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GE Cardiocap 5 Service Manual

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    Overview 
    Mechanics 
    Dimension:  330 mm × 220 mm × 300 mm (width × depth × height) 
    Weight:  
    						
    							
    Cardiocap/5 Technical Reference Manual 
    1.6.5 Impedance respiration 
    Respiration range:  4 to 120 respirations/minute 
    Accuracy:  ± 5% or ± 5 bpm 
    1.6.6 Pulse oximetry, standard 
    Display update time:  5 seconds 
    Averaging time:  adjustable 
    Plethysmographic waveform scaling:  adjustable 
    SpO2 
    Calibration range:  50 to 100% 
    Calibrated against functional saturation 
    Measurement range:  40 to 100% 
    Measurement accuracy (% SpO2 ±1 SD):  
    80 to 100% ± 2 digits; 
    50 to 80% ± 3 digits;  
    Below 50% unspecified 
    NOTE: SpO2 measurement accuracy is based on deep hypoxia studies using Datex-Ohmeda FingerSat 
    sensors on volunteered subjects. Arterial blood samples were analyzed by a Radiometer OSM 
    CO-oximeter. Refer to the sensor instructions for specific SpO2 accuracy data. 
    Pulse rate 
    Measurement range:  30 to 250 bpm 
    Measurement accuracy:  ± 5% or ± 5 bpm 
    Default alarm limits 
    SpO2:  high Off, low 90% 
    Pulse rate:  high 160, low 40 
    NOTE:  Limits are adjustable. 
    Sensor emitter wavelength ranges 
    Red LED:  660 nm 
    Infrared LED:  900 nm 
    1.7 Specifications for options 
    1.7.1 Classifications 
    According to IEC 60601-1 
    • CLASS I EQUIPMENT and INTERNALLY POWERED EQUIPMENT according to the type of 
    protection against electrical shock. 
    • TYPE BF or CF equipment according to the degree of protection against electric shock is 
    indicated by a symbol beside each patient connector. 
    • Degree of protection against harmful ingress of water as detailed in the IEC 60529: 
    Monitor: IPX1, vertically falling water drops shall have no harmful effects (applicable when the 
    monitor is in upright position, or tilted backwards). In the protective case IPX4, splash proof, 
    only when the case is closed properly, the monitor is intact and operates on battery power. 
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    Overview 
    Power adapter: IPX0, ordinary equipment. 
    Power adapter for Transport Vehicles: IPX1. 
    • EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANAESTHETIC MIXTURE with 
    air or with oxygen or nitrous oxide. 
    • CONTINUOUS OPERATION according to the mode of operation. 
    • CISPR 11: Group 1, Class A.  
    Group 1 contains all ISM (Industrial, scientific and medical) equipment in which there is 
    intentionally generated and/or used conductively coupled radio-frequency energy which is 
    necessary for the internal functioning of the equipment itself. 
    Class A equipment is suitable for use in all establishments other than domestic and those 
    directly connected to the public low-voltage power supply network that supplies buildings used 
    for domestic purposes.  
    Classification according to EU Medical Device Directive 
    • The monitor is classified as IIb. 
    1.7.2 Pulse oximetry, Datex-Ohmeda enhanced (N-XOSAT) 
    Display update time:  5 seconds 
    Averaging time:  12 seconds 
    Plethysmographic waveform scaling:  automatic 
    SpO2  
    Calibration range:  70 to 100% 
    Calibrated against functional saturation 
    Measurement range:  1 to 100% 
    Measurement accuracy (% SpO2 ±1 SD):  
    70 to 100% ± 2 digits 
    70 to 100% ± 3 digits during conditions of clinical patient motion 
