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GE HEALTHCARE E-PSMP, Техническое руководство

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Module Frames and Modules

14 - 2

    

 

2062973-004

(1)  Regional block adapter
(2) Sensor 

cable

(3) Needle 

with 

syringe

WARNING

Do not place the NMT stimulating electrodes on the patient’s chest. 

Application of the electrodes near the thorax may increase the risk of 

cardiac fibrillation.

CAUTION

Always stop the NMT measurement before handling the stimulating electrodes.

CAUTION

Never subject a patient with an implanted electronic device to electrical 
stimulation without consulting a medical specialist first.

1.2 Measurement principle

1.2.1 Nerve stimulation

There are three stimulus modes in the NeuroMuscular Transmission Module: Train of Four (TOF), 
Double Burst 3,3 (DBS) and Single Twitch (ST).
In the Train of Four stimulus mode, four stimulation pulses are generated at 0.5 second 
intervals. The response is measured after each stimulus and the ratio of the fourth and first 
response of the TOF sequence is calculated (TOF%).
NOTE: If the first response does not exceed a certain signal level, TOF% is not calculated due to 
poor accuracy.
Double burst (3,3) stimulation includes two bursts with a 750 ms interval. Both bursts consist of 
three pulses separated by 20 ms intervals. The responses of both bursts are measured, and the 
ratio of the second and first response is calculated (DBS%). EMG responses are measured 
immediately after the first stimulus pulse of both bursts.
In Single Twitch stimulation, one stimulation pulse is generated. The response is measured 
after the stimulus. In order to prevent decurarization of the stimulated area, the measurement 
is automatically stopped after 5 minutes stimulation if 1 second cycle time is used.

1.2.2 Tetanic/PTC

Tetanic/PTC (Post Tetanic Count) can measure deeper relaxation than TOF. The tetanic 
stimulation is produced when 

Start Tetanic/PTC

 is selected in the 

NMT Setup

 menu. The length 

of the stimulation is 5 seconds. The stimulation generates pulses with a frequency of 50 Hz and 
with a selected pulse width and current. After the tetanic stimulation and there is a 3 second 
delay, Single Twitch stimulation is produced to detect the post tetanic count (PTC). PTC 
describes the number of responses detected after tetanic stimulation. If there is no response, 
the measurement will be stopped. If the responses do not fade away, a maximum of 20 
responses are counted and the text '>20' is displayed. 
After tetanic stimulation, NMT measurements are stopped for one minute. Then the monitor 
automatically continues with the previously selected TOF, DBS, or ST measurement cycle.

Содержание E-PSMP

Страница 1: ...device to sale by or on the order of a licensed medical practitioner Outside the USA check local laws for any restriction that may apply All specifications subject to change without notice English Ord...

Страница 2: ......

Страница 3: ...Rev 01 4 Pressure Module E P Pressure Temp Module E PT Dual Pressure Module E PP 5 Masimo Module E MASIMO 6 Nellcor Compatible Saturation Module E NSATX 7 Respiratory Modules E sCAiOVX E sCAiOV E sCA...

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

Страница 5: ...1 Intended use of the manual 1 1 1 2 Intended audience of the manual 1 1 1 3 Third party trademarks 1 1 1 4 ESD awareness 1 1 1 5 Service requirements 1 1 1 5 1 Equipment identification 1 2 1 5 2 Seri...

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

Страница 7: ...hnical personnel who install maintain troubleshoot or repair this device 1 3 Third party trademarks All other product and company names are the property of their respective owners 1 4 ESD awareness Th...

Страница 8: ...unique serial number for identification A sample of the information found on a serial number label is shown below 1 5 2 Serial number label An example of a serial number label of an E module is shown...

Страница 9: ...d module frames The device plate is located beside the docking rails of the E PSM and E PSMP modules and on the left side of the plug in E modules Figure 2 Device plate location E PSM and E modules 1...

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

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

Страница 12: ......

Страница 13: ...1 1 Configuration 2 20 3 Maintenance and checkout 2 22 3 1 Replacement of planned maintenance parts 2 22 3 1 1 Required parts 2 22 3 1 2 Replacement procedures 2 22 3 2 Visual inspections 2 22 3 3 Ele...

Страница 14: ...6 1 2 Before disassembly 2 50 6 1 3 Required tools 2 51 6 2 Disassembling and reassembling procedure E PRESTN E PRETN E RESTN 2 51 6 2 1 Removing the pump unit 2 57 6 2 2 Replacing the NIBP air filter...

Страница 15: ...RESTN Equipment safety symbols Safety symbol for the E PSMP and E PSM modules Parameter E PSMP E PSM E PRESTN E RESTN E PRETN ECG X X X X X Impedance respiration X X X X X Two invasive blood pressures...

Страница 16: ...od pressure To measure invasive blood pressure a catheter is inserted into an artery or vein The invasive pressure setup consisting of a connecting tubing a pressure transducer an intravenous bag of n...

Страница 17: ...rs use the component of light absorption giving variations synchronous with heart beat as primary information on the arterial saturation A general limitation of pulse oximetry is that due to the use o...

Страница 18: ...of the plethysmographic pulse wave The signals are filtered to reduce noise and checked to separate artifacts Figure 2 Absorption of infrared light in the finger Figure 3 Pulse oximetry probe parts la...

Страница 19: ...g blood pressure The NIBP measurement is performed according to the oscillometric measuring principle The cuff is inflated with a pressure slightly higher than the presumed systolic pressure and defla...

Страница 20: ...nts Starts a single NIBP measurement and cancels any measurement Zero P1 Zero P2 E PRESTN E PRETN Zeroes P1 Zeroes P2 Connector Module Description NIBP E PRESTN E PRETN E RESTN NIBP connector black P1...

Страница 21: ...ts Starts a single NIBP measurement and cancels any measurement Zero P1 Zero P2 E PSMP Zeroes P1 Zeroes P2 Connector Module Description NIBP E PSM E PSMP NIBP connector black P1 P2 E PSMP InvBP connec...

Страница 22: ...BP board provides also the synchronization signal for the ECG and STP board power supplies There are two input boards the STP input board and the ECG input board attached to the front panel of the mod...

Страница 23: ...tection resistors The connector for the ECG cable is a green 11 pin rectangle shaped connector Input protection and filtering The input protection is implemented with high voltage protection resistors...

Страница 24: ...e chip microcomputer It contains 128 kbytes of flash memory and 4 kbytes of RAM The clock frequency is 16 MHz RS485 communication The communication to the CPU board of the monitor uses RS485 protocol...

Страница 25: ...1 3 4 STP board Figure 7 STP board block diagram Microprocessor unit The CPU is a 16 bit H8 3052 single chip microcomputer It contains 128 kbytes of flash memory and 4 kbytes of RAM The clock frequenc...

Страница 26: ...d through an A D converter Figure 8 Temperature measurement principle Invasive blood pressure measurement unit An isolated 5 V voltage is supplied to the pressure transducer The differential voltage w...

Страница 27: ...rmined sequence LED driving circuit Differential amplifiers measure the LED currents LED current indication of the SpO2 probe over the shunt resistors placed in the LED current paths The LED driving v...

Страница 28: ...x the detector signal to four different channels depending on the content of the signal The detector signal must at least multiplex into infrared and red signals Other channels are e g for diagnostic...

Страница 29: ...s made on each board with the switching power supplies connected to a high voltage isolated transformer The switching power supplies on the STP and ECG boards are synchronized to the frequency about 3...

Страница 30: ...led with an H8 3052 microprocessor at 16 MHz oscillator frequency Memory The NIBP program memory processor flash memory size is 512k x 8 The processor has 4 kBytes RAM and there is also an external RA...

Страница 31: ...d with its own power up reset See the section in the ECG board s description RS485 communication Safety circuit The NIBP board is equipped with an independent safety circuit to disconnect supply volta...

Страница 32: ...re the blood pressure of the patient 4 Safety valve The safety valve is intended to be used for deflating the cuff in single fault case i e to prevent too long a measurement time or too high an inflat...

Страница 33: ...supply section of the NIBP board All connections are established via a module bus connector The module needs a 15 V power supply to operate The supply voltage 15V is generated in the power supply sec...

Страница 34: ...om the monitor except the one you are configuring NOTE The STP TP ST setting can be configured only for one module at a time Presence of several modules may cause the configuration to fail 2 Log on to...

Страница 35: ...l come into effect only after the module is restarted To restart the module 1 Disconnect the configured module and wait for approximately 5 seconds 2 Reconnect the configured module 3 Refresh the web...

Страница 36: ...nt procedures Replace the air intake filter according to the procedure described in section 6 2 2 Replacing the NIBP air filter E PRESTN E PRETN and E RESTN and section 6 3 4 Replacing the NIBP air fi...

Страница 37: ...d Patient sink leakage current test Record the values of the tests on the Maintenance check form on page 2 79 3 4 Functional check Turn the monitor on Wait until the normal monitoring screen appears 3...

Страница 38: ...nt simulator with its invasive pressure adapter cables to the dual invasive pressure adapter cable NOTE Pay attention to the invasive pressure connector places in the dual connector of the adapter cab...

Страница 39: ...nfigure Pacemaker Detection Show Primary HR source Auto Impedance respiration 1 Configure the Resp waveform field to the monitor screen with adequate priority 2 Select the Setup tab in the Impedance R...

Страница 40: ...o the monitor screen with adequate priority NIBP 1 Configure the NIBP parameter window to the monitor screen with adequate priority 2 Select the Setup tab in the Non Invasive Blood Pressure menu and c...

Страница 41: ...re the simulator to output Asystole b Check that the Asystole alarm appears to the monitor screen c Configure the simulator to show 80 beats per minute Normal Sinus Rhythm 4 Leads Off Detection a Deta...

Страница 42: ...eforms a Configure the simulator s InvBP output channel to Arterial 120 80 b Check that the pressure waveform for tested invasive pressure channel appears in the Px waveform field and the Sys Dia Mean...

Страница 43: ...an then measure how accurately a particular pulse oximeter monitor is reproducing that calibration curve c Mark this task as complete on the checkout form 3 4 7 NIBP tests 15 NIBP Leak Test a Check th...

Страница 44: ...at the module identifies the hose by showing a Select inflation limits message in the NIBP field c Press the Start Cancel module key in the module to start a NIBP measurement The monitor shall automat...

Страница 45: ...supplemental information manual delivered with the manual for compatible accessories NOTE Pressure transducer is a key component in the measurement setup If possible perform the invasive pressure cal...

Страница 46: ...by a message Zero Ok 8 Pump a 200 mmHg 100 mmHg static pressure with the pressure pump when a message Create 200 mmHg pressure is shown The pressure measured by the module is updated in real time to...

Страница 47: ...apter cable NOTE Use only accurate properly maintained calibrated and traceable calibration tools for the parameter calibration to ensure measurement accuracy NOTE See the CARESCAPE monitor supplement...

Страница 48: ...ibration plug labelled with TEMP 45 C 113 F to the dual temperature adapter cable connector T1 temperature channel T1 or T2 temperature channel T2 9 Wait until the value is shown in the Temperature C...

Страница 49: ...tion tools for the parameter calibration to ensure measurement accuracy Connections Ensure that the NIBP measurement module is connected to the monitor Connect an adult NIBP hose to the black NIBP mod...

Страница 50: ...by the module is updated in real time to the calibration menu 7 When the pressure is stabilized check the pressure reading from the manometer 8 Use the up down spinner control in the calibration menu...

Страница 51: ...re Set the calibration protection Off to restart the calibration NOTE A message Zero Failure is shown in case the zeroing fails NOTE The NIBP calibration protection selection must be inactivated with...

Страница 52: ...s are tightened properly NIBP tubing is attached properly cables are connected properly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting...

Страница 53: ...nfig Information 4 Check that the STP TP ST setting for the module is correct 5 3 2 Device Information The Device Information shows the hardware and software information of the system and the modules...

Страница 54: ...ion Possible causes Possible solutions Remove one ECG module MF More than one ECG measurement module is connected to the monitor at the same time Ensure that only one ECG measurement module is connect...

Страница 55: ...he connector and reinsert it Noise Noisy ECG WF MF High frequency noise Unreliable HR calculation or distorted waveform possibly during defibrillation or because of motion artifacts See above XX YY le...

Страница 56: ...d off LA L lead off LL F lead off WF PW One of the following lead wires or electrodes is disconnected RA LA or LL Check lead wire and electrode connections Small resp curve PW Signal amplitude 0 4 Ohm...

Страница 57: ...tic zeroing is completed Check the manometer reading to ensure that a static 100 300 mmHg pressure is present for calibration Replace the transducer and re calibrate Calibrated PW Calibration of an in...

Страница 58: ...measurement removed MF The module is disconnected Reconnect the module Message Location Possible causes Possible solutions Probe off SpO2 probe off PW MF SpO2 probe is not connected to the patient Con...

Страница 59: ...ide module Remove occlusion 2 Cuff hose and tubes OK Reason fault in pressure transducer Replace the NIBP board fault in A D converter Replace the NIBP board faulty calibration Check calibration NIBP...

Страница 60: ...r valve s damaged Replace tubes valve s Check NIBP MF Systolic and or diastolic result is missing at the end of the entire measurement E M PRESTN and E PSM Maximum number of repeated inflations during...

