 October 2017 System introduction 1. To insert a battery: a. Open the battery door by gently peeling down the corner of the battery door pull tab. b. Position the battery with the connector end facing towards the battery slot and insert the battery all the way into the battery slot.
Page 45: Docks
Consult qualified personnel regarding device/system configuration. The CARESCAPE ONE has an integrated slide mount for mounting onto the CARESCAPE Dock F0 or the Mini Dock. The docks facilitate all mounting options for the CARESCAPE ONE. Refer to the supplemental information provided to identify compatible mounting hardware options.
Page 46: Disconnecting The Carescape One From A Dock
CARESCAPE ONE User Manual DRAFT 26 October 2017 System introduction 1. Align the CARESCAPE ONE with the dock rails. 2. Push the CARESCAPE ONE into the dock until it stops. You will hear a click when it is fully docked. Disconnecting the CARESCAPE ONE from a dock 1.
Page 47 CARESCAPE ONE, unless a 30 m host cable is used for the connection. In this case, the host monitor does not provide power and the CARESCAPE ONE must be connected to the AC mains to DC power supply for power.
Page 48: Mini Dock
Power receptacle for the AC mains to DC power supply. Mini Dock The Mini Dock is an unpowered mount that allows the docked CARESCAPE ONE to be mounted to a bed rail for use during transport. Parameter Dock 1 and Parameter Dock 5 The Parameter Dock 1 and Parameter Dock 5 provide a mounting option for the CARESCAPE Parameters.
Page 49 CARESCAPE ONE User Manual DRAFT 26 October 2017 System introduction The following symbols may appear on one or more of the devices. Non-invasive blood pressure. USB connectors. Ethernet connectors. Input/output. Gas inlet. Gas outlet. Degree of ingress protection. Degree of protection against harmful ingress of water: Components not marked with an IPX n code are rated as Ordinary (no protection against fluid ingress).
Page 50 CARESCAPE ONE User Manual DRAFT 26 October 2017 System introduction The following symbols may appear on one or more of the devices. Manufacturer 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.
Page 51 CARESCAPE ONE User Manual DRAFT 26 October 2017 System introduction The following symbols may appear on one or more of the devices. Temperature limitations. Humidity limitations. Keep dry. Protect from rain. Fragile. Handle with care. This way up. This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately.
Page 52 CARESCAPE ONE User Manual DRAFT 26 October 2017 System introduction The following symbols may appear on one or more of the devices. CAUTION U.S. Federal law restricts this device to sale by or on the order of a physician. Russia only. GOST-R mark.
Page 53: Unique Device Identifier (Udi)
CARESCAPE ONE User Manual DRAFT 26 October 2017 System introduction The following symbols may appear on one or more of the devices. China only. Chinese Compulsory Certification as required by AQSIQ. Safety & EMC compliance. India only. Indian Conformity Assessment Certification granted by the Bureau of Indian Standards.
Page 54: Ce Marking Application Year
Any unauthorized attempt to repair equipment under warranty voids that warranty. ● It is the user's responsibility to report the need for service to GE or to one of their ● authorized agents. Failure on the part of the responsible individual, hospital, or institution using this ●...
Page 55: Monitoring Basics
CARESCAPE ONE User Manual DRAFT 26 October 2017 Monitoring basics Main screen layout The main screen displays alarms, information, waveforms, parameter windows, and the main menu in pre-defined areas. Alarm area Information area Upper parameter Waveform area windows Lower parameter windows (option)
Page 56: Main Keys
CARESCAPE ONE User Manual DRAFT 26 October 2017 Monitoring basics Battery icon. You can access the Battery Status menu by selecting this icon. ● Current time of day. ● Main keys Various functions of the monitor can be accessed through the main menu keys.
Page 57: Menu Options
CARESCAPE ONE User Manual DRAFT 26 October 2017 Monitoring basics 1. Menu title (for example, ECG) 2. Submenu tabs (for example, Setup, ST) 3. Selection lists: when selecting the arrow, a list of options appears 4. Arrow selector spinner for increasing/decreasing a value 5.
Page 58: Data Field Entries
CARESCAPE ONE User Manual DRAFT 26 October 2017 Monitoring basics 3. Lift your finger off the screen, and the selected function is performed (e.g., a list opens). Data field entries You can use the on-screen keyboard to type data into a data field. Data fields are selectable with the touchscreen.
Page 59: Supply Mains Interruption
Touch indicator. Home indicator. Close all menus/applications displayed on the monitor. Patient indicator. CARESCAPE ONE battery is full indicator. CARESCAPE ONE battery indicator (green). The higher the charge, the bigger the green bar within the indicator. 2094480-001 CARESCAPE ONE...
Page 60 CARESCAPE ONE battery indicator (yellow). Appears when there is less than 20 minutes of run time left. CARESCAPE ONE battery indicator (red). Appears when there is less than 5 minutes of run time left. CARESCAPE ONE battery is charging indicator.
Page 61: Setting Up The Monitor Before Use
CARESCAPE ONE User Manual DRAFT 26 October 2017 Setting up the monitor before use Normal screen and other pages When monitoring begins, the main page appears automatically. This preconfigured page is called the normal screen. Any changes you make to the screen setup during monitoring are changes to this normal screen.
Page 62: Adjusting The Alarm Light Brightness
CARESCAPE ONE User Manual DRAFT 26 October 2017 Setting up the monitor before use 1. Select Monitor Setup > Main Setup > Brightness. 2. Use the Display % arrows to adjust the display brightness in the range of 30% to 100%.
Page 63: Normal Screen Pages
CARESCAPE ONE User Manual DRAFT 26 October 2017 Setting up the monitor before use Normal screen pages The normal screen displays parameter windows for parameters being monitored. A second page is also available. When the normal screen is full, the parameters are...
Page 64: Selecting Parameters To The Normal Screen
CARESCAPE ONE User Manual DRAFT 26 October 2017 Setting up the monitor before use 2. Touch the waveform area on the screen and swipe your finger horizontally to the left to move from page 1 to page 2. The right dot illuminates white, indicating that page 2 of the normal screen is now displayed.
Page 65: Parameter Configurations
CARESCAPE ONE User Manual DRAFT 26 October 2017 Setting up the monitor before use Selecting colors for other parameters 1. Select Monitor Setup > Main Setup > Colors. 2. Select the Other Parameters tab. 3. Select the colors for the parameters from the dropdown lists.
Page 66 CARESCAPE ONE User Manual DRAFT 26 October 2017 Setting up the monitor before use CARESCAPE ONE 2094480-001...
Page 67: Starting And Ending Monitoring
Read all instructions carefully. Turning on the CARESCAPE ONE CARESCAPE ONE can operate via battery power using its own battery, or via DC power when connected to a powered docking station. Refer to the device labeling for voltage and current requirements.
Page 68: Pre-Monitoring Checklist
Parameter-specific instructions are more detailed and should always be followed as well. 1. Connect the patient to the CARESCAPE ONE according to the measurement setup requirements in the parameter-specific chapters of this document. The alarms and parameter settings become active.
Page 69: Performance Check
All settings, including alarm limits, return to their default values. All patient data is removed from the monitor. The CARESCAPE ONE may be configured in care unit settings with an automatic case reset/patient discharge timer. Care unit settings are password protected. If...
Page 70: About Standby
MRN:, Second ID:, and Name: if they are available. Those fields are blank if the information has not previously been entered. When CARESCAPE ONE is used as an acquisition module with a host monitor, the host monitor Continue menu provides options for handling patient data that may be stored in the CARESCAPE ONE.
Page 71: End Of Standby
CARESCAPE ONE User Manual DRAFT 26 October 2017 Starting and ending monitoring End of standby The monitor ends the standby automatically when any of the following conditions occur: The touchscreen is pressed. ● At least one CARESCAPE Parameter is connected and active parameter data is ●...
Page 72 CARESCAPE ONE User Manual DRAFT 26 October 2017 Starting and ending monitoring CARESCAPE ONE 2094480-001...
Page 73: Alarms
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms Alarm safety precautions Alarm warnings WARNING When the alarms are off or while alarm audio is paused either temporarily or indefinitely, observe the patient frequently. WARNING MISSED ALARMS. Always make sure that the audio alarm...
Page 74: Alarm Overview
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms WARNING MIXED ENVIRONMENT. A hazard can exist when the same type of monitors in the same care area are using different monitoring profiles and default configuration settings. WARNING MISSING CRITICAL EVENTS. Reducing the physiological alarms’...
Page 75: Alarm Conditions
Alarm transfer from CARESCAPE ONE to a host monitor When the CARESCAPE ONE with an active patient case/admitted patient and active or latched alarms is connected to a host monitor, these alarms will become latched on the host monitor.
Page 76: Visual Alarm Indications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms Visual alarm indications Alarm icons on the screen Icon Explanation Alarm off indicator Alarm volume indicator. Adjust the minimum alarm tone volume. Alarm volume high or medium indicator. Adjust the tone volume.
Page 77: Visual Alarm Signals And Priority Levels
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms Alarm and information messages are stored in the clinical logs. Access to the clinical logs is a service-level function and it is password protected. The alarm and information messages stored in the clinical logs include: Time of occurrence ●...
Page 78: Audible Alarm Indications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms 4. Use the arrows to select an Alarm Light % value. The greater the value, the brighter the light. Audible alarm indications Audible alarm signals When more than one alarm occurs at the same time, the monitor will sound an alarm tone for the highest priority alarm.
Page 79: Auditory Information Signals
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms Priority level Audible signals High Medium Informational second interval (user-selectable) The IEC audible tone pattern is the factory default setting. Auditory information signals The monitor performs a self-diagnostic procedure at startup and generates an auditory test signal.
Page 80: Returning The Default Alarm Limits
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms 3. Select Auto Limits. If you need to undo these changes and return to the previous alarm limit settings, select Undo Settings before closing the menu. Default auto alarm limits Parameter...
Page 81: Alarm Priorities And Escalation
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms Alarm priorities and escalation Alarm priority levels Physiological and technical alarms are categorized by priority level: High priority alarms require an immediate response. ● Medium priority alarms require a prompt response.
Page 82: Setting Arrhythmia Alarms
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms Invasive pressures Other parameters Noisy ECG PA high/low Resp (Imped.) measurement paused Arrhythmia paused RAP high/low RR (CO2) high/low RVP high/low Apnea (CO2) LAP high/low CO2 high/low ICP high/low Temp high/low...
Page 83: Pausing And Silencing Alarms
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms Pausing and silencing alarms Audible alarms off behavior Depending on the Audio Alarm default settings configured during installation (password protected), you can turn on or turn off audible alarms. For more information, see the supplemental information provided.
Page 84: Pausing Alarms For 5 Minutes
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarms Active and/or latched alarms Selection Result Pauses all active audio alarms for 2 minutes. ● Select once Removes all latched alarms. ● Deactivates some technical alarms. ● Starts a 2 or 5 minute audio pause period for all alarms except the ●...
Page 85: Technical Alarms' Deactivation With The Pause Audio Key
Care Unit Settings and it is password protected. For more information, see the supplemental information provided. Alarm settings after a power loss If the CARESCAPE ONE loses power, the amount of time without power affects whether or not you need to reset the alarm settings. 2094480-001...
Page 86: Alarm Data Stored In Clinical Logs
Stored alarm data during a power cycle or power loss If the CARESCAPE ONE goes through a power cycle or a loss of power, the stored alarm data in the Clinical log is not affected. The alarm data remains stored in the Clinical log until the monitor automatically clears the oldest stored data to allow new data to be stored.
Page 87: Transport Use
You can use the CARESCAPE ONE for uninterrupted monitoring when transferring a patient from one location to another. When the CARESCAPE ONE is used as an acquisition module with a host monitor, you can disconnect it from the host monitor, retain the patient data in the CARESCAPE ONE, and continue to monitor as you move the patient.
Page 88: Preparing To Transport A Patient
3. Ensure that the parameters you need to monitor during transport are selected to display on the CARESCAPE ONE screen. Refer to the chapter “Setting up the monitor before use” for more information on selecting parameters to the screen.
