Datex-Ohmeda S-5 Service Manual S5 Tech Manual

Page 1

Datex-Ohmeda

S/5™ Anesthesia Monitor and

S/5
Critical Care Monitor

Technical Reference Manual

Datex-Ohmeda Inc. 3030 Ohmeda Drive 53707-7550 MADISON, WIS USA Tel. +1-608-221 1551 Fax +1-608-2229147
www.us.datex-ohmeda.com

All specifications are subject to change without notice.

June 2001

Datex-Ohmeda Division,
Instrumentarium Corp.
P.O. Box 900, FIN-00031
DATEX-OHMEDA, FINLAND
Tel. +358 10 394 11 Fax +358 9 146 3310
www.datex-ohmeda.com
Instrumentarium Corp. All rights reserved.
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S/5 Anesthesia Monitor
Intended purpose
The Datex-Ohmeda S/5 Anesthesia Monitor with L-ANE01 or L-ANE01A software is intended for multiparameter monitoring with optional patient care documentation.
Indications for use
The Datex-Ohmeda S/5 Anesthesia Monitor with L-ANE01 or L-ANE01A software is indicated for monitoring of hemodynamic (including arrhythmia and ST segment analysis), respiratory, ventilatory, gastrointestinal/regional perfusion and neurophysiological status of all hospital patients.
The software is also indicated for documenting patient care related information. The S/5 Anesthesia Monitor with L-ANE01 or L-ANE01A software is indicated for use by qualified
medical personnel only.
S/5 Critical Care Monitor
Intended purpose
Classifications
The Datex-Ohmeda S/5 Critical Care Monitor with L-ICU01 or L-ICU01A software is intended for multiparameter patient monitoring. The monitor is indicated for monitoring of hemodynamic (including arrhythmia and ST segment analysis), respiratory, ventilatory, gastrointestinal/regional perfusion and neurophysiological status of all hospital patients. The system is indicated for use by qualified medical personnel only.
In accordance with IEC 60601-1
CLASS I EQUIPMENT - the type of protection against electric shock. TYPE BF or CF equipment. The degree of protection against electric shock is indicated by a symbol
on each parameter module. EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANESTHETIC MIXTURE WITH AIR
OR WITH OXYGEN OR NITROUS OXIDE. CONTINUOUS OPERATION according to the mode of operation.
In accordance with IEC 60529
Degree of protection against the harmful ingress of water as detailed in th e IEC 60529: IPX0
In accordance with EU Medical Device Directive
The Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor are classified as IIb.
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Responsibility of the manufacturer
Datex-Ohmeda Division, Instrumentarium Corp. is responsible for the safety, reliability and performance of the equipment only if:
assembly, operations, extensions, readjustments, modifications, service and repairs are
carried out by personnel authorized by Datex-Ohmeda.
the electrical installation complies with appropriate requirements.
the equipment is used in accordance with the User’s Guide.
the system is serviced, maintained and used in accordance with the Technical Reference
Manual.
Trademarks
Datex®, Ohmeda® and other trademarks S/5, Flexima, D-lite, Pedi-lite, D-fend, D-fend+, MemCard, ComWheel, EarSat, FingerSat, FlexSat, PatientO2, Patient Spirometry and Tonometrics are property of Instrumentarium Corp. or its subsidiaries. All other product and company names are property of their respective owners.
Copyright
© Copyright Instrumentarium Corp. All rights reserved. All specifications subject to change without notice.
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Master table of contents
Datex-Ohmeda S/5TM Anesthesia Monitor and Critical Care Monitor
Technical Reference Manual, 8002783
#
Folder
1(2), PART I, General Service Guide
Document No.
8002783
8002949
Updated Updated Description
Introduction, System description, Installation, Interfacing, Functional check, General troubleshooting
Planned Maintenance Instructions
PART II, Product Service Guide
8001003 - 1 8-Module Frame, F-CU8
8002818 CPU Board, B-CPU4
8001022 - 1
8001004 -1 Displays, D-VMC15, D-VHC17, LCD Display, D-LCC15, Display Controllers, B-DISP, B-DVGA
8001589 -1
8001005 - 1
8001006 -1
8001007 - 1
8001020 –2
Airway Modules, G-AiOV, G-AiO, G-AOV, G-AO, Gas Interface Board, B-GAS
Software Cards, L-ANE01, L-ANE01A, L-ICU01, L-ICU01A
UPINET Board, B-UPI4NET
Command Bars, K-ANEB, K-ICUB, Remote Controller, K-REMCO
Interface Board, B-INT
Extension Frame, F-EXT4, Extension Module, M-EXT
Memory Module, M-MEM
1
2
1
2
3
4
5
6
7
8
9
For S/5TM modules see folder #2(2)
Document No. 8002783
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S/5™ Anesthesia Monitor and Critical Care Monitor
Document No. 8002783
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Master table of contents
Datex-Ohmeda
S/5™ Modules
Technical Reference Manual
Folder
Document No. Updated Updated Description
#
2(2)
8001008-2
8001009 –1
8001010 -1
8001011 -1
8001012 –1
8001013 –1
8001014 –1
8001015 –1
8001016 -1
8002219
8001018 –1
8001019 -2
8001021 - 1
896616
M-NE12STPR, M-NE12STR, M-NE12TPR, M-NESTPR, M-NESTR, M-NETPR, M-ESTPR, M-ESTR, M-ETPR
Hemodynamic Modules,
Compact Airway Modules, M-CAiOVX, M-CAiOV,M-CAiO, M-COVX, M-COV, M-CO, M-C
Tonometry Module, M-TONO
EEG Module, M-EEG and EEG Headbox, N-EEG
Cardiac Output Modules, M-COP and M-COPSv
Pressure Module, M-P, Pressure Temp Module, M-PT
Dual Pressure Module, M-PP
NIBP Module, M-NIBP
Recorder Module, M-REC
Oxygen Saturation Modules, M-NSAT, M-OSAT
NeuroMuscular Transmission Module, M-NMT
Keyboard for the deioRecorder for Anesthesia, K-ARKB, Keyboard Interface Board, B-ARK
and ARK Barcode Reader, N-SCAN
Interface Module, M-INT
Device Interfacing Solution, N-DISxxxx
1
2
3
4
5
6
7
8
9
10
11
12
13
14
For S/5™ Compact Anesthesia Monitor and Compact Critical Care Monitor
specific information see 8002782 Folder #1(2),
PART I, General Service Guide
and PART II, Product Service Guide
For S/5™ Anesthesia Monitor and Critical Care Monitor
specific information see 8002783 Folder #1(2),
PART I, General Service Guide and
PART II, Product Service Guide
Document No. 8002782
8002783
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S/5™ Compact Anesthesia Monitor and Compact Critical Care Monitor
2
Document No8002782 8002783
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Table of contents