Страница 61: ...with increased pressure Unable to measure Dia Unable to meas PW Inflation pressure incorrect or artifactpreventingmeasurement Message indicates failed measurement Sys Dia Non Technical Check the patie...

Страница 62: ...ation has completed successfully No actions Zero error PW Zeroing of the modules pressure sensors has failed Restart the measurement If problem persists recalibrate NIBP Calibration error PW NIBP cali...

Страница 63: ...transducer adapter cable with the transducer to the module Configure the invasive pressure channel to the screen Monitor Setup Screen Setup with adequate priority and check that it is active Problem P...

Страница 64: ...ng guidelines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have buil...

Страница 65: ...naps that hold the front cover to the front chassis Then follow the disassembly instructions antistatic wristband pincers flat blade screwdriver torx screwdrivers T6 T8 and T10 1 Remove the two screws...

Страница 66: ...ssembling push the ECG board a little to ensure that the insulator plates are correctly reassembled Guide the upper plate inside the lips of the lower plate Lift the ECG board a little and disconnect...

Страница 67: ...oard Lift the ECG STP board insulator plate up Disconnect the module bus connector from the STP board Flip the module upside down and disconnect the STP input flex connector through the hole in the mo...

Страница 68: ...manifold NOTE Note the positions of the hoses mark them if necessary to ensure they are replaced correctly Flip the module over again Lift the NIBP board carefully and disconnect the module bus connec...

Страница 69: ...assemble them Releasing the NIBP flex board Disconnect the hoses 2 pcs from the manifold and lift them up from the holders to release the NIBP flex board NOTE Note the positions of the hoses mark them...

Страница 70: ...isconnect the membrane keyboard flex Remove the two T6 screws holding the manifold to the Front chassis Disconnect the NIBP flex board connector from the STP input board Lift the manifold carefully as...

Страница 71: ...onnected properly there are no loose objects inside the module 6 2 1 Removing the pump unit 1 Follow the disassembly instruction steps 1 and 2 2 Remove the four screws T6 with washers holding the NIBP...

Страница 72: ...struction steps 1 and 2 2 Remove the NIBP air filter cover and replace the filter 1 Remove the four screws T8 holding the module cover to the frame from the bottom of the module 2 Hold the cover from...

Страница 73: ...ector and NIBP flex connector Disconnect the hoses 2 pcs coming from the manifold NOTE Note the positions of the hoses mark them if necessary to ensure they are replaced correctly Remove the NIBP boar...

Страница 74: ...ve the STP board Carefully open the connector lock and then disconnect the STP input flex cable from the STP board NOTE When reassembling ensure that the flex cable is aligned properly and the connect...

Страница 75: ...r lock and then disconnect the ECG input flex cable from the ECG board NOTE When reassembling ensure that the flex cable is aligned properly and the connector is locked 9 Removing the ECG board While...

Страница 76: ...pump in reverse order Check that hoses are connected properly 11 Remove the four screws T6 with washers holding the NIBP pump to the frame 12 Flip the module over and remove the two T6 screws holding...

Страница 77: ...nnect the two T6 screws holding the manifold to the front cover unit 16 Open the connector lock from the NIBP flex board and disconnect the membrane keyboard flex 17 Lift the manifold carefully aside...

Страница 78: ...that screws are tightened properly cables are connected properly there are no loose objects 18 Use a flat blade screwdriver to unlock the module bus connector insulator cover Put the screwdriver in t...

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

Страница 80: ...ckout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing 7 1 Ordering parts To order parts contact GE Healthcare Contact information is availab...

Страница 81: ...M3x8mm WN1423 torx T10 flat countersunk head steel 2 Module Casing Double M1021037 3 NIBP Board PSM M1007747 4 STP NIBP insulator M1008207 5 E PRESTN Module bus connection board M1024653 6 SCREW for...

Страница 82: ...TER air filter 30um HDPE D 6 5mm d 3 3mm L 46mm M1221481 13 Filter cover M1020996 14 Membrane Keyboard E P RE S TN M1023085 15 see the list of front covers 16 Latch M1021039 17 Torsion Spring M1020935...

Страница 83: ...pass soft ferrite for 16way flat cable solid 304508 21 Frame E P RE S TN M1023076 22 NIBP Pump Extension Wires E PRESTN M1027664 23 NIBP Manifold Unit E PRESTN M1027676 24 Washer 2 5x7 5x1 mm 25 E PRE...

Страница 84: ...E PRESTN M1027797 15 Front Cover JA E PRESTN M1027798 15 Front Cover FR E PRESTN M1027799 15 Front Cover NO E PRESTN M1027801 15 Front Cover NL E PRESTN M1027800 15 Front Cover PL E PRESTN M1027802 1...

Страница 85: ...7 15 Front Cover EN E RESTN M1027868 15 Front Cover ES E RESTN M1027869 15 Front Cover FI E RESTN M1027870 15 Front Cover FR E RESTN M1027871 15 Front Cover HU E RESTN M1046289 15 Front Cover IT E RES...

Страница 86: ...E PSM P 01 ECG Board FRU 8 ECG Board M1221541 E PSM P NIPB Pump FRU 9 NIPB Pump screws and washers M1221540 E PSM P 01 NIPB Manifold Unit FRU 15 NIPB Manifold Unit 14 Filter 13 Filter Cover M1221539...

Страница 87: ...el Unit 17 Front Mask HU 18 Front Panel Stickers HU 2086477 004 E PSMP 01 Front Panel Unit DE FRU 16 Front Panel Unit 17 Front Mask DE 18 Front Panel Stickers DE 2086478 001 E PSMP 01 Front Panel Unit...

Страница 88: ...722 E PSM P NIPB Pump FRU 9 NIPB Pump screws and washers M1221540 NIBP Manifold Unit E PSM P 15 NIPB Manifold Unit M1020158 E PSM P Plastic Parts FRU 1 Cover 3 STP NIPB Insulator 5 ECG STP Insulator 6...

Страница 89: ...ask EN NL IT M1027528 Front Panel Unit E PSMP ES 16 Front Panel Unit 17 Front Mask ES M1027529 Front Panel Unit E PSMP FI DA NO PL CS 16 Front Panel Unit 17 Front Mask CS DA FI NO PL M1027523 Front Pa...

Страница 90: ...E PSMP EN M1020271 Front Panel Sticker E PSMP ES M1021358 Front Panel Sticker E PSMP FI M1021369 Front Panel Sticker E PSMP FR M1021352 Front Panel Sticker E PSMP HU M1042356 Front Panel Sticker E PS...

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

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

Страница 93: ...e type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 2 Visual inspections Result A IEC EN UL Li...

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

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

Страница 96: ......

Страница 97: ...3 1 Test setup 3 9 3 3 2 Invasive pressure tests 3 10 3 3 3 Cardiac output tests 3 10 3 3 4 Test completion 3 11 4 Calibration and adjustments 3 12 4 1 Invasive pressure calibration 3 12 4 1 1 Require...

Страница 98: ...assembling and reassembling procedure 3 22 6 2 1 To replace the front cover 3 22 6 2 2 To disassemble the module 3 22 6 2 3 Reassembling the module 3 22 7 Service parts 3 23 7 1 Ordering parts 3 23 7...

Страница 99: ...y system 1 E PiCCO module 2 P8 pressure connector and cable red 3 CCO connector and cable gray 4 Flush bag of fluids 5 PiCCO continuous cardiac output cable 6 Disposable pressure transducer 7 Catheter...

Страница 100: ...e the pulse contour analysis to each individual patient s aortic compliance function 1 2 2 Calibration of the Pulse Contour Cardiac Output To calibrate the measurement of continuous cardiac output a r...

Страница 101: ...attached to the front chassis with the CCO and the invasive pressure connectors 1 3 3 Measurement board The measurement board consists of the following functional sections Processor Cardiac output mea...

Страница 102: ...ending to an AD Converter Because the temperature measurements are calibrated digitally and the non linearity of catheter probe is compensated for by software ambient temperature change after calibrat...

Страница 103: ...disturbances The pressure transducer is detected by measuring the current of the sensor The existence of the pressure transducer is also checked digitally by a jumper next to the connector Figure 5 P...

Страница 104: ...ted power supply is developed from the 15 V non isolated supply received from the module bus The isolated power supply is a switched mode circuit where a Push Pull type transformer driver is controlle...

Страница 105: ...Webmin The software update process involves transferring and activating the module software First you transfer the new software to the host monitor either from the software CD using service laptop co...

Страница 106: ...cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizi...

Страница 107: ...ble to the CCO connector in the module Monitor configuration Invasive pressure 1 Configure the P8 waveform field to the monitor screen with adequate priority 2 Select the P8 tab in the Invasive Pressu...

Страница 108: ...for the P8 invasive pressure channel appears in the waveform window and the Sys Dia Mean pressure values are shown in the related parameter window 4 Mark this task as complete on the checkout form 3...

Страница 109: ...CCO simulator test is for functional check purpose only Results can t be used for accuracy checking 6 Mark this task as complete on the checkout form 3 3 4 Test completion Select Discharge patient or...

Страница 110: ...essories NOTE Pressure transducer is a key component in the measurement setup If possible perform the invasive pressure calibration with the same type of pressure transducer that is used in daily clin...

Страница 111: ...pressure pump when Create 200 mmHg pressure message is shown The pressure measured by the module is updated in real time to the invasive pressure calibration menu 9 When the pressure is stabilized che...

Страница 112: ...rly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit...

Страница 113: ...e Information 4 Check that the software and hardware information is provided 5 3 2 Log files Service logs are used for recording different system events errors and alarms to help troubleshoot equipmen...

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

Страница 115: ...eeds 320mmHg 43 kPa measurement range Transducer is not zeroed correctly The measurement range is between 40mmHg and 320mmHg Zero the invasive pressure channel P8 under range 40 mmHg or 5 kPa MF PW Me...

Страница 116: ...ailed PW Pulsating waveform is detected Offset is 150mmHg Defective transducer Open the transducer to room air and zero the channel Replace the transducer open it to room air and zero the channel Zero...

Страница 117: ...ext calibration is performed but you can continue the measurement If you choose to acknowledge the alarm it will reappear every 4 hours until the next calibration is performed Calibrating PW Calibrati...

Страница 118: ...No pressure Defective transducer Module is not connected The transducer adapter cable is not connected to the module Invasive pressure channel is not configured to the screen with adequate priority Ch...

Страница 119: ...es may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before...

Страница 120: ...assemble the module 1 Remove the two screws T10 from the back of the module 2 Press the release latch and pull the module casing slowly backwards to remove it from the main body 3 Detach the front cov...

Страница 121: ...dule casing 7 2 Continuous Cardiac Output Module E PiCCO Item Description Order No 1 E PiCCO module unit FRU Front chassis unit inc front chassis membrane keypad connector unit latch torsion spring Me...

Страница 122: ...Cover NO E PiCCO Spare part 2086165 001 2 Front Cover PL E PiCCO Spare part 2086166 001 2 Front Cover PT E PiCCO Spare part 2086167 001 2 Front Cover RU E PiCCO Spare part 2086168 001 2 Front Cover S...

Страница 123: ...ective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspectio...

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

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

Страница 126: ......

Страница 127: ...ional check 4 12 3 3 1 Test setup 4 12 3 3 2 Invasive pressure tests 4 13 3 3 3 Cardiac output tests 4 14 3 3 4 SvO2 tests 4 14 3 3 5 Test completion 4 15 4 Calibration and adjustments 4 16 4 1 Invasi...

Страница 128: ...ols 4 25 6 2 Disassembling and reassembling procedure 4 25 6 2 1 To replace the front cover 4 25 6 2 2 To disassemble the module 4 25 6 2 3 Reassembling the module 4 25 7 Service parts 4 26 7 1 Orderi...

Страница 129: ...E COP and E COPSv provide Cardiac output C O Right ventricular ejection fraction REF Invasive blood pressure InvBP measurement Blood temperature Tblood Additionally the COPSv module provides venous ox...

Страница 130: ...nal to the flow rate which corresponds to cardiac output The cardiac output is calculated from the equation C O 1 08 CT 60 Vi TB Ti TBdt C where C O Cardiac output in liters minute 1 08 Factor compari...

Страница 131: ...The light is transmitted to the blood through a single plastic optical fiber in the oximetry catheter and reflected back through a separate optical fiber to a photodetector in the optical module The l...

Страница 132: ...ezo resistive device that converts the pressure signal to a voltage The monitor interprets the voltage signal so that blood pressure data and blood pressure waveforms can be displayed 1 3 Main compone...

Страница 133: ...ed H8SX single chip microcomputer It contains 768 Kbytes of flash memory and 24 Kbytes of RAM The clock frequency is 35 MHz Cardiac output measurement section The catheter and the probe contain a NTC...

Страница 134: ...7 21 6 721 32 5 5 6 7 121 92 7 0 025 0LFURFRPSXWHU 5 0 N ODVK 520 N 2 0 685 1 81 7 3 19 35 6685 0 685 1 81 7 5217 3 1 6 219 57 5 FKQ ELW 5HVHW 0RGXOH EXV GDWD 6HULDO GHYLFH FRPPXQLFDWLRQ 0RGXOH GDWD 0...