    Below 70% unspecified 
    NOTE: SpO2 measurement accuracy is statistically derived and correlated to simultaneous arterial 
    blood gases measured on a Radiometer OSM3 CO-oximeter. Refer to the sensor instructions for 
    specific accuracy data. 
    Pulse rate 
    Measurement range:  30 to 250 bpm 
    Measurement accuracy:  ± 2% or ± 2 bpm (whichever is greater) 
    Default alarm limits 
    SpO2:  high Off, low 90% 
    Pulse rate:  high 160, low 40 
    NOTE:  Limits are adjustable.  
    Sensor emitter wavelength ranges 
    Red LED:  650 to 665 nm 
    Infrared LED:  930 to 950 nm 
    Average power:  ≤ 1 mW 
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    Cardiocap/5 Technical Reference Manual 
    1.7.3 Pulse oximetry, Nellcor compatible (N-XNSAT) 
    Display update time:  5 seconds 
    Averaging time:  5 to 7 seconds 
    Plethysmographic waveform scaling:  automatic 
    SpO2  
    Calibrated against functional saturation 
    Measurement range:  1 to 100% 
    Measurement accuracy (% SpO2 ±1 SD): 
    70 to 100% (± 2 digits to ± 3.5 digits, depending on the sensor) 
    Below 70% unspecified 
    See the Users Reference Manual (Pulse Oximetry chapter) for a list of approved sensors and accuracy 
    details. 
    NOTE: SpO2 measurement accuracy is based on testing healthy adult volunteers in induced hypoxia 
    studies.  
    Pulse rate 
    Measurement range:  30 to 250 bpm 
    Measurement accuracy:  ± 3 digits 
    Default alarm limits 
    SpO2:  high Off, low 90% 
    Pulse rate:  high 160, low 40 
    NOTE:  Limits are adjustable. 
    Sensor emitter wavelength ranges 
    Red LED:  660 nm 
    Infrared LED:  920 nm 
    1.7.4 Invasive blood pressure (N-XP) 
    Measurement range:  –40 to 320 mmHg (-5.3 to 42.7 kPa) 
    Measurement accuracy:  ± 5% or ± 2 mmHg 
    Transducer sensitivity:  5 µV/V/mmHg, 5 Vdc, max 20 mA 
    Pulse rate 
    Measurement range:  30 to 250 bpm 
    Accuracy:  ± 5% or ± 5 bpm 
    1.7.5 Airway gases (N-XC, N-XCO, and N-XCAiO) 
    Accuracy specifications apply in normal conditions. 
    General 
    Airway humidity:  0 to 100%, condensing 
    Sampling rate:  200 ± 20 ml/min. (sampling line 2, 3 and 6 m, normal conditions) 
    Sampling delay:  2.5 seconds typical with a 3 m sampling line 
    3.4 seconds typical with a 6 m sampling line 
    Total system response time:  2.9 seconds typical with a 3 m sampling line, including sampling delay 
    and rise time 
     4.4 seconds typical with a 6 m sampling line 
    Value update rate:  breath-by-breath 
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    Overview 
    Automatic compensation for pressure, CO2-N2O and CO2-O2 collision broadening effect 
    Warm-up time:   
    2 minutes for operation with CO2, O2, and N2O 
    5 minutes for operation of anesthetic agents 
    30 minutes for full specifications 
    Autozeroing interval:   
    immediately after “Calibrating gas sensor” message and  
    2, 5, 10, 15, 30, 45, 60 minutes after start-up, then every 60 minutes  
    Respiration rate (RR) 
    Measurement range:  4 to 60 breaths/minute 
    Detection criteria:  1 % variation in CO2  
    Carbon Dioxide (CO2), Oxygen (O2), and Nitrous Oxide (N2O) 
    Measurement Carbon Dioxide (CO2) Oxygen (O2) Nitrous Oxide (N2O) 
    Range 0 to 15 vol%, (0 to 15 kPa) 
    (0 to 113 mmHg) 
    0 to 100% 0 to 100% 
    Rise time < 400 ms typical < 400 ms typical < 400 ms typical 
    Accuracy  
    (typical value) 
    ± (0.2 vol% + 2 % of reading) ± (1 vol% + 2 % of 
    reading) 
    ± (2 vol% + 2% of reading) 
    (0%< N2O
    						