TABLE OF CONTENTS
S/5™ Anesthesia Monitor and S/5™ Critical Care Monitor
TABLE OF CONTENTS i TABLE OF FIGURES iv 1 INTRODUCTION 1
1.1 Notes to the reader...................................................................................................................................2
1.1.1 Related documentat ion....................................................................................................................2
1.1.2 Conventions used.............................................................................................................................3
1.2 Symbols...................................................................................................................................................4
1.2.1 Symbols on transport packaging.......................................................................................................4
1.2.2 Symbols on equipment.....................................................................................................................4
1.3 Safety......................................................................................................................................................6
1.3.1 Classification...................................................................................................................................6
1.3.2 Responsibility of the manufacturer....................................................................................................7
1.3.3 Safety precaut ions...........................................................................................................................7
2 SYSTEM DESCRIPTION 10
2.1 Introduction............................................................................................................................................10
2.2 Bus structure..........................................................................................................................................10
2.3 Distributed processing............................................................................................................................10
2.4 Module communication..........................................................................................................................11
2.5 Software loading.....................................................................................................................................12
2.6 Parameter modules................................................................................................................................12
3 SYSTEM INSTALLATION 13
3.1 Unpacking instructions...........................................................................................................................13
3.2 Choosing location...................................................................................................................................13
3.3 Central Unit; S/5 8-Module Frame, F-CU8...............................................................................................13
3.3.1 Connecting to mains.......................................................................................................................14
3.3.2 Connecting to Datex-Ohmeda Network............................................................................................14
3.3.3 Inserting the parameter modules.....................................................................................................15
3.3.4 Positioning of PC boards.................................................................................................................16
3.3.5 Replacing PC Boards......................................................................................................................17
3.3.6 Performing factory reset..................................................................................................................17
3.4 Displays.................................................................................................................................................18
3.4.1 Main displays.................................................................................................................................18
3.4.2 Secondary display..........................................................................................................................18
3.4.3 3
3.4.4 S/5 Video Display, D-VMC15..........................................................................................................18
3.4.5 S/5 LCD Display, D-LCC15.............................................................................................................19
3.4.6 15” Video Display, D-VNC15..........................................................................................................20
3.4.7 17” Video Display, D-VHC17, revision 00-01...................................................................................21
3.4.8 17” Video Display, D-VHC17, revision 02........................................................................................21
3.4.9 10” LCD Display, D-LCC10A/W.......................................................................................................21
3.4.10 21" Display Monitor Unit, D-VSC21............................................................................................22
3.5 Display controller boards........................................................................................................................22
rd
display......................................................................................................................................18
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor
3.5.1 Jumper settings..............................................................................................................................22
3.6 S/5 Remote Controller, K-REMCO...........................................................................................................24
3.7 S/5 Airway Modules, G-XXXX...................................................................................................................24
3.7.1 Connection to Central Unit..............................................................................................................24
3.7.2 Sample gas exhaust.......................................................................................................................25
3.7.3 Returning sample gas to patient circuit............................................................................................25
3.8 Keyboard for the deioRecorder for Anesth esia, K-ARKB............................................................................26
3.8.1 Connection to Central Unit..............................................................................................................26
3.8.2 Connection to LCD Display, D-LCC10A/W.......................................................................................26
3.9 ARK Barcode Reader, N-SCAN (optional).................................................................................................26
3.9.1 Connection to Central Unit/LCD Display, D-LCC10A/W....................................................................26
3.10 S/5 Extension Frame, F-EXT4..............................................................................................................27
3.10.1 Mounting of Extension Frame, F-EXT4..........................................................................................28
3.10.2 Connection to Central Unit..........................................................................................................28
3.10.3 Inserting parameter modules......................................................................................................28
3.11 Troubleshooting .................................................................................................................................28
4 INTERFACING 29
4.1 Interfacing external monitors via UPI Board, B-UPI4 or UPINET Board, B-UPI4NET......................................29
4.1.1 Interconnection Datex-Ohmeda Monitors........................................................................................29
4.1.2 Setting inter facing parameters of Datex-Ohmeda monitors...............................................................30
4.1.3 Setting S/5 Anesthesia Monitor and S/5 Critical Care Monitor interfacing parameters ......................30
4.2 Interfacing external monitors via Interface Module, M-INT, or Interface Boar d, B-INT..................................30
4.2.1 Connecting interface connector cables to Interface Board, B-INT......................................................31
4.2.2 Connection to external Datex-Ohmeda monitors..............................................................................32
4.2.3 Connection to Critikon Dinamap 1846SX, Abbott Oximetrix 3 and Baxter Explorer.............................32
4.2.4 Connection to Baxter Vigilance........................................................................................................32
4.2.5 Connection to Nellcor N-100 and N-1000.......................................................................................32
4.2.6 Connection to Nellcor N-200..........................................................................................................33
4.3 Interfacing external bedside devices via S/5 Device Interfacing Solutions, N-DISxxx..................................33
4.3.1 Interfaced devices and parameters.................................................................................................34
4.3.2 Device Interfacing Solution components.........................................................................................36
4.3.3 Connections..................................................................................................................................36
4.3.4 Mounting.......................................................................................................................................36
4.3.5 Selecting the external device..........................................................................................................38
4.3.6 Selecting the parameter data source...............................................................................................38
4.4 Interfacing Datex-Ohmeda Anesthesia Delivery Unit.................................................................................38
4.4.1 Interconnection..............................................................................................................................38
4.4.2 Setting interfacing parameters on the S/5 Anesthesia Delivery Unit..................................................38
4.4.3 Setting inter facing parameters on the S/5 Anesthesia Monitor.........................................................39
4.5 Interfacing Dräger Cicero, Cato, Julian and Narkomed 2C (by NAD)...........................................................40
4.5.1 Interconnection..............................................................................................................................40
4.5.2 Setting communication parameters................................................................................................40
4.5.3 Setting interfacing parameters on the S/5 Anesthesia Monitor or S/5 Critical Care Monitor...............40
4.6 Interfacing printer...................................................................................................................................41
4.6.1 Connection to HP LaserJet 4P printer...............................................................................................41
4.6.2 Connection to Epson EPL-5200 printer............................................................................................41
4.6.3 Connection to Epson EPL-5500 printer............................................................................................43
4.7 Interfacing computer..............................................................................................................................44
4.8 UPI4 and UPI4NET Board Output Signals.................................................................................................44
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4.8.1 Digital outputs................................................................................................................................44
4.8.2 Analog outputs...............................................................................................................................45
4.9 S/5 Pressure Temp Module, M-PT, output signals....................................................................................46
4.9.1 Analog outputs...............................................................................................................................46
5 FUNCTIONAL CHECK 47
5.1 Recommended tools...............................................................................................................................47
5.2 Visual inspection....................................................................................................................................48
5.3 Functional inspection..............................................................................................................................48
5.3.1 General..........................................................................................................................................48
5.3.2 Display(s).......................................................................................................................................49
5.3.3 Keyboard(s) ...................................................................................................................................49
5.3.4 8-Module Frame, F-CU8.................................................................................................................49
5.3.5 Extension Frame, F-EXT4.................................................................................................................49
5.3.6 Airway Module, G-XXXX...................................................................................................................50
5.3.7 Compact Airway Module.................................................................................................................50
5.3.8 Tonometry Module, M-TONO...........................................................................................................51
5.3.9 Hemodynamic Modules..................................................................................................................51
5.3.10 Pressure/Pressure Temp Modules, M-P/-PT................................................................................52
5.3.11 Dual pressure Module, M-PP ......................................................................................................52
5.3.12 Cardiac Output Modules, M-COP/-COPSv...................................................................................53
5.3.13 NIBP module, M-NIBP................................................................................................................53
5.3.14 Nellcor Compatible Saturation module, M-NSAT..........................................................................53
5.3.15 Datex-Ohmeda Oxygen Saturation module, M-OSAT....................................................................53
5.3.16 Memory Module, M-MEM ...........................................................................................................54
5.3.17 Recorder Module, M-REC............................................................................................................54
5.3.18 Network Board, B-NET and UPINET board, B-UPI4NET..................................................................54
5.3.19 Interface Board/Module, B-INT/M-INT........................................................................................54
5.3.20 Device Interfacing Solution, N-DISxxx..........................................................................................54
5.3.21 General......................................................................................................................................54
6 General troubleshooting 55
APPENDIX A
57
Functional Check Form A-1
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor

