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GE Datex-Ohmeda S/5 Series, Technical Reference Manual

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GE Datex-Ohmeda S/5 Series Technical Reference Manual Download Page 112

Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors

20

Document no

. 

M1144953-001

2.2.13 Pressure/Pressure Temp Modules, E-P, E-PT, M-P, M-PT

1.

Enter the 

P/PT 

module service menu:

Check that the Time-outs, Bad checksums and Bad c-s by mod values are not increasing 
faster than by 5 per second. Check that the PT board memories have passed the internal 
memory test, i.e. RAM, ROM and EEPROM all show OK.

"

Invasive blood pressure measurement

2.

Check the function of the front panel 

Zero P3

 

membrane key.

3.

Check the InvBP channel with a patient simulator.
Zero the InvBP channel. Then check that the values and waveforms correspond to the 
simulator settings.

"

Modules w/ temperature measurement

4.

Check the temperature measurement calibration using temperature test plugs.
NOTE: Make sure that the protection for temperature calibration is set on.

"

2.2.14 Dual pressure Module, E-PP, M-PP

1.

Enter the 

PP

 module service menu:

Check that the Time-outs, Bad checksums and Bad c-s by mod values are not increasing 
faster than by 5 per second. Check that the Dual Pressure module, E-PP or M-PP, 
memories have passed the internal memory test, i.e. RAM, ROM and EEPROM all show OK.

2.

Check the function of the front panel

 

Zero P5

 and 

Zero P6 

membrane keys.

3.

Check the InvBP channels with a patient simulator. 
Zero the InvBP channels. Then check that the values and waveforms correspond to the 
simulator settings.

"

2.2.15 Cardiac Output Modules, E-COP, E-COPSv, M-COP, M-COPSv

1.

Enter the 

COP 

module service menu:

Check that the Time-outs, Bad checksums and Bad c-s by mod values are not increasing 
faster than by 5 per second. Check that the module’s memories have passed the internal 
memory test, i.e. RAM, ROM and EEPROM all show OK.

"

Invasive blood pressure measurement

2.

Check the function of the front panel membrane 

Zero P4

 key.

3.

Check the InvBP channel with a patient simulator.

Summary of Contents for Datex-Ohmeda S/5 Series

Page 1: ...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 Order code M1065281 1st edition June 2 2008 GE Healthcare Finland Oy Helsinki Finland P O Box 900 FI 00031 GE FINLAND Tel 358 10 39411 Fax 358 9 1463310 www gehealthcare com Copyright 2008 General Electric Company All rights reserved Datex...

Page 2: ...thetic agents The S 5 Compact Critical Care Monitor with L CICU06 and L CICU06A software is indicated for use by qualified medical personnel only Classifications In accordance with IEC 60601 1 Class I and internally powered equipment the type of protection against electric shock Type BF or CF equipment The degree of protection against electric shock is indicated by a symbol on each parameter modul...

Page 3: ...Product availability Some of the products mentioned in this manual may not be available in all countries Please consult your local representative for the availability ...

Page 4: ......

Page 5: ...M1144951 004 Introduction System description Installation Interfacing Functional check General troubleshooting 1 M1144953 001 Planned Maintenance Instructions 2 Document No Updated Description M1144955 001 CAM CCCM Service Menu 1 M1144956 003 Display Unit for F CM1 F CMC1 rev 00 05 F CMREC1 F CMCREC1 rev 00 01 Software Licenses L CANE06 A L CICU06 A 2 M1144958 001 Frame Unit for F CM1 F CMC1 rev 0...

Page 6: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors 2 Document no M1144951 004 For your notes ...

Page 7: ...ing instructions 19 3 2 Choosing location 19 3 3 S 5 Frame for Compact Monitor 19 3 3 1 Compact Monitor connections 20 3 3 2 Connecting to mains 21 3 3 3 Connecting to Network 22 3 3 4 Connecting to Wireless Network 22 3 3 5 Inserting the parameter modules 23 3 3 6 E PSM P Mounting Accessories 23 3 3 7 Downloading Monitor Software 25 3 3 8 Performing Factory Reset 26 3 3 9 Installing the Datex Ohm...

Page 8: ... Unit 43 4 3 1 Interconnection 43 4 3 2 Setting interfacing parameters on the S 5 Anesthesia Delivery Unit 43 4 3 3 Setting interfacing parameters on the S 5 Compact Anesthesia Monitor 43 4 4 Interfacing Dräger Cicero Cato Julian and Narkomed 2C by NAD 44 4 4 1 Interconnection 44 4 4 2 Setting communication parameters 45 4 4 3 Setting interfacing parameters on the S 5 Compact Anesthesia Monitor or...

Page 9: ...tion module E NSATX E NSAT M NSAT 61 5 3 15 Datex Ohmeda Oxygen Saturation module M OSAT 62 5 3 16 BIS Module E BIS M BIS 62 5 3 17 Entropy Module E ENTROPY M ENTROPY 62 5 3 18 Data Card and Menu Card function 62 5 3 19 Recorder 62 5 3 20 Network connection 63 5 3 21 Wireless Network Option 63 5 3 22 Interface Module E INT M INT 63 5 3 23 Interface module for PSM E INTPSM 63 5 3 24 Device Interfac...

Page 10: ...Installation of the U CMREC1 29 Figure 9 ARK Barcode Reader N SCAN connected to Compact Monitor 30 Figure 10 Compact Airway Module E XXXX 30 Figure 11 Scavenging through ventilator reservoir 31 Figure 12 Connecting the gas module to the scavenging connector of S 5 Avance 32 Figure 13 Sample gas returned to patient circuit in ADU 33 Figure 14 Connection cables and LED indicators 40 Figure 15 An exa...

Page 11: ...on please do not hesitate to contact your authorized distributor Part II contains detailed descriptions of each component of the S 5 CAM CCCM Monitor such as frame unit parameter modules Remote Controller and Device Interfacing Solution Service check for each product service menus and all the spare parts information for the Monitor is included For information of parameter modules Remote Controller...

Page 12: ... or menu items are written in bold italic ECG Setup Menu access is described from top to bottom For example the selection of the Monitor Setup hard key the Screen 1 Setup menu item and the Waveform Fields menu item would be shown as Monitor Setup Screen 1 Setup Waveform Fields Messages Messages alarm messages informative messages displayed on the screen are written inside single quotes Please wait...

Page 13: ...nsult your local representative for the available components Figure 1 S 5 Compact Anesthesia Monitor system 1 S 5 Compact Anesthesia Monitor with modules inside 2 Remote Controller K CREMCO 3 Printer 4 Wireless Network WLAN Access Point N WAP 5 Network LAN Optional components Optional components are Built in recorder N CMREC1 Remote controller Keyboard for anesthesia record keeping solution barcod...

Page 14: ...r or for viewing and receiving data alarms vital signs from other patient monitors gathering and storing data during transportation To view other patient monitors the monitor needs to be connected to the network LAN or WLAN To gather store and transfer data between different Datex Ohmeda monitors use memory cards or connect the monitor to the network NOTE With WLAN use only Data Card ...

Page 15: ...rrect upright position of the transport package The transport package must be kept in a dry environment Indicates the temperature limitations within which the transport package should be stored This package can be recycled This battery contains Ni MH and can be recycled Dangerous voltage When using the ARK Barcode Reader N SCAN do not stare into beam The N SCAN Barcode Reader is a Class 2 laser pr...

Page 16: ...ates that the converter must not be opened for any reason or autoclaved On the E PRESTN E PRETN E RESTN E PSM E PSMP E P E PP E PT E COP and E COPSv module indicates that protection against cardiac defibrillator discharge is due in part to the accessories for pulse oximetry SpO2 temperature T and invasive pressure P measurement On the E NMT M NMT module indicates the following warnings Do not plac...

Page 17: ...ria ESD warning symbol for electrostatic sensitive devices Pins of connectors identified with the ESD warning symbol should not be touched Connections should not be made to these connectors unless ESD precautionary procedures are used For details see section 1 2 2 ESD precautionary procedures Symbol for non ionizing electromagnetic radiation Interference may occur in the vicinity of equipment mark...

Page 18: ...four segments indicate strong signal one segment weak signal When connection to access point is being searched the segments scroll from zero to four and back Ethernet connector A blinking heart next to the heart rate or pulse rate value indicates the beats detected A lung next to the respiration rate value indicates that respiration rate is calculated from the impedance respiration measurement Gas...

Page 19: ...its for Certain Hazardous Substances in Electronic Information Products The number in the symbols is the Environment friendly Use Period EFUP which indicates the period during which the toxic or hazardous substances or elements contained in electronic information products will not leak or mutate under normal conditions so that the use of such electronic information products will not result in any ...

Page 20: ... complies with the international standard IEC 60601 1 1 and with the requirements of the local authorities Do not connect any external devices to the system other than those specified If the integrity of the external protective earth conductor arrangement is in doubt use the monitor with battery operation To avoid the risk of electric shock this equipment must only be connected to a supply mains w...

Page 21: ... respiration measurement may cause rate changes in Minute Ventilation Rate Responsive Pacemakers In this case set the pacemaker rate responsive mode off or turn the monitor impedance respiration measurement off Never install the monitor so that it is above the patient The monitor must not be used without manufacturer approved mounting attached Operation of the monitor outside the specified values ...

Page 22: ...ting the power cord to the power supply check that the local voltage and frequency correspond with the rating stated on the device plate Before use Allow two minutes for warm up and note any error messages or deviations from normal operation Do not connect a sampling line to the female Patient Spirometry connector while the other end of the sampling line is connected to the D fend water trap The p...

Page 23: ...SD precautionary procedures To avoid electrostatic charges building up it is recommended to store maintain and use the equipment at a relative humidity of 30 or greater Floors should be covered by ESD dissipative carpets or similar Non synthetic clothing should be used when working with the component To prevent applying a possible electrostatic discharge to the ESD sensitive parts of the equipment...

Page 24: ...and how and why to discharge one s body to earth or to the frame of the equipment or bond oneself by means of a wrist strap to the equipment or the earth prior to making a connection 1 2 3 Disposal Dispose of the whole device parts of it and its packing material and manuals in accordance with local environmental and waste disposal regulations ...

Page 25: ...for the parameter modules The bus is based on the industry standard RS 485 which uses a differential serial method to transfer data This type of bus is robust and it allows parameter modules to be inserted or removed while the power is on The module bus uses a 500 kbps data transfer rate The RS 485 type of serial communication supports so called multidrop or party line connections This means that ...

Page 26: ...ted module 100 times a second Modules respond to each data request immediately by sending a data package whose length depends on the type of the module This communication protocol ensures that each module receives and sends data every 10 ms If a module does not respond to data requests the UPI processor presumes that the module is disconnected Parameter modules may hold a static fixed or dynamic a...

Page 27: ... each individual parameter However some common parts are used in the parameter modules The electronics inside the module is usually divided into isolated floating and non isolated sections Typically the non isolated section consists of buffers to interface the parameter module to the module bus while the rest of the electronics is located in the isolated section The isolated section includes the m...

Page 28: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors 18 Document no M1144951 004 For your notes ...

Page 29: ...RNING The monitor or its components should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the monitor and its components should be observed to verify normal operation in the configuration in which it will be used WARNING Never install the monitor so that it is above the patient CAUTION The monitor display is fragile Ensure that it is not placed near...

Page 30: ... 6 Connector for external keyboard anesthesia record keeping solution keyboard K CREMCO or Barcode Reader 7 Potential equalization 8 Serial port 9 Receptacle for power cord 10 WLAN card LED 11 WLAN card 12 Slot for Memory Cards PCMCIA and WLAN card 13 Connector for Device Interfacing Solution 14 Modules NOTE Insert the WLAN card in the first PC card slot from the front NOTE WLAN CF card with PCMCI...

Page 31: ...ceptacle for power cord 9 NET ID connector 10 NET connector 11 WLAN antenna cover optional 12 Connector for Device Interface Solution 13 WLAN antenna card LED WLAN antenna card optional CAUTION Switch the power to standby before making any connections 3 3 2 Connecting to mains Connect the power cord to the mains power inlet on the side of the power supply unit and to the wall socket NOTE Before ta...

Page 32: ...off 2 Connect the Identification Plug and one RJ 45 connector to the connectors X4 and X5 3 Connect the other RJ 45 connector to the corresponding connector on the wallbox 4 Switch on the power Confirm that the network symbol and Connected to Network message are displayed on the upper part of the screen 3 3 4 Connecting to Wireless Network Make sure that the S 5 Wireless LAN Option N CMW and the a...

Page 33: ...order Module E REC M REC and the built in recorders in F CMREC1 or F CMCREC1 and U CMREC1 or N CMREC1 Interface Modules E INT M INT Oxygen Saturation Modules E NSATX E NSAT M NSAT and M OSAT Tonometry Modules E TONO M TONO NeuroMuscular Transmission Modules E NMT M NMT EEG Modules E EEG M EEG BIS Modules E BISX E BIS M BIS 3 3 6 E PSM P Mounting Accessories Intended use The Frame Mount for PSM and...

Page 34: ... PSM Instructions connecting to the Compact Monitor frame 1 See the picture above for used parts and assembly 2 Remove the 4 screws on the back of the Compact Monitor frame 3 Install the enclosed plate and tighten the screws Install the Frame Mount for PSM screws M5 10mm 4 Insert the E INTPSM module and connect the cable 5 Attach the E PSM P module and check the module communication 6 Assemble the...

Page 35: ...MCIA cards NOTE All user settings will be lost after downloading of new monitor software NOTE During the downloading of software the serial number of the monitor is written on the software card The software can then be downloaded again onto the same monitor but not onto any other monitor 1 Make sure that the monitor is switched to standby 2 Press and hold the service reset button on the rear panel...

Page 36: ...entation regarding the new monitor software NOTE The license agreement of monitor software needs to be in accordance with the monitor software serial number Make sure you archive the license agreement in a secure location NOTE The first start up after software loading takes considerably longer 3 3 8 Performing Factory Reset NOTE The factory reset is necessary after replacing monitor software NOTE ...

Page 37: ... is written on the software card and if the downloading for some reason would fail the software can be downloaded again onto the same monitor but not onto any other monitor 1 Make sure that the monitor is switched to standby 2 Detach the cover plate on the network connectors at the rear of the frame unit above the power supply unit Leave the collar on the connectors attached 3 Open the cover for c...

Page 38: ...priate Network ID WEP Algorithm Key ID and Encryption Key using the corresponding menu selections For selecting allowed communication channels enter the appropriate Channel Mask using the corresponding menu selection See Appendix C Channel Mask Selections Save the monitor s wireless LAN configuration by selecting Save Configuration Save NOTE The settings must match up with the ones that are define...

Page 39: ...ed to standby 2 Connect the K CREMCO to the 5 pin DIN connector X9 that is located on the right side of the Compact Monitor display unit 3 5 Anesthesia Record Keeping Keyboard K ARKB To connect Anesthesia Record Keeping Keyboard K ARKB to a Compact Monitor 1 Make sure that the monitor is switched to standby 2 Connect the K ARKB with an appropriate cable to the 5 pin DIN connector X9 that is locate...

Page 40: ...de Reader N SCAN connected to Compact Monitor 3 7 S 5 Compact Airway Modules E xxxx M xxxxx This chapter provides information for installing Compact Airway Modules E xxxxx Figure 10 Compact Airway Module E XXXX Connection to frame 1 Ensure that the module is properly orientated i e module release latch facing downward ...

