GE Healthcare

B30 Patient Monitor

User's Guide

English
2039822-002 A (paper)
© 2009 General Electric Company.
All rights reserved.
B30 Patient Monitor
User's Guide
Related to software L-DICU08

0459

All specifications are subject to change without notice.

Document no. 2039822-002 A

9th January 2009

GE Medical Systems Information Technologies, Inc. GE Healthcare

8200 West Tower Avenue 3F Building 1, GE Technology Park
Milwaukee, WI USA 1 Huatuo Road
Zip: 53223 Shanghai PRC 201203
Tel: 1 414 355 5000 (outside US) Tel: +86 21 3877 7888
800 558 5102 (US only) Fax: +86 21 3877 7451
Fax: 1 414 355 3790
www.gehealthcare.com

Copyright © 2009 General Electric Company. All rights reserved.

About this guide
This User's Guide describes the features and functions offered by the
B30 monitor. Descriptions refer to the software L-DICU08.
This manual is an integral part of the product and describes its
intended use. Keep it always close to the equipment. Observance of
the manual is a prerequisite for proper product performance and
correct operation and ensures patient and operator safety.
If you are a new user of the monitor, we suggest you begin with
sections "Safety precautions", "System introduction" and "Monitoring
basics." The following conventions are used:
− Names of the hard keys on the Command Board and modules
are written in the following way: ECG.
− Menu items are written in bold italic typeface: ECG Setup.
− Menu access is described from top to bottom. For example, the
selection of the Screen Setup menu item and the Waveform
Fields menu item would be shown as Screen Setup - Waveform
Fields.
− Messages (alarm messages, informative messages) displayed on
the screen are written inside single quotes: 'Learning.'
− When referring to different sections in this manual, section
names are enclosed in double quotes: "Cleaning and care."
− In this manual, the word "select" means choosing and
confirming.
Related documentation
− Clinical aspects, basic methods of measurement and technical
background: B30 Patient Monitor User's Reference Manual
− Installation, technical solutions and servicing: B30 Patient
Monitor Technical Reference Manual
− Options and selections of the software: B30 Patient Monitor
Default Configuration Worksheet
− Compatible supplies and accessories: B30 Patient Monitor
Supplies and Accessories
− Other devices closely related to the monitor: iCentral User's
Reference Manual
Trademarks
Dash, Datex, Ohmeda, S/5, D-fend, D-fend+, Mini D-fend, OxyTip+,
ComBar, ComWheel, EarSat, FingerSat, FlexSat are trademarks of GE
Healthcare. All other product and company names are property of
their respective owners.
Product availability
Some of the products mentioned in this manual may not be
available in all countries. Please, consult your local representative
for the availability.
Service Lifetime
The Service lifetime of this patient monitor is 5 years. At the end of its
service lifetime, the product described in this manual, as well as its
accessories, must be disposed of in compliance with the guidelines
regulating the disposal of such products. If you have questions
concerning disposal of the product, please contact GE
representatives.
Intended purpose (Indications for use)
The B30 patient monitor is intended for multiparameter patient
monitoring. The B30 monitor is indicated for continuous monitoring
of hemodynamic parameters (including arrhythmia and ST segment
analysis) and respiratory status and creation of limit alarms.
The B30 monitor is intended for all hospital patients and all hospital
departments including intra-hospital transport but excluding harsh
physical environment like MRI.
The Patient side module E-PSM(P)W and accessories are indicated
for monitoring of hemodynamic parameters of all hospital patients.
The hemodynamic parameters of the module comprise ECG
(including ST-Segment and arrhythmia), impedance respiration,
oscillometric NIBP (sys/dia/mean), temperature, SpO2 (including
monitoring during conditions of clinical patient motion), and invasive
blood pressure. Impedance respiration measurement is indicated for
patients ages three years and up. The NIBP measurement is
indicated for patients who weight 5kg (11 lb) or up.The E-PSM(P)W is
intended for all hospital departments including intra-hospital
transport but excluding harsh physical environment like MRI.
The extension module N-FCREC (option N-FCREC or N-FC) is
indicated for monitoring of CO2 and respiration rate of all hospital
patients. CO2 measurements are indicated for patients who weight
over 5 kg (11 lb).
The B30 monitor and N-F(C)(REC) Extension Module and E-PSM(P)W
Patient Side Module are indicated for use by qualified medical
personnel only.
Classifications
In accordance with IEC 60601-1:
− Class I and internally powered equipment - the type of
protection against electric shock.
− Type BF or CF equipment. The degree of protection against
electric shock is indicated by a symbol on each parameter
module.
− Equipment is not suitable for use in the presence of a flammable
anesthetic mixture with air or with oxygen or nitrous oxide.
− Continuous operation according to the mode of operation.
− Portable Monitor
In accordance with IEC 60529:
− IPX1 - degree of protection against harmful ingress of water.
In accordance with EU Medical Device Directive: IIb
In accordance with CISPR 11:
Group 1 Class B; see page 3 of this User's Guide.
Responsibility of the manufacturer
GE Medical Systems Information Technologies, Inc. is responsible for
the safety, reliability and performance of the equipment only if:
− Assembly, extensions, readjustments, modifications, service and
repairs are carried out by personnel authorized by GE.
− Electrical installation complies with appropriate requirements.
− The equipment is used in accordance with this User's Guide.
Contents
Safety precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
System introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Monitor introduction . . . . . . . . . . . . . . . . . . . . . . . . . .11
Monitoring basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Setting up the monitor before use . . . . . . . . . . . . . .25
Entering and loading patient data . . . . . . . . . . . . .31
Starting and ending . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Screen setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Printing and recording . . . . . . . . . . . . . . . . . . . . . . . . .41
Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Cleaning and care . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
ECG and ST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Impedance respiration . . . . . . . . . . . . . . . . . . . . . . . .59
Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61
Pulse oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63
Non-invasive blood pressure (NIBP) . . . . . . . . . . . .67
Invasive blood pressure . . . . . . . . . . . . . . . . . . . . . . .71
Airway gas (CO2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79
Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
ElectroMagnetic Compatibility . . . . . . . . . . . . . . . . .97
End User License Agreement . . . . . . . . . . . . . . . . 105
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
i
 1
Safety precautions
These precautions refer to the entire system. Warnings and cautions specific to parts of the system can be found in the relevant section.
Warnings
A WARNING indicates a situation in which the user or
the patient may be in danger of injury or death.
• Connect only one patient to the monitor at a time.
• Do not use the monitor without manufacturer approved
mounting attached.
• Use only hospital-grade grounded power outlets and power
cord.
• To avoid the risk of electric shock, this equipment must only be
connected to a supply mains with protective earth.
• Do not use an additional multiple socket outlet or extension cord.
• After transferring or reinstalling the monitor, always check that it
is properly connected and all parts are securely attached. Pay
special attention to this in case of stacked mounting.
• If you accidentally drop the monitor or modules, have them
checked by authorized service personnel prior to clinical use.
• Vibrations during intrahospital transport may disturb SpO2, ECG,
impedance respiration, NIBP and InvBP measurements.
• Some equipment malfunctions may not generate a monitor
alarm. Always keep the patient under close surveillance.
• To avoid explosion hazard, do not use the monitor in presence of
flammable anesthetics.
• Do not use the monitor in high electromagnetic fields (for
example, during MRI.)
• Do not connect any external devices to the system other than
those specified.
• Do not touch the patient, table, instruments, modules or the
monitor during defibrillation.
• If the integrity of the external protective earth conductor
arrangement is in doubt, use the monitor with battery operation.
• When detaching modules, be careful not to drop them. Always
support with one hand while pulling out with the other.
• Use only approved accessories, batteries, mounts and
defibrillator-proof cables and invasive pressure transducers. For
a list of approved supplies and accessories, see the "Supplies
and Accessories" catalog delivered with the monitor. Other
cables, batteries, transducers and accessories may cause a
safety hazard, damage the equipment or the system, result in
increased emissions or decreased immunity of the equipment or
system or interfere with the measurement. Protection against
cardiac defibrillator discharge is due in part to the accessories
for pulse oximetry (SpO2), temperature (T) and invasive pressure
(P) measurement.
• Single-use accessories are not designed to be re-used. Re-use
may cause a risk of contamination and affect the measurement
accuracy.
• Do not incinerate a battery or store at high temperatures, as it
will explode.
• The monitor or its components should not be used adjacent to or
stacked with other equipment. If adjacent or stacked use is
necessary, the monitor and its components should be observed
to verify normal operation in the configuration in which it will be
used.
• Connecting electrical equipment together or using the same
extension cord for more than one device may cause their
leakage currents to exceed the limits specified in relevant safety
 standards. Always make sure that the combination complies
with the international safety standard IEC 60601-1-1 for medical
electrical systems and with the requirements of local authorities.
• Pins of connectors identified with the ESD warning symbol
should not be touched. Connections should not be made to
these connectors unless ESD precautionary procedures are
used. See "Safety precautions: ESD precautionary procedures" in
the"User's Reference Manual" for details.
• Other equipment may interfere with the system, even if that
other equipment complies with CISPR emission requirements.
• If liquid has accidentally entered the system or its parts,
disconnect the power cord from the power supply and have the
equipment serviced by authorized service personnel.
• If the unit fails to respond as described, do not use the monitor
until tested and repaired by authorized service personnel.
• The system is intended for use by qualified medical personnel
only.
• Before cleaning, disconnect the monitor from the power supply.
• Use only an intact power cord. Replace the power cord if it is
cracked, frayed, broken or otherwise damaged.
• Do not apply tension to the power cord otherwise the cord may
get damaged.
• The power cord may only be connected to a three-wire,
grounded, hospital grade receptacle.
• NOTE: The monitor is always internally powered when the
batteries are connected.
• The B30 is always energized by the internal batteries. A short
circuit may cause internal damage. Do not touch any exposed
wiring or conductive surface inside, this may cause an electric
shock.
• Make sure that the Pole Mount for PSMW is always used in
vertical position to prevent water from entering the E-PSM(P)W
module.
2
Cautions
A CAUTION indicates a situation in which the unit or
devices connected to it may be damaged.
• Before connecting the power cord to the power supply, check
that the local voltage and frequency correspond with the rating
stated on the device plate.
• Leave space for circulation of air to prevent the monitor from
overheating.
• Refresh the batteries completely every six months (see "Cleaning
and care").
• Do not store or use the monitor outside the temperature and
humidity ranges specified in the "Performance" section of this
manual.
• After replacing a battery, always make sure that you close the
battery compartment by sliding the lid back to the right until it
clicks.
• Perform regular functional testing of each of the parameters and
accessories
• The monitor display is fragile. Ensure that it is not placed near a
heat source or exposed to mechanical shocks, pressure,
moisture or direct sunlight.
• Do not immerse any part of the device in liquids or allow liquid to
enter the interior.
• Do not autoclave any part of the system with steam or sterilize
with ethylene oxide.
• Do not apply pressurized air to any outlet or tubing connected to
the monitor. Pressure may destroy sensitive elements.
• Before use, allow two minutes for warm-up and note any error
messages or deviations from normal operation.
• Do not short-circuit the battery terminals, this may produce a
very high current, which will damage the battery.
 3

• Do not store or transport the monitor outside the specified − Class B equipment is suitable for use in domestic
temperature, pressure and humidity ranges. establishments and in establishments directly connected to
a low voltage power supply network which supplies buildings
Disposal used for domestic purposes.
• Dispose of the whole device, parts of it, its packing material and
this manual in accordance with local environmental and waste
disposal regulations.

Points to note
• This manual is intended for clinical professionals. Clinical
professionals are expected to have a working knowledge of
medical procedures, practices, and terminology, as required for
monitoring of critically ill patients.
• Medical electrical equipment needs special precautions
regarding electromagnetic compatibility and needs to be
installed and put into service according to the electromagnetic
compatibility information provided in the "Technical Reference
Manual" by qualified personnel.
• Portable and mobile RF communications equipment can affect
the medical electrical equipment.
• The allowed cables, transducers, accessories and mounts for the
system are listed in the "Supplies and Accessories" catalog.
• The equipment is suitable for use in the presence of
electrosurgery. Please notice the possible limitations in the
parameter sections and in the "Performance" section.
• Service and repairs are allowed for authorized service personnel
only.
• CISPR 11 classification: Group 1, Class B:
− Group 1 contains all ISM (Industrial, scientific and medical)
equipment in which there is intentionally generated and/or
used conductively coupled radio-frequency energy which is
necessary for the internal functioning of the equipment itself.
For your notes:

4
 5
Symbols
− Attention, consult accompanying documents.
− On the modules or frames indicates that
modules with identical measurements should
not be used in the same monitor. If such
modules have been inserted, remove the
module that has been most recently connected.
You can also remove both modules and re-
connect the new module after five second.
− On the E-PSM(P)W module indicates that
protection against cardiac defibrillator
discharge is due in part to the accessories for
pulse oximetry (SpO2), temperature (T) and
invasive pressure (P) measurement.
− On the N-FC(REC) module indicates that airway
gases should be calibrated every six months in
normal use and every two months in continuous
use.
− On top of the monitor beside the battery cover:
Use manufacturer recommended batteries only.
Follow the regional regulations for disposal.
− On the rear panel this symbol indicates the
following warnings and cautions:
−Electric shock hazard. Do not open the cover or
the back. Refer servicing to qualified
personnel.
−For continued protection against fire hazard,
replace the fuse only with one of the same
type and rating.
−Disconnect from the power supply before
servicing.
−Do not touch the monitor during defibrillation.
−Do not use the monitor without manufacturer
approved mounting attached.
Type BF (IEC 60601-1) protection against electric
shock
Type BF (IEC 60601-1) defibrillator-proof protection
against electric shock
Type CF (IEC 60601-1) protection against electric
shock
Type CF (IEC 60601-1) defibrillator-proof protection
against electric shock
 When displayed in the upper left corner of the
screen, indicates that the alarms are silenced. When
displayed in the menu or digit fields, indicates that
the alarm source has been turned off or alarm does
not meet the alarm-specific activation criteria.
Equipotentiality. Monitor can be connected to
potential equalization conductor.
Alternating current
Fuse. Replace the fuse only with one of the same
type and rating.
In the front panel: battery.
A
B B Battery operation and remaining capacity. The
height of the green bar indicates the charging level.
Battery (A) charging (white bar)
B Battery (A) failure
Both batteries failed
6
Battery (A) missing
In the front panel: mains/external DC power
ESD warning symbol for electrostatic sensitive
devices. Pins of connectors identified with the ESD
warning symbol should not be touched.
Connections should not be made to these
connectors unless ESD precautionary procedures
are used. See "Safety precautions: ESD
precautionary procedures" in the "User's Reference
Manual" for details.
Symbol for non-ionizing electromagnetic radiation.
Interference may occur in the vicinity of equipment
marked with this symbol.
SN,S/N Serial number
Submenu. Selecting a menu item with this symbol
opens a new menu.
The monitor is connected to Network.
A blinking heart next to the heart rate or pulse rate
value indicates the beats detected.
A lung next to the respiration rate value indicates
that respiration rate is calculated from the
impedance respiration measurement.
 7

Date of manufacture

This symbol indicates that the waste of electrical

and electronic equipment must not be disposed as
unsorted municipal waste and must be collected
separately. Please, contact an authorized
representative of the manufacturer for information
concerning the decommissioning of your
equipment.

The separate collection symbol is affixed to a

battery, or its packaging, to advise you that the
battery must be recycled or disposed of in
accordance with local or country laws. To minimize
potential effects on the environment and human
health, it is important that all marked batteries that
you remove from the product are properly recycled
or disposed. For information on how the battery
may be safely removed from the device, please
consult the service manual or equipment
instructions. Information on the potential effects on
the environment and human health of the
substances used in batteries is available at this url:
http://www.gehealthcare.com/euen/weee-
recycling/index.html

This product consists of devices that may contain

mercury, which must be recycled or disposed of in
accordance with local, state, or country laws.
(Within this system, the backlight lamps in the
monitor display contain mercury.)
For your notes:

8
 9

System introduction
(1) B30 monitor with modules
(2) Printer
(3) Other monitors in the network
1
NOTE: You cannot view other monitors on the 2
B30 monitor with L-DICU08 software.