Страница 135: ...e The algorithm consists of five different parts initialization calibration signal processing and SvO2 calculation automatic gain control and signal quality analysis Initialization When the optical mo...

Страница 136: ...n bus drivers are powered from the Module Bus The module isolation section is powered 5 V from the isolated power supply The communication drivers are controlled by a reset signal so that when the res...

Страница 137: ...ched mode circuit where a FET switch is controlled by an oscillator using a bipolar timer The frequency of the oscillator is approximately 30 kHz with a pulse ratio of 50 switching of the FET is slow...

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

Страница 139: ...utions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and ste...

Страница 140: ...sure connector in the module NOTE The invasive pressure connector in the E COP and the E COPSv module is labelled either as a P4 or as a P4 P8 However the monitor software always identifies this invas...

Страница 141: ...to Medium NOTE Refer to the simulators documentation for details on how to use and configure the simulators 3 3 2 Invasive pressure tests 1 Zeroing a Ensure that the simulator InvBP output channel is...

Страница 142: ...e C O measurement i Check that the average of the measured C O values and the Tblood reading is updated to the C O Tblood parameter window NOTE Check that the T injectate and Tblood values shown in th...

Страница 143: ...ave the adjusted lab values by selecting Save Lab Values button g Wait until the Calibrating message disappears from SvO2 parameter window h Check that the calibration date for In Vivo calibration is...

Страница 144: ...l information manual for compatible accessories NOTE Pressure transducer is a key component in the measurement setup If possible perform the invasive pressure calibration with the same type of pressur...

Страница 145: ...o room air 6 Select Calibrate 7 The monitor will start automatic zeroing of the invasive pressure channel Wait until Zeroing message is replaced by Zero Ok message 8 Pump a 200 mmHg 100 mmHg static pr...

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

Страница 147: ...rly there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functional problem to the correct unit...

Страница 148: ...Information 4 Check that the software and hardware information is provided 5 3 2 Log files Service logs are used for recording different system events errors and alarms to help troubleshoot equipment...

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

Страница 150: ...ceed 40 mmHg 5 kPa measurement range Transducer is not zeroed correctly The measurement range is between 40 mmHg and 320 mmHg Zero the invasive pressure channel Identical IP8 modules MF Identical IP m...

Страница 151: ...f an invasive pressure channel is completed successfully No actions Zero ICP separately MF ICP is an active IP channel and Zero All is performed Zero the ICP channel separately Pressure measurement re...

Страница 152: ...ptical module is connected to the monitor but the catheter has not been calibrated Perform InVivo calibration or accept the old calibration Recalibrate SvO2 MF Calibration is older than 24 hours Perfo...

Страница 153: ...may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before h...

Страница 154: ...e the module 1 Remove the two screws T10 from the back of the module 2 While pressing the release latch pull the module casing slowly backwards and remove it from the main body 3 Detach the front cove...

Страница 155: ...information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing 7 2 Cardiac Output Module E COP Item Descript...

Страница 156: ...COP 2086175 001 2 Front Cover FR E COP 2086176 001 2 Front Cover HU E COP 2086177 001 2 Front Cover IT E COP 2086178 001 2 Front Cover JA E COP 2086179 001 2 Front Cover NL E COP 2086180 001 2 Front C...

Страница 157: ...or unit latch torsion spring Measurement board FRU inc Measurement board metal frame mounting screws 2082033 001 2 Front Cover Unit CS E COPSV 2086152 001 2 Front Cover Unit DA E COPSV 2086185 001 2 F...

Страница 158: ...Unit JA E COPSV 2086193 001 2 Front Cover Unit NL E COPSV 2086194 001 2 Front Cover Unit NO E COPSV 2086195 001 2 Front Cover Unit PL E COPSV 2086196 001 2 Front Cover Unit PT E COPSV 2086197 001 2 Fr...

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

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

Страница 161: ...tenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections Result A...

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

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

Страница 164: ......

Страница 165: ...1 Test setup 5 12 3 3 2 Invasive pressure tests 5 13 3 3 3 Temperature tests 5 13 3 3 4 Test completion 5 14 4 Calibration and adjustments 5 15 4 1 Invasive Pressure Calibration 5 15 4 1 1 Calibratio...

Страница 166: ...ssembly 5 24 6 1 3 Required tools 5 25 6 2 Disassembling and reassembling procedure 5 25 6 2 1 Replacing the front cover 5 25 6 2 2 Detaching the STP main assembly 5 25 6 2 3 Reassembling the module 5...

Страница 167: ...emp Module E PT and Dual Pressure Module E PP The E P E PT and E PP modules are single width plug in modules Figure 1 Invasive blood pressure setup 1 Module with invasive blood pressure measurement ca...

Страница 168: ...he pressure signal to a voltage The monitor interprets the voltage signal so that pressure data and pressure waveforms can be displayed 1 2 2 Temperature The temperature is measured by a probe whose r...

Страница 169: ...nvasive blood pressure sensor invasive blood pressure channel P3 P7 Key for pressure zeroing The E P module consists of the following main parts STP Main Assembly Connector for an invasive blood press...

Страница 170: ...is labelled either as a P3 or as a P3 P7 However the monitor software always identifies this invasive pressure port as P7 channel Module keys Module Description Zero P3 P7 E P E PT Zero P7 Zero P5 E P...

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

Страница 172: ...temperature sensor 400 series NTC resistor The constant current causes a voltage over the temperature sensor NTC resistor The voltage over the temperature sensor is amplified in a differential amplifi...

Страница 173: ...e measurement range even when there are circumstantial offsets or offsets caused by the transducer There is a filter before the amplifier to attenuate high frequency disturbances Figure 6 Pressure mea...

Страница 174: ...age isolated transformer The switching power supply on the STP Main Assembly is synchronized to the frequency about 340kHz of the switching power supply on the Module bus connection board The Module b...

Страница 175: ...ime Presence of several modules may cause the configuration to fail 2 Log on to Webmin 3 Select the Configuration tab 4 Select Modules P PT PP setting 5 Check the current configuration for the P PT PP...

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

Страница 177: ...clean The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about clea...

Страница 178: ...ure adapter cable to the red invasive pressure connector in the module Connect the multiparameter patient simulator with its invasive pressure adapter cables to the dual invasive pressure adapter cabl...

Страница 179: ...he Px parameter windows 2 Static Pressure a Configure the simulator InvBP output channel to 200 mmHg static pressure b Check that a flat pressure line appears on the related Px waveform field The read...

Страница 180: ...ively perform the above test using a temperature test set P N 884515 HEL Test each temperature channel with both test plugs The reading in the Tx temperature channel shall be within 0 1 C of the nomin...

Страница 181: ...ompatible accessories NOTE Pressure transducer is a key component in the measurement setup If possible perform the invasive pressure calibration with the same type of pressure transducer that is used...

Страница 182: ...The monitor will start automatic zeroing of the invasive pressure channel Wait until the message Zeroing is replaced by a message Zero Ok 8 Pump a 200 mmHg 100 mmHg static pressure with the pressure p...

Страница 183: ...tup Required tools P N 884515 HEL Temperature calibration plugs Dual temperature adapter cable NOTE See the CARESCAPE monitor supplemental information manual for compatible accessories NOTE Use only a...

Страница 184: ...ure C field and select Confirm 8 Wait until a message Plug in 45 C is shown Plug in the temperature calibration plug labeled with TEMP 45 C 113 F to the dual temperature adapter cable connector T1 tem...

Страница 185: ...moving the two screws from the back of the module and check that screws are tightened properly cables are connected properly there are no loose objects inside the module 5 2 Troubleshooting checklist...

Страница 186: ...r interactions and internal communication events The messages are explained in detail later in this chapter Embc Frame Logs is used for recording module communication events and errors for E series pa...

Страница 187: ...e exceed 40 mmHg 5 kPa measurement range Transducer is not zeroed correctly The measurement range is between 40 mmHg and 320 mmHg Zero the invasive pressure channel Pressure measurement removed MF The...

Страница 188: ...zero of the module with default gain Check transducer Re zero the pressure channel Zeroed PW Zeroing of an invasive pressure channel is completed successfully No actions Zero ICP separately MF ICP is...

Страница 189: ...ducer adapter cable with the transducer to the module Configure the temperature channel to the screen Monitor Setup Screen Setup with adequate priority and check that it is active Problem Possible cau...

Страница 190: ...wing guidelines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have bu...

Страница 191: ...hing the STP main assembly 1 Remove the two screws T10 from the back of the module 2 While pressing the release latch pull the module casing slowly backwards and remove it from the main body 3 Detach...

Страница 192: ...act information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time...

Страница 193: ...t board M1022749 4 E PT Input board M1021461 5 Membrane Keyboard M1012126 7 SCREW machine M3x8mm DIN965 torx head flat countersunk head steel 8 Torsion Spring M1020935 9 Latch M1021039 10 Front Chassi...

Страница 194: ...m Description Order No 6 Front Cover CS E P 2086265 015 6 Front Cover DA E P 2086265 001 6 Front Cover DE E P 2086265 002 6 Front Cover ES E P 2086265 004 6 Front Cover EN E P 2086265 003 6 Front Cove...

Страница 195: ...7 006 6 Front Cover HU E PP 2085617 014 6 Front Cover IT E PP 2085617 007 6 Front Cover JA E PP 2085617 008 6 Front Cover NL E PP 2085617 009 6 Front Cover NO E PP 2085617 010 6 Front Cover PL E PP 20...

Страница 196: ...odules 5 30 2062973 004 6 Front Cover NO E PT 2086271 010 6 Front Cover PL E PT 2086271 011 6 Front Cover PT E PT 2086271 012 6 Front Cover SV E PT 2086271 013 6 Front Cover ZH E PT 2086271 016 Item D...

Страница 197: ...maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual Inspections Resu...

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

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

Страница 200: ......

Страница 201: ...roubleshooting 6 9 5 1 Visual inspection 6 9 5 2 Troubleshooting checklist 6 9 5 3 Service interface 6 10 5 3 1 Device Information 6 10 5 3 2 Log files 6 10 5 4 Messages 6 11 6 Disassembly and reassem...

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

Страница 203: ...d monitoring or incorrect sensor application can cause skin irritation or impaired circulation It is recommended that you check the probe site every four hours more frequently for poor perfusion or fo...

Страница 204: ...11 The Masimo MS 2011 is a surface mounted PC board manufactured by Masimo It contains the signal processing electronics and software that are based on Masimo stand alone pulse oximeters The measured...

Страница 205: ...supply isolated section The secondary voltages of the isolation transformer are rectified filtered and regulated Special attention is paid for the Masimo 5V supply voltage where low noise regulator is...

Страница 206: ...verting and transferring data from the Masimo pulse oximeter MS 2011 to the monitor The communication between MS 2011 and the CPU of E MASIMO interface board is realized with bi directional asynchrono...

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

Страница 208: ...cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizin...

Страница 209: ...ntil a pulse is found 2 Check that the SpO2 reading in the parameter window is between 90 100 and the plethysmographic waveform appears on the screen NOTE You can verify the functionality of a pulse o...

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

Страница 211: ...tightened properly cables are connected properly there are no loose objects inside the module Ferrite of the flex cable is attached properly 5 2 Troubleshooting checklist The following simple trouble...

Страница 212: ...rrors and alarms to help troubleshoot equipment problems The following service logs may contain information related to the E MASIMO module Clinical Log is used for recording different system events me...

Страница 213: ...SpO2 probe Incompatible probe PW An incompatible SpO2 probe is detected by the monitor Replace the SpO2 probe with a compatible one Pulse search PW Searching pulse Wait until pulse is found Artifact P...

Страница 214: ...elines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up be...

Страница 215: ...m the main body 3 Detach the screw and the three nylon posts that secure the Masimo SpO2 board to the Masimo interface board Detach the Masimo SpO2 board 4 Detach the front cover see 6 2 1 5 Detach th...

Страница 216: ...Maintenance and checkout after you have replaced any of the service parts listed below 7 1 Ordering parts To order parts contact GE Healthcare Contact information is available at www gehealthcare com...

Страница 217: ...879184 4 SCREW machine screw 3x6 DIN7985 ISO7045 TORX 5 Masimo Interface board E MASIMO 2081822 001 6 SCREW screw for plastic 3 0 x12mm torx head 7 Front Cover E MASIMO M1121205 8 Latch Injection mold...

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

Страница 219: ...ctive maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspection...

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

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

Страница 222: ......

Страница 223: ...ual inspection 7 9 5 2 Troubleshooting checklist 7 9 5 3 Service interface 7 10 5 3 1 Device Information 7 10 5 3 2 Log files 7 10 5 4 Messages 7 11 6 Disassembly and reassembly 7 13 6 1 Disassembly g...

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

Страница 225: ...ata can result if a sensor is past its useful life Therefore re evaluate the measurement periodically by performing additional assessment of the patient and equipment including consideration of use of...

Страница 226: ...ormation are transferred from the MP 100 to the NIO interface board Communication between the MP 100 and NIO interface board is established through an RS232C serial interface The NIO interface board i...