Page 41: ...Strong scavenging suction may change the operating pressure of the Airway Module and cause inaccurate readings or internal damage To prevent this there must for example be an opening to room air Connect the sample gas outlet only to an open scavenging system where gas is removed in room pressure Scavenging through the ventilator reservoir Figure 11 Scavenging through ventilator reservoir 1 Connect...

Page 42: ...nect the exhaust line only to an open scavenging system where gas is removed at room pressure NOTE Do not connect the monitor directly to a vacuum scavenging system Returning sampling gas to the patient circuit The sampling gas can also be returned to the patient circuit If you use the S 5 Anesthesia Delivery Unit ADU you need an optional adapter connected to the patient breathing tubes Take speci...

Page 43: ...Remote Controller Cable Also confirm that the cable is intact Unplug and re plug the Power Cord Also confirm that the cable is intact Confirm that the fuses are intact A plug in module does not function Remove and replace the module Confirm that the desired parameters are configured to be displayed Compact Airway Module does not function Confirm that Occlusion or Calibrating Gas Sensor messages ar...

Page 44: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors 34 Document no M1144951 004 For your notes ...

Page 45: ...a machines Heart lung machines Monitors Blood gas analyzers 4 1 Interfacing external monitors via Interface Module E INT M INT It is possible to interface Datex Ohmeda monitors Critikon Dinamap 1846SX Abbott Oximetrix 3 Baxter Explorer and Vigilance Nellcor N 100 N 200 and N 1000 to the S 5 Compact Anesthesia Monitor or to the S 5 Compact Critical Care Monitor via Interface Module E INT M INT The ...

Page 46: ... Fi Airway gases Respiration rate None Capnomac Ultima E INT M INT CO2 Et Fi Airway gases Respiration rate Spirometry SpO2 Pulse rate Pleth amplitude CO2 O2 Anesthesia agent Respiration rate Apnea Occlusion SpO2 Pulse rate Normocap 200 Normocap 200 OXY E INT M INT CO2 Et Fi Airway gases Respiration rate None Oscar Oscar II Oscar OXY E INT M INT CO2 Pleth Et Fi Airway gases Respiration rate SpO2 Pu...

Page 47: ...or on the external monitor Tighten the finger screws Communication parameters are baud rate 19200 no parity none data bits 8 stop bits 1 Mode of communication port IFM out 4 1 4 Connection to Nellcor N 100 and N 1000 Use the Monitor Nellcor Cable 1 Make sure that the power to both monitors is turned off 2 Connect the 9 pin D connector to one of the connectors on the Interface Module E INT M INT Ti...

Page 48: ... the S 5 Compact Anesthesia and S 5 Compact Critical Care Monitor when the monitor has S 5 Monitor software of rev 02 or later installed Table 6 DIS modules and interfaced devices Device Ventilators N DISEV4 Evita 41 1 Trademark of Dräger Medical AG Co N DISPRIM Primus1 NOTE Not available in the US N DIS7200 7200 Series Ventilator System2 2 Trademark of Nellcor Puritan Bennet Inc N DIS840 840 Vent...

Page 49: ...ic cable to the external device and the bus cable to the monitor s DIS connector or to another interfacing module N DISTONO Tonocap5 N DISWHITE Capnomac Capnomac II5 Multicap Normocap CD2 O25 Capnomac Ultima5 Normocap CD 2005 Oscar Oxy Cardiocap 1GS Cardiocap 2GS5 Satlite Satlite Trans Satlite Plus5 1 Trademark of Hospira Inc previously trademark of Abbott Laboratories 2 Trademark of Aspect Medica...

Page 50: ...le functioning of the devices with tested software versions only Always refer to the Installation guide accompanying the DIS module and verify the compatibility before use 4 2 3 Mounting The DIS module can be mounted on the side panel of the external device Also IV pole placement is possible NOTE As the Device Interfacing Solution works only with the device specified in the label of the interfacin...

Page 51: ...able max three modules six meter cable one module CAUTION Make sure that the interfacing module is always used in vertical position to prevent water from entering the module CAUTION Make sure that you are connecting the interfacing module to the device specified in the label 4 2 4 Selecting the external device 1 Turn off the monitor 2 Turn off the external device 3 Connect the interfacing module t...

Page 52: ...l device via Monitor Setup Interfacing menu Select the desired parameter for example Gases Select the desired source by name for example Aestiva NOTE The name of the device is visible on the list only if the device is correctly connected Detailed information about interfacing module related mountings connections and settings is included in the installation guides that are delivered with the interf...

Page 53: ...m check procedure and appear in the trend pages or in the anesthesia record The transfer of events requires record keeping software 4 3 1 Interconnection Use the ADU AS 3 Monitor Cable 4 3 2 Setting interfacing parameters on the S 5 Anesthesia Delivery Unit 1 Press the Setup key 2 Select Install password 10 3 Select Interfacing and choose S 5 AM 4 Press the Normal Screen key 4 3 3 Setting interfac...

Page 54: ... available in all device versions WARNING Always make sure that the combination complies with the international safety standard IEC 60601 1 1 for medical electrical systems and with the requirements of local authorities 4 4 1 Interconnection Use the INT External Device Cable except for Julian and Cicero EM in which case use the INT Julian Cicero EM cable Events transferred once a minute Ventilator...

Page 55: ...meters on the S 5 Compact Anesthesia Monitor or S 5 Compact Critical Care Monitor 1 Press the Monitor Setup key 2 Select Install Service password 16 4 34 3 Select Service password 26 23 8 Parameters More 4 Select Interface and combine a required parameter with the external monitor Two letters al denote alarm integration The selection will be automatically stored in permanent memory 5 Press the Nor...

Page 56: ...Table 7 and Table 8 represents the maximum Some of these parameters may not be available in all device versions NOTE The transference of waveforms requires the MEDIBUS real time extension and in Cato monitors waveforms are available only on port 1 Selection Waveforms Numerics States Gases SSS CO2 kPa mmHg CO2 Fi Et kPa O2 Fi Et N2O Fi Et RR CO2 1 min AA Fi Et Tidal Volume insp 1 Minute Volume exp ...

Page 57: ...itor interface for printers 1 Press the Print Record key 2 Select Printer Connection 3 Select Serial 4 Press the Normal Screen key 4 5 2 Connection to serial printers A serial printer is connected to the serial port connector X11 on the frame unit Contact your authorized GE Healthcare distributor for advice on suitable serial printers 4 5 3 Connection to parallel printers A parallel printer is con...

Page 58: ...e new serial to parallel converter PI1115A and the European power adapter PS1002 EU 230 VAC 50 Hz Power adapters for US UK or Asian markets must be locally sourced from Black Box Corporation through its international distributor network see http www blackbox com Contact us Contacts by Country To connect the S 5 Compact Monitor to printer 1 Make sure that power is switched off on both devices 2 Con...

Page 59: ...601 1 1 for medical electrical systems and with the requirements of local authorities WARNING Connecting the power supply cord of the computer to the wall power outlet may cause the computer leakage current to exceed the limit specified for medical equipment A computer must be supplied from an additional transformer providing at least basic isolation isolating or separating transformer 4 7 Output ...

Page 60: ... Call signal is generated by red and yellow alarms When activated the signal is set to the high state and remains at the high state until the alarm situation is over or the SILENCE ALARM key is pressed The high level range is from 2 8 to 5 V while low state range is from 0 to 0 8 V 4 7 2 Analog outputs Direct ECG X4 pin 7 and X8 pin 3 Delay max 15 ms Gain ECG out ECG in 1 V 1 mV Pacer 5 V and 2 ms...

Page 61: ...quires an input impedance of 100k 4 7 3 S 5 Pressure Temp Module E PT or M PT output signals The signal output connector on the Pressure Temp Module E PT or M PT can be used to interface some models of IABPs to the S 5 Compact Anesthesia Monitor and S 5 Compact Critical Care Monitor The pin assignments are illustrated in Table 13 Please contact your local distributor for more information WARNING A...

Page 62: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors 52 Document no M1144951 004 For your notes ...

Page 63: ...case you evaluate the measurement accuracy with a patient simulator add simulator s accuracy specification to the one of the monitor An electrical safety check and a leakage current test are recommended to be performed prior to the monitor installation 5 1 Recommended tools NOTE Use only properly maintained calibrated and traceable measurement equipment for the specified calibrations and adjustmen...

Page 64: ...ESTPR 3 lead ECG trunk cable 545302 5 lead ECG cable 545303 M NESTPR w E12 10 leadwire ECG cable 545324 E PSM P E PRESTN SpO2 finger probe OXY F UN SpO2 Interconnect Cable OXY ES3 M PRESTN SpO2 finger probe OXY F4 N or SAS F4 E NSATX 40xxxxx 001 Nellcor OxiMax Spo2 interconnect cable E NSAT M NSAT Nellcor SpO2 finger probe with DOC 10 cable E OSAT OxyTip Integrated Finger Sensor OXY F4 N Hemodynam...

Page 65: ...mic module and the accessories needed Table 14 Patient simulators compatibility with each hemodynamic module Tonometry Module E TONO M TONO Calibration gas and regulator 755580 755534 Sampling line 733251 TonometricsTM catheter TONO 14F or another suitable TONO _F catheter Luer plug Pressure manometer BIS Module E BIS M BIS BIS simulator or BIS Sensor simulator 900509 900508 E ENTROPY M ENTROPY En...

Page 66: ...rway Module if installed Check that modules go in smoothly and lock up properly in all module slots M PRESTN ECG Ok Multilink ECG acc Not compatible T Ok M1010832 M1010832 InvBP Not compatible Ok Ok M NESTPR ECG Not compatible 300 series acc Ok 12 lead ECG Not compatible 300 series acc Not compatible T Ok M1010832 M1010832 InvBP Not compatible Ok Ok Patient simulator Adapter cables for simulators ...

Page 67: ...arameters that are connected 4 Enter the Service Menu When applicable check from the corresponding Parameters submenu that the Timeouts Bad checksums and Bad c s by mod values of inserted modules are not increasing faster than by 5 per second Check also that the module memories have passed the internal memory test i e RAM ROM and EEPROM all state OK If installed the recorder should record two line...

Page 68: ...creen and check that the menu disappears from the screen Check the rest of the menu keys by pressing them one by one Tests with the ARK Keyboard Enter the Keyboard service menu Check functioning of the ComWheel Press all keys except Modify and Print Check that each key produces a sound from the loudspeaker or the Message count value in the service menu increases Press the Modify and Print keys and...

Page 69: ...n within 30 seconds 5 Detach the D fend and check that the message Check D fend appears on the monitor screen within 30 seconds 6 Breathe to the sampling line briefly Check that the CO2 information is updated on the screen 5 3 7 Single width Airway Module E miniC M miniC Wait until the message Calibrating gas sensor disappears from the screen 1 Block the tip of the sampling line with your finger a...

Page 70: ...at the values and waveforms correspond to the simulator settings SpO2 measurement 7 Connect an SpO2 finger probe to the module Check that the message Probe off is shown when the probe is not connected to a finger 8 Attach the SpO2 probe to your finger Check that a reading of 95 99 and a pleth waveform appear on the screen Non invasive blood pressure measurement 9 Check the function of the front pa...

Page 71: ...e front panel Zero P4 key 2 Check the InvBP channel with a patient simulator Zero the InvBP channel Then check that the values and waveforms correspond to the simulator settings Cardiac Output measurement 3 Check the function of the front panel Start C O key 5 3 13 NIBP module M NIBP 1 Check the function of the front panel membrane keys 2 Attach an adult NIBP cuff onto your arm and perform one NIB...

Page 72: ...appears in the waveform field 3 Check the function of the front panel membrane keys Open the BIS Setup menu BIS BIS Setup and check that Test DSC shows PASS NOTE If the sensor is not connected the Check Sensor key is inoperative 5 3 17 Entropy Module E ENTROPY M ENTROPY 1 Check the function of the front panel membrane keys 2 Connect the Entropy sensor cable and Entropy simulator to the module Chec...

Page 73: ...hand corner of the screen when the monitor connects to the Datex Ohmeda Network NOTE If the monitor does not connect to the Datex Ohmeda Network check the WLAN configuration on the monitor and on the network 5 3 22 Interface Module E INT M INT 1 Make sure that the monitor receives all necessary parameter data from the connected devices Check the screen configuration and the related interfacing set...

Page 74: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors 64 Document no M1144951 004 5 3 25 General Switch the monitor to standby Perform final cleaning Fill in all necessary documents ...

Page 75: ...t functioning Power cord connected Connect power cord Monitor can be started now Batteries were empty On Standby LED is ON or blinks PMB failure Replace PMB Monitor can be started now Display Unit failure No Yes Yes Yes No Possible AC DC unit failure Replace AC DC unit No No Frame Unit fan is running Yes No AC DC Unit failure Yes CM1_trbl_Flowchart vsd ...

Page 76: ...e View Remove the software card Perform Factory Reset Yes No No Yes Insert the software card into the card slot Turn the power ON Check the software card s connection in the card slot and try again Wait for 80 seconds Try with another software card Please read the note below Replace the CPU board and try again OK No Yes OK OK No NOTE The software card may be defective or all available software has...

Page 77: ... Service engineer Date Monitor Installation Frame F CM________ System options E M Software N E M K N E M K N E M Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part Number Serial Number ID Calibration Date Visual Inspection OK N A Fail 1 Check all units visually Functional Inspection OK N A Fail 5 3 1 General 5 3 2 Display 5 3 3 Keyboard s S N 5 Functional check S N...

Page 78: ...ONO S N 5 3 9 Multiparameter Hemodynamic Modules S N ECG and RESP measurements Temperature measurement Invasive blood pressure measurement SpO2 measurement Non invasive blood pressure measurement Notes 5 3 10 Pressure Pressure Temp Modules E P E PT M P M PT S N Invasive blood pressure measurement Temperature measurement 5 3 11 Dual pressure Module E PP M PP S N Notes 5 3 12 Cardiac Output Modules ...

Page 79: ... Module E BIS M BIS S N 5 3 17 Entropy Module E ENTROPY M ENTROPY S N 5 3 18 Data Card and Menu Card function S N 5 3 19 Recorder S N 5 3 20 Network connection S N 5 3 21 Wireless Network Option S N 5 3 22 Interface Module E INT M INT S N 5 3 23 Interface module for PSM E INTPSM S N 5 3 24 Device Interfacing Solution N DISxxx S N Notes 5 3 25 General Perform final cleaning Fill in all necessary do...

Page 80: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors A 4 4 Document no M1144951 004 For your notes ...

Page 81: ...uidance RF emissions CISPR 11 Group 1 The S 5 CAM CCCM uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Group 2 1 The S 5 CAM CCCM must emit electromagnetic energy in order to perform its intended function Nearby electronic equipment may be affected RF emissions CI...

Page 82: ...e that of a typical commercial or hospital environment Surge IEC 61000 4 5 1 kV differential mode 2 kV common mode 1 kV differential mode 2 kV common mode Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT...

Page 83: ...on distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF IEC 61000 4 6 3 Vrms 150 kHz to 80 MHz 3 Vrms 3 Vrms 150 kHz to 80 MHz 1 Vrms 1 Radiated RF IEC 61000 4 3 3 V m 80 MHz to 2 5 GHz 3 V m 3 V m 80 MHz to 2 5 GHz 1 V m 2 where P is the maximum output power rating of the transmitter in watts W according to the transmitt...

