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GE Corometrics 250cx Series User Manual
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GE Healthcare
Corometrics
™
250cx Series Monitor
Operator
’
s Manual
Corometrics 25
0cx Series Monitor
English
2036946-001 C (paper)
© 2007 General Elect
ric Company.
All Rights Reserved.
2
Table of Contents
Table of Contents
7
Safety
17
General Information
19
General Use
19
Responsibility of the Manufacturer
19
Responsibility of the User
19
Definitions of Terminology
20
Monitor Contraindications, Warnings, and Precautions
21
Warnings
21
Cautions
24
Electromagnetic Interference
25
Equipment Symbols
26
Introduction
29
Illustrations
31
Pulse Oximetry
32
Heart/Pulse Rate
32
Series Overview
32
The 250Cx Series Monitor Features
32
System Parameters (256Cx and 259Cx)
32
Fetal Parameters
33
Maternal Parameters (259Cx Only)
34
Adding Fetal Movement Detection And/Or Spectra Alerts
34
Controls, Indicators, and Connectors
35
Front Panel Description
37
Front Panel Displays
40
Display Example
41
Primary Labor Parameters
42
FHR Display
42
UA Display
43
Additional Parameters
44
Maternal NIBP
44
MHR/P Area
45
Mspo 2 Area
46
Waveform Area
46
Time and Waveform Message Area
46
Battery-Backed RAM Status
47
Softkeys
47
Mode Title Softkeys
47
Waveform Softkeys
47
Dedicated Softkey Area
48
Rear Panel Description
50
Setup Procedures
53
Loading Strip Chart Recorder Paper
55
Power
58
Interruption of Power
58
Self-Test Routine
59
Setup Screens
59
Using the Trim Knob Control
60
General Setup Screen
61
Play Song
61
Song Volume
61
Temp Done Volume
61
Brightness
61
Paper Speed
62
Date
62
Time
62
Mspo 2 Print Interval
62
Fspo 2 Print Interval
62
Fspo 2 Trace
62
Service
62
Preparing the Monitor for Patient Use
63
Fetal Heart Rate Monitoring
65
Ultrasound (External Method)
67
Methodology
67
US/US2 Setup Screen
67
Volume
67
Alert
68
Alarm Volume
68
FECG (Internal Method)
68
Methodology
68
Artifact Elimination
68
FECG Setup Screen
69
Volume
69
Alarms
69
Audio Alarms
69
Alarm Volume
69
Fetal Heart Rate Alarms
70
FHR Threshold Alarms
70
FHR High Alarm
71
Sample Clinical Exceptions
72
Active Signal Quality Alarm
72
Resolved Signal Quality Alarm
72
100% Signal Loss
73
Silencing an Audio Alarm
73
Summary
74
Single Fetal Heart Rate Monitoring
74
Dual Fetal Heart Rate Monitoring
74
Heartbeat Coincidence
75
Fetal Heart Rate Offset
75
Activating the Fetal Heart Rate Offset Feature
75
De-Activating the Fetal Heart Rate Offset Feature
76
Uterine Activity Monitoring
77
Tocotransducer (External Method)
79
Methodology
79
Establishing a Baseline
79
Initial Referencing
79
Accounting for Belt Tension
80
More about Referencing
80
Out of Range Condition
80
Manually Setting the Baseline at the Default Value
80
Manually Overriding the Baseline Default Value
80
Automatic Baseline "Zeroing
80
Internal Method - Intrauterine Pressure (IUP)
81
Methodology
81
Why You Must Zero the System
81
Maternal Heart/Pulse Rate Monitoring
83
MHR/P Source
85
MHR/P Setup Screen
86
Source
86
HR/PR Trace
87
Volume
87
Alarms
87
Alarm Volume
87
MECG Lead
87
MECG Pacer
88
Maternal ECG Monitoring
89
Theory and Methodology
89
Pacemaker Safety Information
89
MECG Waveform
90
Maternal Non-Invasive Blood Pressure Monitoring
91
Blood Pressure Safety Precautions
93
Warnings
94
NIBP Determination
95
Superstat NIBP Determination
95
Accelerated Determination
96
Systolic Search
96
NIBP Setup Screen
97
Mode
97
Target
97
NIBP Done Volume
98
Alarms
98
Alarm Volume
98
NIBP Monitoring
98
Checklist
98
Patient Preparation
98
Blood Pressure Methodology
99
Hydrostatic Effect
100
Manual Mode
100
Automatic Mode
100
Taking a Manual Reading between Auto Determinations
101
Venous Return in Auto Mode
101
Adjusting the Interval Time between Automatic Determinations
101
NIBP Interval Button Shortcut
102
Terminating a Determination in Progress
103
Smart BP Feature
103
Enabling/Disabling Smart BP
103
Methodology
103
Maternal Pulse Oximetry Monitoring
105
Mspo2 Technology
107
Which Module Is Installed
107
Theory of Operation
108
Ohmeda Trusignal™ Oximetry
108
Trusignal™ Enhanced Spo2
108
Signal Processing
108
Masimo SET
108
Nellcor Oximax
109
Automatic Calibration
110
Satseconds
110
Satseconds "Safety Net
112
Using Satseconds
112
Mspo 2 Setup Screen
113
Response Time (Nellcor 506 Technology Only)
113
Response Time (Nellcor NELL-3 Technology Only)
113
Sensitivity (Masimo Technology Only)
113
Averaging Time (Masimo Technology Only)
114
Print Interval
114
Alarms
114
Alarm Volume
114
Mspo Pulse Beat Audio
115
The Mspo 2 Waveform
115
Module and Probe Compatibility
115
Modules and Sensors
116
No Implied License
116
Sensors
116
Alarms
117
Introduction
119
Alarm Setup
119
Master Alarm Setup Screen
119
Alarms
119
Alarm Volume
120
Alarm Silence
120
Alarm Setting Indicators
121
Maternal Alarm Occurring During Setup