NOTE: The monitor display is fragile. Ensure that it is not

placed near a heat source or exposed to mechanical shocks,
pressure, moisture, or direct sunlight.
3
NOTE: Your system may not include all these components.
Consult your local representative for the available
components.

Optional components Alarms

Optional components for the B30 monitor are:
• Patient Side Modules E-PSMW and E-PSMPW
• Extension Modules N-FREC, N-FCREC and N-FC
For details regarding modules, see section "Measurement modules."
The monitor provides places for one E-PSM(P)W and/or one N-Fx
module.
If the monitor is connected to the network, the alarm limits can also
be changed using the Central if this feature has been enabled in the
Central configuration.
If the monitor is connected to the network, the bedside alarms can
also be silenced using the Central if this feature has been enabled in
the Central configuration.
For more information on alarms, see “Alarms“ on page 37.
WARNING: Connect only one patient to the monitor at
a time.
WARNING: After transferring or reinstalling the
monitor, always check that it is properly connected
and all parts are securely attached. Pay special
attention to this in case of stacked mounting.
10
WARNING: Never install the monitor so that it is
above the patient.
WARNING: Do not use the monitor without
manufacturer approved mounting attached.
WARNING: Always make sure that the audio alarm
volume level is adequate in your care environment.
WARNING: Before starting to use the system, ensure
that the whole combination complies with the
international standard IEC 60601-1-1 and the
requirements of the local authorities. Do not connect
any external devices to the system other than those
specified.
 11

Monitor introduction
(1) Battery compartment, see below
1 2 3 (2) Transportation handle
(3) Alarm light, see page 39
4 (4) Alarm LEDs, see page 37
(5) Side panel keys, see page 14
(6) The ComWheel
(7) Command Board keys, see page 13
(8) Guide rail for GCX mounting
(9) Mains power and battery LEDs, see page 15
(10) ON/standby key
(11) Defibrillator & IABP synchronization connector (marked with X5)
5 (12) Measurement modules, see page 19

12
6

11
7
10 9 8

WARNING: If you accidentally drop the monitor or

modules, have them checked by authorized service
personnel prior to clinical use.
Rear panel connections
1 2 (1) Battery compartment
(2) Slot for infusion pole mount
(3) Module connector (marked with X4)
(4) Guide rail for GCX mounting
(5) Receptacle for power cord
(6) Fuse holder
(7) Serial port (marked with X9)
(8) Network ID connector (marked with X8)
(9) Connector for future use (marked with X7)
(10) Accessory: multi I/O adapter (with connectors 7 - 9
above)
(11) Network connector
(12) Equipotential connector

5 6

11
9 8 7
4

12
 13

Command Board keys

1 2 3 4 5 6

Admit/ Pt.Data Invasive Normal

Discharge & Trends ECG NIBP Pressures Screen

Monitor Print/ Airway

Setup Record Gas Others

10 9 8 7
(1) ON/standby key (6) For returning the Normal Screen view to the screen
(2) Mains power ON (lit) or OFF (dark): indicates mains or external DC (7) For activating pulse oximetry, impedance respiration and
power temperature setup menus
(3) For admitting or discharging a patient; for selecting user modes (8) For printing and recording different trends and waveforms
(4) For viewing trends and alarm history (9) For setting up the monitor and for activating the Help menu
(5) For activating parameter specific menus. NOTE: All modules do (10) Battery operation LEDs, see page 15
not measure all of these parameters. For more information, see
page 19
Side panel keys

1 Alarm LED indicators: see page 37

Silence
Alarms
2 For silencing the alarms, see page 40
Alarms
Setup
3 For activating the Alarms Setup menu

Invasive Pressur

For zeroing the invasive pressure channels, see page 71

Zero
ALL
4 NOTE: Functional with the E-PSMP module only.

NIBP

5 For starting the NIBP autocycling, see page 68

Start
Cancel 6 For starting or stopping the NIBP manual cycling, see page 68

Recorder
For starting or stopping local recording, see page 41
7 NOTE: Functional with the N-FREC and N-FCREC modules only.

14
 15

Batteries
The B30 monitor allow to use two lithium-ion batteries at most, Battery indicators
located in the battery compartment. They can be charged
separately, and screen symbols and monitor frame LEDs indicate Screen Explanation Front panel battery LEDs
their charging level and possible failure, see table on the right. You Monitor is battery Green lit
can also check the battery status through Monitor Setup - Battery powered. Batteries are Orange dark
Setup. A
B B fully charged; the size of
the green bar indicates the
If you wish to have the battery charge visible at all times, select it in charging level.
one of the digit fields: Monitor Setup - Screen Setup - Digit Fields - Monitor is battery Green lit
Battery. You can now see how much charging time is left for each powered. Battery A is Orange dark
battery separately both in numbers and as symbols, and the total A B empty, battery B charge is
charging time in numbers. ok.

NOTE: Always use the B30 monitor with battery inserted. Otherwise Monitor is battery Green lit
all trend data and temporary settings are lost if the power cable is powered. Battery A failure, Orange flashing
detached from the mains. B battery B is full.

NOTE: When the monitor is battery powered, the green battery LED
is on. When the monitor is mains powered, the green mains LED is NOTE: If both batteries fail, the green battery LED is dark.
on. See also sections "Conditioning the batteries" and "Messages."
Monitor is battery Green lit
NOTE: When useable batteries are installed, if the monitor loses AC
powered. Battery A Orange flashing
power, it automatically switches to battery power without
missing, battery B is full.
interruption of operation.

Monitor is mains powered. Green lit

Battery A is being charged Orange flashing
(white bar), battery B is
already charged.

no symbol Monitor is mains powered. Green dark

'No battery backup' Orange flashing
message on screen.
Batteries have failed or
they are not inserted.
Checking the battery charge when the monitor is turned When the monitor is turned off, you can check the battery charging
off level by pressing the test button on the battery as indicated in the
drawing. The charging indicator bar (1) lights up and the number of
lit segments indicates the charging level.

WARNING: Do not incinerate a battery or store at

high temperatures, as it will explod

CAUTION: Do not dismantle the battery.

1

16
 17

Replacing the batteries

Battery capacity indicators in the upper right corner of the screen
tell you when you should replace a battery, and which one is out of CAUTION: After replacing a battery, always make sure
charge, missing or not working, see above. You can replace one to close the battery compartment by sliding the lid back
battery at a time. to the right until it clicks.

A
B

(1) Open the lid of the battery compartment (2) Lift up the battery you want to change. (3) Push in the new battery. Make sure that
located behind the transportation handle Check the indicators and messages on the charging indicator is facing forward
by sliding it to the left. screen to make sure that you change the and push the battery down all the way.
battery with lower charge. Check the monitor indicators, see above.
For your notes:

18
 19

You can use simultaneously either one E-PSM(P)W module or one

Measurement modules N-Fx module or one of each. See the following pictures and
There are five modules for the B30 monitor: hemodynamic Patient explanations for module features.
Side Modules E-PSMW and E-PSMPW, and the B30 monitor specific
Extension Modules N-FREC, N-FCREC and N-FC.

Patient Side Modules E-PSMW and E-PSMPW (in the drawing)

(1) Module keys, see below
(2) NIBP connector
(3) InvBP connector in the E-PSMPW only: 2-channel
measurement
1 (4) Temperature connector: 2-channel measurement
2 (5) SpO2 connector
(6) ECG (3/5) and impedance respiration connector
3 (7) Tab for removing the module

4 7

6
Module keys Module versions
The Patient Side Modules have the following measurement
Auto capabilities:
On/Off Auto On/Off: for starting or stopping the
NIBP automatic cycling, see page 68 E-PSMW:
− Non-invasive blood pressure
− Temperatures
Start Start Cancel: for starting or stopping the
Cancel − Pulse oximetry
NIBP manual cycling, see page 68 − ECG and impedance respiration

In E-PSMP only: E-PSMPW (in the drawing above):

Zero P1 Zero P1: for zeroing pressure channel P1 − Non-invasive blood pressure
− Invasive blood pressures
− Temperatures
Zero P2: for zeroing pressure channel P2 − Pulse oximetry
Zero P2
− ECG and impedance respiration

20
 21

Extension Modules N-FREC, N-FCREC (in the drawing) and N-FC

(1) Recorder, in N-FREC and N-FCREC
(2) Paper compartment lever
(3) CO2 measurement, in N-FCREC and N-FC
(4) Water trap
(5) Tab for removing the module
2 (6) Sample gas inlet
(7) Gas outlet
1

4 Module versions
The Extension Modules have the following measurement capabilities
and features:
5
N-FREC:
3
− Built-in strip chart recorder for local recording
6
N-FCREC (in the drawing):
− Built-in strip chart recorder
7 − CO2 measurement

N-FC:
− CO2 measurement
Inserting a module Using two modules
1. Align the module with the insertion guides. E-PSM(P)W and N-Fx To install an E-PSM(P)W and an N-Fx module:
modules are all inserted the same way. 1. Insert the N-Fx module first as explained in "Inserting a module."
2. Push the module into the monitor frame until it clicks: 2. Attach the E-PSM(P)W to the N-Fx.

Removing a module
1. Pull the module outwards using the tab. Make sure not to drop it
when it comes out.

WARNING: When detaching modules, be careful not

to drop them. Always support with one hand while
pulling out with the other.

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Monitoring basics
Navigating in menus
A menu is a list of functions or commands. To display a menu, press
one of the hard keys. Selections in the menus are made with the
ComWheel. For example, to change the ECG display:
• Press the ECG key to open the function menu.
• Turn the ComWheel to select the desired function in the menu.
• Push the ComWheel to open a submenu or an adjustment
window.
• Push the ComWheel to confirm the selection.
Using modes
The B30 monitor has six user modes. These user modes are
predefined combinations of settings. They determine, for example,
what is displayed on the screen and in trends and what the alarm
limits are. In other words, by choosing a specific mode you get
suitable settings on the screen without having to choose all features
one by one.
Modes can be hospital specific. The monitor starts in start-up mode,
which is one of the user modes chosen during configuration. The
default modes are STEP-DOWN, ED, PACU, CCU, NEURO and
PEDIATRIC. For more information about the default user modes, see
the "Default Configuration Worksheet" delivered with the monitor.
For more information about the installation settings and user
modes, see the "User's Reference Manual."
For your notes:

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Setting up the monitor before use

Before starting to use the monitor, check the monitor installation
settings and what is configured in different user modes, and make
the necessary changes. The user modes can be hospital-specific.
Default modes are STEP-DOWN, ED, PACU, CCU, NEURO and
PEDIATRIC. For more information about the factory default user
modes, see the "Default Configuration Worksheet" For more
information about the installation settings and user modes, see the
"User's Reference Manual."

Passwords Setting time and date

NOTE: If you want to make changes that require a password, we
recommend you contact the system administrator.
• The default password for entering the Install/Service menu is
16 4 34.
• The default password for entering the Save Modes menu is
13 20 31.
NOTE: If the monitor is connected to the Central, it follows the
Central's time settings and the Time and Date menu is not available.
NOTE: You cannot change the monitor's time settings after the
patient has been admitted.
1. Press Monitor Setup and select Time and Date
2. Turn and push the ComWheel to set the time and date.

Battery setup
Through this menu, you can check the battery status:
1. Press the Monitor Setup key.
2. Select Battery Setup. Battery information is now available.
Changing the monitor installation settings
The monitor installation settings are the same in all user modes. The
changes are preserved until changed again. Press Monitor Setup,
enter the password and select Install/Service - Installation.

Units Printer
Change units for height, weight and blood pressure. ECG Printout Type: Select 2x6-25, 2x6-50 or 3x4-25.
Printer Connection: Select printer connection (default: None).
You can change temperature units through Others - Temp Setup Paper Size: Select A4 or Letter.
and CO2 units through Airway Gas - CO2 Setup. The changes are
permanent. NOTE: Network printer only.

Alarm options Monitor settings

Show Limits: Select YES to show alarm limits in digit fields. Parameter Settings: Set CO2 humidity compensation.
Show Audio ON/OFF: Select YES to enable alarm silencing. Selecting
NO (default) disables silencing options in the Audio ON/OFF menu in
Alarms Setup.
NOTE: The Show Audio ON/OFF setting should be changed only by
the system administrator.
Alarm Light Select NO to disable the alarm light.
Latching Alarms: Select YES to keep alarm messages on screen until
Silence Alarms key is pressed.
Reminder Volume: Adjust volume of audible alarm reminder tone.
Alarm Tones: Select ISO 9703-2 standard tones or general tones.

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Changing the user modes Changing the startup mode

NOTE: If you want to make changes in user modes, we recommend 1. Select Monitor Setup - Install/Service - Save Modes.
you contact the person responsible for the configuration. When new 2. Select Startup Mode - 1, 2, 3, 4, 5 or 6.
settings are saved, they should be marked in the "Default
Configuration Worksheet" See below for instructions on how to Renaming a mode
change the modes permanently. 1. Select Monitor Setup - Install/Service - Save Modes.
2. Select the mode, select Name and give a new name.
1. Select the user mode you wish to change through Admit/
Discharge - Select Mode. Loading modes
2. Make necessary changes (sweep speeds, parameter colors, 1. Select Monitor Setup - Install/Service - Save Modes.
report contents, Normal Screen layout, screen setup, trendsetc.). 2. Select Load Modes and load to/from network.
To change a parameter setup, press a parameter key and go to
the setup menu. For instructions, see relevant parameter
sections. To change alarm limits and volume, press the Alarms
Setup side panel key. For instructions, see "Alarms."
3. Confirm changes through Monitor Setup - Install/Service -
Save Modes - Save. You can save the changes also in other
modes. If you do not save the changes in the modes, they are
temporary and valid only until you discharge a patienor change
the mode or until more than 15 minutes has elapsed from the
turn-off of the monitor. Entering Save Modes requires a
password, see "Passwords" above.
Changing the waveform sweep speeds Changing the printer settings
1. Select Monitor Setup - Sweep Speeds. 1. Press Print/Record.
2. Select the parameters and adjust the values. Slow waveforms 2. Select Print Graphical.
show the amplitude changes better. 3. Select the pages to print and how many hours to print on one
page.
Changing the parameter colors
To change colors for parameter waveforms, digits and trends: Changing the Normal Screen layout
1. Select Monitor Setup - Install/Service. 1. Press Monitor Setup.
2. Select Colors. 2. Select Screen Setup:
3. Select colors for parameters. • Waveform Fields: Select the displayed waveforms.
• Digit Fields: Change the contents of a field or turn it off.
Changing the recorder settings • Split Screen: Select what you wish to display with the
1. Press Print/Record. waveforms (Trend or None).
2. Select Record Waveforms and select the recorded waveforms, • Minitrend Length: Select the length of the minitrend. NOTE:
delay, paper speed and length, and select if you wish to record Minitrend is displayed if you choose the Split Screen option
waveforms on alarms. Trend.
3. Select Record Trends and set the numerical trend resolution and
trend type and select the graphical trend recorded in upper and Changing the display brightness
lower field. 1. Press Monitor Setup.
2. Select Display brightness.
3. Select from 10 to 100 %.

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Setting the default trend Setting trend lengths and scales

You can select graphical or numerical trends to be displayed by Press Pt.Data & Trends:
default. • Select Trends - Graphical - Time Scale and select the trend
1. Press Monitor Setup and select Install/Service. length.
2. Select Trends. • Select Trends - Graphical - Trend Scales and adjust the
3. Select Default Trend and Graph or Num. scales.