Page 84: ...E 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess th...

Page 85: ...CM can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the S 5 CAM CCCM as recommended below according to the maximum output power of the communications equipment Rated maximum output power of transmitter W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz 1 80 MHz to 80...

Page 86: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors B 6 6 Document no M1144951 004 For your notes ...

Page 87: ...5 01 13 France 1C00 2 4465 2 4835 11 13 Germany 1FFF 2 400 2 4835 01 13 Greece 1FFF 2 400 2 4835 01 13 Hong Kong 1FFF 2 400 2 4835 01 13 Hungary 1FFF 2 400 2 4835 01 13 Iceland 1FFF 2 400 2 4835 01 13 Ireland 1FFF 2 400 2 4835 01 13 Israel 00F0 2 418 2 457 05 08 Italy 1FFF 2 400 2 4835 01 13 Japan 1FFF 2 400 2 4835 01 13 Liechtenstein 1FFF 2 400 2 4835 01 13 Luxembourg 1FFF 2 400 2 4835 01 13 Neth...

Page 88: ...35 01 13 Switzerland 1FFF 2 400 2 4835 01 13 Taiwan 1FFF 2 400 2 4835 01 13 Thailand 1FFF 2 400 2 4835 01 13 Turkey 1FFF 2 400 2 4835 01 13 United Kingdom 1FFF 2 400 2 4835 01 13 United States 07FF 2 400 2 4835 01 11 Venezuela 07FF 2 400 2 4835 01 11 Vietnam 1FFF 2 400 2 4835 01 13 Country Selection Allowed Band DS Channels ...

Page 89: ... licensed medical practitioner Outside the USA check local laws for any restriction that may apply All specifications subject to change without notice Document number M1144953 001 April 9 2008 GE Healthcare Finland Oy Helsinki Finland P O Box 900 FI 00031 GE FINLAND Tel 358 10 39411 Fax 358 9 1463310 www gehealthcare com Copyright 2008 General Electric Company All rights reserved Datex Ohmeda Inc ...

Page 90: ......

Page 91: ...l inspection preparation 9 2 1 1 General 9 2 1 2 Compact Airway Module E CXX M CXX 9 2 1 3 Single width Airway Module E miniC M miniC 10 2 1 4 Tonometry Module E TONO M TONO 10 2 1 5 Recorder Unit 11 2 1 6 Modules with NIBP measurement 11 2 2 Functional inspection 11 2 2 1 General 11 2 2 2 Display 13 2 2 3 Keyboard s 13 2 2 4 Display Unit 13 2 2 5 Frame Unit 13 2 2 6 Compact Airway Module E CXXXXX...

Page 92: ...le E NSATX E NSAT M NSAT 22 2 2 19Datex Ohmeda Oxygen Saturation module M OSAT 23 2 2 20Memory 23 2 2 21Recorder 23 2 2 22Network Option 24 2 2 23Wireless Network Option 24 2 2 24Interface Module E INT M INT 24 2 2 25Device Interfacing Solution N DISxxx 24 2 2 26General 25 Appendix A Planned maintenance check form S 5 Compact Monitors A 1 ...

Page 93: ...s you enter the service menus you need following passwords Monitor Setup Install Service password 16 4 34 Service password 26 23 8 In case you evaluate the measurement accuracy with a patient simulator add the simulator s accuracy specification to the one for the monitor WARNING Handle the water trap and its contents as you would any body fluid Infectous hazard may be present CAUTION Failure on th...

Page 94: ...es w V Spirometry tube 2 m 890031 All Airway modules w V D lite 733950 All Airway modules Sampling line 6 m 19 7 ft 73306 Hemodynamic modules Hemodynamic modules w P M NIBP E PSM P NIBP cuff and adult NIBP cuff hose with cuff ID 2753E cuff 2021285 001 hose Pressure manometer Hemodynamic modules w P InvBP transducer 70077 001 Multi Link ECG accessories IEC E PSM P E PRESTN M PRESTN Multi link 3 lea...

Page 95: ...perature test set 884515 Hemodynamic M Modules w NIBP Adult NIBP cuff 572435 Adult NIBP cuff hose 877235 E COP E COPSv M COP M COPSv C O Catheter cable 16590 E COPSv M COPSv SvO2 simulator 890121 Tonometry Module E TONO M TONO Calibration gas and regulator 755580 755534 Sampling line 733251 Luer plug Pressure manometer TonometricsTM catheter TONO 14F or another suitable TONO _F catheter EEG Module...

Page 96: ...ble included Multilink ECG acc Not compatible T 402015 004 402015 004 and M1010832 InvBP Cable included M1010858 M PRESTN ECG Ok Multilink ECG acc Not compatible T Ok M1010832 M1010832 InvBP Not compatible Ok Ok M NESTPR ECG Not compatible 300 series acc Ok 12 lead ECG Not compatible 300 series acc Not compatible T Ok M1010832 M1010832 InvBP Not compatible Ok Ok Patient simulator Hemodynamic patie...

Page 97: ...n filter 896085 CM C Display Unit Fan filter 874594 Central Processing Board Battery for SRAM Timekeeper 197230 Recorder paper 74205 Tonometry Module E TONO M TONO 733382 Part Order No For product s Special tube Nafion 733382 All Airway modules Ref gas sticker 893110 Compact Airway Modules Filter 2 pcs 886136 Compact Airway Modules Filter assembly 896025 Compact Airway Modules Fan filter 886236 Co...

Page 98: ...cs 886136 Compact Airway Modules Filter assembly 896025 Compact Airway Modules Fan filter 886236 Compact Airway Modules D fend O ring 2 pcs 653125 All Airway modules D fend green 893200 All Airway modules Sampling line 2 0 m 733162 Compact Airway Module M COVX PM sticker 893108 All Airway modules Part Order No For product s Special tube Nafion 2 pcs 733382 All Airway modules Ref gas sticker 893110...

Page 99: ...86136 Compact Airway Modules Filter assembly 896025 Compact Airway Modules Fan filter 886236 Compact Airway Modules D fend O ring 2 pcs 653125 All Airway modules D fend green 893200 All Airway modules Sampling line 2 0 m 733162 Compact Airway Module M COVX PM sticker 893108 All Airway modules Part Order No For product s Special tube Nafion 2 pcs 733382 All Airway modules Mini D fend O ring 2 pcs 6...

Page 100: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors 8 Document no M1144953 001 For your notes ...

Page 101: ...lace the batteries if necessary The manufacturer recommendations are Replace the SRAM Timekeeper battery on the CPU board every 8 years NOTE The Factory Reset must be performed if the SRAM Timekeeper battery is replaced NOTE If the monitor is used for frequent short transportation refresh the batteries every two weeks and replace the batteries every six months 3 Clean or replace the fan filters in...

Page 102: ...iniC M miniC 1 Detach the module box 2 Check that all cables and tubes are connected properly and that there are no loose objects inside the module 3 Install the PM Kit Replace the special tube Nafion Replace the Zero valve air filter every three years Check the D fend body connector O rings and replace them if necessary Replace the Mini D fend and the sampling line NOTE Use only approved sampling...

Page 103: ...l 1 Connect the mains power cord Check that the LED above the mains switch is lit continuously full charged batteries or periodically charging batteries 2 Switch the monitor on Check that the monitor starts up properly i e the alarm LEDs and the display unit fan turn on shortly normal start up sound is heard from the loudspeaker and the monitoring screen appears No error messages should appear on ...

Page 104: ...p Pleth Scale AUTO Airway Gas Spirometry View Scaling Indep Paw Scale 20 Flow Scale 15 or Ventil Spirometry Setup Scaling Indep Paw Scale 20 Flow Scale 15 Others C O View C O Setup Scale 1 0 C Injectate Volume 10 ml Measurement Mode SET Others SvO2 Update HGB 115 g l or Wedge C O SVO2 C O View C O Setup Scale 1 0 C Injectate Volume 10 ml Measurement Mode SET Wedge C O SVO2 SvO2 Update HGB 115 g l ...

Page 105: ...onitor screen Tests with the Remote Controller Enter the Keyboard service menu Check the function of the Comwheel Press all keys Check that each key produces a sound from the loudspeaker or the Message count value in the service menu increases 2 2 4 Display Unit 1 Check that the clock on the screen shows correct time Readjust the time and date if necessary 2 Enter the Service Log service menu Chec...

Page 106: ...mended calibrating gases the calibration does not succeed Anesthesia Agent Compact Airway Modules w the option 10 Enter the Gases service menu Feed calibrating gas order code 755583 continuously for at least 30 seconds and check that the ID in the service menu shows DES and that the value for ID unrel is lower than 50 Patient Spirometry Compact Airway Modules w the option 11 Enter the Spirometry s...

Page 107: ... displayed is within 10 ml min 5 Perform a sampling system leak test 6 Check the flow rates Adjust the sampling flow if necessary 7 Block the tip of the sampling line with your finger and check that the message Sample line blocked appears on the monitor screen within 30 seconds Remove the Mini D fend and check that the message Check D fend appears on the screen within 30 seconds 8 Perform a gas ca...

Page 108: ...without the 12 lead capability M ESTPR M ETPR M ESTR M NESTPR M NETPR and M NESTR modules connect a 5 lead ECG cable to the module Connect the cable leads to a patient simulator Check that the Cable type shows 5 lead 6 Disconnect one of the leads and check that the corresponding electrode in the service menu shows OFF within 10 seconds from the disconnection then reconnect the lead Check the rest ...

Page 109: ...ttings SpO2 measurement 12 Check that the message No probe is shown when no SpO2 sensor is connected Connect an SpO2 finger probe to the module Check that the message Probe off is shown when the probe is not connected to a finger 13 Attach the SpO2 probe to your finger Check that a reading of 95 99 and a pleth waveform appear on the screen Non invasive blood pressure measurement 14 Enter the NIBP ...

Page 110: ...an by 5 per second Check that the memory of the headbox has passed the internal memory test i e HB Rom Error in the headbox view states 0 2 Check the EP Start Stop and Imp Check membrane keys both in the module and the headbox 3 Connect the EEG simulator to the headbox Select 10 kΩ as imped pos and imped neg value on the simulator Go to EEG EP service menu and select Check Electr Check in the head...

Page 111: ...en 0 1000 and the EMG value between 0 10000 NOTE If Sensor Simulator 900508 is used the values can be out of the given range 6 Enter the Module menu Check that no BIS engine errors appear Perform sensor check by pressing Check Sensor and see that the check is passed During the sensor check the Impedance meas should show CYCLIC During operation the Impedance meas should show COMBINED or OFF dependi...

Page 112: ...alibration is set on 2 2 14 Dual pressure Module E PP M PP 1 Enter the PP module service menu Check that the Time outs Bad checksums and Bad c s by mod values are not increasing faster than by 5 per second Check that the Dual Pressure module E PP or M PP memories have passed the internal memory test i e RAM ROM and EEPROM all show OK 2 Check the function of the front panel Zero P5 and Zero P6 memb...

Page 113: ... reading on the screen is 81 2 Cardiac Output measurement 7 Enter the COP module service menu Check the front panel Start C O membrane key 8 Enter the C O View menu Others C O View Connect a catheter connecting cable to the module connector C O If the module contains a C O Test connector M COP attach the catheter connector of the connecting cable to the C O Test connector Check that the message Ca...

Page 114: ...it field changes to Measurement OFF and Cable in the service menu states EMG and ELECTR OFF 4 Place a 3 kΩ resistor between the ElectroSensor s stimulus electrode leads brown and white Perform Start Curr Test Check that the test was successful i e the Current test mA in the menu states 30 OK 50 OK and 70 OK Connect the ElectroSensor leads to the NMT simulator Set the switch on the simulator to FAD...

Page 115: ...2 probe on your finger Check that a reading of 95 100 and a proper SpO2 waveform appear 2 2 20 Memory 1 Enter the MemCards service menu Check that the memory unit is recognized properly i e Present and Active state YES 2 Check that the memories and the PCMCIA controller have passed the tests The status for each should be OK 3 Select Communication Check that the Interface status states Active conti...

Page 116: ...t the green LED on the wireless antenna card blinks and the WLAN signal strenght symbol scrolls between zero and full or stays fixed on the monitor screen 2 Check that the wireless LAN network symbol appears on the upper right hand corner of the screen when the monitor connects to the Datex Ohmeda Network NOTE If the monitor does not connect to the Datex Ohmeda Network check the WLAN configuration...

Page 117: ...heck that the monitor performs a Cold Start i e all trend information is cleared 3 Watchdog Enter the Set Test service menu and perform Watchdog Check that the monitor restarts 4 Service Log reset Enter the Service Log service menu Clear the content of the Service Log by selecting Reset Log from the menu 5 Electrical safety check Perform an Electrical safety check and a leakage current test Check ...

Page 118: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors 26 Document no M1144953 001 For your notes ...

Page 119: ...Installation Frame F CM________ System options E M Software N E M K N E M K N E M Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part Number Serial Number ID Calibration Date Visual Inspection OK N A Fail 2 1 1 General 2 1 2 Compact Airway Module E CXX M CXX S N 2 1 3 Single width Airway Module E miniC M miniC S N 2 1 4 Tonometry Module E TONO M TONO S N 2 1 5 Recor...

Page 120: ... Unit Notes 2 2 6 Compact Airway Module E CXXXXX M CXXXXX Anesthesia Agent Patient Spirometry General Notes 2 2 7 Single width Airway Module E miniC M miniC Notes 2 2 8 Tonometry Module E TONO M TONO Notes 2 2 9 Multiparameter Hemodynamic Modules ECG and RESP measurements Temperature measurement Invasive blood pressure measurement SpO2 measurement Non invasive blood pressure measurement E PSM P E ...

Page 121: ...les w temperature measurement Notes 2 2 14 Dual pressure Module E PP M PP Notes 2 2 15 Cardiac Output Modules E COP E COPSv M COP M COPSv Invasive blood pressure measurement SvO2 measurement Cardiac Output measurement Notes 2 2 16 NIBP module M NIBP S N 2 2 17 NeuroMuscular Module E NMT M NMT S N 2 2 18 Nellcor Compatible Saturation module E NSATX E NSAT M NSAT S N 2 2 19 Datex Ohmeda Oxygen Satur...

Page 122: ...twork Option S N 2 2 24 Interface Module E INT M INT S N 2 2 25 Device Interfacing Solution N DISxxx S N S N S N S N Notes 2 2 26 General 1 Storing trend data 2 Service reset 3 Watchdog 4 Service Log reset 5 Electrical safety check 6 Final cleaning Notes Used spare parts Notes Signature Functional Inspection OK N A Fail ...

Page 123: ...rder of a licensed medical practitioner Outside the USA check local laws for any restriction that may apply All specifications subject to change without notice Document number M1144955 001 April 15 2008 GE Healthcare Finland Oy Helsinki Finland P O Box 900 FI 00031 GE FINLAND Tel 358 10 39411 Fax 358 9 1463310 www gehealthcare com Copyright 2008 General Electric Company All rights reserved Datex O...

Page 124: ......

