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GE HEALTHCARE B40 User Manual

GE HEALTHCARE B40
320 pages
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GE Healthcare
B40/B20 Patient Monitor
User’s Reference Manual
B40/B20 Patient Monitor
English
2081504-001 E (Paper)
© 2015 General Electric Company.
All Rights Reserved.

Table of Contents

Questions and Answers:

GE HEALTHCARE B40 Specifications

General IconGeneral
TypePatient Monitor
ModelB40
ManufacturerGE Healthcare
Parameters MonitoredECG, SpO2, NIBP, Respiration, Temperature
ECGYes
SpO2Yes
NIBPYes
RespirationYes
TemperatureYes
ConnectivityEthernet
Power Supply100-240 VAC, 50/60 Hz
Operating Temperature10 to 40°C

Summary

Classifications

In Accordance with IEC 60601-1

Details protection against electric shock and operational modes for equipment.

In Accordance with IEC 60529

Specifies the degree of protection against harmful ingress of water.

In Accordance with EU Medical Device Directive

Indicates compliance with the EU Medical Device Directive.

In Accordance with CISPR 11

Specifies requirements for ISM equipment regarding radio frequency energy.

Trademarks

3 Installation

Safety precautions

General warnings and cautions before installing the monitor.

Unpacking instructions

Steps for safely unpacking monitor components.

Connection to power

Procedure for connecting the monitor to a power source.

Connection to Network

Instructions for connecting the monitor to a network.

4 Monitoring basic

Using menus

Explanation of how to navigate and use the monitor's menus.

Starting and ending

Procedures for starting and ending patient monitoring sessions.

Admitting a patient

Steps for admitting a new patient for monitoring.

Discharging the patient

Procedure for discharging a patient and ending monitoring.

Using modes

Description of preconfigured user modes for monitor settings.

5 Alarms

Safety precautions

Important warnings and cautions related to alarm system operation.

Alarm indications

How alarm status is indicated visually and audibly.

Alarm conditions

Defines physiological and technical conditions that trigger alarms.

Alarm categories

Classification of alarms based on priority: High, Medium, Low.

Alarm priority

How alarm priorities are determined and ranked.

Adjusting alarm limits

Procedure to manually adjust individual measurement alarm limits.

Alarm off/on

How to turn audible alarms on or off for specific parameters.

Audio paused or Alarm reset: silencing audible alarms temporarily

Methods to temporarily silence audible alarms.

6 Monitor setup

Warnings

Critical warnings regarding monitor presets and potential hazards.

Passwords

Access codes for entering Install/Service and Save Modes menus.

Setting time and date

Procedure to set the monitor's internal clock.

Changing alarm options

Configuration of various alarm behaviors like latching and breakthrough.

Changing the user modes

How to customize and save settings in user modes.

Saving changes in user modes

Process to make temporary settings permanent by saving them.

Changing the Normal Screen layout

Customizing displayed waveforms and numerical data fields.

Modifying waveform fields

Selecting and arranging waveforms displayed on the screen.

Modifying digit fields

Customizing which numerical parameters are displayed.

7 Trends

Safety precautions

Important safety considerations when viewing trends.

Overview

Description of graphical and numerical trend data display.

Most common tasks

Common operations for displaying and navigating trend data.

Minitrend view

How to view graphical minitrends alongside waveforms.

Graphical trend view

Explanation of the graphical trend display interface.

Recording and printing

Procedures for recording and printing trend data.

Snapshots

Functionality for capturing and saving waveform/trend data.

Snapshot view

How to view and interpret captured snapshots.

8 Print and record

Overview

Managing recording and printing via the Print/Record menu.

Recording

Capabilities of the recorder for waveforms and trends.

Recording waveforms

Steps to record up to three waveforms to a local recorder.

Selecting waveforms for recording

Choosing which waveforms and how many to record.

Recording on alarms

Automatic strip chart recording triggered by specific alarms.

Recording trends

Procedure for recording numerical or graphical trends.

Inserting recorder paper

Instructions for loading paper into the recorder.

Printing

Options for printing patient data to a laser printer.

9 Cleaning and care

Safety precautions

Warnings and cautions for safe cleaning procedures.

Preventive maintenance

Scheduled maintenance tasks for the monitor and accessories.

Daily and between the patients

Routine cleaning steps performed daily and between patients.

Regular checks

Checks to perform before starting monitoring or during use.

Condition the battery

Procedure for conditioning the monitor's batteries.

Cleaning

General guidelines and permitted cleaning agents for device parts.

Permitted detergents and disinfectants

List of approved cleaning agents for the monitor and accessories.

10 Troubleshooting

Overview

Introduction to the troubleshooting section.