TABLE OF FIGURES

Figure 1 S/5 AM with D-VMC15 monitor and S/5 CCM with D-LCC15..................................................................1
Figure 2 General bus structure of S/5 system...................................................................................................10
Figure 3 Distributed processing in S/5 system..................................................................................................11
Figure 4 Principle of UPI board operation..........................................................................................................11
Figure 5 Software loading................................................................................................................................12
Figure 6 General structure of parameter modules..............................................................................................12
Figure 7 Central Unit; S/5 8-Module Frame, F-CU8...........................................................................................13
Figure 8 Parameter module insertion................................................................................................................15
Figure 9 Rear view and PC board positioning....................................................................................................16
Figure 10 Service reset button.......................................................................................................................17
Figure 11 Display options..............................................................................................................................18
Figure 12 Brightness and contrast controls, D-VNC15.....................................................................................20
Figure 13 Jumper settings, B-DISP rev. 00......................................................................................................22
Figure 14 Jumper settings, B-DISP rev. 01, or higher.......................................................................................23
Figure 15 AUTO/VGA resolution jumper settings, B-DISP rev. 01, or higher......................................................23
Figure 16 Jumper settings B-DVGA board, rev. 01, and B-DHIGH board, rev. 01 (s/n < 174671).....................23
Figure 17 Jumper settings, B-DVGA board, rev. 02-03, and B-DHIGH board, rev. 01-02 (s/n > 174670).........23
Figure 18 Airway Module, G-XXXX...................................................................................................................24
Figure 19 Exhaust to reservoir tube.................................................................................................................25
Figure 20 Exhaust to scavenging tube.............................................................................................................25
Figure 21 Barcode Reader connected to Central Unit ..........................................................................................26
Figure 22 Barcode Reader connected to LCD Display..........................................................................................26
Figure 23 N-SCAN Barcode Reader connection directly to the keyboard..........................................................27
Figure 24 S/5 Extension Frame, F-EXT4..........................................................................................................27
Figure 25 Connecting the interface connector cables to Interface Board, B-INT.................................................31
Figure 26 Connection cables and LED indicators............................................................................................36
Figure 27 An example of interfacing external devices with Device Interfacing Solution......................................37
Figure 28 S/5 monitor’s general troubleshooting flowchart.............................................................................55
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1 INTRODUCTION