Page 125: ...ly 12 1 4 1 Battery 13 1 5 PCMCIA Board 13 2 Display 14 3 Keyboard 15 3 1 Keyboard Log 16 3 2 Keyboard Type 16 4 Parameters 17 4 1 Gas Unit 17 4 1 1 General 18 4 1 2 Gases 19 4 1 3 Spirometry 20 4 2 ECG Module 22 4 2 1 ECG Setup 23 4 3 ESTP Module 24 4 3 1 Calibrations 26 4 4 P PT 27 4 4 1 P PT Calibrations 28 4 5 PP 29 4 5 1 PP Calibrations 30 4 6 COP 31 4 6 1 COP Calibrations 32 4 7 NIBP Module ...

Page 126: ...ometry 53 4 12 2 Press Sensor 54 4 12 3 System Test 55 4 12 4 CO2 Sensor 57 4 12 5 Pneumatics 58 4 12 6 AD 59 4 13 EEG EP 60 4 13 1 EEG EP Setup 61 4 14 BIS 63 4 14 1 Sensor 66 4 14 2 BIS Setup 68 4 15 Entropy 69 4 15 1 Sensor 70 4 16 DIS Interfacing 71 4 16 1 Interfacing 71 4 16 2 Status Page 72 4 16 3 DIS Interfacing 72 4 16 4 DIS Module specific page 73 5 Set Test 74 5 1 Country Settings 75 6 S...

Page 127: ... 50 Table 5 Module general error status 50 Table 6 Module pneumatics error status 51 Table 7 Module hardware error status 52 Table 8 Description of system test 56 Table 9 Module general status 64 Table 10 BIS Engine status 64 Table 11 BIS Engine and DSC error messages 65 Table 12 DSC status 67 Table 13 Sensor status 67 Table 14 BE power up status 67 Table 15 HEX to binary conversion A 1 ...

Page 128: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors iv Document no M1144955 001 For your notes ...

Page 129: ...ned Maint Repair Upgrade Country Settings Network MemCards Display NIBP demo Pulse valve Network Config Ethernet Pneumatics servmenu_struct06_CAM vsd Buttons Leds Remote Access Communication Watchdog General ECG Setup Gases Memory Network Status Keyboard Log P PT COP NMT NIBP Module N OSAT More Spirometry Calibrations Calibrations Calibrations Calibrations NMT setup Interface EEG EP TONO BIS ENTRO...

Page 130: ...no M1144955 001 Service Menu NOTE The Service Menu pictures are for reference only Details on the menu page can vary depending on the software version and the module type in use 1 Press the Monitor Setup key 2 Select Install Service password 16 4 34 3 Select Service password 26 23 8 ...

Page 131: ...rd If the result of the test is Fail see section Error messages in the MRI Monitor FrameDisplay unit slot Test SRAM tests the Static RAM memory of the CPU board in a similar way as the EEPROM Flash memory If the result of the test is Fail see section Error messages in the MRI Monitor Frame Display unit slot Real time clock test is run at every start up and also during the operation of the monitor ...

Page 132: ...ication is set according to the network software used e g S CNET02 Interfaces The field indicates if there is a connection to the Datex Ohmeda Network Gateway Interface The field indicates the active network interface None Ethernet WLAN Connections Names of subnet id s connected The field represents the subnet status menus i e shows the connected subnets The three first connections are reserved pe...

Page 133: ...rm limits Link mgmt Network management messages Record K Record Keeper data MonToMon Monitor to monitor communication related data Printer Printing data and control messages File Op File operation messages saving and loading of cases Service Maintenance and service Modes User mode data Indics Remote indications sent to monitor RemoteEv Remote events Data server Packets of the data server Arrhythmi...

Page 134: ...tware L NET05 DRI Level 2005 NOTE The DRI Level 1999 is not selectable in all monitor software versions Virtual Plug ID indicates the monitor s location Network ID Virtual Plug ID is automatically defined when downloading the WLAN option to the monitor 1 2 3 Ethernet The Ethernet Status view shows the general status of the ethernet network communication Driver Ethernet chip name DP83902 DP83907 Et...

Page 135: ...mitted bytes since last cold start CRC errors CRC Number of received packets with incorrect checksum Frame errors Frame Number of received packets with incorrect frame structure Refers to physical layer problems An erroneous packet often has both frame and CRC error Transmission errors Transm Number or errors in packet Transmission Internal errors Intern Internal error of the network board Must al...

Page 136: ... Quality indicates the quality of the radio signal between the monitor and the access point 0 100 Channel is the WLAN channel configured to the access point where the monitor is currently connected Speed indicates the current communication speed with the access point RoamCounter Occurred roamings between access points Reset Counter Network ID Identifies the WLAN network used Firmware version Firmw...

Page 137: ...cryption width of encryption key used for WLAN security 40 bit or 128 bit Key ID is for choosing the encryption key used Encryption key is for setting the encryption key NOTE When selecting 40 bit encryption enter 10 Hex digit characters divided into 2 fields When selecting 128 bit encryption enter 26 Hex digit characters divided into 2 fields NOTE Use only hexadecimal characters NOTE For all the ...

Page 138: ...slot respectively Card type indicates whether the card is MENU or DATA card If a duplicated card is inserted type DUPL File system indicates the type of the memory card in use The only supported file system is ATA If a memory card using another file system is used the message UNKNOWN is shown If the card is poorly attached the message LOOSE is shown Card size indicates the total amount of disk spa...

Page 139: ...dicates the User Mode operations Module status indicates the number of sent received data packets that relate to the MEM section status Packets total indicates the total amount of data packets that have been sent received since the last monitor start Bytes total indicates the total amount of data bytes that have been sent received since the last monitor start The last four lines indicate transmiss...

Page 140: ...tages are measured by the PMB in the Frame Unit Raw DC 15V 14 65 15 35 15V 14 65 15 35 V 15VD 14 65 16 00 V 5V 4 85 5 25 V Temp C value corresponds with the Frame Unit internal temperature measured by the PMB The numbers on this page are only directive and not absolute values The following voltages are measured by the Central Processing Board in the Display Unit 12V 11 50 12 50V 3 3V 3 00 3 60V VB...

Page 141: ...sured inside the battery Current A shows the charging state and charging current Voltage V Full Timed Fast shows the measured battery voltage Monitor Temperature shows the Frame Unit inside temperature measured by the PMB Chip type is the type of the PCMCIA controller chip used Number of slots is the number of PCMCIA card slots in use 0 1 or 2 Slot A B State and Drv Active indicate if the PCMCIA c...

Page 142: ...Compact Anesthesia and Compact Critical Care Monitors 14 Document no M1144955 001 2 Display Geometry views the geometry of the display Colors views the color of the screen Readability views the readability of the screen ...

Page 143: ...heel When the text is highlighted pressing the ComWheel creates a sound from the loudspeaker and the corresponding number on the service data field increases Service Data Message count counts the number of messages that are sent out to the main CPU board Leds upper and lower indicate the states of the alarm LEDs on the command board Direct action keys texts are indications to the command board mem...

Page 144: ...nitor The length of the log is 1150 events The log is FIFO type Scroll Stat enables to scroll the keyboard events Store Mask A selection for the anaesthesia keyboard s language The selected language determines the outcome of the lower keypad Store Type is for selecting the keyboard COM Command Board ARK Anaesthesia Keyboard AIC Information Center Keyboard NOTE The settings should be checked if the...

Page 145: ...ent no M1144955 001 4 Parameters NOTE Parameter values in Service Data fields are only for reference in this section 4 1 Gas Unit Service menu for airway gas modules communication and airway gas and spirometry measurements ...

Page 146: ... broken down Bad c s by mod is a cumulative number that indicates how many communication errors the module has detected The monitor starts counting these items at power up and resets to zero at power off The values may also be reset when a module is attached to the monitor frame and be set to 32769 or continuous counting may be started when the module is removed from the monitor frame The nonzero ...

Page 147: ... the value is typically 75 Sample Flow is calculated from differential pressure and adjusted by the module Zero value as measured during initialization when the pump is off Gain sample flow measurement can be calibrated by adjusting the gain Ambient Ambient pressure is measured continuously in E miniC In M miniC it is measured at least once an hour during the first running hour during each zeroing...

Page 148: ...ressed a separate box for adjusting the value appears During adjustment calibration values are sent to the module When the ComWheel is pressed the values are permanently stored in EEPROM of the module and the box disappears Zero PVX Start zeroing the pressure sensors Effects Aw Pres Zero and Flow Zero value Exp Flow Gain Insp Flow Gain Adjust the Flow sensor gains Valves Switch between MEASUREMENT...

Page 149: ...e With calibration pump or spirometry tester the results are always in ATP If breathing is detected EtCO2 1 0 the results are according to the Flow Vol Setup selection Flow shows the flow measurement value TVol Exp TVol Insp MVol Exp and MVol Insp are shown to ease calibration The numbers are the same as on the main display The former pump calibration procedure has been dropped out We claim that c...

Page 150: ... amplifier takes place Waveform VALUE will be updated in one second interval Timeouts is a cumulative number that indicates how many times the module has not responded to the monitor s inquiry Bad checksums is a cumulative number that indicates how many times communication from the module to the monitor has broken down Bad c s by mod is a cumulative number that indicates how many communication err...

Page 151: ...t catches the slow changes in ST segment The ST filter is more susceptible to baseline wander than the monitor filter 5 lead cable selects five or three electrodes With the 12 lead ECG the selection is automatic Pacemaker selects how to display the pacing pulse of cardiac pacemaker The selections are Show Hide ON R and Sensit Hide the pacing pulse is filtered away from ECG data Show the pacer puls...

Page 152: ...for P1 and P2 are between 17000 and 25000 and for T1 and T2 between 13000 and 14300 Zero indicates the offset compensation value of each parameter in the A D converter Typically the values for P1 and P2 are within 1000 and for T1 and T2 between 150 and 300 Calibrate if zero and or gain value is outside the ranges Cable shows ON when a corresponding cable is connected to the front panel and Probe s...

Page 153: ...ion shows the chosen module configuration TP ST or STP Timeouts is a cumulative number that indicates how many times the module has not responded to the the monitor s inquiry Bad checksums is a cumulative number that indicates how many times communication from the module to the monitor has broken down Bad c s by mod is a cumulative number that indicates how many communication errors the module has...

Page 154: ...ctor Select Calibrate P1 Calibrate P2 Leave the transducer to room air pressure 2 Press the ComWheel to start zeroing 3 Supply a pressure of 100 mmHg to 300 mmHg to the transducer The recommended pressure is 200 mmHg Set the pressure on the display to match the pressure reading on the manometer and press the ComWheel Protection Protection for the configuration and temperature calibrations can be s...

Page 155: ...wn in mmHg Button the front panel key function can be confirmed by pressing the key and checking that OFF turns to ON Temp error shows whether the calibration of the temperature was successful or not Protect key shows normally OFF but turns to ON when the button at the bottom of the module is pressed Protect mode is normally ON It turns to OFF when Protect is switched to OFF for the temperature ca...

Page 156: ...ransducer with an appropriate cable and a pressure manometer 1 Connect the pressure transducer with the pressure manometer to the P3 connector Select Calibrate P3 Leave the transducer to room air pressure 2 Press the ComWheel to start zeroing 3 Supply a pressure of 100 mmHg to 300 mmHg to the transducer The recommended pressure is 200 mmHg 4 Set the pressure on the display to match the pressure re...

Page 157: ...outs is a cumulative number that indicates how many times the module has not responded to the monitor s inquiry Bad checksums is a cumulative number that indicates how many times communication from the module to the monitor has failed Bad c s by mod is a cumulative number that indicates how many communication errors the module has detected The monitor starts counting these items at power up and re...

Page 158: ...h the pressure manometer to the P5 P6 connector Select Calibrate P5 Calibrate P6 Leave the transducer at room air pressure 2 Push the ComWheel to start zeroing 3 Supply a pressure of 100 mmHg to 300 mmHg to the transducer The recommended pressure is 200 mmHg 4 Set the pressure on the display to match the pressure reading on the manometer and push the ComWheel Calibrate P5 and Calibrate P6 These fu...

Page 159: ...ntensity shift from previous calibration or Hgb update intensity decreased increased 0 indicates a normal signal 1 indicates an intermediate signal 2 indicates a poor signal and 3 indicates an unacceptable signal Button The front panel Zero P4 and Start C O key functions can be confirmed by pressing the key and checking that the relevant OFF message turns to ON Service menu for Cardiac Output Modu...

Page 160: ... serial communication failure or a module not in place Also failures in other modules may cause these numbers to rise or be set to 32769 RAM indicates the state of the external RAM memory ROM indicates whether the checksum at the EPROM is in accordance with the software calculated value EEPROM indicates if the values stored in the permanent memory are valid The state is either OK Fail or module no...

Page 161: ...E PSM P AD0 to AD7 show the values of each eight channels of the A D converter AD7 is not used in PRESTN series modules M NIBP module and E PSM P Timeouts is a cumulative number that indicates how many times the module has not responded to the monitor s inquiry Bad checksums is a cumulative number that indicates how many times communication from the module to the monitor has broken down Bad c s by...

Page 162: ...me pressure signals that are measured from the NIBP cuff The measurement result is shown in the adjoining digit field Wave Recording is for selecting the recording option If ON is selected the pressure signals are printed out in real time on the recorder Remove menu widens the displayed waveform area The menu can be closed by selecting the Previous Menu or just by pressing the ComWheel if the Remo...

Page 163: ...ter this a pressure bar will appear beside the menu and the text Calibrating will appear in NIBP digit field Active Leak Test Wrap an adult cuff around a pipe and connect the cuff to the module Select the active leak test ON The module automatically pumps a pressure of 260 mmHg into the cuff Wait for several seconds until the pressure stabilizes Then check that the pressure reading does not drop m...

Page 164: ...tion procedure is correctly registered and stored by the module 5 Use the module buttons again to enable Protection setting and set it ON and finally disable Protection setting 4 7 3 NIBP Safety Valve Test Start test is for starting and Stop test is for stopping the Safety Valve test Safety Valve Data For information on general items Pressure Zero Protect handle Calibr prot 15 V power AD0 to AD7 a...

Page 165: ...e pulse valve value and adjust it by turning the ComWheel Then push the ComWheel to confirm the value The Interval 240 mmHg 50 mmHg time should be less than 60 seconds when the valve is 150 and less than 10 when fully opened 255 When fully closed 0 the system should be airtight and the pressure does not drop Depending on an individual the pulse valve may remain closed up to approx value 100 If the...

Page 166: ... on the NIBP module M NIBP Buttons Leds Data For information on general items Pressure Zero Protect handle Calibr prot 15 V power AD0 to AD7 as well as Timeouts etc see section 4 7 NIBP Module Buttons Checking The front panel keys function is confirmed by pressing and releasing the key and observing that OFF turns to ON at Auto On Off and Start Cancel Set Cycle Time and STAT On Off are not in use ...

Page 167: ...on is not used with E M PRESTN and E PSM P modules Open Exh2 Close Exh2 A manual control for the exhaust valve 2 The selection changes to Close Exh2 when the valve is opened Open Zero valve A manual control for the zero valve This function is not in use with E M PRESTN and E PSM P modules Set Valve The opening of the pulse valve is adjusted between 0 and 255 0 for fully closed and 255 for fully op...

