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GE HEALTHCARE E-PRESTN, Technical Manual

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Table of contents

                                                             14 - 1

 

2062973-004

Table of contents

1

Product overview

14-1

1.1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-1

1.2

Measurement principle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
1.2.1 Nerve stimulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
1.2.2 Tetanic/PTC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
1.2.3 Response measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-3
1.2.4 EMG measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-3
1.2.5 MechanoSensor measurement  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-3
1.2.6 Regional block  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-3

1.3

Main components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-4
1.3.1 Controls and connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-4
1.3.2 NMT board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-4
1.3.3 Stimulator  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-5

2

Configuration

14-6

3

Maintenance and checkout

14-7

3.1

Visual inspections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-7

3.2

Electrical safety tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-7

3.3

Functional check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-8
3.3.1 Test setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-8
3.3.2 NMT tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-8
3.3.3 Test completion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-9

4

Calibration and adjustments

14-10

5

Troubleshooting

14-11

5.1

Visual inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-11

5.2

Troubleshooting checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-11

5.3

Service interface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-12
5.3.1 Device information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-12
5.3.2 Log files  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-12

5.4

Messages  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-13

6

Disassembly and reassembly

14-15

6.1

Disassembly guidelines  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-15
6.1.1 ESD precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-15
6.1.2 Before disassembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-15
6.1.3 Required tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16

6.2

Disassembly and reassembly procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16
6.2.1 Replacing the front cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16
6.2.2 Replacing the NMT board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16
6.2.3 Reassembling the module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16

Summary of Contents for E-PRESTN

Page 1: ... device to sale by or on the order of a licensed medical practitioner Outside the USA check local laws for any restriction that may apply All specifications subject to change without notice English Order code 2062973 004 paper October 5 2016 2013 2016 General Electric Company All rights reserved ...

Page 2: ......

Page 3: ...v Rev 01 4 Pressure Module E P Pressure Temp Module E PT Dual Pressure Module E PP 5 Masimo Module E MASIMO 6 Nellcor Compatible Saturation Module E NSATX 7 Respiratory Modules E sCAiOVX E sCAiOV E sCAiO E sCOVX E sCOV E sCO 8 Compact Airway Modules E CAiOVX E CAiOV E CAiO E COVX E COV and E CO 9 Single width Airway Module E miniC 10 Entropy Module E ENTROPY Rev 01 11 EEG Module E EEG and EEG Head...

Page 4: ...Module Frames and Modules 2062973 004 For your notes ...

Page 5: ... 1 Intended use of the manual 1 1 1 2 Intended audience of the manual 1 1 1 3 Third party trademarks 1 1 1 4 ESD awareness 1 1 1 5 Service requirements 1 1 1 5 1 Equipment identification 1 2 1 5 2 Serial number label 1 2 1 5 3 Device plate location 1 3 1 5 4 Access to Webmin 1 3 ...

Page 6: ...Module Frames and Modules 1 ii 2062973 004 ...

Page 7: ...chnical personnel who install maintain troubleshoot or repair this device 1 3 Third party trademarks All other product and company names are the property of their respective owners 1 4 ESD awareness The system complies with IEC 60601 1 2 2001 A 2004 In accordance with IEC 60601 1 2 modules marked with the ESD warning symbol IEC 60417 5134 require user training in ESD awareness and prevention as fo...

Page 8: ...a unique serial number for identification A sample of the information found on a serial number label is shown below 1 5 2 Serial number label An example of a serial number label of an E module is shown below Description A product code B year manufactured C fiscal week manufactured D production sequence number E manufacturing site F miscellaneous characteristic Description TYPE Device type e g E NM...

Page 9: ...nd module frames The device plate is located beside the docking rails of the E PSM and E PSMP modules and on the left side of the plug in E modules Figure 2 Device plate location E PSM and E modules 1 5 4 Access to Webmin Webmin can be accessed locally through the CARESCAPE monitor or remotely from a configured service laptop connected to the CARESCAPE monitor For information about Webmin see the ...

Page 10: ...Module Frames and Modules 1 4 2062973 004 For your notes ...

Page 11: ...2 Hemodynamic Modules E PRESTN E RESTN E PRETN Rev 00 E PSMP E PSM Rev 01 Technical Manual ...

Page 12: ......

Page 13: ... 1 1 Configuration 2 20 3 Maintenance and checkout 2 22 3 1 Replacement of planned maintenance parts 2 22 3 1 1 Required parts 2 22 3 1 2 Replacement procedures 2 22 3 2 Visual inspections 2 22 3 3 Electrical safety tests 2 23 3 4 Functional check 2 23 3 4 1 Setup 2 23 3 4 2 ECG tests 2 27 3 4 3 Impedance respiration tests 2 27 3 4 4 Invasive pressure tests 2 28 3 4 5 Temperature tests 2 28 3 4 6 ...

Page 14: ... 6 1 2 Before disassembly 2 50 6 1 3 Required tools 2 51 6 2 Disassembling and reassembling procedure E PRESTN E PRETN E RESTN 2 51 6 2 1 Removing the pump unit 2 57 6 2 2 Replacing the NIBP air filter 2 58 6 3 Disassembling and reassembling procedure E PSMP and E PSM 2 58 6 3 1 Removing the pump unit 2 62 6 3 2 Removing the manifold unit 2 63 6 3 3 Removing the module bus connector 2 64 6 3 4 Rep...

Page 15: ...PRESTN Equipment safety symbols Safety symbol for the E PSMP and E PSM modules Parameter E PSMP E PSM E PRESTN E RESTN E PRETN ECG X X X X X Impedance respiration X X X X X Two invasive blood pressures X X X Two temperatures X X X X X Pulse oximetry X X X X NIBP X X X X X This symbol on the module refers to defibrillator precautions To ensure protection against the effects of cardiac defibrillator...

Page 16: ...ood pressure To measure invasive blood pressure a catheter is inserted into an artery or vein The invasive pressure setup consisting of a connecting tubing a pressure transducer an intravenous bag of normal saline all connected together by stopcocks is attached to the catheter The transducer is placed at the same level with the heart and is electrically zeroed The transducer is a piezo resistive d...

Page 17: ...ers use the component of light absorption giving variations synchronous with heart beat as primary information on the arterial saturation A general limitation of pulse oximetry is that due to the use of only two wavelengths only two hemoglobin species can be discriminated by the measurement The modern pulse oximeters are empirically calibrated either against fractional saturation SaO2frac Formula ...

Page 18: ... of the plethysmographic pulse wave The signals are filtered to reduce noise and checked to separate artifacts Figure 2 Absorption of infrared light in the finger Figure 3 Pulse oximetry probe parts layout and schematic diagram PSM_absorption_of_infrared vsd Emitter Detector SpO2 sensor connector IRED RED ...

Page 19: ...ng blood pressure The NIBP measurement is performed according to the oscillometric measuring principle The cuff is inflated with a pressure slightly higher than the presumed systolic pressure and deflated at a speed based on the patient s pulse collecting data from the oscillations caused by the pulsating artery Based on these oscillations values for systolic mean and diastolic pressures are calcu...

Page 20: ...ents Starts a single NIBP measurement and cancels any measurement Zero P1 Zero P2 E PRESTN E PRETN Zeroes P1 Zeroes P2 Connector Module Description NIBP E PRESTN E PRETN E RESTN NIBP connector black P1 P2 E PRESTN E PRETN InvBP connector red T1 T2 E PRESTN E PRETN E RESTN Temperature connector brown SpO2 E PRESTN E RESTN SpO2 connector blue ECG E PRESTN E PRETN E RESTN ECG and impedance respiratio...

Page 21: ...nts Starts a single NIBP measurement and cancels any measurement Zero P1 Zero P2 E PSMP Zeroes P1 Zeroes P2 Connector Module Description NIBP E PSM E PSMP NIBP connector black P1 P2 E PSMP InvBP connector red T1 T2 E PSM E PSMP Temperature connector brown SpO2 E PSM E PSMP SpO2 connector blue ECG E PSM E PSMP ECG and impedance respiration connector green Tab for removing the module E PSM E PSMP De...

Page 22: ...IBP board provides also the synchronization signal for the ECG and STP board power supplies There are two input boards the STP input board and the ECG input board attached to the front panel of the module The front panel has five connectors and four keys There is one connector for two temperature measurements one for two invasive blood pressure measurements one for ECG one for NIBP and one for SpO...

Page 23: ...otection resistors The connector for the ECG cable is a green 11 pin rectangle shaped connector Input protection and filtering The input protection is implemented with high voltage protection resistors in the ECG input unit and with protection diodes in the ECG board The input filtering for ECG measurement is done with passive RC filtering ECG preamplifiers The buffer amplifiers are used for each ...

Page 24: ...le chip microcomputer It contains 128 kbytes of flash memory and 4 kbytes of RAM The clock frequency is 16 MHz RS485 communication The communication to the CPU board of the monitor uses RS485 protocol The RS485 driver circuits are optically isolated from the processor of the module Power supply The ECG board has a driver controlled half bridge switching power supply with 5 kV isolation The supply ...

Page 25: ... 1 3 4 STP board Figure 7 STP board block diagram Microprocessor unit The CPU is a 16 bit H8 3052 single chip microcomputer It contains 128 kbytes of flash memory and 4 kbytes of RAM The clock frequency is 16 MHz High speed I O is used to obtain a pulse control sequence necessary for pulse oximetry measurement Timing for the clock is from the oscillator ...

Page 26: ...rd through an A D converter Figure 8 Temperature measurement principle Invasive blood pressure measurement unit An isolated 5 V voltage is supplied to the pressure transducer The differential voltage which depends on the pressure and the supplied voltage is calculated from the bridge connection see the formula below Uout Uin pressure 5 μV where Uin is 5 V Uout 25 μV pressure mmHg Pressure amplific...

Page 27: ...ermined sequence LED driving circuit Differential amplifiers measure the LED currents LED current indication of the SpO2 probe over the shunt resistors placed in the LED current paths The LED driving voltages LED voltage indication are measured from the driver circuitry The LED driving circuits also have MOSFET transistor matrix to enable the use of different probe configurations Measured signal p...

Page 28: ...ex the detector signal to four different channels depending on the content of the signal The detector signal must at least multiplex into infrared and red signals Other channels are e g for diagnostic purposes Serial communication An RS485 type bus driver makes the serial communication between the module and the frame The data transmission rate is 500kbps ...

Page 29: ...is made on each board with the switching power supplies connected to a high voltage isolated transformer The switching power supplies on the STP and ECG boards are synchronized to the frequency about 340kHz of the switching power supply on the NIBP board The NIBP board supplies non isolated 5 V to the ECG and STP boards The module uses only Vmod 13 8 16 V voltage of the frame The other voltages of...

Page 30: ...lled with an H8 3052 microprocessor at 16 MHz oscillator frequency Memory The NIBP program memory processor flash memory size is 512k x 8 The processor has 4 kBytes RAM and there is also an external RAM memory the size of which is 128k x 8 Variable values of the NIBP measurement are stored into the external RAM The EEPROM size is 512 x 8 and it is used to store the calibration values for the press...

Page 31: ...ed with its own power up reset See the section in the ECG board s description RS485 communication Safety circuit The NIBP board is equipped with an independent safety circuit to disconnect supply voltages from the pump and the valves if the cuff has been pressurized longer than the preset maximum measurement time or if the pressure of the cuff is inflated over the specified pressure limit The maxi...

Page 32: ...ure the blood pressure of the patient 4 Safety valve The safety valve is intended to be used for deflating the cuff in single fault case i e to prevent too long a measurement time or too high an inflation pressure of the cuff 5 Main pressure sensor for measuring the pressure of the blood pressure cuff and the pressure fluctuations caused by arterial wall movement 6 Safety pressure sensor for detec...

Page 33: ...r supply section of the NIBP board All connections are established via a module bus connector The module needs a 15 V power supply to operate The supply voltage 15V is generated in the power supply section of the monitor The other voltages needed for the operation of the NIBP measurement are made on the NIBP board ...

Page 34: ...rom the monitor except the one you are configuring NOTE The STP TP ST setting can be configured only for one module at a time Presence of several modules may cause the configuration to fail 2 Log on to the Webmin application 3 Select the Configuration tab 4 Select Modules STP TP ST setting 5 Check the current configuration for the PRESTN PRETN RESTN PSM PSMP modules If the current configuration is...

Page 35: ...ll come into effect only after the module is restarted To restart the module 1 Disconnect the configured module and wait for approximately 5 seconds 2 Reconnect the configured module 3 Refresh the web browser to update the Webmin page 4 Check that the current configuration is now correct for the module 5 Reconnect all other modules ...

Page 36: ...ent procedures Replace the air intake filter according to the procedure described in section 6 2 2 Replacing the NIBP air filter E PRESTN E PRETN and E RESTN and section 6 3 4 Replacing the NIBP air filter E PSMP and E PSM 3 2 Visual inspections Detach the module from the module slot and check that the front cover is intact that all connectors are intact and are attached properly that the module b...

Page 37: ...nd Patient sink leakage current test Record the values of the tests on the Maintenance check form on page 2 79 3 4 Functional check Turn the monitor on Wait until the normal monitoring screen appears 3 4 1 Setup Required tools ECG Impedance respiration A multiparameter patient simulator Multi Link 12 lead ECG trunk cable IEC or AHA Multi Link 5 leadwire set IEC or AHA Multi Link 5 leadwire set C2 ...

Page 38: ...ent simulator with its invasive pressure adapter cables to the dual invasive pressure adapter cable NOTE Pay attention to the invasive pressure connector places in the dual connector of the adapter cable Temperature 1 Connect the dual temperature adapter cable to the brown temperature connector in the module 2 Connect the multiparameter patient simulator with its temperature adapter cables to the ...

Page 39: ...onfigure Pacemaker Detection Show Primary HR source Auto Impedance respiration 1 Configure the Resp waveform field to the monitor screen with adequate priority 2 Select the Setup tab in the Impedance Respiration menu and configure Respiration Measurement On Resp Rate Source Impedance NOTE To select these settings the module must be connected the Resp waveform must be displayed and the ECG leads mu...

Page 40: ...o the monitor screen with adequate priority NIBP 1 Configure the NIBP parameter window to the monitor screen with adequate priority 2 Select the Setup tab in the Non Invasive Blood Pressure menu and configure Inflation Limits Auto Simulator configuration NOTE Refer to the simulator documentation for details on how to use and configure the simulator ECG Configure ECG settings as follows ECG rhythm ...

Page 41: ...ure the simulator to output Asystole b Check that the Asystole alarm appears to the monitor screen c Configure the simulator to show 80 beats per minute Normal Sinus Rhythm 4 Leads Off Detection a Detach the RA R leadwire from the simulator b Check that the Lead II waveform disappears from the ECG1 waveform field and a message RA R lead off is shown momentarily c Check that Lead II is replaced by ...

Page 42: ...veforms a Configure the simulator s InvBP output channel to Arterial 120 80 b Check that the pressure waveform for tested invasive pressure channel appears in the Px waveform field and the Sys Dia Mean pressure values are shown in the related parameter window 12 Mark this task as complete on the checkout form 3 4 5 Temperature tests Perform the following test step both to the T1 and to the T2 temp...

Page 43: ...can then measure how accurately a particular pulse oximeter monitor is reproducing that calibration curve c Mark this task as complete on the checkout form 3 4 7 NIBP tests 15 NIBP Leak Test a Check the NIBP tubing system for leakages b Select Monitor Setup Service Calibrations c Enter the User Name and the Password and press Enter to get into the Calibrations menu d Select NIBP e Select Start to ...

Page 44: ...hat the module identifies the hose by showing a Select inflation limits message in the NIBP field c Press the Start Cancel module key in the module to start a NIBP measurement The monitor shall automatically open the NIBP Setup Menu and ask the user to manually select the inflation limits 18 Mark this task as complete on the checkout form 3 4 8 Test completion Select Discharge patient or Reset cas...

Page 45: ...r supplemental information manual delivered with the manual for compatible accessories NOTE Pressure transducer is a key component in the measurement setup If possible perform the invasive pressure calibration with the same type of pressure transducer that is used in daily clinical use NOTE Use only accurate properly maintained calibrated and traceable calibration tools for the parameter calibrati...

Page 46: ...d by a message Zero Ok 8 Pump a 200 mmHg 100 mmHg static pressure with the pressure pump when a message Create 200 mmHg pressure is shown The pressure measured by the module is updated in real time to the calibration menu 9 When the pressure is stabilized check the pressure reading from the manometer 10 Use the up down spinner control in the calibration menu to adjust the reading measured by the m...

Page 47: ...dapter cable NOTE Use only accurate properly maintained calibrated and traceable calibration tools for the parameter calibration to ensure measurement accuracy NOTE See the CARESCAPE monitor supplemental information manual for compatible accessories Connections Ensure that the module is connected to the monitor Connect the dual temperature adapter cable to the brown temperature connector in the mo...

Page 48: ...libration plug labelled with TEMP 45 C 113 F to the dual temperature adapter cable connector T1 temperature channel T1 or T2 temperature channel T2 9 Wait until the value is shown in the Temperature C field and select Confirm 10 Wait until calibrated message is shown Repeat the above procedure steps 3 through 10 for the other temperature channel in the module NOTE If calibration is not preceded wi...

Page 49: ...ation tools for the parameter calibration to ensure measurement accuracy Connections Ensure that the NIBP measurement module is connected to the monitor Connect an adult NIBP hose to the black NIBP module connector Connect an adult NIBP cuff to the adult NIBP hose Wrap the NIBP cuff around a rigid cylinder or pipe Connect the pressure manometer with either an integrated or separate pressure pump t...

Page 50: ...d by the module is updated in real time to the calibration menu 7 When the pressure is stabilized check the pressure reading from the manometer 8 Use the up down spinner control in the calibration menu to adjust the reading measured by the module to match with the manometer reading 9 Select Confirm to complete the calibration when the 2 readings match each other NOTE Use the up down spinner contro...

Page 51: ...ure Set the calibration protection Off to restart the calibration NOTE A message Zero Failure is shown in case the zeroing fails NOTE The NIBP calibration protection selection must be inactivated with the module buttons Auto On Off and Start Cancel before NIBP measurement is re enabled NOTE A message Calibration Error is shown if you do not start inflating the pressure within 45 seconds after the ...

Page 52: ...ws are tightened properly NIBP tubing is attached properly cables are connected properly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit Ensure that the monitor is turned on and all modules are connected Check if there is any messages shown in the mess...

Page 53: ...onfig Information 4 Check that the STP TP ST setting for the module is correct 5 3 2 Device Information The Device Information shows the hardware and software information of the system and the modules Ensure that the module is connected to the monitor To view Device information 1 Log on to the Webmin application 2 Select the Information tab 3 Select Device Information 4 Check that the software and...

Page 54: ...tion Possible causes Possible solutions Remove one ECG module MF More than one ECG measurement module is connected to the monitor at the same time Ensure that only one ECG measurement module is connected to the monitor at a time Disconnect additional ECG measurement modules from the monitor ECG module error MF ECG module recognizes an internal communication problem Disconnect and reconnect the mod...

Page 55: ...the connector and reinsert it Noise Noisy ECG WF MF High frequency noise Unreliable HR calculation or distorted waveform possibly during defibrillation or because of motion artifacts See above XX YY lead off NOTE XX YY refers to IEC AAMI color and letter coding for electrodes MF WF One or more lead wires or electrodes are disconnected Other ECG leads are available for arrhythmia detection Check le...

Page 56: ...ad off LA L lead off LL F lead off WF PW One of the following lead wires or electrodes is disconnected RA LA or LL Check lead wire and electrode connections Small resp curve PW Signal amplitude 0 4 Ohm Check lead wire and electrode connections Apnea deactivated PW Apnea alarm start up conditions are not reached Apnea alarm detection is activated after the 5 breaths are detected Message Location Po...

Page 57: ...atic zeroing is completed Check the manometer reading to ensure that a static 100 300 mmHg pressure is present for calibration Replace the transducer and re calibrate Calibrated PW Calibration of an invasive pressure channel is completed successfully No actions Zeroing PW Zeroing of an invasive pressure channel is in progress Wait until zeroing is completed successfully Zeroing failed PW Pulsating...

Page 58: ... measurement removed MF The module is disconnected Reconnect the module Message Location Possible causes Possible solutions Probe off SpO2 probe off PW MF SpO2 probe is not connected to the patient Connect the SpO2 probe to the patient No probe No SpO2 probe PW MF SpO2 probe is not connected to the module Connect the SpO2 probe to the module Check probe Check SpO2 probe PW MF Red and infrared sign...

Page 59: ...side module Remove occlusion 2 Cuff hose and tubes OK Reason fault in pressure transducer Replace the NIBP board fault in A D converter Replace the NIBP board faulty calibration Check calibration NIBP cuff loose Cuff loose MF PW 1 Hose and or cuff not connected 1 Connect the hose and the cuff 2 Hose and cuff connected Reasons cuff loosely wrapped Tighten the cuff leakage inside the shield in the P...

Page 60: ...or valve s damaged Replace tubes valve s Check NIBP MF Systolic and or diastolic result is missing at the end of the entire measurement E M PRESTN and E PSM Maximum number of repeated inflations during a measurement is not displayed if there is one of the following alarms cuff loose cuff occlusion or air leakage Select inflation limits PW MF NIBP Cuff does not have an automatically detectable cuff...

Page 61: ... with increased pressure Unable to measure Dia Unable to meas PW Inflation pressure incorrect or artifactpreventingmeasurement Message indicates failed measurement Sys Dia Non Technical Check the patient status and cuff placement Perform a new measurement Unstable zero pressure PW NIBP Unstable zero pressure when cuff inflated Retry the measurement If the problem persists check the internal tubing...

Page 62: ...ration has completed successfully No actions Zero error PW Zeroing of the modules pressure sensors has failed Restart the measurement If problem persists recalibrate NIBP Calibration error PW NIBP calibration failed Recalibrate NIBP Zeroing PW Module is zeroing the pressure sensors Wait until zeroing is completed Calibrating PW Calibration process is ongoing See section 4 3 NIBP calibration Calibr...

Page 63: ... transducer adapter cable with the transducer to the module Configure the invasive pressure channel to the screen Monitor Setup Screen Setup with adequate priority and check that it is active Problem Possible causes Possible solutions No temperature displayed Temperature channel not configured to the screen with adequate priority Incompatible temperature probe STP TP ST setting incorrect Faulty te...

Page 64: ...ing guidelines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors Wear a grounded antistatic wristband or heel strap at all times while handling or repairing assemblies containing semicondu...

Page 65: ...snaps that hold the front cover to the front chassis Then follow the disassembly instructions antistatic wristband pincers flat blade screwdriver torx screwdrivers T6 T8 and T10 1 Remove the two screws T10 holding the module cover to the module frame from the back of the module 2 While pressing the release latch pull the module cover slowly backwards and remove it from the main body NOTE When reas...

Page 66: ...assembling push the ECG board a little to ensure that the insulator plates are correctly reassembled Guide the upper plate inside the lips of the lower plate Lift the ECG board a little and disconnect the module bus connector from the ECG board Carefully lift the board together with the ECG input unit up Turn the ECG board 180 degrees around the input unit ...

Page 67: ...board Lift the ECG STP board insulator plate up Disconnect the module bus connector from the STP board Flip the module upside down and disconnect the STP input flex connector through the hole in the module frame Flip the module over again Remove the STP board NOTE When reassembling be care full not to damage the STP input flex Make sure the STP input flex connector is properly connected ...

Page 68: ... manifold NOTE Note the positions of the hoses mark them if necessary to ensure they are replaced correctly Flip the module over again Lift the NIBP board carefully and disconnect the module bus connector pump connector and NIBP flex connector from the NIBP board Remove the NIBP board 6 Removing the module bus connector Remove the two screws T8 holding the connector to the frame ...

Page 69: ...eassemble them Releasing the NIBP flex board Disconnect the hoses 2 pcs from the manifold and lift them up from the holders to release the NIBP flex board NOTE Note the positions of the hoses mark them if necessary to ensure they are replaced correctly Pull the NIBP flex board through the frame Remove the three screws T8 holding the front chassis to the module frame Detach the front chassis unit f...

Page 70: ...disconnect the membrane keyboard flex Remove the two T6 screws holding the manifold to the Front chassis Disconnect the NIBP flex board connector from the STP input board Lift the manifold carefully aside Be careful not to damage the NIBP flex board NOTE When reassembling make sure that the NIBP flex board is properly connected all pins connected to the STP input board ...

Page 71: ...connected properly there are no loose objects inside the module 6 2 1 Removing the pump unit 1 Follow the disassembly instruction steps 1 and 2 2 Remove the four screws T6 with washers holding the NIBP pump to the frame 3 Remove the screw T6 holding the pump connector board to the insulator plate and lift the board up Disconnect the pump connector 4 Disconnect the hoses and remove the pump unit NO...