Страница 227: ...Figure 2 NIO Interface board block diagram RS485 drivers There are drivers for data and for module reset functions These drivers are used for driving the RS485 type serial communication bus between th...

Страница 228: ...ation by high speed opto couplers Microprocessor UART non volatile memory The microprocessor with an on chip memory is used for converting and transferring data from the Nellcor pulse oximeter board t...

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

Страница 230: ...n The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning...

Страница 231: ...until a pulse is found 2 Check that the SpO2 reading in the parameter window is between 90 100 and the plethysmographic waveform appears on the screen NOTE You can verify the functionality of a pulse...

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

Страница 233: ...properly there are no loose objects inside the module NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout each time after you have opened the module casing 5 2 Troubles...

Страница 234: ...ms to help troubleshoot equipment problems The following service logs may contain information related to the E NSAT E NSATX module Clinical Log is used for recording different system events messages c...

Страница 235: ...be and replace it if needed Faulty probe Faulty SpO2 probe PW MF Probe is identified but red and infrared leds take no current NOTE E NSATX only Replace the SpO2 probe Pulse search PW Searching pulse...

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

Страница 237: ...guidelines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built...

Страница 238: ...g slowly backwards and remove it from the main body 3 Remove the 2 screws that secure the Nellcor pulse oximetryboard to the NIO interface board Detach the pulse oximetry board 4 Detach the front cove...

Страница 239: ...rts To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in...

Страница 240: ...W machine M3x8mm DIN965 torx head flat 2 Module Casing Single M1021035 3 Metal Frame 879184 4 SCREW machine screw 3x6mm DIN7985 ISO7045 torx 5 NELL1GE Interface board E NSATX 2081717 001 6 SCREW screw...

Страница 241: ...ont Cover NL E NSATX M1071167 7 Front Cover NO E NSATX M1071168 7 Front Cover PL E NSATX M1086342 7 Front Cover PT E NSATX M1071171 7 Front Cover SV E NSATX M1071172 8 Latch E Modules M1021039 9 Torsi...

Страница 242: ...d 2 Module Casing Single Injection molded M1021035 3 Metal frame 879184 4 SCREW CYLINDER HEAD MRT M3x6 STZN FZB 8 8 M DIN7985 TORX 5 Interface board E NSAT for MP100 Printed Circuit Assembly M1026771...

Страница 243: ...25079 9 Front Cover FR E NSAT M1025082 9 Front Cover NL E NSAT M1025083 9 Front Cover NO E NSAT M1025084 9 Front Cover JA E NSAT M1025085 9 Front Cover PT E NSAT M1025086 9 Front Cover SV E NSAT M1025...

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

Страница 245: ...maintenance Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1...

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

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

Страница 248: ......

Страница 249: ...rd 8 15 1 3 10 Main Component Interactions 8 16 2 Configuration 8 17 2 1 Software update 8 17 3 Maintenance and checkout 8 18 3 1 Replacement of planned maintenance parts 8 19 3 1 1 Required parts 8 1...

Страница 250: ...45 5 5 3 Gas exchange 8 47 6 Disassembly and reassembly 8 48 6 1 Disassembly guidelines 8 48 6 1 1 Serviceable parts 8 48 6 1 2 Service limitations 8 48 6 1 3 ESD precautions 8 49 6 1 4 Protection fr...

Страница 251: ...ation Table 1 Options for CARESCAPE Respiratory modules NOTE Anesthetic agents and N2O values are not displayed with ICU and ED software packages but when present in the module they are calculated for...

Страница 252: ...represent the capabilities of the modules Always check the host device s User Manual for additional information 1 2 Measurement principle 1 2 1 CO2 N2O and agent measurement MiniTPX is a side stream g...

Страница 253: ...of their concentrations is performed by measuring absorptions at five wavelengths in the 8 9 m band and solving the concentrations from a set of equations Figure 4 Infrared absorbance of AAs The measu...

Страница 254: ...atory tidal volume TV in ml Expiratory and inspiratory minute volume MV in l min Expiratory spontaneous minute volume in l min Inspiration expiration ratio I E The following airway pressure parameters...

Страница 255: ...ent Spirometry uses specific sensors called D lite D lite and Pedi lite Pedi lite flow sensors Different types of sensors are available adult sensor for measuring adults and pediatric sensor for child...

Страница 256: ...o obtain the amount of CO2 produced in ml min the amount which is inhaled is subtracted from the amount that is exhaled These amounts can be obtained by multiplying each measured volume piece dv by th...

Страница 257: ...trap 2 Gas sample sampling line connector on the water trap 3 Water trap container 4 Connectors for Patient Spirometry 5 Gas exhaust connector for the gas exhaust line sampling gas out Module keys Mod...

Страница 258: ...reasons for disturbances such as occluded sampling line or blocked gas exhaust line and communicates relevant status messages to the patient monitor The system is designed so that gas the sampled gas...

Страница 259: ...The zero gas comes to the sensors through the CO2 absorber that chemically absorbs CO2 The side flow of the water trap flows in the gas sampling line even during zeroing During normal monitoring the z...

Страница 260: ...ing takes place in the water trap where incoming flow is divided to the main flow and side flow The second branching takes place before the MiniOM sensor The pneumatics block also contains a pneumatic...

Страница 261: ...g operation is possible The gas pump repeats 1 minute full pump 30 seconds pump off when the Continuous blockage message is shown Figure 9 Gas tubing layout 1 3 3 MiniTPX measuring unit The MiniTPX un...

Страница 262: ...ations from the raw data received from the sensor multiplexer Figure 10 MiniTPX measuring unit 1 3 4 MiniOM Oxygen sensor The miniOM sensor measures the concentration of Oxygen in the gas sample The m...

Страница 263: ...amplifier board located in the sensor has two electric microphones for the differential detection of pressure pulses generated in the magnet s air gap The microphone signals are fed to two identical...

Страница 264: ...The measurement is based on measuring the kinetic gas pressure and is performed using the Pitot effect A pressure transducer is used to measuring the Pitot pressure The signal is then linearized and c...

Страница 265: ...circuit coil drive A D converter etc It also contains EEPROM memory that stores calibration data of the oxygen measurement 1 3 9 MiniPVX board The MiniPVX board contains pressure sensors for airway pr...

Страница 266: ...RU IRU JDV VHQVRU ZRUNLQJ SUHVVXUH 6HQVRU IRU JDV VDPSOH IORZ 6HQVRU IRU 20 UHI LQSXW SUHVVXUH 3QHXPDWLFV EORFN IRU FRUUHFW JDV IORZV WR VHQVRUV GDPSLQJ SUHVVXUH SXOVHV 2 DEVRUEHU IRU HUR JDV 1DILRQ W...

Страница 267: ...ing a software CD and Webmin The software update process involves transferring and activating the module software First you transfer the new software to the host monitor either from the software CD us...

Страница 268: ...institutions utilizing the device Corrective maintenance Service personnel shall perform the following checkout procedure after any corrective maintenance before taking the module back into clinical u...

Страница 269: ...sassembly and reassembly 1 Replace the CO2 absorber every 4 years 2 Replace the special tubes Nafion and check the condition of the internal tubing Description Pieces Replacement interval Nafion Tube...

Страница 270: ...red in dust 3 2 Visual inspections Detach the module from the module slot and check that the front cover is intact all connectors are intact and are attached properly the module box and latch are inta...

Страница 271: ...5587 Calibration Gas CO2 O2 Balance 4 cans pkg with E sCO E sCOV and E sCOVX modules US only D fend Pro water trap 3 m 10 ft anesthesia gas sampling line Spirometry tube 3 m 10 ft with E sCOV E sCOVX...

Страница 272: ...80 mmHg 20 mmHg pressure to the gas sampling system Let the pressure stabilize for 10 20 seconds i Check that the pressure reading does not drop more than 2 mmHg during 25 seconds j Release the force...

Страница 273: ...low rate measured by the flow meter A flow meter which has been calibrated at 21 11 C 70 F and 760 mmHg 1013 mbar measures the flow rate correctly under the same conditions i e in room temperature at...

Страница 274: ...container Leave the regulator overflow port open to room air d Select Monitor Setup Service Calibrations e Enter the User Name and the Password and press Enter to get into the Calibrations menu f Sel...

Страница 275: ...0 seconds 12 Air Leak detection a Detach the D fend Pro water trap b Check that the message Check Water Trap appears to the parameter window within 30 seconds c Attach the water trap 13 Gas exhaust bl...

Страница 276: ...3 3 3 Test completion Select Discharge patient or Reset case to discard any changes made to the monitor configuration during checkout Disconnect and reconnect the module before starting a new case Com...

Страница 277: ...meter calibration to ensure measurement accuracy NOTE If the flow meter unit is not ml min it shall be converted to ml min according to the instructions of the flow meter manufacturer NOTE Refer to th...

Страница 278: ...ct of the gain adjustment Wait until the sample flow value shown in the Calibration menu returns near to the nominal value 120 ml min and then check the actual measured flow rate from the flow meter 7...

Страница 279: ...54 5 O2 36 0 N2O 2 0 DESFLURANE BAL N2 with E sCAiO E sCAiOV and E sCAiOVX modules US only P N 755587 Calibration Gas CO2 O2 Balance 4 cans pkg with E sCO E sCOV and E sCOVX modules US only 3 m 10 ft...

Страница 280: ...libration menu For maximum accuracy let the monitor to warm up for 30 minutes before starting calibration NOTE Gas calibration is not available during a Sample line blocked Check Dfend and Check sampl...

Страница 281: ...s Close the regulator 7 Use the up down spinner controls in the calibration menu to adjust the gas readings shown in the Calibration menu to match with the gas readings in the labelling of the calibra...

Страница 282: ...t is recommended to perform the calibration both with adult values using the D lite and with pediatric values using the Pedi lite 4 3 1 Calibration setup Required tools P N 884202 HEL Spirometry teste...

Страница 283: ...fer more than 6 of the value read from the spirometry tester perform flow calibration according to section 4 3 3 Flow calibration 4 3 3 Flow calibration 1 Select Monitor Setup Service Calibrations 2 E...

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

Страница 285: ...ox by removing the four screws from the back of the module and check that all screws are tightened properly all cables are connected properly tubes are not pinched and there are no sharp bends on them...

Страница 286: ...alves or sensors are contaminated too This can increase a risk of faulty operation in valves or sensors The valves or gas sensors are not possible to clean in the field Therefore if you noticed any co...

Страница 287: ...n 2 Select the Information tab 3 Select Device Information 4 Check that the software and hardware information is provided 5 3 2 Log files Service logs are used for recording different system events er...

Страница 288: ...place if needed Empty the water trap container Replace the water trap Check the tubing for leakages Check sampling gas out Check water trap and sample gas out Wait for 30 seconds and press Home to con...

Страница 289: ...help send the module to GE for factory repair Calibrating error PW calibration menu Feeding the calibration gas was not started within 1 minute after the automatic zeroing was completed Calibration w...

Страница 290: ...re not available during the first minute after the module is connected due to warm up Anaesthesia agent measurement is not available during the first 5 minutes after the module is connected due to war...

Страница 291: ...does not work Water trap may not be properly connected or there may be a leak in the breathing circuit All following conditions are true for 20 s No apnea Ppeak PEEP 2cmH2O TVinsp and TVexp are DATA_...

Страница 292: ...O too high PW Unable to measure gas VO2 because the measured FiO2 FiN2O is out of gas exchange specification 85 Use lower O2 concentrations Artifact PW Module is unable to synchronize flow and CO2 Use...

Страница 293: ...dule Error Code 0xGAS0100 Service gas module spirometry sensor failed Service gas module MF WF PW Spirometry sensor failure Replace the Spirometry sensor Service Gas Module Error Code 0xGAS0101 Servic...

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

Страница 295: ...esponse to breathing apnea disconnection sampling line or water trap loose or blocked air leak sample gas out blocked check all connections check that outlet is open EtCO2 overscale 15 20 Shown until...

Страница 296: ...he water from hoses check mode and sensor D lite for adult Pedi lite for pediatric Fluctuating Raw mucus in airways or tubings breathing effort against the ventilator patient triggered breathes ventil...

Страница 297: ...min reference gas inlet port blocked gas sampling line longer than 2 m dead space of Y piece 8 ml gas sampling line connected to HME D lite incorrectly placed select oxygram and verify the stableness...

Страница 298: ...er 7 Service parts NOTE Only a qualified service technician should perform field replacement procedures NOTE Perform the checkout procedure described in chapter 3 Maintenance and checkout after you ha...

Страница 299: ...ing or repairing assemblies containing semiconductors Use properly grounded test equipment Use a static free work surface while handling or working on assemblies containing semiconductors Do not remov...

Страница 300: ...embly and reassembly procedure Disassembling the module see the exploded view of the module in chapter 7 Service parts Reassembling the module reverse the order of the disassembly steps Check that all...

Страница 301: ...ollow the arrows from the top down to the required part and disassemble the module by following the steps in between 6 2 1 Detaching the Front Cover 1 Remove the D fend Pro 2 Release the two snaps on...

Страница 302: ...T8 screws mounting the D25 connector shield 2 Detach the connector shield 3 Remove the two T8 screws to detach the module casing 4 Push the latch and pull the module casing NOTE When reassembling ens...