121
Alarm Behavior
121
Fetal Heart Rate Alarms
122
FHR Patient Alarms
122
Active Patient Alarm
122
Resolved Patient Alarm
122
FHR Signal Quality Alarms
122
Active Signal Quality Alarm
122
Resolved Signal Quality Alarm
123
Silencing an FHR Audio Alarm
123
Maternal Alarms
123
Maternal Patient Alarms
123
Active Patient Alarm
123
Resolved Patient Alarm
123
Signal Quality Alarms
123
Active Signal Quality Alarm
124
Resolved Signal Quality Alarm
124
Silencing a Maternal Audio Alarm
124
Alarms Summary
125
Recorder Modes
127
Modes
129
Off Mode
129
On Mode
129
Maternal-Only Mode
129
What Is the Maternal-Only Mode
129
Printing Style
129
Changing Recorder Modes
130
Functionality with a QS System
131
Paper Versus Electronic Strip Charts
131
Fetal Heart Rate Alarms
132
Trends
132
Multiple Trends
132
Spo Scale
133
Annotations
133
Standard Annotations
134
Blood Pressure Annotations
134
Maternal Pulse Oximetry Annotations
135
Annotations from a Central Information System
135
Multiple Annotations
135
Summary of Annotations
136
Adjustable Recorder Font Size
139
Chart Style Vital Signs Printing
140
Enabling/Disabling Chart-Style Printing
140
Examples of Printing Styles
141
Chart-Style Printing Examples
141
Real-Time Printing Example
141
Chart-Style 7-Minute Exception for NIBP
141
Strip Chart Paper
142
Paper-Low, Paper-Out, and Paper-Loading Error Conditions
144
Maternal Vital Signs History
147
What Is the Maternal Vital Signs History Screen
149
Using the Maternal Vital Signs History Screen
150
Displaying the Screen
150
Selecting the HX Interval
150
Printing the Maternal Vital Signs History Screen
151
Printing the Entire Vital Signs History
151
Printing a Page of the Vital Signs History
151
Stopping the Printing of Maternal Vital Signs History
151
Heartbeat Coincidence
153
Heartbeat Coincidence Theory
155
Using the Heartbeat Coincidence Feature
155
Enabling/Disabling Heartbeat Coincidence Detection
155
Display Indicator
155
Strip Chart Annotation
157
Waveforms
159
Waveform Area
161
Selecting the Waveform
161
Waveform Speed
161
ECG Size
161
MECG Lead Select
161
MECG Pacer Label
161
Moving Gap
162
Freezing Waveforms
162
Printing a Waveform Snapshot
163
Recorder on
163
Recorder in Maternal-Only Mode
164
Recorder off
164
Stopping a Print Command
164
Maintenance
165
Cleaning
167
Monitor Exterior
167
Display
168
Tocotransducer and Ultrasound Transducer
168
Leg Plates and MECG Cables
168
Maternal NIBP Cuffs and Hoses
169
General
169
Materials
169
Procedure
169
Maternal Spo 2 Calibration
170
NIBP Maintenance
170
Disposal of Product Waste
171
Patient Applied Parts
171
Packaging Material
171
Monitor
171
Troubleshooting
173
General Troubleshooting
175
Ultrasound Troubleshooting
176
FECG Troubleshooting
177
External Uterine Activity Troubleshooting
177
Internal UA Troubleshooting
178
MECG Troubleshooting
179
Blood Pressure Troubleshooting
179
Maternal Pulse Oximetry Troubleshooting
180
Technical Specifications
181
General Monitor
183
Operating Modes
184
Strip Chart Recorder
191
Supplies & Accessories
193
General Add-Ons Ordering Information
195
Paper Supplies Ordering Information
195
Ultrasound Ordering Information
195
FECG Ordering Information
196
Tocotransducer Ordering Information
196
IUPC Ordering Information
196
MECG Ordering Information
197
NIBP Ordering Information
197
Mspo 2 Ordering Information
198
Peripheral Device Ordering Information
198
Factory Defaults
199
Table of Defaults
201
Fetal Movement Detection
207
Introduction
209
Availability
209
Methodology
209
Using Fetal Movement Detection While Monitoring
209
Enabling/Disabling Fetal Movement Detection
209
Display Indicator
210
Strip Chart Annotation
210
Using the FM Remote Marker to Complement the Patient Record
210
Spectra Alerts
213
Important Safety Information
215
Using the Spectra Alert Option
216
Enabling/Disabling Spectra Alerts
216
Methodology
216
Alert Indications
218
Active Alerts
218
Silencing Alerts
218
Resolved Alerts
219
Alert Suspension Feature
219
Enabling/Disabling the Alert Suspension Feature
219
Suspending Audio Alerts (and the Nurse Call Interface
219
Restoring Audio Alerts (and the Nurse Call Interface
219
Alert Parameters Summary
221
Resetting Alerts
224
False Pattern Recognition
224
Mode Switching
224
Trend Screen
225
Uterine Contraction Frequency
225
Enabling/Disabling UC Frequency Display
226
UC Frequency in UA Display Area
226
UC Frequency Histogram
227
Enabling/Disabling UC Chime
227
Nurse Call Interface
228
Alert Parameters
229
Frequently Asked
235
Questions
235
Faqs
237
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Service Manual
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GE Corometrics 250cx Series Specifications
General
Brand
GE
Model
Corometrics 250cx Series
Category
Medical Equipment
Language
English
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