Configuring trend pages

To select the parameters that are displayed on the graphical trend
pages:
1. Press Monitor Setup and select Install/Service.
2. Select Trends - Graphical Trends.
3. Select the graphical trend page you want to change.
4. Select parameters for fields.
For your notes:

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Entering and loading patient data

Entering patient data
When you admit a patient, you must enter all relevant data:
1. Press the Admit/Discharge and select Admit Patient.
2. Enter patient data by pushing and turning the ComWheel.
Loading patient data
If the patient has already been admitted on the same monitor, press
Admit/Discharge and select:
• Contin. Previous
Select this to load the most recent patient trends from the monitor
memory when less than 15 minutes has elapsed from the turn-off.
NOTE: This selection is available if the patient case is already
admitted on this monitor.
Saving data
The monitor continuously saves patient data, such as trends. Saving
is activated once the patient is admitted. The monitor saves
automatically:
− In the monitor memory the most recent patient data up to 72
hours if the network is not in use.
− In the network the most recent patient data up to 72 hours from
2 to 90 days depending on the configuration.
For your notes:

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 33
Starting and ending
Preparations
NOTE: Before using the monitor for the first time with batteries,
charge the batteries to their full capacity (charging time 2 hours per
battery pack).
1. Plug in the measurement modules.
2. Turn on the monitor from the ON/standby key. The monitor
performs a self-test to ensure correct functioning.
3. If necessary, change the user mode: Press the Admit/
Discharge key and select Select Mode.
Modes are preconfigured but if desired, they can be changed.
Changing the modes is described briefly in "Screen setup."
NOTE: Changing the mode also changes settings, such as the alarm
limits. For details, see the "Default Configuration Worksheet"
The monitor automatically reconfigures the display when modules
are inserted. Reconfiguration of the display may take up to five
seconds.
WARNING: Connect only one patient to the monitor at
a time.
WARNING: Always make sure that necessary alarm
limits are active and set according to the patient's
clinical condition when you start monitoring.
Starting monitoring
1. Prepare the patient connections according to the setup picture
in the measurement section. Use only approved supplies and
accessories, see the "Supplies and Accessories" catalog. The
alarms and parameter settings become active.
2. If necessary, adjust the waveform and digit fields; see "Screen
setup."
3. Zero invasive pressure lines; see "Invasive blood pressure."
4. Check the alarm limits; press the Alarms Setup side panel key.
Change them, if necessary; see "Alarms."
5. Start the measurement according to the instructions in the
measurement section.
6. Enter or load patient data by pressing the Admit/Discharge
key; see "Entering and loading patient data."
The patient admission happens through Admit Patient selection or
automatically when the monitor receives a patient's vital signs.
Always observe the monitor and the patient carefully during start-
up periods and when inserting modules.
 Automatic discharge of the patient
Ending monitoring
The monitor discharges a patient automatically after 24 hours when
1. Print necessary data: press the Print/Record key.
vital signs for some parameters (ECG, Art, NIBP, SpO2, Resp and CO2
2. Wait until the printing is finished. Then clear the patient data and
(with N-FCREC and N-FC)) are not available. When this happens, all
return the settings, including alarm limits, to their defaults
trend data will be cleared and alarm limits set to default values.
through Admit/Discharge - Discharge - YES
3. Turn off the monitor from the ON/standby key if the monitor will
not be used.
4. Clean the monitor according to the instructions.

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Screen setup
Modifying the screen temporarily Changing the split screen contents
• Press the Monitor Setup key and select Screen Setup. You can split the Normal Screen page into two parts. The other half
• Change the waveform and digit field measurements, split screen of the split screen shows trend data.
option, minitrend length and sweep speeds. 1. Press the Monitor Setup key.
• To make other setup changes, such as scale changes, press a 2. Select Screen Setup.
parameter key and select its setup menu. For example, press the 3. Select Split Screen and choose from the options.
ECG key and select ECG Setup. • Trend shows minitrends beside waveforms.
• None shows no split screen.
Changes are valid until the monitor is turned off (+15 minutes) or
until you discharge the patient from the monitor. Only time and date
settings are stored permanently.

Modifying the screen permanently

You can make permanent changes in the screen setup. This is
described briefly in section “Setting up the monitor before use." For
information on default configuration, refer to the "Default
Configuration Worksheet"
 Note that:
Changing waveform and digit fields
− Waveforms are always evenly spread to fill the entire waveform
Up to six waveforms and four digit fields can be displayed area. When 3 or fewer waveforms are configured on the screen,
simultaneously. they are displayed in an enlarged format.
1. Press the Monitor Setup key. − Selecting Combine Pressures displays invasive pressures in the
2. Select Screen Setup. same waveform field with the same zero line, but with individual
3. Select Waveform Fields or Digit Fields. scales.
− If 5-lead ECG is measured, up to three different ECG leads can be
displayed simultaneously in different fields.

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Alarms
Enabling the alarms
To enable the alarms, connect patient cables. If the alarm source is
selected, the alarms are operative also when the measurement is
not displayed (except the impedance respiration measurement
alarms).
WARNING: Always make sure that necessary alarm
limits are active and set according to the patient's
clinical condition when you start monitoring. A
potential hazard can exist if different default alarm
settings are used for the same or similar equipment
in any single area.
CAUTION: Setting alarm limits to extreme values may
render the alarm system useless
Alarm indications
When the monitor is turned on, you will hear a beep: this tells you
that the alarm audio signal is working. Also, the alarm LED indicators
light up for a few seconds. To check them, see "Cleaning and care:
Functioning of the alarms." You can also check the functioning of the
audio signal and alarm light through Alarms Setup - Alarm
Volume or Alarm Light.
When an alarm becomes active, messages appear in the order of
priority. The alarming measurement value flashes (except for low
priority alarms) and the color indicates the alarm category; see the
table below. In some cases, there may be a message on the screen
giving more detailed information. An audible alarm is also triggered,
and the alarm LEDs on the monitor side panel indicate the alarm
level. If enabled, also the alarm light flashes red or yellow according
to alarm levels, see below.
NOTE: If the monitor is connected to the network, it also sends
alarms to the Central.
Alarm categories
The priority depends primarily on the cause and alarm duration. The priority increasing with the duration and according to the physiological
significance.

Visual Meaning Tone pattern (selected Side panel LED Alarm light (if
when the system is indicators enabled)
configured)
Red For life threatening situations: HIGH Triple + double beep every 5 red LED flashing flashing red
PRIORITY ALARM seconds or continuous beep
--- -- 5 --- --/ -----
Yellow For serious but not life threatening Triple beep every 19 seconds or yellow LED flashing flashing yellow
problems: MEDIUM PRIORITY double beep every 5 seconds
ALARM --- 19 --- / -- 5 -- 5 --
White Advisory: LOW PRIORITY ALARM Single beep - yellow LED lit dark

Adjusting limits Adjusting volume

1. Press the Alarms Setup side panel key and select Adjust
Limits.
2. Highlight the measurement.
3. Push the ComWheel to open an adjustment window.
4. Turn the ComWheel to change limits and accept them by
pushing it. Move between selections by turning the ComWheel.
1. Press the Alarms Setup side panel key.
2. Select Alarm Volume and adjust.
WARNING: Always make sure that the audio alarm
volume level is adequate in your care environment.

NOTE: If the monitor is connected to the network, the alarm limits

can also be changed using the Central if this feature has been
enabled in the Central configuration.

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Alarm light Changing source

The B30 monitor has an alarm light, located in the upper right corner For NIBP, P1 and P2 (with E-PSMPW), you can select which measured
of the monitor frame, see page 11. The alarm light can be enabled values trigger the alarm. One or several alarm sources may be
(default) or disabled through Monitor Setup - Install/Service - active at a time.
Installation - Alarm Options - Alarm Light When enabled, it flashes 1. Press the Alarms Setup side panel key and select Adjust
red (high priority) or yellow (medium priority) according to the Limits.
currently active highest priority alarm. 2. Select the measurement.
To adjust the brightness of the light: 3. If the highlight is in the adjustment window, push the ComWheel
1. Press the Alarms Setup key. until you get to the menu selections.
2. Select Alarm Light and adjust with the ComWheel. During 4. Select the desired alarm source ON.
adjustment the red light is on to help you determine a suitable
brightness level. Showing alarm history
1. Press the Pt.Data & Trends key.
Alarm activation 2. Select Alarm History A list of the last 20 alarms is displayed.

To enable the alarms, connect patient cables. If the alarm source is

selected, the alarms are active also when the measurement is not
displayed (except the impedance respiration alarms). When an
alarm becomes active, messages appear in order of priority. See
default settings presented in the "Default Configuration Worksheet."
NOTE: Limit alarms are active after one minute from turning on the
monitor or after discharging the patient.
Individual alarms have their own specific requirements before they
become active, for example:
− Apnea requires five breaths to be activated.
− Invasive pressures need to be within alarm limits for 20 seconds
after zeroing.
Silencing audible alarms temporarily
To silence alarms for two minutes, press the Silence Alarms side
panel key. To silence them for five minutes, press the key for more
than five seconds.
If the alarms are not active when you press the Silence Alarms
side panel key, they are pre-silenced for two or five minutes.
During silencing, all new alarms for the same reason and all alarms
for a different reason are indicated visually.
To silence the individual alarm that is currently active, press the
Silence Alarms side panel key twice. This does not pre-silence the
upcoming alarms.
NOTE: If the monitor is connected to the network and the network
connection is lost, the silenced alarms are reactivated and the
volume level is automatically set to 7.
Reactivating silenced alarms
• Press the Silence Alarms side panel key during the silencing
period.
The alarm sounds of new alarms are activated. Silenced alarms are
active after a two-minute period. Apnea alarm is activated after
three breaths.
40
Silencing audible alarms permanently
1. Press the Alarms Setup side panel key and select Audio ON/
OFF. If this option is not selectable, see “Alarm options.”
2. Select Silence Apnea, Silence ECG, Silence Apn&ECG or Silence
ALL.
If an active alarm is silenced, the monitor gives a reminder beep
every two minutes. By default, silencing alarms is set unselectable
and can only be activated through the Installation menu. For more
information, see "Setting up the monitor before use" or the "User's
Reference Manual."
Reactivating alarms
• In Alarms Setup menu, select Audio ON/OFF and select Activate
Alarms.
NOTE: If the monitor is connected to the network, the bedside alarms
can also be silenced using the Central if this feature has been
enabled in the Central configuration.
WARNING: When the alarms are silenced, observe the
patient frequently.
 41

Printing and recording

You need
Side panel key
− Laser printer for printouts (PCL5 compatible, min. 2Mb memory)
NOTE: Network printer only. Use the side panel key to start and stop recording immediately.
− Optional N-FREC or N-FCREC module for recording
− Thermal paper for the recorder Starts and stops recording
NOTE: Before you start printing, check that the printer is operational.

NOTE: Recordings on thermal paper may be destroyed when

exposed to light, heat, alcohol, etc. Take a photocopy for your
archives.

Printing with a laser printer
Selecting a printer
1. Press the Print/Record key.
2. Select Printer Connection.
3. Select the printer from the list.
Printing currently displayed screen contents
You can print currently displayed trend data.
To print trend data:
• Press the Pt.Data & Trends key and select:
• Trends - Graphical/Numerical - Print Page

Printing graphical trends

To print graphical trends:
1. Press the Print/Record key.
2. Select Print Graphical.
3. Select the page(s) to print.
4. Select Print Graphs.

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Recording graphical trends

Recording with the recorder
1. Press the Print/Record key.
NOTE: You need the N-FREC or N-FCREC module with the built-in 2. Select Record Trends - Record Graphical.
recorder. 3. You can stop recording by selecting Stop Graphical.
Recording numerical trends Trends are recorded for the time period that corresponds to the time
You can record the current values of measured parameters. scale of the graphical trends.
1. Press the Print/Record key.
To choose the time scale:
2. Select Record Trends - Record Numerical.
3. You can stop recording by selecting Stop Numerical. 1. Press the Pt.Data & Trends key.
2. Select Trends.
Selecting the format for the recorded numerical trends 3. Select Time Scale - 20 '/1 h/2 h/4 h/6 h/8 h/10 h/12 h/24 h/36 h/
You can select the format for the recorded numerical trend to be 48 h/72 h.
either Num. (vertical) or Tab. (horizontal):
1. Press the Print/Record key. To select the parameters for the graphical trends:
2. Select Record Trends - Num Trend Type and Num. or Tab. 1. Press the Print/Record key.
2. Select Record Trends.
3. Select Graphic. Trend 1 or Graphic. Trend 2.
4. Select the parameter.
Recording on alarms Recording waveforms
1. Press the Print/Record key. You can record three waveforms to a local recorder, and two to four
2. Select Record Waveforms. waveforms to a network recorder:
3. Select Start on Alarms - YES. 1. Press the Print/Record key.
2. Select Record Waveforms - Record to Local. If the monitor is
Recording is activated when the following alarms reach the red level: connected to the network, you can also use the network
Asystole, Tachy/Brady, Art high/Art low, V Fib, V Tachy. recorder by selecting Record to Net. The network recorder uses
Art and ECG1 waveforms are recorded. Selections are the settings of the Central.
preconfigured. 3. Stop recording by selecting Stop Waveforms.

Changing the paper speed

To see the waveforms more clearly or more generally, change the
paper speed:
1. Press the Print/Record key.
2. Select Record Waveforms - Paper Speed.

To select other waveforms for recording, press the Print/Record

key.

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Trends
Symbols
Trend bar: the gap shows the blood pressure mean
value

NIBP trend bar

Indicator of change -for example, ST relearning or

zeroing of an invasive blood pressure channel/
changing a label

Trends view
(1) Measurement trend field
(2) Real time ECG
(3) Numerical value of a measurement at the trend cursor point
(4) Time and marker field
(5) Trend page number
Viewing graphical trends Viewing numerical trends
1. Press the Pt.Data & Trends key. 1. Press the Pt.Data & Trends key.
2. Select Trends - Graphical. 2. Select Trends - Numerical.
• To see more parameters, select Scroll Pages and scroll with • To see more pages, select Scroll Pages and scroll with the
the ComWheel. ComWheel.
• To see more data, select Cursor and scroll the page left and • To see more data, select Cursor and scroll the page up and
right with the ComWheel. down with the ComWheel.

Graphical trends contain four trend pages each having up to six Numerical trends contain four pages with the maximum of 72 hours
preconfigured fields with different parameters. Five fields can be of trend data. Real-time ECG waveform is displayed at the top of
displayed, and six fields can be printed. Real-time ECG waveform is each page.
always displayed at the top of each page.
The graphical trend time scale varies from 20 minutes to 72 hours Erasing trends
and the resolution from 10 seconds to one minute. With the 20 1. Press the Admit/Discharge key.
minute trend length, the displayed time period is 30 minutes and the 2. Select Discharge.
resolution 10 seconds. With trend lengths from one to 72 hours, the
displayed time period is 72 hours and the resolution is one minute. If the monitor has been turned off from the ON/standby key but the
For HR, ST, PVC, SpO2 and temperature measurements you can patient has not been discharged, the trend data will be stored in the
memory for 15 minutes.
select the scale in the Trend Scales menu.