Страница 303: ...e fan and there is no risk of the fan being obstructed by the tubes An obstructed fan will result in degraded ventilation inside the module and sensor inop message being displayed NOTE The nafion tube...

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

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

Страница 306: ...When the Front Chassis Unit is replaced move the original connector to the new unit 4 Disconnect the fan and keypad cables 5 Detach the front chassis unit NOTE When reassembling insert the pump silic...

Страница 307: ...VX Unit The PVX unit is available as a FRU for E sCAiOV and E sCOV module models only WARNING The PVX unit of E sCAiOVX and E sCOVX modules must not be replaced in the field Attempting to do so may re...

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

Страница 309: ...3 004 6 2 10 Detaching the OM holder 1 Carefully detach the three tubes from the OM unit 2 Carefully disconnect the OM flex cable from the CPU board 3 Carefully pass the flex cable through metal frame...

Страница 310: ...1 1 Planned Maintenance Kits The required planned maintenance parts are included in PM kits Part number Description 2093610 001 One year Planned Maintenance Kit for CARESCAPE Respiratory modules The...

Страница 311: ...m part number 1 FRU Front Chassis Unit E sCAiO E sCO Front Chassis Assembly M1206530 2 FRU Front Chassis Unit E sCAiOV E sCAiOVX E sCOV E sCOVX Front Chassis Assembly including Membrane Keyboard M1206...

Страница 312: ...RU OM Holder M1206531 6 FRU PVX Unit1 E sCAiOV E sCOV 1 The PVX unit is available as a FRU for E sCAiOV and E sCOV module models only M1206528 7 CO2 Absorber M1206555 WARNING The PVX unit of E sCAiOVX...

Страница 313: ...X 2080272 001 9 FRU Front Cover DA E sCAIOVX 2080301 001 9 FRU Front Cover DE E sCAIOVX 2080302 001 9 FRU Front Cover FI E sCAIOVX 2080303 001 9 FRU Front Cover FR E sCAIOVX 2080304 001 9 FRU Front Co...

Страница 314: ...E sCAiOV M1207040 9 FRU Front Cover JA E sCAiOV M1207041 9 FRU Front Cover NL E sCAiOV M1207042 9 FRU Front Cover NO E sCAiOV M1207043 9 FRU Front Cover PL E sCAiOV M1207044 9 FRU Front Cover PT E sC...

Страница 315: ...6 001 9 FRU Front Cover EN E sCOV M1207048 9 FRU Front Cover CS E sCOV M1207049 9 FRU Front Cover DA E sCOV M1207051 9 FRU Front Cover ES E sCOV M1207053 9 FRU Front Cover FI E sCOV M1207055 9 FRU Fro...

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

Страница 317: ...of planned maintenance parts Replaced N A CO2 absorber every 4th year Nafion Tube main flow Nafion Tube zero line every 4th year OM Reference gas filter assembly Check that the fan and the ventilation...

Страница 318: ...o not differ more than 10 mmHg Barometer mmHg 11 Occlusion detection Sample line blocked and Low sample flow appear in s Within 30 seconds 12 Air Leak detection Check Water Trap appears in s Within 30...

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

Страница 320: ......

Страница 321: ...planned maintenance parts 9 16 3 1 1 Required parts 9 16 3 1 2 Planned Maintenance Kits 9 17 3 1 3 Replacement procedures 9 17 3 2 Visual inspections 9 20 3 3 Functional check 9 20 3 3 1 Test setup 9...

Страница 322: ...change 9 44 6 Disassembly and reassembly 9 45 6 1 Disassembly guidelines 9 45 6 1 1 Serviceable parts 9 45 6 1 2 Service limitations 9 45 6 1 3 ESD precautions 9 46 6 1 4 Protection from dust 9 46 6 1...

Страница 323: ...patient spirometry X gas exchange A anesthetic agents and i agent identification Table 1 Options for Compact Airway modules NOTE Anesthetic agents and N2O values are not displayed with ICU and ED sof...

Страница 324: ...and concentrations of the identified agents are measured TPX also detects mixtures of more than two agents and issues an alarm TPX is a non dispersive infrared analyzer measuring absorption of the gas...

Страница 325: ...ned individually for each TPX during the factory calibration 1 2 2 O2 measurement The differential oxygen measuring unit uses the paramagnetic principle in a pneumatic bridge configuration The signal...

Страница 326: ...ED software packages PEEP Ppeak Pmean and Pplat are measured by a pressure transducer on the PVX board Ambient pressure is used as a reference in measurement The pressure measurement is made from the...

Страница 327: ...y a two sided Pitot tube Velocity is calculated from pressure difference according to Bernoulli s equation Flow is then determined using the calculated velocity from Bernoulli s equation Formula 4 whe...

Страница 328: ...s means taking advantage of the fact that the patient is not consuming nor producing nitrogen the amount of nitrogen inhaled is equal to the amount exhaled fiN2 MVi feN2 MVe VO2 and VCO2 can then be w...

Страница 329: ...en reference gas inlet 5 Sample gas outlet 6 Cooling fan with dust filter Module keys Module Description Save Loop E COV E COVX E CAiOV E CAiOVX Save Loop saves a reference loop Print Loop E COV E COV...

Страница 330: ...atient side by a hydrophobic filter The side flow creates a slight subatmospheric pressure within the D fend water trap which causes fluid removed by the hydrophobic filter to collect in the bottle Ze...

Страница 331: ...filter Occlusion valve The valve is activated when the sampling line gets occluded The main flow is then diverted to the side flow of the D fend water trap to faster remove the occlusion Sampling pump...

Страница 332: ...e sample chamber radiation goes into seven tubular light guides with reflective inner surfaces At the other end of each light guide there is a thermopile detector with an optical filter in front of it...

Страница 333: ...ssure of more than 300 cmH2O to the flow and volume tubing Differential pressure max 25 cmH2O is allowed on one port at a time e g when connecting tubes When Patient Spirometry is used a special senso...

Страница 334: ...nge calculation is done by software NOTE The gas exchange measurement in the E CAiOVX and E COVX modules works accurately only with 2 meter 7 ft gas sampling lines 1 3 5 CPU board The CPU board contai...

Страница 335: ...d The Spirometry board is connected to the oxygen board It contains pressure sensors for airway pressure and flow measurement differential pressure and preamplifiers for those Calibration data of spir...

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

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

Страница 338: ...the following parts that wear in use at the recommended interval Performed service activity Required checkout procedure Visual inspections section 3 2 Functional check section 3 3 Any of the front pa...

Страница 339: ...130 mm Nafion tube in the zero line between the CO2 absorber and the pneumatic unit Replace the 300 mm Nafion tube in the sample gas line between the D fend water trap and the pneumatic unit Check tha...

Страница 340: ...ic unit a Open the screw that holds the black filter cover to the pneumatic unit b Detach the filter cover e g using a small flat blade screwdriver c Detach the white occlusion filter e g by turning t...

Страница 341: ...e O ring to the front cover e Attach a new reference gas sticker to the reference gas filter assembly Use the original labeling language 5 Replace the D Fend O rings a Detach the D fend b Detach the o...

Страница 342: ...m measurement range 100 300ml min accuracy 5 or better in the 100 300ml min range P N 755534 HEL Calibration Gas Regulator P N 755583 HEL Calibration gas CO2 O2 N2O DESF package of 1 can with E CAiO E...

Страница 343: ...Connect a new D Fend water trap to the module c Connect a new gas sampling line to the sampling line connector in the water trap d Connect the other end of the gas sampling line to a pressure manomet...

Страница 344: ...or vice versa c Leave the Flow Vol loop to the screen 5 Sample Flow Rate Check Check the sample flow rate NOTE Gas measurement is not available during the first 2 to 5 minutes after the module is conn...

Страница 345: ...librations menu is in percentages g Open the zero valve to room air by selecting Zero valve Off zero position h Check that the CO2 N2O and anesthesia agent values drop back near 0 and the O2 reading n...

Страница 346: ...ter window within 30 seconds 14 Airway Gases a Breathe a minimum of 5 times to the tip of the sampling line b Check that a normal CO2 waveform appears to the waveform field and the EtCO2 and FiCO2 val...

Страница 347: ...essories NOTE Use only accurate properly maintained calibrated and traceable calibration tools for the parameter calibration to ensure measurement accuracy NOTE Refer to the flowmeter documentation fo...

Страница 348: ...calibration menu returns near to the nominal value 200 ml min and then check the actual measured flow rate from the flow meter 7 Repeat steps 5 and 6 until the flow meter shows a 200 20 ml min flow ra...

Страница 349: ...O and E CAiOV modules 2 m 7 ft anesthesia gas sampling line with E COVX and E CAiOVX modules NOTE Use only the specified GE Healthcare calibration gas for the gas calibration to ensure measurement acc...

Страница 350: ...t alarm condition A message Gas calibration is not available during gas sampling warning is shown in the lower left corner of the calibration menu Resolve the alarm condition before starting calibrati...

Страница 351: ...3 Spirometry Calibration Patient spirometry does not require regular service calibration during planned maintenance or after the PVX unit has been replaced The PVX measuring unit is calibrated at the...

Страница 352: ...ffer less than 6 of the value read from the spirometry tester flow calibration is not needed If the TV Insp and TV Exp values differ more than 6 of the value read from the spirometry tester perform fl...

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

Страница 354: ...cable connections inside the module detach the module box by removing the two screws from the back of the module and check that all screws are tightened properly all cables are connected properly tub...

Страница 355: ...ure contact GE Healthcare service Check that the tubing inside the module is not contaminated Any contamination inside the tubing may indicate that the valves or sensors are contaminated too This will...

Страница 356: ...ailed instructions of use refer to the user documentation provided with the anesthesia machine NOTE Remember to take good care of the scavenging 3 Enter the gas calibration menu and start the calibrat...

Страница 357: ...or To view Device information 1 Log on to the Webmin application 2 Select the Information tab 3 Select Device Information 4 Check that the software and hardware information is provided 5 3 2 Log files...

Страница 358: ...ntinuousblockage Check sampling line and water trap PW MF WF Gas sampling line is blocked Water trap container is full Water trap is occluded Internal tubing is blocked Check the external gas sampling...

Страница 359: ...n check see functional check 3 Perform Anesthetic agent measurement range check see TPX Measuring unit troubleshooting If the calibration and either of the checks fail send the module to GE Healthcare...

Страница 360: ...measured gas concentration exceeds the upper limit of the current scale Change to the appropriate waveform scale Low gas sample flow MF Sample flow deviates to less than 80 of the module specific nom...

Страница 361: ...ts connection Check the breathing circuit for leaks Check the loops on screen to locate the problem Zeroing error PW Zero valve leaking or internal damage in the flow sensor PVX ribbon cable or PVX va...

Страница 362: ...w high PW Module is unable to synchronize flow and CO2 due to bypass flow Reduce fresh gas flow Out of range PW VO2 or VCO2 is 0 or 999 ml min and thus out of measurement Check that the gas sampling l...

Страница 363: ...ak in lungs ET tube cuff leak spirometry tube leak water inside D lite or tubings another side stream gas sampling between D lite and patient D fend leaks check leakages perform leak test change tubin...

Страница 364: ...in tubing mucus asthmatic patient bronchospasm spontaneous breaths breathing efforts against the ventilator patient triggered breaths check the tubing check the patient status Too high Ppeak bronchos...

Страница 365: ...reference gas inlet port blocked gas sampling line longer than 2 m dead space of Y piece 8 ml gas sampling line connected to HME D lite incorrectly placed select oxygram and verify the stableness of...

Страница 366: ...chapter 7 Service parts 6 1 2 Service limitations The following parts are not serviceable OM Measuring unit OM board TPX measuring unit NOTE The OM board contains factory calibration data for the OM a...

Страница 367: ...ecessary Do not slide semiconductors or electrical electronic assemblies across any surface Do not touch semiconductor leads unless absolutely necessary Semiconductors and electronic assemblies should...

Страница 368: ...arp bends on them all tubes are connected properly there are no loose objects inside the module NOTE The tubes that are connected to the Oxygen board pressure transducers should not be pressed too dee...

Страница 369: ...the screw 4 Tighten the screw carefully with hexagon screwdriver Torque 0 8 Nm NOTE You don t have to use torque wrench or torque screwdriver instead you can use the recommended standard hand tools H...

Страница 370: ...rd and OM board from the module chassis 4 screws 3 Disconnect the pump cable pneumatics unit cable fan cable and the other cable of the TPX unit from the CPU board 4 Detach the CPU board from the OM b...

Страница 371: ...ance and checkout after you have disassembled and reassembled the module 7 1 1 Planned Maintenance Kits The required planned maintenance parts are included in a PM kit Part number Description 2093592...

Страница 372: ...or E CAiOVX E CAiOV E CAiO E COVX E COV E CO Item Description Order No Nafion tubing 300mm 733382 HEL Nafion tubing 130mm M1080137 Reference gas in sticker white all languages M1130739 1 SCREW machine...

Страница 373: ...X M1029153 10 Front Cover FI E COV X E CAiOV X M1029154 10 Front Cover FR E COV X E CAiOV X M1029155 10 Front Cover HU E COV X E CiAOV X M1046325 10 Front Cover IT E COV X E CAiOV X M1029156 10 Front...