Page 89: Transport Transfer Settings
4. If needed, reconnect any parameters that were disconnected during transport. Transport transfer settings If a CARESCAPE ONE is taken to another unit and connected to a different host monitor as an acquisition device, the CARESCAPE ONE uses the receiving host monitor’s care unit settings.
Page 90 The following current patient settings are transferred from the CARESCAPE ONE to the host monitor at connection when a patient is admitted on the CARESCAPE ONE. If a patient is not admitted on the CARESCAPE ONE at connection, the current patient settings are not transferred from the CARESCAPE ONE to the host monitor.
Page 91 CARESCAPE ONE User Manual DRAFT 26 October 2017 Transport use A Fib > Create Snapshot ● Accelerated Ventricular > Alarm Priority ● Accelerated Ventricular > Create Snapshot ● Arrhythmia Level ● Arrhythmia paused alarm priority ● Asystole > Create Snapshot ●...
Page 92 CARESCAPE ONE User Manual DRAFT 26 October 2017 Transport use Frequent PVCs alarm limits ● Frequent PVCs alarm on/off ● QRS Width ● R on T > Alarm Priority ● R on T > Create Snapshot ● Size ● ST XXX alarm limits; where XXX = ECG site label ●...
Page 93 Channel 1 and 2 mean alarm limits ● Channel 1 and 2 mean alarm on/off ● Channel label (if the CARESCAPE ONE channel is not zeroed) ● Filter Hz (if the CARESCAPE ONE channel is not zeroed) ● IABP On (if the CARESCAPE ONE channel is not zeroed) ●...
Page 94 ● RR (CO2) high/low alarm limits ● RR (CO2) high/low alarm priority ● Care unit settings transferred from the host monitor to the CARESCAPE ONE Allowed Arrh. Levels ● Arrhythmia Alarms Informational Allowed ● ECG Lead Off alarm priority levels allowed ●...
Page 95: Transport Troubleshooting
Check that the CARESCAPE Parameter is connected to the CARESCAPE ONE. ● A parameter is not visible Check that the parameter is selected to the CARESCAPE ONE screen. Keep in ● on the CARESCAPE ONE mind that the parameter may be configured for display on page 2.
Page 96 CARESCAPE ONE User Manual DRAFT 26 October 2017 Transport use CARESCAPE ONE 2094480-001...
Page 97: Ecg
CARESCAPE ONE User Manual DRAFT 26 October 2017 ECG compatibility limitations For detailed information regarding CARESCAPE ONE, CARESCAPE Parameter, and accessory compatibility, see the supplemental information provided. ECG safety precautions ECG warnings WARNING Make sure that the leadwire set clips or snaps do not touch any electrically conductive material including earth.
Page 98 CARESCAPE ONE User Manual DRAFT 26 October 2017 WARNING CONDUCTIVE CONNECTIONS. Extreme care must be exercised when applying medical electrical equipment. Many parts of the human/machine circuit are conductive, such as the patient, connectors, electrodes, transducers. It is very important that these conductive parts do not come into contact with other grounded, conductive parts when connected to the isolated patient input of the device.
Page 99: Ecg Cautions
CARESCAPE ONE User Manual DRAFT 26 October 2017 WARNING HEART RATE ALARM INTERFERENCE. Poor cable positioning or improper electrode preparation may cause line isolation monitor transients to resemble actual cardiac waveforms and thus inhibit heart rate alarms. To minimize this problem, follow proper electrode placement and cable positioning guidelines provided with this device.
Page 100: Preparing The Patient's Electrode Sites
CARESCAPE ONE User Manual DRAFT 26 October 2017 1. CARESCAPE ONE 2. CARESCAPE ECG 3. AAMI/AHA or IEC 3-leadwire, 5-leadwire, or 6-leadwire set 4. AAMI/AHA or IEC precordial leads leadwire set Preparing the patient’s electrode sites Excessive body hair or skin oil reduces electrode contact with the skin and decreases the quality of electrode signal.
Page 101: 3- Lead Or 5-Lead Ecg Electrode Placement
CARESCAPE ONE User Manual DRAFT 26 October 2017 A secured stress loop prevents leadwire rotation about the electrode snap, leadwire tugging at the electrode, and ECG artifact. 3- lead or 5-lead ECG electrode placement For a 3-leadwire electrode placement, the R/RA, L/LA, and F/LL electrodes should be used.
Page 102: 10-Lead Ecg Electrode Placement For Cardiac Monitoring
CARESCAPE ONE User Manual DRAFT 26 October 2017 labels for the Ca/Va and Cb/Vb leads are white (IEC) or brown (AAMI/AHA). The 12RL should be used for adult patients only. AAMI/AHA Electrode placement R (red) RA (white) Just below the right clavicle.
Page 103: Standard Resting 10-Lead Ecg Electrode Placement
CARESCAPE ONE User Manual DRAFT 26 October 2017 AAMI/AHA Electrode placement RL (green) N (black) Lower right edge of the rib cage. F (green) LL (red) Lower left edge of the rib cage. intercostal space, right sternal border. Ca/C1 (white)
Page 104: Checking The Ecg Measurement
CARESCAPE ONE User Manual DRAFT 26 October 2017 AAMI/AHA Electrode placement Cb/C5 (white/black) Vb/V5 Left anterior axillary line at C4/V4 level. (brown/orange) C6 (white/purple) V6 (brown/purple) Mid-axillary line at C4/V4 and Cb/C5/Vb/V5 levels. Checking the ECG measurement 1. Check that the waveforms and parameter values are displayed without any error messages when the cable is connected to the patient.
Page 105: Selecting The Va Ecg Lead
CARESCAPE ONE User Manual DRAFT 26 October 2017 2. Select a lead from the ECG 2 Lead list. If your selection is Cascade, the displayed ECG 1 Lead waveform continues into the ECG 2 Lead waveform area. Selecting the third displayed ECG lead The ECG 3 Lead is the third ECG lead displayed in the waveform area.
Page 106: Setting The Beat Volume
CARESCAPE ONE User Manual DRAFT 26 October 2017 1. Select the HR parameter window > Setup > Page 1. 2. Select Deactivate ECG Leads Off. Setting the beat volume 1. Select the HR parameter window > Setup > Page 2.
Page 107: Selecting The Hemodynamic Waveform Sweep Speed
CARESCAPE ONE User Manual DRAFT 26 October 2017 NOTE The Size setting affects arrhythmia detection and heart rate calculation sensitivity. Normal waveform size/QRS detection sensitivity is 1x. Size 2x and greater increases the QRS detection sensitivity. This may be helpful for low amplitude QRS waveforms.
Page 108: Selecting The Leads For Ecg Analysis
CARESCAPE ONE User Manual DRAFT 26 October 2017 Selecting the leads for ECG analysis You can choose whether the monitor performs an ECG analysis using single lead ECG data or data from multiple ECG leads. Multiple ECG leads will typically reduce false alarms and improve the detection sensitivity.
Page 109: Selecting Hr Alarm Range
CARESCAPE ONE User Manual DRAFT 26 October 2017 NOTE This setting adjusts the primary heart rate source for all of the hemodynamic parameters. 1. Select the HR parameter window. 2. Select Setup > Page 2. 3. Select a parameter from the Primary HR Source list. The selection list will only show active measurements and AUTO, IntelliRate, or ECG.
Page 110: Displaying The Ecg Grid
CARESCAPE ONE User Manual DRAFT 26 October 2017 Displaying the ECG grid You can have a reference grid in the ECG1, ECG2, and ECG3 waveform areas. The grid points will be at 200 ms horizontally and 0.5 mV vertically. 1. Select the HR parameter window.
Page 111: Ecg Alarm Priorities
CARESCAPE ONE User Manual DRAFT 26 October 2017 Setting PVC alarm limits Available only when full arrhythmia detection is enabled. 1. Select the HR parameter window. 2. Select HR Alarms Arrhythmia > PVC/SVC Arrhythmia. 3. Check that the PVC alarm is turned on.
Page 112: Auto Algorithm
12RL is not available with the NICU software package. NOTE Although reconstructed (interpolated) leads can be viewed on the CARESCAPE ONE in standalone mode, the CARESCAPE ONE must be connected to a host monitor as an acquisition device to obtain a 12RL report.
Page 113: Pacemaker Detection
CARESCAPE ONE User Manual DRAFT 26 October 2017 NOTE Reconstructed (interpolated) leads cannot be selected for pacemaker detection or impedance respiration monitoring. 12RL uses a standard 6-leadwire electrode placement to acquire leads I, II, III, AVR, AVF, AVL, V1 and V5. The four precordial leads (V2, V3, V4, V6) are not acquired from the patient.
Page 114: Selecting The Pacemaker Detection
CARESCAPE ONE User Manual DRAFT 26 October 2017 10-lead mode: Leads R/RL, F/LL, C1/V1, and C5/V5 ￭ Pacemaker detection is done on leads I, II, and V simultaneously. ● The V lead plays a critical role in pacemaker detection. ●...
Page 115: Arrhythmia Monitoring
CARESCAPE ONE User Manual DRAFT 26 October 2017 Problem Solution Switch to another pacemaker detection mode. ￭ Why is the monitor double-counting the heart rate, The monitor is not detecting pacemaker activity. alarming for a low heart rate, or not detecting...
Page 116: Arrhythmia Measurement Limitations
CARESCAPE ONE User Manual DRAFT 26 October 2017 the design limits of the analysis program. Thus, as beats become extremely wide or narrow, or especially as beats become small, arrhythmia interpretation performance may degrade. Other morphology considerations. Automated arrhythmia ●...
Page 117: Setting The Arrhythmia Category To Alarm
6. Select the check box for Create Snapshot if you wish to activate an arrhythmia snapshot creation. Snapshots are not displayed on the CARESCAPE ONE, but they can be viewed on a host monitor when the CARESCAPE ONE is connected as an acquisition device.
Page 118: Setting The Svt Length
CARESCAPE ONE User Manual DRAFT 26 October 2017 Setting the SVT length This setting determines how many consecutive SVCs are needed to trigger the SV Tachy alarm. 1. Select Alarms Setup. 2. Select the Arrhythmia tab. 3. Select Atrial Alarms >SV Tachy tab.
Page 119 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm message Arrhythmia analysis Alarm priority default Arrhythmia detection criteria Missing Beat Full According to priority Actual RR interval more setting than 1.8 times the All software packages average RR interval. except NICU...
Page 120: About The Arrhythmia Detection
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm message Arrhythmia analysis Alarm priority default Arrhythmia detection criteria exceeds selected HR for V Tach /min value. About the arrhythmia detection When an ECG signal is detected at the start of monitoring, the arrhythmia detection algorithm begins acquiring and analyzing QRS complexes in the leads used for arrhythmia detection.
Page 121 CARESCAPE ONE User Manual DRAFT 26 October 2017 Problem Solution switch to single lead analysis so all arrhythmia interpretations are based on this single ECG lead. How does the IntelliRate algorithm impact an IntelliRate will report Asystole when the following...
Page 122: St Detection
CARESCAPE ONE User Manual DRAFT 26 October 2017 ST detection About the ST analysis If enabled, ST analysis starts automatically after the ECG leads have been connected and QRS detection has started. Once the program has completed the learning phase, ST values are updated every 10 seconds.
Page 123: Impedance Respiration
CARESCAPE ONE User Manual DRAFT 26 October 2017 Impedance respiration Impedance respiration compatibility limitations For detailed information regarding CARESCAPE ONE, CARESCAPE Parameter, and accessory compatibility, see the supplemental information provided. Respiration safety precautions Respiration warnings WARNING Make sure that the leadwire set clips or snaps do not touch any electrically conductive material including earth.
Page 124: Respiration Cautions
For information on materials used in accessories and their biocompatibility, refer ● to the instructions for use in the accessory package. Connect only one CARESCAPE ECG to the CARESCAPE ONE. ● Do not place electrodes on obvious layers of fat, or major muscles.
Page 125: Respiration Measurement Setup
CARESCAPE ONE User Manual DRAFT 26 October 2017 Impedance respiration Respiration measurement setup Respiration equipment to patient connection with CARESCAPE ONE 1. CARESCAPE ONE 2. CARESCAPE ECG 3. AAMI/AHA or IEC 3-leadwire, 5-leadwire, or 6-leadwire set 4. AAMI/AHA or IEC precordial leads leadwire set Preparing the patient’s respiration electrode sites...