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Cleaning and care

Daily and between patients Points to note:
• Wipe the monitor and module surfaces. − Do not use hypochlorite, acetone-, phenol- or ammonia based
• Wipe the ECG trunk cable, NIBP cuff and cables and SpO2 cleaners.
sensors. Avoid excessive use of liquids. − Do not autoclave the device or its parts.
• Change or sterilize all airway and invasive patient accessories. − Do not immerse any part of the device in liquids or allow liquid to
• Clean, disinfect or sterilize reusable temperature probes. enter the interior.
• Empty the water trap. − Do not apply pressurized air to any outlet or tubing connected to
• Check that the accessories, cables and monitor parts are clean the monitor.
and intact.
For details about cleaning, disinfecting and sterilizing the reusable
Every two months accessories, see the instructions for use in the accessory package or
• Change the water trap. the "Supplies and Accessories" catalog. Do not reuse single-use
disposable accessories.
Every six months
• Refresh the batteries, see below. WARNING: If liquid has accidentally entered the
• Perform gas calibration, see below. system or its parts, disconnect the power cord from
the power supply and have the equipment serviced
Permitted detergents by authorized service personnel.
− Mild hospital detergents

Permitted disinfectants CAUTION: Do not use hypoclorite, ammonia-, phenol-, or

− Ethanol acetone based cleaners. These cleaners may damage
− Isopropyl alcohol the monitor surface
− Chlorite compounds
.
− Glutaraldehyde
Before cleaning Pulse oximetry sensors
1. Turn off the monitor from the ON/standby key. The GE Healthcare pulse oximetry sensors are latex-free. Take
2. Disconnect the power cord. possible patient allergies into account also when selecting the
cleaning agent.
After cleaning 1. Detach the sensor from the patient and the monitor.
1. Let dry completely. 2. Wipe the sensor with mild detergent solution. Allow it to dry
2. Reconnect the power cord and turn on the monitor. completely before use.
Sensor can be disinfected with chlorite compounds.
The sensors may be sterilized using an ethylene oxide mixture at 50
to 60 °C/ 120 to 140 °F.
More comprehensive checking
NOTE: After ethylene oxide sterilization, sensors must be well
See the "Technical Reference Manual."
aerated in a ventilated place.

WARNING: A damaged sensor or a sensor soaked in

liquid may cause burns during electrosurgery.

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Water trap in the N-FCREC and N-FC modules
• Empty the container whenever half full.
• Change the water trap every two months and when the text
'Replace D-Fend' appears.
• The water trap cartridge is disposable. Do not wash or reuse the
cartridge.
WARNING: After cleaning, ensure that every part of
the system is dry before reconnecting it to the power
supply.
CAUTION: Do not disinfect or open the water trap
cartridge. Do not touch the water trap membrane. The
hydrophobic membrane is damaged if any cleaning is
attempted other than rinsing with water.
Conditioning the batteries
Condition batteries regularly to maintain their useful life. This is best
done on an external charger. Condition a battery every six months
or when the message 'Replace Battery A' or 'Replace Battery B'
appears on the screen. Always observe the messages and symbols
on the screen to see the battery status. You can also check the
status through Monitor Setup - Battery Setup. For more
information, see "Replacing the batteries", "Symbols" and
"Messages."
Detailed instructions for refreshing the batteries can be found in the
“User's Reference Manual.”
Power interruption
NOTE: Always use the monitor with batteries inserted. Otherwise all
trend data and temporary settings are lost if the power cable is
detached from the mains.
If the monitor is turned off, trend data and the latest user-made
settings remain in the monitor memory for 15 minutes even if the
mains power is interrupted. If not, contact service personnel. After 15
minutes, trend data is lost and the monitor returns to the user
default settings (startup mode).
Changing fuses
1. Remove the power cord if used.
2. Remove the fuse holder by pushing the locking pin and pulling
the holder gently out.
3. If a fuse is blown, replace it with a fuse of the correct type and
rating.
Regular checks
When you start monitoring, check that: NIBP
• The module is firmly in place. • Ensure that you are using correct cuff size and have selected
• Accessories are intact and properly connected. correct inflation limits. For children and when using hoses
• You have selected desired parameters to be displayed in the without identification, the inflation limit must be set manually.
digit and waveform fields. • Check that the cuff hose detection works properly.
• Check that the pressure values are displayed.
ECG and impedance respiration
• Start the Venous Stasis mode and check that the pump is not
• Check that the message 'Leads off' disappears and waveforms restarting during the measurement. If it does, the cuff may be
are displayed when the cable is connected to the patient. leaking.
Pulse oximetry Airway gas (CO2)
• Check that the red light is lit in the sensor.
• Check that the water trap is empty.
• Check that the SpO2 value is displayed and the message
• Occlude the sampling line and check that the 'Sample line
'SpO2 probe off' disappears when the sensor is connected to the blocked' message appears within 30 seconds and gas
patient. waveforms are showing zero at the same time.
Temperature
• Check that the temperature value is displayed when the probe is
connected to the patient.
InvBP
• Check that the monitor recognizes cable connections (activates
the display) for all the pressure channels used and the pressure
values are shown.
• Make sure that all transducers are zeroed correctly.

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Functioning of the alarms
• Set a parameter value outside the alarm limits. For example,
connect the SpO2 sensor and adjust the SpO2 High limit under
the measured SpO2 values. The alarms go from low to high
priority according to sequence given in the "Alarm categories"
table on page 38.
• Check that the yellow and red LEDs function as indicated in the
table.
• Check that the alarm light functions if it is enabled.
NOTE: Although SpO2 may not be the best example because it is
often OFF by default, it is easy to use for alarm checking.
If the monitor does not work as described, refer to "Troubleshooting".
Safety checks for software
The GE Healthcare software design controls include performance of
a risk analysis using methods consistent with ISO 14971 Medical
devices - Application of risk management to medical devices.
The monitor software employs watchdog timers, self-monitoring
activities (memory, communication and sensor checks and so on),
and power-on self-diagnostics (for example, memory checksums).
For example, for SpO2 the software continuously monitors the SpO2
sensor and, if excessive sensor current is detected, the message
‘SpO2 faulty probe’ is displayed both in the SpO2 number field and
the monitor message field, and the old SpO2 data is removed from
the display.
Calibrating
NOTE: % is used for CO2 regardless of selected units.
NOTE: See the "Supplies and Accessories" catalog for correct
regulator and gas.
NOTE: Ensure that the calibration gas and regulator are functioning
properly before calibration. Perform annual maintenance on the
regulator as required.
NOTE: Use only specified GE Healthcare calibration gas sampling
line; wrong line length or diameter can cause incorrect calibration.
See the "Supplies and Accessories" catalog.
NOTE: Do not wash or disinfect calibration gas sampling lines.
Starting the calibration
1. Turn on the power. Let the monitor warm up for 30 minutes.
2. Attach a regulator to the calibration gas container.
52
Calibrating airway gases
Follow the recommended calibration intervals (every six months in
normal use and every two months in continuous use) to ensure that
the measurement accuracy remains within specifications.
1. Attach a new sampling line to the water trap. Connect the other
end of the sampling line to the regulator on the gas container.
2. Press the Airway Gas key and select Gas Calibration.
3. Wait until the texts 'Zero OK' and then 'Feed gas' appear on the
screen, open the regulator and start feeding gas. Push the
ComWheel and continue feeding gas until the text 'Adjust' is
displayed.
4. Check that the displayed gas values match the values on the
calibration gas container. Adjust with the ComWheel if
necessary.
NOTE: Calibrate the N-FCREC or N-FC module with calibration gas
755580 only and set the O2 concentration to 20%.
Calibration check for temperature, NIBP and invasive blood
pressures
Calibration check for temperature, NIBP and invasive blood
pressures should be performed at least once a year by qualified
service personnel as a part of the Planned Maintenance, see the
"Technical Reference Manual."
 53

ECG and ST
You need NOTE: For a comprehensive list of accessories, see the "Supplies and
(1) E-PSMW or E-PSMPW module with ECG measurement capability Accessories" catalog.
(2) Multi-Link 5-lead ECG trunk cable, or 3-lead ECG cable with
NOTE: Keep the ECG cable, lead set and module connectors dry.
integrated leadwires
Avoid excessive use of liquids when cleaning cables and connectors.
(3) 3 or 5 leadwire set
NOTE: In 5-lead ECG, place the 5th electrode (C/V) in one of the six
ECG electrodes (pre-gelled electrodes are recommended). Check the
places indicated, and select the corresponding V lead label.
expiration date.
R=RED (IEC) L=YELLOW (IEC) R=RED (IEC) L=YELLOW (IEC)
RA=WHITE (AAMI) LA=BLACK (AAMI) RA=WHITE (AAMI) LA=BLACK (AAMI)

LEAD I
R/ RA L/ LA

LEAD III
LE
AD C=WHITE (IEC)
II V=BROWN (AAMI)
F/LL N=BLACK (IEC)
F=GREEN (IEC)
1 RL=GREEN (AAMI)
LL=RED (AAMI)
F=GREEN (IEC)
LL=RED (AAMI)

RA

R L
3

R L

R A L A
I I

I
L L

L
A
III
WARNING: Vibrations during intrahospital transport
may disturb ECG measurement.
Connecting ECG leadwire sets to ECG trunk cables
• For 3-lead ECG, use the Multi-Link 3-lead ECG cable with
integrated leadwires or connect a 3 leadwire set to the Multi-Link
3- or 5-lead ECG trunk cable.
• For 5-lead ECG, connect a 5 leadwire set to the Multi-Link 5-lead
ECG cable.
WARNING: Make sure that the leadwire set clips or
snaps do not touch any electrically conductive
material including earth.
54
Preparing the patient and applying the electrodes
1. Prepare the skin properly to ensure optimal signal quality:
• Shave any hair from the electrode sites.
• Gently rub the skin surface to increase capillary blood flow
and remove dead skin cells and oil.
• Clean the skin using a mild soap and water solution.
• Dry the skin completely before applying the electrodes.
2. Apply the electrodes (see figures and instructions above). Avoid
bones close to the skin, obvious layers of fat and major muscles.
Selecting the ECG filter
1. Press the ECG key.
2. Select ECG Setup - Filter:
STfilt filters high-frequency artifacts but catches slow ST
changes.
Monit filters high-frequency artifacts and slow ST changes.
Diagn catches high-frequency changes and slow ST changes.
 55

Selecting the number of electrodes for 5-lead ECG Selecting how to view ECG waveforms
1. Press the ECG key. • To set the number of ECG waveforms in Normal Screen, press
2. Select ECG Setup. Monitor Setup and select Screen Setup - Waveform Fields.
3. Select 5-lead Cable - 3elect or 5elect. With 3-lead ECG, one lead, and with 5-lead ECG, up to three
leads can be viewed at the same time.
Selecting the user leads • To cascade a lead, press ECG and select ECG2 Lead/ECG3 Lead
1. Press the ECG key. - Casc.
2. Select a lead for ECG1 Lead, ECG2 Lead or ECG3 Lead. • To increase ECG amplitude, press ECG and select ECG Size.
• To change the waveform sweep speed: Monitor Setup - Sweep
With 3-lead ECG, you can select only one user lead (ECG1 Lead). Speeds. Select Hemodynamics and adjust the value.
With 5-lead ECG, you can select three user leads.
NOTE: The module input circuits are protected against the effects of
Selecting a label for V Lead electrosurgery and defibrillation. However, the ECG waveform on the
With 5-lead ECG, one V lead is measured according to the placement monitor screen may be disturbed during electrosurgery.
of the V lead electrode.
Displaying ECG grid
To select a label for the lead:
To view the ECG waveforms over gridlines on the screen:
1. Press the ECG key. 1. Press the ECG key and select ECG Setup.
2. Select ECG Setup - V Lead. 2. Select Grid - ON. To view without gridlines, select OFF.

Changing the HR source

1. Press the ECG key.
2. Select ECG Setup - HR Source.
• AUTO selects the first available of ECG, Art, ABP and Pleth.
Beat sound volume WARNING: The impedance respiration measurement
To adjust the beat sound volume of the monitor:
may cause rate changes in Minute Ventilation Rate
1. Press the ECG key.
2. Select ECG Setup.
Responsive Pacemakers. Set the pacemaker rate
3. Select Beat Sound Volume. responsive mode off or turn off the impedance
4. Adjust the volume from 0 to 10. If you select 0, there is no audible respiration measurement on the monitor.
sound.

Selecting what to display with HR WARNING: When using the electrosurgery unit,
You can select what is displayed with heart rate: ensure proper contact of the ESU return electrode to
1. Press the ECG key. the patient to avoid possible burns at monitor
2. Select ECG Setup. measurement sites.
3. Select Display with HR - PR/PVC/None.

Monitoring pacemaker patients WARNING: Do not rely entirely upon rate meter
1. Press the ECG key. alarms when monitoring patients with pacemakers.
2. Select ECG Setup - Pacemaker and select one of the following: The monitor may count the pacemaker pulses as
• Show = Pacemaker spike is displayed on ECG. heartbeats. In this case, asystole and ventricular
• Sensit = Sensitive pacemaker detection; spike displayed on fibrillation may go undetected. Always keep these
ECG.
patients under close surveillance and monitor their
• Hide = Pacemaker spike is not displayed on ECG.
vital signs carefully.
NOTE: If the patient has an atrial pacer, ST calculations can be
performed if the pacer does not coincide with the ISO point's
adjustment range.

NOTE: Pacemaker detector may not operate correctly during the use
of high-frequency (HF) surgical equipment. The disturbance of HF
surgical equipment typically causes false positive pacer detection.

56
 57

Arrhythmia monitoring
NOTE: With the L-DICU08 software only severe analysis is available.
It detects asystole, bradycardia, tachycardia, ventricular fibrillation
and ventricular tachycardia.
Setting arrhythmia alarm priority
1. Press the ECG key.
2. Select ECG Alarms - Arrh. Alarms - Adjust.
3. Select Red (high priority), Yellow (medium priority) or White (low
priority) with the ComWheel. NOTE: You can only set the priority
for V Tachy alarm.
4. Select Exit o confirm the changes and return to menu.
NOTE: Alarm priorities can also be set using the Central if the Central
configuration allows it.
Selecting leads for the arrhythmia analysis
When measuring 5-lead ECG, you can affect the selection of the two
ECG leads used for detecting beats and ventricular fibrillation. The
selection of user leads (ECG1, ECG2, ECG3) on the monitor affects the
leads used for detection. The first lead used for detection is lead I or
II. The algorithm uses the lead appearing first in user leads. The
second lead used for detection is one of the precordial leads (V1 -
V6). The algorithm uses the precordial lead appearing first in the user
leads.
To change the user lead:
1. Press the ECG key.
2. Select a lead for ECG1 Lead, ECG2 Lead, ECG3 Lead.

The monitor starts relearning the new ECG pattern automatically.

Starting relearning manually
When the patient's ECG pattern changes considerably, the monitor
should start relearning a new ECG pattern.
You can start relearning manually through ECG - Relearn - Start.
NOTE: With a 3 leadwire trunk cable, the algorithm uses the only one
available lead ECG1 Lead, which is I, II or III, depending on the
selected user lead.
Detecting arrhythmia alarms
NOTE: Arrhythmia alarms are just for reference, but not for diagnose. A physician must analyze the arrhythmia information in conjunction with
other clinical findings.
NOTE: Asystole alarm will sound when HR reaches zero.
For details about detection performance and test results of the arrhythmia algorithm testing, please refer to "User's Reference Manual: ECG."

Alarm Criteria
Asystole Cardiac arrest, no QRS complexes for five seconds
Bradycardia HR below the HR alarm limit
Tachycardia HR over the HR alarm limit
Ventricular fibrillation Fibrillatory waveform caused by ventricular fibrillation
Ventricular tachycardia Five or more consecutive PVCs and rate of successive beats over 100 bpm

Monitoring ST Setting the measurement points

The monitor analyzes ST for all measured leads and gives ST trends
separately for each lead. The ST analysis starts automatically after
the leads have been connected and the QRS detection has started.
ST can be viewed as digits and trends. For details about detection
performance and test results of ST segment measurement algorithm
testing, see the "User's Reference Manual: ECG."
NOTE: ST segment changes may also be affected by such factors as
some drugs or metabolic and conduction disturbances.
NOTE: The significance of the ST segment changes needs to be
determined by a physician.
Automatic setting of measurement points
The ST algorithm automatically searches for the J and ISO points.
The distance between the ST and J point is set according to the
heart rate:
• If the heart rate is less than 120 bpm, the ST point is set at
J + 80 ms.
• If the heart rate is more than 120 bpm, the ST point is set at
J + 60 ms.
Adjusting measurement points manually
You can also set the J, ISO and ST points manually. If any of these is
manually set, the other two are set at their current values.
1. Press the ECG key and select Adjust ST.
2. Adjust the points by selecting Set ISO point, Set J point or ST
point (where the value is the delay between J-point and ST-point
in milliseconds).