The Datex-Ohmeda S/5 Anesthesia Monitor is a modular multiparameter patient monitor used during anesthesia in operating rooms.
The Datex-Ohmeda S/5 Critical Care Monitor provides a full patient profile throughout the care period.
The modular design provides a flexible system that is easy to upgrade. In addition to parameter changes, the modularity includes an easy upgrade to anesthesia record keeping, monitor networking and interfacing with other external devices.
General Service Guide
Figure 1 S/5 AM with D-VMC15 monitor and S/5 CCM with D-LCC15
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor
1.1 Notes to the reader
This Technical Reference Manual is intended for service personnel and engineers who will perform service and maintenance procedures on the Datex-Ohmeda S/5 Anesthesia Monitor and the Datex-Ohmeda S/5 Critical Care Monitor.
This Technical Reference Manual is divided into two parts and into two different folders:
Document number 8002783 is the main document and also order number for the whole
printed manual. This manual includes Technical Reference Manual Slots and every slot has own document number.
Part I gives the reader an overview of the S/5 Anesthesia Monitor and S/5 Critical Care
Monitor and all monitor specific components e.g. Central Unit and Video Displays. This part of the manual also contains the information needed to installing, interfacing and troubleshooting monitors. Instructions for service procedures; functional check and planned maintenance are also included. Read the manual through and make sure that you understand the procedures described before installation of the monitor. To avoid risks concerning safety or health, strictly observe the warning indications. If you need any assistance concerning the installation, please do not hesitate to contact your authorized distributor.
Part II gives detailed descriptions of each component of the S/5 monitors e.g. parameter
modules and different boards. Service check for each product is included in these slots.
The manufacturer reserves the right to change product specifications without prior notice. Although the information in this manual is believed to be accurate and reliable, the manufacturer assumes no responsibility for its u s e.
Datex-Ohmeda assumes no responsibility for the use or reliabilit y of its software in equipment that is not furnished by Datex-Ohmeda.
1.1.1 Related documentation
S/5 Anesthesia Monitor
For more specific information about the clinical aspects and technical background refer to: S/5 Anesthesia Monitor, User’s Guide
S/5 Anesthesia Monitor, User’s Reference Manual Circuit diagrams, component layout pictures, etc.: Schematic Diagrams For more specific information about other devices closely related to the S/5 Anesthesia Monitor
refer to: Central, User’s Reference Manual
S/5 Record Keeping, User’s Reference Manual
S/5 Critical Care Monitor
For more specific information about the clinical aspects and technical background refer to: S/5 Critical Care Monitor, User’s Guide
S/5 Critical Care Monitor, User’s Reference Manual
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General Service Guide
Circuit diagrams, component layout pictures, etc.: Schematic Diagrams For more specific information about other devices closely related to the S/5 Critical Care Monitor
refer to: Central, User’s Reference Manual
CS/3 Arrhythmia Workstation, User’s Reference Manual
1.1.2 Conventions used
Throughout this manual, the following conventions are used to distinguish procedures or elements of text:
Sign the check form after performing the procedure.
?
Hard Keys Hard key names on the Command Board, the Remote Controller, and modules are written in bold
D-O Sans (12 pt) typeface, e.g.
ECG.
Menu Items
‘Messages’ Messages displayed on the screen are enclosed in single quotes, e.g. ‘Please wait’.
Chapters
Other documents
Hypertext links Hypertext links on PDF versions are written in blue color.
WARNING Warnings are written in bold typeface (13 pt), for example:
Menu items are written in bo ld italic, D-O Sans (11 pt) typeface, e.g.
When referring to different chapters in the same manual, the chapter name is written in italic typeface and is enclosed in double quotes, e.g. chapter “
When referring to different documents, the document name is written in italic typeface, e.g. refer to
User’s Reference Manual
.
Cleaning and Care.”
ECG Setup.
WARNING The 17” display is wall-mountable only. The display must be mounted at 180 cm
/71 inch or higher level to prevent any liquid from entering the display casing.
CAUTION Cautions are written in the following way (13 pt):
CAUTION The circuit boards contain sensitive integrated circuits that can be damaged by an
electrostatic discharge. Careful handling of the boards is therefore essential.
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor
1.2 Symbols
1.2.1 Symbols on transport packaging
The contents of the transport package are fragile and must be handled with care.
Indicates the correct upright position of the transport package.
The transport package must be kept in a dry environment.
Indicates the temperature limitations within which the transport package should be stored.
1.2.2 Symbols on equipment
This battery contains lead acid, and in the event of disposal must be separated from other waste according to local regulations.
Pb
This battery contains Pb and can be recycled.
Pb
Dangerous voltage.
When using the ARK Barcode Reader, N-SCAN, do not stare into beam. The N-SCAN Barcode Reader is a Class 2 laser product.
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Attention, consult accompanying documents.
General Service Guide
When displayed next to an O
value, indicates that the FiO2 low alarm limit is set
2
below 21 %. When displayed next to an HR value, indicates that the pacer is set on R or a wide
QRS is selected. On the 15” display, D-VMC15, indicates that the display should be supplied from the
Central Unit, F-CU8, or from the mains outlet. On the 15” display, D-VNC15, indicates that the display must be supplied from the
Central Unit, F-CU8, or from the mains outlet via an appropriate additional separating transformer.
On the 15” display, D-LCC15, it indicates that the display must be used only together with the original D-LCC15 power adapter. The display should be supplied from the Central Unit, F-CU8, or from the mains outlet.
On the 17” display, D-VHC17 rev.00-01, indicates that the display must only be supplied from the mains outlet, not from the Central Unit, F-CU8.
On the 17” display, D-VHC17 rev. 02 or higher, indicates that the display should be supplied from the Central Unit, F-CU8, or from the mains outlet via an appropriate additional separating transformer.
On the 21” display, D-VSC21, indicates that the display must only be supplied from the mains outlet via an appropriate additional separating transformer, not from the Central Unit, F-CU8.
On the Interface Module, M-INT, indicates that the connection is for external devices and not for patient cables.
On the Tonometry Module, M-TONO, indicates that use only Tonometrics catheters. On the rear panel of the Central Unit, F-CU8, indicates the following warnings and
cautions:
Electric shock hazard. Do not open the cover or the back. Refer servicing to
qualified personnel.
For continued protection against fire hazard, replace the fuse only with one of the
same type and rating.
Disconnect the power supply before servicing.
Type BF (IEC-60601-1) protection against electric shock. Type BF (IEC-60601-1) defibrillator-proof protection against electric shock. Type CF (IEC-60601-1) protection against electric shock.
Type CF (IEC-60601-1) defibrillator-proof protection against electric shock.
When displayed on the upper left-hand corner of the screen, indicates that the alarms are silenced. When displayed on the menu or in digit fields, indicates that the alarm source has been turned off.
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor
Other symbols
Equipotentiality. Monitor can be connected to potential equalization conductor.
Alternating current. Fuse. Connector for color display.
Display power supply output.
SN, S/N
Serial Number. Sub menu. Selecting this symbol on a menu opens a new menu.
The monitor is connected to the Datex-Ohmeda Network.
The data card (green) and/or the Menu card (white) is inserted.
Indicates beats are detected. Respiration rate is measured using impedance respiration measurement.
In this manual indicates the procedure for making selections from the menus.
1.3 Safety
1.3.1 Classification
Classification according to IEC 60601-1
CLASS 1 equipment according to the type of protection against electrical shock.
TYPE BF or CF equipment according to the degree of protection against electrical shock is
given in the specification for each parameter module.
Equipment not suitable for use in the presence of flammable anesthetic mixture with air or
with oxygen/nitrous oxide.
Continuous operation according to the mode of operation.
Classification according to IEC 60529
Degree of protection against the harmful ingress of water as detailed in IEC 60529: IPX0.
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General Service Guide
1.3.2 Responsibility of the manufacturer
Datex-Ohmeda Division, Instru mentarium Corp. is responsible for the safety, reliability and the performance of the software and equipment only if:
Assembly, operations, extensions, readjustments, modifications, service and repairs are
carried out by personnel authorized by Datex-Ohmeda.
The electrical installation of the monitor room complies with appropriate requirements.
The system is serviced, maintain ed and used in accordance with the Technical Reference
Manual.
1.3.3 Safety precautions
Warnings
WARNING A WARNING indicates a situation in which the user or the patient may be in
danger of injury or death.
Power connection
Before connecting the power cord to the mains outlet, check that the local voltage and
Connect the monitor to a three-wire, grounded, hospital grade socket. Do not remove the
Use only an intact power cord. Replace the power cord if it is cracked, frayed, broken or
Do not apply tension to the power cord otherwise the cord may get damaged.
Do not use extension cords or adapters of any type.
Laser radiation
When using the ARK Barcode Reader, N-SCAN, do not stare into beam. The N-SCAN is a
External connection
Do not connect any external devices to the monitor other than those specified by Datex-
Fuse replacement
frequency correspond with the rating stated on the device plate on the rear panel of Central Unit, F-CU8, and the Video Display, D-VHC17. See instructions for different displays from section
Displays”.
grounding pin from the power plug.
otherwise damaged.
Class 2 laser product.
Ohmeda.
Explosion hazard
Replace a fuse only with one of the same type and rating.
Do not use the monitor in the presence of flammable anesthetics.
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor
Patient safety
Do not perform any testing or maintenance on the monitor while it is being used on a
patient.
Use only cables and accessories approved by Datex-Ohmeda. Do not modify them. Other
cables and accessories may damage the monitor or interfere with the measurement.
PACEMAKER PATIENTS: The impedance respiration measurement may cause rate changes
in Minute Ventilation Rate Responsive Pacemakers. In this case set the pacemaker rate responsive mode off or turn the monitor impedance respiration measurement off.
Cleaning and service
Only trained personnel with proper tools and test equipment should perform the tests and
repairs described in this manual. Unauthorized service may void the monitor warranty.
Turn the power off and unplug the power cord before cleaning or service. Completely remove
any moisture before reconnecting the power cord to the mains outlet.
Do not touch any exposed wire or conductive surface while any cover is removed and the
monitor is energized. The voltages present can cause injury or death.
Always perform an electrical safety check and a leakage current test on the monitor after
service.
Cautions
CAUTION A CAUTION indicates a condition that may lead to equipment damage or
malfunction.
Installation
Leave a space behind the monitor to allow proper ventilation.
Before use
Allow two minutes for warm-up and note any error messages or deviations from normal
operation.
Clean the rear panel fan dust filter once a month or whenever necessary.
Do not connect a sampling line to the female Patient Spirometry connector while the other
end of the sampling line is connected to the D-fend water trap. The pressure in the gas sampling system may cause damage to the PVX unit pressure transducer.
Autoclaving and sterilizing
Do not autoclave any part of the monitor.
Do not gas sterilize the modules.
Cleaning and service
Do not use ammonia, phenol, or acetone based cleaners. These cleaners may damage the
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monitor surface.
Page 21
Do not immerse the monitor in any liquid. Do not allow liquid to enter the monitor or
Electrostatic discharge through the PC boards may damage the components. Before
Do not break or bypass the patient isolation barrier when testing PC boards.
Special components
Special components are used in t hese monitors which are vital to assure reliability an d
A lithium battery on the CPU Board. Dispose of the faulty IC containing the battery
Batteries
General Service Guide
modules.
handling PC boards, wear a static control wrist strap. Handle all PC boards by their non­conductive edges and use anti-static containers when transporting them.
safety. Datex-Ohmeda assumes no responsibility for damage if replacement component s not approved by Datex-Ohmeda are used.
according to local regulations.
The battery package in the power supply unit contains lead acid (Pb) which is hazardous to the environment and therefore needs to be disposed of carefully according to local regulations.
To replace the batteries safely, please refer to the instructions in this manual.
Do not short-circuit the battery terminals, this may produce a very high current, which will
Do not dispose of the battery into open flame, nor put the battery near fire, as it may
Do not dismantle the battery. It contains electrolyte, which may damage clothing or cause
See also section
Storage and transport
Do not store or transport the monitor outside the specified temperature and pressure ranges: Temperature -10...+50 °C/14...122 °F
Ambient pressure 660...1060 hPa/500...800 mmHg/660...1060 mbar Humidity 10...90 % non-condensing except LCD Display: 10...85 %non-condensing except D-VSC21 20...80 % non-condensing
damage the battery.
explode.
injury to skin or eyes. If exposed to electrolyte, wash the injured area with plenty of clean water and contact a doctor.
Displays”.
Discard
Dispose of any device or parts according to local regulations. The manufacturer accepts no responsibility for any modifications made to the monitor outside its
factory.
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor

2 SYSTEM DESCRIPTION

2.1 Introduction
Datex-Ohmeda S/5 monitors build up a freely configurable modular system. The architecture is designed to enable different module combinations so that the user is able to get the desirable parameter and feature set. This modular approach makes it possible to add new features when they are needed.
2.2 Bus structure
The operation of Datex-Ohmeda S/5 monitors is based on two communication channels, the CPU bus and the module bus. All boards connected to the CPU bus, as well as the parameter modules attached to the module bus, receive power from the same power supply, which is an integral part of the Central Unit, F-CU8.
UPI CPU4 Power
Module Bus
Pa rame ter Module
Pa rame ter Module
CPU Bus
Display Controller
Supply Unit
Pa rame ter Module
The CPU bus is a parallel communication channel used only for internal data transfer between the boards connected to one Central Unit. It is based on the ISA bus used in IBM PC computers. Data is transferred on this 16 bit wide bus using the CPU clock frequency.
The module bus is used to connect the parameter modules to the Central Unit. It based on the widely used industry standard RS-485, which uses a differential serial method to transfer data. This type of bus is robust and it allows parameter modules to be inserted or removed whilst the power is on. The module bus uses a 500 kbps data transfer rate and can be used for longer distances than the CPU bus, e.g. for external frame connections.
Figure 2 General bus structure of S/5 system
The RS-485 type serial communication supports so-called multidrop or party line connections. This means that all parameter modules connected to module bus use the same two wires for communication purposes. The advantage of this is that all module bus connectors are identical and the parameter modules can be connected in any order and position.
2.3 Distributed processing
A system assembled from S/5 products is a multiprocessor system. All parameter modules have their own microprocessor, which performs low-level functions such as module key control, waveform filtering and pneumatic control, etc. At the same time the main CPU performs higher level tasks such as trending and alarm control. While the parameter modules and CPU are performing their tasks, the UPI (Universal Peripheral Interface) microprocessor handles all functions needed to
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General Service Guide
transfer data between the parameter modules and the CPU. At the same time the microprocessor on the Display Controller board performs pixel calculations for graphics.
Module
RAM
UPI
Display
Command Board/Bar
CPU4
Dual-port
RAM
Display Controller Board
Figure 3 Distributed processing in S/5 system
2.4 Module communication
The communication master controlling data transfers between the CPU bus and module bus is called the UPI Board. It sends information or questions to each parameter module 100 times per second. If the parameter module is present it replies to each question immediately by sending a data package back to the UPI board; the package length depends on the type of parameter module. This communication protocol ensures that each module receives and sends information every 10 ms. If the parameter module does not respond, th e UPI board presumes that t he module is not connected.
System
memory
Display
memory
This kind of parallel processing gives one major advantage to centralized processing. When new parameter modules or boards are added to the system, the processing power is increased. As a result, the system does not slow down when new features are added.
Each module type has a unique address, which the UPI board uses to send its messages. Two parameter modules of the same type must not be fitted to the same monitor system, otherwise they would both reply at the same time to the same message, resulting in an error.
The microcontroller on the UPI board collects
UPI Board
and stores all information sent from the parameter modules into a dual-port RAM
Dual-port
RAM
Microcontroller
CPU Bus
Module Bus
which is mapped directly to the address space of the main CPU. The main CPU therefore reads information from its own memory whilst the UPI board guarantees that the information is up to date. This operation also works in the other direction. In this direction the main CPU fills the dual-port RAM with data and the UPI board microcontroller distributes it to the parameter modules.
Figure 4 Principle of UPI board operation
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2.5 Software loading
Service Software
PCMCIA
UPI Board
Program Memory
CPU4 Board
CPU Bus
Flash
Program Memory

Figure 5 Software loading

2.6 Parameter modules
Module
Module
Module keys
keys
keys
Analog
electronics
Patient
Peripheral
drivers
A/D co n v e rter
RAM
EEPROM
CPU
+5 V
±12 V
Isolation
trans fo rmer
Patient isolation
Opto isolation
Display Controller Board
Program Memory
RS485 drivers
+15 V
Reset
Data
The CPU’s program memory contains the program for the CPU board and some of the other boards attached to the CPU bus. When the system is turned on, all microprocessors load their part of the software from the CPU’s program memory and then start to execute their program. The software for CPU Board, B­CPU4 is loaded at the factory. For service procedures the CPU Board, B-CPU4, is fitted with a PCMCIA card drive through which software can be loaded permanently from a Service Software Card.
The detailed structure of a parameter module depends on the specific needs for each individual parameter. However, some common parts are used in the parameter modules. The electronics inside the m odule is usually divided into isolated (floating) and non-isolated sections. Typically, the non­isolated section consists of buffers to
Module Bus
interface the parameter module to the Module bus whilst the rest of the electronics is located in the isolated section. The isolated section includes the microcontroller together with memory components, the front end analog electronics (amplifiers, etc.) and peripheral drivers to control LEDs, sensors, valves and pumps.
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Figure 6 General structure of parameter modules
Page 25

3 SYSTEM INSTALLATION

3.1 Unpacking instructions
1. Confirm that the packing box is undamaged. If the box is damaged, contact the shipper.
2. Open the top of the box and carefully unpack all components.
3. Confirm that all components are undamaged. If any of the components is damaged, contact the shipper.
4. Confirm that all components are included. If any of the components is missing, contact your Datex-Ohmeda distributor.
3.2 Choosing location
Consider the following aspects:
lighting
space
connections
electromagnetic and radio frequency interferen ce
environment
General Service Guide
3.3 Central Unit; S/5 8-Module Frame, F-CU8