Page 126: Respiration Lead I Electrode Placement
CARESCAPE ONE User Manual DRAFT 26 October 2017 Impedance respiration Description Lead Lead I Best for detecting thoracic breathing, but is more susceptible to cardiogenic artifact. Lead II Equally good at detecting thoracic or abdominal breathing, but is more susceptible to cardiogenic and motion (head, neck, or arm) artifact.
Page 127: Respiration Lead Rl-Ll Electrode Placement
CARESCAPE ONE User Manual DRAFT 26 October 2017 Impedance respiration Respiration lead RL-LL electrode placement When monitoring respiration through the RL-LL vector, use a standard 5- or 6-leadwire electrode placement, except place the RL electrode on the fifth intercostal space on the right side of the chest.
Page 128: Using The Respiration Measurement
CARESCAPE ONE User Manual DRAFT 26 October 2017 Impedance respiration Using the respiration measurement Turning on the respiration measurement Follow these steps if the respiration measurement is not displaying and you want to turn it on. 1. Select the impedance respiration parameter window.
Page 129: Turning Inspiration And Expiration Markers On Or Off
CARESCAPE ONE User Manual DRAFT 26 October 2017 Impedance respiration 2. Select Setup > Page 2. 3. Select the Imped. Resp Smoothing check box to enable smoothing. Deselect it to disable smoothing. Turning inspiration and expiration markers on or off You can select whether or not the inspiration and expiration markers are displayed on the respiration waveform.
Page 130: Apnea Alarms' Deactivation With The Pause Audio Key
CARESCAPE ONE User Manual DRAFT 26 October 2017 Impedance respiration 3. Set the Resp Rate (Imped.) limits. Apnea alarms’ deactivation with the pause audio key Apnea alarms can be deactivated with the pause audio key if the Allow alarm deactivation with the Audio Pause key for: setting Apnea (CO2/Imped.) is enabled in the Care Unit Settings.
Page 131: Respiration Measurement Description
CARESCAPE ONE User Manual DRAFT 26 October 2017 Impedance respiration Respiration measurement description When starting respiration monitoring, the system “learns” the patient’s respiration pattern. The respiration rate is calculated from impedance changes and a respiration waveform is displayed. Eight breaths are averaged and the average amplitude of the respiration waveform is found.
Page 132 CARESCAPE ONE User Manual DRAFT 26 October 2017 Impedance respiration Problem Solution Respiration detection is not dependent on the size of the waveform. Size is for visual purposes only. Why is the monitor detecting cardiac artifact as The breath detection threshold is too low (1 = breath, breaths? 2 = artifact).
Page 133: Spo₂
If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs, then check for conditions that may cause inaccurate SpO readings. If the problem is still not resolved, check the CARESCAPE ONE, CARESCAPE SpO , and sensor for proper functioning. WARNING A pulse oximeter should not be used as an apnea monitor.
Page 134 CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ WARNING To prevent erroneous readings, do not use a physically damaged CARESCAPE SpO or sensors. Discard damaged sensors immediately. Never repair a damaged sensor or CARESCAPE SpO ; never use a sensor or CARESCAPE SpO repaired by others.
Page 135 CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ WARNING Many factors may cause inaccurate readings and alarms, decreased perfusion, and or low signal strength: Interfering substances: ● Carboxyhemoglobin may erroneously increase SpO ￭ reading. Methemoglobin (MetHb) usually represents less than 1% ￭...
Page 136: Spo Cautions
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ Poor sensor fit or sensor applied too tightly. ￭ Do not allow tape to block the sensor light emitter and ￭ detector. Improper connection to the monitor or interconnect ￭ cable.
Page 137: Spo 2 Measurement Limitations
OxiMax ™ technology and Masimo SET technology, the ● pulse oximetry waveform is a normalized waveform. It is not normalized with GE TruSignal technology. GE TruSignal technology provides the actual IrMod% values. There are three supported pulse oximetry technologies: ●...
Page 138 CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ WARNING Do not place the pulse oximetry device or accessories in any position that might cause it to fall on the patient. WARNING Do not start or operate the pulse oximetry device unless the setup was verified to be correct.
Page 139: Masimo Cautions
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ Low arterial perfusion ● Motion artifact ● WARNING Interfering Substances: Dyes or any substance containing dyes that change usual blood pigmentation may cause erroneous readings. WARNING The pulse oximetry device should not be used as the sole basis for medical decisions.
Page 140: Masimo Points To Note
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ CAUTION If the Low Perfusion message is frequently displayed, find a better perfused monitoring site. In the interim, assess the patient and, if indicated, verify oxygenation status through other means. CAUTION If using pulse oximetry during full body irradiation, keep the sensor out of the radiation field.
Page 141: Spo₂ Measurement Guidelines
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ When using the Maximum Sensitivity setting, performance of the Sensor Off ● detection may be compromised. If the instrument is in this setting and the sensor becomes dislodged from the patient, the potential for false readings may occur due to environmental “noise”...
Page 142: Nellcor ™ Sensors With Oximax ™ Technology And Sensor Measurement Guidelines
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ Only Masimo RD SET, M-LNCS, LNCS, and LNOP sensors are supported. Masimo ● RD SET, M-LNCS, LNCS, or LNOP sensors non-invasively measure pulse rate and the amount of oxygenated hemoglobin. Use the following guidelines when using Masimo RD SET, M-LNCS, LNCS, or LNOP sensors: Read the sensor directions before use.
Page 143: Spo₂ Measurement Setup
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ SpO₂ measurement setup equipment to patient connection with CARESCAPE ONE 1. CARESCAPE ONE 2. CARESCAPE SpO 3. Reusable sensors and sensor cables 4. Disposable sensors and sensor cables Preparing the SpO connection 1.
Page 144: Using The Spo₂ Measurement
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ functional testers You can verify the functionality of pulse oximeter sensor and monitor with a functional tester but you cannot evaluate their accuracy with such a device. For more information, refer to the standard ISO 80601-2-61 Annex FF (Simulators, calibrators and functional testers for pulse oximeter equipment).
Page 145: Showing The Spo Pulse Rate
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ can be the Primary HR Source. 1. Select the SpO parameter window. 2. Select Setup > Page 1. 3. Select the heart rate source from the Primary HR Source list. Showing the SpO pulse rate 1.
Page 146: Selecting The Masimo Spo Sensor Sensitivity Level
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ options are: 2 s, 4 s, 8 s, 10 s, 12 s, 14 s, or 16 s. With GE TruSignal technology, the options are 5 s and 12 s. 1. Select the SpO parameter window.
Page 147: Nellcor ™ Oximax ™ Satseconds ™ Alarm Management
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ Nellcor OxiMax SatSeconds alarm management ™ ™ ™ NOTE Nellcor sensors with OxiMax technology only. Nellcor OxiMax technology uses SatSeconds alarm management to decrease the likelihood of false SpO saturation alarms caused by motion artifact. It does not apply to pulse rate.
Page 148: Setting The Spo Alarms And Alarm Limits
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ Setting the SatSeconds alarm management threshold ™ NOTE Nellcor ™ sensors with OxiMax ™ technology only. 1. Select the SpO parameter window. 2. Select Setup > Page 3. 3. Set the threshold with the Saturation Seconds arrows.
Page 149: Stopping The Spo Measurement
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ Stopping the SpO measurement 1. Remove the SpO sensor from the patient. 2. Disconnect the sensor from CARESCAPE SpO 3. Disconnect the CARESCAPE SpO from the CARESCAPE ONE. 4. Select to acknowledge the SpO2 measurement removed alarm.
Page 150: Spo 2 Waveform Stability
653 nm and 880 nm for RD SET, M-LNCS, LNCS, and LNOP tip clips. The total optical output power of the LEDs is less than or equal to 15 mW. GE TruSignal pulse oximetry sensors contain LEDs that emit red light at a ●...
Page 151: Spo 2 Troubleshooting
CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ troubleshooting Problem Solution Check the sensor and sensor position. ● signal is poor Make sure the patient is not shivering, moving, or does not have tremors. ● The patient’s pulse may be too weak to measure.
Page 152 CARESCAPE ONE User Manual DRAFT 26 October 2017 SpO₂ Problem Solution It has been noted that letting the patient view the SpO waveform enables the patient to assist in reducing motion artifact. No SpO data is displayed due to a hardware failure or an unrecognized or defective sensor or cable.
Page 153: Non-Invasive Blood Pressure
CARESCAPE ONE User Manual DRAFT 26 October 2017 Non-invasive blood pressure NIBP compatibility limitations For detailed information regarding CARESCAPE ONE, CARESCAPE Parameter, and accessory compatibility, see the supplemental information provided. NIBP safety precautions NIBP warnings WARNING The NIBP parameter will not measure blood pressure effectively on patients who are experiencing seizures or tremors.
Page 154: Nibp Cautions
To avoid this risk, use another limb if possible. WARNING GE NIBP devices are designed for use with dual-hose cuffs and tubing. The use of single-hose cuffs with dual hose tubing can result in unreliable and inaccurate NIBP data.
Page 155: Nibp Measurement Limitations
CARESCAPE ONE User Manual DRAFT 26 October 2017 Non-invasive blood pressure CAUTION Devices that exert pressure on tissue have been associated with purpura, skin avulsion, compartmental syndrome, ischemia, and/or neuropathy. To minimize these potential problems, especially when monitoring at frequent intervals...
Page 156: Nibp Measurement Setup
CARESCAPE ONE User Manual DRAFT 26 October 2017 Non-invasive blood pressure With mobile patients and when taking routine resting blood pressure, ensure that: ● The patient is comfortably seated, with their legs uncrossed and feet flat on ￭ the floor.
Page 157: Nibp Measurement On Screen
CARESCAPE ONE User Manual DRAFT 26 October 2017 Non-invasive blood pressure 2. Always select the NIBP cuff size before starting a measurement. If you are trying to start the measurement without selecting the cuff size first, the NIBP Setup menu opens automatically with the Cuff Size list open.
Page 158: Setting The Cycle Time Between Nibp Measurements
CARESCAPE ONE User Manual DRAFT 26 October 2017 Non-invasive blood pressure 2. Select NIBP Auto > Start Cycling . 3. Stop the measurement by selecting NIBP Auto > Stop Cycling. Setting the cycle time between NIBP measurements To automatically measure NIBP at set time intervals, you must first set the cycle time.
Page 159: Nibp Cuffs
CARESCAPE ONE User Manual DRAFT 26 October 2017 Non-invasive blood pressure Starting or stopping a Stat NIBP measurement You can set the NIBP measurement to continue for five consecutive minutes. 1. Select the NIBP parameter window > Page 1. 2. Select Start STAT.
Page 160: Nibp Volume And Display Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Non-invasive blood pressure NOTE When the Auto Initial Inflate setting is enabled, the initial cuff inflation pressures are dependent on the selected cuff size. The initial target pressure preset can be adjusted if you desire a lower or higher initial target pressure.
Page 161: Nibp Alarms' Deactivation With Pause Audio Key
CARESCAPE ONE User Manual DRAFT 26 October 2017 Non-invasive blood pressure 4. Set the alarm limits. NIBP alarms’ deactivation with pause audio key Unlike the continuously monitored parameters, NIBP is measured periodically, and its physiological alarms can be deactivated with the pause audio key. Deactivating a physiological NIBP alarm will clear that active alarm until the next NIBP measurement is taken.
Page 162: Nibp Measurement Technologies
DINAMAP Step Deflation technology The DINAMAP SuperSTAT technology includes the DINAMAP Step Deflation technology. During the deflation process, the CARESCAPE ONE measures two consecutive pulsations in cuff pressure. If their amplitude differs by an acceptably small amount and the time interval between the pulsations matches the previous time intervals, the pulsations are averaged and stored along with the corresponding cuff pressure.
Page 163: Nibp Calibration
85 seconds (infant cuffs) or two minutes (adult and child cuffs), the CARESCAPE ONE will time out and display an error. x = Cuff pulsation waveform ●...