Page 168: ...ts counting up seconds and keeps on counting as long as the 15 Vdirty is on The time should be 60 to 70 seconds These menu items have only effect on the M NIBP modules They do not effect other NIBP modules Test ADULT is to test watchdog timer in adult mode 120 to 140 seconds Test INFANT is to test watchdog timer in infant mode about 60 to 70 seconds Stop Test is for stopping the test Watchdog Data...

Page 169: ...ecorder Service Data Cable shows the type of cable being used Cable check value shows the bit amount To check the value for each cable see the following chart EMG 100 100 Cable OFF 1950 Piezo 900 1100 Regional block 600 800 Module keys checks the function of the module keys A blue background appears at the back of the text when a key is pressed for more than one second Stimulus mode shows the sele...

Page 170: ... numbers to rise or be set to 32769 RAM indicates the state of the RAM memory ROM indicates whether the checksum in the EPROM is in accordance with the software calculated value EEPROM indicates if the values stored in the permanent memory are valid The state is either OK Fail or module not in place or a communication error Start up is for starting the neuromuscular transmission measurement Stop C...

Page 171: ... indicates Yes if an error occurs in the communication between Preamp MP 203 4 and Interface board Timeouts is a cumulative number that indicates how many times the module has not responded to the monitor s inquiry Bad checksums is a cumulative number that indicates how many times communication from the module to the monitor has broken down Bad c s by mod is a cumulative number that indicates how ...

Page 172: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors 44 Document no M1144955 001 4 10 More ...

Page 173: ...searched rt real time values that are available via the interface Timeouts is a cumulative number that indicates how many times the module has not responded to the monitor s inquiry Bad checksums is a cumulative number that indicates how many times communication from the module to the monitor has failed Bad c s by mod is a cumulative number that indicates how many communication errors the module h...

Page 174: ... 001 4 11 1 Gases 4 11 2 Sp02 The data on this page is the raw data received from the interfaced monitor This data will be processed further for the normal screen The data on this page is the raw data received from the interfaced monitor This data will be processed further for the normal screen ...

Page 175: ...try The data on this page is the raw data received from the interfaced monitor This data will be processed further for the normal screen The data on this page is the raw data received from the interfaced monitor This data will be processed further for the normal screen ...

Page 176: ...t Anesthesia and Compact Critical Care Monitors 48 Document no M1144955 001 4 11 5 Sv02 C O The data on this page is the raw data received from the interfaced monitor This data will be processed further for the normal screen ...

Page 177: ...matics menu AD A selection to enter the module AD value display Record Data A selection to print out the shown service data to the device defined in the Service Record Data menu TONO Statuses HEX See APPENDIX A How to read HEX numbers General Module general status See Table 2 Module general status for a detailed description of the message Table 2 Module general status bit 0 5 Not used bit 6 State ...

Page 178: ...it 0 Button 1 start stop pressed bit 1 Button 2 Lab Data pressed bit 2 15 Not used Bit Description What to do bit 0 1 Not used bit 2 Zeroing error Zero gas signal out of limits or pressure or temperature signal varying during measurement CO2 sensor faulty Send the module to the factory for repair bit 3 CO2 measurement error CO2 signal out of limits or pressure or temperature signal varying during ...

Page 179: ...r occlusion 8 press sens values differ Pump pressure and catheter pressure readings differ more than 50 mbars Calibrate the pressure sensors 9 pneuma fatal error This error is shown if the pneumatic error occurred is considered fatal Check for other pneumatics errors 10 cath press too low Catheter pressure reading is below reasonable pressure values Make sure that you are not applying too low pres...

Page 180: ...ng voltage received from the module frame 5vdc 5 Volts of the module derived internally from 15vdc 15vdc 15 Volts of the module received from the module frame Pneuma voltage 15 V voltage driving pneumatic elements of the module derived from 15V dirty 15V dirty 15 V voltage received from the module frame bit 0 Lamp error bit 1 2 3 not used bit 4 CPU EEPROM error bit 5 Sensor EEPROM error bit 6 Inte...

Page 181: ...rt feeding gas Press the ComWheel and continue feeding gas until the text Adjust appears on the display 4 Check that the displayed values match the values on the calibration gas container Adjust with the ComWheel if necessary 5 If airway gases are monitored it is recommended to calibrate the airway gases at the same time Start Stop Cycling is for starting or stopping the measurement Display with P...

Page 182: ...es are given in both mmHg and mbar on this page Pump Press pressure measured from the pumping unit Cath Press pressure measured from the catheter line User Cal Press pressure that the user sets during the calibration sequence according to the pressure that is applied to the catheter port The set value should be close to 100 mmHg User Amb Press pressure that the user sets during the calibration seq...

Page 183: ...n the Service Record Data menu TONO Cathpres pressure measured from the catheter line mbar Ambpres ambient pressure in the room mbar Pumppres pressure measured from the pumping unit mbar System test results detailed information of the test results of different system parts The meaning of the messages OK the part successfully passed the test FAIL the part failed in the test N A the test could not b...

Page 184: ...s Pump unit leak test The air tightness of the pump unit is tested Check pump unit for leaks Cath conn leak test The air tightness of the zeroing unit and catheter connector is tested Make sure that the catheter connector is properly closed during the test Check the zeroing unit and the catheter connector for leaks Block test Air is aspirated through the zeroing valve If pressure at the pump press...

Page 185: ...calibration Lamp on current sensor lamp current when lit Lamp off current sensor lamp current when off Block temp sensor temperature C in degrees centigrade Detector offset CO2 detector offset voltage Lamp status displays whether the sensor lamp is on or off CO2 AD signal from CO2 sensor thermopile AD counts CO2 signal thermopile signal maximum minimum when the lamp is blinking AD counts CO2 zero ...

Page 186: ...m the pumping unit mbar Pneuma Power displays whether electricity has been connected to the pneumatics system or not Zero valve displays whether the zero valve is on or off Pump valve displays whether the pump valve is on or off Gas removed count displays how many times gas is removed from the catheter during a measurement cycle Pneumatic errors detailed information of the performance of different...

Page 187: ...h press pressure measured from the catheter line pump press pressure measured from the pumping unit INTERNAL ADC VDD 5 V digital units driving voltage received from the module frame 5V 5 Volts of the module derived internally from 15vdc 15V 15 Volts of the module received from the module frame pneuma voltage 15 V voltage driving pneumatic elements of the module derived from 15 V dirty CO2 det offs...

Page 188: ...he module EP Meas shows 1 if the evoked potential measurement is active in the module Sending EP shows 1 if the module has acquired 100 200 new epochs and is sending them to the monitor Par Error shows 1 if the evoked potential parameters active in the module are conflicting with each other Reserved 1 is reserved for future use Reserved 2 is reserved for future use HB Mod Timeouts is a cumulative ...

Page 189: ...channels 0 means that there are no artefacts on the signal and 1 means that there are artefacts Noise shows 1 if the activity of FEMG is too high for clean EEG signal and that EEG is not probably reliable EMG AD shows the latest AD conversion result of FEMG signal without any filtering or scaling Leadset AD shows the latest AD conversion result of lead set signal without any scaling Bipolar shows ...

Page 190: ...pecial service settings in this menu Imp Cycle Impedance measurement repetition time Select Montage Selection of headbox s electrode configuration EEG Channels Number of active channels in EEG measurement Montage Type Selection of bipolar Bip referenced Ref montage Cycle EP measurement repetition time Stim Frequency EP measurement s stimulation frequency Stim Intensity Intensity of EP stimulus ...

Page 191: ...oard Mod Mon Timeouts is a cumulative number that indicates how many times the module interface board has not responded to the monitor s inquiry Mod Mon Bad Checksum is a cumulative number that indicates how many times there has been an error in the message from the module interface board to the monitor Mon Mod Bad Checksum is a cumulative number that indicates how many times there has been an err...

Page 192: ...M writing failure bit 12 ROM failure bit 13 RAM failure bit 14 Test mode bit 15 Init mode bit 0 Check Sensor key pressed bit 1 BIS key pressed bit 2 Inpedance check mode cyclic bit 3 Impedance check mode combined bit 4 Impedance check mode ground bit 5 Impedance check off bit 6 Measurement on bit 7 EEG measurement on bit 8 Impedance check on DSC channel 1 passed bit 9 Impedance check on DSC channe...

Page 193: ... related errors Disabled interrupt received UART modem interrupt No status nibble received DSC related errors DSC not connected DSC disconnected after test failure Illegal DSC ID DSC power regulation fault DSC interface fault DSC did not respond to command Illegal PIC ID DSC overcurrent DSC overrun EEPROM Bad packet length Software update related errors EEPROM Bad checksum EEPROM Bad code length E...

Page 194: ... Engine power up test PASS FAIL DSC selftest ch1 indicates the DSC selftest status for channel 1 PASS FAIL DSC selftest ch2 indicates the DSC selftest status for channel 2 PASS FAIL Measured parameters indicated BIS indicates BIS index range 0 1000 corresponds to 0 100 SQI indicates signal quality index range 0 1000 corresponds to 0 100 EMG indicates EMG activity level range 0 10000 corresponds to...

Page 195: ...eout test bit 7 Unblocked timeout test bit 8 DSC not connected test bit 9 Not used test bit 10 Not used test bits 11 15 Not used bit 0 Quick selftest pass bit 1 Quick selftest gain bit 2 Quick selftest noise bit 3 Quick selftest fail bit 4 Quick selftest valid bit 5 Sensor valid bit 6 Sensor invalid bit 7 Sensor too many uses bit 8 Sensor expired bit 9 Sensor validity unknown bits 10 15 Not used b...

Page 196: ...1 4 14 2 BIS Setup Automatic Check A selection to define whether the automatic sensor check is used ON OFF Test DSC indicates the status of the DSC self test PASS FAIL Filters A selection to define if filters are used ON disturbances are filtered from the raw EEG signal OFF raw EEG signal is shown ...

Page 197: ... high frequency noise present On if the module detects noise Diathermy shows On if the module is detecting diathermy i e electrocautery AD clipped shows On if the signal is getting clipped at the A D converter Alg ver Mon shows the monitor algorithm version number Alg ver Mod shows the module algorithm version number Alg ver used shows the currently used algorithm version Timeouts is a cumulative ...

Page 198: ...ether the Entropy sensor cable is connected to the module or not Sensor indicates whether the Entropy sensor is connected to the cable or not Sensor S N module reads the manufacturing serial number from the sensor chip Sensor Lot module reads the manufacturing lot number from the sensor chip Lead 1 2 3 shows the lead on off status of all sensor electrodes Imped 1 2 3 shows the respective impedance...

Page 199: ...To select the parameter data source Press the Monitor Setup and select Interfacing Select the desired measurement parameter for example Gases Select the desired source by name for example Aest NOTE The name of the device is visible on the list only if the device is correctly connected to the module ...

Page 200: ...le if more than 8 DIS modules are connected to the DIS bus simultaneously Interfaces The menu displays a list of all connected DIS modules and the statuses of the corresponding external devices If the bus voltage is too low you cannot add more devices DIS module bus voltage low Do not add more devices or reduce cable length message appears DIS Interfacing The menu displays submenus for all connect...

Page 201: ... voltage DIS bus voltage measured by the Central Processing Board in S 5 Compact Monitor The value should normally be within 6 8 V tout DIS module timeouts seen by the monitor The value should not increase more than by 5 per second cse DIS module checksum errors seen by the monitor The value should not increase more than by 5 per second rx The number of data packets from the external device receiv...

Page 202: ... the test will interrupt In this case the fault is in the safety element of the power unit WD by Overload test ensures the functionality of a feature where the software controls the monitor but detects an overload situation in the main CPU The test should have the following result when the feature is working properly The monitor will restart after 15 seconds from the start of the test WD by UPI te...

Page 203: ... National Reqs Select the software features which include national requirements Power Frequency Set the power frequency 50 Hz 60 Hz This setting is used to filter out possible power frequency interference from the parameter measurements Time format Set the time format of the real time clock 24 h 12 h ...

Page 204: ...error history view onto the right side of the menu Event History is for selecting the event history view onto the right side of the menu Alarm History is for selecting the alarm history view onto the right side of the menu Scroll Last Er Ev is for scrolling the error event alarm information on the right side of the menu Scroll Counters is for scrolling the error event alarm counters on the right s...

Page 205: ...nd it shows the manufacturing date and time User cannot reset this date and time since last 1 year PM shows the running hours since the last 1 year PM storing Last events The section shows the last maintenance events and the time of their occurrence Event counters The section contains counters for each different maintenance events The time of occurrence of the last event is shown beside each count...

Page 206: ...y to store repair events in the maintenance history log The different repairs that can be saved are Display Power Supply Recorder Frame e g board in the frame Parameters e g a board in the parameter module or Other a miscellaneous repair not specified by previous options The upgrade menu gives the user a possibility to store the upgrades in the maintenance history log ...

Page 207: ...cates an erroneous restart controlled by the main CPU board and caused by the display controller board The restart is listed as a fast cold start UPI watch dog timeout indicates an erroneous restart controlled by the main CPU board and caused by the UPI section The restart is listed as a fast cold start Last events The section shows the last events and the time of their occurrence Event counters T...

Page 208: ... Alarm History Last alarms The section shows the last events and the time of their occurrence Alarm counters The section contains counters for each different detected event The time of occurrence of the last event is shown beside each counter Last log reset The date and time of the last alarm log reset ...

Page 209: ...he user can specify where to print from any service menu The setting goes into the permanent memory of the monitor Only one option can be chosen at a time The options where to print are To Printer To Recorder and To Memory Card Only the option To Recorder can be selected ...

Page 210: ... service diagnostic tool for remote diagnostics purposes When the access mode is set to Normal the default the PC can only read service menu data from the monitor With the access mode Extended the PC can also activate the monitor s service menu functions NOTE Patient monitoring is not possible when the access mode Extended is selected The access mode turns back to Normal if the monitor is restarte...

Page 211: ... 1111 Then we write the four binaries that correspond to 3 0011 after the first four We now have 11110011 And so on Eventually we have a string of 16 binary numbers so called bits HEX number F3A1 corresponds to a binary code of 1111 0011 1010 0001 Spaces are added here for legibility and to visualize the fact that every group of four bits corresponds to one HEX character The bits in a binary numbe...

Page 212: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors A 2 2 Document no M1144955 001 For your notes ...

Page 213: ... restricts this 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 Document number M1144956 003 June 2 2008 GE Healthcare Finland Oy Helsinki Finland P O Box 900 FI 00031 GE FINLAND Tel 358 10 39411 Fax 358 9 1463310 www gehealthcare com Copyright 2008 General E...

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Page 215: ... 1 3 SRAM MT48T37V 6 2 2 UPI section 7 2 2 1 Functional Blocks 7 2 2 2 CPU Bus Interface 7 2 2 3 Processor 7 2 2 4 Serial Bus Interface 7 2 3 Software License L CANE06 L CANE06A L CICU06 L CICU06A 8 2 4 Display controller section 8 2 4 1 Display memory 8 2 4 2 Display controller resolution 8 2 5 MEM section 9 2 5 1 Memory Card interface 9 2 5 2 Power supply 9 2 6 NET section 10 2 6 1 Ethernet inte...

Page 216: ...move the loudspeaker and fan 37 3 3 8 Disassembling the Connector Board and Inverter Board 37 3 3 9 To Disassemble the LCD Display Element F CM C REC 1 rev 00 37 3 3 10 To Disassemble the LCD Display Element F CM C REC 1 rev 01 F CM C 1 rev 02 05 38 3 3 11 Changing the LCD backlights F CM C REC 1 rev 00 39 3 3 12 Changing the LCD backlights F CM C REC 1 rev 01 rev 02 39 3 3 13 Changing the LCD bac...