58
 59

Impedance respiration
You need
Improving waveform readability
Use the same setup as in the ECG measurement, see "ECG and ST."
1. Press the Others key and select Resp Setup.
2. Select Size and adjust the waveform size.
Starting
Correcting the respiration number
1. Select respiration to a waveform or digit field, otherwise
respiration data is not included in trends and no alarms are
activated. Normally, the AUTO detection limit is recommended. However, if the
2. Turn on the measurement: respirations are particularly weak or affected by artifacts, they may
not be included in the respiration rate. To ensure the correct
• Press the Others key and select Resp Setup.
respiration number, adjust detection limits closer to each other:
• Select Measurement - ON.
1. Press the Others key.
NOTE: Impedance respiration measurement is intended for patients
over three years old. 2. Select Resp Setup - Detection Limit.
3. Adjust the limits.
WARNING: Vibrations during intrahospital transport
may disturb impedance respiration measurement.
WARNING: Make sure that the leadwire set clips or
snaps do not touch any electrically conductive
material including earth.
WARNING: This device is not an apnea monitor
system intended to alarm primarily upon the
cessation of breathing. In central apnea it indicates
an alarm after a pre-determined time since the last
breath detection. Do not attempt to use it for
detecting obstructive or mixed apneas, since
respiration movements and impedance variations
may continue in these cases.
WARNING: When using the electrosurgery unit,
ensure proper contact of the ESU return electrode to
the patient to avoid burns at measurement sites.
60
WARNING: The impedance respiration measurement
may cause rate changes in Minute Ventilation Rate
Responsive Pacemakers. Set the pacemaker rate
responsive mode off or turn off the impedance
respiration measurement on the monitor.
WARNING: The impedance respiration measurement
is inherently very sensitive as it measures very small
physiologic signals (changes of impedance of the
patient's chest area). Conducted RF current above 1
Vrms may cause erroneous measurements at various
frequencies, for example interference with the signal/
waveform leading to respiration rate readings
inconsistent with the patient's true respiration rate. If
you notice this, use another form of respiration
monitoring. For further information, see the
"Technical Reference Manual."
 61

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

3
2

4
Changing temperature label Combining different temperatures

1. Press the Others key. The monitor displays the difference between different temperatures
2. Select Temp Setup - T1 Label or T2 Label. if they are displayed in the same digit field.

For example, to display T2 - T1:

Changing temperature units 1. Press the Monitor Setup key.
2. Select Screen Setup.
You can select the temperature units to be either degrees Celsius or 3. Select Digit Fields.
degrees Fahrenheit: 4. Select T1+T2 to one of the lower fields.
1. Press the Others key.
2. Select Temp Setup.
3. Select Unit and then °C or °F with the ComWheel.

62
 63

Pulse oximetry
You need
(1) E-PSMW or E-PSMPW module
(2) OxyTip+ interconnect cable
NOTE: For a comprehensive list of accessories, see the "Supplies and
Accessories" catalog.
NOTE: For each SpO2 accessory, refer to the instructions for use in
the accessory package for patient weight limits.

OXY-E-UN

OXY-SE-3

OXY-F-UN
1
2 OXY-W-UN

OXY-AP OXY-AF
Applying sensors Adjusting SpO2 settings
• Use dry and clean sensors only. You can adjust the volume of the beat sound, the waveform scaling
• Clean the application site. Remove nail polish, artificial and response averaging time:
fingernails, earrings etc. 1. Press the Others key.
• Clip long fingernails. 2. Select SpO2 Setup.
• Attach the sensor cable to the wrist or bedclothes to prevent the 3. Select Beat Sound Volume, Pleth Scale or SpO2 Response.
cable and sensor from moving.

NOTE: GE Healthcare sensors are latex-free. Refer to the introduction

of each type of probes, to make sure the materials with which
patient or any other person may come into contact.
Measurement limitations
Displaying pulse rate − The pulse oximeter cannot distinguish between oxyhemoglobin
The heart rate can originate from various sources. Displaying the and dyshemoglobins, for example, met- or carboxyhemoglobins.
pulse rate measured with pulse oximetry: − Poor perfusion may affect the accuracy of measurement when
1. Press the Others key. using the ear probe.
2. Select SpO2 Setup. − To avoid erroneous readings, do not use a blood pressure cuff or
3. Select HR Source - Pleth. arterial blood pressure measurement device in the same limb as
the sensor.

64
 65
WARNING: Allow sensor and cable to dry completely
after cleaning. Moisture and dirt on the connector
can affect the measurement accuracy.
WARNING: Vibrations during intrahospital transport
may disturb SpO2 measurement.
WARNING: Check the measuring site every four hours
(more frequently if the perfusion is poor). Routinely
check to ensure adequate circulation distal to the
sensor site.
WARNING: To prevent erroneous readings, do not use
physically damaged sensors, cables or modules.
Discard a damaged sensor or cable immediately.
Never repair a damaged sensor or cable; never use a
sensor or cable repaired by others. A damaged
sensor or a sensor soaked in liquid may cause burns
during electrosurgery.
WARNING: Inaccurate SpO2 data can result if a sensor
is past its useful life. Therefore, re-evaluate the
measurement periodically by performing additional
assessment of the patient and equipment, including
consideration of use of alternate monitoring methods
such as direct measurement of arterial
oxyhemoglobin saturation (SaO2).
WARNING: Conditions that may cause inaccurate
readings and impact alarms include interfering
substances, excessive ambient light, electrical
interference, ventricular septal defects (VSD),
excessive motion, low perfusion, low signal strength,
incorrect sensor placement, poor sensor fit, and/or
movement of the sensor on the patient.
For your notes:

66
 67

Non-invasive blood pressure (NIBP)

You need NOTE: For a comprehensive list of accessories, see the "Supplies and
(1) E-PSMW or E-PSMPW module Accessories" catalog.
(2) Cuff hose
(3) Cuff of correct size WARNING: Vibrations during intrahospital transport
Place the arrow (4) over the brachial artery. Check that the index line
may disturb NIBP measurement.
(5) falls within the range markings on the cuff and wrap the cuff
around the upper arm. WARNING: Non-invasive blood pressure
measurement is intended for patients weighing over
5 kg (11 lb).

3 4 5
1

2
 To produce a single measurement
Starting
• Press the Start Cancel side panel or module key, or
Note that the measurement unit may be mmHg or kPa. The unit is
press the NIBP key and select Start Manual.
selected during configuration through Monitor Setup - Install/
Service - Installation - Units.
To measure automatically after set intervals
The monitor automatically sets inflation limit for adults to Adult
according to the hose used. For children and when using hoses • Press the Auto On/Off side panel or module key, or
without identification, the inflation limit must be set manually. To do press the NIBP key and select Start Cycling.
this: The possible intervals for autocycling are 1, 2.5, 3, 5, 10, 15, 30 or 60
minutes, 2 or 4 hours.
1. Connect the cuff hose to the NIBP connector.
• Press the NIBP key and select Cycle Time
2. Press the NIBP key.
• Select teh alternative with the ComWheel.
3. Select NIBP Setup - Inflation Limits.
NOTE: When using hoses without identification, the monitor goes
to this selection automatically when you try to start the NIBP To measure continuously for five minutes
measurement using one of the procedures described in the • Press the NIBP key and select Start STAT.
following. With these hoses, AUTO option is not available.
4. Select the limit with the ComWheel. For children, select Child.
and for infants, select Infant.

The Monitor beeps once to signal the completion of the

determination and values are posted in Digit Fields.

68
 69

During measurement Stopping

• Observe the cuffed limb frequently. Measurement may impair To release the cuff pressure before the measurement is finished:
blood circulation. Intervals below 10 minutes and STAT • Press the Start Cancel side panel or module key, or
measurements are not recommended for extended periods of press the NIBP key and select Stop XX.
time.
• Make sure that tubes are not bent, pressed or stretched.
Measurement may be impaired. Setting cycling intervals
• Blood pressure values may be affected by a change in the 1. Press the NIBP key.
patient's position.
2. Select Cycle Time.
When 30 minutes has passed from the latest NIBP measurement, 3. Select the interval time from the list with the ComWheel.
the numeric value digits turn gray. When 245 minutes has passed
from the latest NIBP measurement, the gray numeric value digits are
replaced by a dashed line.

NOTE: The presence of some arrhythmias during NIBP measurement

may increase the time required for the measurement. For details
about the test results of the functioning of the NIBP measurement in
the presence of arrhythmias, see "User's Reference Manual: NIBP."
Using NIBP cuff for venous stasis
1. Press the NIBP key.
2. Select Start Ven.Stasis.

Inflation limit Maximum venous stasis inflation limit Venous stasis time
Infant 145±5 mmHg (19.3 ±0.7 kPa) 40±5 mmHg (5.3 ±0.7 kPa) 1 minute
Child 200±10 mmHg (26.7 ±1.3 kPa) 60±5 mmHg (8.0 ±0.7 kPa) 2 minutes
Adult 280±10 mmHg (37.3 ±1.3 kPa) 80±5 mmHg (10.7 ±0.7 kPa) 2 minutes

Venous stasis pressure may be lower than the values above if the WARNING: If Luer lock connectors are used in the
patient has low blood pressure. The venous stasis pressure adapts construction of tubing, there is a possibility that they
to the measured mean pressure being the same as mean pressure might be inadvertently connectd to intravascular
but always at least the following:
fluid systems, allowing air to be pumped in to a blood
Infant 20 ± 5 mmHg (2.7 ±0.7 kPa)
Child 30 ± 5 mmHg (4.0 ±0.7 kPa) vessel.
Adult 40 ± 5 mmHg (5.3 ±0.7 kPa)

WARNING: The monitor sets the inflation pressure

automatically according to the previous
measurement. Discharge the patient from the
monitor to reset the inflation limit before measuring
a new patient.

70
 71

Invasive blood pressure

You need You can monitor up to two pressure channels with the E-PSMPW
(1) E-PSMPW module with InvBP measurement capability module by using a dual cable. Note that the measurement unit may
(2) Heparinized fluid bag with pressure infusor be mmHg or kPa. The unit is selected during configuration through
(3) Flushing set Monitor Setup - Install/Service - Installation - Units.
(4) Disposable catheter
NOTE: For a comprehensive list of sensors and accessories, see the
(5) Transducer
"Supplies and Accessories" catalog.
(6) Adapter cable for the InvBP transducer
(7) Adapter cable for dual InvBP measurement

1
7

6
Starting Labeling channels
1. For the setup, prepare the transducer kit according to the The label of the pressure channel sets its display scale, color, filter,
manufacturer's instructions. alarm source and alarm limits. The label descriptions are
2. Ensure that there is no air in the line. preconfigured.
3. Zero the transducer by opening it to air, pressing the Zero ALL
To change the label:
side panel key or the Invasive Pressures monitor key and
selecting Zero Pressures - Zero ALL. You can zero one channel 1. Press the Invasive Pressures key.
at a time with the module keys Zero P1 and Zero P2. Zero each 2. Select P1 Setup - Label. For factory default descriptions, see
channel. next page.
NOTE: Selecting Zero ALL does not zero ICP. Zero it separately.
NOTE: The transducer is always leveled to the mid right atrium.
Zero the transducer and pressures whenever the patient’s
position is changed.
4. Open the line to the patient.

NOTE: Invasive pressures need to be zeroed after reconnecting the

pressure transducer or cable, and whenever patient's position is
changed. If any channel has not been zeroed, the message 'InvBP's
not zeroed' appears. The invasive pressure alarms advance to
medium and high priority levels regardless of the zeroing.

72
 73

Factory default descriptions

The channels have the following factory default descriptions:
LABEL P1, Art, ABP P2, CVP RAP, LAP ICP PA RVP
Scale
mmHg/kPa 200/30 20/3 20/3 20/3 60/8 60/8
Color Red Blue White White Yellow White
Alarm source Sys Off Off Off Off Off
Digit format S/D Mean Mean CPP S/D S/D
Filter (Hz) 22 9 9 9 9 9
Response Normal Normal Normal Normal Normal Normal

Combinining pressures Determining pressure values visually

All invasive pressure waveforms can be displayed together so that
they use an area of two normal waveforms, or so that all are
combined in the same field with the same zero line.
1. Press the Monitor Setup key.
2. Select Screen Setup.
3. Select Waveform Fields.
• To combine all pressure waveforms in one field, select
Combine Pressures and YES.
By moving the horizontal cursor across the pressure waveform, you
can get accurate pressure values at selected points. This may be
useful, for example, if the patient's breathing pattern is irregular. The
cursor is not available for pressures shown with a combined scale.
1. Press the Invasive Pressures key.
2. Select P1 Setup - P1 Cursor.
3. Move the cursor up or down by turning the ComWheel. Every
time the cursor is moved, the time (hours and minutes) and
pressure values appear on the screen. This way you can keep
track of the changes made.
4. You can remove the cursor by selecting Remove Cursor. Note
that if the cursor is not removed, it remains visible on the Normal
Screen.
WARNING: Vibrations during intrahospital transport
may disturb InvBP measurement.
WARNING: All invasive procedures involve risks to the
patient. Use aseptic technique. Follow catheter
manufacturer's instructions.
WARNING: Make sure that no part of the patient
connections touches any electrically conductive
material including earth.
74
WARNING: When using the electrosurgery unit,
ensure proper contact of the ESU return electrode to
the patient to avoid burns at monitor measurement
sites.
WARNING: Use only defibrillator proof transducers
and cables.
WARNING: Mechanical shock to the invasive blood
pressure transducer may cause severe shifts in zero
balance and calibration, and cause erroneous
readings.
 75

Airway gas (CO2)

You need You get
− N-FCREC or N-FC module with CO2 measurement capability Carbon dioxide measurement: EtCO2, FiCO2, capnogram, respiratory
− Gas sampling line rate
− Airway adapter with sampling line connector NOTE: For a comprehensive list of accessories, see the "Supplies and
− Water trap Accessories" catalog.
Starting Waveform scaling
• Make sure that the water trap container is empty and properly If EtCO2 is above 6% or the difference between FiO2 and EtO2 is
attached. above 6%, change the scale for capnogram:
1. Press the Airway Gas key.
WARNING: Handle the water trap and its contents as 2. Select CO2 Setup.
you would any body fluid. Infectious hazard may be 3. Select Scale.
present.
Changing the units
• Connect the gas sampling line to the airway adapter and to the You can use %, kPa or mmHg as the CO2 measurement units. The
module. Check that the connections are tight. units can be changed in the CO2 Setup menu:
• Turn on the monitor. The monitor performs a self-check. 1. Press the Airway Gas key.
• Before connecting the patient, wait until the message 2. Select CO2 Setup - Unit.
'Calibrating gas sensor' disappears. 3. Choose the option.
• Position the adapter with the sampling port upwards. This
prevents any condensed water from entering the sampling line.
Points to note
• If N-FCREC or N-FC is used with O2 and/or N2O contents higher
− Do not return the sample gas to the patient circuit.
than 40%, make sure that FiO2 Level and N2O Level are set
− All accessories including the water trap are for single use only.
accordingly in Airway Gas - CO2 Setup to enable O2 and/or
− Calibrate the airway gas module every six months in normal use
N2O compensation.
and every two months in continuous use, see "Cleaning and
care."
During monitoring
• Empty the water trap container when half full. Disposal of gases
• Disconnect the airway adapter during nebulization of
Connect the exhaust port of the N-FCREC/N-FC to an anaesthetic
medications. gas scavenging system. Or follow local hospital’s regulations.
NOTE: When the measured CO2 value is outside the specified
measurement range, the numeric value is gray.
NOTE: Leak in sampling system will cause too low EtCO2 value.