Page 164: Nibp Troubleshooting
CARESCAPE ONE User Manual DRAFT 26 October 2017 Non-invasive blood pressure NIBP troubleshooting Problem Solution NIBP measurement does not work or Check that the cuff tubing is not bent, stretched, compressed, ● the values seem unstable. or loose. Check the cuff position and cuff tube connection.
Page 165: Invasive Pressures
CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures Invasive pressures compatibility limitations For detailed information regarding CARESCAPE ONE, CARESCAPE Parameter, and accessory compatibility, see the supplemental information provided. Invasive pressure safety precautions Invasive pressure warnings WARNING DEFIBRILLATOR PRECAUTIONS. Patient signal inputs labeled with the CF and BF symbols with paddles are protected against damage resulting from defibrillation voltages.
Page 166: Invasive Pressure Points To Note
3. Remove entrapped air from within the transducer setup by tapping the setup and by turning it into different positions. 4. Connect the CARESCAPE Pressure to the CARESCAPE ONE. 5. Connect the transducer to the patient line. Checking the invasive pressure measurement 1.
Page 167: Invasive Pressure Measurement On The Monitor Screen
Using the invasive pressure measurement Invasive pressure analog output CARESCAPE ONE sets the first available arterial channel (Art X, FemX, UAC X) for invasive pressure analog output. If there are no arterial channels available, the first zeroed channel will be used.
Page 168: Zeroing The Invasive Pressure Transducers
CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures Whenever the patient’s position is changed. ￭ Whenever the pressure reading is questionable. ￭ Pressures can be zeroed individually by selecting Zero in the pressure menu. You ● can zero all pressures except ICP by selecting Zero All Pressures in the main menu.
Page 169: Selecting The Hemodynamic Waveform Sweep Speed
CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures The algorithm uses the last four seconds of the waveform data to calculate the scale. If you notice a considerable change in the waveform during that time, wait for the waveform to stabilize and perform the operation again.
Page 170: Showing The Pulse Rate In The Invasive Pressure Parameter Window
CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures 1. Select the invasive pressure parameter window. 2. Select Setup > Page 2. 3. Select the heart rate source from the Primary HR Source list. NOTE Only channels that have been configured with arterial pressure labels will appear in the list.
Page 171: Selecting The Primary Arterial Source
Some trigger modes on certain balloon pump devices may not be compatible with the GE analog output signal, and use may contribute to patient injury or sub-optimal pumping results.
Page 172: Setting An Arterial Invasive Pressure Disconnection Alarm
CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures NOTE Art and Fem invasive pressure channels only. Not available in the NICU software package. 1. Select the invasive pressure parameter window. 2. Select the Advanced tab. 3. Select IABP On.
Page 173: Invasive Pressure Practicalities
NOTE Not available in the NICU software package. GE recommends that the signal source used to trigger an IABP should be the intra-aortic balloon pump itself. This ensures that the trigger signal is compatible with all modes of the IABP. An extra set of ECG electrodes or an additional connection from the arterial line can be connected to the monitor to produce waveforms on the monitor’s display for consolidated viewing.
Page 174 CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures zeroed arterial pressure: Art X, Fem X, or UAC X. If no arterial pressure is available, the numerically first zeroed pressure is used. Triggering intra-aortic balloon pumps NOTE If you choose to use the monitor for triggering, use the following instructions.
Page 175 CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures Art 134/63 When the patient systole is greater than the augmented diastole, the displayed ● systole equals the patient systole. Art 160/45 1:3 or more timing Diastolic numerics: The displayed diastole switches between the balloon end diastole and the patient end diastole.
Page 176: Invasive Pressure Troubleshooting
CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures Displayed values will switch between: Art 123/51 ( ) and Art 100/60 ( ) Invasive pressure troubleshooting Problem Solution Artifact detected and the Smart BP option is turned Check the patient.
Page 177 CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures Problem Solution Why are displayed pressure values different than Check the patient. Values could be valid, the ● expected? patient could be lying on the tubing, or the tubing could be kinked.
Page 178 CARESCAPE ONE User Manual DRAFT 26 October 2017 Invasive pressures CARESCAPE ONE 2094480-001...
Page 179: Temperature
CARESCAPE ONE User Manual DRAFT 26 October 2017 Temperature Temperature compatibility limitations For detailed information regarding CARESCAPE ONE, CARESCAPE Parameter, and accessory compatibility, see the supplemental information provided. Temperature safety precautions Temperature warnings WARNING DEFIBRILLATOR PRECAUTIONS. Patient signal inputs labeled with the CF and BF symbols with paddles are protected against damage resulting from defibrillation voltages.
Page 180: Temperature Points To Note
The temperature measurement uses direct mode. Displayed temperature values ● represent the probe temperature of the measurement site on the patient. A temperature channel is activated when the CARESCAPE ONE detects the ● CARESCAPE Temperature. A temperature channel is deactivated when the CARESCAPE Temperature is ●...
Page 181: Checking The Temperature Measurement
CARESCAPE ONE User Manual DRAFT 26 October 2017 Temperature Checking the temperature measurement 1. Check that the temperature value is displayed when the probe is connected to the CARESCAPE Temperature. Temperature measurement on screen Up to two temperature measuring sites can be simultaneously measured and monitored.
Page 182: Stopping The Temperature Measurement
● Try using a known good probe in case the probe is ● damaged. If you are using the CARESCAPE ONE with a ● Bx50 host, check the connection between the acquisition platform and the host. Check the patient connection.
Page 183 CARESCAPE ONE User Manual DRAFT 26 October 2017 Temperature Problem Solution If the problem persists, contact qualified service ● personnel. Measurement with CARESCAPE ONE triggers error Check the CARESCAPE Temperature placement ● messages. and ensure that it is not covered by anything that might lead to overheating.
Page 184 CARESCAPE ONE User Manual DRAFT 26 October 2017 Temperature CARESCAPE ONE 2094480-001...
Page 185: Co₂
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ safety precautions warnings WARNING Always inspect the airway adapter for a tight connection and proper operation before attaching it to the breathing circuit. WARNING Leaks in the gas sampling circuit (sampling line) may cause inaccurate readings.
Page 186: Co Cautions
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ WARNING The device should not be used in close proximity to wireless networking equipment, or in the presence of strong electromagnetic fields such as those generated by radio station transmitters, citizens band radios, cellular phones, electrocautery, etc.
Page 187: Co₂ Measurement Setup
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ For information on materials used in accessories and their biocompatibility, refer ● to the instructions for use in the accessory package. The water trap is contained within the sample lines. ●...
Page 188: About Sidestream Kits
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ 5. Connect the sample line to the patient’s breathing circuit if an airway adapter accessory is used, or place on the patient if a nasal cannula is used. About sidestream kits...
Page 189: Setting Co 2 Limit Alarms
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ 1. Select the CO parameter window. 2. Select Setup. 3. Select an option from the CO2 Sweep Speed list. The options are 0.625 mm/s, 6.25 mm/s, 12.5 mm/s, 25 mm/s, and 50 mm/s.
Page 190: Selecting Co 2 Average
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ Selecting CO average You can select a time window that is used to select the displayed CO value. The highest peak EtCO value within the time window is selected as the CO value displayed.
Page 191: Preventing Care Area Pollution
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ 3. Connect a LoFlo sampling accessory to the LoFlo Sidestream Module. Ensure that the accessory is exposed to room air and away from all sources of CO , including the ventilator, the patient’s breath, and your own breath.
Page 192: The Origin Of The Co Waveform
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ The origin of the CO waveform The following illustration shows a normal capnogram. In this illustration, the letters indicate the following: A: The gas first exhaled is from the anatomical and apparatus dead-space. It ●...
Page 193: Co₂ Measurement Practicalities
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ 1. Expiration 2. Cardiogenic oscillations Cardiogenic oscillations appear when: A continuous fresh gas flow is fed into the patient Y-piece. ● Sidestream gas sampling is done at the Y-piece. ● The patient is ventilated with a long expiration time or low respiration times, and ●...
Page 194: Prevention Of The Breathing System Contamination
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ Prevention of the breathing system contamination You can use a microbial filter between the endotracheal tube and the airway adapter. Change the filter for every patient. Change the patient circuit at intervals given in the circuit manufacturer’s documentation, and according to your hospital protocols.
Page 195: Co 2 Troubleshooting
CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ troubleshooting Problem Solution waveform seems abnormal. Check the patient: ● Check for any change in patient condition. ￭ If the patient has a cannula, check for proper ￭ placement of the nasal prongs.
Page 196 CARESCAPE ONE User Manual DRAFT 26 October 2017 CO₂ Problem Solution Why can we see dips in the capnogram during Dips in the capnogram can be due to patient ● expiration? conditions. “Clefts” in the capnogram are seen as action of muscle relaxant is impacted by spontaneous ventilation.
Page 197: Trends
About snapshots and graphic trends The CARESCAPE ONE records snapshots when it is operating as a standalone monitor. However, snapshots are only viewable on the host monitor when the CARESCAPE ONE is connected to a host monitor as an acquisition device.
Page 198 CARESCAPE ONE User Manual DRAFT 26 October 2017 Trends CARESCAPE ONE 2094480-001...
Page 199: Cleaning And Care
For cleaning, disinfection, and care information for devices, device components, supplies, and accessories made by manufacturers other than GE, see the applicable instructions for use provided by the manufacturer. Cleaning...
Page 200: Permitted Detergents
Warranty does not cover any damages caused by using other than GE approved ● substances and methods. GE makes no claims as to the efficacy of the listed substances or methods to ● control infection. Your hospital guidelines permitting, all cleaning and disinfection activities can ●...
Page 201: Other Manufacturer Cleaning Instructions
For cleaning, disinfection, and care information for devices, device components, supplies, and accessories (e.g., ECG leadwires, NIBP cuffs, NIBP hoses, SpO cables, sensors) made by manufacturers other than GE, see the applicable instructions for use provided by the manufacturer. Do not reuse single-use disposable accessories.
Page 202 CARESCAPE ONE User Manual DRAFT 26 October 2017 Cleaning and care Nellcor sensor and cable cleaning instructions ™ Before attempting to clean a Nellcor sensor, read the Instructions for Use enclosed with the sensor. Each sensor has cleaning instructions specific to that sensor.
Page 203 CARESCAPE ONE User Manual DRAFT 26 October 2017 Cleaning and care 7. If there is soil beneath the sensor latch, clean the latch and the area under the latch as shown in the following figure. a. With the sensor latch in the open (up) position, gently pull one side of the latch away from the body of the monitoring cable until the latch disengages from the pegs on both sides.
Page 204: Disinfection
CARESCAPE ONE User Manual DRAFT 26 October 2017 Cleaning and care Disinfection Disinfection cleaning precautions Disinfection cautions CAUTION IMMERSION. Never immerse CARESCAPE ONE components in cleaning fluids or disinfecting agents. Disinfection notices NOTICE STRESS CRACKING. Some rigid plastics used in this product...
Page 205 CARESCAPE ONE User Manual DRAFT 26 October 2017 Cleaning and care Trademark names and product availability may vary in different countries. Consult ● the column that lists ingredients to determine if an equivalent disinfectant is available in your country. The following permitted disinfectants can be used to disinfect the device and other ●...
Page 206: Disinfection And Sterilization Of Accessories
CARESCAPE ONE User Manual DRAFT 26 October 2017 Cleaning and care Disinfectant Manufacturer Ingredients Type of disinfectant Quaternary PDI Sani-Cloth Professional n-Alkyl (68% C12, 32% C14) ● ammonium AF3 Germicidal Disposables Inc. dimethyl ethylbenzyl ammonium Disposable Wipes* chlorides 0.14% n-Alkyl (60% C14, 30% C16, 5% ●...
Page 207: Care
CARESCAPE ONE User Manual DRAFT 26 October 2017 Cleaning and care Care Care safety precautions Care warnings WARNING Regular preventive maintenance should be carried out every 24 months. Failure to implement the recommended maintenance schedule may cause equipment failure and possible health hazards.
Page 208: Regular Calibration Checks
CARESCAPE ONE User Manual DRAFT 26 October 2017 Cleaning and care Daily checks Check that the accessories, cables, cable connectors, monitor, modules, and ● display parts are clean and intact. Check the charge of the battery. ● Once a year checks Check the calibration of temperature, NIBP and invasive blood pressure.