Page 217: ...rd Block Diagram 6 Figure 4 UPI Section Block Diagram 7 Figure 5 Display Controller Block Diagram 9 Figure 6 Memory Section Block Diagram 10 Figure 7 Central Processing Board block diagram 11 Figure 8 Central Processing Board parts 13 Figure 9 External connections of Compact Monitor frame F CM C 1 rev 05 15 Figure 10 External connectors of Compact Monitor Frame rev 00 03 16 ...

Page 218: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors iv Document no M1144956 003 ...

Page 219: ...y Command board function Display Controller function NET function MEM function DIS function Display Unit power supply unit or S 5 Compact Anesthesia Monitor F CMREC1 Display Unit and S 5 Compact Critical Care Monitor F CMREC1 Display Unit in addition to above mentioned parts also a built in recorder Software Licenses L CANE06 A L CICU06 A All the service menus related to the monitor are described ...

Page 220: ...5 C 50 95 F Storage temperature 10 50 C 14 122 F Humidity 10 90 non condensing 1 2 LCD Display Display size 12 1 in diagonal Display type Active Matrix Color TFT LCD Resolution SVGA 800x600 1 3 MemCard option MemCard capacity 6 MB minimum Data storage capacity 2 days of continuous physiological data trends Operating system Datalight ROM DOS File system MS DOS compatible MemCards PCMCIA ATA compati...

Page 221: ... Horizontal 32 dots mm 800 dots inch at a speed of 25 mm s and slower Paper width 50 mm printing width 48 mm Traces Selectable 1 2 or 3 traces Print speed 1 6 25 12 5 25 mm s 1 7 Digital outputs of Display Unit Nurse call Low State 0 0 8V High State 2 8 5V Generated on red and yellow alarms Defibrillation Synchronization State 0 0 0 8V state 1 2 8 5V Delay max 35 ms from R peak Signal active time ...

Page 222: ...ht inverter Connector board Command board Display Unit DC DC power supply Fan and loudspeaker Figure 2 Basic structure of Display Unit 2 1 CPU section The CPU section takes care of the central processing The main features are 486 processor Internal clock frequency 100 MHz 32 Mbytes DRAM 8 Mbytes program flash memory 32 Kbytes static RAM with real time clock 4 channel UART 2 serial channels with si...

Page 223: ...Display Unit voltage If the monitor is restarted within 15 min of the last power off a Warm Start is performed trends and temporary settings will be available If the monitor is restarted after 15 min of the last power off a Cold Start is performed trends and temporary settings will be erased 2 1 2 Watchdogs There are certain watchdog functions to ensure the monitor s performance The UPI interrupts...

Page 224: ...ium battery back up is a 32 Kbytes static RAM with a real time clock CAUTION The IC contains a lithium battery Discard the battery according to local regulations 486 Processor PCMCIA Serial Ethernet Sound UPI Chipset Display Controller 486 LOCAL BUS CPU BUS DRAM Reset Logic Non Volatile Memory Boot Memory Code Memory Patient Modules MODULE BUS display_central_proc_diagr vsd ...

Page 225: ...ace 2 2 2 CPU Bus Interface The UPI section is connected to the CPU section by CPU ISA bus The following signals pass between the UPI and CPU data bus address bus reset write and read signals 2 2 3 Processor The processor of the UPI section is a Hitachi H8S 2655 which functions at 16 MHz frequency 2 2 4 Serial Bus Interface The serial bus interface of the UPI section contains Module Bus RS485 seri...

Page 226: ...is stored on a separate Software Card PCMCIA 8 MB See section Downloading the software on empty Central Processing Board The U xxx06 A software is used for upgrade purposes and is stored on a separate Software Card PCMCIA 8MB See section Downloading the software on empty Central Processing Board CAUTION The software card is not write protected For safety reasons do not use software cards for any o...

Page 227: ...patible The MemCard files are MS DOS compatible and they can be copied for archiving with any MS DOS compatible computer equipped with PCMCIA ATA specification compatible card drive The MemCard function is optional The operation requires a software option The monitor software can be downloaded to the monitor Flash memory through the memory interface 2 5 2 Power supply The memory section receives i...

Page 228: ... receives data packets from the network through the 10BASE T transformer The transformer filters and transforms the data and also provides the isolation The Ethernet status LEDs indicate the status of the network communication The status LEDs are controlled by the network controller The LEDs are located on the Central Processing Board The PLD interfaces the coding element The coding element contai...

Page 229: ... the outside indicate the following things activity on the network collision detection and a good link in 10BASE T interface The activity LED flashes when communication packets are detected in the Datex Ohmeda Network The collision detection LED indicates a packet collision on the network The collision detection LED should flash only occasionally otherwise there may be a physical layer problem The...

Page 230: ...thernet technology The monitor network is formed by connecting one Central and up to 32 bedside monitors together with LAN network The communication protocol for the monitor network is Datex Ohmeda specific Wireless bedside monitors can use both the wired and wireless network If the network cable is connected the wired Datex Ohmeda Network is used For using Wireless LAN connection the monitor requ...

Page 231: ... connected to the Central Processing Board with two cables video signal cable and Connector Board cable The video signal cable transmits the video signal from the CPB to the LCD display Video signalling between the Display Controller on the CPB and the Front Unit is analogic Backlight power keyboard and ComWheel signals are routed through the Connector Board Cable 486 Processor PCMCIA Serial Ether...

Page 232: ...he keyboards The keyboards are connected to the UPI section of the Central Processor Board through Connector Board 2 9 Display Unit DC DC power supply This DC DC converter board transforms primary voltage of between 10 and 18 VDC to 3 3V 5V and 12 V secondary voltages All the output voltages have common ground The DC DC power supply is powered by Vbus voltage generated by the Frame Unit AC DC conv...

Page 233: ...r 6 Connector for external keyboard anesthesia record keeping solution keyboard K CREMCO or Barcode Reader 7 Potential equalization 8 Serial port 9 Receptacle for power cord 10 WLAN card LED 11 WLAN card 12 Slot for Memory Cards PCMCIA and WLAN card 13 Connector for Device Interfacing Solution 14 Modules NOTE Insert the WLAN card in the first PC card slot from the front NOTE WLAN CF card with PCMC...

Page 234: ...use only 4 Synchronization connector 5 Connector for external keyboard anesthesia record keeping solution keyboard K CREMCO or Barcode Reader 6 Potential equalization connector 7 Serial port connector 8 Receptacle for power cord 9 NET ID connector 10 NET connector 11 WLAN antenna cover optional 12 Connector for Device Interface Solution 13 WLAN antenna card LED 14 WLAN antenna card optional 4 5 2 ...

Page 235: ...remains at the high state until the alarm situation is over or the SILENCE ALARM key is pressed The high state range is from 2 8 to 5 V while the low state range is from 0 to 0 8 V If the output signals are used simultaneously with the coding element a B UPINET Y cable order number 889308 should be used RS422 connector Pin No Signal 1 2 3 4 5 6 7 8 DIS_out DIS_out 15V_DIS GND 8V_DIS GND DIS_in DIS...

Page 236: ...t Pressure in 1V 100 mmHg Pressure area 0 300 mmHg RS232 Serial data connector X11 2 10 2 Serial data interface The serial interface is an asynchronous RS 232 connection which uses hardware flow control The communication speed is 115 2 kbps The communication uses the following parameters Parity None Data bits 8 and Stop bits 1 5 pin connector Pin Signal 1 2 3 4 5 KB_CLK KB_DATA not in use GND 4 75...

Page 237: ...act Anesthesia Critical Care Monitor produces two analog real time signals The Direct ECG signal is available in Coding element connector X4 pin 7 and Synchronization connector X8 pin 3 The other signal is Invasive pressure output It is available in Synchronization connector X8 pin 4 NOTE When the source of the selected analog output becomes invalid for example transducer is disconnected the last ...

Page 238: ...y of the unit 3 2 Service check S 5 Compact Anesthesia Monitor F CM REC 1 S 5 Compact Critical Care Monitor F CMC REC 1 Display Unit These instructions include complete procedures for a service check The service should be performed after any service repair Additionally the service check procedures can also be used for determining possible failures The procedures should be performed in ascending or...

Page 239: ...strap when handling PC boards Electrostatic discharge may damage components on the board 3 2 4 Visual inspection 1 DC DC power supply board Disconnect the DC DC power supply board Check the Display Unit Frame Unit connector under the board screws are tightened properly the connector is clean and intact 2 Central Processing Board Check the Central Processing Board in the Display Unit screws are tig...

Page 240: ...rly to connectors on the Connector Board the Connector Board foil cable is intact and attached properly to the connector on the Central Processing Board the video signal foil cable is intact and attached properly to its connector on the Central Processing Board Reattach the Front Unit 6 External parts Check external parts of the Display Unit all stickers are intact the LCD display screen is intact...

Page 241: ...eter information is shown Monitor Setup Screen 1 Setup Waveform Fields Digit Fields Check that the selected parameter information is shown on the screen NOTE InvBP waveforms are not shown without a patient simulator Do no connect the simulator to the monitor at this stage 12 Mark Event or Take Snapshot Push the menu keys Help and Mark Event or Take Snapshot Check that the picture on the LCD displa...

Page 242: ...ess 16 Monitor software Enter the service menu Monitor Setup Install Service Password 16 4 34 Service Password 26 23 8 Take down the information regarding Monitor and Power Management Board software 17 Content of service log Select Service Log from the menu Check the contents of the Service Log for possible problems If the monitor contains the recorder unit record the Service Log on the recorder b...

Page 243: ... Waveform 1 ECG1 Waveform 2 P1 Waveform 3 P2 Delay Off Paper Speed 6 25 mm s Length 30 s 20 Alarm LEDs Enter the Keyboard service menu Monitor Setup Install Service Password 16 4 34 Service Password 26 23 8 Keyboard Select the text Upper Led Check that the red alarm LED s is turning on and off when pressing the ComWheel Check also the yellow alarm LED s by selecting Lower Led from the menu 21 Memb...

Page 244: ...ough the K ARK connector 24 Module communication Connect a patient simulator to the module Enter the ESTP ECG service menu Monitor Setup Install Service Password 16 4 34 Service Password 26 23 8 Parameters ESTP ECG Check that the Timeouts Bad checksums and Bad c s by mod values do not increase faster than by 5 per second Change the module into the other slot When the module is recognized check tha...

Page 245: ...it cover Check that the message Recorder Cover open appears on the screen then close the cover 31 Recording Press the key Record Wave and check that the module starts recording the selected waveforms Press the key Stop on the module to stop recording NOTE InvBP waveforms are not recorded without a patient simulator NOTE If no recording appears check that the paper roll is installed in a correct wa...

Page 246: ... passed their tests The status for each should be OK 36 Interface status Select Communication Check that Interface status states ACTIVE continuously and the error counter values at the bottom part of the menu are stable 37 Menu Card recognition Select Module Status Insert a Memory card labelled Menu in the left hand side memory card slot Check that the message Menu Card inserted appears in the mes...

Page 247: ...ppears then return to the previous menu Change the name for the mode number 1 Select the mode number 1 press the ComWheel and select Name Select suitable characters from the list by turning and pressing the ComWheel then confirm the new name by selecting End Load the original modes from the Menu card by selecting Load Modes From Memory Card Load Wait until the text Loading changes to Loaded may ta...

Page 248: ...screen NOTE The battery symbol overrides the network symbol in Compact Monitor If the message regarding the Central does not appear check the status of the network 43 Ethernet address Enter the network board service menu Monitor Setup Install Service Password 16 4 34 Service Frame Password 26 23 8 Network Take down the monitor s Ethernet address which is shown beside the text Address 44 Data count...

Page 249: ...inks and the WLAN signal strength symbol roams or stays fixed on the monitor screen 50 Configure access point Configure one access point appropriately Bring the Compact Monitor to good WLAN coverage area Check that the field level indicator stops scrolling Go to the WLAN Status page Service Frame Network WLAN WLAN Status Check that the Connection is active AP MAC address is recognized and the conn...

Page 250: ...e batteries by performing the following detach all modules keep the monitor connected to the mains power until the batteries are fully charged install a Hemodynamic Module and disconnect the power cord notice the time the monitor stays on with batteries Replace the batteries if the time was less than 45 minutes 55 Service Log reset Enter the Service Log in the service menu Monitor Setup Install Se...

Page 251: ...e backlight circuit runs on a high voltage Do not touch the inverter board or the backlight tube leads when powered 3 3 1 To disassemble the Display Unit F CM C 1 rev 04 and 05 1 Set the Compact Monitor lying on its rear side 2 Turn the quick lock screw at the bottom of the Display Unit counter clockwise to release it 3 Pull the Display Unit carefully upwards 4 Set the Display Unit lying on its fr...

Page 252: ...it is connected with flat cables to the Central Processing Board Detach the two flat cables from the CPB X7 and X5 connectors Please note that the connectors are fragile do not bend them while disconnecting the cables 7 Lay the Display Unit carefully on the table NOTE When reassembling the cover remember to clamp the Network cable if disconnected Display Unit F CM C 1 rev 05 X7 X5 ...

Page 253: ...d NetID cables 4 Set the Display Unit lying on its front side be careful not to damage the ComWheel or the LCD screen 5 Open and detach the four screws with the washers at the corners of the Display Unit 6 Lift the Display Unit carefully from the side of the unit Note that the Front Unit is connected with short flat cables to the Central Processing Board Detach the two flat cables from the CPB X7 ...

Page 254: ...the connector X9 and pulling the foil out 6 Detach the NetID cable from the CPB connector X8 7 Detach the Network cable from the CPB connector X20 8 Detatch the DIS signal cable from the CBC connector DIS 9 Open the seven screws holding the CPB 10 Lift the CPB carefully from the Display Unit NOTE The Display Unit F CM C 1 rev 05 shown in the photo NOTE Central Processing Board F CM C 1 M1116607 re...

Page 255: ...n reassembling be sure to connect the cables to correct connectors on the PCB 3 3 8 Disassembling the Connector Board and Inverter Board 1 Disassemble the Display Unit 2 Set the Front Unit carefully lying with the LCD screen downwards Note Be careful not to damage the LCD screen or the ComWheel 3 Detach carefully the lower keyboard flat cable from the Connector Board 4 Detach carefully the side pa...

Page 256: ...prints are left between the LCD element and the protection glass window NOTE If the LCD Display unit is broken handle it carefully to avoid injury the LCD Display component and the backlight lamp s are made of glass Wash your hands if you touched liquid crystal which may flow out from a broken LCD Display component NOTE Do not touch push or rub the exposed display module surface Keep the surface c...

Page 257: ...rom the Inverter Board 3 Push the lid beside the backlight to release the backlight tube Pull the backlight out NOTE Do not bend the backlight tube NOTE Do not touch the backlight tube with your hands 3 3 12 Changing the LCD backlights F CM C REC 1 rev 01 rev 02 1 Disassemble the Display Unit 2 Detach carefully the lower keyboard flat cable from the Connector Board 3 Detach carefully the side pane...