Page 72: ...nstruction steps 1 and 2 2 Remove the NIBP air filter cover and replace the filter 1 Remove the four screws T8 holding the module cover to the frame from the bottom of the module 2 Hold the cover from the back corners lift it about 45 to unlock the snaps from the front unit and pull the cover out backwards NOTE Be careful not to damage the seal When reassembling the seal may stick to the cover ...

Page 73: ...nector and NIBP flex connector Disconnect the hoses 2 pcs coming from the manifold NOTE Note the positions of the hoses mark them if necessary to ensure they are replaced correctly Remove the NIBP board 4 Disconnect the air intake hose from the NIBP manifold NOTE The lips of the insulator plates secure the module bus connectors While reassembling the insulator plates ensure that the connector secu...

Page 74: ...ove the STP board Carefully open the connector lock and then disconnect the STP input flex cable from the STP board NOTE When reassembling ensure that the flex cable is aligned properly and the connector is locked Lift the STP board a little to disconnect the module bus connector Remove the STP board ...

Page 75: ...or lock and then disconnect the ECG input flex cable from the ECG board NOTE When reassembling ensure that the flex cable is aligned properly and the connector is locked 9 Removing the ECG board While holding the ECG input unit out of the way lift the ECG board a little and disconnect the module bus connector Remove the ECG board 10 Remove the NIBP air filter cover and the filter If not removed al...

Page 76: ...e pump in reverse order Check that hoses are connected properly 11 Remove the four screws T6 with washers holding the NIBP pump to the frame 12 Flip the module over and remove the two T6 screws holding the lock unit to the frame While pulling the tab push the lockers with a screwdriver to remove the lock unit 13 Carefully lift up the front unit together with the NIBP pump carefully 14 Disconnect t...

Page 77: ...onnect the two T6 screws holding the manifold to the front cover unit 16 Open the connector lock from the NIBP flex board and disconnect the membrane keyboard flex 17 Lift the manifold carefully aside Be careful not to damage the NIBP flex board Disconnect the NIBP flex board connector from the STP input board NOTE When reassembling make sure that the NIBP flex board connector is connected properl...

Page 78: ...k that screws are tightened properly cables are connected properly there are no loose objects 18 Use a flat blade screwdriver to unlock the module bus connector insulator cover Put the screwdriver in the hole and move the blade backwards away from the flex cable until the insulator cover unlocks 19 Pull the module bus connector carefully through the hole in the frame ...

Page 79: ...RESTN E RESTN E PRETN E PSMP E PSM 2 65 2062973 004 6 3 4 Replacing the NIBP air filter Reassemble in reverse order 1 Follow the disassemble instruction steps 1 and 2 2 Remove the NIBP air filter cover and replace the filter ...

Page 80: ...eckout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing 7 1 Ordering parts To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand ...

Page 81: ...g M3x8mm WN1423 torx T10 flat countersunk head steel 2 Module Casing Double M1021037 3 NIBP Board PSM M1007747 4 STP NIBP insulator M1008207 5 E PRESTN Module bus connection board M1024653 6 SCREW for plastic PT 3x10mm WN1452 pan head steel zinc head Torx 10 head max 5mm 7 STP CO board PSM M1018406 8 ECG STP insulator M1008205 9 ECG Board PSM M1007722 ...

Page 82: ...LTER air filter 30um HDPE D 6 5mm d 3 3mm L 46mm M1221481 13 Filter cover M1020996 14 Membrane Keyboard E P RE S TN M1023085 15 see the list of front covers 16 Latch M1021039 17 Torsion Spring M1020935 18 Front Chassis including connectors E P RE S TN Spare Part M1033420 19 Front Chassis Unit E PRESTN M1027514 Item Description Order No ...

Page 83: ... pass soft ferrite for 16way flat cable solid 304508 21 Frame E P RE S TN M1023076 22 NIBP Pump Extension Wires E PRESTN M1027664 23 NIBP Manifold Unit E PRESTN M1027676 24 Washer 2 5x7 5x1 mm 25 E PRESTN NIBP pump connection board M1024369 26 NIBP Pump Unit E PSM P M1011858 27 Tube connector L piece 3mm white 73381 ...

Page 84: ...T E PRESTN M1027797 15 Front Cover JA E PRESTN M1027798 15 Front Cover FR E PRESTN M1027799 15 Front Cover NO E PRESTN M1027801 15 Front Cover NL E PRESTN M1027800 15 Front Cover PL E PRESTN M1027802 15 Front Cover PT E PRESTN M1027803 15 Front Cover SV E PRESTN M1027804 15 Front Cover CS E PRETN M1063517 15 Front Cover DA E PRETN M1027845 15 Front Cover DE E PRETN M1027846 15 Front Cover EN E PRE...

Page 85: ...67 15 Front Cover EN E RESTN M1027868 15 Front Cover ES E RESTN M1027869 15 Front Cover FI E RESTN M1027870 15 Front Cover FR E RESTN M1027871 15 Front Cover HU E RESTN M1046289 15 Front Cover IT E RESTN M1027880 15 Front Cover JA E RESTN M1027881 15 Front Cover NL E RESTN M1027882 15 Front Cover NO E RESTN M1027883 15 Front Cover PL E RESTN M1027884 15 Front Cover PT E RESTN M1027885 15 Front Cov...

Page 86: ...2 E PSM P 01 ECG Board FRU 8 ECG Board M1221541 E PSM P NIPB Pump FRU 9 NIPB Pump screws and washers M1221540 E PSM P 01 NIPB Manifold Unit FRU 15 NIPB Manifold Unit 14 Filter 13 Filter Cover M1221539 E PSM P Plastic Parts FRU 1 Cover 3 STP NIPB Insulator 5 ECG STP Insulator 6 Module Bus Insulator M1221538 E PSM P Frame FRU 10 Frame M1221537 E PSM P Screws and Washers FRU All screws and washers M1...

Page 87: ...nel Unit 17 Front Mask HU 18 Front Panel Stickers HU 2086477 004 E PSMP 01 Front Panel Unit DE FRU 16 Front Panel Unit 17 Front Mask DE 18 Front Panel Stickers DE 2086478 001 E PSMP 01 Front Panel Unit EN NL IT FRU 16 Front Panel Unit 17 Front Mask EN NL IT 18 Front Panel Stickers EN NL IT 2086478 002 E PSMP 01 Front Panel Unit ES FRU 16 Front Panel Unit 17 Front Mask ES 18 Front Panel Stickers ES...

Page 88: ...7722 E PSM P NIPB Pump FRU 9 NIPB Pump screws and washers M1221540 NIBP Manifold Unit E PSM P 15 NIPB Manifold Unit M1020158 E PSM P Plastic Parts FRU 1 Cover 3 STP NIPB Insulator 5 ECG STP Insulator 6 Module Bus Insulator M1221538 E PSM P Frame FRU 10 Frame M1221537 E PSM P Screws and Washers FRU All screws and washers M1221482 E PSM P Air Filter FRU 14 Filter 13 Filter Cover M1221481 E PSM P Loc...

Page 89: ...Mask EN NL IT M1027528 Front Panel Unit E PSMP ES 16 Front Panel Unit 17 Front Mask ES M1027529 Front Panel Unit E PSMP FI DA NO PL CS 16 Front Panel Unit 17 Front Mask CS DA FI NO PL M1027523 Front Panel Unit E PSMP FR PT 16 Front Panel Unit 17 Front Mask FR PT M1027525 Front Panel Unit E PSMP HU 16 Front Panel Unit 17 Front Mask HU M1050790 Front Panel Unit E PSMP SV 16 Front Panel Unit 17 Front...

Page 90: ...r E PSMP EN M1020271 Front Panel Sticker E PSMP ES M1021358 Front Panel Sticker E PSMP FI M1021369 Front Panel Sticker E PSMP FR M1021352 Front Panel Sticker E PSMP HU M1042356 Front Panel Sticker E PSMP IT M1021362 Front Panel Sticker E PSMP NL M1021355 Front Panel Sticker E PSMP NO M1021375 Front Panel Sticker E PSMP PL M1021386 Front Panel Sticker E PSMP PT M1021366 Front Panel Sticker E PSMP S...

Page 91: ...Hemodynamic Modules E PRESTN E RESTN E PRETN E PSMP E PSM 2 77 2062973 004 8 Earlier revisions Patient Side Modules E PSM E PSMP Rev 00 ...

Page 92: ...Module Frames and Modules 2 78 2062973 004 For your notes ...

Page 93: ...type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 2 Visual inspections Result µA IEC EN UL Limits µA IEC EN UL 3 3 Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink leakage current test using a test body 50 µA 3 ...

Page 94: ...Module Frames and Modules 2 80 2062973 004 For your notes ...

Page 95: ...3 Continuous Cardiac Output Module E PiCCO Technical Manual ...

Page 96: ......

Page 97: ... 3 1 Test setup 3 9 3 3 2 Invasive pressure tests 3 10 3 3 3 Cardiac output tests 3 10 3 3 4 Test completion 3 11 4 Calibration and adjustments 3 12 4 1 Invasive pressure calibration 3 12 4 1 1 Required tools 3 12 4 1 2 Connections 3 12 4 1 3 Procedure 3 12 5 Troubleshooting 3 14 5 1 Visual inspection 3 14 5 2 Troubleshooting checklist 3 14 5 3 Service interface 3 15 5 3 1 Device Information 3 15 ...

Page 98: ...sassembling and reassembling procedure 3 22 6 2 1 To replace the front cover 3 22 6 2 2 To disassemble the module 3 22 6 2 3 Reassembling the module 3 22 7 Service parts 3 23 7 1 Ordering parts 3 23 7 2 Continuous Cardiac Output Module E PiCCO 3 23 Maintenance check form 3 25 ...

Page 99: ...ry system 1 E PiCCO module 2 P8 pressure connector and cable red 3 CCO connector and cable gray 4 Flush bag of fluids 5 PiCCO continuous cardiac output cable 6 Disposable pressure transducer 7 Catheter cable connector 8 Thermodilution catheter PULSIOcath 9 PiCCO injectate sensor cable 10 Injectate temperature sensor housing 11 Flush bag of fluids 12 Central venous catheter NOTE For a comprehensive...

Page 100: ...te the pulse contour analysis to each individual patient s aortic compliance function 1 2 2 Calibration of the Pulse Contour Cardiac Output To calibrate the measurement of continuous cardiac output a reference thermodilution cardiac output is necessary The E PiCCO module uses the transpulmonary thermodilution as reference method Figure 2 Calibration of pulse contour analysis by mean of thermodilut...

Page 101: ... attached to the front chassis with the CCO and the invasive pressure connectors 1 3 3 Measurement board The measurement board consists of the following functional sections Processor Cardiac output measurement Invasive blood pressure measurement Module key Module Description Zero P8 E PiCCO Key for pressure zeroing Connector Module Description CCO E PiCCO Connector for continuous cardiac output me...

Page 102: ...sending to an AD Converter Because the temperature measurements are calibrated digitally and the non linearity of catheter probe is compensated for by software ambient temperature change after calibration is the only factor that may influence the measurement Figure 4 Measurement board block diagram N9 VRODWLRQ DUHD N9 VRODWLRQ DUHD 3 2 2 PHDVXUHPHQW LQSXW FRQQHFWRU DUGLDF 2XWSXW PHDVXUHPHQW URQW H...

Page 103: ...pressure transducer is also checked digitally by a jumper next to the connector Figure 5 Pressure transducer s principle of operation Serial communication Serial communication between the module and the Ethernet to Module Bus Controller EMBC unit is established via an RS485 type bus The communication bus drivers are powered from the Module Bus The module isolation section is powered 5 V from the i...

Page 104: ...ated power supply is developed from the 15 V non isolated supply received from the module bus The isolated power supply is a switched mode circuit where a Push Pull type transformer driver is controlled by an oscillator circuit The frequency of the oscillator is approximately 130 kHz with a pulse ratio of 50 A special isolation pulse transformer is used in the circuit The transformer secondary cir...

Page 105: ...d Webmin The software update process involves transferring and activating the module software First you transfer the new software to the host monitor either from the software CD using service laptop connected to the monitor or by using InSite ExC Then you need to activate the software through Webmin For more detailed information about the software update refer to the host monitor s Technical Manua...

Page 106: ...s cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package NOTE Mark this task as complete on the checkout form 3 2 Electrical safety tests Complete the Electrical safety tests found in...

Page 107: ...ble to the CCO connector in the module Monitor configuration Invasive pressure 1 Configure the P8 waveform field to the monitor screen with adequate priority 2 Select the P8 tab in the Invasive Pressures menu and configure Label Art Cardiac output 1 Select Procedures Cardiac Output Setup and configure Patient Type Adult Catheter PV2015L20 Injectate Volume 15 ml Measurement Type Manual 2 Select Cal...

Page 108: ...m for the P8 invasive pressure channel appears in the waveform window and the Sys Dia Mean pressure values are shown in the related parameter window 4 Mark this task as complete on the checkout form 3 3 3 Cardiac output tests Perform CCO calibration with the PiCCO CCO simulator NOTE This test is optional NOTE The invasive pressure measurement must be ON for CCO calibration 5 Cardiac Output CCO cal...

Page 109: ... CCO simulator test is for functional check purpose only Results can t be used for accuracy checking 6 Mark this task as complete on the checkout form 3 3 4 Test completion Select Discharge patient or Reset case to discard any changes made to the monitor configuration during checkout 7 Complete on the Maintenance check form on page 25 ...

Page 110: ...cessories NOTE Pressure transducer is a key component in the measurement setup If possible perform the invasive pressure calibration with the same type of pressure transducer that is used in daily clinical use NOTE Use only accurate properly maintained calibrated and traceable calibration tools for the parameter calibration to ensure measurement accuracy 4 1 2 Connections Ensure that the module is...

Page 111: ... pressure pump when Create 200 mmHg pressure message is shown The pressure measured by the module is updated in real time to the invasive pressure calibration menu 9 When the pressure is stabilized check the pressure reading from the manometer 10 Use the up down spinner control in the calibration menu to adjust the reading measured by the module to match with the manometer reading Select Confirm t...

Page 112: ...erly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit Ensure that the monitor is turned on and all modules are connected Check if there are any messages shown in the message field Find the possible cause and solution from the Messages section later in t...

Page 113: ...ce Information 4 Check that the software and hardware information is provided 5 3 2 Log files Service logs are used for recording different system events errors and alarms to help troubleshoot equipment problems The following service logs may contain information related to the Continuous Cardiac Output Modules Clinical Log is used for recording different system events messages clinical alarms user...

Page 114: ...Module Frames and Modules 3 16 2062973 004 NOTE Depending on the CARESCAPE Monitor type the log file downloading may be enabled only through remote Webmin access with a service laptop ...

Page 115: ...ceeds 320mmHg 43 kPa measurement range Transducer is not zeroed correctly The measurement range is between 40mmHg and 320mmHg Zero the invasive pressure channel P8 under range 40 mmHg or 5 kPa MF PW Measured pressure exceed 40 mmHg 5 kPa measurement range Transducer is not zeroed correctly The measurement range is between 40 mmHg and 320 mmHg Zero the invasive pressure channel Identical IP8 module...

Page 116: ...failed PW Pulsating waveform is detected Offset is 150mmHg Defective transducer Open the transducer to room air and zero the channel Replace the transducer open it to room air and zero the channel Zero adj 100mmHg PW Offset when zeroing is 100mmHg but 150mmHg from the absolute zero of the module with default gain Check transducer Re zero the pressure channel Zeroed PW Zeroing of an invasive pressu...

Page 117: ...next calibration is performed but you can continue the measurement If you choose to acknowledge the alarm it will reappear every 4 hours until the next calibration is performed Calibrating PW Calibrating message is shown when CCO calibration is in process Wait until CCO calibration is completed CCO meas fail PW CCO calibration fail is shown when module informs unsuccessful CCO calibration Re calib...

Page 118: ... No pressure Defective transducer Module is not connected The transducer adapter cable is not connected to the module Invasive pressure channel is not configured to the screen with adequate priority Check or replace the transducer Connect the module Connect the transducer adapter cable with the transducer to the module Configure the temperature channel to the screen Monitor Setup Screen Setup with...

Page 119: ...nes may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing semiconduc...

Page 120: ...sassemble the module 1 Remove the two screws T10 from the back of the module 2 Press the release latch and pull the module casing slowly backwards to remove it from the main body 3 Detach the front cover see 6 2 1 NOTE The PiCCO measurement board and input boards are not field replaceable separately Therefore in case of faulty measurement board or input board the module must be repaired by using F...

Page 121: ...odule casing 7 2 Continuous Cardiac Output Module E PiCCO Item Description Order No 1 E PiCCO module unit FRU Front chassis unit inc front chassis membrane keypad connector unit latch torsion spring Measurement board inc Measurement board metal frame mounting screws M1194087 2 Front Cover CS E PiCCO Spare part 2086149 001 2 Front Cover DA E PiCCO Spare part 2086154 001 2 Front Cover DE E PiCCO Spa...

Page 122: ...t Cover NO E PiCCO Spare part 2086165 001 2 Front Cover PL E PiCCO Spare part 2086166 001 2 Front Cover PT E PiCCO Spare part 2086167 001 2 Front Cover RU E PiCCO Spare part 2086168 001 2 Front Cover SV E PiCCO Spare part 2086169 001 2 Front Cover ZH E PiCCO Spare part 2065164 001 3 Module Hardware kit FRU 2 mounting screws for metal frame 2 mounting screws for front chassis unit 2 mounting screws...

Page 123: ...tive maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections Result µA IEC EN UL Limits µA IEC EN UL 3 2 Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink leakage current test us...

Page 124: ...Module Frames and Modules 3 26 2062973 004 For your notes ...

Page 125: ...4 Cardiac Output and SvO2 Module E COPSv Rev 01 Cardiac Output Module E COP Rev 01 Technical Manual ...

Page 126: ......

Page 127: ...tional check 4 12 3 3 1 Test setup 4 12 3 3 2 Invasive pressure tests 4 13 3 3 3 Cardiac output tests 4 14 3 3 4 SvO2 tests 4 14 3 3 5 Test completion 4 15 4 Calibration and adjustments 4 16 4 1 Invasive pressure calibration 4 16 4 1 1 Required tools 4 16 4 1 2 Connections 4 16 4 1 3 Procedure 4 17 5 Troubleshooting 4 19 5 1 Visual inspection 4 19 5 2 Troubleshooting checklist 4 19 5 3 Service int...

Page 128: ...ools 4 25 6 2 Disassembling and reassembling procedure 4 25 6 2 1 To replace the front cover 4 25 6 2 2 To disassemble the module 4 25 6 2 3 Reassembling the module 4 25 7 Service parts 4 26 7 1 Ordering parts 4 26 7 2 Cardiac Output Module E COP 4 26 7 3 Cardiac Output Module E COPSv 4 28 Maintenance check form 4 31 ...

Page 129: ... E COP and E COPSv provide Cardiac output C O Right ventricular ejection fraction REF Invasive blood pressure InvBP measurement Blood temperature Tblood Additionally the COPSv module provides venous oxygen saturation SvO2 measurement Figure 1 Cardiac output setup with closed injectate delivery system 1 Module with C O measurement capability 2 Catheter connecting cable 3 Injectate temperature probe...

Page 130: ...onal to the flow rate which corresponds to cardiac output The cardiac output is calculated from the equation C O 1 08 CT 60 Vi TB Ti TBdt C where C O Cardiac output in liters minute 1 08 Factor comparing the density and specific heat of 5 dextrose solution in water to those of blood CT Correction factor for the injectate temperature rise as it passes through the catheter and its dead space 60 Seco...

Page 131: ... The light is transmitted to the blood through a single plastic optical fiber in the oximetry catheter and reflected back through a separate optical fiber to a photodetector in the optical module The light is electrically transmitted to the COPSv module and analyzed to determine SvO2 The oximetry portion of the system measures SvO2 in the pulmonary artery by detecting color changes in the red bloo...

Page 132: ...iezo resistive device that converts the pressure signal to a voltage The monitor interprets the voltage signal so that blood pressure data and blood pressure waveforms can be displayed 1 3 Main components 1 3 1 Controls and connectors Figure 3 Front panels of Cardiac Output Modules E COP and E COPSv and the back of the module NOTE The invasive pressure connector in the E COP and the E COPSv module...

Page 133: ...eed H8SX single chip microcomputer It contains 768 Kbytes of flash memory and 24 Kbytes of RAM The clock frequency is 35 MHz Cardiac output measurement section The catheter and the probe contain a NTC resistor that reacts to temperature change The temperature dependent voltage across the NTC resistor is amplified and an offset value is added to it The resultant signal is then regulated into a 5 V ...

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Page 135: ...re The algorithm consists of five different parts initialization calibration signal processing and SvO2 calculation automatic gain control and signal quality analysis Initialization When the optical module is connected to the COPSv module a number of start up procedures are performed prior to normal operation These procedures include transfer of calibration factors from the optical module to the C...

Page 136: ...er supply The communication drivers are controlled by a reset signal so that when the reset is active the drivers do not transfer data In addition to the RS485 reset there is a logic power up reset which holds for approximately 500 ms regardless of the state of the RS485 reset A time constant determines the power up reset time The power up reset also prevents the module from sending data to the Mo...

Page 137: ...tched mode circuit where a FET switch is controlled by an oscillator using a bipolar timer The frequency of the oscillator is approximately 30 kHz with a pulse ratio of 50 switching of the FET is slow to suppress spurious interference A special isolation pulse transformer is used in the circuit The transformer secondary circuit uses normal linear regulators except for 5 V which uses a low drop typ...

Page 138: ...Module Frames and Modules 4 10 2062973 004 2 Configuration There is no configuration for the E COP or E COPSv modules ...

Page 139: ...autions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package NOTE Mark this task as complete on the checkout form 3 2 Electrical safety tests Complete the Electrical safety tests fo...

Page 140: ...ssure connector in the module NOTE The invasive pressure connector in the E COP and the E COPSv module is labelled either as a P4 or as a P4 P8 However the monitor software always identifies this invasive pressure port as a P8 channel Cardiac output 1 Connect the catheter connecting cable to the module s C O connector 2 Connect the catheter connecting cable s injectate probe connector and blood ca...

Page 141: ...h to Medium NOTE Refer to the simulators documentation for details on how to use and configure the simulators 3 3 2 Invasive pressure tests 1 Zeroing a Ensure that the simulator InvBP output channel is configured to 0 mmHg static pressure or atmosphere b Zero the P8 invasive pressure channel by pressing Zero P4 P8 module key in the module c Check that a message Zeroing followed by a message Zeroed...

Page 142: ...he C O measurement i Check that the average of the measured C O values and the Tblood reading is updated to the C O Tblood parameter window NOTE Check that the T injectate and Tblood values shown in the C O menu during measurements are close to the simulator s set values to ensure successful measurement Adjust simulator if necessary NOTE The C O simulator test is for functional check purpose only ...

Page 143: ...Save the adjusted lab values by selecting Save Lab Values button g Wait until the Calibrating message disappears from SvO2 parameter window h Check that the calibration date for In Vivo calibration is updated correctly to the SvO2 calibration menu i Select Close to close the SvO2 menu 9 SvO2 measurement a Check that a SvO2 reading appears to the SvO2 parameter window NOTE The SvO2 simulator test i...

Page 144: ...al information manual for compatible accessories NOTE Pressure transducer is a key component in the measurement setup If possible perform the invasive pressure calibration with the same type of pressure transducer that is used in daily clinical use NOTE Use only accurate properly maintained calibrated and traceable calibration tools for the parameter calibration to ensure measurement accuracy 4 1 ...

Page 145: ...to room air 6 Select Calibrate 7 The monitor will start automatic zeroing of the invasive pressure channel Wait until Zeroing message is replaced by Zero Ok message 8 Pump a 200 mmHg 100 mmHg static pressure with the pressure pump when Create 200 mmHg pressure message is shown The pressure measured by the module is updated in real time to the invasive pressure calibration menu 9 When the pressure ...

Page 146: ...e Frames and Modules 4 18 2062973 004 NOTE Calibration Error message is shown if you do not start inflating the pressure within 45 seconds after the automatic zeroing is completed or if the calibration fails ...

Page 147: ...erly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit Ensure that the monitor is turned on and all modules are connected Check if there are any messages shown in the message field Find the possible cause and solution from the Messages section later in t...

Page 148: ... Information 4 Check that the software and hardware information is provided 5 3 2 Log files Service logs are used for recording different system events errors and alarms to help troubleshoot equipment problems The following service logs may contain information related to the Cardiac Output Modules Clinical Log is used for recording different system events messages clinical alarms user interactions...