Page 209: Messages
CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Messages related to ECG measurement For information regarding alarm priorities and escalation times, see the supplemental information provided. Make sure you are familiar with the generic layout of the screen. This will help you identify where on screen the following messages appear.
Page 210 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions Artifact wavef. Muscle artifact, high or low Check electrode contact. ● ● ● frequency noise, or pacemaker Check lead placement. ● artifact. Perform skin preparation.
Page 211 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions ECG measurements al. area CARESCAPE ECG has been Check all connections and ● ● ● removed removed. reconnect as required. Frequent PVCs al. area Physiological alarm.
Page 212 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions Multifocal PVCs al. area, Physiological alarm. Check the patient status. ● ● ● wavef. Noisy ECG al. area Arrhythmia alarm category Check and remove the source ●...
Page 213: Messages Related To Impedance Respiration Measurement With Carescape One
CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Messages related to impedance respiration measurement with CARESCAPE ONE For information regarding alarm priorities and escalation times, see the supplemental information provided. Make sure you are familiar with the generic layout of the screen. This will help you identify where on screen the following messages appear.
Page 214: Messages Related To Spo 2 Measurement With Carescape One
CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions param., ● Lead RL-LL failed Lead RL-LL has been selected for Check the electrodes and ● ● wavef. measurement, but the RL or LL their connections.
Page 215 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions param. ● Artifact Artifact detected. Check sensor contact. ● ● Reposition or replace sensor. ● Request the patient to remain ● still. param. ● Check device...
Page 216 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions param. ● Incompatible probe The sensor is not compatible or Replace the sensor with a ● ● it is not recognized. compatible one. See the al.
Page 217 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions param. ● No probe Sensor is not connected to the Check the connection ● ● CARESCAPE SpO device. between the sensor and al. area ●...
Page 218: Messages Related To Nibp Measurement
CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions al. area Measurement values are equal Check the patient status. SpO2 high / SpO2 low ● ● ● to or outside the alarm limits. Adjust alarm limits if ●...
Page 219: Messages Related To Invasive Pressures Measurement
CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions param. ● Long meas. time The measurement time is long. Check the patient status. ● ● The triggering values vary Check the cuff and hose ●...
Page 220 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages param. = parameter window ● wavef. = waveform area ● Message Location Possible causes Suggested actions Art 1 disconnect to al. area No arterial invasive pressure is Check the patient status.
Page 221 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions PA X pressure ● malfunction RAP X pressure ● malfunction RVP X pressure ● malfunction UAC X pressure ● malfunction UVC X pressure ● malfunction...
Page 222 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions al. area Measurement values are equal Check the patient status. ICP 1 mean high / ICP ● ● ● 1 mean low to ICP to or outside the alarm limits.
Page 223 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions param. ● P1 zeroing failed to P2 The channel has not been zeroed Repeat the zeroing. ● ● zeroing failed successfully. al. area Measurement values are equal Check the patient status.
Page 224 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions al. area Measurement values are equal Check the patient status. RVP 1 mean high / ● ● ● RVP 1 mean low to to or outside the alarm limits.
Page 225: Messages Related To Temperature Measurement
CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Messages related to temperature measurement For information regarding alarm priorities and escalation times, see the supplemental information provided. Make sure you are familiar with the generic layout of the screen. This will help you identify where on screen the following messages appear.
Page 226: Messages Related To Co 2 Measurement
CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions CARESCAPE Temperature startup Temp device failure: al. area Reconnect the CARESCAPE ● ● ● or initialization failure. Call service Temperature. Replace the CARESCAPE ● Temperature.
Page 227 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions Check CO2 adapter al. area There is an obstruction in Ensure that the sampling line ● ● ● the LoFlo receptacle sample connector is correctly and Check Adapter param.
Page 228 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions CO2 measurement al. area The CARESCAPE CO Connect the CARESCAPE CO ● ● ● removed been disconnected from the and LoFlo Sidestream Module CARESCAPE ONE.
Page 229: Messages Related To Various Technical Issues
CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions Move CO2 sensor to a al. area The LoFlo Sidestream Module Check the LoFlo Sidestream ● ● ● cooler location temperature is too high. Module placement and param.
Page 230 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages For information regarding alarm priorities and escalation times, see the supplemental information provided. Make sure you are familiar with the generic layout of the screen. This will help you identify where on screen the following messages appear. The message location is indicated with the following abbreviations: al.
Page 231 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages Message Location Possible causes Suggested actions No battery backup al. area There is no battery in the Install a battery in the ● ● ● CARESCAPE ONE. CARESCAPE ONE battery compartment.
Page 232 CARESCAPE ONE User Manual DRAFT 26 October 2017 Messages CARESCAPE ONE 2094480-001...
Page 233: Abbreviations
CARESCAPE ONE User Manual DRAFT 26 October 2017 Abbreviations List of abbreviations The abbreviations that appear in the monitor software are indicated with bold and italic typeface. Other abbreviations listed in this table appear in the monitor manuals. Some abbreviations listed have multiple meanings but are differentiated by the context in which they appear.
Page 234 CARESCAPE ONE User Manual DRAFT 26 October 2017 Abbreviations right arm augmented lead Axil axillary temperature Blad bladder temperature beats per minute Brady bradycardia body surface area B-to-B beat-to-beat central C (C1 - C6) chest C1 to C6 ECG lead C1 to ECG lead C6...
Page 235 CARESCAPE ONE User Manual DRAFT 26 October 2017 Abbreviations EtCO2 end-tidal carbon dioxide Exp; exp expiratory expiration foot (describing location) frontal femoral FemV femoral venous fibrillation FiCO2 fraction of inspired carbon dioxide FiO2 fraction of inspired oxygen French (unit of measure for a Catheter diameter scale)
Page 236 CARESCAPE ONE User Manual DRAFT 26 October 2017 Abbreviations internet protocol invasive blood pressure isoelectric International Standards Organization intravenous joule Korea Communications Commission kilogram kilopascal liter left arm (describing location) laboratory local area network left atrial pressure pound liquid crystal display...
Page 237 CARESCAPE ONE User Manual DRAFT 26 October 2017 Abbreviations nitrous oxide Naso nasopharyngeal temperature neonate Neuro neurological NIBP non-invasive blood pressure NICU neonatal intensive care unit oxygen CARESCAPE ONE operating room pressure pulmonary arterial pressure Paced paced beats PACU post anesthesia care unit...
Page 238 CARESCAPE ONE User Manual DRAFT 26 October 2017 Abbreviations SaO2 arterial oxygen saturation Skin skin temperature simultaneous leads serial number SpO2 oxygen saturation ST segment STAT five minute continuous NIBP measurement mode Surf surface temperature supraventricular SW; sw software supra ventricular contraction...
Page 239: Skills Checklist
CARESCAPE ONE User Manual DRAFT 26 October 2017 Skills checklist System introduction To familiarize yourself with these functions and features, study the topics listed as recommended reading. The numbers in brackets refer to the page numbers in the manual. As you proceed, mark your completed tasks in the table.
Page 240: Monitoring Basics
CARESCAPE ONE User Manual DRAFT 26 October 2017 Skills checklist Recommended reading Completed Not applicable Ending standby (71) ● CONTINUING MONITORING Continuing monitoring (69) ● CASE RESET / PATIENT DISCHARGE Resetting a case/discharging a patient (69) ● Monitoring basics To familiarize yourself with these functions and features, study the topics listed as recommended reading.
Page 241: Transport
CARESCAPE ONE User Manual DRAFT 26 October 2017 Skills checklist Recommended reading Completed Not applicable Selecting parameter alarm priority levels (81) ● Alarm priority escalation (81) ● CHECKING THE FUNCTION Checking alarm function (75) ● ALARM INDICATIONS Alarm icons on the screen (76) ●...
Page 242 Completed Not applicable ECG measurement limitations (99) ● ECG points to note (99) ● ECG equipment to patient connection with CARESCAPE ONE (99) ● Checking the ECG measurement (104) ● PREPARING THE PATIENT Preparing the patient’s electrode sites (100) ●...
Page 243: Impedance Respiration
CARESCAPE ONE User Manual DRAFT 26 October 2017 Skills checklist Recommended reading Completed Not applicable ST DETECTION ST detection measurement limitations (122) ● Starting the ST detection (122) ● Impedance respiration To familiarize yourself with this parameter and its use, study the topics listed as recommended reading.
Page 244: Non-Invasive Blood Pressure
CARESCAPE ONE User Manual DRAFT 26 October 2017 Skills checklist Recommended reading Completed Not applicable measurement limitations (137) ● points to note (137) ● Checking the SpO measurement (143) ● equipment to patient connection with CARESCAPE ONE ● (143) Preparing the SpO connection (143) ●...
Page 245: Invasive Pressures
CARESCAPE ONE User Manual DRAFT 26 October 2017 Skills checklist Recommended reading Completed Not applicable SINGLE NIBP MEASUREMENT Starting or stopping a single NIBP measurement from the main ● menu (157) Starting or stopping a single NIBP measurement from the NIBP ●...
Page 246: Trends
CARESCAPE ONE User Manual DRAFT 26 October 2017 Skills checklist Recommended reading Completed Not applicable Checking the temperature measurement (181) ● Temperature equipment to patient connection with CARESCAPE ● ONE (180) TEMPERATURE MEASUREMENT START Starting the temperature measurement (181) ●...
Page 247: Compatibility
CARESCAPE ONE User Manual DRAFT 26 October 2017 Compatibility Compatibility Devices and versions not specifically stated have not been verified and validated to comprise a conforming system with the CARESCAPE ONE. In the following sections, compatible devices refer to devices that have been verified to be compliant with the standard 60601–1:2012, 3.1 edition.
Page 248: Measurement Device Compatibility
CARESCAPE ONE User Manual DRAFT 26 October 2017 Compatibility Measurement device compatibility CARESCAPE ONE is compatible with the following measurement devices: CARESCAPE ECG ● CARESCAPE Pressure ● CARESCAPE SpO ● CARESCAPE SpO — Nellcor ● CARESCAPE SpO — Masimo ●...
Page 249: Compliance
CARESCAPE ONE User Manual DRAFT 26 October 2017 Compliance Standards compliance The system complies with the following standards. IEC 60601-1:2012 ● IEC 60601-1-2:2007 ● IEC 60601-1-6:2013 ● IEC 60601-1-8:2012 ● IEC 60601-2-27:2011 ● IEC 60601-2-34:2011 ● IEC 60601-2-49:2011 ● IEC 62304:2015 ●...
Page 250 CARESCAPE ONE User Manual DRAFT 26 October 2017 Compliance CARESCAPE ONE 2094480-001...
Page 251: Design, Environmental, And Physical Specifications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Design, environmental, and physical specifications CARESCAPE ONE specifications WARNING Operation of CARESCAPE ONE outside the specified performance range may cause inaccurate results. CARESCAPE ONE Size (H x W x D), width excludes 15.5 cm x 27.0 cm x 6.5 cm (6.1 in x 10.6 in x 2.6 in)
Page 252 CARESCAPE ONE User Manual DRAFT 26 October 2017 Design, environmental, and physical specifications CARESCAPE ONE Number of waveform fields Up to 4 simultaneously Number of parameter Up to 7 simultaneously windows Display layout and colors User-configurable Touchscreen technology Projected Capacitive...