Page 258: ...e container in which it was originally shipped 3 3 15 Downloading the software on empty Central Processing Board In case of a faulty Central Processing Board refer first to chapter To remove the Central Processing Board CPB from the Display Unit Back Unit and then follow the instructions for downloading service software below NOTE All user settings will be lost after downloading of a new monitor s...

Page 259: ...ordance with the monitor software serial number Make sure you archive the license agreement in a secure location NOTE The first start up after software loading takes considerably longer See also the troubleshooting chart for the software card if necessary 3 3 16 Performing Factory Reset NOTE The factory reset is necessary after replacing monitor software NOTE The factory reset will restore all cus...

Page 260: ... on the Central Processing Board and in the Front Unit 2 Connector Board cable may be loose Check the cable Backlights may be faulty Exchange them Backlight Inverter may be faulty Exchange the Inverter Module data disappears from the screen Parameter module current in PMB too high Detach and change the parameter module PMB module power section may be faulty Exchange the PMB Battery failure message...

Page 261: ...ure of the batteries is more than 53 C Check and change the dust filter if necessary Display Unit is too warm Display Unit Fan is not working Check the Fan cable is connected to the correct connector After shut off the trend and patient data does not remain 15 min in the memory The On Stby switch has been pressed for over 10 s service reset When switching off the On Stby switch has to be pressed f...

Page 262: ...rm factory reset If the problem persists replace the CPU board Remember to perform factory reset after the replacement RAM Error The RAM memory is located on the CPU board The RAM Error message is displayed due to memory malfunction Replace the CPU board Remember to perform factory reset after the replacement Trouble Cause Treatment Two Data Cards in mem module message Two Data cards detected Remo...

Page 263: ...tion plug There is no identification plug attached to the monitor The identification plug is defective or uninitialized The plug cannot be used Monitor does not connect to the Network No Network Option in the monitor Download the Network option from the appropriate software card Check network connectors message shows on the monitor screen Monitor Network cable Cable not properly connected to the w...

Page 264: ...r 15 seconds Print queue is full There are too many unprinted documents waiting in the print queue Check the printer as it is not operating properly Printer is off line Printer cable is loose printer is out of paper there is a paper jam or the printer is simply switched to off line state Record keeper menus are blank There are no menus for the record keeper Run Datex Ohmeda Network Setup to verify...

Page 265: ...y Unit for F CM C 1 Rev 05 F CM C REC1 Rev 01 47 Document no M1144956 003 5 Earlier revisions This manual fully supports the earlier revisions of the S 5 Compact Anesthesia and Compact Critical Care Monitors ...

Page 266: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors 48 Document no M1144956 003 ...

Page 267: ...e type S N Service engineer Date Monitor Installation F E E S E M L M N OK N A Fail OK N A Fail 1 DC DC power supply board 2 Central Processing Board 3 DC DC power board 4 Net Unit and Synchronization Unit 5 Front Unit 6 External parts 7 Inserting module 8 Fan filter 9 Stand by LED 10 Start up 11 Monitor screen configuration 12 Mark Event or Take Snapshot 13 Time and date 14 Loudspeaker 15 Display...

Page 268: ...0 00 17 00 OK N A Fail OK N A Fail 19 Watchdog circuitry 20 Alarm LEDs 21 Membrane keys check 22 ComWheel check 23 K ARK connector 24 Module communication 25 Battery 26 Battery voltage 10 17 V 27 Monitor temperature 20 40 C 28 Battery operation 29 Reconnecting the power cord Notes Recorder unit 30 Cover open recognition 31 Recording 32 Paper speed 33 Quality of recording Notes ...

Page 269: ... 38 Card type recognition 39 Data Card recognition 40 Save and Load Modes 41 Data Card functions Notes Network Option S N OK N A Fail OK N A Fail 42 Connection to Network 43 Ethernet address ___________________ 44 Data counters 45 Data error counters 46 Hardware error counters 47 Disconnection recognition 48 ID plug recognition Notes Wireless LAN option S N OK N A Fail OK N A Fail 49 Signal streng...

Page 270: ...itical Care Monitors A 4 4 Document no M1144956 003 General OK N A Fail OK N A Fail 52 Trend retaining 53 Service reset switch check 54 Battery capacity 55 Service Log reset 56 Electrical safety check 57 Final cleaning Notes Used spare parts Signature ...

Page 271: ...vice 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 Document number M1144958 001 April 16 2008 GE Healthcare Finland Oy Helsinki Finland P O Box 900 FI 00031 GE FINLAND Tel 358 10 39411 Fax 358 9 1463310 www gehealthcare com Copyright 2008 General Electric Company ...

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Page 273: ...ormation 11 3 2 Service check 11 3 2 1 Recommended tools 11 3 2 2 Recommended parts 11 3 2 3 Before beginning 12 3 2 4 Visual inspection 12 3 2 5 Functional inspection 14 3 2 6 Recorder Unit 16 3 2 7 General 17 3 3 Disassembly and reassembly 19 3 3 1 To remove the batteries 19 3 3 2 To remove the AC DC Unit 19 3 3 3 To disassemble the Side Frame Unit 19 3 3 4 To detach remove the PMB Board Power M...

Page 274: ...pact Anesthesia and Compact Critical Care Monitors ii Document no M1144958 001 4 2 Recorder Unit 25 5 Earlier revisions 26 Appendix A Service check form S 5 Compact Anesthesia Monitor S 5 Compact Critical Care Monitor A 1 ...

Page 275: ... AC DC power unit battery and Power Management Board S 5 Compact Anesthesia Monitor frame F CMREC1 and S 5 Compact Critical Care Monitor frame F CMCREC1 in addition to the above mentioned parts also a built in recorder All the service menus related to the monitor are described in a separate Service Menu slot and the spare part lists in the Compact Monitors Spare Parts slot NOTE Printings on therma...

Page 276: ...harging time 10 hours to full capacity Battery operation up to 1 5 hours typical on full charge at 23 C 73 F Recharging when connected to mains power Battery operaton alarm early warning Battery low note final warning Battery low alarm Battery state indicator Capacity bar displayed on the screen Environmental Requirements Operating temperature 10 35 C 50 95 F Storage temperature 10 50 C 14 122 F A...

Page 277: ...t side of the Frame Unit has places for two double width modules or four single width modules The network signals are led through their own cables to the Frame Unit The connectors are placed on the left side of the Frame Unit in frame version F CM C 1 rev 04 and 05 In frame versions F CM C REC rev 00 03 the connectors are placed on the back plate of the Frame Unit The serial data interface is led ...

Page 278: ...unit PMB board and Display Unit Signals are transferred via a ribbon cable between the D connector boards connected to the AC DC and DU Power lines are transferred separately through the PMB 2 2 Connector board PMB REC The connector board PMB REC is the one mounted in the Side Frame unit and connected to the PMB board via a 15 pin D connector when inserted into the frame The connector board PMB RE...

Page 279: ... voltage of VBUS is 10 17V PMB also controls the fan voltage and battery charging The blocks in Figure 2 represent different functions on the board Module power supply This block generates the voltages needed for the parameter modules from the selected power source VBUS and delivers those to the module motherboard through connector X3 These voltages are 5V 15V 15V and 15Vdirty Module power supply ...

Page 280: ...e and at trickle charge rate the current is 500mA for 7 500th of the time The charge rate is controlled by the CPU block Power path switching electronics The power source to be used batteries or AC DC output is chosen initially by a power path controller inside this block The CPU unit has full control over the power path management after the initial choice is made at start up In addition to the po...

Page 281: ...A current trickle charge to avoid self discharge of the batteries 2 7 Frame Unit Fan The Frame Unit Fan is used for cooling the Frame Unit electronics the modules and the AC DC power unit The fan is controlled by the PMB The rotation speed of the fan is adjusted according to the frame temperature and AC DC power unit load At monitor start up the fan is briefly run at full speed to ensure its opera...

Page 282: ... signals Module motherboard Table 1 Module connector pinout X1 X4 25 pin male D connector Pin No Signal 1 Reset_485 2 15V 3 15Vdirty 4 15V 5 Data_485_ 6 Data_485 7 GND 8 Reset_485_ 9 CTSB 10 RTSB 11 RXDB 12 TXDB 13 GND 14 NC 15 GND 16 CTSC 17 RTSC 18 RXDC 19 TXDC 20 NC 21 PWM_ECG 22 RXD_RS232 23 TXD_RS232 24 5V 25 5V ...

Page 283: ...rd keeping solution keyboard K CREMCO or Barcode Reader 7 Potential equalization 8 Serial port 9 Receptacle for power cord 10 WLAN card LED 11 WLAN card 12 Slot for Memory Cards PCMCIA and WLAN card 13 Connector for Device Interfacing Solution 14 Modules NOTE Insert the WLAN card in the first PC card slot from the front NOTE WLAN CF card with PCMCIA adapter is compatible only with Compact Monitor ...

Page 284: ... an asyncronous RS 232 connection which uses hardware flow control The communication speed is 115 2 kbps The communication uses the following parameters Parity None Data bits 8 and Stop bits 1 For more information about the S 5 Compact Monitor serial data interface see also this manual Part II Slot I Display Unit RJ45 connector Pin No Signal 1 2 3 4 5 6 7 8 Tx Tx Rx N C N C Rx N C N C 9 pin female...

Page 285: ...ce may void the warranty of the unit 3 2 Service check S 5 Compact Anesthesia Monitor F CM REC 1 S 5 Compact Critical Care Monitor F CMC REC 1 These instructions include complete procedures for a service check The service should be performed after any service repair Additionally the service check procedures can also be used for determining possible failures The procedures should be performed in as...

Page 286: ...t Check the Side Frame Unit screws are tightened properly cables are connected properly connectors are clean and intact 2 PMB and the Connector Boards Check the Frame Unit from inside Check the PMB and the Connector Boards there are no loose objects inside the Frame Unit all screws are tightened properly all connectors are clean and intact cables are connected properly 3 Frame Unit reattached Reco...

Page 287: ...thly and locks up properly in both module slots Leave the module connected 7 Fan filter Clean or replace the Frame Unit Fan filter 8 Recorder Clean the recorder unit if installed Open the paper compartment cover and take out the paper roll Clean the paper compartment off of possible paper chaff Clean the thermal printhead and the small glass window before the static brush with a cotton swab dipped...

Page 288: ...creen 12 Module recognition Configure the monitor screen so that all the needed parameter information is shown Monitor Setup Screen 1 Setup Waveform Fields Digit Fields Check that the selected parameter information is shown on the screen NOTE InvBP waveforms are not shown until without a patient simulator Do no connect the simulator to the monitor at this stage 13 Main software Enter the service m...

Page 289: ... a patient simulator to the module Enter the ESTP ECG service menu Monitor Setup Install Service Password 16 4 34 Service password 26 23 8 Parameters ESTP ECG Check that the Timeouts Bad checksums and Bad c s by mod values do not increase faster than by 5 per second Change the module into the other slot When the module is recognized check that the values do not still increase faster than by 5 per ...

Page 290: ...e monitoring continues without problems The battery indicator should be replaced by the text CHARGE 3 2 6 Recorder Unit 21 Recorder messages Open the recorder unit cover Check that the message Recorder Cover open appears on the screen then close the cover 22 Recording Press the key Record Wave and check that the module starts recording the selected waveforms Press the key Stop on the module to sto...

Page 291: ...er cord and turn the monitor back on Check that all trends have now been erased 26 Battery capacity Typical lifetime of the Compact Monitor Ni MH batteries is approximately 4 years Test the batteries by performing the following detach all modules keep the monitor connected to the mains power until the batteries are fully charged install a hemodynamic multiparameter module and disconnect the power ...

Page 292: ...Clear the content of the Service Log by selecting Reset Log in the menu 29 Electrical safety check Perform an electrical safety check and a leakage current test Check that the monitor functions normally after the performed electrical safety check 30 Final cleaning Switch the monitor to standby disconnect the power cord and perform final cleaning After cleaning reconnect the power cord for rechargi...

Page 293: ...unit to GE Healthcare for service 3 3 3 To disassemble the Side Frame Unit 1 Detach remove the AC DC Unit 2 Open the three screws from the left side of the Frame Unit back plate 3 Loosen the long screw at the upper left corner of the Frame Unit 4 Open the two screws at the bottom left side of the Frame Unit 5 Pull the Side Panel Unit carefully from the connector to the PMB Board and out of the fra...

Page 294: ... the PMB Board 2 Unscrew the spacers to remove the Module Mother Board NOTE Be carefull not to damage the service reset switch 3 3 6 To remove the Recorder Unit Disassemble the Side Frame Unit Loosen the screws and extract the recorder 3 3 7 Adjustment and Calibrations It is not necessary to perform calibrations or adjustments on the Compact Monitor Frame Unit ...

Page 295: ...es The battery is automatically charged when the monitor is connected to mains power Charging the battery depends on the discharge level of the battery Battery charging time is ten hours to full capacity If the monitor is used mainly with the mains power refresh the battery by charging and discharging the battery completely once a month to slow down loss of battery capacity NOTE If the monitor is ...

Page 296: ...eda S 5 Compact Anesthesia and Compact Critical Care Monitors 22 Document no M1144958 001 3 Insert new batteries and connect the battery cables NOTE Remember the order of the batteries connected to the PMB board ...

Page 297: ...r and the cables between Display Unit and Frame Unit Display Unit voltages are not OK Replace the Display Unit DC DC power board Faulty Central Processing Board Replace the Central Processing Board The monitor starts Frame Unit back panel LED is lit and a beep is heard but the display remains black The MRI Frame Unit LCD display cables are loose Check the LCD cables and connectors on the Central P...

Page 298: ...e dust filters if necessary Display temperature high and Check dust filter messages The temperature inside the Display Unit has been more than 55 C for two minutes at the minimum Check and change the dust filter if necessary Frame temperature high and Check dust filter messages The temperature inside the frame is more than 55 C Check and change the dust filters if necessary Display Unit is too war...

Page 299: ...nail a dark line will appear on the active thermal side Recorder unit faulty Replace the recorder unit Message Explanation Recorder out of paper Release paper jam or insert a roll of paper into the recorder Recorder cover open Close the recorder cover properly Recorder thermal array overheat Recorder overheated Stop using and allow it to cool down Recorder input voltage low 15 Vrec is too low Chec...

Page 300: ... Compact Anesthesia and Compact Critical Care Monitors 26 Document no M1144958 001 5 Earlier revisions This manual covers the earlier revisions of the S 5 Compact Anesthesia Monitor or S 5 Compact Critical Care Monitor ...

Page 301: ... applicable Fail Test failed Customer Service Module type S N Service engineer Date Monitor Installation F E E S E M L M N OK N A Fail OK N A Fail 1 Side Frame Unit 2 PMB and the Connector Boards 3 Frame Unit reattached 4 Battery slot 5 External parts 6 Module connections 7 Fan filter 8 Recorder 9 Primary fuses 10 Stand by LEDs 11 Start up 12 Module recognition 13 Main software L Power Management ...

Page 302: ...50 V 5V 4 80 5 30 V VBUS 10 00 17 00V 12V 11 50 12 50V 3 3 V 3 00 3 60V VBUS 10 00 17 00V OK N A Fail OK N A Fail 16 Module communication 17 Battery voltage 10 17 V 18 Monitor temperature 20 40 C 19 Battery operation 20 Mains power recognition Notes Recorder unit OK N A Fail OK N A Fail 21 Recorder messages 22 Recording 23 Paper speed 24 Quality of recording Notes ...