76
 77

WARNING: Always test the airway adapter for a tight

connection and proper operation before attaching it
to the patient.

CAUTION: Do not apply pressurized air to any outlet or

tubing connected to the moniotr, Pressure may destroy
sensitive elements.

CAUTION: Remove the airway sampling line from the

patient’s airway while nebulized medications are being
delivered.
For your notes:

78
 79

Troubleshooting
NOTE: Always check the patient’s condition first in problematic situations or if an alarm is triggered. See also “Messages.” Also note that if the
measurement or function does not appear on the screen, check module connections.
Airway gases ECG
Values are too low: ECG signal is noisy or no QRS is detected:
• Check the sampling line and connectors for leakage. • Ensure that the patient is not shivering.
• Select the correct ECG filter through ECG - ECG Setup -
Filter.
Arrhythmia • Check the electrode quality and positioning. Do not place
Extra arrhythmias are detected. them on body hair, bones close to skin, layers of fat and
• Start relearning manually through ECG - Relearn. major muscles. Pre-gelled electrodes are recommended.
Extra Ventricular Fibrillations are detected: • Change the ECG lead.
• Check the patient. • Remove the ECG cable from the module and reinsert it.
• Check that the amplitude signals are sufficient:
Leads I and II: Select the one with the largest amplitude to
Impedance respiration
ECG 1.
Measurement fails:
After selecting the leads, start relearning manually.
• Check the electrode quality and positioning.
• Adjust the detection limits. During ventilator supported
Batteries breathing, the respiration calculation may count only
Battery operation time is markedly shortened: ventilator-produced inspirations and expirations.
• Condition the batteries, see “Conditioning the batteries” and • Remove other electrical devices from the vicinity of the
the “User's Reference Manual.” respiration measurement as they may cause interference.

Invasive pressures
Readings seem unstable:
• Make sure that there are no air bubbles in the transducer
system: Flush and zero.
• Place the transducer on the patient’s mid-heart level and
zero.
Monitor
The monitor does not start:
• Check that the batteries are inserted and sufficiently
charged, see page 17.
• Check that the power cord is properly connected.
• Check the fuses and replace them if necessary, see
“Cleaning and care.”
Measurements
The measured values are not displayed:
• Check that you have selected the desired parameter to a
waveform or digit field, see “Screen setup.”
You cannot perform a measurement or a function.
• Check that the measurement module is properly installed.
• Remove the module and reinstall it.
Non-invasive blood pressure
Measurement does not work or values seem unstable:
• Check that cuff tubings are not bent, stretched, compressed
or loose.
• When using hoses without identification, make sure that you
have selected the inflation limits in the NIBP Setup menu, see
“Non-invasive blood pressure (NIBP).”
• Prevent motion artifacts.
• Use cuffs of correct size.
Pulse oximetry
SpO2 signal is poor:
• Check the sensor and sensor positioning.
• Change the SpO2 Response (averaging time) to Normal.
• Note that skin pigment causes differences.
• Make sure that the patient is not moving.

Printing Temperature
Printing is not possible: Measurement fails:
• Check the printer setting through Print/Record - Printer • Check that you are using a correct probe.
Connection. • Try another probe.
• Check that the printer is connected to the network.
• Check the network cable.

Recording
Recording is not possible:
• Connect an N-FREC or N-FCREC module.
• Check the Central recorder if you are recording through
network.

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Messages
Always check the patient first. If any problem or message persists, contact qualified service personnel.
Messages are listed here in alphabetical order.

• Air leakage • Artifacts

− NIBP: Check all connections and test tightness using Venous − Calm the patient since patient movements, shivering, deep
Stasis. breathing, arrhythmia or irregular beats may cause some
measurements to fail.
• Alarms acknowledged from Central − If applicable, start a new measurement.
− If required, turn on the alarms through Alarms Setup -
Audio ON/OFF - Activate Alarms. • Asystole
− Check the patient status.
• Alarm setup changed from Central − Check the electrodes.
− Check the alarm limits and the arrhythmia alarm priorities,
see “Alarms” and “ECG and ST.” • Battery low
− Replace the battery, see “Replacing the batteries”, or
• Alarms silenced from Central connect the monitor to power outlet.
− If required, turn on the bedside alarms through Alarms
Setup - Audio ON/OFF - Activate Alarms. • Brady
− Check the patient status.
• Apnea
− Check the patient status. • Calibr.error
− Check the ventilator and breathing circuit. − Gases: Perform a new calibration.

• Apnea deactivated • Check D-Fend

− The message will disappear after the monitor detects three − Check that the water trap is properly attached to the
breaths. module.

• Check NIBP
− Check the patient status.
− Check the measurement setup.
− Check the cuff.
• Check SpO2 probe • Identical modules
− SpO2: Check the sensor and connections. − You are trying to use two or more E-PSM(P)W modules or two
or more N-Fx modules at the same time. You can only use
• Check sample gas out one E-PSM(P)W and/or one N-Fx module at a time. Remove
− Gases: Remove blockage from the sample gas outlet. extra modules.

• Condition Battery A, Condition Battery B • Infl. limits! Check setup

− Condition the battery according to the instructions of the − NIBP: Check cuff and inflation limits.
external charger.
• InvBP's not zeroed
• Cuff loose − Zero the channel indicated or zero both channels.
− NIBP: Check cuff and hose.
• Lead changed
• Cuff occlusion − ECG: The monitor automatically switches the ECG1
− NIBP: Check tubes and hose. waveform selection to a measurable ECG Lead (I, II, III, aVR,
aVL, aVF or V5) if the current ECG1 waveform is not
• Cuff overpressure measurable. Note that the ECG waveform changes
− NIBP: Check cuff, hose and tubes. according to the lead it is measured from. Check the lead.
− Restart measurement.
• Leads off
• EEPROM error or EPROM error − ECG: Reconnect the disconnected trunk cable, electrode or
− Contact authorized service personnel. leadwire. Change the trunk cable, leadset and module.

• Faulty ECG cable • Network down: xxx (xxx = network name)

− Change the ECG cable and the lead set. Change the ECG − Check the network cable.
module if the module connector is wet. Keep the connectors − Check the Central.
dry. Avoid excessive use of liquids when cleaning the cables
and connectors. • NIBP manual
− Check NIBP setup and restart autocycling.
• Gas measurements removed
− Reconnect the N-FREC or N-FCREC module if you want to
restart the CO2 measurement.

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• No battery backup • Recorder module removed

− Replace the batteries, see “Replacing the batteries.” − Reconnect the N-FREC or N-FCREC module if you need a
recorder.
• Noise
− ECG: Check the patient status. Check the electrodes. • Replace Battery A, Replace Battery B
− Replace the battery as soon as possible, see “Replacing the
• No xx Transducer batteries.”
− InvBP: Connect the transducer or the cable.
• Replace D-Fend
• No SpO2 probe − Gases: Replace the water trap.
− Check connection between the SpO2 sensor and module.
• Sample line blocked
• No SpO2 pulse − Gases: Change the sampling line and water trap.
− Try other measuring sites.
• Select inflation limits
• Printer error − NIBP: You are using a hose without an automatic
− Printer is not working properly. Check that thenetwork identification. Select appropriate inflation limits. NOTE: AUTO
printer is operational. option is not available for these hoses.

• Printing... • Sensor INOP

− Printing onnetwork printer has been started. Please wait until − Gases: Contact authorized service personnel.
the printing is finished.
• SpO2 probe off
• Printing ready − Check connection between sensor and patient.
− Monitor has completed sending printing data to the printer. − Replace the sensor.
Please wait until the printing is finished.
• SRAM error
• Poor signal − Contact authorized service personnel.
− SpO2: Change the measuring site.
• Tachy
• RAM error − Check the patient status.
− Contact authorized service personnel.
• Temperature error
− Contact authorized service personnel.
• Unable to measure Dia
− Check the patient status.
− Check the NIBP cuff placement.
− Perform a new NIBP measurement.
• Unable to measure Sys
− Check the patient status.
− Check the inflation limits.
− Perform a new NIBP measurement.
• Unstable zero pressure
− Calm the patient and retry.
84
• Weak pulsation
− Check the patient status.
− Check the NIBP cuff position and attachment.
− Check that the cuff is not damaged.
• x-Lead off
− ECG: Check the leadwires and their connections.
• xxx high/low (xxx = measurement parameter)
− Check the patient status.
− Adjust the alarm limits.
• xx measurement(s) removed
− Reconnect the E-PSM(P) module if you want to restart the
measurement.
• Zero error
− Gases: Repeat the calibration procedure.
 85

Abbreviations
/min beats per minute, breaths per minute BAEP brainstem auditory evoked potential
°C Celsius degree Bal balance gas
°F Fahrenheit degree bar 1 atmosphere
µg microgram Beta, BE beta frequency band
Bigem. bigeminy
A alveolar BIS bispectral index
A arm (describing location) Blad bladder temperature
a arterial Blood blood temperature (C.O. measurement)
a/AO2 arterio-alveolar PO2 ratio Body body temperature
AA anesthetic agent BP blood pressure
AaDO2 alveolo-arterial oxygen difference Brady bradycardia
AAMI Association for the Advancement of Medical BSA body surface area
Instrumentation BSR burst suppression ratio
ABG arterial blood gases B-TO-B beat-to-beat
ABP arterial pressure BTPS body temperature and pressure, saturated gas
ADU Anesthesia Delivery Unit
AEP auditory evoked potential
AirW airway temperature c calculated/derived value
Alpha, Al alpha frequency band C chest
AM Anesthesia Monitor C(a-v)O2 arteriovenous oxygen content difference
Amp amplitude C.I. cardiac index
Ant. anterior C.O. cardiac output
APN apnea cal. calibration
Arrh. arrhythmia Calc calculated/derived value
Art arterial pressure Calcs calculations
ASY asystole CAM Compact Anesthesia Monitor
ATMP atmospheric pressure CaO2 arterial oxygen content
ATPD atmospheric/ambient temperature and pressure, Casc. cascaded (ECG)
dry gas cc cubic centimeter
ATPS ambient temperature and pressure, saturated CCCM Compact Critical Care Monitor
gas CCM Critical Care Monitor
aw airway CCO continuous cardiac output
AV atrioventricular CcO2 capillary oxygen content
aVF left foot augmented lead CCU cardiac (coronary) care unit
Avg. average
aVL left arm augmented lead CEL Celsius degree
aVR right arm augmented lead CISPR International Special Committee on Radio
Axil axillatory temperature Interference
CFI Cardiac Function Index
cmH2O centimeter of water
CMRR common mode rejection ratio EE energy expenditure (kcal/24h)
CO carbon monoxide EEG electroencephalogram
CO2 carbon dioxide EEG1 first EEG waveform
COHb carboxyhemoglobin EEG2 second EEG waveform
Compl compliance EEG3 third EEG waveform
Cont. continuous EEG4 fourth EEG waveform
Contrl controlled ventilation EEMG evoked electromyogram
Core core temperature EEtot total energy expenditure
Count count of responses elect electrode
CPB cardiopulmonary bypass elev. elevation
CPP cerebral perfusion pressure EMC electromagnetic compatibility
CSA compressed spectral array EMG electromyogram
CT computer tomography Enf enflurane
CvO2 (mixed) venous oxygen content Entr entropy
CVP central venous pressure EP evoked potential
ESD electrostatic discharge
d day Eso esophageal temperature
dB decibel ESV end-systolic volume
DBS double burst stimulation (NMT) ESVI end-systolic volume index
DEL delete ET, Et end-tidal concentration
Delta, De delta frequency band EtAA end-tidal anesthetic agent
depr. depression EtBal end-tidal balance gas
Des desflurane EtCO2 end-tidal carbon dioxide
Dia diastolic pressure EtN2O end-tidal nitrous oxide
Diagn diagnostic (ECG filter) EtO2 end-tidal oxygen
DIFF difference ET-tube, ETT endotracheal tube
DIS S/5 Device Interfacing Solution EVLW extravascular lung water
DO2 oxygen delivery EVLWI extravascular lung water index
DO2I oxygen delivery index exp expiratory
DSC digital signal converter
Dyn. dynamic F foot (describing location)
FAH Fahrenheit degree
e estimated FEMG frontal electromyogram
ECG electrocardiogram FFT fast Fourier transform
ECG1 first ECG waveform (top) FI Fi fraction of inspired gas
ECG1/r real-time ECG FiAA fraction of inspired anesthetic agent
ECG2 second ECG waveform Fib fibrillation
ECG3 third ECG waveform FiBal fraction of inspired balance gas
ED emergency department FiCO2 fraction of inspired carbon dioxide
EDV end-diastolic volume FiN2 fraction of inspired N2
EDVI end-diastolic volume index FiN2O fraction of inspired nitrous oxide

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FiO2 fraction of inspired oxygen Infl. inflation (limit)

Flow airway gas flow insp inspiratory
Freq. frequent Inv. invasive
ft foot, feet InvBP invasive blood pressure
FVloop flow volume loop Irreg. irregular
ISM Industrial, Scientific and Medical
G Gauss ISO International Standards Organisation
g gram Iso isoflurane
Graph. graphical ITBV intrathoracic blood volume
GEDI global enddiastolic volume index IVR idioventricular rhythm
GEDV global enddiastolic volume
GEF global ejection fraction J joule
H hand (describing location) K kelvin
h hour kcal kilocalorie
Hal halothane kJ kilojoule
Hb hemoglobin kPa kilopascal
Hbtot total hemoglobin
HCO3- bicarbonate L left (describing location)
Hemo Calcs hemodynamic calculations L leg (describing location)
Hemo hemodynamic L, l liter
HHb reduced hemoglobin l/min liters/minute
HME heat and moisture exchanger Lab laboratory
HMEF heat and moisture exchanger with filter LAN local area network
hPa hectopascal LAP left atrial pressure
HR dif heart rate difference Lat. lateral
HR heart rate lb pound
ht height LCD liquid crystal display
HW hardware LCW left cardiac work
Hz hertz LED light emitting diode
LVEDP left ventricular end diastolic pressure
I:E inspiratory-expiratory ratio LVEDV left ventricular end diastolic volume
IABP intra-aortic balloon pump LVSW left ventricular stroke work
IC inspiratory capacity LVSWI left ventricular stroke work index
ICP intracranial pressure
ICU intensive care unit MAC minimum alveolar concentration
ID identification Max maximum
IEC International Electrotechnical Comission mbar millibar
Imped. impedance; impedance respiration mcg microgram
in inch mean mean blood pressure
Inf. inferior mEq milliequivalent
MetHb methemoglobin Oxy. Calcs oxygenation calculations
MF median frequency
mg milligram P partial pressure
Min minimum P pressure
min minute P(BTPS) pressure in BTPS conditions
ml milliliter P(g-a)CO2 difference between gastrointestinal carbon
MLAEP middle-latency auditory evoked potential dioxide and arterial blood carbon dioxide
mmHg millimeters of mercury concentration
mol mole
Monit monitoring (ECG filter) P(g-ET)CO2 difference between gastrointestinal carbon
MRI magnetic resonance imaging dioxide and end tidal carbon dioxide
Mult. multiple concentration
Multif. PVCs multifocal PVCs P(STPD) pressure in STPD conditions
MV minute volume P1..6 invasive pressure channel identification on
MVexp expired minute volume (l/min) module
MVexp(BTPS) expired minute volume in BTPS conditions PA pulmonary arterial pressure
MVexp(STPD) expired minute volume in STPD conditions PA pulmonary artery
MVinsp inspired minute volume (l/min) Pa Pascal (unit of pressure)
MVspont spontaneous minute volume Paced paced beats
Myo myocardiac temperature PaCO2 partial pressure of carbon dioxide in the arteries
PAO2 partial pressure of oxygen in the alveoli
N neutral PaO2 partial pressure of oxygen in the arteries
N2 nitrogen PAOP pulmonary artery occlusion pressure
N2O nitrous oxide Paw airway pressure
Na sodium Pbaro barometric pressure
Naso nasopharyngeal temperature PCWP pulmonary capillary wedge pressure
Neo neonate PE polyethylene
Net network Pedi pediatric
Ni-Cd nickel-cadmium PEEP positive end-expiratory pressure
NIBP non-invasive blood pressure PEEPe extrinsic positive end expiratory pressure
NiMH nickel-metal hydride PEEPe+i total positive end expiratory pressure (ICU)
NMT neuromuscular transmission PEEPe+PEEPi total positive end expiratory pressure (ICU)
NO nitric oxide PEEPi intrinsic positive end expiratory pressure
NTPD normal temperature and pressure, dry gas PEEPtot total positive end expiratory pressure
Num. numerical (anesthesia)
PgCO2 gastrointestinal carbon dioxide concentration
O2 oxygen pH pH
O2ER oxygen extraction ratio pHa arterial pH
O2Hb oxygenated hemoglobin pHi intramucosal pH
OR operation room pHv (mixed) venous pH
Oxy oxygenation PIC patient interface cable