Страница 374: ...1035110 21 Front Panel Sticker E CAiO JA A B D M1035125 21 Front Panel Sticker E CAiO NL A B D M1035049 21 Front Panel Sticker E CAiO NO A B D M1035120 21 Front Panel Sticker E CAiO PL A B D M1035127...

Страница 375: ...iOVX IT A B C M1035930 21 Front Panel Sticker E CAiOVX JA A B C M1035945 21 Front Panel Sticker E CAiOVX NL A B C M1035926 21 Front Panel Sticker E CAiOVX NO A B C M1035941 21 Front Panel Sticker E CA...

Страница 376: ...icker E COV NL A B C M1036315 21 Front Panel Sticker E COV NO A B C M1036328 21 Front Panel Sticker E COV PL A B C M1036334 21 Front Panel Sticker E COV PT A B C M1036321 21 Front Panel Sticker E COV...

Страница 377: ...6431 21 Front Panel Sticker E COVX SV A B C M1036435 22 PVX Unit E CAiOV M1029209 23 PUMP 0V 10V Air pump max 0 39l min 10VDC EPDM 57313 24 Zero absorber M Cxxx 895933 Item Description Order No D fend...

Страница 378: ...g equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 2 Visual inspections 3 3 Functional check 3 3 2 Procedure 1 G...

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

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

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

Страница 382: ......

Страница 383: ...ut 10 12 3 3 1 Test setup 10 12 3 3 2 Procedure 10 13 3 3 3 Test completion 10 14 4 Calibration and adjustments 10 16 4 1 Sample flow rate adjustment 10 16 4 1 1 Calibration setup 10 16 4 1 2 Sample f...

Страница 384: ...Before disassembly 10 30 6 1 6 Required tools 10 30 6 2 Disassembling and reassembling procedure 10 31 6 2 1 Removing the module casing 10 31 6 2 2 Replacing the pump unit 10 31 6 2 3 Replacing the m...

Страница 385: ...measuring airway gases 2 CO2 gas sampling line 3 Airway adapter with sampling line connector 4 Sampling line connector Equipment safety symbols 1 2 Measurement principle 1 2 1 CO2 measurement E miniC...

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

Страница 387: ...ystem The sampling system draws a gas sample to the analyzer at a fixed rate The gas sampling system samples the measured air to the module and removes water and impurities from it A sampling line is...

Страница 388: ...he bottle Zero valve The main flow passes through a magnetic valve before proceeding to the analyzer This valve is activated to establish the zero point for the MiniC sensor When the valve is activate...

Страница 389: ...lues Sample line blocked Check D fend Replace D fend and Check sample gas outlet Absolute pressure transducer The absolute pressure transducer measures real time ambient pressure Sampling pump The gas...

Страница 390: ...sensor is connected to the CPU board and they can t be replaced separately Figure 6 MiniC sensor 1 3 4 CPU board The CPU board contains a processor memories and all the analog signal processing neede...

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

Страница 392: ...nce parts 3 1 1 Required parts Replace the following parts that wear in use at the recommended interval It is also recommended to replace the Mini D fend water trap and the gas sampling line as part o...

Страница 393: ...ini D fend water trap and the zero valve unit b Check that the tubing inside the module is not contaminated Any contamination inside the tubing may indicate that the valve or sensor is contaminated to...

Страница 394: ...leaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package NOTE Mark this task as complete on the checkout form 3 3 Functional checkout Turn the monitor...

Страница 395: ...Wait until warm up is completed before proceeding with the next steps NOTE The ambient temperature and air pressure influence the flow rate measured by the flow meter A flow meter which has been calib...

Страница 396: ...to check the operation of the absolute pressure sensor a Check that the ambient pressure value shown in the Gas Calibrations menu does not differ more than 10 mmHg from the value shown by the baromete...

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

Страница 398: ...ibration tools for the parameter calibration to ensure measurement accuracy NOTE Refer to the flowmeter documentation for user instructions Connections Ensure that the module is connected to the monit...

Страница 399: ...shown in the calibration menu returns near to the nominal value 150 ml min and then check the actual measured flow rate from the flow meter 7 Repeat steps 5 and 6 until the flow meter shows a 150 25 m...

Страница 400: ...uracy Do not use any other calibration gases Check the calibration gas container s labelling to ensure that the calibration gas has not expired NOTE Ensure that the gas regulator is functioning proper...

Страница 401: ...mum accuracy let the monitor to warm up for 30 minutes before starting calibration NOTE Gas calibration is not available during a Sample line blocked Check Dfend and Check sample gas out alarm conditi...

Страница 402: ...t the adjusted value when the two CO2 readings match each other 9 Wait until message Ok is shown NOTE Message Zero Error is shown in case the zeroing fails NOTE Message Calibration Error is shown if y...

Страница 403: ...ns inside the module detach the module box by removing the two screws from the back of the module and check that all screws are tightened properly all cables are connected properly tubes are not pinch...

Страница 404: ...pling pump with a new one Check that the tubing inside the module is not contaminated Any contamination inside the tubing may indicate that the valve or sensor is contaminated too This can increase a...

Страница 405: ...this chapter Embc Frame Logs is used for recording module communication events and errors for E series parameter modules NOTE Refer to the CARESCAPE monitor technical manual to see the complete list...

Страница 406: ...as out Wait for 30 seconds and press Normal screen to continue PW MF WF The sample gas outflow is blocked Internal tubing is blocked Pump failure Check the sample gas out connector in the front panel...

Страница 407: ...assembly Return the module to GE Healthcare for service Calibrating gas sensor WF Gas measurement is not available during the first 1 minute after the module is connected due to warm up Wait until wa...

Страница 408: ...rror change Mini D fend check calibration Waveform clipped incorrect scaling change scale No response to breathing apnea disconnection sampling line or water trap loose or blocked air leak sample gas...

Страница 409: ...available during the first 5 minute after the module is connected Message Gas calibration is not available during the first 5 minutes is shown in the calibration menu Gas calibration is not available...

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

Страница 411: ...echanical parts listed in the service parts chapter 6 1 2 Service limitations The following parts are not serviceable miniC sensor and CPU board can t be replaced separately NOTE The CPU contains fact...

Страница 412: ...1 4 Protection from dust The gas sampling system must be protected from dust entering the tubes valves and other components In order to achieve this goal the following measures must be taken Have the...

Страница 413: ...ed and there are no sharp ends on them all tubes are connected properly there are no loose objects inside the module 6 2 2 Replacing the pump unit 1 Detach the front cover of the module by releasing t...

Страница 414: ...ade screwdriver There are 2 snaps on both sides of the module and 1 snap on the top 2 Remove the module casing see page 10 31 3 Unplug the two tubes from the back of the front chassis 4 Detach the fro...

Страница 415: ...GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapter 3 Maintenance and...

Страница 416: ...ard mini CO2 sensor pump unit tubing unit and zero valve and pressure transducers 2083290 001 1 Module Casing Single M1021035 2 Front Chassis Unit E miniC M1027134 3 M miniCO2 CONNECTOR FOR D FEND MIN...

Страница 417: ...niC M1024360 11 Nafion tubing 300mm 733382 HEL 12 MAGN VALVE N O valve 3 2 5VDC 0 55W includes seal 585714 13 Module Connection Flex E miniC M1027744 14 Cross cylinder head screw M3x6 15 Pump Unit for...

Страница 418: ...anned maintenance Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAI...

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

Страница 420: ......

Страница 421: ...2 Entropy tests 11 7 3 3 3 Test completion 11 7 4 Calibration and adjustments 11 8 5 Troubleshooting 11 9 5 1 Visual inspection 11 9 5 2 Troubleshooting checklist 11 9 5 3 Service Interface 11 10 5 3...

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

Страница 423: ...tion about older E Entropy module version The Entropy module uses an electroencephalography EEG signal together with spontaneous facial muscular activity with a frontal electromyography FEMG signal to...

Страница 424: ...electrode connected to the plus input electrode 1 The purpose of the ground electrode electrode 2 is to reduce common mode noise The EntrEEG signal is amplified antialias filtered digitized and softwa...

Страница 425: ...factory impedance level is generated when necessary The impedance of an electrode is measured by applying a known current through the electrode and measuring the voltage drop over the electrode This w...

Страница 426: ...ing the measurement signal Digital I O circuit for smart chip communication the chip is located in the entropy sensor Serial communication driver for module bus communication The serial bus speed to t...

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

Страница 428: ...an The cleaning precautions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning...

Страница 429: ...t the Entropy EEG waveform field and related information appears to the screen c Check that a No sensor message is shown in the Entropy parameter window 2 Sensor checking a Connect the Entropy simulat...

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

Страница 431: ...erly cables are connected properly the EMC cover is attached properly in the module there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hint...

Страница 432: ...is provided 5 3 2 Log files Service logs are used for recording different system events errors and alarms to help troubleshoot equipment problems The following service logs may contain information rel...

Страница 433: ...py sensor cable but not attached to the patient Attach the Entropy sensor to the patient by following the sensor instructions Confirm sensor electrodes PW More than one Entropy sensor electrodes has p...

Страница 434: ...been passed and the Entropy measurement is starting Wait for about 30 seconds Entropy values are displayed automatically on the screen Demo data WF PW Entropy simulator is connected instead of Entrop...

Страница 435: ...ropy parameter window is not configured to the screen or the parameter priority is set too low Entropy measurement is not supported by the active software package Connect the Entropy module to the mon...

Страница 436: ...antee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semic...

Страница 437: ...opy board 1 Remove the two screws T10 from the back of the module 2 While pressing the release latch pull the module casing slowly backwards and remove it from the main body 3 Disconnect the front pan...

Страница 438: ...o order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapt...

Страница 439: ...tropy Module E ENTROPY 01 Item Description Order No 1 E ENTROPY 01 Entropy Board FRU Measurement Board Metal Frame 2 mounting screws M1235745 2 E ENTROPY 01 Front Chassis Kit FRU Front Chassis Membran...

Страница 440: ...Front Cover FRU Front Cover English M1236171 3 E ENTROPY 01 Front Cover FRU Front Cover symbols M1236170 E Modules Hardware Kit FRU 2 mounting screws for Metal Frame 2 mounting screws for Interface Bo...

Страница 441: ...nance Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual...

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

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

Страница 444: ......

Страница 445: ...3 3 Functional check 12 8 3 3 1 Test setup 12 8 3 3 2 EEG tests 12 8 3 3 3 Test completion 12 9 4 Calibration and adjustments 12 10 5 Troubleshooting 12 11 5 1 Visual inspection 12 11 5 2 Troubleshoot...

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

Страница 447: ...or the AEP stimulation earphones The EEG module E EEG creates auditory stimulus pulses and takes care of AEP signal processing It has one connector for the EEG headbox Figure 1 Measurement setup 1 Mod...

Страница 448: ...y band 60 300 Hz The mains power frequency and its harmonics are digitally filtered away to reject noise interference from the power lines 1 2 3 AEP AEP is an electrical response of the nervous system...

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

Страница 450: ...s is full duplex i e data can be transferred to both directions at the same time Figure 5 Neuro board block diagram Module key and Headbox key Module Description EP Start Stop E EEG N EEG Starts stops...

Страница 451: ...EMG amplifier and filter current feeding circuitry and amplifiers for impedance measurement microprocessor serial communication Figure 7 EEG headbox board block diagram 3 0 75 7LPLQJ FRQWURO XGLR OHYH...

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

Страница 453: ...box and latch are intact Check the external parts of the headbox cover and the base of the headbox are intact the headbox sticker is intact connectors are intact and attached properly the module and...

Страница 454: ...2 Connect the EEG headbox to the E EEG module 3 Connect the EEG leadset to the EEG headbox 4 Connect the leads ch1 ch1 ch2 ch2 and ground of the EEG lead set to the simulator 5 Plug in the earphones t...

Страница 455: ...dows 2 EEG measurement a Check that a sine waveform appears to the EEG1 and EEG2 waveform fields b Select Numeric View in the EEG View menu and check that the MF value is 2 0 0 5 Hz Delta 99 and Ampli...

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

Страница 457: ...e front cover is intact all connectors are intact clean and attached properly the module box and latch are intact EEG headbox cover and the base of the headbox are intact the headbox sticker is intact...

Страница 458: ...he problem remains contact service Make sure you have all necessary information of the product at hand Describe the problem and the troubleshooting done so far Provide Device Information and Service l...

Страница 459: ...not connected Connect the EEG leads EEG measurement removed MF EEG module is disconnected from the module slot Reconnect the EEG module to the module slot Identical EEG modules MF Two or more EEG mod...

Страница 460: ...ances of the EEG electrodes from the EEG View Menu Numeric View Press the electrode with high impedance to improve the connection Replace the electrode if necessary Big contact difference PW Big diffe...

Страница 461: ...ot guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handlin...

Страница 462: ...ach the front cover see 6 2 1 4 Disconnect the membrane keyboard cable from the Neuro board 5 Detach the Neuro board by removing the two screws located near the front panel frame Pull out the front ch...