Figure 7 Central Unit; S/5 8-Module Frame, F-CU8

The front of the Central Unit, F-CU8, houses plug-in parameter modules which interface the system with external devices. The back of the Central Unit houses the system circuit boards, together with expansion slots which accommodate PC boards which interface with external devices and the Datex-Ohmeda Network.
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3.3.1 Connecting to mains
Connect the power cord to the mains power inlet on the rear of the Central Unit and to the wall socket.
WARNING The power cord may only be connected to a three-wire, grounded, hospital grade
receptacle.
3.3.2 Connecting to Datex-Ohmeda Network
To connect the monitor to the Datex-Ohmeda Network, make sure a Network Board, B-NET or B­UPI4NET is installed.
Use the Monitor-Network cable to connect the monitor to the network as follows:
1. Make sure that the power to the Central Unit is turned off.
2. Connect the RJ-45 connector and the Identification Plug to the corresponding connectors on the B-NET or B-UPI4NET.
3. Connect the other RJ-45 connector to the corresponding connector on the wall box.
4. Turn on the power to the Central Unit. Enter the Monitor Setup -
5. Make sure that the monitor's network communication has been set according to the used network software:
Network software S-CNET99 -> DRI Level = 1999 Network software S-CNET01 -> DRI Level = 2001
If necessary, change the monitor's network communication by selecting turning the ComWheel.
NOTE: If the DRI level is changed, the monitor will restart automatically.
6. Confirm that the network symbol and ‘Connected to Network’ message are displayed on the upper part of the screen.
Install/Service
Service
(password 26-23-8) -
Frame – Network
(password 16-4-34) -
Network
service menu:
DRI Level
and
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3.3.3 Inserting the parameter modules
Align the parameter module with the Central Unit insertion guide, and then firmly press the module into the frame until you hear a click.
Figure 8 Parameter module insertion
NOTE: The Compact Airway Modules cannot be placed into the third and fourth slot from the right­hand side of the Central Unit.
General Service Guide
NOTE: Do not use two or more parameter modules with identical functions in the monitor system. Take special care not to do this when using the Extension Frame, F-EXT4.
Parameter modules or boards with identical functions are:
Hemodynamic multiparameter modules, M-ESTPR, M-ETPR, M-ESTR, M-NESTPR, M-NETPR,
M-NESTR, M-NE12STPR, M-NE12TPR and M-NE12STR
Pressure Modules, M-P, Pressure Temp Module, M-PT
Cardiac Output Modules, M-COP an d M-COPSv
NIBP Modules, M-NIBP and hemodynamic modules w/ N measurement
Airway Modules, M-C, M-CO, M-COV, M-CAiO, M-CAiOV, M-CAiOVX, G-O, G-OV, G-AO, G-
AiO, G-AOV, G-AiOV.
Interface Module, M-INT and Interface Board, B-INT
Oxygen Saturation Modules, M-OSAT and M-NSAT
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3.3.4 Positioning of PC boards
6
7
8
2
1
!
3
4
5
Figure 9 Rear view and PC board positioning
(1) Display power outlet (2) Mains power inlet
9
10
(3) Equipotential connector (4) Service reset button (5) Backplate lid for CPU Board, B-CPU4 (6) UPI Board, B-UPI4, UPINET Board, B-UPI4NET (7) CPU Board, B-CPU4 (8) Display Controller Board, B-DISP (primary/screen 1) (9) Display Controller Board, B-DISP (secondary/screen 2),
Keyboard Interface Board, B-ARK
(10) Interface Board, B-INT,
Gas Interface Board, B-GAS, Display Controller Board, B-DISP (3
rd
screen)
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3.3.5 Replacing PC Boards
General Service Guide
For service procedures refer to
1. Make sure that the power is turned off the Monitor and unplug the power cord. Press and hold the service reset button on the rear panel for at least five seconds or until an audible tone is heard (see figure 10).
Figure 10 Service reset button
2. Remove all PC boards, cover plates and EMC plates on the right-hand side of the PC board, to be replaced, then remove the board itself (two screws).
NOTE: The B-UPI4(NET) may have been installed so that it can be removed without removing the other PC boards first.
Part II
.
!
CAUTION The circuit boards contain sensitive integrated circuits that can be damaged by an
electrostatic discharge. Careful handling of the boards is therefore essential.
NOTE: The B-UPI4(NET) contains components on both sides of the PCB. Therefore, the installation of B-UPI4(NET) should be handled with extra care. Detach the board from the frame carefully by pulling it from the X3 connector (25 pin female D-connector).
3. Remove the new PC board from the protective antistatic packaging. Always hold the board by
the edges and wear a wrist-grounding strap.
4. Insert the new PC board into the vacant slot and firmly press the board into position. Secure
the board (two screws).
5. Insert all other circuit boards, cover plates and EMC plates.
6. Reconnect the power cord.
3.3.6 Performing factory reset
NOTE: A factory reset is necessary after loading software and after replacing the CPU board. NOTE: A factory reset will restore all customized defaults , including language selection, to factory
defaults.
1. Press the
2. Select
Monitor Setup key.
Install/Service
and password (16-4-34).
3. Select
4. Select
Service Set/Test
and password (26-23-8).
and perform a
Factory Reset
.
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor
3.4 Displays
D-LCC15 and D-VMC15 D-VNC15, D-VHC17 and D-LCC10A
Figure 11 Display options
3.4.1 Main displays
All options available for the main display are integrated with a S/5 Command Board or S/5 Command Bar and a ComWheel:
S/5 Video Display, D-VMC15
Video Display, D-VNC15
S/5 LCD Display, D-LCC15
S/5 LCD Display, D-LCC10A
S/5 Video Display, D-VHC17 + Wall Mount
3.4.2 Secondary display
S/5 21” Display Monitor Unit, D-VSC21 However, the secondary display can also be any of the main display listed above.
3.4.3 3rd display
The 3rd display can be installed together with Display Controller Board, B-DISP rev.01 or higher. All S/5 main software support the use of 3
NOTE: Due to increased power consumption only two 10” displays, D-LCC10A or D-LCC10W should be installed simultaneously.
rd
display.
3.4.4 S/5 Video Display, D-VMC15
Mounting to Central Unit
Attach the Command Bar, K-ANEB / K-ICUB into the Video Display, D-VMC15 housing and pull the Command Bar cable under the display to the rear. Mount the display to the Central Unit using the display alignment studs on the top of the frame.
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Connection to Central Unit
1. Make sure that power to the Central Unit is turned off.
2. Make sure that the switch on the Command Bar is turned to standby. Connect the Command Bar cable to the connector X3 on the Display Controller Board, B-DISP. Tighten the screws.
3. Connect the video cable to the connector X2 on the Display Controller Board, B-DISP. Tighten the finger screws.
4. Connect the display power cord to the display power outlet on the rear of the Central Unit, or to the mains outlet.
Adjustments
Adjust the brightness and contrast using the control keys on the display housing.
3.4.5 S/5 LCD Display, D-LCC15
General Service Guide
Mounting to Central Unit
Connect the video cable and power adapter cable to the LCD Display, D-LCC15. Tighten the video cable finger screws. Attach the Command Bar, K-ANEB / K-ICUB into the display housing. Mount the display together with the desk stand to the Central Unit using the display alignment studs on the top of the frame.
Mounting to Display arm
Mount the LCD Display, D-LCC15 to a display arm with appropriate screws. Connect the video cable and power adapter cable to the display. Tighten the video cable finger screws.
Connection to Central Unit
1. Make sure that power to the Central Unit is turned off.
2. Make sure that the switch on the Command Bar is turned to standby. Connect the Command Bar cable to the connector X3 on the Display Controller Board, B-DISP. Tighten the screws.
3. Connect the video cable to the connector X2 on the Display Controller Board, B-DISP. Tighten the finger screws.
4. Connect the display power cord to the display power outlet on the rear of the Central Unit, or to the mains outlet.
WARNING The display must be used only together with the original D-LCC15 power
adapter.
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor
Adjustments
Adjust the brightness and contrast using the control keys on the display housing. NOTE: The control keys can be unlocked/locked by pressing the -, + and -keys simultaneously.
3.4.6 15” Video Display, D-VNC15 Mounting to Central Unit
Mount the Video Display, D-VNC15, to the Central Unit using the display alignment studs on the top of the frame.
Connection to Central Unit
1. Make sure that the power to the Central Unit is turned off.
2. Connect the display cable to the X2 connector on the Display Controller Board, B-DISP. Tighten the finger screws.
3. Connect the display power cord to the display power outlet on the rear of the Central Unit or via an appropriate separating transformer to the wall socket.
WARNING The Video Display, D-VNC15, power cord may only be connected to the display
power outlet on the rear of the Central Unit, or via an appropriate separating transformer to the wall socket. Connecting the display power cord directly to the wall socket will cause the leakage current to exceed the limit specified for medical equipment.
4. Connect the Command Board, K-ANE, K-ICU, K-BLANK, cable to the X3 connector on the
Display Controller, B-DISP. Tighten the finger screws.
WARNING Always make sure that the whole combination complies with the international
safety standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities .
Adjusting the display brightness and contrast
Adjust the display brightness and contrast using the co ntrols illustrated below.
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Figure 12 Brightness and contrast controls, D-VNC15
Page 33
General Service Guide
3.4.7 17” Video Display, D-VHC17, revision 00-01
The 17” Video Display, D-VHC17, can be used as a primary or a secondary display, e.g. to display monitored information close to the surgeon.
Please notice differencies between revision s 00-01 and 02.
WARNING The Video Display, D-VHC17, power cord may only be connected to the wall
socket. A separating transformer is built-into the display stand.
CAUTION Do not connect the Video Display, D-VHC17, to the Central Unit otherwise the unit
may overheat.
WARNING The Video display, D-VHC17, is wall-mountable only. The display must be
mounted at 180 cm/71 in or higher to prevent any liquid entering the display casing.
3.4.8 17” Video Display, D-VHC17, revision 02
Please notice differences between revision s 00-01 and 02.
WARNING Connecting the power supply cord of the Video Display, D-VHC17 r evision 02, to
the wall socket may cause the display leakage current to exceed the limit specified for medical equipment. Always connect the display to the Central Unit, F-CU8, or via an appropriate separating transformer to the wall socket.
WARNING The Video display, D-VHC17, is wall-mountable only. The display must be
mounted at 180 cm/71 in or higher to prevent any liquid entering the display casing.
3.4.9 10” LCD Display, D-LCC10A/W
Mounting to display arm
Mount the LCD Display, D-LCC10A/W, to a display arm using four M6 threaded screws and spring washers. The screw holes are located on the rear part of the display. The penetration depth of the screws must be 8-10 mm into the upper two holes and 6-7 mm into the lower two holes. A greater penetration depth may damage the display. Tighten the screws carefully.
Connection to Central Unit
1. Make sure that the power to the Central Unit is turned off.
2. Connect the monitor-LCD display cable to the X3 connector on the Display Controller Board, B-DISP and to the corresponding connector on the display. Tighten the finger screws.
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3.4.10 21" Display Monitor Unit, D-VSC21
1. Make sure that the power to the Central Unit is turned off.
2. Connect the video cable to the X2 connector on the Display Controller Board, B-DISP, and to the corresponding connector on the display. Tighten the finger screws.
3. Connect the display power cord via an appropriate separating transformer to the wall socket.
WARNING The Display Monitor Unit, D-VSC21, does not have the top spill shielding. Make
sure that the display is installed in a location, which is not susceptible to dripping liquids.
WARNING Connecting the power supply cord of the Display Monitor Unit, D-VSC21, to the
wall socket may cause the display leakage current to exceed the limit specified for medical equipment. Always connect the display to an appropriate separating transformer.
WARNING Always make sure that the whole combination complies with the international
safety standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities .
3.5 Display controller boards
Different displays must be supported by different display controllers, i.e. the primary display by a primary display controller, the secondary by a secondary display controller etc. Consequently, it is possible to configure the displays separately. One of the displays can, for instance, be used for a continuous display of trend pages.
NOTE: It is possible to use one display controller to obtain duplicate video signals for two displays by using the display Y-cable.
3.5.1 Jumper settings
The display controllers require different address settings to operate correctly. The settings are made through the use of jumper caps to connect jumper pins. Different settings are illustrated in figures 13-17.
Primary Display Controller Secondary Display Controller
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Figure 13 Jumper settings, B-DISP rev. 00
Page 35
General Service Guide
Primary Display Controller Secondary Display ControllerTertiary Display Controller
J 1 J 1 J 1
Figure 14 Jumper settings, B-DISP rev. 01, or higher
The AUTO/VGA jumper on B-DISP Rev. 01 makes it possible to choose VGA resolution as restricted guidance.
AUTO VGA
Figure 15 AUTO/VGA resolution jumper settings, B-DISP rev. 01, or higher
NOTE: B-DVGA rev. 01 and B-DHIGH rev. 01 boards can be configured only as primary or secondary display controllers by moving the location of jumpers J5 and J2 (board address and interrupt signal).
Primary Display
Cont r olle r
J 5
J 2
Secondary Display
J 5
J 2
Cont r oller
Figure 16 Jumper settings B-DVGA board, rev. 01, and
B-DHIGH board, rev. 01 (s/n < 174671)
NOTE: B-DVGA rev. 02-03 and B-DHIGH boards rev. 01-02 can be configured only as primary or secondary display controllers.
Primary Display
Controller
J 5
J 2
Secondary Display
J 5
Controller
J 2
Figure 17 Jumper settings, B-DVGA board, rev. 02-03,
and B-DHIGH board, rev. 01-02 (s/n > 174670)
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3.6 S/5 Remote Controller, K-REMCO
Connection to Central Unit, F-CU8
Connect the Remote Controller cable to the X3 connector on the Display Controller, B-DISP. Tighten the finger screws.
3.7 S/5 Airway Modules, G-XXXX
This chapter provides infor mation for installing A irway Modules G-O, G-OV, G-AO, G-AiO, G-AOV and G-AiOV.
Figure 18 Airway Module, G-XXXX
3.7.1 Connection to Central Unit
Refer to figure 8.
1. Make sure that the power to the Central Unit is turned off.
2. Connect the Gas Interface Cable to the X2 connector on the Gas Interface Board, B-GAS, or Interface Board, B-INT, and to the corresponding connector on the rear of the Airway Module.
NOTE: The Gas Interface Board, B-GAS and Interface Board, B-INT are exclusive and cannot be used simultaneously in the same system.
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3.7.2 Sample gas exhaust
When N2O and/or volatile anesthetics are used, pollution of the operating room by these gases should be prevented. Connect the sample gas outlet of the Airway Module to the scavenging system according to one of the following procedures.
1. Connect an exhaust line to the sample gas outlet on the rear of the Airway Module and to the ventilator reservoir. The reservoir tube diameter must be at least 2-3 times larger than the exhaust line.
General Service Guide
SAMPLE GAS OUT
Figure 19 Exhaust to reservoir tube
2. Connect an exhaust line to the sample gas outlet on the rear of the Airway Module and to a
scavenging tube. Use a T-fitting between the monitor and the exhaust line.
SAMPLE GAS O UT
Figure 20 Exhaust to scavenging tube
CAUTION Make sure that the sample gas is not removed from the Airway Module under a strong suction. To
prevent this, there must always be an opening to room air. A strong suction may change the operating pressure of the Airway Module and cause inaccurate readings or internal damage.
3.7.3 Returning sample gas to patient circuit
Take special care when returning sample gas to the patient circuit. For further information, please contact your Datex-Ohmeda distributor.
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3.8 Keyboard for the deioRecorder for Anesthesia, K-ARKB
3.8.1 Connection to Central Unit
1. Make sure that the power to the Central Unit is turned off.
2. Connect the keyboard-monitor cable to the X2 connector on the Keyboard Interface Board, B-ARK, and to the connector on the rear of the keyboard. Alternatively you can connect the cable to a Display Controller Board, B-DISP. Secure the connection with the thumbscrew and slip the cable beneath the fasteners.
3.8.2 Connection to LCD Display, D-LCC10A/W
1. Make sure that the power to the Central Unit is turned off.
2. Connect the Keyboard-LCD Display Cable to the K-ARK connector on the LCD Display and to the connector on the rear of the keyboard. Secure the connection with the thumbscrew and slip the cable beneath the fasteners.
3.9 ARK Barcode Reader, N-SCAN (optional)
3.9.1 Connection to Central Unit/LCD Display, D-LCC10A/W
The ARK Barcode Reader, N-SCAN, can be connected to the Keyboard for the deioRecorder for Anesthesia, K-ARK, and Central Unit using a Y-cable as illustrated in left hand figure and the LCD Display, D-LCC10 rev. 03 or higher, or the D-LCC10A/W, as illustrated in right hand figure below.
Figure 21 Barcode Reader connected to Central Unit Figure 22 Barcode Reader connected to LCD Display
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General Service Guide
The ARK Barcode Reader, N-SCAN, can be connected to the Keyboard for the deioRecorder for Anesthesia, K-ARKB as illustrated in the figure below.
Figure 23 N-SCAN Barcode Reader connection directly to the keyboard
Barcode Reader is configured compatible to your monitor and necessary information is delivered with the monitor.
3.10 S/5 Extension Frame, F-EXT4