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Pleth plethysmographic pulse waveform RQ respiratory quotient

PM non-capt. pacemaker non-capturing RR respiration rate (total) (measured)
PM non-funct. pacemaker non-functioning rtm rhythm
PM pacemaker RV residual volume
Pmax maximum pressure RVEDV right ventricular end-diastolic volume
Pmean mean pressure RVESV right ventricular end-systolic volume
Pmin minimum pressure RVP right ventricular pressure
Ppeak peak pressure RVSW right ventricular stroke work
Pplat plateau (pause) pressure RVSWI right ventricular stroke work index
PR pulse rate
Prev previous s second
psi pounds per square per inch SA sinoatrial
pt patient SaO2 arterial oxygen saturation
PTC post tetanic count (NMT) S.A.R. Specific Absorption Rate
pts patients SD standard deviation
PVC polyvinylchloride SE state entropy
PVC premature ventricular contraction SEF spectral edge frequency
PVloop pressure volume loop SEMG spontaneous electromyogram
PvO2 partial pressure of oxygen in (mixed) venous Sev sevoflurane
blood SI stroke index
PVR pulmonary vascular resistance Skin skin temperature
PVRI pulmonary vascular resistance index SN, S/N serial number
Px standard pressure label, x being 1, 2, 3, 4, 5, or 6 Spiro patient spirometry
SpO2 oxygen saturation
QRS QRS complex Spont spontaneous breathing
Qs/Qt venous admixture SQI signal quality index
SR sinus rhythm
R right (describing location) SR suppression ratio
RAP right atrial pressure SSEP somatosensory evoked potentials
Raw airway resistance ST single twitch (NMT)
RCW right cardiac work ST ST segment of electrocardiograph
RCWI right cardiac work index STAT continuous NIBP cuff inflation for five minutes
RE response entropy stat static
Rect rectal temperature STBY standby
REF right ventricular ejection fraction STfilt ST filter (ECG)
ref. reference STPD standard temperature and pressure, dry gas
Resp Rate respiration rate (total) (measured) Surf surface temperature
Resp respiration rate (total) (set) SW software
RF radio frequency SV stroke volume
RMS average (root mean square) power SVC supraventricular contraction
Room room temperature SVI stroke volume index
SvO2 (mixed) venous oxygen saturation V Fib ventricular fibrillation
SVR systemic vascular resistance V Run ventricular run
SVRI systemic vascular resistance index V Tachy ventricular tachycardia
SVV stroke volume variation v venous
Sys systolic pressure V ventricular
V volume
T tesla V/Q ventilation/perfusion ratio
T corr. temperature correction V0.5 volume expired during the first 0.5 seconds
T inj. injectate temperature V1.0 volume expired during the first second
T temperature VA alveolar ventilation
t time (min) VC vital capacity
T(BTPS) temperature in BTPS conditions VCO2 carbon dioxide production
T1% first stimulus as % of the reference value (NMT) Vd dead space
T1..4 temperature channel identification on module Vd/Vt dead space ventilation
Tab. tabular Vent. Calcs ventilation calculations
Tachy tachycardia VO2 oxygen consumption
Tbl, Tblood blood temperature VO2calc calculated oxygen consumption*
Temp temperature VO2I oxygen consumption index
Theta, Th theta frequency band VO2Icalc calculated oxygen consumption index*
TOF train of four (NMT) Vol volume
TOF% ratio of the 4th to the 1st response (NMT)
Trigem. trigeminy WLAN wireless local area network
TV tidal volume wt weight
TVexp expired tidal volume (ml)
TVinsp inspired tidal volume (ml) X extreme
Tx temperature label, x being 1, 2, 3, r 4 or one of the
other label choices yr year
Tymp tympanic temperature yrs years

* with Fick equation

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Performance
Alarm behavior
WARNING: Operation of the monitor outside the The maximum alarm delay
specified values may cause inaccurate results. of the alarm at the monitor
signal output to network: <5 seconds
NOTE: Information in this section may be especially useful to
clinicians. If the alarm mode is latched, the technical alarms are latched as
well. This does not comply with the NIBP (IEC 60601-2-30) and
B30 Patient Monitor invasive pressure (IEC 60601-2-34) standard requirements.
Any fluctuations within the specified limits do not affect the Silencing alarms for 5 minutes does not comply with the SpO2 (ISO
performance. 9919) standard requirements.
Power supply
Rated voltages and N-FREC, N-FCREC
frequencies: 100 to 240 V 50/60 Hz Power consumption: 3W
Allowed voltage fluctuations: ±10% Recorder type: Thermal array
Max. power consumption: 150 VA Print resolution:
Battery operation Vertical 8 dots/mm (200 dots/inch)
Batteries: Exchangeable lithium-ion, Horizontal 24 dots/mm (600 dots/inch) at a
2 pcs max. speed of 25 mm/s and slower
Charging time: 2 hours per battery pack Paper width: 50 mm, printing width 48 mm
Operation time: Up to 4.5 hours Waveforms: Selectable 1, 2, or 3 waveforms
Environmental conditions Print speed: 1, 6.25, 12.5, 25 mm/s
Operating temperature:
normal operation: +5 to +40°C (41 to 104°F)
while charging batteries: +5 to +35°C (41 to 95°F)
Storage and transport
temperature: -20 to +60°C (-4 to 140°F)
Relative humidity: 10 to 90% noncondensing,
in airway 0 to 100% condensing
Atmospheric pressure: 670 to 1060 mbar
(500 to 800 mmHg)
Defibrillator & IABP synchronization connector Hemodynamic modules E-PSMW, E-PSMPW
Analog output ECG1
ECG (Pin 8): Filter modes:
From first user lead (ECG1) With 50 Hz power supply frequency:
Gain: 1 V/mV ±10% monitoring filter 0.5 to 30 Hz
Delay: < 15 ms ST filter 0.05 to 30Hz
DC offset: ±100 mV max. diagnostic filter 0.05 to 150 Hz
Frequency response: 0.05 Hz to 40 Hz With 60 Hz power supply frequency:
Invasive blood pressure (Pin 7): monitoring filter 0.5 to 40 Hz
From pressure labeled ‘Art’ or P1 ST filter 0.05 to 40 Hz
Gain: 10 mV/mmHg ±2% diagnostic filter 0.05 to 150 Hz
Delay: < 35 ms‘ QRS minimum detection level:
DC offset: ±20 mV max. Minimum level 0.5 mV with duration between 40 and 120 ms.
Frequency response: DC to 30 Hz
The pacemaker pulses have been replaced with 2 ms ± 20% fixed Defibrillation protection: 5000 V, 360 J
digital pulses at the ECG analog output. Recovery time: <5 s according to
A device that fulfils the requirements of the IEC 60601-1 standard Heart rate:
can be connected to the defibrillator & IABP synchronization Measurement range: 30 to 250 bpm
connector. There are no other limitations, because the signals of the Measurement accuracy: ±5 % or ±5 bpm, whichever is greater
connector are galvanically isolated from patient applied part of the Displays average of 10-second median values2
ECG and invasive blood pressre measurements. Display update time: 1s
Maximum response time of heart rate meter to change in heart rate:
Synchronization pulse (Pin 1)
Response time 80 to 120 bpm: 6.9 s
Pulse width: 10 ms positive pulse Response time 80 to 40 bpm: 8.2 s
Delay: < 35 ms (R-wave peak to leading edge Maximum Tall T wave amplitude that does not disturb the heart rate
of pulse) calculation time: >1.4 mV
Amplitude: CMOS compatible Input Impedance: > 2.5 mΩ
3.5 V min. at 1 mA sourcing
0.5 V max. at 5 mA sinking
Output impedance: 50 ohm
Current limit: 10 mA

1 The isolation barrier capacitance in the module has been minimized to reduce the hazard of burns in the event of a defect in the ESU return electrode
connection.
2 When the heart rate (HR changes rapidly, the averaging is restarted.

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The heart rate calculation operates with irregular rhythms of IEC

60601-2-27 6.8.2 bb 4 , the heart rate after a 20 second stabilization Direct cardiac application:
period is: The display area reserved for the ECG measurement in the
Figure 101 A1): 80 bpm monitoring system screen may not be adequate for displaying the
Figure 101 A2): 59 bpm complete ECG amplitude when measuring ECG direct from the
Figure 101 A3): 122 bpm surface of the heart. Clipping of the signal can be reduced by
Figure 101 A4): 117 bpm adjusting the size of the signal on the screen (for example, from the
Pacemaker pulse detection: default 1.0 to 0.2) in the ECG menu.
detection level: 2 to 700 mV
pulse duration: 0.5 to 2 ms
Pacer pulse rejection of fast ECG signals: 2.0 V/s Impedance respiration
Pacemaker detector may not operate correctly during the use of Respiration range: 4 to 120 resp/min
high-frequency (HF) surgical equipment. The disturbances of HF Accuracy: ± 5% or ±5 resp/min, whichever is
surgical equipment typically cause false positive pacer detection. greater
Direct current for leads-off detection through an active patient Alarm limits range: 4 to 80 resp/min
electrode: <30 nA The conducted RF immunity of the respiration measurement has
Direct current for leads-off detection been tested with 1 Vrms. The radiated RF immunity of the respiration
through a reference electrode:<120 nA measurement has been tested with 1 V/m. The impedance
The normalized respiration sensing current between RA (R) and LL (F) respiration measurement technology has been optimized so that
or RA (R) and LA (L) or LA (L) and LL (L): <5.0 µA the measurement is not sensitive to electrosurgery equipment
Frequency of respiration which is commonly used in the intended environment for the
sensing current: 31.25 kHz impedance respiration measurement.
Minimizing the effects of the line isolation monitor transients: NOTE: Impedance respiration measurement is intended for patients
Crystal controlled oscillator used as the operating frequency over three years old.
source of the patient isolation power supply.
The average time and time range ( ) to alarm (VFib or VTachy) for Invasive blood pressure (E-PSMPW)1
tachycardia waveform are as follows (IEC60601-2-27 6.8.2.bb.6): Measurement range: -40 to 320 mmHg (-5.3 to 42.7 kPa)
Figure 101 B1 halved amplitude:9.9 s (8.4 to 11.5 s) Measurement accuracy: ±5% or ±2 mmHg, whichever is
Figure 101 B1 normal amplitude:7.1 s (5.8 to 8.2 s) greater
Figure 101 B1 doubled amplitude:4.4 s (4.2 to 4.6 s) Pulse rate:
Figure 101 B2 halved amplitude: 7.0 s (6.1 to 7.5 s) Measurement range: 30 to 250 bpm
Figure 101 B2 normal amplitude:5.8 s (4.5 to 7.4 s) Accuracy: ±5% or ±5 bpm, whichever is greater
Figure 101 B2 doubled amplitude:6.1 s (5.1 to 7.0 s) Transducer sensitivity: 5 µV/V/mmHg
A clinician should always confirm the rhythm from the ECG
waveform.

1 The isolation barrier capacitance in the module has been minimized to reduce the hazard of burns in the event of a defect in the ESU return electrode
connection
NIBP Temperature2
Blood pressure measurement range: Measurement range: 10 to 45°C (50 to 113°F)
adult 25 to 260 mmHg (3.3 to 34.7 kPa) Measurement accuracy: ±0.1°C
child 25 to 190 mmHg (3.3 to 25.3 kPa) Digital display resolution: 0.1°C at 25 to 45°C with resuable
infant 15 to 140 mmHg (2.0 to 18.7 kPa) probles
Pulse rate range accepted: 30 to 250 bpm Digital display averaging: median of 5 samples
Cuff pressure Probe type: Use only GE Healthcare temperature
measurement range: -15 to + 350 mmHg (-2.0 to 46.7 kPa) probes or defibrillator-proof YSI 400
Typical measuring time: series probes.
adult Less than 30 s Temperature self-check: at start-up and then every 10 minutes
infant Less than 25 s
Overall system accuracy: Meets or exceeds SP10-2002 AAMI Time constant of temperature probes:
standards.1 Reusable skin temperature probe: 3s
Reusable adult central temperature probe: 6s
NOTE: The cuff pressure measurement range is equal to cuff Reusable pediatric central temperature probe: 4s
nominal and cuff indication ranges. Disposable skin temperature probe: 3 to 6 s
Disposable central temperature probe, 12F: 5 to 8 s
The ESU does not cause a burn hazard through the NIBP cuff, Disposable central temperature probe, 9F: 5 to 8 s
because there is no electrical connection between the cuff and the
NIBP measuring electronics. Esophageal stethoscope with temperature probe, 9F: 15 s
Esophageal stethoscope with temperature probe, 12F: 16s
NOTE: NIBP measurement is intended for patients weighing over Esophageal stethoscope with temperature probe, 18F3: 23 s
5 kg (11 lb). Esophageal stethoscope with temperature probe, 24F3 : 32 s

1 According to SP10-2002 AAMI 4.4.5.2.B, Intra-arterial method as the reference standard, mean difference of the test system and the comparison system shall
be ± 5 mmHg or less with standard deviation of 8 mmHg or less
2 The isolation barrier capacitance in the module has been minimized to reduce the hazard of burns in the event of a defect in the ESU return electrode
connection.
3 Response time of the probe exceeds 150 seconds.