Page 149: ...Cardiac Output Modules E COPSv E COP 4 21 2062973 004 NOTE Depending on the CARESCAPE Monitor type the log file downloading may be enabled only through remote Webmin access with a service laptop ...

Page 150: ...xceed 40 mmHg 5 kPa measurement range Transducer is not zeroed correctly The measurement range is between 40 mmHg and 320 mmHg Zero the invasive pressure channel Identical IP8 modules MF Identical IP modules The monitor detects the same IP channel from two or more E PiCCO E COPSv modules Host software version 2 with host build 2 0 8 Detach the IP cable from one of the modules providing identical I...

Page 151: ...of an invasive pressure channel is completed successfully No actions Zero ICP separately MF ICP is an active IP channel and Zero All is performed Zero the ICP channel separately Pressure measurement removed MF Measurementmodulehas been removed Reconnect the module if you want to restart the measurement Message Location Possible causes Possible solutions CO measurement removed MF The module is disc...

Page 152: ...optical module is connected to the monitor but the catheter has not been calibrated Perform InVivo calibration or accept the old calibration Recalibrate SvO2 MF Calibration is older than 24 hours Perform InVivo calibration SvO2 measurement removed MF The module is disconnected Reconnect the module Problem Possible causes Possible solutions Abnormally low pressure Transducer is wrongly positioned C...

Page 153: ...s may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing semiconducto...

Page 154: ...le the module 1 Remove the two screws T10 from the back of the module 2 While pressing the release latch pull the module casing slowly backwards and remove it from the main body 3 Detach the front cover see 6 2 1 NOTE The COP Sv measurement board and input boards are not field replaceable separately Therefore in case of faulty COP Sv measurement board or input board the module must be repaired by ...

Page 155: ...y information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing 7 2 Cardiac Output Module E COP Item Description Order No 1 E COP module unit FRU Front chassis unit FRU inc front chassis membrane keyboard connector unit latch torsion spring Measurement board FRU inc Measurement board metal frame mounting sc...

Page 156: ... COP 2086175 001 2 Front Cover FR E COP 2086176 001 2 Front Cover HU E COP 2086177 001 2 Front Cover IT E COP 2086178 001 2 Front Cover JA E COP 2086179 001 2 Front Cover NL E COP 2086180 001 2 Front Cover NO E COP 2086181 001 2 Front Cover PL E COP 2086182 001 2 Front Cover PT E COP 2086183 001 2 Front Cover SV E COP 2086184 001 3 Module Hardware kit FRU 2 mounting screws for metal frame 2 mounti...

Page 157: ...tor unit latch torsion spring Measurement board FRU inc Measurement board metal frame mounting screws 2082033 001 2 Front Cover Unit CS E COPSV 2086152 001 2 Front Cover Unit DA E COPSV 2086185 001 2 Front Cover Unit DE E COPSV 2086186 001 2 Front Cover Unit EN E COPSV 2086187 001 2 Front Cover Unit ES E COPSV 2086188 001 2 Front Cover Unit FI E COPSV 2086189 001 2 Front Cover Unit FR E COPSV 2086...

Page 158: ... Unit JA E COPSV 2086193 001 2 Front Cover Unit NL E COPSV 2086194 001 2 Front Cover Unit NO E COPSV 2086195 001 2 Front Cover Unit PL E COPSV 2086196 001 2 Front Cover Unit PT E COPSV 2086197 001 2 Front Cover Unit SV E COPSV 2086198 001 3 Module Hardware kit FRU 2 mounting screws for metal frame 2 mounting screws for front chassis unit 2 mounting screws for module casing Latch Torsion spring M12...

Page 159: ...Cardiac Output Modules E COPSv E COP 4 31 2062973 004 ...

Page 160: ...Module Frames and Modules 4 32 2062973 004 For your notes ...

Page 161: ...nance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections Result µA IEC EN UL Limits µA IEC EN UL Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink leakage current test using a test body...

Page 162: ...Module Frames and Modules 4 34 2062973 004 For your notes ...

Page 163: ...5 Dual Pressure Module E PP Pressure Temp Module E PT Pressure Module E P Technical Manual ...

Page 164: ......

Page 165: ...3 1 Test setup 5 12 3 3 2 Invasive pressure tests 5 13 3 3 3 Temperature tests 5 13 3 3 4 Test completion 5 14 4 Calibration and adjustments 5 15 4 1 Invasive Pressure Calibration 5 15 4 1 1 Calibration setup 5 15 4 1 2 Procedure 5 15 4 2 Temperature Calibration 5 17 4 2 1 Setup 5 17 4 2 2 Procedure 5 17 5 Troubleshooting 5 19 5 1 Visual inspection 5 19 5 2 Troubleshooting checklist 5 19 5 3 Servi...

Page 166: ...assembly 5 24 6 1 3 Required tools 5 25 6 2 Disassembling and reassembling procedure 5 25 6 2 1 Replacing the front cover 5 25 6 2 2 Detaching the STP main assembly 5 25 6 2 3 Reassembling the module 5 25 7 Service parts 5 26 7 1 Ordering Parts 5 26 7 2 Pressure and Pressure Temp Modules E P E PT E PP 5 26 7 2 1 The front covers for E P E PT E PP 5 28 ...

Page 167: ...Temp Module E PT and Dual Pressure Module E PP The E P E PT and E PP modules are single width plug in modules Figure 1 Invasive blood pressure setup 1 Module with invasive blood pressure measurement capability 2 Heparinized fluid bag with pressure infusor 3 Flushing set 4 Disposable catheter 5 Transducer 6 Adapter cable for InvBP transducer Module Invasive BP Temp E PP 2 E PT 1 2 E P 1 ...

Page 168: ...the pressure signal to a voltage The monitor interprets the voltage signal so that pressure data and pressure waveforms can be displayed 1 2 2 Temperature The temperature is measured by a probe whose resistance varies when the temperature changes called Negative Temperature Coefficient NTC resistor The resistance can be measured by two complementary methods Applying a constant voltage across the r...

Page 169: ...invasive blood pressure sensor invasive blood pressure channel P3 P7 Key for pressure zeroing The E P module consists of the following main parts STP Main Assembly Connector for an invasive blood pressure sensor invasive blood pressure channel P3 P7 Key for pressure zeroing The E PP module consists of the following main parts STP Main Assembly Connectors for an invasive blood pressure sensors inva...

Page 170: ... is labelled either as a P3 or as a P3 P7 However the monitor software always identifies this invasive pressure port as P7 channel Module keys Module Description Zero P3 P7 E P E PT Zero P7 Zero P5 E PP Zero P5 Zero P6 E PP Zero P6 Connector Module Description P3 P7 E P and E PT Invasive blood pressure P5 and P6 E PP Invasive blood pressure T3 T4 E PT Temp connector D25 connector E P E PT E PP Mod...

Page 171: ...Pressure Modules E P E PP E PT 5 5 2062973 004 1 3 2 STP Main Assembly Figure 4 Block diagram STP Main Assembly and input connectors ...

Page 172: ... temperature sensor 400 series NTC resistor The constant current causes a voltage over the temperature sensor NTC resistor The voltage over the temperature sensor is amplified in a differential amplifier stage The amplified voltage is transferred to a controller of the STP main assembly through an A D converter Figure 5 Temperature measurement principle Invasive blood pressure measurement unit An ...

Page 173: ...he measurement range even when there are circumstantial offsets or offsets caused by the transducer There is a filter before the amplifier to attenuate high frequency disturbances Figure 6 Pressure measurement principle Serial communication An RS485 type bus driver makes the serial communication between the module and monitor Data transmission rate is 500kbps Figure 7 Serial communication of E P P...

Page 174: ...tage isolated transformer The switching power supply on the STP Main Assembly is synchronized to the frequency about 340kHz of the switching power supply on the Module bus connection board The Module bus connection board supplies non isolated 5 V to the STP Main Assembly The module receives only Vmod 13 8 16 V voltage from the module bus The other voltages of the measuring boards are made by the s...

Page 175: ...time Presence of several modules may cause the configuration to fail 2 Log on to Webmin 3 Select the Configuration tab 4 Select Modules P PT PP setting 5 Check the current configuration for the P PT PP modules If the current configuration is incorrect proceed to the next step and reconfigure it Otherwise leave the P PT PP setting menu without changes 6 Select the correct new configuration from the...

Page 176: ...Module Frames and Modules 5 10 2062973 004 4 Check that the current configuration is now correct for the module 5 Reconnect all other modules ...

Page 177: ...e clean The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package 3 2 Electrical Safety Tests Complete the Electrical safety tests found in the CARESCAPE monitor...

Page 178: ...sure adapter cable to the red invasive pressure connector in the module Connect the multiparameter patient simulator with its invasive pressure adapter cables to the dual invasive pressure adapter cable NOTE The invasive pressure connector in the E P and the E PT module is labelled either as a P3 or as a P3 P7 However the monitor software always identifies this invasive pressure port as a P7 chann...

Page 179: ... the Px parameter windows 2 Static Pressure a Configure the simulator InvBP output channel to 200 mmHg static pressure b Check that a flat pressure line appears on the related Px waveform field The reading in the parameter window shall be 200 10 mmHg NOTE Recalibration is needed if the measured value is not within the specification limits Calibrate the invasive pressure channels according to the i...

Page 180: ...tively perform the above test using a temperature test set P N 884515 HEL Test each temperature channel with both test plugs The reading in the Tx temperature channel shall be within 0 1 C of the nominal value 6 Mark this task as complete on the checkout form 3 3 4 Test completion Select Discharge patient or Reset case from Data Pages to discard any changes made to the monitor configuration during...

Page 181: ...compatible accessories NOTE Pressure transducer is a key component in the measurement setup If possible perform the invasive pressure calibration with the same type of pressure transducer that is used in daily clinical use NOTE Use only accurate properly maintained calibrated and traceable calibration tools for the parameter calibration to ensure measurement accuracy Connections Ensure that the mo...

Page 182: ... The monitor will start automatic zeroing of the invasive pressure channel Wait until the message Zeroing is replaced by a message Zero Ok 8 Pump a 200 mmHg 100 mmHg static pressure with the pressure pump when a message Create 200 mmHg pressure is shown The pressure measured by the module is updated in real time to the calibration menu 9 When the pressure is stabilized check the pressure reading f...

Page 183: ...etup Required tools P N 884515 HEL Temperature calibration plugs Dual temperature adapter cable NOTE See the CARESCAPE monitor supplemental information manual for compatible accessories NOTE Use only accurate properly maintained calibrated and traceable calibration tools for the calibration to ensure accuracy Connections Ensure that the module is connected to the monitor Connect the dual temperatu...

Page 184: ...ture C field and select Confirm 8 Wait until a message Plug in 45 C is shown Plug in the temperature calibration plug labeled with TEMP 45 C 113 F to the dual temperature adapter cable connector T1 temperature channel T3 or T2 temperature channel T4 9 Wait until the value is shown in the Temperature C field and select Confirm 10 Wait until a message calibrated is shown Repeat the above procedure s...

Page 185: ...emoving the two screws from the back of the module and check that screws are tightened properly cables are connected properly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit Ensure that the monitor is turned on and all modules are connected If only par...

Page 186: ...er interactions and internal communication events The messages are explained in detail later in this chapter Embc Frame Logs is used for recording module communication events and errors for E series parameter modules NOTE Refer to the CARESCAPE monitor technical manual to see the complete list of available service logs You can access one log file at a time for viewing or for downloading it to an e...

Page 187: ...re exceed 40 mmHg 5 kPa measurement range Transducer is not zeroed correctly The measurement range is between 40 mmHg and 320 mmHg Zero the invasive pressure channel Pressure measurement removed MF The module is disconnected Reconnect the module Identical IP5 modules Identical IP6 modules Identical IP7 modules MF Identical IP modules The monitor detects the same IP channel from two or more modules...

Page 188: ...e zero of the module with default gain Check transducer Re zero the pressure channel Zeroed PW Zeroing of an invasive pressure channel is completed successfully No actions Zero ICP separately MF ICP is an active IP channel and Zero All is performed Zero the ICP channel separately Message Location Possible causes Possible Solutions Tx temperature error x refers to the temperature channel number MF ...

Page 189: ...sducer adapter cable with the transducer to the module Configure the temperature channel to the screen Monitor Setup Screen Setup with adequate priority and check that it is active Problem Possible causes Possible Solutions No temperature displayed Temperature channel not configured to the screen with adequate priority Incompatible temperature probe STP setting incorrect Faulty temperature probe T...

Page 190: ...owing guidelines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors Wear a grounded antistatic wristband or heel strap at all times while handling or repairing assemblies containing semicon...

Page 191: ...ching the STP main assembly 1 Remove the two screws T10 from the back of the module 2 While pressing the release latch pull the module casing slowly backwards and remove it from the main body 3 Detach the 4 screws T10 with nylon washers that secure the STP main assembly to the body plate 4 Disconnect the front panel connector cable and the module bus connector from the STP main assembly 5 Detach t...

Page 192: ...tact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing 7 2 Pressure and Pressure Temp Modules E P E PT E PP Figure 8 Exploded view E P ...

Page 193: ...ut board M1022749 4 E PT Input board M1021461 5 Membrane Keyboard M1012126 7 SCREW machine M3x8mm DIN965 torx head flat countersunk head steel 8 Torsion Spring M1020935 9 Latch M1021039 10 Front Chassis Unit E P M1027137 11 Bushing E P E PT E PP M103976 12 Module bus connection board for E PT M1021462 13 SCREW CYLINDER HEAD MRT M3x6 STZN FZB 8 8 M DIN7985 TORX 605000 HEL 14 Std Bushing nylon D fla...

Page 194: ...em Description Order No 6 Front Cover CS E P 2086265 015 6 Front Cover DA E P 2086265 001 6 Front Cover DE E P 2086265 002 6 Front Cover ES E P 2086265 004 6 Front Cover EN E P 2086265 003 6 Front Cover FI E P 2086265 005 6 Front Cover HU E P 2086265 014 6 Front Cover IT E P 2086265 007 6 Front Cover FR E P 2086265 006 ...

Page 195: ...17 006 6 Front Cover HU E PP 2085617 014 6 Front Cover IT E PP 2085617 007 6 Front Cover JA E PP 2085617 008 6 Front Cover NL E PP 2085617 009 6 Front Cover NO E PP 2085617 010 6 Front Cover PL E PP 2085617 011 6 Front Cover PT E PP 2085617 012 6 Front Cover SV E PP 2085617 013 6 Front Cover ZH E PP 2085617 016 6 Front Cover CS E PT 2086271 015 6 Front Cover DA E PT 2086271 001 6 Front Cover DE E ...

Page 196: ...Modules 5 30 2062973 004 6 Front Cover NO E PT 2086271 010 6 Front Cover PL E PT 2086271 011 6 Front Cover PT E PT 2086271 012 6 Front Cover SV E PT 2086271 013 6 Front Cover ZH E PT 2086271 016 Item Description Order No ...

Page 197: ...intenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual Inspections Result µA IEC EN UL Limits µA IEC EN UL Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink leakage current test using a test ...

Page 198: ...Module Frames and Modules 5 32 2062973 004 For your notes ...

Page 199: ...6 Masimo Module E MASIMO Technical Manual ...

Page 200: ......

Page 201: ...Troubleshooting 6 9 5 1 Visual inspection 6 9 5 2 Troubleshooting checklist 6 9 5 3 Service interface 6 10 5 3 1 Device Information 6 10 5 3 2 Log files 6 10 5 4 Messages 6 11 6 Disassembly and reassembly 6 12 6 1 Disassembly guidelines 6 12 6 1 1 ESD precautions 6 12 6 1 2 Before disassembly 6 12 6 1 3 Required tools 6 13 6 2 Disassembly and reassembly procedure 6 13 6 2 1 To replace the front co...

Page 202: ...Module Frames and Modules 6 ii 2062973 004 ...

Page 203: ...ed monitoring or incorrect sensor application can cause skin irritation or impaired circulation It is recommended that you check the probe site every four hours more frequently for poor perfusion or for neonates Refer to the intructions supplied with the sensor WARNING To prevent erroneous readings do not use physically damaged sensors or modules Discard a damaged sensor immediately Do not repair ...

Page 204: ...011 The Masimo MS 2011 is a surface mounted PC board manufactured by Masimo It contains the signal processing electronics and software that are based on Masimo stand alone pulse oximeters The measured SpO2 and pulse rate values as well as status information are transferred from the MS 2011 to the E MASIMO interface board Communication between the MS 2011 and the E MASIMO interface board is establi...

Page 205: ... supply isolated section The secondary voltages of the isolation transformer are rectified filtered and regulated Special attention is paid for the Masimo 5V supply voltage where low noise regulator is used Opto isolation The signals of the serial communication bus between the E MASIMO interface board and the monitor are transferred through the patient isolation by high speed opto couplers 56 ULYH...

Page 206: ...nverting and transferring data from the Masimo pulse oximeter MS 2011 to the monitor The communication between MS 2011 and the CPU of E MASIMO interface board is realized with bi directional asynchronous serial communication The non volatile memory is used for storing identification information such as a serial number control number date etc ...

Page 207: ...Masimo Module E MASIMO 6 5 2062973 004 2 Configuration There is no configuration for the E MASIMO module ...

Page 208: ... cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package NOTE Mark this task as complete on the checkout form 3 2 Electrical safety tests Complete the Electrical safety tests found in ...

Page 209: ...until a pulse is found 2 Check that the SpO2 reading in the parameter window is between 90 100 and the plethysmographic waveform appears on the screen NOTE You can verify the functionality of a pulse oximeter probe and monitor with a functional SpO2 tester but you cannot evaluate their accuracy with such a device However if a particular calibration curve is accurate for the combination of a pulse ...

Page 210: ...Module Frames and Modules 6 8 2062973 004 4 Calibration and adjustments There are no calibration or adjustments for the E MASIMO module ...

Page 211: ...e tightened properly cables are connected properly there are no loose objects inside the module Ferrite of the flex cable is attached properly 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit Ensure that the monitor is turned on and all modules are connected Check if there are any messages shown i...

Page 212: ...errors and alarms to help troubleshoot equipment problems The following service logs may contain information related to the E MASIMO module Clinical Log is used for recording different system events messages clinical alarms user interactions and internal communication events The messages are explained in detail later in this chapter Embc Frame Logs is used for recording module communication events...

Page 213: ... SpO2 probe Incompatible probe PW An incompatible SpO2 probe is detected by the monitor Replace the SpO2 probe with a compatible one Pulse search PW Searching pulse Wait until pulse is found Artifact PW Movement artifacts or shivering Try another measurement site Low signal quality PW Poor signal quality Try another measurement site or sensor Low perfusion PW Low perfusion at the measurement point...

Page 214: ...delines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing semico...

Page 215: ...om the main body 3 Detach the screw and the three nylon posts that secure the Masimo SpO2 board to the Masimo interface board Detach the Masimo SpO2 board 4 Detach the front cover see 6 2 1 5 Detach the Masimo interface board by removing the two screws located near the front chassis unit Disconnect the SpO2 connector cable from the SpO2 interface board and pull out the front chassis unit 6 2 3 Rea...

Page 216: ...3 Maintenance and checkout after you have replaced any of the service parts listed below 7 1 Ordering parts To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand 7 2 Masimo compatible Saturation Module E MASIMO 4 0 41 3 1 354 ...

Page 217: ... 879184 4 SCREW machine screw 3x6 DIN7985 ISO7045 TORX 5 Masimo Interface board E MASIMO 2081822 001 6 SCREW screw for plastic 3 0 x12mm torx head 7 Front Cover E MASIMO M1121205 8 Latch Injection molded M1021039 9 Torsion Spring Machined M1020935 10 Front Chassis Unit E MASIMO includes the connector and flex cable 2081821 001 11 OEM ITEM Masimo MS 2011 SpO2 board 2081823 001 12 MOUNTING M3 thread...

Page 218: ...Module Frames and Modules 6 16 2062973 004 For your notes ...

Page 219: ...ive maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections Result µA IEC EN UL Limits µA IEC EN UL Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink leakage current test using a...

Page 220: ...Module Frames and Modules 6 18 2062973 004 For your notes ...

Page 221: ...7 Nellcor Compatible Module E NSAT E NSATX Technical Manual ...

Page 222: ......

Page 223: ...sual inspection 7 9 5 2 Troubleshooting checklist 7 9 5 3 Service interface 7 10 5 3 1 Device Information 7 10 5 3 2 Log files 7 10 5 4 Messages 7 11 6 Disassembly and reassembly 7 13 6 1 Disassembly guidelines 7 13 6 1 1 ESD precautions 7 13 6 1 2 Before disassembly 7 13 6 1 3 Required tools 7 14 6 2 Disassembly and reassembly procedure 7 14 6 2 1 To replace the front cover 7 14 6 2 2 To replace ...

Page 224: ...Module Frames and Modules 7 ii 2062973 004 ...

Page 225: ...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 Allow sensor and cable to dry completely after cleaning Moisture and dirt on the connector m...

Page 226: ...formation are transferred from the MP 100 to the NIO interface board Communication between the MP 100 and NIO interface board is established through an RS232C serial interface The NIO interface board in turn transmits the measurement information to the module bus of the monitor through RS485 serial interface 1 2 2 E NSATX Sensors can be plugged into the E NSATX module using the Nellcor OxiMax Spo2...

Page 227: ...module and the monitor Data transmission speed of the bus is 500 kbps Power supply non isolated section The power supply is a half bridge type switched mode circuit where the driver FETs are controlled by a quartz oscillator The load of the half bridge is the primary of the isolation transformer The voltage 15 V received from the central bus is used as the supply voltage of the switched mode circu...

Page 228: ...lation by high speed opto couplers Microprocessor UART non volatile memory The microprocessor with an on chip memory is used for converting and transferring data from the Nellcor pulse oximeter board to the monitor The communication between the Nellcor pulse oximeter board and the CPU of NIO Interface board is realized with bi directional asynchronous serial communication via the UART The non vola...

Page 229: ...Nellcor Compatible Module E NSAT E NSATX 7 5 2062973 004 2 Configuration There is no configuration for the E NSAT and E NSATX modules ...

Page 230: ...an The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package 3 2 Electrical safety tests Complete the Electrical safety tests found in the CARESCAPE monitor tech...

Page 231: ... until a pulse is found 2 Check that the SpO2 reading in the parameter window is between 90 100 and the plethysmographic waveform appears on the screen NOTE You can verify the functionality of a pulse oximeter probe and monitor with a functional SpO2 tester but you cannot evaluate their accuracy with such a device However if a particular calibration curve is accurate for the combination of a pulse...

Page 232: ...Module Frames and Modules 7 8 2062973 004 4 Calibration and adjustments There are no calibration or adjustments for the E NSAT and E NSATX modules ...

Page 233: ... properly there are no loose objects inside the module NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit Ensure that the monitor is turned on and all modules are con...

Page 234: ...rms to help troubleshoot equipment problems The following service logs may contain information related to the E NSAT E NSATX module Clinical Log is used for recording different system events messages clinical alarms user interactions and internal communication events The messages are explained in detail later in this chapter Embc Frame Logs is used for recording module communication events and err...

Page 235: ...obe and replace it if needed Faulty probe Faulty SpO2 probe PW MF Probe is identified but red and infrared leds take no current NOTE E NSATX only Replace the SpO2 probe Pulse search PW Searching pulse Wait until pulse is found Artifact PW Poor perfusion movement artifacts or shivering Try another measurement site Interference PW Interference detected by the module Remove any sources of interferenc...

Page 236: ...Module Frames and Modules 7 12 2062973 004 ...

Page 237: ...g guidelines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing s...

Page 238: ...ng slowly backwards and remove it from the main body 3 Remove the 2 screws that secure the Nellcor pulse oximetryboard to the NIO interface board Detach the pulse oximetry board 4 Detach the front cover see 6 2 1 5 Detach the NIO interface board by removing the two screws located near the front chassis unit Disconnect the SpO2 connector cable from the Nellcor pulse oximetry board and pull out the ...

Page 239: ...arts To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing ...

Page 240: ...EW machine M3x8mm DIN965 torx head flat 2 Module Casing Single M1021035 3 Metal Frame 879184 4 SCREW machine screw 3x6mm DIN7985 ISO7045 torx 5 NELL1GE Interface board E NSATX 2081717 001 6 SCREW screw for plastic 3x12mm WN1452 torx head pan 7 Front Cover CS E NSATX M1063523 7 Front Cover DA E NSATX M1071156 7 Front Cover DE E NSATX M1071159 ...