Страница 463: ...ox input unit assembly and lift the assembly off the back cover 4 Disconnect the headbox input unit connectors from the EEG headbox board Reassembling the N EEG Reverse the order of the disassembly st...

Страница 464: ...edure described in chapter 3 Maintenance and checkout each time after you have opened the module casing 7 2 EEG Module E EEG Item Description Order No Replaced by 1 SCREW machine M3x8mm DIN965 torx he...

Страница 465: ...Cover DE E EEG M1025171 9 Front Cover EN E EEG M1025172 9 Front Cover ES E EEG M1025173 9 Front Cover FI E EEG M1025174 9 Front Cover FR E EEG M1025175 9 Front Cover HU E EEG M1046299 9 Front Cover IT...

Страница 466: ...able N EEG 895610 2080309 001 3 Headbox input unit 896558 2080308 001 4 AEP connector N EEG 896461 895610 5 EMC cover 898276 2080312 001 6 Membrane keypad 880101 2080312 001 7 Cover 896457 2080311 001...

Страница 467: ...EG rev 01 S 5 898701 12 Front Panel sticker NO N EEG rev 01 S 5 898707 12 Front Panel sticker PT N EEG rev 01 S 5 898704 12 Front Panel sticker SV N EEG rev 01 S 5 898706 13 ELECTRODE STICKER CS N EEG...

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

Страница 469: ...N Planned maintenance Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N...

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

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

Страница 472: ......

Страница 473: ...ty tests 13 8 3 3 Functional check 13 8 3 3 1 Test setup 13 8 3 3 2 BIS tests 13 8 3 3 3 Test completion 13 8 4 Calibration and adjustments 13 9 5 Troubleshooting 13 10 5 1 Visual inspection 13 10 5 2...

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

Страница 475: ...Calculated parameters are Bispectral Index BIS Suppression Ratio SR Electromyograph EMG Signal Quality Index SQI The calculated parameters can be selected on the display and trended excluding SQI The...

Страница 476: ...ctivity electromyograph High frequency artifacts may contribute to the measured signal Suppression ratio SR number indicates the percentage of suppressed flat line EEG detected over the last 63 second...

Страница 477: ...signal interferes with other equipment such as EEG module with evoked potentials measurement WARNING Make sure that the electrodes sensor and connectors do not touch any electrically conductive mater...

Страница 478: ...the BIS sensor with a 1 2m long patient interface cable see Figure 1 Measurement setup For BIS Sensor related documentation refer to BIS documentation by Aspect Inc WARNING Do not autoclave the BISx D...

Страница 479: ...s frequencies Do not use electrical radiating equipment close to the BISx or DSC Details regarding radiated field strengths are given in the technical specifications 1 3 4 BIS Module BIS interfacing b...

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

Страница 481: ...roperly the module box and latch are intact Check also the BISx Digital Signal Processing Unit to ensure that the cover and the panel stickers are intact cables and their connections are intact the mo...

Страница 482: ...dule and BISx Digital Signal Processing Unit recognition a Connect the BISx Unit with the Patient Interface Cable PIC to the E BIS module b Check that the BIS waveform field and related information ap...

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

Страница 484: ...s are intact If in doubt of having any loose parts or cable connections inside the module detach the module box by removing the two screws from the back of the module and check that screws are tighten...

Страница 485: ...are and software information of the system and the modules Ensure that the E BIS module is connected to the monitor To view Device information 1 Log on to the Webmin application 2 Select the Informati...

Страница 486: ...PW Current module hw sw is incompatible with this BISx Unit Connect correct type of BISx Unit No Sensor No BIS Sensor WF PW MF Sensor is not connected to PIC cable or PIC cable is not connected to the...

Страница 487: ...o high Sensor is not properly attached to the patient Check the cable connections Reattach the sensor to the patient by following the sensor instructions BIS Measurement removed MF The BIS module is d...

Страница 488: ...est equipment The following guidelines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static...

Страница 489: ...2 Replacing the interface board 1 Remove the front cover 2 Remove the two screws T10 from the back of the module 3 While pressing the release latch pull the module casing slowly backwards and remove i...

Страница 490: ...o order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described in chapt...

Страница 491: ...ont Chassis Membrane Keyboard Connector Unit Latch Torsion Spring M1206390 2 E BIS 01 Interface Board FRU Interface Board Metal Frame 2 mounting screws M1206391 2 E BIS 01 JA Interface Board FRU Inter...

Страница 492: ...e Board 2 mounting screws for Module Casing Latch Torsion Spring Membrane Keyboard M1206392 5 BISx Digital Signal Processing Unit including Patient Interface Cable PIC plus GE BISx Host Cable Kit BISx...

Страница 493: ...ive maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual inspections...

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

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

Страница 496: ......

Страница 497: ...ctions 14 7 3 2 Electrical safety tests 14 7 3 3 Functional check 14 8 3 3 1 Test setup 14 8 3 3 2 NMT tests 14 8 3 3 3 Test completion 14 9 4 Calibration and adjustments 14 10 5 Troubleshooting 14 11...

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

Страница 499: ...E NMT modules versions If needed refer to earlier document version s for more information about older E NMT modules versions The module contains peripheral nerve stimulation and response measurement w...

Страница 500: ...ms intervals The responses of both bursts are measured and the ratio of the second and first response is calculated DBS EMG responses are measured immediately after the first stimulus pulse of both b...

Страница 501: ...esponse Figure 3 Principle of response measurement 1 2 4 EMG measurement The EMG response is measured as integrated muscle activity The EMG measurement starts 3 ms after the stimulation and lasts 15 m...

Страница 502: ...measuring electronics for the EMG signals microprocessor for the stimulation and measuring control and for counting the measuring results serial communication Module key Module Description Start up E...

Страница 503: ...ose amplitude is independent of the load The main components of the stimulator are a transformer capacitor and transistor The transformer produces a high voltage which charges the capacitor and the tr...

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

Страница 505: ...utions cleaning requirements cleaning procedures and recommended cleaning solutions for the monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and ste...

Страница 506: ...o max 3 3 2 NMT tests 1 Module and sensor recognition a Connect a NMT Sensor Cable with a NMT ElectroSensor to the module b Check that the NMT waveform field with related information is shown on the s...

Страница 507: ...INUE module key to stop the measurement 4 Mark this task as complete on the checkout form 3 3 3 Test completion Select Discharge patient or Reset case to discard any changes made to the monitor config...

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

Страница 509: ...s attached properly in the module there are no loose objects inside the module 5 2 Troubleshooting checklist The following simple troubleshooting hints may help you to localize and isolate a functiona...

Страница 510: ...m events errors and alarms to help troubleshoot equipment problems The following service logs may contain information related to the E NMT module Clinical Log is used for recording different system ev...

Страница 511: ...rch of supramaximal stimulus pulse is in progress Wait until the search of supramaximal stimulus pulse is completed Setting reference PW Reference setting is in progress Wait until the setting of refe...

Страница 512: ...ent reposition the stimulus and the response electrodes and restart the measurement NMT measurement removed MF NMT module is disconnected from the module slot Reconncet the NMT module to the module sl...

Страница 513: ...ot guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handlin...

Страница 514: ...ove the release latch from the main body While pressing the release latch pull the module casing slowly backwards and remove it 3 Detach the front cover see 6 2 1 4 Remove the two screws located near...

Страница 515: ...parts To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand NOTE Perform the checkout procedure described i...

Страница 516: ...Item Description Order No 1 E NMT 01 NMT board FRU NMT Measurement Board Metal Frame 2 mounting screws 2080924 001 2 E NMT 01 Front Chassis Unit FRU Front Chassis Membrane Keyboard Connector Unit Lat...

Страница 517: ...FRU Japanese M1237384 3 E NMT 01 Front Cover FRU Norwegian M1237386 3 E NMT 01 Front Cover FRU Polish M1237387 3 E NMT 01 Front Cover FRU Portuguese M1237388 3 E NMT 01 Front Cover FRU Spanish M12373...

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

Страница 519: ...ned maintenance Corrective maintenance Module type S N Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL...

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

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

Страница 522: ......

Страница 523: ...communication test 15 10 3 3 3 Synchronization connector test 15 11 3 3 4 Test completion 15 13 4 Calibration and adjustments 15 14 5 Troubleshooting 15 15 5 1 Visual inspection 15 15 5 2 LED indicato...

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

Страница 525: ...lot for one single width E Module In the side of the F5 module frame there is a docking station for Patient Side Modules E PSM or E PSMP or PDM Module The F7 module frame is used with CARESCAPE Monito...

Страница 526: ...W VZLWFK 38 9 9 6ZLWFK 3 0 360 OH ERDUG 0 ERDUG ERDUG 0RGXOH PRWKHU ERDUG FRQ YHUWHU 6 QF 3RZHU 360 LQN DWD H3257 9 9 9 9 0RGXOH XV 3RZHU 1 VLJQDOV 0 9 1 9 0RGXOH XV 9ROWDJH 3 0 9 360 9 9 0 9 360 3 6...

Страница 527: ...Figure 3 F5 External connections 1 Connector for PDM module 2 Connector for PSM module 3 On Standby LED 4 Synchronization connector 5 Module connector 6 a Communication LED b Link LED 7 ePort Connecto...

Страница 528: ...chronization connector 3 Module connector 4 Connector for the cable of Pole Mount for E PSM 5 a Communication LED b Link LED 6 ePort Connector for the CARESCAPE monitor connection cable 7 Equipotentia...

Страница 529: ...m the R wave peak to the start of the signal is maximally 35 ms Pressure out pin 7 P1 from hemodynamic module The Invasive pressure output signal is 1 V 100 mmHg originally ranging from 0 to 320 mmHg...

Страница 530: ...FWRU WPHO 7 50 38 WKHUQHW VZLWFK U VWDO 0 ERDUG FRQQHFWRU 6WDWXV 6 7 EXV 7 7 B 1 2 5 5 B 5 5 B 9 0 2 0 0RG XV B 5 0 7 5 7 5 56 WUDQVFHLYHU XDO 6XSSO EXV WUDQVHLYHUV 0RG XV B 5 6 7 HEXJ OHGV B B HEXJ F...

Страница 531: ...the EMBC board 1 3 6 Front panel flex board The Front panel flex board connects Analog output connector to the EMBC board 9D 9 8 9 9 9D 9D RQYHUWHU FK 86 56 02 86 7 0 2 5 211 725 027 5 2 5 211 725 5 8...

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

Страница 533: ...ntact the cable between the module frame and the CPU unit is connected and the block screws are tightened properly all four rubber pads are in place and the screws on the bottom are tightened properly...

Страница 534: ...0582 001 together with the Analog output cable 2000633 001 and a multiparameter simulator to perform this test Follow the instructions included with the tester See analog output cable wire colors and...

Страница 535: ...ted Configuring the monitor 1 Configure ECG a Select ECG1 to the screen with waveform and adequate priority b In the Parameter Setup ECG Setup select ECG1 Lead II 2 Configure invasive pressure a Selec...

Страница 536: ...st the Arterial BP output signal NOTE Perform this arterial BP test only if an E PSMP an E PSMPW an E PRETN or an E PRESTN module is in use with the patient monitor a Ensure that the simulator s InvBP...

Страница 537: ...idth of the Marker out signal a Change the Time scale in the oscilloscope b Verify that the signal shown on oscilloscope screen corresponds to the picture above 5 Mark this task as complete on the che...

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

Страница 539: ...e intact clean and are attached properly used cables are intact the module box and latch of the connected modules are intact In doubt of having any loose parts or cable connections inside the module f...

Страница 540: ...priority and the parameters are shown to be active Monitor Setup Screen Setup Upper Parameter Area Press a module key Check that the related menu is opened or activity is started Inoperatibility may r...

Страница 541: ...equipment problems Clinical Log is used for recording different system events messages clinical alarms user interactions and internal communication events The messages are explained in detail later i...

Страница 542: ...module troubleshooting The module is not connected properly Insert the module properly to it s rails The module connector is defective Repair the frame with corresponding FRU PSM PDM modules work but...

Страница 543: ...tor inside the frame is defective Send the frame or the module to repair ECG sync signal is not available Appropriate ECG module is not connected to the frame Check that E P RE S TN Module or E PSM P...

Страница 544: ...but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing s...

Страница 545: ...e 6 2 1 7 module frame F7 Required tools pincers screwdriver TORX T10 T20 antistatic wristband Disassembling the F7 module frame 1 Remove all modules and cables from the F7 module frame Changing the E...

Страница 546: ...TE When reassembling ensure that the connector is properly attached Changing the EMBC Unit cover 1 Detach the EMBC unit from the frame 2 Release the front cover by pressing the top and bottom latches...

Страница 547: ...Board 1 Remove the EMBC unit 2 Remove four screws T10 to detach the back plate 3 Remove the 12 screws T10 from the Module Board 4 Carefully detach the cable connector and the ferrite from the bracket...

Страница 548: ...de the frame Ferrite of the PSMcable is attached properly NOTE Perform the electrical safety check and checkout procedure every time after you have opened the module box 6 2 2 5 module frame F5 Changi...

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

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

Страница 551: ...e front cover 1 Detach the EMBC unit 2 Release the front cover by pressing the top and bottom latches Pull out the cover NOTE The light guide is loose and comes off easily Be careful not to drop it NO...