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SpO22 Airway gases, N-FCREC and N-FC

Sampling rate: 150±25 ml/min (sampling line 2 to
Automatic scaling of plethysmographic waveform. 3 m, normal conditions)
Measurement and display range: 0 to 100% Maximum sampling
Calibration range: 70 to 100% line length: 6m
Calibrated against functional oxygen saturation. Sampling delay: 2.1 s typical with a 3-m sampling line
SpO2 Measurement accuracy1 Total system response time: 2.4 seconds typical with a 3-m
100 to 70% ±2 digits sampling line, including sampling
69 to 0% unspecified delay and rise time (typically 3.7
SpO2 Display averaging: 5 to 20 s seconds with a 6-m sampling line)
SpO2 Display resolution: 1 digit (1% of SpO2) Warm-up time: 1 minute for operation
Wavelength of SpO2 probe LEDs: 30 minutes for full specification
Infrared LED 940 nm Autozeroing interval: 4, 15, 30 and 60 minutes after start-
Red LED 660 nm up, then every 60 minutes
Maximum energy of SpO2 probe LEDs: Automatic compensation for barometric pressure.
Infrared LED 42 µJ/pulse Gas values are measured in ATPD conditions (ambient temperature
Red LED 62 µJ/pulse and pressure, dry). When CO2 is displayed as a partial pressure (kPa,
Pulse rate: mmHg), the value can be alternatively shown as wet (BTPS, body
Measurement and temperature and pressure saturated).
Display range: 30 to 250 bpm
Display resolution: 1 bpm
Measurement accuracy2: ±5% or ±5 bpm, whichever is greater
Default alarm limits3: SpO2 high Off, low 90%
PR high 160, low 40
NOTE: For each SpO2 accessory, refer to the instructions for use in the
accessory package for patient weight limits and sensor accuracy.
1 Accuracy is based on deep hypoxia studies with volunteered subjects during motion and non-motion conditions over a wide range of arterial blood oxygen
saturations as compared to arterial blood CO-Oximetry. Accuracy may depend on the sensor used, please refer to the instructions for use in the accessory
package. The accuracy is expressed as rms. This means that approximately two-thirds of the data will fall within the accuracy range.
2 The reported SpO2 pulse rate accuracy is the product specification. SpO2 pulse rate accuracy tests with a simulator yielded a PR error of less than 2 bpm (rms)
over the whole measurement range.
3 Limits are adjustable:
OFF to 51% for SpO2 high
50 to 100% for SpO2 low
250 to 35 bpm for PR high
30 to 245 bpm for PR low
Non-disturbing gases are those with a maximum effect on the CO2 Default alarm limits1:
reading at 5.0 vol% < 0.2 vol%. The effect is valid for specific EtCO2 high 8%, low 3%
concentrations shown in parentheses of the non-disturbing gas: FiCO2 high 3%, low Off
Ethanol C2H5OH (<0.3%)
Carbon dioxide (CO2)
Acetone (<0.1%)
Methane CH4(<0.2%) Measurement range: 0 to 20 vol%
Nitrogen N2 (0 to 100%) Resolution: 0.01%
water vapor (0 to 100%) Measurement rise time: < 300 ms with nominal flow
Dichlorofluoromethane (<1%) Accuracy:
Tetrafluoroethane (<1%) 0 to 15 vol% ± (0.2 vol% + 2% of reading)
15 to 20 vol% ± (0.7 vol% + 2% of reading)
Disturbing gases and their effect on the CO2 reading at 5.0 vol% CO2
are shown below. Errors listed reflect the effect of specific Valid for respiration rate < 40 breaths/min at I:E ratio of 1:1. (Relative
concentrations (shown in parentheses) of an individual disturbing error is typically 10% for respiration rate 80 breaths/min at I:E ratio
gas and should be combined when estimating the effect of gas of 1:1.) The accuracy is specified in simulated ventilation. With higher
mixtures: respiration rates and with varying ventilation methods the
Halothane (4%) increases < 0.3 vol% specifications may not be met.
Isoflurane(5%) increases < 0.4 vol%
Enflurane(5%) increases < 0.4 vol% Respiration rate
Desflurane(24%) increases < 1.2 vol% Breath detection: 1% change in CO2 level
Sevoflurane(6%) increases < 0.4 vol%
Helium (50%) decreases < 0.3 vol% Measurement range: 4 to 80 breaths/min
If O2 compensation is not activated: Accuracy: ±1 breaths/min in the range 4 to 20
O2 (40 to 95%) decreases < 0.3 vol% breaths/min ±5% in the range 20 to
80 breaths/min
If O2 compensation is activated: Resolution: 1 breaths/min
O2 (40 to 95%) error < 0.15 vol%
If N2O compensation is not activated: NOTE: CO2 measurement is intended for patients weighing over 5 kg
N2O (40%) increases < 0.4 vol% (11 lb).
If N2O compensation is activated:
N2O (40 to 80%) error < 0.3 vol%

1 Alarm limits and their adjustment range may vary depending on the mode used.

96
 97

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

Guidance and manufacturer’s declaration – electromagnetic emissions

Guidance and manufacturer’s declaration – electromagnetic emissions

The B30 monitor is intended for use in the electromagnetic environment specified below. The customer or
the user of the B30 monitor should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
RF emissions Group 1 The B30 monitor uses RF energy only for its internal function.
CISPR 11 Therefore, its RF emissions are very low and are not likely to
cause any interference in nearby electronic equipment.
RF emissions Class B The B30 monitor is suitable for use in all establishments,
CISPR 11 including domestic establishments and those directly connected
to the public low-voltage power supply network that supplies
buildings used for domestic purposes.
Guidance and manufacturer’s declaration – electromagnetic immunity

Guidance and manufacturer’s declaration – electromagnetic immunity

The B30 monitor is intended for use in the electromagnetic environment specified below. The customer or the user
of the B30 monitor should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance
Electrostatic ±6 kV contact ±6 kV contact Floors should be wood, concrete or
discharge (ESD) ceramic tile. If floors are covered with
IEC 61000-4-2 ±8 kV air ±8 kV air synthetic material, the relative humidity
should be at least 30%.
Electrical fast ±2 kV for power ±2 kV for power Mains power quality should be that of a
transients/bursts supply lines supply lines typical commercial or hospital
IEC 61000-4-4 ±1 kV for input/output ±1 kV for input/output environment.
lines lines
Surge ±1 kV differential ±1 kV differential Mains power quality should be that of a
IEC 61000-4-5 mode mode typical commercial or hospital
±2 kV common mode ±2 kV common mode environment.

98
 99

Voltage dips, short <5% UT <5% UT Mains power quality should be that of a
interruptions and (>95% dip in UT) (>95% dip in UT) typical commercial or hospital
voltage variations on for 0.5 cycle for 0.5 cycle environment. If user of the equipment
power supply lines requires continued operation during
IEC 61000-4-11 40% UT 40% UT power mains interruptions, it is
(60% dip in UT) (60% dip in UT) recommended that the equipment be
powered from an uninterruptible power
for 5 cycles for 5 cycles
supply or a battery.
70% UT 70% UT
(30% dip in UT) (30% dip in UT)
for 25 cycles for 25 cycles

<5% UT <5% UT
(>95% dip in UT) (>95% dip in UT)
for 5 sec for 5 sec
Power frequency (50/ 3 A/m 3 A/m Power frequency magnetic field should be
60 Hz) magnetic field at levels characteristic of a typical location
IEC 61000-4-8 in a typical commercial or hospital
environment.
NOTE UT is the a.c. mains voltage prior to application of the test level.
Guidance and manufacturer’s declaration – electromagnetic immunity

Guidance and manufacturer’s declaration – electromagnetic immunity

The B30 monitor is intended for use in the electromagnetic environment specified below. The customer or the
user of the B30 monitor should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance Electromagnetic environment - guidance
level
Portable and mobile RF communications equipment
should be used no closer to any part of the
equipment, including cables, than the recommended
separation distance calculated from the equation
applicable to the frequency of the transmitter.

Recommended separation distance

100
 101

Conducted RF 3 Vrms 3 Vrms d = 1.2 P

IEC 61000-4-6 150 kHz to 80 MHz

3 Vrms 1 Vrms (1 d = 3.5 P

150 kHz to 80 MHz

Radiated RF 3 V/m 3 V/m d = 1.2 P

IEC 61000-4-3 80 MHz to 2.5 GHz

d = 2.3 P

where P is the maximum output power rating of the

transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation
distance in metres (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey, a
should be less than the compliance level in each
frequency range. b

Interference may occur in the vicinity of equipment

marked with the following symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones
and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be
predicated theoretically with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the measured field strength in
the location in which the equipment is used exceeds the applicable RF compliance level above, the
equipment should be observed to verify normal operation. If abnormal performance is observed,
additional measures may be necessary, such as reorienting or relocating the equipment.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m or 1 V/m (1.
(1
For impedance RESP measurement

102
 103

Recommended separation distances

The table below provides the recommended separation distances (in meters) between portable and mobile RF communications equipment and
the B30 monitor .

The B30 monitor is intended for use in an electromagnetic environment in which radiated RF disturbances
are controlled. The customer or the user of the equipment can help prevent electromagnetic interference
by maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and the equipment as recommended below, according to the maximum output power of the
communications equipment.
Rated maximum Separation distance according to frequency of transmitter
output power of m
transmitter
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
W
d = 1.2 P d = 1.2 P d = 2.3 P

d = 3.5 P (1

0.01 0.12 0.12 0.23

0.35 (1
0.1 0.38 0.38 0.73
1.1 (1
1 1.2 1.2 2.3
3.5 (1
 10 3.8 3.8 7.3
11 (1
100 12 12 23
35 (1
For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in meters (m) can be estimated using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the
transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
(1
For impedance RESP measurement.

104
 105
End User License Agreement
THIS DOCUMENT IS A LEGAL AGREEMENT BETWEEN YOU, THE
"LICENSEE," AND GE Healthcare. IF YOU DO NOT AGREE TO ALL THE
TERMS OF THIS AGREEMENT, PROMPTLY RETURN THE ENTIRE
PACKAGE, INCLUDING ALL ACCESSORIES, IN THEIR ORIGINAL
PACKAGE, WITH YOUR SALES RECEIPT TO GE FOR A FULL REFUND.
1. Grant of License. GE grants to Licensee a nonexclusive,
nontransferable, restricted license, without right to sublicense, to
use the copy of the incorporated software/firmware("Software"), and
manuals and documentation related to the Software in connection
with Licensee's use of the product for their labeled purpose and only
when the instrument is used with authorized accessories and
sensors, in accordance with this End User License Agreement
("Software License"). GE reserves all rights not expressly granted to
Licensee.
2. Ownership of Software/Firmware. Title to, ownership of, and all
rights and interests in, any software and/or firmware and the
documentation, and all copies thereof, remain at all times vested in
GE or its partners, and they do not pass to Licensee.
3. Assignment. The rights and obligations of the Licensee under this
Software License are personal. Accordingly, neither this Software
License nor any of such rights and obligations are assignable or
transferable by merger or by operation of law or otherwise without
the prior written consent of GE. You may not rent, lease, sell, or
otherwise dispose of the software/firmware or the products on a
temporary basis. GE may assign this Software License and/or any
rights of Licensor hereunder, to any affiliate, or to any purchaser of
substantially all of the assets used by GE in the performance of this
Software License.
4. Limitation of liability. Other than the attached limited warranty,
the Software is being licensed to Licensee "as is," without warranty
of any kind, express or implied, including without limitation the
warranties of merchantability, fitness for a particular purpose,
functionality, use or performance of the Software and compatibility
with particular computer systems, computer peripherals or other
software packages, title or non-infringement. Some jurisdictions do
not allow the disclaimer of implied warranties, so the above
disclaimer may not apply to Licensee, in which case the duration of
any such implied warranties is limited to the longer of (i) minimum
required by law or (ii) thirty (30) days from the date the Software is
received by Licensee.
In no case, including without limitation any breach of a fundamental
term or a fundamental breach of this Software license, shall GE be
liable for any damages, including but not limited to indirect,
exemplary, special, consequential or incidental damages of any kind
(including without limitation lost profits), even if GE has been advised
of the possibility of such damages. These provisions hereof shall
apply to the full extent permitted by law.
5. Copy Restrictions. The software/firmware and the accompanying
written materials are copyrighted. Unauthorized copying of the
software, including software that has been modified, merged, or
included with other software, or other written materials is expressly
forbidden. You may be held legally responsible for any copyright
infringement that is caused or incurred by your failure to abide by
the terms of this license.
6. Use Restriction. As the Licensee, you may physically transfer the
products from one location to another provided that the software/
firmware is not copied. You may not electronically transfer the
software/firmware from the products to any other device. You may
not disclose, publish, translate, release or distribute copies of the
software/firmware to others. You may not modify, adapt, translate,
reverse engineer, decompile, disassemble, or create derivative
works based on the software/firmware, unless and to the extent
specifically permitted by local law. Your license to the software is not
valid for use with any unauthorized data acquisition device. When
information of the internal structure of the Software is necessary in
order to obtain interoperability of the Software with other software
programs, Licensee shall immediately contact GE.
The Software contains proprietary and confidential information of
GE and its suppliers and is considered by GE and its suppliers to
constitute valuable trade secrets. Licensee will hold the Software in
confidence and shall protect the Software with at least the same
degree of care with which Licensee protects its own similar
confidential information but in no event less than a reasonable
standard of care. Licensee agrees that its officers and employees
shall protect the confidentiality of the Software and all confidential
and non-public information relating thereto and shall not disclose
such information to any third party. This obligation of confidentiality
shall survive the termination of the Software License.
106
Licensee agrees to comply with all applicable export and re-export
restrictions and regulations imposed by the government of the
United States or of the country to which the Software is shipped to
Licensee. Licensee shall not commit any act or omission, which will
result in a breach of any such export requirements. Licensee shall
defend, indemnify and hold GE and all GE's suppliers harmless from
any claims arising out of Licensee's violation of such export control
laws.
Upon termination by GE or its suppliers of this Software License,
Licensee shall (as adviced by GE) immediately destroy the Software
and all copies thereof or return the same to GE and within two (2)
business days thereafter certify to GE in writing that in accordance
with instructions from GE or its suppliers, all copies of the Software
have been either destroyed or returned to GE, whether same is in
tangible or intangible form and Licensee shall further certify that all
use thereof is and shall remain terminated.
7. No waiver. The failure of GE to enforce any provision of this
Software License shall not be considered a waiver of any
subsequent breach of that provision or as a waiver of any other
provision hereof.
8. Amendments. This Software License may be modified only by a
written instrument expressly agreed to by the parties hereto.
 107
Warranty
This Product is sold by GE Medical Systems (China) Co., Ltd. under the
warranty set forth in the following paragraphs. Such warranty is
extended only with respect to the purchase of this Product directly
from GE or GE's Authorized Dealers as new merchandise and is
extended to the Buyer thereof, other than for the purpose of resale.
For a period of twelve (12) months from the date of original delivery
to Buyer, this Product, other than expandable parts, is warranted
against functional defects in materials and workmanship and to
conform to the description of the Product contained in this manual
and accompanying labels and/or inserts, provided that the same is
properly operated under the conditions of normal use, that regular
periodic maintenance and service is performed and that the
replacements and repairs are made in accordance with the
instructions provided, using genuine parts and performed by a
trained person. The foregoing warranty shall not apply if the Product
has been repaired by anyone other than GE or otherwise than in
accordance with written instructions provided by GE, or altered by
anyone other than GE, or if the Product has been subject to abuse,
misuse, negligence, or accident.
GE's sole and exclusive obligation and Buyer's sole and exclusive
remedy under the above warranty is limited to repairing or
replacing, free of charge, at GE's option, a Product, which is
telephonically reported to the nearest GE office or GE's Authorized
Dealers office and which, if so advised by GE, is thereafter returned
with a statement of observed deficiency, not later than seven (7)
days after the expiration date of the applicable warranty, to the GE
office or GE's Authorized Dealers office during normal business
hours, transportation charges prepaid, and which, upon GE's
examination, is found not to conform to the above warranty. GE
shall not be otherwise liable for any damages including but not
limited to incidental damages, consequential damages, or special
damages.
There are no express or implied warranties, which extend beyond
the warranty hereinabove set forth. GE makes no warranty of
merchantability or fitness for particular purpose with respect to the
product or parts thereof.
For your notes:

108
World Headquarters
GE Medical Systems
Information Technologies, Inc.
8200 West Tower Avenue
Milwaukee, WI 53223 USA
Tel:+ 1 414 355 5000
1 800 558 5120 (US only)
Fax:+ 1 414 355 3790
GE Medical Systems Information Technologies, a General Electric Company, going to market as
GE Healthcare
www.gehealthcare.com
European Representative Asian Headquarters
GE Medical Systems GE Medical Systems
Information Technologies GmbH Information Technologies Asia
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Fax: + 86 21 3877 7451
GE Medical Systems Information Technologies, Inc.
8200 West Tower Avenue Milwaukee, WI 53223 USA
0459