Page 253: Carescape Dock F0 Specifications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Design, environmental, and physical specifications External AC-DC power supply Size (H x W x D) 7.5 cm x 15.0 cm x 4.0 cm (2.9 in x 5.9 in x 1.5 in) Weight less than 0.46 kg (1.0 lb)
Page 254: Mini Dock, Parameter Dock 1, And Parameter Dock 5 Specifications
Non-operating altitude range -500 m (1075 hPa) to 5573 m (500 hPa) Mini Dock Secures CARESCAPE ONE from either end of the dock Parameter 5 Dock Secures up to 5 CARESCAPE Parameters (excluding CARESCAPE ECG and CARESCAPE SpO2 - Masimo SET)
Page 255: Carescape Ecg Specifications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Design, environmental, and physical specifications CARESCAPE ECG specifications Length 3.7 m or 1.9 m (12.1 ft or 6.2 ft) Weight Less than 0.57 kg (1.26 lb), includes long 10 leadwire set Operating temperature range 0°C to 35°C (32°F to 95°F)
Page 256 CARESCAPE ONE User Manual DRAFT 26 October 2017 Design, environmental, and physical specifications CARESCAPE SpO (TruSignal) 5 VDC ± 0.25 VDC Power requirement - input voltage Power requirement - input 75 mA maximum current 1 m drop Drop from 1 m in multiple orientations onto a hard surface per the test in IEC 60601-1 clause 15.3.4.1.
Page 257: Carescape Pressure Specifications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Design, environmental, and physical specifications CARESCAPE SpO – Nellcor Operating humidity range 5% to 95% RH (non-condensing) Non-operating humidity range 5% to 95% RH (non-condensing) Operating altitude range -500 m to 4000 m (1075 hPa to 616 hPa)
Page 258: Carescape Temperature Specifications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Design, environmental, and physical specifications Shock Withstands shock in accordance with IEC 60068-27:2008 using conditions set in IEC 60721-4-7:2001 class 7M3 Broad-band random vibration Withstands broad-band random vibration in accordance with IEC 60068-2-64:2008 using conditions set in IEC...
Page 259 CARESCAPE ONE User Manual DRAFT 26 October 2017 Design, environmental, and physical specifications Operating altitude range -350 m to 4000 m (1056 hPa to 616 hPa) Non-operating altitude range -350 m to 5572 m (1056 hPa to 500 hPa) Degree of enclosure protection...
Page 260 CARESCAPE ONE User Manual DRAFT 26 October 2017 Design, environmental, and physical specifications CARESCAPE ONE 2094480-001...
Page 261: Alarm Specifications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm standards compliance The system complies with IEC 60601-1-8:2012–11. NOTE Legacy alarm tones do not meet the audio requirements defined in IEC 60601-1-8 Clause 6.3.3.1. Auditory alarm volume, IEC tones Tested in accordance with IEC 60601-1-8 subclause 6.3.3.2 with alarm volume control set...
Page 262: Audio Alarm Sound Tolerances
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications CARESCAPE ONE Alarm volume setting Maximum sound pressure level High priority alarm: 50 dBA Level 6 corresponds to the Medium priority alarm: 44 dBA factory default minimum Low priority alarm: 41 dBA allowed setting for volume level.
Page 263: Legacy Alarm Tone Sound Patterns
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Legacy alarm tone sound patterns Priority Corresponding sound pattern High Beep (500 & 510 Hz/100 ms) Silence (100 ms) ● Beep (500 & 510 Hz /100 ms) Silence (100 ms) ●...
Page 264: Time To Alarm For Tachycardia
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications The following disclosures list the alarm system delays as an average and include the delay of the first activated priority alarm. Alarms with alarm delays of more than 10 s are specified with the average, minimum, and maximum values obtained from five trial measurements.
Page 265 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm Limit range Limit increment Alarm delay <5 s Missing Beat Multifocal PVCs Pause R on T 5 s (average) (5 to 6 s range) -12.0 to +12.0 0.1 mm...
Page 266 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm Limit range Limit increment Alarm delay PR(SpO2) high 30 to 240 bpm 1 bpm GE TruSignal: 14 s (average) (12 to 16 s ● range) Masimo: 9 s ●...
Page 267 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm delay specifications for NIBP alarms The following table lists the alarm delays for physiological alarms related to the non-invasive blood pressure measurement. Any alarm delays that are less than 5 s are given as <5 s.
Page 268 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm Limit range Limit increment Alarm delay FemV X mean low ● ICP X mean low ● LAP X mean low ● P1 mean low to ● P2 mean low RAP X mean low ●...
Page 269: Technical Alarm Delay Specifications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm Limit range Limit increment Alarm delay RR (CO2) high 4 to 60 breaths 1 breath per 21 s (average) (20 to 22 s range) per minute minute NICU sw...
Page 270 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm Parameter Alarm delay <5 s Check device Invasive pressures Art X pressure malfunction CPP X pressure malfunction CVP X pressure malfunction Fem X pressure malfunction FemV X pressure malfunction...
Page 271 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm Parameter Alarm delay Temperature Device overheating Move Temp device to a cooler location ECG device failure: Call service 10 s ECG device overheated. Shutting down <5 s ECG measurements removed <5 s...
Page 272 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm Parameter Alarm delay Move SpO2 device to a cooler location NIBP NIBP cuff loose 22 s (average) (22 s range) NIBP <5 s NIBP cuff occlusion Cuff occlusion NIBP <5 s...
Page 273: Alarm Priorities And Escalation Times
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm priorities and escalation times Alarm priorities and escalation times for ECG The following table shows the messages with their priorities and escalation times. In the table, the message location is indicated by the following: alarm = alarm area; param. = parameter window;...
Page 274 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high Unit setting HR Brady alarm Alarms = Single; Alarm priority = Escalating; HR <0.75 x low limit; Primary HR source AUTO, IntelliRate, or ECG.
Page 275 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high alarm 0 s if no 0 s if active measurements patient patient removed case/no case/ admitted admitted patient patient Frequent PVCs...
Page 276 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high LA/L lead off wavef. ● LL/F lead off ● RA/R lead off ● RL/N lead off ● V/C lead off ●...
Page 277 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high SV Tachy alarm, 0 s, according to priority setting: high, medium, low, wavef. info Unit setting Tachy alarm 0 s, according to priority setting: high,...
Page 278: Alarm Priorities And Escalation Times For Impedance Respiration
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high Trigeminy alarm, 0s, according to priority setting: high, medium, low, off, wavef. info V Brady alarm, 0s, according to priority setting: high, medium, low, off, wavef.
Page 279: Alarm Priorities And Escalation Times For Spo
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high param., Lead I failed ● wavef. Lead II failed ● Lead RL-LL ● failed param. ● Measurement off wavef. ●...
Page 280 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high param., Masimo Incompatible alarm cable Incompatible SpO2 cable param., Masimo 30 s Incompatible alarm probe Incompatible adhesive SpO2 probe param.,...
Page 281 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high Unit setting PR(SpO2) low alarm PR alarm PR alarm HR Alarms delay delay = Multiple; setting setting + 64 Alarm Priority =...
Page 282 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high ICU, NICU, PACU, 30 s SpO2 high / SpO2 alarm ED software package and saturation seconds on, escalating alarm priority...
Page 283: Alarm Priorities And Escalation Times For Nibp
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications Alarm priorities and escalation times for NIBP The following table shows the messages with their priorities and escalation times. In the table, the message location is indicated by the following: alarm = alarm area; param. = parameter window;...
Page 284: Alarm Priorities And Escalation Times For Invasive Pressures
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high NIBP Sys ● Alarm priority set alarm 0 s, according to priority setting: high, high / NIBP to low, medium or...
Page 285 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high PA X sensor ● disconnected RAP X sensor ● disconnected RVP X sensor ● disconnected UAC X sensor ● disconnected UVC X sensor ●...
Page 286 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high Art X sys ● Alarm priority set alarm 10 s, according to priority setting: high, high / Art X to low, medium,...
Page 287 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high Fem X sys ● Alarm priority set alarm 10 s, according to priority setting: high, high / Fem X to low, medium,...
Page 288 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high 10 s 30 s P1 mean high / P1 Alarm priority set alarm 10 s if to Escalating Brady/ mean low to P2...
Page 289 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high high / PR(UAC 2) low Unit setting alarm According Alarm delay PR(Art 1) high / ● HR Alarms PR(Art 1) low to...
Page 290 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high 10 s 30 s RAP X mean high Alarm priority set alarm 10 s if / RAP X mean low...
Page 291: Alarm Priorities And Escalation Times For Temperature
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high param. Zeroed param. Zeroing Alarm priorities and escalation times for temperature The following table shows the messages with their priorities and escalation times. In the table, the message location is indicated by the following: alarm = alarm area;...
Page 292: Alarm Priorities And Escalation Times For Co
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high Temperature alarm malfunction Temp device alarm overheated. Shutting down Alarm priorities and escalation times for CO The following table shows the messages with their priorities and escalation times. In the table, the message location is indicated by the following: alarm = alarm area;...
Page 293 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high alarm 0 s if no 0 s if active measurement patient patient removed case/ no case/ admitted admitted patient patient...
Page 294: Alarm Priorities And Escalation Times For Various Situations
CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high param. Sensor removed Service CO2 alarm sensor param. Warming up param. Zero required param., Zeroing wavef. Alarm priorities and escalation times for various situations The following table shows the messages with their priorities and escalation times.
Page 295 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications MESSAGE NOTES LOCATION PRIORITIES AND ESCALATION TIMES info medium high No battery alarm backup Patient admitted alarm Patient alarm discharged Powering down! alarm Replace battery alarm Service CS ONE alarm...
Page 296 CARESCAPE ONE User Manual DRAFT 26 October 2017 Alarm specifications CARESCAPE ONE 2094480-001...
Page 297: Parameter Specifications
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Parameter specifications WARNING INACCURATE RESULTS. Do not use or store the equipment outside the specified temperature, humidity, or altitude ranges, or outside the specified performance range. Using or storing the equipment outside the specified operating environment or outside the specified performance range may cause inaccurate results.
Page 298 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications ECG heart rate averaging 12-second median HR values ● 12-second HR median calculation extended to a maximum of ● 32 seconds based on signal noise when software package is ICU, ED, OR, or PACU ECG heart rate display update interval <...
Page 299 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications ±0.4V ECG differential offset voltage (allowable offset) ECG input impedance Differential: > 2.5 MΩ from 0.67 Hz to 40 Hz ECG system noise < 30 µV (referred to input) Common mode rejection 90 dB minimum at 50/60 Hz <...
Page 300: Impedance Respiration Standards Compliance
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Defibrillator sync input signal Signal amplitude of -2.0 V to -25.0 V or +2.0 V to +25.0 V for a duration of 2.5 ms and greater is detected as a synchronization pulse <...
Page 301: Spo 2 Displayed Saturation Values
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications displayed saturation values GE TruSignal, Masimo SET and Nellcor OxiMax pulse oximetry are calibrated to display functional saturation. NOTE You can verify the functionality of pulse oximeter sensor and monitor with a functional SpO tester but you cannot evaluate their accuracy with such a device.
Page 302: Accuracy Of Ge Trusignal Technology With Trusignal Sensors
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Accuracy of GE TruSignal technology with TruSignal sensors The GE TruSignal technology with TruSignal sensors has been validated for no motion accuracy in controlled hypoxia studies with healthy non-smoking adult volunteers over the specified saturation SpO range(s).
Page 303: Spo₂ Test Methods Used To Establish Accuracy Claims During Low Perfusion
Low perfusion accuracy of GE TruSignal technology with TruSignal sensors GE TruSignal technology with TruSignal sensors have been validated for low perfusion accuracy in a simulator test for saturation ranging from 70% to 100%. The test was conducted using a Fluke ProSim 8 simulator using 0.03% pulse amplitude and Thin Finger transmission setting.
Page 304: Pulse Rate Accuracy Of Masimo Set Technology With Masimo Sensors
68% of the population. Pulse rate accuracy of GE TruSignal technology with TruSignal sensors GE TruSignal technology with TruSignal sensors has been validated for pulse rate accuracy over the specified range in bench top testing against a patient simulator. performance specifications...
Page 305 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications < 30 s Pulse oximetry display data update period Pulse oximetry sweep speed options 6.25, 12.5, 25, and 50 mm/s Pulse oximetry waveform scale options TruSignal technology: AUTO, 50, 20, 10, 5, 2...
Page 306 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Masimo accuracy: The following accuracy specifications represent only the device’s portion of the integrated Masimo rainbow SET technology performance. The actual measurement performance and accuracy depends on the accessory used and can be limited by the accessory as specified in the sensor’s instructions for use.