Страница 552: ...ing be careful with the EMBC power board Make sure that the EMBC power board EMBC board connector is properly aligned and not damaged 7 Unscrew 3 screws from the EMBC board 8 Unscrew 2 hexagon spacers...

Страница 553: ...hat screws are tightened properly cables are connected properly EMBC Unit is attached properly there are no loose objects inside the frame NOTE Perform the electrical safety check and checkout procedu...

Страница 554: ...ure you have all necessary information at hand NOTE Perform the checkout procedure described in section 3 Maintenance and checkout each time after you have opened the module casing 7 2 FRU kit 7 2 1 7...

Страница 555: ...1 SCREW M3x6mm pan head steel STZN TORX T10 2 SCREW M4x10mm Pozidrive pan head steel zinc coated captive serrated lock washer 3 Ethernet Module Bus Converter Unit F7 Ref Description 1 SCREW M3x6mm pa...

Страница 556: ...d Kit F5 M1151852 PSM PDM Dock F5 2085013 001 Ethernet Module Bus Converter Unit F5 2085010 001 Ref Description 1 Frame Cover F5 2 SCREW PT PAN HEAD TORX T10 3 0x6mm ST ZN 3 SCREW M3x6mm pan head stee...

Страница 557: ...Converter Unit F5 Ref Description 1 PSM PDM Dock F5 2 SCREW PT3 5x7 5mm pan head steel STZN TORX T10 3 Light Guide F5 4 Module Front Panel F5 Ref Description 1 SCREW M3x6mm pan head steel STZN TORX T1...

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

Страница 559: ...ring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS N A FAIL PASS N A FAIL 3 1 Visual Inspections Result IEC EN UL Limits IEC EN UL Ele...

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

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

Страница 562: ......

Страница 563: ...e update 16 12 3 Maintenance and checkout 16 13 3 1 Visual inspection 16 13 3 2 Electrical safety tests 16 13 3 3 Checkout procedure 16 13 3 3 1 Test setup 16 13 3 3 2 ECG tests 16 17 3 3 3 Impedance...

Страница 564: ...ly and reassembly 16 37 6 1 Disassembly guidelines 16 37 6 1 1 Tools required 16 37 6 1 2 Before disassembly 16 37 6 1 3 Hardware precautions 16 37 6 1 4 Electrostatic discharge ESD precautions 16 37...

Страница 565: ...olution for seamless transport The PDM contains software and hardware to monitor the following parameters ECG respiration Noninvasive blood pressure Pulse oximetry Up to four channels of invasive bloo...

Страница 566: ...on of pacemaker activity from up to three differential pairs of ECG electrodes for the purpose of pacemaker identification The ECG and respiration circuitry is electrically isolated from all the other...

Страница 567: ...system allows you to obtain maximum battery performance When connected to a bedside monitor audible and visual alarms alert you when loss of power is imminent and on screen capacity gauges on the tran...

Страница 568: ...entified in Figure 3 Figure 3 Communication and power indicators 1 Communication icon and indicator 2 Power icon and indicator 3 Power ON IBP Zero All button Communication The following LED condition...

Страница 569: ...ions on installing the PDM with the patient monitor see the CARESCAPE Monitor technical manual Mounting options WARNING For safety reasons all connectors for patient cables and sensor leads are design...

Страница 570: ...using one of the docking stations Mounting kits include all necessary hardware and installation instructions Mounting points to note Before docking the PDM to the bedside dock transport dock or mini d...

Страница 571: ...e sure that the PDM is mounted at a convenient height allowing all users to align the PDM rails with the bedside dock rails as shown The PDM can be mounted using the Mini Dock P N 2021968 001 shown he...

Страница 572: ...2 can be positioned using various mounts Horizontal mounting of the bedside dock is recommended as shown using the L bracket P N 2021967 001 The ePort host interface cable is used to connect the bedsi...

Страница 573: ...l browser as follows 1 Select Monitor Setup then Service The local browser opens and displays the Webmin login dialog box 2 Type the username and password and click Login or press Enter on the keyboar...

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

Страница 575: ...al number must follow the specific format found on the serial number label on the PDM NOTE The manufacturer s serial number must be edited if the PDM s main CPU board is replaced 2 3 Licensing Licensi...

Страница 576: ...r reboot CAUTION Do not disable ECG Filter during clinical use 2 5 Software update The module software can be updated using a software CD and Webmin The software update process involves transferring a...

Страница 577: ...equipment if damage is determined Refer damaged equipment to qualified service personnel Inspect the case for cracks or other physical damage Check that front panel labels are intact Inspect cables f...

Страница 578: ...dult NIBP hose Adult NIBP cuff Infant NIBP cuff hose a rigid cylinder or pipe NIBP pressure manometer NOTE See the supplemental information manual for compatible accessories Defib sync and analog outp...

Страница 579: ...ometer with either an integrated or separate pressure pump to the NIBP hose and NIBP cuff with a piece of tubing see picture below 6 Ensure that all the connections made are leak proof Defib sync and...

Страница 580: ...P2 P3 and P4 waveform fields to display on the monitor screen with adequate priority 2 Select the P1 tab in the Invasive Pressure menu and set up the Label Scale and Parameter Format settings in the...

Страница 581: ...ECG Waveforms view from the ECG Setup tab in the ECG menu Check that all 12 ECG leads are available and they are noise free c Close the All ECG Waveforms view 2 Pacemaker Detection a Configure the si...

Страница 582: ...the flat pressure line in the related waveform field c Check that a reading of 240 4 mmHg displays on the patient monitor 11 Pressure Waveforms a Configure the simulator s InvBP output channels to ge...

Страница 583: ...uration and pulse rate Saturation 75 2 Rate bpm 60 2 e Press and release the heart rate button on the SRC MAX Verify default indicators are lit as follows Heart rate 200 bpm Light LOW SpO2 75 MOD LOW...

Страница 584: ...ngs for saturation and pulse rate Saturation 90 2 Rate bpm 200 3 m Mark this task as complete on the checkout form 3 3 7 NIBP tests 15 NIBP Leak Test Check the NIBP tubing system for leakage a Select...

Страница 585: ...e ECG Arterial BP and Marker Out signals from the DEFIB SYNC connector using an oscilloscope to connect to the appropriate wire on the test cable see Test cable plug and pinout on page 16 29 They shou...

Страница 586: ...ly from the factory Arterial BP Signal pin 2 Red wire Ground pin 6 Green wire Time division 0 2s Volts division 0 2v Marker Out Frequency Signal pin 9 Gray wire Ground pin 4 Yellow wire Time division...

Страница 587: ...cessor within the equipment communicates with both the battery and the charger The following are facts about Lithium Ion battery technology The battery discharges on its own even when it is not instal...

Страница 588: ...ncreases by 10 C to 15 C 18 F to 27 F above the room s ambient temperature This reduces the life of the battery In a device that is powered by an AC power source floating the battery self discharges t...

Страница 589: ...charge and condition the battery 3 4 5 Condition the battery Remove or replace the battery 1 Open the battery door at the rear of the PDM 2 Remove the battery 3 Insert a new battery with the connectio...

Страница 590: ...tee 4745 101 NIBP tubing 2 feet 401582 001 Digital manometer with a range of at least 0 to 1000 mmHg Accuracy 0 5 FS NIBP tube 2017008 001 NIBP cuff 2203 Pipe PVC 4 1 2 Calibration check procedure 1 C...

Страница 591: ...is a leak in the NIBP plumbing correct the problem and perform the Calibration procedure on page 16 27 10 Verify that the pressure readings on the patient monitor shown as CUFF in the NIBP parameter b...

Страница 592: ...calibration process with no changes press Stop Calibration 5 Under Adjust the measured pressure next to Pressure mmHg use the up or down arrow to select a pressure value that is 1 mmHg lower than the...

Страница 593: ...ON green 5 Connect the unterminated cable to the Defib Sync connector on the front of the PDM 6 At the patient monitor select Monitor Setup Service Calibrations 7 Select Analog Outputs The screen defa...

Страница 594: ...r the measured voltages for Low Point High Point and Calibration Point 11 To calibrate the IP output select the IP tab 12 See Test cable plug and pinout on page 16 29 and connect the digital voltmeter...

Страница 595: ...in or use the scroll buttons to enter the measured voltages for Low Point High Point and Calibration Point 15 Mark this task as complete on the checkout form NOTE If the PDM s CPU board is replaced p...

Страница 596: ...the username and password and click login or press Enter on the keyboard Username biomed Password Change space Me NOTE Username and password are case sensitive Username and password cannot be created...

Страница 597: ...replace the battery See Battery on page 16 39 for instructions 3 Check that the battery is charging with the GE approved battery charger If not charging replace the battery See Battery on page 16 39...

Страница 598: ...se is not activated Patient monitor is not configured to display the parameter 1 Check for damage to the parameter cable s If damaged replace cables 2 Check for damage to the parameter interface If da...

Страница 599: ...Replace the main CPU board and re install the software Service the PDM Error Code 0xPDM1005 An error occurred reading flash file system partition information Replace the main CPU board and re install...

Страница 600: ...board 5V rail voltage out of spec Replace DAS assembly Service the PDM Error Code 0xPDM1109 ECG DAS board 7 5V rail voltage out of spec Replace DAS assembly Service the PDM Error Code 0xPDM110A ECG D...

Страница 601: ...ection to prevent damaging the PDM See Electrostatic discharge ESD precautions on page 16 37 below for details 6 1 3 Hardware precautions Observe the following guidelines when disassembling the PDM No...

Страница 602: ...ags until absolutely necessary Make sure power to an assembly is turned off before removing or inserting a semiconductor Do not slide semiconductors or electrical electronic assemblies across any surf...

Страница 603: ...reassemble the PDM in reverse order of disassembly 6 3 1 Battery 1 Open the battery door by gently pulling on the battery door pull tab 2 Pull the battery tray out of the PDM using the battery tray st...

Страница 604: ...Make sure the battery is completely inserted and the battery door is completely closed Falling batteries could seriously or fatally injure neonatal or other vulnerable patients 5 Press the Power butto...

Страница 605: ...the battery door to the housing and remove the door and washer 2 Remove the battery if one is in the tray 3 Use a flathead screw driver to lift the catch tab on the tray as you pull it out of the hou...

Страница 606: ...d gently pull it straight out about 1 27 cm 0 5 in Lift the assembly out of the rail slot NOTE In the event that the pull tab assembly comes apart when pulled from the rail slot reassemble as shown be...

Страница 607: ...ween the mount rail and the housing when re seating 6 3 5 Top housing 1 Remove the pull tab and mount rail per above steps 2 Remove 4 machine screws that hold the top and bottom housing together 3 Tur...

Страница 608: ...el board is connected securely c Starting at the rear of the module position alignment pins of the top housing into the bottom housing holes then close the housing straight down d Squeeze the top and...

Страница 609: ...from the connector without pulling on the wires 3 Remove 6 screws on the main board 4 Remove the main board 5 When installing the main board a Position the main board into the alignment pins See figur...

Страница 610: ...to Webmin See Configuration on page 16 9 for details b Select the Configuration tab select Modules Assets settings c Enter the manufacturer s serial number and select Submit d Select Licensing and en...

Страница 611: ...te the procedures in Recommended checkout on page 16 52 6 3 8 NIBP assembly with manifold hose 1 Remove the top housing main board NIBP hose and coupling per above steps 2 Remove 4 screws from the bat...

Страница 612: ...manifold and pump in the bottom housing and carefully press to seat connector d Install the screw then connect the hose Slide hose all the way onto the manifold fitting so that the hose lays flat e Ma...

Страница 613: ...housing and the 2 screws holding the DAS rear cover to the bottom housing 3 Insert a screwdriver under the DAS rear cover pop up and remove the DAS rear cover NOTE If the DAS rear cover is damaged re...

Страница 614: ...ing 5 Remove the flex circuit assembly from the PDM module 6 Before installing the replacement flex circuit assembly ensure that the red gasket 1 is in place on the DAS top cover 2 as shown Gasket may...

Страница 615: ...2 on the DAS rear cover that secure the DAS rear cover to the bottom housing 9 Press the DAS rear cover firmly into the bottom housing until the 2 snap features snap into place as shown 10 After repla...

Страница 616: ...bel kit Nellcor None None None 2031069 006 Label kit Masimo None None None 2031069 007 NBP assembly with MFLD hose NIBP on page 16 26 ECG respiration invasive blood pressure temperature Masimo or Nell...

Страница 617: ...Complete Electrical safety tests found in the CARESCAPE Monitor technical manual 2031069 013 Main Flex Assembly NIBP on page 16 26 ECG respiration invasive blood pressure temperature Masimo or Nellco...

Страница 618: ...ble assemblies that can be ordered Item Number Description 2031069 002 Battery door and tray 2031069 003 Battery 2031069 004 PDM mount rail and pull tab 2031069 005 Label kit Nellcor 2031069 006 Label...

Страница 619: ...tenance Corrective maintenance Measuring equipment test gases used ID number Manufacturer Model number Description Serial number Cal due date Test Results Functional tests Results Pass Fail What to te...

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

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