Page 241: ...ront Cover NL E NSATX M1071167 7 Front Cover NO E NSATX M1071168 7 Front Cover PL E NSATX M1086342 7 Front Cover PT E NSATX M1071171 7 Front Cover SV E NSATX M1071172 8 Latch E Modules M1021039 9 Torsion Spring E Modules M1020935 10 Flex board E NSATX 2081716 001 11 MOUNTING M3 threaded hexagonal spacer L 7mm brass M1035473 12 WASHER 3 2x7 0x0 5mm nylon 6 PA 6 DIN125 13 SCREW machine M3x4mm DIN798...

Page 242: ...ed 2 Module Casing Single Injection molded M1021035 3 Metal frame 879184 4 SCREW CYLINDER HEAD MRT M3x6 STZN FZB 8 8 M DIN7985 TORX 5 Interface board E NSAT for MP100 Printed Circuit Assembly M1026771 6 SCREW screw for plastic 3 0 x12mm torx head 7 SCREW machine M3x4mm DIN7985 torx head pan head steel zinc coated 8 E NSAT flex board Printed Circuit Assembly M1035951 16 7B63 5 3 576 ...

Page 243: ...025079 9 Front Cover FR E NSAT M1025082 9 Front Cover NL E NSAT M1025083 9 Front Cover NO E NSAT M1025084 9 Front Cover JA E NSAT M1025085 9 Front Cover PT E NSAT M1025086 9 Front Cover SV E NSAT M1025087 10 Latch Injection molded M1021039 11 Torsion Spring Machined M1020935 12 SCREW machine M2 5x10mm DIN7985 torx head pan head steel zinc coated 13 M3 threaded hexagonal spacer L 7mm D max 5 5mm br...

Page 244: ...Module Frames and Modules 7 20 2062973 004 For your notes ...

Page 245: ...aintenance Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections Result µA IEC EN UL Limits µA IEC EN UL Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink leakage cu...

Page 246: ...Module Frames and Modules 7 22 2062973 004 For your notes ...

Page 247: ...8 Respiratory Modules E sCAiOVX E sCAiOV E sCAiO E sCOVX E sCOV E sCO Technical Manual ...

Page 248: ......

Page 249: ...ard 8 15 1 3 10 Main Component Interactions 8 16 2 Configuration 8 17 2 1 Software update 8 17 3 Maintenance and checkout 8 18 3 1 Replacement of planned maintenance parts 8 19 3 1 1 Required parts 8 19 3 1 2 Planned Maintenance Kits 8 19 3 1 3 Replacement procedures 8 19 3 2 Visual inspections 8 20 3 3 Functional check 8 20 3 3 1 Test setup 8 21 3 3 2 Procedure 8 21 3 3 3 Test completion 8 26 4 C...

Page 250: ...8 45 5 5 3 Gas exchange 8 47 6 Disassembly and reassembly 8 48 6 1 Disassembly guidelines 8 48 6 1 1 Serviceable parts 8 48 6 1 2 Service limitations 8 48 6 1 3 ESD precautions 8 49 6 1 4 Protection from dust 8 49 6 1 5 Before disassembly 8 50 6 1 6 Required tools 8 50 6 2 Disassembly and reassembly procedure 8 50 6 2 1 Detaching the Front Cover 8 51 6 2 2 Detaching the Module Casing 8 52 6 2 3 Re...

Page 251: ...cation Table 1 Options for CARESCAPE Respiratory modules NOTE Anesthetic agents and N2O values are not displayed with ICU and ED software packages but when present in the module they are calculated for compensation of CO2 and O2 Figure 1 Airway gases measurement setup 1 CARESCAPE Respiratory Module 2 Gas sample gas sampling line connector on the water trap 3 Gas sampling line 4 Gas sampling line c...

Page 252: ...represent the capabilities of the modules Always check the host device s User Manual for additional information 1 2 Measurement principle 1 2 1 CO2 N2O and agent measurement MiniTPX is a side stream gas analyzer measuring real time concentrations of CO2 N2O and anesthetic agents Halothane Enflurane Isoflurane Desflurane and Sevoflurane Figure 2 MiniTPX sensor principle Anesthetic agents or mixture...

Page 253: ...of their concentrations is performed by measuring absorptions at five wavelengths in the 8 9 μm band and solving the concentrations from a set of equations Figure 4 Infrared absorbance of AAs The measuring accuracy is achieved utilizing numerous software compensations The compensation parameters are determined individually for each MiniTPX during the factory calibration ...

Page 254: ...ratory tidal volume TV in ml Expiratory and inspiratory minute volume MV in l min Expiratory spontaneous minute volume in l min Inspiration expiration ratio I E The following airway pressure parameters are displayed Peak pressure Ppeak Mean airway pressure Pmean available only with ICU and ED software packages End inspiratory plateu pressure Pplat PEEPi PEEPe available only in with ICU and ED soft...

Page 255: ...ent Spirometry uses specific sensors called D lite D lite and Pedi lite Pedi lite flow sensors Different types of sensors are available adult sensor for measuring adults and pediatric sensor for children Both are available as reusable and disposable versions D lite and Pedi lite adapters are designed to measure kinetic pressure by a two sided Pitot tube Velocity is calculated from pressure differe...

Page 256: ...To obtain the amount of CO2 produced in ml min the amount which is inhaled is subtracted from the amount that is exhaled These amounts can be obtained by multiplying each measured volume piece dv by the corresponding gas concentration Formula 4 and Formula 5 Using inspiratory and expiratory minute volumes MVi and MVe and volume weighted inspiratory concentrations fi and fe these equations can be r...

Page 257: ... trap 2 Gas sample sampling line connector on the water trap 3 Water trap container 4 Connectors for Patient Spirometry 5 Gas exhaust connector for the gas exhaust line sampling gas out Module keys Module Description Save Loop E sCOV E sCOVX E sCAiOV E sCAiOVX Save Loop saves a reference loop Change Loop E sCOV E sCOVX E sCAiOV E sCAiOVX Change Loop changes a pressure volume loop to a flow volume ...

Page 258: ... reasons for disturbances such as occluded sampling line or blocked gas exhaust line and communicates relevant status messages to the patient monitor The system is designed so that gas the sampled gas will not flow from the sampling line back to the patient circuit The parts and connections of the sampling system are streamlined for minimal dead spaces and turbulences in gas flows All gas inputs o...

Page 259: ... The zero gas comes to the sensors through the CO2 absorber that chemically absorbs CO2 The side flow of the water trap flows in the gas sampling line even during zeroing During normal monitoring the zero valve is not activated and the sampled gas gets through the zero valve to the gas sensors Figure 8 Absorber Nafion tubes 1 The Nafion tube between the water trap and the zero valve equalizes the ...

Page 260: ...hing takes place in the water trap where incoming flow is divided to the main flow and side flow The second branching takes place before the MiniOM sensor The pneumatics block also contains a pneumatic low pass filter between gas sensors and gas pump The filter consists of constrictions resistors and volumes capacitors and it attenuates the pressure pulsation generated in the gas pump so that they...

Page 261: ...ng operation is possible The gas pump repeats 1 minute full pump 30 seconds pump off when the Continuous blockage message is shown Figure 9 Gas tubing layout 1 3 3 MiniTPX measuring unit The MiniTPX unit is a non dispersive infrared analyzer measuring the absorption of the gas sample at seven infrared wavelengths which are selected using optical narrow band filters The IR source is a micro machine...

Page 262: ...rations from the raw data received from the sensor multiplexer Figure 10 MiniTPX measuring unit 1 3 4 MiniOM Oxygen sensor The miniOM sensor measures the concentration of Oxygen in the gas sample The measurement is based on the magnetic properties of oxygen The sensor measures the sound pressure generated in the air gap of the magnet at the 164Hz operating frequency Two microphones are used for de...

Page 263: ...e amplifier board located in the sensor has two electric microphones for the differential detection of pressure pulses generated in the magnet s air gap The microphone signals are fed to two identical signal conditioning channels with a band pass filter and a digitally controlled amplifier The voltage gains of the amplifiers are set during factory calibration so that the responses of the microphon...

Page 264: ... The measurement is based on measuring the kinetic gas pressure and is performed using the Pitot effect A pressure transducer is used to measuring the Pitot pressure The signal is then linearized and corrected according to the density of the gas Speed of the flow is calculated from the pressure and TV is integrated from it Patient Spirometry consists of airway connections two pressure transducers ...

Page 265: ... circuit coil drive A D converter etc It also contains EEPROM memory that stores calibration data of the oxygen measurement 1 3 9 MiniPVX board The MiniPVX board contains pressure sensors for airway pressure and flow measurement and preamplifiers for those It also contains EEPROM memory that stores calibration data of the spirometry measurement 3RZHU 6XSSO 38 WPHO 7 50 56 WUDQVFHLYHU U VWDO 0 U VW...

Page 266: ...VRU IRU JDV VHQVRU ZRUNLQJ SUHVVXUH 6HQVRU IRU JDV VDPSOH IORZ 6HQVRU IRU 20 UHI LQSXW SUHVVXUH 3QHXPDWLFV EORFN IRU FRUUHFW JDV IORZV WR VHQVRUV GDPSLQJ SUHVVXUH SXOVHV 2 DEVRUEHU IRU HUR JDV 1DILRQ WXEHV IRU HTXDOL LQJ JDV VDPSOH DQG HUR JDV KXPLGLW ZLWK DPELHQW LJLWDO 2 3520 9FF 0S G DQDORJ VLJQDOV 9WS 7HPS ODPS LJLWDO 2 08 3520 2 DQG 2PWHPS 9FF 9GG 38 RDUG DOFXODWLRQV RI JDV FRQFHQWUDWLRQV DQH...

Page 267: ...sing a software CD and Webmin The software update process involves transferring and activating the module software First you transfer the new software to the host monitor either from the software CD using service laptop connected to the monitor or by using InSite ExC Then you need to activate the software through Webmin For more detailed information about the software update refer to the host moni...

Page 268: ... institutions utilizing the device Corrective maintenance Service personnel shall perform the following checkout procedure after any corrective maintenance before taking the module back into clinical use Planned maintenance Service personnel shall perform the following checkout procedure completely every 12 months after installation 1 3 1 Replacement of planned maintenance parts 2 3 2 Visual inspe...

Page 269: ...isassembly and reassembly 1 Replace the CO2 absorber every 4 years 2 Replace the special tubes Nafion and check the condition of the internal tubing Description Pieces Replacement interval Nafion Tube 230 mm mainflow 1 Once a year OM Reference gas filter assembly including O ring 1 Once a year PM sticker 1 Once a year Nafion tube 85 mm zero line 1 Once every 4 years CO2 absorber 1 Once every 4 yea...

Page 270: ...ered in dust 3 2 Visual inspections Detach the module from the module slot and check that the front cover is intact all connectors are intact and are attached properly the module box and latch are intact the D fend Pro and its connectors are clean and intact the module and the applied parts are clean The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning soluti...

Page 271: ...55587 Calibration Gas CO2 O2 Balance 4 cans pkg with E sCO E sCOV and E sCOVX modules US only D fend Pro water trap 3 m 10 ft anesthesia gas sampling line Spirometry tube 3 m 10 ft with E sCOV E sCOVX E sCAiOV and E sCAiOVX modules Adult D Lite sensor A pressure manometer with either an integrated or a separate pressure pump Tubing for spirometry leak tests Forceps NOTE See the user documentation ...

Page 272: ...p 80 mmHg 20 mmHg pressure to the gas sampling system Let the pressure stabilize for 10 20 seconds i Check that the pressure reading does not drop more than 2 mmHg during 25 seconds j Release the forceps and attach the module casing Make sure that the tubing fits nicely into the module casing 2 Spirometry System Leak Test NOTE Perform this test only for E sCOV E sCOVX E sCAiOV and E sCAiOVX module...

Page 273: ...flow rate measured by the flow meter A flow meter which has been calibrated at 21 11 C 70 F and 760 mmHg 1013 mbar measures the flow rate correctly under the same conditions i e in room temperature at sea level A flow rate correction as instructed by the manufacturer of the flow meter needs to be performed when measuring flow rate under other conditions for example in high altitude a Connect the g...

Page 274: ...s container Leave the regulator overflow port open to room air d Select Monitor Setup Service Calibrations e Enter the User Name and the Password and press Enter to get into the Calibrations menu f Select Gases g Start feeding the specified calibration gas Wait until the gas values shown in the Gas calibration menu rise approximately to the level indicated in the labelling of the calibration gas c...

Page 275: ...30 seconds 12 Air Leak detection a Detach the D fend Pro water trap b Check that the message Check Water Trap appears to the parameter window within 30 seconds c Attach the water trap 13 Gas exhaust blockage a Block the gas exhaust connector with your finger b Check that the message Sample gas out appears to the parameter window within 30 seconds 14 Airway Gases a Breathe a minimum of 5 times to t...

Page 276: ... 3 3 3 Test completion Select Discharge patient or Reset case to discard any changes made to the monitor configuration during checkout Disconnect and reconnect the module before starting a new case Complete the Maintenance check form on page 67 ...

Page 277: ...ameter calibration to ensure measurement accuracy NOTE If the flow meter unit is not ml min it shall be converted to ml min according to the instructions of the flow meter manufacturer NOTE Refer to the flowmeter documentation for user instructions Connections 1 Ensure that the module is connected to the monitor 2 Ensure that you have a new D fend Pro water trap in use 3 Connect a new gas sampling...

Page 278: ...ect of the gain adjustment Wait until the sample flow value shown in the Calibration menu returns near to the nominal value 120 ml min and then check the actual measured flow rate from the flow meter 7 Repeat steps 5 and 6 until the flow meter shows a 120 20 ml min flow rate 8 Select Stop Sample Flow Adjustment to save the new gain value to the permanent memory of the module NOTE Adjust the flow r...

Page 279: ...2 54 5 O2 36 0 N2O 2 0 DESFLURANE BAL N2 with E sCAiO E sCAiOV and E sCAiOVX modules US only P N 755587 Calibration Gas CO2 O2 Balance 4 cans pkg with E sCO E sCOV and E sCOVX modules US only 3 m 10 ft anesthesia gas sampling line NOTE Use only the specified GE calibration gas for the gas calibration to ensure measurement accuracy Do not use any other calibration gases Check the calibration gas co...

Page 280: ...alibration menu For maximum accuracy let the monitor to warm up for 30 minutes before starting calibration NOTE Gas calibration is not available during a Sample line blocked Check Dfend and Check sample gas out alarm condition A message Gas calibration is not available during gas sampling warning is shown in the lower left corner of the calibration menu Resolve the alarm condition before starting ...

Page 281: ...es Close the regulator 7 Use the up down spinner controls in the calibration menu to adjust the gas readings shown in the Calibration menu to match with the gas readings in the labelling of the calibration gas container Select Accept to accept the adjusted values when the gas readings match each other 8 Wait until a message Ok is shown for all measured gases NOTE A message Zero Error is shown in c...

Page 282: ...it is recommended to perform the calibration both with adult values using the D lite and with pediatric values using the Pedi lite 4 3 1 Calibration setup Required tools P N 884202 HEL Spirometry tester D Lite and Pedi lite sensors Spirometry tube Ventilator NOTE See the user documentation delivered with the monitor for compatible accessories Connections Refer to the Instructions for Use letter of...

Page 283: ...ffer more than 6 of the value read from the spirometry tester perform flow calibration according to section 4 3 3 Flow calibration 4 3 3 Flow calibration 1 Select Monitor Setup Service Calibrations 2 Enter the User Name and the Password and press Enter to get into the Calibrations menu 3 Select Gases 4 Select Spirometry Calibration 5 Ensure that the Sensor Type is correct and that Spirometry Zeroi...

Page 284: ...Module Frames and Modules 8 34 2062973 004 ...

Page 285: ...box by removing the four screws from the back of the module and check that all screws are tightened properly all cables are connected properly tubes are not pinched and there are no sharp bends on them all tubes are connected properly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a function...

Page 286: ...valves or sensors are contaminated too This can increase a risk of faulty operation in valves or sensors The valves or gas sensors are not possible to clean in the field Therefore if you noticed any contamination in the module tubing send the module to GE for factory service NOTE All internal tubes are mechanically fragile Sharp bends may cause leaks and occlusions 5 2 2 MiniOM Measuring unit trou...

Page 287: ...on 2 Select the Information tab 3 Select Device Information 4 Check that the software and hardware information is provided 5 3 2 Log files Service logs are used for recording different system events errors and alarms to help troubleshoot equipment problems The following service logs may contain information related to the CARESCAPE Respiratory Module Clinical Log is used for recording different sys...

Page 288: ...eplace if needed Empty the water trap container Replace the water trap Check the tubing for leakages Check sampling gas out Check water trap and sample gas out Wait for 30 seconds and press Home to continue PW MF WF The sample gas outflow is blocked Internal tubing is blocked Pump failure Check the sample gas out connector in the front panel and the exhaust line for gas return or scavenging for bl...

Page 289: ...t help send the module to GE for factory repair Calibrating error PW calibration menu Feeding the calibration gas was not started within 1 minute after the automatic zeroing was completed Calibration was failed due to too large gain adjustment Wrong calibration gas is used Recalibrate Recalibrate Use the specified calibration gas Over range PW Measured FiO2 103 Perform gas calibration Apnea deacti...

Page 290: ...are not available during the first minute after the module is connected due to warm up Anaesthesia agent measurement is not available during the first 5 minutes after the module is connected due to warm up Wait until the warm up is completed Over Scale WF Incorrect waveform scale for the parameter The waveform clipped because measured gas concentration exceeds the upper limit of the current scale ...

Page 291: ...n does not work Water trap may not be properly connected or there may be a leak in the breathing circuit All following conditions are true for 20 s No apnea Ppeak PEEP 2cmH2O TVinsp and TVexp are DATA_INVALID Check the water trap and its connection Check the breathing circuit for leaks Check the loops on screen to locate the problem Zeroing error PW Zero valve leaking or internal damage in the flo...

Page 292: ...2O too high PW Unable to measure gas VO2 because the measured FiO2 FiN2O is out of gas exchange specification 85 Use lower O2 concentrations Artifact PW Module is unable to synchronize flow and CO2 Use a 2 meter gas sampling tube and spirometry tube with gas exchange Bypass flow high PW Module is unable to synchronize flow and CO2 due to bypass flow Reduce fresh gas flow Out of range PW VO2 or VCO...

Page 293: ...odule Error Code 0xGAS0100 Service gas module spirometry sensor failed Service gas module MF WF PW Spirometry sensor failure Replace the Spirometry sensor Service Gas Module Error Code 0xGAS0101 Service gas module CO2 N2O and AA sensor failed Service gas module spirometry sensor failed Service gas module MF MF WF PW Simultaneous MiniTPX measuring unit and Spirometry sensor failures Return the modu...

Page 294: ... Return the module to GE Healthcare for service Service Gas Module Error Code 0xGAS1100 Service gas module gas measurement failed Service gas module MF WF PW Simultaneous Spirometry sensor and general gas measurement failures Return the module to GE Healthcare for service Service Gas Module Error Code 0xGAS1101 Service gas module gas measurement failed Service gas module MF WF PW Simultaneous Mini...

Page 295: ...response to breathing apnea disconnection sampling line or water trap loose or blocked air leak sample gas out blocked check all connections check that outlet is open EtCO2 overscale 15 20 Shown until 32 specified range 0 15 abnormally high EtCO2 permissive hypercapnia CO2 sensor contaminated D fend Pro malfunction call service technician change D fend Pro EtCO2 PaCO2 unit is mmHg or kPa and EtCO2...

Page 296: ...the water from hoses check mode and sensor D lite for adult Pedi lite for pediatric Fluctuating Raw mucus in airways or tubings breathing effort against the ventilator patient triggered breathes ventilator exp valve causes fluctuations during exp flow check the tubings and D fend Pro check the patient status Too high Raw Raw value invalid kink in tubing mucus asthmatic patient bronchospasm spontan...

Page 297: ...5 min reference gas inlet port blocked gas sampling line longer than 2 m dead space of Y piece 8 ml gas sampling line connected to HME D lite incorrectly placed select oxygram and verify the stableness of the curve check reference port change 2 m sampling line check the dead space of Y piece gas sampling line should always be connected to D lite ALWAYS connect the D lite between HME and Y piece VO...

Page 298: ...ter 7 Service parts NOTE Only a qualified service technician should perform field replacement procedures NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout after you have disassembled and reassembled the module 6 1 1 Serviceable parts CO2 Absorber D fend Pro Nafion tubes Front chassis unit MiniPVX Unit Pump OM reference filter Latch and spring Mechanical parts list...

Page 299: ...ling or repairing assemblies containing semiconductors Use properly grounded test equipment Use a static free work surface while handling or working on assemblies containing semiconductors Do not remove semiconductors or assemblies containing semiconductors from antistatic containers until absolutely necessary Do not slide semiconductors or electrical electronic assemblies across any surface Do no...

Page 300: ...sembly and reassembly procedure Disassembling the module see the exploded view of the module in chapter 7 Service parts Reassembling the module reverse the order of the disassembly steps Check that all screws are tightened properly all cables are connected properly tubes are not pinched and there are no sharp bends on them all tubes are connected properly NOTE Make sure that the Nafion tubes are r...

Page 301: ...Follow the arrows from the top down to the required part and disassemble the module by following the steps in between 6 2 1 Detaching the Front Cover 1 Remove the D fend Pro 2 Release the two snaps on both sides of the module by using a flat blade screwdriver 3 Detach the front cover V PRGXOH 0RGXOH FDVLQJ IHQG URQW FRYHU 1DILRQ 2 DEVRUEHU DWFK URQW FKDVVLV XQLW 39 XQLW 20 KROGHU 3XPS 0DLQ IORZ FR...

Page 302: ...o T8 screws mounting the D25 connector shield 2 Detach the connector shield 3 Remove the two T8 screws to detach the module casing 4 Push the latch and pull the module casing NOTE When reassembling ensure that the module casing does not damage the conductive sealings on the front chassis unit ...

Page 303: ...he fan and there is no risk of the fan being obstructed by the tubes An obstructed fan will result in degraded ventilation inside the module and sensor inop message being displayed NOTE The nafion tubes do not include the silicon fittings they are connected to Use the original silicon fittings unless they are not damaged or leaking 2 Pull out the OM reference filter assembly with forceps 3 Push th...

Page 304: ...Module Frames and Modules 8 54 2062973 004 6 2 5 Detaching the Latch 1 Pull the latch from the front chassis NOTE Remember to detach the front cover first 2 Remove the spring by squeezing it ...

Page 305: ... E sCAiOV E sCAiO E sCOVX E sCOV E sCO 8 55 2062973 004 6 2 6 Detaching the Front Chassis Unit 1 Remove the two T8 screws which fasten the PVX unit to the front chassis 2 Remove the two screws T10 3 Carefully detach the three tubes ...

Page 306: ...e When the Front Chassis Unit is replaced move the original connector to the new unit 4 Disconnect the fan and keypad cables 5 Detach the front chassis unit NOTE When reassembling insert the pump silicone tube in the front chassis connector 1 Carefully detach the lock pin holding the main flow connector 2 Carefully attach the main flow connector to the new front chassis unit ...

Page 307: ...PVX Unit The PVX unit is available as a FRU for E sCAiOV and E sCOV module models only WARNING The PVX unit of E sCAiOVX and E sCOVX modules must not be replaced in the field Attempting to do so may result in inaccurate gas exchange measurement 1 Carefully disconnect the PVX connector 2 Detach the PVX Unit ...

Page 308: ...Module Frames and Modules 8 58 2062973 004 6 2 9 Detaching the Pump 1 Carefully detach the tube from the pump 2 Disconnect the pump cable from the CPU board 3 Lift the pump from the metal brackets ...

Page 309: ...73 004 6 2 10 Detaching the OM holder 1 Carefully detach the three tubes from the OM unit 2 Carefully disconnect the OM flex cable from the CPU board 3 Carefully pass the flex cable through metal frame 4 Lift the OM unit with the holder from the metal brackets 5 Detach the holder ...

Page 310: ...7 1 1 Planned Maintenance Kits The required planned maintenance parts are included in PM kits Part number Description 2093610 001 One year Planned Maintenance Kit for CARESCAPE Respiratory modules The PM kit includes the required Nafion tube 230 mm mainflow the OM reference gas filter assembly with an O ring and a PM sticker NOTE The one year PM kit does not include the CO2 absorber and Nafion tub...

Page 311: ...em part number 1 FRU Front Chassis Unit E sCAiO E sCO Front Chassis Assembly M1206530 2 FRU Front Chassis Unit E sCAiOV E sCAiOVX E sCOV E sCOVX Front Chassis Assembly including Membrane Keyboard M1206529 3 FRU HW Kit All Mounting Screws All Conductive Sealings Pump Connector Silicone Tube D25 Connector Shield Latch Torsion Spring M1206533 ...