Page 307: Spo₂ Supplemental Analysis Graphs
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Low perfusion (25 to 240 bpm): ±3 bpm Adult, Pediatric, Infant, ● Neonate Nellcor accuracy: Saturation accuracy varies by sensor type. Contact Medtronic for sensor accuracy information. Adult specifications are shown for OxiMax MAXA and MAXN sensors with the pulse oximeter.
Page 308 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Modified Bland-Altman for SpO - MAXA Sensor: SaO vs. (SpO - SaO 1. SpO - SaO 2. SaO 3. Upper 95% 4. Mean Bias 5. Lower 95% Modified Bland-Altman for SpO - MAXN Sensor: SaO vs.
Page 309: Additional Accuracy Information For Masimo Sensors
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications 5. Lower 95% Modified Bland-Altman for SpO - MAXFAST Sensor: SaO vs. (SpO - SaO 1. SpO - SaO 2. SaO 3. Upper 95% 4. Mean Bias 5. Lower 95% Additional accuracy information for Masimo sensors The table information provides supplemental data analysis for Masimo sensors’...
Page 310 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Adtx/Pdtx Measured A values Range 90-100% 1.64% 80-90% 1.07% 70-80% 1.55% Overall claimed accuracy value Range 70-100% ± 2% CARESCAPE ONE 2094480-001...
Page 311 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Inf/Neo/NeoPt Measured A values Range 90-100% 1.85% 80-90% 1.44% 70-80% 0.89% Overall claimed accuracy value Range Neo* Neo Pt* 70-100% ± 2% ± 3% ± 2% Adult ± 3% Neonatal * The saturation accuracy of the Neonate and Preterm sensors were validated on adult volunteers and 1% was added to account for the properties of fetal hemoglobin.
Page 312 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications DCI/DCIP Measured A values Range 90-100% 0.60% 80-90% 0.54% 70-80% 0.67% Overall claimed accuracy value Range 70-100% CARESCAPE ONE 2094480-001...
Page 313: Additional Accuracy Information For Ge Trusignal Sensors
Overall claimed accuracy value Range 70-100% 3.5% Additional accuracy information for GE TruSignal sensors The table information provides supplemental data analysis for GE TruSignal sensors’ measurement accuracy. The following modified Bland-Altman plots show SpO data by sensor type. 2094480-001 CARESCAPE ONE...
Page 314 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Bland-Altman plot for SpO - TS-W-D sensor Bland-Altman plot for SpO - TS-SE-D sensor CARESCAPE ONE 2094480-001...
Page 315 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Bland-Altman plot for SpO - TS-E-D sensor Bland-Altman plot for SpO - TS-F-D sensor 2094480-001 CARESCAPE ONE...
Page 316 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Bland-Altman plot for SpO - TS-SA-D sensor Bland-Altman plot for SpO - TS-AF sensor CARESCAPE ONE 2094480-001...
Page 317 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Bland-Altman plot for SpO - TS-AP sensor Bland-Altman plot for SpO - TS-AAW sensor 2094480-001 CARESCAPE ONE...
Page 318: Nibp Standards Compliance
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications NIBP standards compliance The system complies with IEC 80601-2-30:2013-07. The system was clinically tested according to ISO 81060-2:2013. The measurement has been validated with patient populations requiring clinical investigations according to ISO 81060-2:2013 apart from pregnant and pre-eclamptic women.
Page 319: Invasive Pressure Standards Compliance
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications NIBP total cycle time 20 to 40 seconds typical (depending on heart rate, pressure, and motion artifact) Automatic cuff deflation conditions Power off ● Adult and child cuff cycle time exceeding 125 seconds ●...
Page 320: Temperature Standards Compliance
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Invasive pressure frequency response 0 to 12 Hz or 0 to 40 Hz (-3dB), user-selectable (waveform filter) Invasive pressure sweep speed options 6.25, 12.5, 25, and 50 mm/s Invasive pressure waveform display...
Page 321: Co 2 Standards Compliance
CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications Series 400 Temperature probe types supported Temperature test measurement cycle Every minute Reusable and disposable temperature Sensor interface cables provide reusable or disposable probe support temperature probe interfaces. Replaceable sensor interface cable...
Page 322 CARESCAPE ONE User Manual DRAFT 26 October 2017 Parameter specifications The effects of interfering gases and vapors shall be as follows: ISO 806061-2-55 Table 201.105 Test gas levels of interfering gases and vapors in nominal atmospheric pressure, i.e., 760 mmHg:...
Page 323: Default Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Understanding your monitor configuration The monitor’s configuration is dependent on the equipment used, the software enabled, and the settings that define how the software application behaves. Software packages The monitor can have up to five software packages, but only one can be enabled at a time.
Page 324: Software Profiles
Software settings NOTE The enabled software profile and CARESCAPE Parameters used determine which configurable settings display on the CARESCAPE ONE. Some settings may not appear in all configurations. NOTE Some settings vary by configuration. These settings are indicated where applicable.
Page 325: Demo Mode
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Factory default values: Permanent values used in case of failure that allow the ● software application to recover from failure by reverting to these values for system operation. The care unit settings reset varies by setting. There are three types of reset: Case reset/discharge: Case is reset/patient is discharged from the monitor.
Page 326: Current Patient Settings
The current patient settings are not saved to the monitor’s permanent memory, but most current patient settings are configured to persist over a warm start (CARESCAPE ONE is shut down for less than 2 hours). Configuring care unit settings To access and customize the care unit settings: 1.
Page 327: Parameter Alarms Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU All Audio Pause 5 Select to Disabled allow all audio alarms including breakthrough alarms to be paused for 5 minutes. Reminder Volume Select the audible reminder volume.
Page 328 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Arrhythmia Select if Enabled Alarms informational level alarm Informational setting is allowed Allowed for non-lethal arrhythmia alarms. ST Alarms Select if the Disabled informational level Informational...
Page 329 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Allowed Priorities Other Parameters default settings Setting Description NICU PACU Care Unit Settings > Parameter Alarms > Allowed Priorities Other Parameters > Page 1 or Page 2 Apnea (Imped.) Select the allowed...
Page 330: Admit/Discharge Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Allow alarm Select if the SpO2 Disabled deactivation with probe off alarm the Audio Pause can be deactivated key for: SpO2 with the Audio Probe Off Pause button.
Page 331: Configuring Profile Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU HR Alarms Select if HR alarms Multiple display and alarm from one HR source or more than one HR/PR source. Allowed Arrh. Select the level of...
Page 332: Alarm Delay Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Alarm delay settings Select Alarm Delays to define the alarm delay settings. The following table lists the factory default settings. Setting NICU PACU PR (SpO2/IP) high/low SpO2 high SpO2 low...
Page 333 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting NICU PACU Art Mean High 140/60 60/30 140/60 Limit/Low Limit (Adolescent profile: 110/50; (Cardiac, (Adolescent profile: 110/50; Pediatric profile: 100/50; Full-term, and Pediatric profile: 100/50; Infant profile: 80/40) Infant profiles:...
Page 334 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting NICU PACU Fem Sys High 180/80 90/40 180/80 Limit/Low Limit (Neuro profile: 160/90; (Cardiac, (Neuro profile: 160/90; Adolescent profile: 150/80; Full-term, and Adolescent profile: 150/80; Pediatric profile: 130/70; Infant profiles: Pediatric profile: 130/70;...
Page 335 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting NICU PACU PR(Fem) Alarm On Enabled Enabled Enabled (US only: Disabled) (Perfusion (US only: profile: Disabled) Disabled) UAC Sys High 90/40 90/40 90/40 Limit/Low Limit (Cardiac, Full-term, and Infant profiles:...
Page 336 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting NICU PACU CVP Mean High 15/0 15/0 Limit/Low Limit (Infant profile: 10/0) (Infant profile: 10/0; Perfusion profile: 15/-5) CVP Mean Alarm On Enabled Enabled Enabled (Trauma and Neuro profiles:...
Page 337: Invasive Pressures Settings For Labels
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting NICU PACU P1-P2 Mean High 15/0 15/0 Limit/Low Limit (Infant profile: 10/0) (Infant profile: 10/0; Perfusion profile: 15/-5) P1-P2 Mean Alarm On Enabled Enabled Enabled (Neuro and Trauma profiles: Disabled) Select Ventricular &...
Page 338 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings ED, ICU, OR, and PACU software packages: 0-200 ♦ NICU software package: 0-100 ♦ When Fem is selected as the channel label: ● Catheter Disconnect: Enabled ￭ Display Format: Sys/Dia (Mean) ￭...
Page 339: Configuring Locking Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting NICU PACU Cyan FemV Cyan White Yellow White (US only Cyan) White White White P1-P2 White Configuring locking settings Some profile and care unit settings can be locked. Clinicians cannot adjust locked settings for the current patient.
Page 340 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting NICU PACU PR(Fem) Alarm Unlocked ST(I) Alarm Unlocked ST(II) Alarm Unlocked ST(III) Alarm Unlocked ST(aVR) Alarm Unlocked ST(aVL) Alarm Unlocked ST(aVF) Alarm Unlocked ST(V1) Alarm Unlocked ST(V2/dV2) Alarm Unlocked...
Page 341: Configuring Time & Date Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting NICU PACU LAP(Mean) Alarm Unlocked ICP(Mean) Alarm Unlocked CPP Alarm Unlocked P1(Mean) Alarm Unlocked P2(Mean) Alarm Unlocked RR (Imped.) Alarm Unlocked Cardiac Artifact Alarm Unlocked FiCO2 Alarm Unlocked T1 Alarm...
Page 342: Alarm Limits Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Alarm limits settings Select Alarms Setup > Alarm Limits to adjust the parameter alarm high/low settings for the current patient. Alarm priority settings Select Alarms Setup > Alarm Priorities to adjust the alarm priority settings for the current patient.
Page 343: Arrhythmia Alarm Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Select the Other Parameters tab to adjust other parameter alarm priority settings for the current patient. For more information, refer to the user information provided. The following table lists the factory default settings.
Page 344 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Ventricular alarm settings Select Alarms Setup > Arrhythmia > Ventricular Alarms to adjust the ventricular arrhythmia alarm settings for the current patient. The following table lists the factory default settings.
Page 345 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Atrial alarm settings Select Alarms Setup > Arrhythmia > Atrial Alarms to adjust the atrial arrhythmia alarm settings for the current patient. Select A Fib, SV Tachy, and Pause for all available settings.
Page 346: Audible And Visual Alarm Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Arrhythmia Level Define the arrhythmia Full Lethal Full detection level. (Perfusion profile: Off) Audible and visual alarm settings Select Alarms Setup > Audible & Visual to adjust the audible and visual alarm settings for the current patient.
Page 347: Invasive Pressures Color Settings For Channels
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Invasive pressures color settings for channels Select Monitor Setup > Colors > Invasive Pressures to adjust the channel color settings for the current patient. The following table lists the factory default settings.
Page 348: Monitor Parameter Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting NICU PACU Alarm Volume for: Low Priority This setting appears when the Alarm Volume Control setting is set to Separate for Low. Beat Volume Touch Volume Completed NIBP Volume Monitor parameter settings Select Monitor Setup >...
Page 349: Trend Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Date of Birth Select the Current day patient’s birth (Infant profile: Current day) (Infant profile: Current day) day. June Current June Select the month patient’s birth...
Page 350: Parameter Default Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU 5 min 15 min 5 min Trends Time Select the time Interval interval for (Trauma, numeric trends. Cardiac, Neuro, Res- piratory, Pediatric, Infant pro- files: 1 min)
Page 351 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Va Lead Select the only Position V-lead label for 5-lead or the first V-lead label for 6-lead. Vb Lead Select the Position second V-lead label for 6-lead.
Page 352 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Lead Analysis Select the Multi lead lead(s) for (3-lead cable connected: Single lead) ECG analysis when a 5-, 6-, 10-lead cable is connected. Show with HR...
Page 353 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU PR(SpO ) alarm Select the 150/50 200/90 160/40 150/50 limits high/low alarm (Neuro profile: 120/50; (Infant (Neuro (Neuro limits. Pediatric profile: 170/70; profile: profile: profile: Infant profile: 180/80) 180/80) 120/50;...