    							
    Cardiocap/5 Technical Reference Manual 
    MAC 
    Range:  0 to 9.9 MAC 
    Equation: 
    MAC(AA)=%(ETAA)
    x(AA)
    ETNO
    100
    2+%
     
    where x(AA): Hal = 0.75%, Enf = 1.7%, Iso = 1.15%, Sev = 2.05%, Des = 6.0%. 
    Normal conditions 
    After 30-minute warm-up period: 
    Ambient temperature:  18 to 28 °C, within ± 5 °C of calibration 
    Ambient pressure:  500 to 800 mmHg, ± 50 mmHg of calibration 
    Ambient humidity:  20 to 80% RH, ± 20% RH of calibration 
    Non-disturbing gases: 
    Ethanol C2H5OH (< 0.3%) 
    Acetone (< 0.3%) 
    Methane CH4 (< 0. 3%) 
    Nitrogen N2 
    Carbon monoxide CO 
    Nitric oxide NO (< 200 ppm) 
    Water vapor 
    Maximum effect on readings: 
    CO2 < 0.2 vol% 
    O2, N2O < 2 vol% 
    Anesthetic agents < 0.15 vol% 
    Effect of helium:  decreases CO2 readings < 0.6 vol% typically 
     decreases O2 readings < 3 vol% typically 
    Effect of Xenon: decreases CO2 readings < 0.4 vol% typically 
    Effect of anesthetic agents to monitors without anesthetic measurement: 
     decreases CO2 readings < 0.5 vol% typically  
    Conditions exceeding normal 
    Accuracy specifications under conditions n o p q: 
    n Ambient temperature:  10 to 40 °C, within ± 5 °C of calibration 
    Ambient pressure: 500 to 800 mmHg, ± 50 mmHg of calibration 
    Ambient humidity: 10 to 98% RH, ± 20% RH of calibration (non-condensing) 
    Respiration rate: 35 to 60 breaths per minute 
    o During warm-up, 2 to 10 minutes (anesthetic agents 5-10 minutes) under normal conditions 
    p During warm-up, 10 to 30 minutes under normal conditions 
    q N2O > 85% 
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    Overview 
      
    Parameter Accuracy under Condition n 
    CO2  ± (0.3 vol% + 4% of reading); at 5 vol% error ± 0.5 vol% 
    O2  ± (2 vol% + 2% of reading) 
    N2O  ± (3 vol% + 3% of reading 
    Agents (Des, Enf, Hal, Iso, Sev) ± (0.2 vol% + 10% of reading) 
      
    Parameter Accuracy under Condition o 
    CO2  ± (0.4 vol% + 7% of reading); at 5 vol% error ± 0.75 vol% 
    O2  ± (3 vol% + 3% of reading) 
    N2O  ± (3 vol% + 5% of reading) 
    Agents (Des, Enf, Hal, Iso, Sev) ± (0.3 vol% + 10% of reading) 
      
    Parameter Accuracy under Condition p 
    CO2  ± (0.3 vol% + 4% of reading); at 5 vol% error ± 0.5 vol% 
    O2  ± (2 vol% + 2% of reading) 
    N2O  ± (3 vol% + 3% of reading 
    Agents (Des, Enf, Hal, Iso, Sev) ± (0.2 vol% + 10% of reading) 
      
    Parameter Accuracy under Condition q 
    N2O  ± (2 vol% + 8% of reading) 
    1.7.6 Patient Spirometry (N-XV) 
    Accuracy specifications apply in normal conditions. 
    After 10-minute warm-up period 
    Ambient temperature:  10 to 40 °C 
    Ambient pressure:  500 to 800 mmHg 
    Ambient humidity:  10 to 98% RH 
    Airway humidity:  10 to 100% RH 
    Respiration rate:  4 to 35 breaths/minute (adult); 4 to 50 breaths/minute (pediatric) 
    I:E ratio:  1:4.5 to 2:1 
    Intubation tube:  5.5 to 10 mm (adult); 3 to 6 mm (pediatric) 
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    Cardiocap/5 Technical Reference Manual 
    Detection through D-lite™ or Pedi-lite™ flow sensor and gas sampler: 
    Measurement D-lite flow sensor (adult) Pedi-lite flow sensor (pediatric) 
    Tidal volume 
    Measurement range 
    Resolution 
    Accuracy (typical value) 
     