Page 312: ...FRU OM Holder M1206531 6 FRU PVX Unit1 E sCAiOV E sCOV 1 The PVX unit is available as a FRU for E sCAiOV and E sCOV module models only M1206528 7 CO2 Absorber M1206555 WARNING The PVX unit of E sCAiOVX and E sCOVX modules must not be replaced in the field Attempting to do so may result in inaccurate gas exchange measurement ...

Page 313: ...VX 2080272 001 9 FRU Front Cover DA E sCAIOVX 2080301 001 9 FRU Front Cover DE E sCAIOVX 2080302 001 9 FRU Front Cover FI E sCAIOVX 2080303 001 9 FRU Front Cover FR E sCAIOVX 2080304 001 9 FRU Front Cover HU E sCAIOVX 2080305 001 9 FRU Front Cover IT E sCAIOVX 2080307 001 9 FRU Front Cover JA E sCAIOVX 2080310 001 9 FRU Front Cover NL E sCAIOVX 2080313 001 9 FRU Front Cover NO E sCAIOVX 2080314 00...

Page 314: ...T E sCAiOV M1207040 9 FRU Front Cover JA E sCAiOV M1207041 9 FRU Front Cover NL E sCAiOV M1207042 9 FRU Front Cover NO E sCAiOV M1207043 9 FRU Front Cover PL E sCAiOV M1207044 9 FRU Front Cover PT E sCAiOV M1207045 9 FRU Front Cover SV E sCAiOV M1207046 9 FRU Front Cover DE E sCAiOV M1207047 9 FRU Front Cover RU E sCAiOV M1213759 9 FRU Front Cover ZH E sCAiOV M1213760 9 FRU Front Cover EN E sCOVX ...

Page 315: ...96 001 9 FRU Front Cover EN E sCOV M1207048 9 FRU Front Cover CS E sCOV M1207049 9 FRU Front Cover DA E sCOV M1207051 9 FRU Front Cover ES E sCOV M1207053 9 FRU Front Cover FI E sCOV M1207055 9 FRU Front Cover FR E sCOV M1207057 9 FRU Front Cover HU E sCOV M1207059 9 FRU Front Cover IT E sCOV M1207062 9 FRU Front Cover JA E sCOV M1207064 9 FRU Front Cover NL E sCOV M1207067 9 FRU Front Cover NO E ...

Page 316: ...Module Frames and Modules 8 66 2062973 004 For your notes ...

Page 317: ... of planned maintenance parts Replaced N A CO2 absorber every 4th year Nafion Tube main flow Nafion Tube zero line every 4th year OM Reference gas filter assembly Check that the fan and the ventilation holes are not covered in dust PM Sticker 3 2 Visual inspections Pass Fail Module front cover is intact All connectors are intact and attached properly Module box and latch are intact D fend Pro and ...

Page 318: ...do not differ more than 10 mmHg Barometer mmHg 11 Occlusion detection Sample line blocked and Low sample flow appear in s Within 30 seconds 12 Air Leak detection Check Water Trap appears in s Within 30 seconds 13 Gas exhaust blockage Sample Gas Out appears in s Within 30 seconds 14 Airway Gases CO2 waveform appears Normal CO2 waveform appears EtCO2 and FiO2 values EtCO2 and FiO2 values are updated...

Page 319: ...9 Compact Airway Modules E CAiOVX E CAiOV E CAiO E COVX E COV E CO Technical Manual ...

Page 320: ......

Page 321: ... planned maintenance parts 9 16 3 1 1 Required parts 9 16 3 1 2 Planned Maintenance Kits 9 17 3 1 3 Replacement procedures 9 17 3 2 Visual inspections 9 20 3 3 Functional check 9 20 3 3 1 Test setup 9 20 3 3 2 Procedure 9 21 3 3 3 Test completion 9 25 4 Calibration and adjustments 9 26 4 1 Sample Flow Rate Adjustment 9 26 4 1 1 Calibration setup 9 26 4 1 2 Sample Flow Rate Adjustment 9 26 4 2 Gas ...

Page 322: ...xchange 9 44 6 Disassembly and reassembly 9 45 6 1 Disassembly guidelines 9 45 6 1 1 Serviceable parts 9 45 6 1 2 Service limitations 9 45 6 1 3 ESD precautions 9 46 6 1 4 Protection from dust 9 46 6 1 5 Before disassembly 9 46 6 1 6 Required tools 9 47 6 2 Disassembly and reassembly procedure 9 47 6 2 1 Removing the module casing 9 47 6 2 2 PVX unit 9 47 6 2 3 Pump unit 9 47 6 2 4 Tightening the ...

Page 323: ...V patient spirometry X gas exchange A anesthetic agents and i agent identification Table 1 Options for Compact Airway modules NOTE Anesthetic agents and N2O values are not displayed with ICU and ED software packages but when present in the module they are calculated for compensation of CO2 and O2 Figure 1 Airway gases measurement setup Modules Parameters measurements CO2 N2O O2 Anesthetic agents A...

Page 324: ...and concentrations of the identified agents are measured TPX also detects mixtures of more than two agents and issues an alarm TPX is a non dispersive infrared analyzer measuring absorption of the gas sample at seven infrared wavelengths which are selected using optical narrow band filters The infrared radiation detectors are thermopiles Concentrations of CO2 and N2O are calculated from absorption...

Page 325: ...ined individually for each TPX during the factory calibration 1 2 2 O2 measurement The differential oxygen measuring unit uses the paramagnetic principle in a pneumatic bridge configuration The signal picked up with a differential pressure transducer is generated in a measuring cell with a strong magnetic field that is switched on and off at a frequency of 165 Hz The output signal is a DC voltage ...

Page 326: ...d ED software packages PEEP Ppeak Pmean and Pplat are measured by a pressure transducer on the PVX board Ambient pressure is used as a reference in measurement The pressure measurement is made from the airway part that is closest to the patient between the patient circuit and intubation tube PEEPi intrinsic PEEP PEEPtot PEEPe Static pressure measurement maneuvers are automatically identified based...

Page 327: ...y a two sided Pitot tube Velocity is calculated from pressure difference according to Bernoulli s equation Flow is then determined using the calculated velocity from Bernoulli s equation Formula 4 where F flow l min v velocity m s A cross area m2 dP pressure difference cmH2O ρ density kg m3 Finally the volume information is obtained by integrating the flow signal 1 2 4 Gas exchange measurement The...

Page 328: ...is means taking advantage of the fact that the patient is not consuming nor producing nitrogen the amount of nitrogen inhaled is equal to the amount exhaled fiN2 MVi feN2 MVe VO2 and VCO2 can then be written as Formula 9 Formula 10 with fHald 1 fiCO2 fiO2 fiN2O fiAne1 fiAne2 1 feCO2 feO2 feN2O feAne1 feAne2 Formula 11 with Un Urea Nitrogen Excretion 13 g day for adults only Formula 12 1 3 Main com...

Page 329: ...gen reference gas inlet 5 Sample gas outlet 6 Cooling fan with dust filter Module keys Module Description Save Loop E COV E COVX E CAiOV E CAiOVX Save Loop saves a reference loop Print Loop E COV E COVX E CAiOV E CAiOVX Print Loop prints the reference loop Change Loop E COV E COVX E CAiOV E CAiOVX Change Loop changes a pressure volume loop to a flow volume loop or vice versa Connector Module Descr...

Page 330: ...patient side by a hydrophobic filter The side flow creates a slight subatmospheric pressure within the D fend water trap which causes fluid removed by the hydrophobic filter to collect in the bottle Zero valve and absorber The main flow passes through a magnetic valve before proceeding to the analyzers This valve is activated to establish the zero points for the TPX and OM units When the valve is ...

Page 331: ... filter Occlusion valve The valve is activated when the sampling line gets occluded The main flow is then diverted to the side flow of the D fend water trap to faster remove the occlusion Sampling pump and damping chamber The gas sampling pump is a membrane pump that is run by a brushless DC motor Sample flow is measured with a differential pressure transducer across a known restriction The motor ...

Page 332: ...he sample chamber radiation goes into seven tubular light guides with reflective inner surfaces At the other end of each light guide there is a thermopile detector with an optical filter in front of it The Temp sensor measures the TPX unit s temperature and it is used for temperature compensation The TPX unit includes a TPX board located at the end of the unit Its function is to connect the seven ...

Page 333: ...essure of more than 300 cmH2O to the flow and volume tubing Differential pressure max 25 cmH2O is allowed on one port at a time e g when connecting tubes When Patient Spirometry is used a special sensor D lite replaces the normal airway adapter in the patient circuit A double lumen tubing is attached to the two connectors on the adapter and on the module front panel The Patient Spirometry provides...

Page 334: ...ange calculation is done by software NOTE The gas exchange measurement in the E CAiOVX and E COVX modules works accurately only with 2 meter 7 ft gas sampling lines 1 3 5 CPU board The CPU board contains the processor and memories and A D converters that are common to the whole module The CPU board also contains preamplifiers of TPX sensor and drivers for valves fan pump and lamp The module is con...

Page 335: ...rd The Spirometry board is connected to the oxygen board It contains pressure sensors for airway pressure and flow measurement differential pressure and preamplifiers for those Calibration data of spirometry is stored on its own EEPROM 38 RDUG DPS 8QLW 20 RDUG 08 0RGXOH XV 39 YDOYHV 73 ODPS DV SUHVV LII SUHVV 08 EXIIHU 3QHXPDWLF XQLW 9DOYHV 38 17 DQ UHVHW GDWD DPS XUUHQW 6HQVLQJ 7HPS VHQVRU FRQWUR...

Page 336: ...Module Frames and Modules 9 14 2062973 004 For your notes ...

Page 337: ...Compact Airway Modules E CAiOVX E CAiOV E CAiO E COVX E COV 9 15 2062973 004 2 Configuration There is no configuration for the Compact Airway Modules ...

Page 338: ...e the following parts that wear in use at the recommended interval Performed service activity Required checkout procedure Visual inspections section 3 2 Functional check section 3 3 Any of the front panel stickers All steps Check Module Keys only D fend O rings or Reference gas filter assembly All steps Check Gas Sampling System Leak Test and Sample Flow Rate Check Fan filter All steps Check Fan o...

Page 339: ... 130 mm Nafion tube in the zero line between the CO2 absorber and the pneumatic unit Replace the 300 mm Nafion tube in the sample gas line between the D fend water trap and the pneumatic unit Check that the tubing inside the module is not contaminated Any contamination inside the tubing may indicate that the valves or sensors are contaminated too This can increase a risk of faulty operation in val...

Page 340: ...tic unit a Open the screw that holds the black filter cover to the pneumatic unit b Detach the filter cover e g using a small flat blade screwdriver c Detach the white occlusion filter e g by turning the module upside down so that the filter drops d Attach a new occlusion filter to the pneumatic unit e Attach the filter cover back and fasten the screw 3 287 5 1 3QHXPDWLF XQLW 3UHVVXUH WUDQVGXFHUV ...

Page 341: ...he O ring to the front cover e Attach a new reference gas sticker to the reference gas filter assembly Use the original labeling language 5 Replace the D Fend O rings a Detach the D fend b Detach the old rubber O rings that are around the metal D fend connectors e g using a small flat blade screwdriver Pay special attention not to scratch the metal D fend connectors and thus causing leaking c Set ...

Page 342: ...um measurement range 100 300ml min accuracy 5 or better in the 100 300ml min range P N 755534 HEL Calibration Gas Regulator P N 755583 HEL Calibration gas CO2 O2 N2O DESF package of 1 can with E CAiO E CAiOV E CAiOVX modules P N 755581 HEL QUICK CAL calibration gas CO2 O2 N2O package of 4 cans with E CO E COV and E COVX modules P N M1006864 Calibration Gas Regulator US only P N 755571 HEL Calibrat...

Page 343: ...b Connect a new D Fend water trap to the module c Connect a new gas sampling line to the sampling line connector in the water trap d Connect the other end of the gas sampling line to a pressure manometer and a pressure pump e Block the Ref Gas In and Sample Gas Out connectors f Pump 100 mmHg 20 mmHg pressure to the gas sampling system Let the pressure stabilize for approximately 10 seconds g Check...

Page 344: ... or vice versa c Leave the Flow Vol loop to the screen 5 Sample Flow Rate Check Check the sample flow rate NOTE Gas measurement is not available during the first 2 to 5 minutes after the module is connected due to warming up A message Calibrating Gas Sensor is shown in the waveform field Wait until warm up is completed before proceeding with the next steps NOTE The ambient temperature and air pres...

Page 345: ...alibrations menu is in percentages g Open the zero valve to room air by selecting Zero valve Off zero position h Check that the CO2 N2O and anesthesia agent values drop back near 0 and the O2 reading near 21 room air i Stop feeding the calibration gas j Turn the zero valve back to the normal measurement position by selecting Zero valve On measurement position 8 Gas Calibration Perform gas calibrat...

Page 346: ...eter window within 30 seconds 14 Airway Gases a Breathe a minimum of 5 times to the tip of the sampling line b Check that a normal CO2 waveform appears to the waveform field and the EtCO2 and FiCO2 values are updated to the parameter window 15 Apnea detection a Stop breathing to the gas sampling line b Check that an Apnea alarm appears to the message field within 30 seconds 16 Flow waveform NOTE P...

Page 347: ...cessories NOTE Use only accurate properly maintained calibrated and traceable calibration tools for the parameter calibration to ensure measurement accuracy NOTE Refer to the flowmeter documentation for user instructions Connections 1 Ensure that the module is connected to the monitor 2 Ensure that you have a new D Fend water trap in use 3 Connect a new gas sampling line to the sampling line conne...

Page 348: ... calibration menu returns near to the nominal value 200 ml min and then check the actual measured flow rate from the flow meter 7 Repeat steps 5 and 6 until the flow meter shows a 200 20 ml min flow rate 8 Select Stop Sample Flow Adjustment to save the new gain value to the permanent memory of the module NOTE Adjust the flow rate according to the reading in the flow meter The flow rate reading in ...

Page 349: ...iO and E CAiOV modules 2 m 7 ft anesthesia gas sampling line with E COVX and E CAiOVX modules NOTE Use only the specified GE Healthcare calibration gas for the gas calibration to ensure measurement accuracy Do not use any other calibration gases Check the calibration gas container s labeling to ensure that the calibration gas has not expired NOTE Ensure that the gas regulator is functioning proper...

Page 350: ...ut alarm condition A message Gas calibration is not available during gas sampling warning is shown in the lower left corner of the calibration menu Resolve the alarm condition before starting calibration 5 The monitor will start automatic zeroing of the gas sensors Wait until the message Zeroing is replaced by a message Zero Ok for all measured gases 6 Open the regulator after a message Feed gas i...

Page 351: ...4 3 Spirometry Calibration Patient spirometry does not require regular service calibration during planned maintenance or after the PVX unit has been replaced The PVX measuring unit is calibrated at the factory and due to the unit s design spirometry calibration is not regularly needed in the field The calibration data is saved into the board s EEPROM In case calibration is needed it is recommended...

Page 352: ...iffer less than 6 of the value read from the spirometry tester flow calibration is not needed If the TV Insp and TV Exp values differ more than 6 of the value read from the spirometry tester perform flow calibration according to section 4 3 3 Flow calibration 4 3 3 Flow calibration 1 Select Monitor Setup Service Calibrations 2 Enter the User Name and the Password and press Enter to get into the Ca...

Page 353: ...Compact Airway Modules E CAiOVX E CAiOV E CAiO E COVX E COV 9 31 2062973 004 ...

Page 354: ...r cable connections inside the module detach the module box by removing the two screws from the back of the module and check that all screws are tightened properly all cables are connected properly tubes are not pinched and there are no sharp bends on them all tubes are connected properly the tubes that are connected to the Oxygen board pressure transducer are not pressed too deep there are no tub...

Page 355: ...lure contact GE Healthcare service Check that the tubing inside the module is not contaminated Any contamination inside the tubing may indicate that the valves or sensors are contaminated too This will increase a risk of faulty operation in valves or sensors The valves or gas sensors are not possible to clean in the field Therefore if you noticed any contamination in the module tubing contact GE H...

Page 356: ...tailed instructions of use refer to the user documentation provided with the anesthesia machine NOTE Remember to take good care of the scavenging 3 Enter the gas calibration menu and start the calibration 4 The monitor will start automatic zeroing of the gas sensors Wait until the message Zeroing is replaced by a message Zero Ok for the measured gases and press Normal screen home key 5 Divide the ...

Page 357: ...tor To view Device information 1 Log on to the Webmin application 2 Select the Information tab 3 Select Device Information 4 Check that the software and hardware information is provided 5 3 2 Log files Service logs are used for recording different system events errors and alarms to help troubleshoot equipment problems The following service logs may contain information related to the Compact Airway...

Page 358: ...ontinuousblockage Check sampling line and water trap PW MF WF Gas sampling line is blocked Water trap container is full Water trap is occluded Internal tubing is blocked Check the external gas sampling line for blockages Replace if needed Empty the water trap container Replace the water trap Check the internal tubing for blockages Replace if needed Check sampling gas out Check water trap and sampl...

Page 359: ...on check see functional check 3 Perform Anesthetic agent measurement range check see TPX Measuring unit troubleshooting If the calibration and either of the checks fail send the module to GE Healthcare for factory repair Zeroing PW calibration menu Zeroing is in progress Wait until zeroing is completed successfully Zero error PW calibration menu Autozeroing during the measurement or in the beginni...

Page 360: ...e measured gas concentration exceeds the upper limit of the current scale Change to the appropriate waveform scale Low gas sample flow MF Sample flow deviates to less than 80 of the module specific nominal flow value Gas sampling line gas output water trap or internal tubing is blocked Pump failure Error in pneumatic initialization Check sample flow rate Adjust if needed Check or replace the gas s...

Page 361: ...its connection Check the breathing circuit for leaks Check the loops on screen to locate the problem Zeroing error PW Zero valve leaking or internal damage in the flow sensor PVX ribbon cable or PVX valves cable loose Perform spirometry leakage test Replace PVX sensor if needed Check PVX ribbon cable or PVX valves cable Zeroing PW Zeroing is in progress Wait until zeroing is completed successfully...

Page 362: ...ow high PW Module is unable to synchronize flow and CO2 due to bypass flow Reduce fresh gas flow Out of range PW VO2 or VCO2 is 0 or 999 ml min and thus out of measurement Check that the gas sampling line and spirometry lines are correctly connected to the airway and to the gas module Check that the correct sensor type D lite Pedi Lite has been selected from the monitor menu Problem Possible clini...

Page 363: ...eak in lungs ET tube cuff leak spirometry tube leak water inside D lite or tubings another side stream gas sampling between D lite and patient D fend leaks check leakages perform leak test change tubings and D lite do not use active humidification connect gas sampling only and always to D lite check D fend exp TV insp TV spirometry tube leak water inside D lite or tubings check leakages perform le...

Page 364: ...k in tubing mucus asthmatic patient bronchospasm spontaneous breaths breathing efforts against the ventilator patient triggered breaths check the tubing check the patient status Too high Ppeak bronchospasm patient is coughing patient breaths against the ventilator obstruction in airways HME obstructed check the patient status check the patient circuit status Compl value invalid spontaneous breaths...

Page 365: ...n reference gas inlet port blocked gas sampling line longer than 2 m dead space of Y piece 8 ml gas sampling line connected to HME D lite incorrectly placed select oxygram and verify the stableness of the curve check reference port change 2 m sampling line check the dead space of Y piece gas sampling line should always be connected to D lite ALWAYS connect the D lite between HME and Y piece VO2 va...

Page 366: ... chapter 7 Service parts 6 1 2 Service limitations The following parts are not serviceable OM Measuring unit OM board TPX measuring unit NOTE The OM board contains factory calibration data for the OM and TPX measuring units and for the pressure and flow sensors The OM board can be repaired and calibrated only at the factory In case of failure the entire module should be replaced and the faulty mod...

Page 367: ...necessary Do not slide semiconductors or electrical electronic assemblies across any surface Do not touch semiconductor leads unless absolutely necessary Semiconductors and electronic assemblies should be stored only in antistatic bags or boxes Handle all PCB assemblies by their edges Do not flex or twist a circuit board 6 1 4 Protection from dust The gas sampling system must be protected from dus...

Page 368: ...harp bends on them all tubes are connected properly there are no loose objects inside the module NOTE The tubes that are connected to the Oxygen board pressure transducers should not be pressed too deep NOTE Make sure that tubes are not in contact with the sampling pump or the O2 sensor or its springs 6 2 2 PVX unit 1 Remove the module casing 2 Detach the CPU board and OM board from the module cha...

Page 369: ...n the screw 4 Tighten the screw carefully with hexagon screwdriver Torque 0 8 Nm NOTE You don t have to use torque wrench or torque screwdriver instead you can use the recommended standard hand tools However if you use a battery operated tool ensure that it is equipped with torque limiter and the torque is properly adjusted 5 Reassemble the pump unit and the module in reverse order NOTE Make sure ...

Page 370: ...ard and OM board from the module chassis 4 screws 3 Disconnect the pump cable pneumatics unit cable fan cable and the other cable of the TPX unit from the CPU board 4 Detach the CPU board from the OM board 5 Detach the software chip from the CPU board Reassembling the module reverse the order of the disassembly steps ...

Page 371: ...nance and checkout after you have disassembled and reassembled the module 7 1 1 Planned Maintenance Kits The required planned maintenance parts are included in a PM kit Part number Description 2093592 001 Planned Maintenance Kit for Compact Airway modules The PM kit includes the required Nafion tubes the occlusion filter for the pneumatic unit the reference gas filter assembly with an O ring and a...

Page 372: ...for E CAiOVX E CAiOV E CAiO E COVX E COV E CO Item Description Order No Nafion tubing 300mm 733382 HEL Nafion tubing 130mm M1080137 Reference gas in sticker white all languages M1130739 1 SCREW machine screw M3x6mm DIN7985 ISO7045 Pozidrive pan head steel zinc ...

Page 373: ...V X M1029153 10 Front Cover FI E COV X E CAiOV X M1029154 10 Front Cover FR E COV X E CAiOV X M1029155 10 Front Cover HU E COV X E CiAOV X M1046325 10 Front Cover IT E COV X E CAiOV X M1029156 10 Front Cover JA E COV X E CAiOV X M1029157 10 Front Cover NL E COV X E CAiOV X M1029158 10 Front Cover NO E COV X E CAiOV X M1029159 10 Front Cover PL E COV X E CAiOV X M1029160 10 Front Cover PT E COV X E...

Page 374: ...M1035110 21 Front Panel Sticker E CAiO JA A B D M1035125 21 Front Panel Sticker E CAiO NL A B D M1035049 21 Front Panel Sticker E CAiO NO A B D M1035120 21 Front Panel Sticker E CAiO PL A B D M1035127 21 Front Panel Sticker E CAiO PT A B D M1035112 21 Front Panel Sticker E CAiO SV A B D M1035118 21 Front Panel Sticker E CAiOV CS A B C M1052563 21 Front Panel Sticker E CAiOV DA A B C M1035840 21 Fr...

Page 375: ...AiOVX IT A B C M1035930 21 Front Panel Sticker E CAiOVX JA A B C M1035945 21 Front Panel Sticker E CAiOVX NL A B C M1035926 21 Front Panel Sticker E CAiOVX NO A B C M1035941 21 Front Panel Sticker E CAiOVX PL A B C M1035947 21 Front Panel Sticker E CAiOVX PT A B C M1035934 21 Front Panel Sticker E CAiOVX SV A B C M1035938 21 Front Panel Sticker E CO CS A B D M1062566 21 Front Panel Sticker E CO DA...

Page 376: ...ticker E COV NL A B C M1036315 21 Front Panel Sticker E COV NO A B C M1036328 21 Front Panel Sticker E COV PL A B C M1036334 21 Front Panel Sticker E COV PT A B C M1036321 21 Front Panel Sticker E COV SV A B C M1036326 21 Front Panel Sticker E COVX CS A B C M1062557 21 Front Panel Sticker E COVX DA A B C M1036440 21 Front Panel Sticker E COVX DE A B C M1036418 21 Front Panel Sticker E COVX EN A B ...

Page 377: ...36431 21 Front Panel Sticker E COVX SV A B C M1036435 22 PVX Unit E CAiOV M1029209 23 PUMP 0V 10V Air pump max 0 39l min 10VDC EPDM 57313 24 Zero absorber M Cxxx 895933 Item Description Order No D fend Latch Assembly Spare Part Assembly M1039037 1 Pin M CAiOV 887005 2 Latch D Fend M1028985 3 Spring 0 4x2 5x10 64242 4 Hinge M CAiOV 886235 5 Washer STZN M 2 7 6 Screw M2 5x6 mm DIN7985 ISO7045 Pozidr...