Page 354: St Default Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU profile: 180/80) PR(Fem) alarm Enable alarm Enabled when limits are (OR software package Perfusion profile: Disabled. violated. Select Monitor Setup > Main Setup > Parameter Setup > Page 1 > ECG > HR Alarms Arrhythmia >...
Page 355: Impedance Respiration Default Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Alarm limits Select the 2.0/-2.0 high/low alarm limits for each individual ST lead. Alarms on/off Enable alarm Enabled when limits are violated for each individual ST lead.
Page 356: Spo 2 Default Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Resp Rate Select the high/low 40/4 75/20 40/OFF 40/4 (Imped.) alarm alarm limits. (Perfusion limits profile: OFF/OFF) Apnea Limit Select medium Seconds elapsed time limit. Cardiac Artifact...
Page 357 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Saturation Select the Seconds saturation seconds measurement option. Nellcor technology only. Response Select the averaging Normal time. Nellcor technology only. Sensitivity Select the sensitivity. Normal Masimo SET technology only.
Page 358: Nibp Default Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings NIBP default settings Select Monitor Setup > Main Setup > Parameter Setup > Page 1 > NIBP > Setup > Page 1 or Page 2 to adjust these settings for the current patient. The following table lists the factory default settings.
Page 359: Invasive Pressures Default Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Systolic alarm Select the high/low 180/80 limits adult alarm limits. (Adolescent profile: 150/80. OR Neuro profile: 160/80.) Select the high/low 130/70 120/70 130/70 child alarm limits.
Page 360 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings settings can be changed for the current patient and also saved as the channel’s profile setting defaults. For example, if the channel 1 label Art 1 is changed to RAP 1, the RAP 1 label default settings are applied to channel 1 for the current patient.
Page 361 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description PACU Smart BP Enable the Smart BP Enabled algorithm. IABP On Enable the IABP Disabled program. AUTO Primary Arterial Select the primary Source arterial source. Select Monitor Setup > Main Setup > Parameter Setup > Page 1 > Art 1 > Alarms > Art 1 Alarms to adjust these settings for the current patient.
Page 362 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU Primary HR Source AUTO Select the parameter to calculate HR. (US only: ECG) Show Pulse Rate Enable the pulse rate display. Disabled Select Monitor Setup > Main Setup > Parameter Setup > Page 1 > UAC 1 > Advanced to adjust these settings for the current patient.
Page 363 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description PACU Label Select the pressure site label. 0-20 Scale mmHg Select the waveform scale. (Infant profile: 0-10) Hemo Sweep Select the waveform 25 mm/s Speed display sweep speed.
Page 364: Co 2 Default Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings default settings Select Monitor Setup > Main Setup > Parameter Setup > Page 1 > CO2 > Setup to adjust these settings for the current patient. The following table lists the factory default settings.
Page 365: Temperature Default Settings
CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU Respiration Rate Select the 60/OFF 60/OFF 75/20 60/OFF 60/OFF alarm limits high/low alarm (Infant (Perfusion limits. profile: profile: 60/15.) OFF/OFF.) 20 s Apnea limit Select the time...
Page 366 CARESCAPE ONE User Manual DRAFT 26 October 2017 Default settings Setting Description NICU PACU T2 alarms on/off Enable alarm Disabled Enabled Disabled when limits are (Perfusion violated. profile: Disabled) T2 - T1 alarms Enable alarm Disabled on/off when limits are violated.
Page 367: Supplies And Accessories
CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories About this list This list indicates the supplies and accessories that are approved, specified and available for use with the CARESCAPE ONE. To ensure patient safety, use only supplies and accessories listed in this document or recommended by GE.
Page 368: Ordering Information
CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories Ordering information Contact your local GE representative to order supplies or accessories. Accessories without a GE part number must be ordered from the OEM manufacturer, and vice versa. Parameter accessories ECG accessories GE Medical Systems Information Technologies, Inc.
Page 369 CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories GE part number Manufacturer Accessory description part number 411203-004 411203-004 Multi-Link Leadwire Set, 3-Lead, Snap, IEC, 130 cm/51 in. 412681-001 412681-001 Multi-Link Leadwire Set, 5-lead, grabber, AHA, 74 cm/29 in.
Page 370 CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories GE part number Manufacturer Accessory description part number 414763-002 414763-002 Multi-Link Leadwire Separator, 3/5-Lead 416212-001 416212-001 Multi-Link Bedsheet Clip 2009101-403 2009101-403 Radiolucent Neonatal Cloth Monitoring Snap Electrodes, T832C 2009101-404...
Page 371 CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories Covidien sensors GE part number Manufacturer Accessory description part number 2106258-004 Nellcor Pediatric OxiCliq single use, two-piece adhesive sensor 2106258-002 Nellcor Neonatal/Adult OxiCliq single use, two-piece adhesive sensor 2106258-003...
Page 372 M-LNCS, YI, Multisite Reusable Sensor, 3 ft. 2068423-066 2504 M-LNCS TF-I, Reusable forehead sensor TruSignal SpO accessories GE Healthcare Finland Oy is the legal manufacturer of the following accessories: Part number Accessory description OXY-HB Replacement headband OXY-RT Replacement adhesive tape (blue)
Page 373: Non-Invasive Blood Pressure Accessories
TS-SE-3 TruSignal Sensitive Skin sensor, adult-pediatric-infant-neonate, 1 m/3.3 ft TS-SP-D TruSignal PediTip sensor with GE connector, 1 m/3.3 ft, 15 to 30 kg (33 to 66 lbs) TS-W-D TruSignal Wrap sensor, adult-pediatric, 1 m/3.3 ft, ≥3 kg (≥6lbs) Non-invasive blood pressure accessories GE Medical Systems Information Technologies, Inc.
Page 374 CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories Cuff assortment packs Part number Accessory description 2059300-001 SENSA-CUF, Assortment Pack, Adult, 2-Tube, DINACLICK Connector, 3/Pkg 2059301-001 DURA-CUF, Assortment Pack, Adult, 2-Tube, DINACLICK Connector, 3/Pkg 2059301-002 DURA-CUF, Assortment Pack, Pediatric, 2-Tube, DINACLICK Connector, 6/Pkg...
Page 375 CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories Part number Accessory description CLN-A2-2A-L Adult Long, 2-Tube, DINACLICK Connector, 23-33 cm, 5/Box CLN-P2-2A Child, 2-Tube, DINACLICK Connector, 12-19 cm, 5/Box MY-CUF Part number Accessory description MY-A1-2A Small Adult, 2-Tube, DINACLICK Connector, 17-25 cm, 20/Box...
Page 376: Temperature Accessories
CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories Part number Accessory description SEN-A2-2A-L Adult Long, Navy, 2-Tube, DINACLICK Connector, 23-33 cm SEN-A3-2A Large Adult, Wine, 2-Tube, DINACLICK Connector, 31-40 cm SEN-A3-2A-L Large Adult Long, Wine, 2-Tube, DINACLICK Connector, 31-40 cm...
Page 377: Co 2 Accessories
CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories CareFusion accessories GE part number Manufacturer Accessory description part number 165640 165640 400 Series Temperature Interconnect Cable, 1.3 m/4.3 ft. extension cable for disposable temperature probes. 165641 165641 400 Series Temperature Interconnect Cable, 2.8 m/9 ft. extension cable for disposable temperature probes.
Page 378: Other Accessories
2092610-001 1027730 LoFlo Sidestream Module mounting bracket Other accessories Cables, adapters, and other accessories GE Medical Systems Information Technologies, Inc. is the legal manufacturer of the following accessories: Part number Accessory description 2017842-001 DS1 Sync to Unterminated 15 ft...
Page 379: Mounting Accessories
Respironics accessories Part number Accessory description 2099061-001 CO₂ LoFlo Active Cable 2.3 m Mounting accessories GE Medical Systems Information Technologies, Inc. is the legal manufacturer of the following accessories: For more information, see the mount-specific installation instructions. 2094480-001 CARESCAPE ONE...
Page 380: Supplies
CARESCAPE ONE User Manual DRAFT 26 October 2017 Supplies and accessories Part number Manufacturer Accessory description part number 2098982-001 GE2098982- Mini Dock kit For the following accessories, see the individual accessory product labeling for specific legal manufacturer and regulatory information (e.g., CE marking).
Page 381: Maintenance
Recommended regular checks Daily checks Check that the accessories, cables, cable connectors, CARESCAPE Parameters, ● CARESCAPE ONE, and display parts are clean and intact. Check the charge of the battery. ● Once a year checks Check the calibration of temperature and NIBP.
Page 382: Maintaining The Battery
1. Position the equipment in a location that does not artificially increase the operating temperature of the battery. 2. GE recommends using an approved GE external battery charger to charge the battery whenever possible. The external battery charger maintains a lower battery cell temperature during the charge cycle.
Page 383: Testing The Battery Charge
Dock F0 and the dock is connected to an AC power source. The battery charges both when the CARESCAPE ONE is turned on and when it is in standby mode. There are some special conditions when the CARESCAPE ONE battery charging is temporarily denied, for example, when the battery temperature is too high.
Page 384 CARESCAPE ONE User Manual DRAFT 26 October 2017 Maintenance 1. Open the battery door by gently peeling down the corner of the battery door pull tab. 2. Pull on the battery cord to remove the battery from the battery slot.
Page 385: Battery Recycling
5. Press the Power/Standby button on the CARESCAPE ONE. 6. Check that the Power LED illuminates amber while the CARESCAPE ONE powers up, then illuminates green. 7. Check that the battery status icon displays on screen without battery error messages.
Page 386 CARESCAPE ONE User Manual DRAFT 26 October 2017 Maintenance CARESCAPE ONE 2094480-001...
Page 387: Electromagnetic Compatibility
No change in respiration greater than ± 1 breath per minute. ● flow rate < 60 ml/min. ● : GE TruSignal, No errors in pulse rate greater than ± 2 bpm for GE TruSignal SpO or greater than ● Nellcor, Masimo ± 3 bpm for Nellcor and Masimo SpO No error in saturation greater than ±...
Page 388: Electromagnetic Compatibility Safety Precautions
Consult qualified personnel regarding device/system configuration. CAUTION Changes or modifications to this device/system not expressly approved by GE may cause EMC issues with this or other equipment. Electromagnetic emissions The device is intended for use in the electromagnetic environment specified below.
Page 389: Electromagnetic Immunity
Compliance Electromagnetic environment - guidance Group 1 RF emissions CARESCAPE ONE uses RF energy only for its internal function. Therefore, RF emissions are very low and are not likely to cause CISPR 11 any interference in nearby electronic equipment. RF emissions...
Page 390: Recommended Separation Distances
CARESCAPE ONE User Manual DRAFT 26 October 2017 Electromagnetic compatibility Guidance and manufacturer’s declaration — electromagnetic immunity Electromagnetic environment Immunity test IEC 60601 test level Compliance level — guidance 3 Vrms 150 KHz to 80 3 V rms Conducted RF...
Page 391: Compliant Cables And Accessories
Increase the separation between the interfering equipment and the CARESCAPE ● ONE and CARESCAPE Parameters. The CARESCAPE ONE and CARESCAPE Parameters can radiate radio frequency energy and, if not installed and used in accordance with these instructions, may themselves cause harmful interference with other susceptible devices in the vicinity.
Page 392 CARESCAPE ONE User Manual DRAFT 26 October 2017 Electromagnetic compatibility CARESCAPE ONE 2094480-001...
Page 393 CARESCAPE ONE User Manual DRAFT 26 October 2017 content...
Page 394 Milwaukee, WI 53223 USA 79111 Freiburg Tel: + 1 414 355 5000 Germany 1 800 558 5120 (US only) Tel: + 49 761 45 43 - 0 GE Medical Systems Information Technologies, Inc., a General Electric Company, doing business as GE Healthcare. www.gehealthcare.com...

GE CARESCAPE ONE User Manual

About this Manual

Safety

System Introduction

Monitoring Basics

Setting up the Monitor before Use

Starting and Ending Monitoring

Alarms

Transport Use

Ecg

Quick Links

Troubleshooting

Related Manuals for GE CARESCAPE ONE

Summary of Contents for GE CARESCAPE ONE