Checklist

Pre-monitoring checks to identify potential issues.

Messages

List of monitor messages and their explanations and actions.

Advanced ECG troubleshooting

Specific troubleshooting steps for ECG signal issues.

Advanced NIBP troubleshooting

Specific troubleshooting steps for NIBP measurement problems.

Advanced airway gas troubleshooting

Troubleshooting common issues with airway gas measurements.

Other situations

Solutions for other operational problems not covered elsewhere.

11 ECG

Safety precautions

Important warnings and cautions for ECG monitoring.

Overview

Description of ECG monitoring principles and display.

Displaying ECG and heart rate

How ECG waveforms and heart rate are displayed.

Preparing the patient and placing the electrodes

Steps for preparing the patient and applying ECG electrodes.

Setup ECG waveform view

Configuring the display of ECG waveforms and parameters.

Setting heart rate alarm limits

Adjusting the high and low alarm limits for heart rate.

Setting PVC alarm limits

Adjusting the alarm limits for premature ventricular contractions.

12 Impedance respiration

Safety precautions

Warnings and cautions for impedance respiration monitoring.

Overview

Description of how impedance respiration is measured.

Respiration rate source

Selecting the source for respiration rate calculation.

Patient connections

Diagram and instructions for connecting respiration electrodes.

Activating measurement

Steps to turn on the respiration measurement.

Correcting the respiration number

Adjusting detection limits for accurate respiration readings.

13 Pulse oximetry

Safety precautions

Warnings and cautions for safe SpO2 sensor use.

Overview

Explanation of SpO2 measurement principles.

Connecting the patient

Procedure for connecting the SpO2 sensor to the patient.

Pulse oximetry menu

Configuration options for SpO2 measurement.

Data update and averaging

How SpO2 data is updated and averaged under different conditions.

Measurement limitations

Factors that can affect the accuracy of SpO2 readings.

Interference

Sources of interference affecting SpO2 function.

14 Non-invasive blood pressure

Safety precautions

Warnings and cautions for NIBP measurement.

Overview

Description of the NIBP measurement principle.

Patient connections

Instructions for connecting NIBP cuff and hose.

NIBP Setup menu

Configuration options for NIBP measurement.

Autocycling

Setting automatic NIBP measurement intervals.

Principles of SuperSTAT Noninvasive Blood Pressure Determination

Explanation of the SuperSTAT NIBP determination process.

NIBP measurement limitations

Factors affecting the accuracy of NIBP readings.

15 Invasive blood pressure

Safety precautions

Warnings and cautions for invasive blood pressure procedures.

Overview

Description of invasive blood pressure measurement.

Patient connections

Steps for connecting invasive pressure transducers and lines.

Zeroing invasive blood pressure transducers

Procedure for zeroing transducers for accurate measurements.

Invasive Pressures menu

Configuration options for invasive pressure channels.

Labeling channels

Assigning labels and configuring settings for pressure channels.

Adjusting alarm sources and limits

Setting and adjusting alarm limits for invasive pressures.

16 Temperature

Safety precautions

Warnings and cautions for temperature monitoring.

Overview

Description of temperature monitoring principles and display.

Patient connections

Steps for connecting temperature probes to the monitor.

Temp Setup menu

Configuration options for temperature measurement.

Changing temperature label

Assigning labels to temperature measurement sites.

Changing temperature units

Selecting temperature units between Celsius and Fahrenheit.

17 Airway gas

Safety precautions

Warnings and cautions for airway gas monitoring.

Overview

Description of airway gas measurement modules and parameters.

Display of gases

How gas waveforms and values are displayed.

Airway gases measurement setup

Connecting modules and patient for gas measurement.

Airway Gas setup menu

Configuration options for airway gas monitoring.

CO2 setup menu

Setting up CO2 measurement parameters and alarms.

Setting alarms

Selecting alarm sources for gas parameters.

Calibrating

Procedure for calibrating airway gas sensors.

Basics of airway gases measurement

Fundamental principles of measuring airway gases.

18 Entropy

Safety precautions

Warnings and cautions for using Entropy monitoring.

Overview

Description of Entropy monitoring and its use.

Entropy measurement description

Explanation of how Entropy measurement works.

How to interpret the Entropy values

Guidance on interpreting Entropy values in clinical context.

Displaying EEG waveform

How the EEG waveform is displayed for Entropy monitoring.

Entropy Setup menu

Configuration options for Entropy measurement settings.

Setting RE and SE alarm limits

Adjusting alarm limits for Response Entropy and State Entropy.

Entropy measurement limitations

Factors that may affect Entropy measurement accuracy.

Abbreviations

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