Page 378: ...ng equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 2 Visual inspections 3 3 Functional check 3 3 2 Procedure 1 Gas Sampling System Leak Test 2 Spirometry System Leak Test 3 Fan 4 Module Keys 5 Sample Flow Rate Check 6 Reference Gas Flow Rate Check 7 Zero Valve Operation 8 Gas Calibration 9 Agent Identification...

Page 379: ...Compact Airway Modules E CAiOVX E CAiOV E CAiO E COVX E COV 9 57 2062973 004 ...

Page 380: ...Module Frames and Modules 9 58 2062973 004 For your notes ...

Page 381: ...10 Single width Airway Module E miniC Technical Manual ...

Page 382: ......

Page 383: ...out 10 12 3 3 1 Test setup 10 12 3 3 2 Procedure 10 13 3 3 3 Test completion 10 14 4 Calibration and adjustments 10 16 4 1 Sample flow rate adjustment 10 16 4 1 1 Calibration setup 10 16 4 1 2 Sample flow rate adjustment 10 16 4 2 Gas calibration 10 17 4 2 1 Calibration setup 10 18 4 2 2 Procedure 10 19 5 Troubleshooting 10 21 5 1 Visual inspection 10 21 5 2 Troubleshooting checklist 10 21 5 2 1 G...

Page 384: ...5 Before disassembly 10 30 6 1 6 Required tools 10 30 6 2 Disassembling and reassembling procedure 10 31 6 2 1 Removing the module casing 10 31 6 2 2 Replacing the pump unit 10 31 6 2 3 Replacing the miniCO2 assembly 10 32 7 Service parts 10 33 7 1 Ordering parts 10 33 7 2 Single width Airway Module E miniC 10 33 Maintenance check form 10 36 ...

Page 385: ... measuring airway gases 2 CO2 gas sampling line 3 Airway adapter with sampling line connector 4 Sampling line connector Equipment safety symbols 1 2 Measurement principle 1 2 1 CO2 measurement E miniC is a side stream gas analyzer measuring real time concentrations of CO2 It is a non dispersive infrared analyzer that measures absorption of the gas sample by using an optical narrow band filter The ...

Page 386: ...Module Frames and Modules 10 4 2062973 004 Concentration of CO2 is calculated from absorption measured at 4 2 to 4 3 μm Figure 2 Absorbance of CO2 ...

Page 387: ...system The sampling system draws a gas sample to the analyzer at a fixed rate The gas sampling system samples the measured air to the module and removes water and impurities from it A sampling line is connected to the water trap The pump draws gas through the sampling line to the miniC sensor After the measurement the gas is exhausted from the sample gas out connector The sample flow is nominally ...

Page 388: ...the bottle Zero valve The main flow passes through a magnetic valve before proceeding to the analyzer This valve is activated to establish the zero point for the MiniC sensor When the valve is activated room air is drawn through a filter into the internal system and the gas sensor Nafion1 tube A Nafion tube is used between the water trap and the zero valve to balance the sample gas humidity with t...

Page 389: ...s outlet Absolute pressure transducer The absolute pressure transducer measures real time ambient pressure Sampling pump The gas sampling pump is a membrane pump run by a DC motor Sample flow is measured with a differential pressure transducer across a known restriction The motor is automatically controlled to maintain a constant flow even when the Mini D fend water trap ages and starts to get occ...

Page 390: ...C sensor is connected to the CPU board and they can t be replaced separately Figure 6 MiniC sensor 1 3 4 CPU board The CPU board contains a processor memories and all the analog signal processing needed A miniC sensor is attached to the board with a flexible PCB Also supply voltage and an RS485 serial channel are connected to the CPU board using another flex cable Analog signals CO2 temperature ab...

Page 391: ...Single width Airway Module E miniC 10 9 2062973 004 2 Configuration There is no configuration for the E miniC module ...

Page 392: ...ance parts 3 1 1 Required parts Replace the following parts that wear in use at the recommended interval It is also recommended to replace the Mini D fend water trap and the gas sampling line as part of the planned maintenance procedure NOTE See the supplemental information manual for compatible accessories Performed service activity Required checkout procedure Visual inspections section 3 2 Funct...

Page 393: ...Mini D fend water trap and the zero valve unit b Check that the tubing inside the module is not contaminated Any contamination inside the tubing may indicate that the valve or sensor is contaminated too This can increase a risk of faulty operation in valve or sensor The gas sensor is not possible to clean in the field Therefore replace the whole miniCO2 assembly with a new one NOTE The nafion tube...

Page 394: ...cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package NOTE Mark this task as complete on the checkout form 3 3 Functional checkout Turn the monitor on Wait until the normal monitoring screen appears 3 3 1 Test setup Required tools A barometer A mass flowmeter for measuring air flow minimum measurement range 100 300 ml min accuracy 5 or better i...

Page 395: ... Wait until warm up is completed before proceeding with the next steps NOTE The ambient temperature and air pressure influence the flow rate measured by the flow meter A flow meter which has been calibrated at 21 1 C 70 F and 760 mmHg 1013 mbar measures the flow rate correctly under the same conditions i e in room temperature at sea level A flow rate correction as instructed by the manufacturer of...

Page 396: ... to check the operation of the absolute pressure sensor a Check that the ambient pressure value shown in the Gas Calibrations menu does not differ more than 10 mmHg from the value shown by the barometer 6 Occlusion detection a Block the tip of the sampling line by your finger b Check that message Sample line blocked appears to the parameter window within 30 seconds 7 Air leak detection a Detach th...

Page 397: ...Single width Airway Module E miniC 10 15 2062973 004 Complete on the Maintenance check form on page 10 36 ...

Page 398: ...libration tools for the parameter calibration to ensure measurement accuracy NOTE Refer to the flowmeter documentation for user instructions Connections Ensure that the module is connected to the monitor Ensure that you have a new Mini D fend water trap in use Connect a new gas sampling line to the sampling line connector in the water trap Connect the other end of the gas sampling line to the flow...

Page 399: ... shown in the calibration menu returns near to the nominal value 150 ml min and then check the actual measured flow rate from the flow meter 7 Repeat steps 5 and 6 until the flow meter shows a 150 25 ml min flow rate 8 Select Stop Sample Flow Adjustment to save the new gain value to the permanent memory of the module NOTE Adjust the flow rate according to the reading in the flow meter The flow rat...

Page 400: ...curacy Do not use any other calibration gases Check the calibration gas container s labelling to ensure that the calibration gas has not expired NOTE Ensure that the gas regulator is functioning properly before gas calibration Refer to the gas regulator s Instructions for Use letter for the annual maintenance instructions Connections Ensure that the module is connected to the monitor Ensure that y...

Page 401: ...imum accuracy let the monitor to warm up for 30 minutes before starting calibration NOTE Gas calibration is not available during a Sample line blocked Check Dfend and Check sample gas out alarm condition Gas calibration is not available during gas sampling warning message is shown in the lower left corner of the calibration menu Resolve the alarm condition before starting calibration 6 The monitor...

Page 402: ...pt the adjusted value when the two CO2 readings match each other 9 Wait until message Ok is shown NOTE Message Zero Error is shown in case the zeroing fails NOTE Message Calibration Error is shown if you do not start feeding gas within 1 minute after the automatic zeroing is completed or if the calibration fails due to too large gain adjustment NOTE If zeroing or calibration failed select Recalibr...

Page 403: ...ons inside the module detach the module box by removing the two screws from the back of the module and check that all screws are tightened properly all cables are connected properly tubes are not pinched and there are no sharp bends on them all tubes are connected properly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help...

Page 404: ...mpling pump with a new one Check that the tubing inside the module is not contaminated Any contamination inside the tubing may indicate that the valve or sensor is contaminated too This can increase a risk of faulty operation in valve or sensor The gas sensor is not possible to clean in the field Therefore replace the whole miniCO2 assembly with a new one NOTE All internal tubes are mechanically f...

Page 405: ...n this chapter Embc Frame Logs is used for recording module communication events and errors for E series parameter modules NOTE Refer to the CARESCAPE monitor technical manual to see the complete list of available service logs You can access one log file at a time for viewing or for downloading it to an external media To view a log file in Webmin 1 Log on to the Webmin application 2 Select the Dia...

Page 406: ...gas out Wait for 30 seconds and press Normal screen to continue PW MF WF The sample gas outflow is blocked Internal tubing is blocked Pump failure Check the sample gas out connector in the front panel and the exhaust line for gas return or scavenging for blockages If the sample gas is returned to the patient circuit check that there is no occlusion in the tubing If the sample gas outlet is connect...

Page 407: ...2 assembly Return the module to GE Healthcare for service Calibrating gas sensor WF Gas measurement is not available during the first 1 minute after the module is connected due to warm up Wait until warm up is completed Over Scale WF Incorrect CO2 scale The CO2 waveform clipped because etCO2 value exceeds the upper limit of the current scale Change CO2 waveform scale Low gas sample flow MF Sample ...

Page 408: ...error change Mini D fend check calibration Waveform clipped incorrect scaling change scale No response to breathing apnea disconnection sampling line or water trap loose or blocked air leak sample gas outlet blocked check all connections check that outlet is open ETCO2 over scale 20 Shown until 32 specified range 0 20 abnormally high ETCO2 permissive hypercapnia CO2 sensor contaminated D fend malf...

Page 409: ...t available during the first 5 minute after the module is connected Message Gas calibration is not available during the first 5 minutes is shown in the calibration menu Gas calibration is not available during Sample line blocked Check D fend and Check sample gas out alarm condition Message Gas calibration is not available during gas sampling warning is shown in the calibration menu Wait until warm...

Page 410: ...Module Frames and Modules 10 28 2062973 004 ...

Page 411: ...mechanical parts listed in the service parts chapter 6 1 2 Service limitations The following parts are not serviceable miniC sensor and CPU board can t be replaced separately NOTE The CPU contains factory calibration data for the miniC sensor In case of failure the complete miniCO2 assembly should be replaced Attempts to repair or calibrate the unit elsewhere will adversely affect operation of the...

Page 412: ...6 1 4 Protection from dust The gas sampling system must be protected from dust entering the tubes valves and other components In order to achieve this goal the following measures must be taken Have the mini D fend water trap always connected to the module Clean and dust free working environment during all service procedures Minimize the times with any open connections in the gas sampling system Al...

Page 413: ...hed and there are no sharp ends on them all tubes are connected properly there are no loose objects inside the module 6 2 2 Replacing the pump unit 1 Detach the front cover of the module by releasing the snaps that hold the front cover to he front chassis unit by using a small flat blade screwdriver There are 2 snaps on both sides of the module and 1 snap on the top 2 Remove the module casing see ...

Page 414: ...lade screwdriver There are 2 snaps on both sides of the module and 1 snap on the top 2 Remove the module casing see page 10 31 3 Unplug the two tubes from the back of the front chassis 4 Detach the front chassis from the metal frame by removing the two screws 5 Detach miniCO2 assembly from the metal frame by removing the three screws 6 Disconnect the flex board from miniCO2 assembly Reassembling t...

Page 415: ...t GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout after you have replaced any of the service parts listed below 7 2 Single width Airway Module E miniC ...

Page 416: ...oard mini CO2 sensor pump unit tubing unit and zero valve and pressure transducers 2083290 001 1 Module Casing Single M1021035 2 Front Chassis Unit E miniC M1027134 3 M miniCO2 CONNECTOR FOR D FEND MINI CO2 8002173 4 O RING O RING 2 5x1 6 VITON SHORE70 BLACK 656565 5 Front Cover USA E miniC M1026941 5 Front Cover E miniC M1026943 6 Latch M1021039 7 Torsion Spring M1020935 8 Screw cross rec c s h s...

Page 417: ...iniC M1024360 11 Nafion tubing 300mm 733382 HEL 12 MAGN VALVE N O valve 3 2 5VDC 0 55W includes seal 585714 13 Module Connection Flex E miniC M1027744 14 Cross cylinder head screw M3x6 15 Pump Unit for miniC 2083166 001 16 Air filter M MiniC M1011471 17 Tubing Unit for miniC M1013717 18 Cross cylinder head screw M3x10 19 Screw cross rec c s h m3x8 acidproof ...

Page 418: ...lanned maintenance Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 2 Visual inspections 3 3 Functional checkout 3 3 2 Procedure 1 Gas sampling system leak test 2 Sample flow check 3 Zero valve operation 4 Gas calibration 5 Ambient pressure 6 Occlusion detection ...

Page 419: ...11 Entropy Module E ENTROPY Rev 01 Technical Manual ...

Page 420: ......

Page 421: ...3 2 Entropy tests 11 7 3 3 3 Test completion 11 7 4 Calibration and adjustments 11 8 5 Troubleshooting 11 9 5 1 Visual inspection 11 9 5 2 Troubleshooting checklist 11 9 5 3 Service Interface 11 10 5 3 1 Device Information 11 10 5 3 2 Log files 11 10 5 4 Messages 11 11 5 5 Troubleshooting chart 11 13 6 Disassembly and reassembly 11 14 6 1 Disassembly guidelines 11 14 6 1 1 ESD precautions 11 14 6 ...

Page 422: ...Module Frames and Modules 11 ii 2062973 004 7 2 Entropy Module E ENTROPY 01 11 17 Maintenance check form 11 19 ...

Page 423: ...ation about older E Entropy module version The Entropy module uses an electroencephalography EEG signal together with spontaneous facial muscular activity with a frontal electromyography FEMG signal to measure Response Entropy RE State Entropy SE Burst Suppression Ratio BSR The Entropy module is responsible for EEG and FEMG signal acquisition amplification filtering and digitization and electrode ...

Page 424: ... electrode connected to the plus input electrode 1 The purpose of the ground electrode electrode 2 is to reduce common mode noise The EntrEEG signal is amplified antialias filtered digitized and software filtered After that the EntrEEG signal is shown on the screen and the RE SE and BSR characteristics are calculated from it 1 2 2 FEMG FEMG is an electrical signal originating from facial muscles T...

Page 425: ...sfactory impedance level is generated when necessary The impedance of an electrode is measured by applying a known current through the electrode and measuring the voltage drop over the electrode This way the impedance of a single electrode can be resolved 1 3 Main components 1 3 1 Controls and connectors Figure 3 Front panel of Entropy Module E ENTROPY and the back of the module Module key Module ...

Page 426: ...sing the measurement signal Digital I O circuit for smart chip communication the chip is located in the entropy sensor Serial communication driver for module bus communication The serial bus speed to the monitor is 500 kbps and the bus itself is half duplex i e data can be transferred to both directions but only one way at a time Figure 4 Entropy measurement system block diagram ...

Page 427: ...Entropy Module E ENTROPY Rev 01 11 5 2062973 004 2 Configuration There is no configuration for the E ENTROPY module ...

Page 428: ...ean The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package 3 2 Electrical safety tests Complete the Electrical safety tests found in the patient monitor techn...

Page 429: ...at the Entropy EEG waveform field and related information appears to the screen c Check that a No sensor message is shown in the Entropy parameter window 2 Sensor checking a Connect the Entropy simulator to the Entropy sensor cable b Check that a Checking sensor message appears to the Entropy parameter window after a while and wait until all 3 electrodes are checked The sensor check is passed if a...

Page 430: ...Module Frames and Modules 11 8 2062973 004 4 Calibration and adjustments There are no calibration or adjustments for the E ENTROPY module ...

Page 431: ...perly cables are connected properly the EMC cover is attached properly in the module there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit Ensure that the monitor is turned on and all modules are connected Check if there are any messages shown in the message...

Page 432: ... is provided 5 3 2 Log files Service logs are used for recording different system events errors and alarms to help troubleshoot equipment problems The following service logs may contain information related to the E Entropy module Clinical Log is used for recording different system events messages clinical alarms user interactions and internal communication events The messages are explained in deta...

Page 433: ...opy sensor cable but not attached to the patient Attach the Entropy sensor to the patient by following the sensor instructions Confirm sensor electrodes PW More than one Entropy sensor electrodes has poor contact Automatic impedance check gets too high impedance values Reattach the Entropy sensor electrode to the patient to ensure proper contact by following the sensor instructions Ensure the sens...

Page 434: ...s been passed and the Entropy measurement is starting Wait for about 30 seconds Entropy values are displayed automatically on the screen Demo data WF PW Entropy simulator is connected instead of Entropy sensor Disconnect the Entropy simulator Noise WF Unreliable Entropy calculation or distorted EEG waveform appear during electrosurgery or other high frequency noise See patient monitor s user s man...

Page 435: ...tropy parameter window is not configured to the screen or the parameter priority is set too low Entropy measurement is not supported by the active software package Connect the Entropy module to the monitor and the Entropy sensor cable to the module Configure EntEEG waveform or Entropy parameter to the screen or increase the priority of the parameter information Entropy measurement is supported onl...

Page 436: ...rantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing semiconductors Use proper...

Page 437: ...ropy board 1 Remove the two screws T10 from the back of the module 2 While pressing the release latch pull the module casing slowly backwards and remove it from the main body 3 Disconnect the front panel connector cable and the membrane keyboard cable from the Entropy board 4 Detach the front cover see 6 2 1 5 Detach the Entropy board by removing the two screws located near the front chassis unit ...

Page 438: ...To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing ...

Page 439: ...ntropy Module E ENTROPY 01 Item Description Order No 1 E ENTROPY 01 Entropy Board FRU Measurement Board Metal Frame 2 mounting screws M1235745 2 E ENTROPY 01 Front Chassis Kit FRU Front Chassis Membrane Keyboard Connector Unit Latch Torsion Spring M1235747 ...

Page 440: ... Front Cover FRU Front Cover English M1236171 3 E ENTROPY 01 Front Cover FRU Front Cover symbols M1236170 E Modules Hardware Kit FRU 2 mounting screws for Metal Frame 2 mounting screws for Interface Board 2 mounting screws for Module Casing Latch Torsion Spring Membrane Keyboard M1206392 Item Description Order No ...

Page 441: ...nce Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections Result µA IEC EN UL Limits µA IEC EN UL 3 2 Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink leakage curre...

Page 442: ...Module Frames and Modules 11 20 2062973 004 For your notes ...

Page 443: ...12 EEG Module E EEG and EEG Headbox N EEG Technical Manual ...

Page 444: ......

Page 445: ... 3 3 Functional check 12 8 3 3 1 Test setup 12 8 3 3 2 EEG tests 12 8 3 3 3 Test completion 12 9 4 Calibration and adjustments 12 10 5 Troubleshooting 12 11 5 1 Visual inspection 12 11 5 2 Troubleshooting checklist 12 12 5 3 Service Interface 12 12 5 3 1 Device Information 12 12 5 3 2 Log files 12 12 5 4 Messages 12 13 6 Disassembly and reassembly 12 15 6 1 Disassembly guidelines 12 15 6 1 1 ESD p...

Page 446: ...Module Frames and Modules 12 ii 2062973 004 7 3 EEG Headbox N EEG 12 20 Maintenance check form 12 23 ...

Page 447: ...for the AEP stimulation earphones The EEG module E EEG creates auditory stimulus pulses and takes care of AEP signal processing It has one connector for the EEG headbox Figure 1 Measurement setup 1 Module EEG EP and FEMG measurement capability E EEG 2 EEG Headbox and cable N EEG 3 EEG leadset preconfigured or own montage EEG electrodes cup needle or stick on 4 Earphones required for AEP measuremen...

Page 448: ...cy band 60 300 Hz The mains power frequency and its harmonics are digitally filtered away to reject noise interference from the power lines 1 2 3 AEP AEP is an electrical response of the nervous system to an external auditory stimulus It is measured using the same electrodes as in the EEG measurement but the sampling frequency and bandwidth are different The electrical signal resulting from one st...

Page 449: ...e E EEG and EEG Headbox N EEG 12 3 2062973 004 1 3 Main components 1 3 1 Controls and connectors Figure 3 Front panel and the back of EEG Module E EEG and front panel of EEG Headbox N EEG Figure 4 N EEG headbox ...

Page 450: ...us is full duplex i e data can be transferred to both directions at the same time Figure 5 Neuro board block diagram Module key and Headbox key Module Description EP Start Stop E EEG N EEG Starts stops evoked potential measurement with the defined settings Imp Check E EEG N EEG Starts the manual measuring of the electrode impedance Connector Module Description EEG E EEG Connector for N EEG Headbox...

Page 451: ...FEMG amplifier and filter current feeding circuitry and amplifiers for impedance measurement microprocessor serial communication Figure 7 EEG headbox board block diagram 3 0 75 7LPLQJ FRQWURO XGLR OHYHO DGMXVWPHQW XGLR JHQHUDWRU HDGER DUSKRQHV DXGLRBVWLPBFLUFXLWU YVG 56 GULYHU DWD 3 VWLPXOXV PSHGDQFH FKHFN VLJQDO 3 VWLPXOXV 9 38 VRODWLRQ 2SWR VRODWLRQ 3RZHU VXSSO HDGER NH V 9 9 BKHDGER BEUGBEOFNBG...

Page 452: ...Module Frames and Modules 12 6 2062973 004 2 Configuration There is no configuration for the E EEG module ...

Page 453: ...e box and latch are intact Check the external parts of the headbox cover and the base of the headbox are intact the headbox sticker is intact connectors are intact and attached properly the module and the applied parts are clean The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual ...

Page 454: ...2 Connect the EEG headbox to the E EEG module 3 Connect the EEG leadset to the EEG headbox 4 Connect the leads ch1 ch1 ch2 ch2 and ground of the EEG lead set to the simulator 5 Plug in the earphones to the EEG headbox Monitor configuration NOTE Some menu selections differ according to according to software packages and or license in use 1 Configure the EEGNum parameter window to the monitor screen...

Page 455: ...ndows 2 EEG measurement a Check that a sine waveform appears to the EEG1 and EEG2 waveform fields b Select Numeric View in the EEG View menu and check that the MF value is 2 0 0 5 Hz Delta 99 and Amplitude is 35 3 μV 3 AEP stimulation a Start a manual AEP stimulation sequence by pressing the EP Start Stop key on the EEG headbox b Check that a clicking sound comes from the earphones c Press the EP ...

Page 456: ...Module Frames and Modules 12 10 2062973 004 4 Calibration and adjustments There are no calibration or adjustments for the E EEG module ...

Page 457: ...he front cover is intact all connectors are intact clean and attached properly the module box and latch are intact EEG headbox cover and the base of the headbox are intact the headbox sticker is intact connectors are intact and attached properly If in doubt of having any loose parts or cable connections inside the EEG module detach the module box by removing the two screws from the back of the mod...

Page 458: ...the problem remains contact service Make sure you have all necessary information of the product at hand Describe the problem and the troubleshooting done so far Provide Device Information and Service logs if requested 5 3 Service Interface Use the Webmin Service Interface to access device information and service logs 5 3 1 Device Information The Device Information shows the hardware and software i...

Page 459: ...e not connected Connect the EEG leads EEG measurement removed MF EEG module is disconnected from the module slot Reconnect the EEG module to the module slot Identical EEG modules MF Two or more EEG modules are connected Connect only one EEG module at a time Headbox off PW EEG headbox cable is not connected to the module Connected the EEG headbox cable to the module EEG measurement off PW EEG leads...

Page 460: ...dances of the EEG electrodes from the EEG View Menu Numeric View Press the electrode with high impedance to improve the connection Replace the electrode if necessary Big contact difference PW Big difference 2 5 kΩ in the electrode impedance may disturb the EEG measurement Check the individual impedances of the EEG electrodes from the EEG View Menu Numeric View and try to make the electrode impedan...

Page 461: ...not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing semiconductors Use...

Page 462: ...tach the front cover see 6 2 1 4 Disconnect the membrane keyboard cable from the Neuro board 5 Detach the Neuro board by removing the two screws located near the front panel frame Pull out the front chassis unit Reassembling the module Reverse the order of the disassembly steps Check that screws are tightened properly cables are connected properly there are no loose objects inside the module 6 2 2...

Page 463: ...box input unit assembly and lift the assembly off the back cover 4 Disconnect the headbox input unit connectors from the EEG headbox board Reassembling the N EEG Reverse the order of the disassembly steps Check that screws are tightened properly cables are connected properly there are no loose objects inside the headbox ...

Page 464: ...cedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing 7 2 EEG Module E EEG Item Description Order No Replaced by 1 SCREW machine M3x8mm DIN965 torx head flat countersunk head steel zinc coated 2 Module Casing Single Injection molded M1021035 3 SCREW CYLINDER HEAD MRT M3x6 STZN FZB 8 8 M DIN7985 TORX 4 NEURO BOARD M EEG Printed Circuit Assembly 898...

Page 465: ... Cover DE E EEG M1025171 9 Front Cover EN E EEG M1025172 9 Front Cover ES E EEG M1025173 9 Front Cover FI E EEG M1025174 9 Front Cover FR E EEG M1025175 9 Front Cover HU E EEG M1046299 9 Front Cover IT E EEG M1025176 9 Front Cover JA E EEG M1025177 9 Front Cover NL E EEG M1025178 9 Front Cover NO E EEG M1025180 9 Front Cover PL E EEG M1025181 9 Front Cover PT E EEG M1025182 9 Front Cover SV E EEG ...