Page 303: ...r S 5 Compact Critical Care Monitor A 3 4 Document no M1144958 001 General OK N A Fail OK N A Fail 25 Service reset switch 26 Battery capacity 27 Battery charging 28 Service Log reset 29 Electrical safety check 30 Final cleaning Notes Used spare parts Signature ...

Page 304: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors A 4 4 Document no M1144958 001 For your notes ...

Page 305: ...edical practitioner Outside the USA check local laws for any restriction that may apply All specifications subject to change without notice Document number M1144959 001 April 16 2008 GE Healthcare Finland Oy Helsinki Finland P O Box 900 FI 00031 GE FINLAND Tel 358 10 39411 Fax 358 9 1463310 www gehealthcare com Copyright 2008 General Electric Company All rights reserved Datex Ohmeda Inc P O Box 75...

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Page 307: ...ev 04 and 05 5 1 1 3 Front unit F CM C REC 1 rev 00 7 1 1 4 Front unit F CM C REC1 rev 01 F CM C 1 rev 01 rev 02 9 1 1 5 Front unit F CM C 1 rev 03 05 11 1 1 6 Central Processing Board 12 2 S 5 Compact Monitor Frame 13 2 1 F CM REC 1 F CMC REC 1 rev 00 13 2 2 S 5 Compact Monitor Frame F CM C 1 rev 01 rev 02 rev 03 F CM C REC1 rev 01 15 2 3 Side frame unit F CM1 F CMC1 rev 02 rev 03 17 2 4 S 5 Comp...

Page 308: ...Datex Ohmeda S 5 Compact Anesthesia and Compact Critical Care Monitors ii Document no M1144959 001 ...

Page 309: ...ew M3x6 tufflock 617210 9 Side Panel sticker CS F CM1 M1062261 9 Side Panel sticker DA F CM1 S 5 898080 9 Side Panel sticker DE F CM1 S 5 898071 9 Side Panel sticker EN F CM1 S 5 895764 9 Side Panel sticker ES F CM1 S 5 898074 9 Side Panel sticker FI F CM1 S 5 898077 9 Side Panel sticker FR F CM1 S 5 898072 9 Side Panel sticker HU F CM1 S 5 M1042448 9 Side Panel sticker IT F CM1 S 5 898075 9 Side ...

Page 310: ... Front Panel sticker JA F CMC1 S 5 898305 10 Front Panel sticker NL F CMC1 S 5 898297 10 Front Panel sticker NO F CMC1 S 5 898303 10 Front Panel sticker PL F CMC1 S 5 8003509 10 Front Panel sticker PT F CMC1 S 5 898300 10 Front Panel sticker SV F CMC1 S 5 898302 10 Front Panel sticker CS F CM1 M1062901 10 Front Panel sticker DA F CM1 S 5 898068 10 Front Panel sticker DE F CM1 S 5 898059 10 Front P...

Page 311: ...splay Unit bottom unit 10 Front Panel sticker SV F CM1 S 5 898066 11 Tooth washer 63615 12 Screw cross rec cylind h stzn m4x40 61761 31 ComWheel S 5 898794 33 Locking set F CM1 SPARE PART 8001522 34 Filter capsule DU fan F CM1 896089 35 Filter DU F CM1 897010 36 LID for Card slots F CM1 SPARE PART 8001523 Item Description Order No Replaced by ...

Page 312: ... 8001596 54 Central Processing Board F CM1 8001596 55 NET cable F CM1 896527 56 NET Smart key cable F CM1 896528 57 Connector unit NET F CM1 896102 58 Cross recess screw UNC 4 40 61841 59 Connector unit SYNC F CM1 894914 M1029304 60 DC DC board F CM1 896705 M1145823 61 Central Processing Board DC DC SIGNAL CABLE F CM1 8000023 62 Central Processing Board DC DC POWER CABLE F CM1 8000004 63 Filter br...

Page 313: ...11 16 Shakeproof washer m3 2 63611 27 Washer spring M3 STZN FZB DIN127 634101 47 Cross cylinder head screw M3x6 61721 47 Cross cylinder head screw M3x6 61721 54 Central Processing Board F CM1 8000110 8001596 54 Central Processing Board F CM1 8001596 M1116607 54 Central Processing Board F CM C 1 for 05 and later M1116607 55 NET cable F CM1 896527 56 NET Smart key cable F CM1 896528 57 Connector uni...

Page 314: ... Processing Board DC DC SIGNAL CABLE F CM1 8000023 62 Central Processing Board DC DC POWER CABLE F CM1 8000004 63 Filter bracket DU fan F CM1 896090 64 Fan unit DU F CM1 896555 65 Cross cylinder head screw M3x18 FZB DIN7985 61739 66 Loudspeaker unit F CM1 896109 67 DIS power cable F CM1 8000007 68 Connector unit DIS F CM1 M1035235 Central Processing Board F CM C 1 M1116607 requires DC DC Board M11...

Page 315: ...pring M3 STZN FZB DIN127 634101 40 Membrane keyboard VERT F CM1 895686 41 Front cover for display unit F CM C REC 1 Rev 00 8004619 42 Display LCD 12 1in tft svga 572793 44 Screw cross rec cylind h stzn m3x10 61735 45 EMI filter split ferrite core for flat cable 26mm 304514 46 Display cable board SHARP F CM1 895446 47 Cross cylinder head screw M3x6 61721 48 Connection board DU F CM1 896465 49 Inver...

Page 316: ... no M1144959 001 51 Opto encoder rotary switch 16 postions push button plastic shaft 10inch Ribbon cable and connector 113293 52 Insulator for Invertter F CM1 894929 53 Membrane keyboard HORIS F CM1 895685 Complete front unit F CM1 rev 00 894908 Item Description Order No Replaced by ...

Page 317: ...127 634101 37 Cross cylinder head screw M3x8 61722 40 Membrane keyboard VERT F CM1 895686 41 Front cover for display unit F CM1 rev 01 8004620 42 Display LCD 902673 M1012542 43 EMC Cover Display F CM1 rev 01 8003870 44 Screw cross rec cylind h stzn m3x10 61735 45 EMI filter split ferrite core for flat cable 26mm 304514 46 Display cable board F CM1 rev 01 8003727 47 Cross cylinder head screw M3x6 6...

Page 318: ...13 51 Opto encoder rotary switch 16 postions push button plastic shaft 10inch Ribbon cable and connector 113293 52 Insulator for Invertter F CM C REC 1 01 8004024 53 Membrane keyboard HORIS F CM1 895685 Complete front unit F CM1 rev 01 8004021 Backlight for display F CM1 rev 01 M1001013 use together with inverter M1013813 Item Description Order No Replaced by ...

Page 319: ...3x8 61722 40 Membrane keyboard VERT F CM1 895686 41 Front cover for display unit F CM1 rev 01 8004620 42 Display LCD M1012542 43 EMC Cover Display F CM1 rev 01 M1014033 44 Screw cross rec cylind h stzn m3x10 61735 45 EMI filter split ferrite core for flat cable 26mm 304514 46 Display cable board F CM1 rev 01 8003727 47 Cross cylinder head screw M3x6 61721 48 Connection board DU F CM1 896465 49 Inv...

Page 320: ...s push button plastic shaft 10inch Ribbon cable and connector 113293 52 Insulator for Inverter F CM C REC 1 01 8004024 53 Membrane keyboard HORIS F CM1 895685 54 Wire clamp M1015333 Complete front unit F CM1 rev 03 M1014753 Backlight for display F CM1 rev 03 M1014385 Item Item description Order No Battery for SRAM Timekeeper 197230 Item Description Order No Replaced by ...

Page 321: ... 1 Frame assembly F CM1 896082 2 Handle F CM1 SPARE PART 8001521 3 Back plate FRAME F CM1 896083 8004019 4 Cross cyl head screw M3x6 tufflock 617210 4 Cross cyl head screw M3x6 tufflock 617210 4 Cross cyl head screw M3x6 tufflock 617210 5 AIM N cable Network connection cable 0 23m UTP T568A C5 908680 6 Connector case modular coupler 8 positon in line 548737 7 Connector shield F CM1 8000645 ...

Page 322: ...M1 896564 18 Filter side fan F CM1 896085 19 Filter bracket side fan F CM1 896086 20 Side frame unit F CMREC1 rev 00 recorder included 895500 21 Connector board PMB REC F CM1 896894 22 Screw of D25 connector F CM1 897531 22 Screw of D25 connector F CM1 897531 23 Power cable F CM1 898313 24 PMB connector board F CM1 898108 25 Battery NiMH 12V 3 5Ah 10x1 2V 17014 26 Bottom plate F CM1 8001365 27 Was...

Page 323: ...m Description Order No Replaced by 1 Frame assembly F CM1 896082 2 Handle F CM1 SPARE PART 8001521 3 Back plate FRAME F CM1 8004019 4 Cross cyl head screw M3x6 tufflock 617210 5 AIM N cable Network connection cable 0 23m UTP T568A C5 908680 6 Connector case modular coupler 8 positon in line 548737 7 Connector shield F CM1 rev 01 8004290 8 NET smart key cable 2 F CM1 8000701 ...

Page 324: ...bracket side fan F CM1 896086 20 Side frame unit F CMREC1 rev 01 recorder included 895500 20 Side frame unit F CM1 rev 02 03 recorder not included 8005536 21 Connector board PMB REC F CM1 896894 22 Screw of D25 connector F CM1 897531 23 Power cable F CM1 898313 24 PMB connector board F CM1 898108 25 Battery NiMH 12V 3 5Ah 10x1 2V 17014 26 Bottom plate F CM1 8001365 27 Washer spring M3 STZN FZB DIN...

Page 325: ...lind h stzn m3x20 61737 16 Shakeproof washer m3 2 63611 17 Fan unit side F CM1 896564 18 Filter side fan F CM1 896085 19 Filter bracket side fan F CM1 896086 20 Side frame unit F CM1 rev 02 recorder not included 8005536 Recorder Thermal plott forREC 50 seril 76 8kB 90350 21 Connector board PMB REC F CM1 896894 22 Screw of D25 connector F CM1 897531 33 Latch 8005503 34 Protection plate 2 8005505 35...

Page 326: ... Exploded view of S 5 Compact Monitor Frame Item Description Order No Replaced by 1 Frame assembly F CM1 896082 2 Handle F CM1 SPARE PART 8001521 3 Back plate FRAME F CM1 8004019 4 Cross cyl head screw M3x6 tufflock 617210 10 AC DC Power supply PFC 15 5V 75W 90482 11 Tooth washer 63615 12 Screw cross rec cylind h stzn m4x40 61761 13 Fuse T2AH 250V 5x20mm 511200 ...

Page 327: ... PMB REC F CM1 896894 22 Screw of D25 connector F CM1 897531 23 Power cable F CM1 898313 24 PMB connector board F CM1 898108 25 Battery NiMH 12V 3 5Ah 10x1 2V 17014 26 Bottom plate F CM1 8001365 27 Washer spring M3 STZN FZB DIN127 634101 28 Power management board F CM1 8003808 8005308 29 Spacer hexagon bar M3X8 5AV5MSN 640459 30 Module mother board F CM1 8000426 32 FRONT PLATE FRAME F CM1 896087 3...

Page 328: ...082982 S 5 Anesthesia Service SW for CAM w Arr L CANE06AS 00 Finnish M1082985 S 5 Anesthesia Service SW for CAM w Arr L CANE06AS 00 French M1082986 S 5 Anesthesia Service SW for CAM w Arr L CANE06AS 00 German M1082758 S 5 Anesthesia Service SW for CAM w Arr L CANE06AS 00 Hungarian M1082996 S 5 Anesthesia Service SW for CAM w Arr L CANE06AS 00 Italian M1082988 S 5 Anesthesia Service SW for CAM w Ar...

Page 329: ...CICU06AS 00 German M1082622 S 5 Critical Care Service SW for CCCM w Arr L CICU06AS 00 Hungarian M1082633 S 5 Critical Care Service SW for CCCM w Arr L CICU06AS 00 Italian M1082627 S 5 Critical Care Service SW for CCCM w Arr L CICU06AS 00 Norwegian M1082629 S 5 Critical Care Service SW for CCCM w Arr L CICU06AS 00 Polish M1082630 S 5 Critical Care Service SW for CCCM w Arr L CICU06AS 00 Portuguese ...

Page 330: ...M L CICU06S 00 Portuguese M1082646 S 5 Critical Care Service SW for CCCM L CICU06S 00 Spanish M1082639 S 5 Critical Care Service SW for CCCM L CICU06S 00 Swedish M1082647 Description Order No Note Datex Ohmeda S 5TM Network and MemCard Upgrade U CMMEM Datex Ohmeda S 5TM Network Upgrade U CMNET Datex Ohmeda S 5TM Wireless LAN Upgrade U CMW 01 M1144554 Datex Ohmeda S 5TM Recorder Upgrade U CMREC1 De...

Page 331: ...ge for oversættelse Forsøg ikke at servicere udstyret medmindre denne servicemanual har været konsulteret og er forstået Manglende overholdelse af denne advarsel kan medføre skade på grund af elektrisk mekanisk eller anden fare for teknikeren operatøren eller patienten WARNUNG DE Diese Serviceanleitung ist nur in englischer Sprache verfügbar Falls der Kundendienst eine andere Sprache benötigt muss...

Page 332: ... električnim udarom te mehaničkim ili nekih drugih opasnostima FIGYELMEZTETÉS HU Ez a szerviz kézikönyv kizárólag angol nyelven érhető el Ha a vevő szerviz ellátója angoltól eltérő nyelvre tart igényt akkor a vevő felelőssége a fordítás elkészíttetése Ne próbálja elkezdeni használni a berendezést amíg a szerviz kézikönyvben leírtakat nem értelmezték és értették meg Ezen figyelmeztetés figyelmen kí...

Page 333: ...e vertaling ervan Probeer de apparatuur niet te onderhouden voordat deze service manual geraadpleegd en begrepen is Indien deze waarschuwing niet wordt opgevolgd zou het onderhoudspersoneel de gebruiker of een patiënt gewond kunnen raken als gevolg van een elektrische schok mechanische of andere gevaren ADVARSEL NO Denne servicehåndboken finnes bare på engelsk Hvis kundens serviceleverandør trenge...

Page 334: ...úšajte sa o obsluhu zariadenia skôr ako si neprečítate návod na obsluhu a neporozumiete mu Zanedbanie tohto varovania môže vyústiť do zranenia poskytovateľa služieb obsluhujúcej osoby alebo pacienta elektrickým prúdom mechanickým alebo iným nebezpečenstvom OPOZORILO SL Ta servisni priročnik je na voljo samo v angleškem jeziku Če ponudnik storitve stranke potrebuje prirocnik v drugem jeziku mora st...

Page 335: ...інших причин невірного обслуговування обладнання CẢNH BÁO VI Tài Liệu Hướng Dẫn Sửa Chữa chỉ có bản tiếng Anh Nếu các đơn vị cung cấp dịch vụ cho khách hàng yêu cầu một ngôn ngữ nào khác tiếng Anh thì khách hàng sẽ có trách nhiệm cung cấp các dịch vụ dịch thuật Không được sửa chữa thiết bị trừ khi đã tham khảo và hiểu Tài liệu Hướng dẫn Sửa chữa Không tuân thủ những cảnh báo này có thể dẫn đến các...

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