Figure 24 S/5 Extension Frame, F-EXT4

The Extension Frame, F-EXT4, enables the monitor system to be expanded using additional parameter modules. The Extension Frame is connected to the Central Unit via the Extension Module, M-EXT. The Extension Module, M-EXT plugs into the Central Unit, F-CU8 in the same way as the parameter modules.
NOTE: Only one Extension Frame can be connected to one Central Unit.
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3.10.1 Mounting of Extension Frame, F-EXT4
When mounting the Extension Frame, F-EXT4, for instance to an IV pole, make sure that this does not affect the stabilit y of the IV pole.
3.10.2 Connection to Central Unit
Insert the Extension Module, M-EXT, into the Central Unit. Firmly press the module into position. Connect the Extension Module cable to the Extension Frame.
3.10.3 Inserting parameter modules
Insert the parameter modules into Extension Frame slots. Firmly press the modules into position. NOTE: Parameter modules with identical functions must not be used simultaneously in the same
monitor system. Take special care not to do this when using the Extension Frame. NOTE: Modules M-REC, M-MEM, M-INT, M-CXXXX cannot be used in the Extension Frame.
3.11 Troubleshooting
If a problem occurs during a functional examination, check the components of the monitor according to the following troubleshooting chart. If the problem persists, please refer to Part II.
Trouble Treatment
Nothing functions. Unplug the Command Board or Remote Controller cable. Check that the cable is
intact then reconnect the cable. Unplug the power cord. Check that the cord is intact then reconnect the cord.
Check that the fuses are intact.
The display does not function.
A parameter module does not function.
The Airway Module does not function.
Unplug the display power cord and the display cable. Check that the cord and cable are intact then reconnect the cord and cable.
Unplug the Monitor-LCD Display cable. Check that the cable is intact and reconnect the cable. Check that the display brightness is adjusted properly.
Remove and replace the module. Check that the parameters displayed are configured correctly.
Check that the ‘Occlusion’ or ‘Calibrating Gas Sensor’ messages are not displayed. Check that a D-fend water trap and a sampling line are attached. Check that the Gas Interface Board, B-GAS or Interface Board, B-INT, is inserted
properly. Check that the parameters displayed are configured correctly.
Press and hold the Select Agent key for three seconds.
Compact Airway Module does not function.
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Turn off the power to the Central Unit. Unplug the Gas Interface Cable. Check that the cable is intact then reconnect the cable. Turn on the power to the Central Unit.
Remove and replace the module.
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4 INTERFACING