    150 to 2000 ml 
    1 ml 
    ± 6% or 30 ml (whichever is 
    larger) 
     
    15 to 300 ml 
    1 ml 
    ± 6% or 4 ml (whichever is 
    larger) 
    Minute volume 
    Measurement range 
    Resolution 
    Accuracy (typical value) 
     
    2 to 20 l/minute 
    0.1 l/minute 
    ± 6% 
     
    0.5 to 5 l/minute 
    0.1 l/minute 
    ± 6% 
    Airway pressure (Paw) 
    Measurement range 
    Resolution 
    Accuracy (typical value) 
     
    –20 to +100 cmH2O 
    0.5 cmH2O 
    ± 1 cmH2O 
     
    –20 to +100 cmH2O 
    0.5 cmH2O 
    not applicable 
    Airway flow 
    Measurement range 
    (for both directions) 
     
    1.5 to 100 l/minute 
     
    0.25 to 25 l/minute 
    Compliance 
    Measurement range 
    Resolution 
     
    4 to 100 ml/cmH2O 
    1 ml/cmH2O 
     
    1 to 100 ml/cmH2O 
    0.1 ml/cmH2O 
    Airway resistance (Raw) 
    Measurement range 
    Resolution 
     
    0 to 40 cm H2O/l/second 
    1 cmH2O/ l/s 
     
    0 to 40 cm H2O/l/second 
    1 cmH2O/ l/s 
    Sensor specifications 
    Dead space 
    Resistance at 30 l/minute 
    Resistance at 10 l/minute 
     
    9.5 ml 
    0.5 cmH2O 
    not applicable 
     
    2.5 ml 
    not applicable 
    1.0 cmH2O 
    Conditions exceeding normal 
    Accuracy specifications during warm-up (first 2 to 10 minutes after power is turned on):  
    Airway pressure (Paw) accuracy:  ± 2 cmH2O 
    Tidal volume accuracy:  ± 10% or 100 ml (adult); ± 10% or 10 ml (pediatric) 
    1.7.7 NeuroMuscular Transmission (N-XNMT) 
    NMT stimulation modes 
    Stimulation modes 
    Train of four (TOF) 
    Double burst, 3.3 (DBS) 
    Single twitch (ST) 
    50 Hz tetanic + post tetanic count (PTC) 
    Measurement intervals (TOF and DBS):  manual; 10 seconds, 12 seconds, 15 seconds, 20 seconds,  
    1 minute, 5 minutes, 15 minutes 
    Measurement intervals (ST): manual; 1 second, 10 seconds, 20 seconds 
    1-20  
    						
    							
    Overview 
    Stimulator 
    Stimulus pulse:  Square wave, constant current 
    Pulse width:  100, 200 or 300 µs 
    Stimulus current range (supramax and manual):  10 to 70 mA with 5 mA steps 
    Stimulus current accuracy:  10% or ±3 mA (whichever is greater) 
    Maximum load:  3 kΩ 
    Maximum voltage:  300 V 
    Regional block mode 
    Stimulation modes:  Single twitch 
    Intervals:  1 second, 2 seconds, 3 seconds 
    Stimulus pulse:  Square wave, constant current 
    Pulse width:  40 µs 
    Stimulus current range:  0 to 5.0 mA with 0.1 mA steps 
    Stimulus current accuracy:  20% or 0.3 mA (whichever is greater) 
    1.7.8 Recorder (N-XREC) 
    Principle:  thermal array 
    Print resolution 
    Vertical:  8 dots/mm (200 dots/inch) 
    Horizontal:  32 dots/mm (800 dots/inch) at speed of 25 mm/second and slower 
    Paper width:  50 mm, printing width 48 mm 
    Traces:  selectable; 1, 2, or 3 traces 
    Print speed:  1, 6.25, 12.5, 25 mm/second 
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