Page 466: ...cable N EEG 895610 2080309 001 3 Headbox input unit 896558 2080308 001 4 AEP connector N EEG 896461 895610 5 EMC cover 898276 2080312 001 6 Membrane keypad 880101 2080312 001 7 Cover 896457 2080311 001 8 Bottom side of N EEG 896557 2080311 001 9 Cross cyl head screw M3x6 10 Cross cylinder head screw M3x12 11 Cross cylinder head screw M3x12 zinc coated 12 HEADBOX STCIKER CS N EEG M1062572 ...

Page 467: ...EEG rev 01 S 5 898701 12 Front Panel sticker NO N EEG rev 01 S 5 898707 12 Front Panel sticker PT N EEG rev 01 S 5 898704 12 Front Panel sticker SV N EEG rev 01 S 5 898706 13 ELECTRODE STICKER CS N EEG M1062575 13 Electrode sticker DA N EEG rev 01 S 5 898207 13 Electrode sticker DE EN FI N EEG rev 01 S 5 897858 13 Electrode sticker ES N EEG rev 01 S 5 898203 13 Electrode sticker FR N EEG rev 01 S ...

Page 468: ...Module Frames and Modules 12 22 2062973 004 For your notes ...

Page 469: ... Planned maintenance Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections Result µA IEC EN UL Limits µA IEC EN UL Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink ...

Page 470: ...Module Frames and Modules 12 24 2062973 004 For your notes ...

Page 471: ...13 BIS Module E BIS Rev 01 Technical Manual ...

Page 472: ......

Page 473: ...ety tests 13 8 3 3 Functional check 13 8 3 3 1 Test setup 13 8 3 3 2 BIS tests 13 8 3 3 3 Test completion 13 8 4 Calibration and adjustments 13 9 5 Troubleshooting 13 10 5 1 Visual inspection 13 10 5 2 Troubleshooting checklist 13 10 5 3 Service interface 13 11 5 3 1 Device Information 13 11 5 3 2 Log files 13 11 5 4 Messages 13 12 5 5 Troubleshooting chart 13 13 6 Disassembly and reassembly 13 14...

Page 474: ...Module Frames and Modules 13 ii 2062973 004 7 1 Ordering parts 13 16 7 2 BIS Module E BIS 13 17 Maintenance check form 13 19 ...

Page 475: ... Calculated parameters are Bispectral Index BIS Suppression Ratio SR Electromyograph EMG Signal Quality Index SQI The calculated parameters can be selected on the display and trended excluding SQI The module has two user keys for BIS menu and Check Sensor for impedance check Figure 1 Measurement setup 1 Module with BIS measurement capability E BIS 2 Digital Signal Processing Unit BISx 3 Patient In...

Page 476: ...activity electromyograph High frequency artifacts may contribute to the measured signal Suppression ratio SR number indicates the percentage of suppressed flat line EEG detected over the last 63 seconds It ranges from 0 to 100 1 2 2 Sensor check Sensor check is performed automatically at the beginning of each case when the sensor is attached to the patient interface cable monitor An initial Checki...

Page 477: ...k signal interferes with other equipment such as EEG module with evoked potentials measurement WARNING Make sure that the electrodes sensor and connectors do not touch any electrically conductive material including earth 1 3 Main components 1 3 1 Controls and connectors Figure 3 Front and back panels of BIS Module E BIS Module key Module Description E BIS Opens the BIS menu on the screen E BIS Sta...

Page 478: ... the BIS sensor with a 1 2m long patient interface cable see Figure 1 Measurement setup For BIS Sensor related documentation refer to BIS documentation by Aspect Inc WARNING Do not autoclave the BISx Digital Signal Processing Unit with steam or sterilize with ethylene oxide Do not open it for any reason WARNING When using the electrosurgery unit it needs to be noted that the measurement cables do ...

Page 479: ...us frequencies Do not use electrical radiating equipment close to the BISx or DSC Details regarding radiated field strengths are given in the technical specifications 1 3 4 BIS Module BIS interfacing board The BIS interfacing board supplies data from the BISx Digital Signal Processing Unit to the monitor via a module bus In addition the module accepts commands from the monitor via the module bus T...

Page 480: ...Module Frames and Modules 13 6 2062973 004 2 Configuration There is no configuration for E BIS module ...

Page 481: ...properly the module box and latch are intact Check also the BISx Digital Signal Processing Unit to ensure that the cover and the panel stickers are intact cables and their connections are intact the module and the applied parts are clean The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user ...

Page 482: ...odule and BISx Digital Signal Processing Unit recognition a Connect the BISx Unit with the Patient Interface Cable PIC to the E BIS module b Check that the BIS waveform field and related information appears to the screen and a No sensor message is shown 2 BISx Unit check a Connect the BIS Sensor simulator to the PIC cable b Check that a Checking sensor message appears to the BIS parameter window a...

Page 483: ...BIS Module E BIS 13 9 2062973 004 4 Calibration and adjustments There are no calibration or adjustments for the E BIS module ...

Page 484: ...ns are intact If in doubt of having any loose parts or cable connections inside the module detach the module box by removing the two screws from the back of the module and check that screws are tightened properly cables are connected properly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a ...

Page 485: ...ware and software information of the system and the modules Ensure that the E BIS module is connected to the monitor To view Device information 1 Log on to the Webmin application 2 Select the Information tab 3 Select Device Information 4 Check that the software and hardware information is provided 5 3 2 Log files Service logs are used for recording different system events errors and alarms to help...

Page 486: ... PW Current module hw sw is incompatible with this BISx Unit Connect correct type of BISx Unit No Sensor No BIS Sensor WF PW MF Sensor is not connected to PIC cable or PIC cable is not connected to the BISx Unit Connect the sensor to the PIC cable Connect the PIC cable to the BISx Unit Replace the sensor and then the PIC cable Sensor check failed BIS sensor check failed WF PW MF Sensor check faile...

Page 487: ...oo high Sensor is not properly attached to the patient Check the cable connections Reattach the sensor to the patient by following the sensor instructions BIS Measurement removed MF The BIS module is disconnected from the module slot Reconnect the BIS module to the module slot Problem Possible causes Possible solutions Checking sensor message stays more than 2 minutes Sensor check fails The sensor...

Page 488: ...test equipment The following guidelines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband or heel strap should be worn at all times while handling or repair...

Page 489: ... 2 Replacing the interface board 1 Remove the front cover 2 Remove the two screws T10 from the back of the module 3 While pressing the release latch pull the module casing slowly backwards and remove it from the main body 4 Detach the interface board by removing the two screws located near the front chassis unit Disconnect the membrane keyboard cable and pull out the front chassis unit 6 2 3 Reass...

Page 490: ...To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing ...

Page 491: ...ront Chassis Membrane Keyboard Connector Unit Latch Torsion Spring M1206390 2 E BIS 01 Interface Board FRU Interface Board Metal Frame 2 mounting screws M1206391 2 E BIS 01 JA Interface Board FRU Interface Board Japanese Version Metal Frame 2 mounting screws M1233348 3 E BIS 01 Front Cover FRU Front Cover M1203601 S ...

Page 492: ...ce Board 2 mounting screws for Module Casing Latch Torsion Spring Membrane Keyboard M1206392 5 BISx Digital Signal Processing Unit including Patient Interface Cable PIC plus GE BISx Host Cable Kit BISx Bulkhead Connector M1206545 6 GE BISx Host Cable Kit FRU 2080644 001 7 BISx Bulkhead Connector FRU 2080645 001 Item Description Order No ...

Page 493: ...e maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections Result µA IEC EN UL Limits µA IEC EN UL 3 2 Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink leakage current test using...

Page 494: ...Module Frames and Modules 13 20 2062973 004 For your notes ...

Page 495: ...14 NeuroMuscular Transmission Module E NMT Rev 01 Technical Manual ...

Page 496: ......

Page 497: ...ections 14 7 3 2 Electrical safety tests 14 7 3 3 Functional check 14 8 3 3 1 Test setup 14 8 3 3 2 NMT tests 14 8 3 3 3 Test completion 14 9 4 Calibration and adjustments 14 10 5 Troubleshooting 14 11 5 1 Visual inspection 14 11 5 2 Troubleshooting checklist 14 11 5 3 Service interface 14 12 5 3 1 Device information 14 12 5 3 2 Log files 14 12 5 4 Messages 14 13 6 Disassembly and reassembly 14 15...

Page 498: ...Module Frames and Modules 14 2 2062973 004 7 Service parts 14 17 7 1 Ordering parts 14 17 7 2 Spare parts for E NMT 01 14 18 Maintenance check form 14 21 ...

Page 499: ... E NMT modules versions If needed refer to earlier document version s for more information about older E NMT modules versions The module contains peripheral nerve stimulation and response measurement which supports electromyography EMG The module can also be used as a nerve locator for regional nerve blocking with a regional block cable However response measurement is not available with regional n...

Page 500: ...0 ms intervals The responses of both bursts are measured and the ratio of the second and first response is calculated DBS EMG responses are measured immediately after the first stimulus pulse of both bursts In Single Twitch stimulation one stimulation pulse is generated The response is measured after the stimulus In order to prevent decurarization of the stimulated area the measurement is automati...

Page 501: ...response Figure 3 Principle of response measurement 1 2 4 EMG measurement The EMG response is measured as integrated muscle activity The EMG measurement starts 3 ms after the stimulation and lasts 15 ms The 3 ms delay helps to prevent the effect of stimulation artifact 1 2 5 MechanoSensor measurement MechanoSensor is attached between a thumb and an index finger It measures the response as a moveme...

Page 502: ...r measuring electronics for the EMG signals microprocessor for the stimulation and measuring control and for counting the measuring results serial communication Module key Module Description Start up E NMT Starts the search of supramaximal current and reference level and proceeds with the selected measurement cycle Stop Continue E NMT Interrupts and restarts monitoring of the same patient Connecto...

Page 503: ...transistor The transformer produces a high voltage which charges the capacitor and the transistor adjusts the pulse width and amplitude of the current ZĞĐĞŝǀĞ ĚĂƚĂ ĞŶĚ ĚĂƚĂ ĞŶĚ ƌĞĐĞŝǀĞ ZĞƐĞƚ KƉƚŽ ŝƐŽůĂƚŝŽŶ ZĞĐĞŝǀĞ ĚĂƚĂ ĞŶĚ ĚĂƚĂ ĞŶĚ ƌĞĐĞŝǀĞ ZĞƐĞƚ ZĞƐĞƚ ŝŶ EZĞƐĞƚ ŝŶ ƚŽ ŵŽĚƵůĞ ƉƌŽƐĞƐƐŽƌ ƚŽ ĐĞŶƚƌĂů ƵŶŝƚ ŵŽĚƵůĞ ďƵƐͿ Z ϰϴϱ ĚƌŝǀĞƌ Z ϰϴϱ ĚƌŝǀĞƌ ĂƚĂ E ĂƚĂ WĂƚŝĞŶƚ ŝƐŽůĂƚŝŽŶ ϱ Ŭǀ ƐĞƌŝĂůͺĐŽŵŵͺŽƉƚŽͺŝƐŽů ǀƐĚ Re...

Page 504: ...Module Frames and Modules 14 6 2062973 004 2 Configuration There is no configuration for the E NMT module ...

Page 505: ...autions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package NOTE Mark this task as complete on the checkout form 3 2 Electrical safety tests Complete the Electrical safety tests fo...

Page 506: ...to max 3 3 2 NMT tests 1 Module and sensor recognition a Connect a NMT Sensor Cable with a NMT ElectroSensor to the module b Check that the NMT waveform field with related information is shown on the screen c Check that a Measurement OFF message is shown on the parameter window 2 Supramaximal current search and reference setting a Connect the NMT ElectroSensor leads to the NMT simulator b Start NM...

Page 507: ...TINUE module key to stop the measurement 4 Mark this task as complete on the checkout form 3 3 3 Test completion Select Discharge patient or Reset case to discard any changes made to the monitor configuration during checkout 5 Complete on the Maintenance check form on page 14 21 ...

Page 508: ...Module Frames and Modules 14 10 2062973 004 4 Calibration and adjustments There are no calibration or adjustments for the E NMT module ...

Page 509: ...is attached properly in the module there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit Ensure that the monitor is turned on and all modules are connected Check if there are any messages shown in the message field Find the possible cause and solution from t...

Page 510: ...em events errors and alarms to help troubleshoot equipment problems The following service logs may contain information related to the E NMT module Clinical Log is used for recording different system events messages clinical alarms user interactions and internal communication events The messages are explained in detail later in this chapter Embc Frame Logs is used for recording module communication...

Page 511: ...arch of supramaximal stimulus pulse is in progress Wait until the search of supramaximal stimulus pulse is completed Setting reference PW Reference setting is in progress Wait until the setting of reference level is completed Regional block PW Nerve location with regional block stimulation is in progress Stop regional block stimulation TETANIC PW Tetanic stimulation is in progress Wait until the t...

Page 512: ...ment reposition the stimulus and the response electrodes and restart the measurement NMT measurement removed MF NMT module is disconnected from the module slot Reconncet the NMT module to the module slot Identical NMT modules MF Two or more NMT modules are connected Connect only one NMT module at a time Message Location Possible causes Possible solutions ...

Page 513: ...not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing semiconductors Use...

Page 514: ...move the release latch from the main body While pressing the release latch pull the module casing slowly backwards and remove it 3 Detach the front cover see 6 2 1 4 Remove the two screws located near the front chassis unit 5 Carefully pull out the front chassis unit to detach the connector that connects the NMT board to the NMT connector board 6 Disconnect the membrane keyboard cable and the NMT ...

Page 515: ... parts To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing ...

Page 516: ...1 Item Description Order No 1 E NMT 01 NMT board FRU NMT Measurement Board Metal Frame 2 mounting screws 2080924 001 2 E NMT 01 Front Chassis Unit FRU Front Chassis Membrane Keyboard Connector Unit Latch Torsion Spring 2081701 001 3 E NMT 01 Front Cover FRU Danish M1237377 ...

Page 517: ...r FRU Japanese M1237384 3 E NMT 01 Front Cover FRU Norwegian M1237386 3 E NMT 01 Front Cover FRU Polish M1237387 3 E NMT 01 Front Cover FRU Portuguese M1237388 3 E NMT 01 Front Cover FRU Spanish M1237390 3 E NMT 01 Front Cover FRU Swedish M1237391 3 E NMT 01 Front Cover FRU Czech M1237394 3 E NMT 01 Front Cover FRU Hungary M1237395 3 E NMT 01 Front Cover FRU Russian M1237396 3 E NMT 01 Front Cover...

Page 518: ...Module Frames and Modules 14 20 2062973 004 For your notes ...

Page 519: ...d maintenance Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections Result µA IEC EN UL Limits µA IEC EN UL 3 2 Electrical safety tests Patient source leakage current test S F C ground open 50 µA S F C neutral open 50 µA N C 10 µA Patient sink lea...

Page 520: ...Module Frames and Modules 14 22 2062973 004 For your notes ...

Page 521: ...15 F5 5 Module Frame F7 7 Module Frame Technical Manual ...

Page 522: ......

Page 523: ... communication test 15 10 3 3 3 Synchronization connector test 15 11 3 3 4 Test completion 15 13 4 Calibration and adjustments 15 14 5 Troubleshooting 15 15 5 1 Visual inspection 15 15 5 2 LED indicators 15 15 5 3 Troubleshooting checklist 15 16 5 4 Service Interface 15 17 5 4 1 Configuration information 15 17 5 4 2 Device Information 15 17 5 5 Log files and snapshots 15 17 5 6 Messages 15 18 5 7 ...

Page 524: ...Module Frames and Modules 15 ii 2062973 004 7 Service Parts 15 30 7 1 Ordering parts 15 30 7 2 FRU kit 15 30 7 2 1 7 module frame F7 15 30 7 2 2 5 module frame F5 15 32 Maintenance check form 15 35 ...

Page 525: ...slot for one single width E Module In the side of the F5 module frame there is a docking station for Patient Side Modules E PSM or E PSMP or PDM Module The F7 module frame is used with CARESCAPE Monitor B850 intergrated Carestations only It provides places for seven single width E modules or three double width E modules plus one slot for a single width E module Patient side module E PSM or E PSMP ...

Page 526: ...HW VZLWFK 38 9 9 6ZLWFK 3 0 360 OH ERDUG 0 ERDUG ERDUG 0RGXOH PRWKHU ERDUG FRQ YHUWHU 6 QF 3RZHU 360 LQN DWD H3257 9 9 9 9 0RGXOH XV 3RZHU 1 VLJQDOV 0 9 1 9 0RGXOH XV 9ROWDJH 3 0 9 360 9 9 0 9 360 3 6 QF 6 QF LQ 9 0RGXOH XV 9 360 0 9 3 0 1 9 2QO IUDPH 2QO IUDPH 2QO IUDPH 0RGXOH XV 5HVHW 1 0 PRGXOH EXV FRQQHFWRUV UDPHB B BGLDJ YVG ...

Page 527: ... Figure 3 F5 External connections 1 Connector for PDM module 2 Connector for PSM module 3 On Standby LED 4 Synchronization connector 5 Module connector 6 a Communication LED b Link LED 7 ePort Connector for the CARESCAPE monitor connection cable 8 Equipotential connector NOTE The Defibrillation synchronization connector can be used only with E P RE S TN and E PSM P W modules PDM module has its own...

Page 528: ...nchronization connector 3 Module connector 4 Connector for the cable of Pole Mount for E PSM 5 a Communication LED b Link LED 6 ePort Connector for the CARESCAPE monitor connection cable 7 Equipotential connector Signals Ref Indicators Normal function 1 On Standby LED green lit 5a Activity LED green lit 5b Link LED green blinking ...

Page 529: ...om the R wave peak to the start of the signal is maximally 35 ms Pressure out pin 7 P1 from hemodynamic module The Invasive pressure output signal is 1 V 100 mmHg originally ranging from 0 to 320 mmHg and with a delay of approximately 25 ms The signal requires an input impedance of 100 k Direct ECG pin 8 Delay max 15 ms Gain ECG out ECG in 1 V 1 mV Pacer 5 V and 2 ms pulse e Port connector Connect...

Page 530: ...HFWRU WPHO 7 50 38 WKHUQHW VZLWFK U VWDO 0 ERDUG FRQQHFWRU 6WDWXV 6 7 EXV 7 7 B 1 2 5 5 B 5 5 B 9 0 2 0 0RG XV B 5 0 7 5 7 5 56 WUDQVFHLYHU XDO 6XSSO EXV WUDQVHLYHUV 0RG XV B 5 6 7 HEXJ OHGV B B HEXJ FRQQHFWRUV 5HVHW VZLWFK 9ROWDJH VXSHUYLVRU 6 67 0B 5 6 7 EORFN 96 1 9 HILEB 0DUNHUB Q HILEB 0DUNHUB 2XW B QDORJ B2XW B QDORJ B 2XW 7B 54 0 1 B 5 6 7 6 5 0 E WH 1 1 6 0E WH RRW IODVK DWD EXV GGUHVV EXV...

Page 531: ... the EMBC board 1 3 6 Front panel flex board The Front panel flex board connects Analog output connector to the EMBC board 9D 9 8 9 9 9D 9D RQYHUWHU FK 86 56 02 86 7 0 2 5 211 725 027 5 2 5 211 725 5 8 7 5 5 7HPS 6HQVRU 2YHU 9ROWDJH 3URWHFWLRQ 29 59B6 9 9D 9D 9 1 56 02 86 5 6 7 5 25 5 6 5 20081 7 21 9 8 2267 9 8 9 1 8QGHU 2YHU 9ROWDJH 6KXWGRZQ 27 6 3 21752 5 8 7 5 5 360B 1 02 B 1 9B 1 1 9B 1 02 B ...

Page 532: ...Module Frames and Modules 15 8 2062973 004 2 Configuration There is no configuration for the F5 and F7 module frames ...

Page 533: ...intact the cable between the module frame and the CPU unit is connected and the block screws are tightened properly all four rubber pads are in place and the screws on the bottom are tightened properly Turn the frame onto one of its sides to check the pads the module motherboard connectors are clean and intact the frame and the applied parts are clean The cleaning precautions cleaning requirements...

Page 534: ...40582 001 together with the Analog output cable 2000633 001 and a multiparameter simulator to perform this test Follow the instructions included with the tester See analog output cable wire colors and related signals from the table below Connecting cables 1 Ensure that the frame is connected to the monitor host 2 Ensure that the multiparameter hemomodule is connected to the frame 3 Connect the 5 l...

Page 535: ...cted Configuring the monitor 1 Configure ECG a Select ECG1 to the screen with waveform and adequate priority b In the Parameter Setup ECG Setup select ECG1 Lead II 2 Configure invasive pressure a Select P1 to the screen with waveform and adequate priority b In the Parameter Setup Invasive Pressures P1 select Label P1 Scale mmHg 0 200 mmHg Parameter Format Sys Dia Mean Configuring the simulator Ref...

Page 536: ...est the Arterial BP output signal NOTE Perform this arterial BP test only if an E PSMP an E PSMPW an E PRETN or an E PRESTN module is in use with the patient monitor a Ensure that the simulator s InvBP output channel is configured to 0 mmHg static pressure or atmosphere b Press the Zero P1 module key c Check that a Zeroing message changes to a Zeroed message in the P1 parameter window d Configure ...

Page 537: ...width of the Marker out signal a Change the Time scale in the oscilloscope b Verify that the signal shown on oscilloscope screen corresponds to the picture above 5 Mark this task as complete on the checkout form 3 3 4 Test completion Select Discharge patient or Reset case to discard any changes made to the monitor configuration during checkout 6 Complete on the Maintenance check form on page 15 35...

Page 538: ...Module Frames and Modules 15 14 2062973 004 4 Calibration and adjustments There are no calibration or adjustments for F5 and F7 module frames ...

Page 539: ...re intact clean and are attached properly used cables are intact the module box and latch of the connected modules are intact In doubt of having any loose parts or cable connections inside the module frame detach the frame cover by removing 2 screws T20 from the bottom and 1 screw from the back of the module frame and check that Screws are tightened properly Cables are connected properly There are...

Page 540: ... priority and the parameters are shown to be active Monitor Setup Screen Setup Upper Parameter Area Press a module key Check that the related menu is opened or activity is started Inoperatibility may refer to a loose keypad cable or other problem in the module If the problem remains contact service Make sure you have all necessary information of the product at hand Describe the problem and the tro...

Page 541: ...t equipment problems Clinical Log is used for recording different system events messages clinical alarms user interactions and internal communication events The messages are explained in detail later in this chapter Embc Frame Logs is used for recording module communication events and errors for E series parameter modules NOTE Refer to the CARESCAPE monitor technical manual to see the complete lis...

Page 542: ...g module troubleshooting The module is not connected properly Insert the module properly to it s rails The module connector is defective Repair the frame with corresponding FRU PSM PDM modules work but other E modules data is not seen The Module Mother board connector is defective Some of the frame or EMBC internal connectors are defective or connections loosen Replace the EMBC Module FRU or check...

Page 543: ...ctor inside the frame is defective Send the frame or the module to repair ECG sync signal is not available Appropriate ECG module is not connected to the frame Check that E P RE S TN Module or E PSM P module is properly connected or replace the module The Sync connector is defective Replace the EMBC Module send the EMBC Module or frame to service Problem Possible causes Possible Solutions ...

Page 544: ... but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing semiconductors Use properly grounded test equipment Use a sta...

Page 545: ...re 6 2 1 7 module frame F7 Required tools pincers screwdriver TORX T10 T20 antistatic wristband Disassembling the F7 module frame 1 Remove all modules and cables from the F7 module frame Changing the Ethernet Module Bus Converter Unit 1 Remove one screw T10 from the back panel ...

Page 546: ...OTE When reassembling ensure that the connector is properly attached Changing the EMBC Unit cover 1 Detach the EMBC unit from the frame 2 Release the front cover by pressing the top and bottom latches Pull out the cover NOTE When reassembling ensure that the latches lock properly NOTE The light guide is loose and comes off easily Be careful not to drop it ...

Page 547: ...e Board 1 Remove the EMBC unit 2 Remove four screws T10 to detach the back plate 3 Remove the 12 screws T10 from the Module Board 4 Carefully detach the cable connector and the ferrite from the brackets 5 Carefully lift the Module Board from the frame cover ...

Page 548: ...ide the frame Ferrite of the PSMcable is attached properly NOTE Perform the electrical safety check and checkout procedure every time after you have opened the module box 6 2 2 5 module frame F5 Changing the PSM cable 1 Remove five screws T10 from the back plate 2 Detach the back plate 3 Carefully detach the cable connector and the ferrite from the brackets 4 Detach the connector from the Mother B...

Page 549: ... 15 25 2062973 004 Disassembling the 5 module frame 1 Remove all modules and cables from the F5 module frame Changing the EMBC Unit 1 Unscrew 2 screws T20 from the bottom and 1 screw from the back 2 Pull out the EMBC unit ...

Page 550: ...Frames and Modules 15 26 2062973 004 Changing the cover and the Module board 1 Detach the EMBC unit 2 Unscrew 3 screws from the bottom 3 Unscrew 1 screw from the EMBC slot under the cover 4 Lift off the cover ...

Page 551: ...le front cover 1 Detach the EMBC unit 2 Release the front cover by pressing the top and bottom latches Pull out the cover NOTE The light guide is loose and comes off easily Be careful not to drop it NOTE When reassembling ensure that the latches lock properly Changing the PSM PDM Dock 1 Detach the EMBC unit 2 Detach the EMBC unit front cover 3 Unscrew 2 screws from the top 4 Remove the cover ...

Page 552: ...ling be careful with the EMBC power board Make sure that the EMBC power board EMBC board connector is properly aligned and not damaged 7 Unscrew 3 screws from the EMBC board 8 Unscrew 2 hexagon spacers from both sides of the connector at the end of the unit 9 Unscrew 2 screws from the connector holders 10 Lift off the board ...

Page 553: ...that screws are tightened properly cables are connected properly EMBC Unit is attached properly there are no loose objects inside the frame NOTE Perform the electrical safety check and checkout procedure every time after you have opened the module box 11 Remove the ground screw 12 Unscrew 4 screws NOTE There are 4 guides to help you in reassembly 13 Lift off the metal cover PSM PDM Dock ...

Page 554: ...sure you have all necessary information at hand NOTE Perform the checkout procedure described in section 3 Maintenance and checkout each time after you have opened the module casing 7 2 FRU kit 7 2 1 7 module frame F7 I Figure 7 Ethernet Module Bus Converter Unit F7 Description Order no Ethernet Module Bus Converter Unit F7 2085009 001 PSM Cable and Module Board Kit F7 M1151855 ...

Page 555: ...n 1 SCREW M3x6mm pan head steel STZN TORX T10 2 SCREW M4x10mm Pozidrive pan head steel zinc coated captive serrated lock washer 3 Ethernet Module Bus Converter Unit F7 Ref Description 1 SCREW M3x6mm pan head steel STZN TORX T10 2 PSM Cable 3 Module Board 4 SCREW PT PAN HEAD TORX T10 3 0x6mm ST ZN ...

Page 556: ...rd Kit F5 M1151852 PSM PDM Dock F5 2085013 001 Ethernet Module Bus Converter Unit F5 2085010 001 Ref Description 1 Frame Cover F5 2 SCREW PT PAN HEAD TORX T10 3 0x6mm ST ZN 3 SCREW M3x6mm pan head steel STZN TORX T10 4 F5 Frame motherboard 5 SCREW PT3 5x16mm pan head steel STZN HEAD ID 5 8mm TORX T10 6 SCREW PT3 5x7 5mm pan head steel STZN HEAD ID 5 8mm TORX T10 ...

Page 557: ... Converter Unit F5 Ref Description 1 PSM PDM Dock F5 2 SCREW PT3 5x7 5mm pan head steel STZN TORX T10 3 Light Guide F5 4 Module Front Panel F5 Ref Description 1 SCREW M3x6mm pan head steel STZN TORX T10 2 SCREW M4x16mm pan head steel zinc coated TORX T20 3 Ethernet Module Bus Converter Unit F5 ...

Page 558: ...Module Frames and Modules 15 34 2062973 004 For your notes ...

Page 559: ...uring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual Inspections Result IEC EN UL Limits IEC EN UL Electrical safety tests Ground earth integrity Ground continuity test without power cord 0 1 ohm with power cord 0 2 ohm Impedance of protective earth connection without power cord 0 1 ohm with power co...

Page 560: ...Module Frames and Modules 15 36 2062973 004 For your notes ...

Page 561: ...16 Patient Data Module v2 Technical Manual ...

Page 562: ......

Page 563: ...re update 16 12 3 Maintenance and checkout 16 13 3 1 Visual inspection 16 13 3 2 Electrical safety tests 16 13 3 3 Checkout procedure 16 13 3 3 1 Test setup 16 13 3 3 2 ECG tests 16 17 3 3 3 Impedance respiration tests 16 18 3 3 4 Invasive pressure tests 16 18 3 3 5 Temperature tests 16 18 3 3 6 SpO2 tests 16 18 3 3 7 NIBP tests 16 20 3 3 8 Defib sync and analog output test 16 21 3 3 9 Test comple...

Page 564: ...bly and reassembly 16 37 6 1 Disassembly guidelines 16 37 6 1 1 Tools required 16 37 6 1 2 Before disassembly 16 37 6 1 3 Hardware precautions 16 37 6 1 4 Electrostatic discharge ESD precautions 16 37 6 2 Exploded view 16 38 6 3 Replacement procedures 16 39 6 3 1 Battery 16 39 6 3 2 Labels 16 40 6 3 3 Battery door and tray 16 41 6 3 4 Pull tab and mount rail 16 41 6 3 5 Top housing 16 43 6 3 6 Mai...

Page 565: ...solution for seamless transport The PDM contains software and hardware to monitor the following parameters ECG respiration Noninvasive blood pressure Pulse oximetry Up to four channels of invasive blood pressure Cardiac output or two temperature channels Defibrillator sync analog out interface 1 2 Measurement principle The PDM is a portable acquisition device It collects data from a patient conver...

Page 566: ...ion of pacemaker activity from up to three differential pairs of ECG electrodes for the purpose of pacemaker identification The ECG and respiration circuitry is electrically isolated from all the other parameters Each isolated parameter section contains a processing unit and a serial communication unit Communications are implemented through a custom serial communication link 1 3 1 Internal main co...

Page 567: ... system allows you to obtain maximum battery performance When connected to a bedside monitor audible and visual alarms alert you when loss of power is imminent and on screen capacity gauges on the transport monitor indicate battery charge condition and capacity The Lithium Ion battery is a rechargeable battery containing Lithium Ion cells Each battery contains an integrated electronic fuel gauge a...

Page 568: ...dentified in Figure 3 Figure 3 Communication and power indicators 1 Communication icon and indicator 2 Power icon and indicator 3 Power ON IBP Zero All button Communication The following LED condition identifies the communication status with a bedside or transport patient monitor No light indicates no communication Solid amber indicates an application reset Solid green indicates communication Flas...

Page 569: ...tions on installing the PDM with the patient monitor see the CARESCAPE Monitor technical manual Mounting options WARNING For safety reasons all connectors for patient cables and sensor leads are designed to prevent inadvertent disconnection should someone pull on the leads Do not route cables in a way that they may present a stumbling hazard 5 WARNING Do not hang articles on the IV pole that are n...

Page 570: ... using one of the docking stations Mounting kits include all necessary hardware and installation instructions Mounting points to note Before docking the PDM to the bedside dock transport dock or mini dock be sure that the PDM rails are aligned with the docking station rails Shown below are the PDM rails engaged with the mini dock rails ...

Page 571: ...Be sure that the PDM is mounted at a convenient height allowing all users to align the PDM rails with the bedside dock rails as shown The PDM can be mounted using the Mini Dock P N 2021968 001 shown here with the L bracket P N 2021967 001 ...

Page 572: ...02 can be positioned using various mounts Horizontal mounting of the bedside dock is recommended as shown using the L bracket P N 2021967 001 The ePort host interface cable is used to connect the bedside dock to the host patient monitor 1 3 8 PDM admit discharge cycle Prior to patient use perform an admit discharge cycle on the PDM to clear all patient data Refer to the patient monitor s user s ma...

Page 573: ...al browser as follows 1 Select Monitor Setup then Service The local browser opens and displays the Webmin login dialog box 2 Type the username and password and click Login or press Enter on the keyboard Username biomed Password Change space Me NOTE Username and password are case sensitive The Webmin session opens with the Information tab displayed Figure 5 Webmin Information tab accessed locally ...

Page 574: ...dules 16 10 2062973 004 Figure 6 Webmin Information tab accessed remotely 3 Select the Configuration tab and then select Modules 2 2 Asset settings 1 Select Asset Settings to display the host serial number and asset number ...

Page 575: ...ial number must follow the specific format found on the serial number label on the PDM NOTE The manufacturer s serial number must be edited if the PDM s main CPU board is replaced 2 3 Licensing Licensing is used for activating or removing license s 1 To obtain a license contact GE technical support and provide the PDM serial number and MAC address Contact information is available at www gehealthca...

Page 576: ...or reboot CAUTION Do not disable ECG Filter during clinical use 2 5 Software update The module software can be updated using a software CD and Webmin The software update process involves transferring and activating the module software First you transfer the new software to the host monitor either from the software CD using service laptop connected to the monitor or by using InSite ExC Then you nee...

Page 577: ...e equipment if damage is determined Refer damaged equipment to qualified service personnel Inspect the case for cracks or other physical damage Check that front panel labels are intact Inspect cables for fraying or other damage Inspect all plugs and connectors for bent pins or other damage Check for loose or missing screws on the mounting hardware Check that the module is clean Refer to the patien...

Page 578: ...Adult NIBP hose Adult NIBP cuff Infant NIBP cuff hose a rigid cylinder or pipe NIBP pressure manometer NOTE See the supplemental information manual for compatible accessories Defib sync and analog output Unterminated defib sync cable 2017842 001 Oscilloscope Connections ECG and impedance respiration 1 Connect the 12 lead ECG trunk cable to the green ECG connector in the module 2 Connect both 5 lea...

Page 579: ...nometer with either an integrated or separate pressure pump to the NIBP hose and NIBP cuff with a piece of tubing see picture below 6 Ensure that all the connections made are leak proof Defib sync and analog output Connect the unterminated cable assembly to the Defib Sync connector on the front of the PDM Monitor configuration NOTE If a parameter window is not visible after you have selected it to...

Page 580: ...1 P2 P3 and P4 waveform fields to display on the monitor screen with adequate priority 2 Select the P1 tab in the Invasive Pressure menu and set up the Label Scale and Parameter Format settings in the desired configuration for testing 3 Repeat step 2 for the P2 P3 and P4 waveforms Temperature 1 Configure the T1 and T2 parameter windows to display on the monitor screen with adequate priority 2 Sele...

Page 581: ...All ECG Waveforms view from the ECG Setup tab in the ECG menu Check that all 12 ECG leads are available and they are noise free c Close the All ECG Waveforms view 2 Pacemaker Detection a Configure the simulator to show Asynchronous Pacemaker Pulse b Check that pacemaker spikes are shown on the ECG waveform c Configure the simulator to show 80 beats per minute Normal Sinus Rhythm 3 Asystole Detecti...

Page 582: ...s the flat pressure line in the related waveform field c Check that a reading of 240 4 mmHg displays on the patient monitor 11 Pressure Waveforms a Configure the simulator s InvBP output channels to generate a waveform b Check that the pressure waveform for P1 P2 P3 and P4 waveform fields displays an appropriate waveform 12 Mark this task as complete on the checkout form 3 3 5 Temperature tests Pe...

Page 583: ...turation and pulse rate Saturation 75 2 Rate bpm 60 2 e Press and release the heart rate button on the SRC MAX Verify default indicators are lit as follows Heart rate 200 bpm Light LOW SpO2 75 MOD LOW f Verify the following SpO2 readings for saturation and pulse rate Saturation 75 2 Rate bpm 200 3 g Press and release the light button on the SRC MAX Verify default indicators are lit as follows Hear...

Page 584: ...ings for saturation and pulse rate Saturation 90 2 Rate bpm 200 3 m Mark this task as complete on the checkout form 3 3 7 NIBP tests 15 NIBP Leak Test Check the NIBP tubing system for leakage a Select Monitor Setup Service Calibrations b Enter username and password and press Enter Username biomed Password Change space Me c On the Calibrations menu select NIBP d Select Start to start the Calibratio...

Page 585: ...he ECG Arterial BP and Marker Out signals from the DEFIB SYNC connector using an oscilloscope to connect to the appropriate wire on the test cable see Test cable plug and pinout on page 16 29 They should resemble the waveforms in the following figures Note that there are two Marker Out traces shown The top trace shows the frequency of the pulses the bottom trace shows the pulse width Results Actio...

Page 586: ...ely from the factory Arterial BP Signal pin 2 Red wire Ground pin 6 Green wire Time division 0 2s Volts division 0 2v Marker Out Frequency Signal pin 9 Gray wire Ground pin 4 Yellow wire Time division 10ms Volts division 0 5v Marker Out Pulse Width Signal pin 9 Gray wire Ground pin 4 Yellow wire Time division 5ms Volts division 1v ...

Page 587: ...ocessor within the equipment communicates with both the battery and the charger The following are facts about Lithium Ion battery technology The battery discharges on its own even when it is not installed in the equipment This discharge is the result of the Lithium Ion cells and the bias current required for the integrated electronics The self discharge rate doubles for every 10ºC 18ºF rise in tem...

Page 588: ...increases by 10ºC to 15ºC 18ºF to 27ºF above the room s ambient temperature This reduces the life of the battery In a device that is powered by an AC power source floating the battery self discharges to less than 90 of its full charge capacity after approximately two weeks The battery is then recharged to 100 resulting in a 95 average state of charge Storing the battery at a high state of charge a...

Page 589: ... charge and condition the battery 3 4 5 Condition the battery Remove or replace the battery 1 Open the battery door at the rear of the PDM 2 Remove the battery 3 Insert a new battery with the connection pins inserted first and facing down 4 Close the battery door 5 Connect the PDM to a host patient monitor and confirm that the battery LED lights green and the battery icon displays in the lower cor...

Page 590: ... tee 4745 101 NIBP tubing 2 feet 401582 001 Digital manometer with a range of at least 0 to 1000 mmHg Accuracy 0 5 FS NIBP tube 2017008 001 NIBP cuff 2203 Pipe PVC 4 1 2 Calibration check procedure 1 Connect the PDM to the patient monitor 2 Apply power to the patient monitor 3 Make sure the power indicator on the PDM s front panel is ON green 4 Connect the digital manometer noninvasive blood press...

Page 591: ... is a leak in the NIBP plumbing correct the problem and perform the Calibration procedure on page 16 27 10 Verify that the pressure readings on the patient monitor shown as CUFF in the NIBP parameter box and the manometer are equal 1 mmHg for at least one full minute If the readings are equal the device is properly calibrated If the readings are not equal the device requires calibration Complete t...

Page 592: ...e calibration process with no changes press Stop Calibration 5 Under Adjust the measured pressure next to Pressure mmHg use the up or down arrow to select a pressure value that is 1 mmHg lower than the current manometer reading 6 When the manometer falls to exactly the value that you selected in the popup window select Confirm to enter the value The module then releases pressure in the cuff 7 Next...

Page 593: ... ON green 5 Connect the unterminated cable to the Defib Sync connector on the front of the PDM 6 At the patient monitor select Monitor Setup Service Calibrations 7 Select Analog Outputs The screen defaults to the ECG tab Pin Wire color Signal name 1 Brown ECG_ANALOG_OUT 2 Red BP_ANALOG_OUT 3 Orange NO_CONNECTION 4 Yellow MARKER_RETURN 5 Shield DRAIN WIRE 6 Green ANALOG_RETURN 7 Blue NO_CONNECTION ...

Page 594: ...er the measured voltages for Low Point High Point and Calibration Point 11 To calibrate the IP output select the IP tab 12 See Test cable plug and pinout on page 16 29 and connect the digital voltmeter to the appropriate unterminated cable 13 Next to IP Output Calibration on the Service Calibrations Analog Outputs screen select Start NOTE To abort the calibration process with no changes press Stop...

Page 595: ...e in or use the scroll buttons to enter the measured voltages for Low Point High Point and Calibration Point 15 Mark this task as complete on the checkout form NOTE If the PDM s CPU board is replaced perform calibration 16 Proceed to the Defib sync and analog output test on page 16 21 ...

Page 596: ... the username and password and click login or press Enter on the keyboard Username biomed Password Change space Me NOTE Username and password are case sensitive Username and password cannot be created edited or deleted The Webmin tool opens and defaults to the Information tab 5 2 1 Device information 1 On the Information tab select Device Information The following sections display when the PDM is ...

Page 597: ...d replace the battery See Battery on page 16 39 for instructions 3 Check that the battery is charging with the GE approved battery charger If not charging replace the battery See Battery on page 16 39 for instructions External surface is damaged Top housing is damaged Bottom housing is damaged Check the PDM top and bottom housing as follows 1 Check for cracks or other damage to the top housing If ...

Page 598: ...nse is not activated Patient monitor is not configured to display the parameter 1 Check for damage to the parameter cable s If damaged replace cables 2 Check for damage to the parameter interface If damaged contact GE technical support to service the PDM 3 Check for licensing using Webmin At the patient monitor select Monitor Setup Service Log on to Webmin with your username and password On the In...

Page 599: ...n Replace the main CPU board and re install the software Service the PDM Error Code 0xPDM1005 An error occurred reading flash file system partition information Replace the main CPU board and re install the software Service the PDM Error Code 0xPDM1006 An error occurred using the TWI bus Replace the main CPU board and re install the software Service the PDM Configure Power Frequency Power line freq...

Page 600: ...S board 5V rail voltage out of spec Replace DAS assembly Service the PDM Error Code 0xPDM1109 ECG DAS board 7 5V rail voltage out of spec Replace DAS assembly Service the PDM Error Code 0xPDM110A ECG DAS board 7 5V rail voltage out of spec Replace DAS assembly Service the PDM Error Code 0xPDM110B Main DAS board 1 26V rail voltage out of spec Replace DAS assembly Service the PDM Error Code 0xPDM110...

Page 601: ...tection to prevent damaging the PDM See Electrostatic discharge ESD precautions on page 16 37 below for details 6 1 3 Hardware precautions Observe the following guidelines when disassembling the PDM Note the positions of wires cables and different sized screws marking them if necessary to ensure they are replaced correctly Do not kink pinch stretch twist or tightly fold a flex cable 6 1 4 Electros...

Page 602: ...bags until absolutely necessary Make sure power to an assembly is turned off before removing or inserting a semiconductor Do not slide semiconductors or electrical electronic assemblies across any surface Do not touch semiconductor leads unless absolutely necessary Semiconductors and electronic assemblies should be stored only in antistatic bags or boxes Handle all PCB assemblies by their edges Do...

Page 603: ... reassemble the PDM in reverse order of disassembly 6 3 1 Battery 1 Open the battery door by gently pulling on the battery door pull tab 2 Pull the battery tray out of the PDM using the battery tray strap and remove the battery 3 Insert the new battery with the test button facing up and the arrow pointing into the PDM ...

Page 604: ... Make sure the battery is completely inserted and the battery door is completely closed Falling batteries could seriously or fatally injure neonatal or other vulnerable patients 5 Press the Power button on the PDM 6 Verify that the Power LED illuminates amber while the PDM boots up then illuminates green 6 3 2 Labels Apply labels as shown ...

Page 605: ...s the battery door to the housing and remove the door and washer 2 Remove the battery if one is in the tray 3 Use a flathead screw driver to lift the catch tab on the tray as you pull it out of the housing 6 3 4 Pull tab and mount rail 1 Remove 2 screws on the latch stop Remove the latch stop ...

Page 606: ...nd gently pull it straight out about 1 27 cm 0 5 in Lift the assembly out of the rail slot NOTE In the event that the pull tab assembly comes apart when pulled from the rail slot reassemble as shown below 3 Remove 2 short screws at the rear of the mount rail and 2 long screws at the front of the mount rail ...

Page 607: ...tween the mount rail and the housing when re seating 6 3 5 Top housing 1 Remove the pull tab and mount rail per above steps 2 Remove 4 machine screws that hold the top and bottom housing together 3 Turn the PDM right side up and lift off the top housing 4 Install the top housing as follows a Inspect the gasket in the top housing to be sure it is securely placed in the groove ...

Page 608: ...nel board is connected securely c Starting at the rear of the module position alignment pins of the top housing into the bottom housing holes then close the housing straight down d Squeeze the top and bottom housings together to eliminate gaps Install the screw near the Power ON button first ...

Page 609: ... from the connector without pulling on the wires 3 Remove 6 screws on the main board 4 Remove the main board 5 When installing the main board a Position the main board into the alignment pins See figures above and below b Fold the flex material over the top of the board c Hold the main board in place while installing screws ...

Page 610: ...n to Webmin See Configuration on page 16 9 for details b Select the Configuration tab select Modules Assets settings c Enter the manufacturer s serial number and select Submit d Select Licensing and enter the licensing information 9 Complete the procedures in Recommended checkout on page 16 52 6 3 7 NIBP hose and coupling 1 Remove the top housing and main board per above steps 2 Disconnect the fro...

Page 611: ...ete the procedures in Recommended checkout on page 16 52 6 3 8 NIBP assembly with manifold hose 1 Remove the top housing main board NIBP hose and coupling per above steps 2 Remove 4 screws from the battery cover 3 Grasp and slide the battery cover out to the rear 4 Remove 1 screw under the pump tube connection 5 Lift off the manifold with pump ...

Page 612: ... manifold and pump in the bottom housing and carefully press to seat connector d Install the screw then connect the hose Slide hose all the way onto the manifold fitting so that the hose lays flat e Make sure the pump is resting between the positioning protrusions f Complete the procedures in Recommended checkout on page 16 52 6 3 9 Main flex circuit assembly 1 Using a T6 screwdriver remove the 3 ...

Page 613: ...m housing and the 2 screws holding the DAS rear cover to the bottom housing 3 Insert a screwdriver under the DAS rear cover pop up and remove the DAS rear cover NOTE If the DAS rear cover is damaged replace it with the new cover provided in the FRU kit when reassembling the PDM module See steps 8 and 9 ...

Page 614: ...sing 5 Remove the flex circuit assembly from the PDM module 6 Before installing the replacement flex circuit assembly ensure that the red gasket 1 is in place on the DAS top cover 2 as shown Gasket may remain attached to the removed flex circuit assembly 7 Replace the main flex circuit assembly in the reverse order of disassembly ...

Page 615: ... 2 on the DAS rear cover that secure the DAS rear cover to the bottom housing 9 Press the DAS rear cover firmly into the bottom housing until the 2 snap features snap into place as shown 10 After replacing the flex assembly reassemble the PDM module in the reverse order listed 11 Go to the Solar 8000M i patient monitor service manual and complete checkout procedures ...

Page 616: ...abel kit Nellcor None None None 2031069 006 Label kit Masimo None None None 2031069 007 NBP assembly with MFLD hose NIBP on page 16 26 ECG respiration invasive blood pressure temperature Masimo or Nellcor OxiMax SpO2 depending on the PDM SpO2 type and defib sync analog output tests in the Checkout procedure on page 16 13 Complete Electrical safety tests found in the CARESCAPE Monitor technical man...

Page 617: ...3 Complete Electrical safety tests found in the CARESCAPE Monitor technical manual 2031069 013 Main Flex Assembly NIBP on page 16 26 ECG respiration invasive blood pressure temperature Masimo or Nellcor OxiMax SpO2 depending on the PDM SpO2 type and defib sync analog output tests in the Checkout procedure on page 16 13 Complete Electrical safety tests found in the CARESCAPE Monitor technical manua...

Page 618: ...able assemblies that can be ordered Item Number Description 2031069 002 Battery door and tray 2031069 003 Battery 2031069 004 PDM mount rail and pull tab 2031069 005 Label kit Nellcor 2031069 006 Label kit Masimo 2031069 007 NIBP assembly with MFLD hose 2031069 008 NIBP MFLD hose coup only 2031069 009 Top housing 2031069 010 Main CPU board includes software CD 2017098 001 2017098 003 2017098 005 e...

Page 619: ...ntenance Corrective maintenance Measuring equipment test gases used ID number Manufacturer Model number Description Serial number Cal due date Test Results Functional tests Results Pass Fail What to test Pass Fail Visual inspection ECG Electrical safety tests Refer to the CARESCAPE Monitor technical manual Impedance respiration Temperature 1 and 2 Invasive BP as required SpO2 NIBP Battery NIBP cal...

Page 620: ...Module Frames and Modules 16 56 2062973 004 ...

Page 621: ......

Page 622: ...t 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 GmbH Munzingerstrasse 5 79111 Freiburg Germany Tel 49 761 45 43 0 Fax 49 761 45 43 233 www gehealthcare com Asia Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd No1 Huatuo Road Zhangjiang Hi tech Park Pudong Shanghai P R China ...

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