External devices can be interfaced to the S/5 Anesthesia and Critical Care Monitors via the UPI4 and UPI4NET boards, B-UPI4 and B-UPI4NET, via the Interface Board, B-INT and Interface Module, M-INT, and via the Device Interfacing Solution, N-DISxxx.
An UPI4 and UPI4NET board can be used with:
Datex-Ohmeda monitors
S/5 Anesthesia Delivery Unit
Printers
Computers
An M-INT and B-INT can be used with:
Datex-Ohmeda monitors
Various other manufacturers’ monitors
General Service Guide
Various anesthesia machines
Device specific N-DISxxx modules can be used with:
Ventilators/ anesthesia machines
Monitors
Heart-lung machines
Blood-gas analyzers
4.1 Interfacing external monitors via UPI Board, B-UPI4 or UPINET Board, B-UPI4NET
The parameters transferred to the S/5 Anesthesia Monitor and S/5 Critical Care Monitor are summarized in table 1.
4.1.1 Interconnection Datex-Ohmeda Monitors
Use the UPI-Monitor Cable to connect the S/5 Anesthesia Monitor or the S/5 Critical Care Monitor to the external Datex-Ohmeda monitor.
1. Make sure that the power to both monitors is turned off.
2. Connect the 9 pin D-connector to the X8 connector the UPI Board. Tighten the finger screws.
3. Connect the 25 pin D-connector to the corresponding connector on the rear of the external monitor. Tighten the finger screws.
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Table 1 Transference of parameters, Datex-Ohmeda monitors
Device Waveforms (analog) Numerics Alarms
Cardiocap None Et&Fi Airway gases, Respiration
rate, SpO2, Pulse rate
Capnomac Capnomac II
Capnomac Ultima None Et&Fi Airway gases, Respiration
Normocap 200 Normocap 200 OXY
Oscar Oscar II Oscar OXY
Satlite Satlite II Satlite Plus
Satlite Trans None SpO2, Pulse rate, Pleth amplitude None
None Et&Fi Airway gases, Respiration
rate.
rate, Spirometry,SpO2, Pulse rate, Pleth amplitude
None Et&Fi Airway gases, Respiration
rate.
None Et&Fi Airway gases, Respiration
rate, SpO2, Pulse rate, Pleth amplitude
None SpO2, Pulse rate, Pleth amplitude None
None
None
CO2, O2, Anesthesia agent, respiration rate, Apnea, occlusion, SpO2, pulse rate.
None
None
4.1.2 Setting interfacing parameters of Datex-Ohmeda monitors
Set the serial output mode of Datex-Ohmeda monitors: Capnomac Ultima, Satlite Trans and Normocap to numeric. This setting can be stored into permanent memory through the startup menu. See the monitor’s manual for further information.
4.1.3 Setting S/5 Anesthesia Monitor and S/5 Critical Care Monitor interfacing parameters
1. Press the Monitor Setup key.
2. Select
3. Select
Install/Service Installation Interfacing - More...
(password 16-4-34).
4. Combine a required parameter with the ex ternal monitor. The selection will be automatically stored in permanent memory.
5. Press the Normal Screen key.
4.2 Interfacing external monitors via Interface Module, M-INT, or Interface Board, B-INT
It is possible to interface Datex-Ohmeda monitors, Critikon Dinamap 1846SX, Abbott Oximetrix 3, Baxter Explorer and Vigilance, Nellcor N-100, N-200 and N-1000 to the S/5 Anesth esia Monitor or to the S/5 Critical Care Monitor via Interface Board, B-INT or Interface Module, M-INT. The parameters transferred are summarized in tables 1 and 2.
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Interface Board, B-INT, includes two serial connectors (X3 and X9) and two serial/analog connectors (X7 and X8) for interfacing with external monitors. The X3 and X9 connectors provide only numerical data while the X7 and X8 connectors provide both numerical data and analog waveform data. Interface Module, M-INT, has two serial/analog connectors (X7 and X8).
NOTE: Using Interface Board, B-INT, or Interface Module, M-INT, disables interfacing with external Datex-Ohmeda monitors via the UPI Board, B-UPI4 or UPINET Board, B-UPI4NET.
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General Service Guide
WARNING Always make sure that the combination complies with the international safety standard IEC
60601-1-1 for medical electrical systems and with the requirements of local authorities.
Table 2 Transference of parameters, external monitors
Device Waveforms Numerics Alarms
Critikon Dinamap 1846SX
Abbott Oximetrix 3
Baxter Explorer
Baxter Vigilance
Nellcor N-100 N-200 N-1000
None NIBP None
None SvO2/SaO2, CO None
None C.O., SvO2, REF, Tblood None
None C.O., SvO2,C.C.O., Tblood None
Pleth (analog) SpO2, Pulse rate None
4.2.1 Connecting interface connector cables to Interface Board, B-INT
When waveforms need to be transmitted or when more than one external monitor will be interfaced to the S/5 Anesthesia Monitor or S/5 Critical Care Monitor, one or more Interface Connector Cables must be used. Connect the cables according to the following procedure. Refer to figure 25.
1. Connect the 9 pin IDC-type connector to the corresponding connector on the Interface Board, B-INT. Ensure that pin 1 is nearest the edge of the board.
2. Slide the cable trough a U-shaped slot in the front panel of the Interface Board, B-INT. Use the top slot for connector X8, the middle slot for connector X7 and the bottom slot for connector X9.
X3
X8
X7
X9
Figure 25 Connecting the interface connector cables to Interface Board, B-INT
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WARNING Interface Module, M-INT, and Interface Board, B-INT, cannot be used
simultaneously in the same system. If both of them are connected, the monitor may disregard information.
4.2.2 Connection to external Datex-Ohmeda m o nitors
Use the INT-External Device Cable.
1. Make sure that the power to both monitors is turned off.
2. Connect the 9 pin D-connector to the X3, X7, X8 or X9 connector on Interface Board, B-INT, or Interface Module, M-INT. Tighten the finger screws..
3. Connect the 25 pin D-connector to the corresponding connector on the other monitor. Tighten
the finger screws.
4.2.3 Connection to Critikon Dinamap 1846 SX, Abbott Oximetrix 3 and Baxter Explor er
Use the INT-External Device Cable.
1. Make sure that the power to both monitors is turned off.
2. Connect the 9 pin D-connector to the X3, X7, X8 or X9 connector on Interface Board, B-INT, or Interface Module, M-INT. Tighten the finger screws.
3. Connect the 25 pin D-connector to the connector on the external monitor. Tighten the finger screws.
4.2.4 Connection to Baxter Vigilance
Use the INT-Baxter Vigilance Ca ble.
1. Make sure that the power to both monitors is turned off.
2. Connect the 9 pin D-connector to the X3, X7, X8 or X9 connector on Interface Board, B-INT, or Interface Module, M-INT. Tighten the finger screws.
3. Connect the other 9 pin D-connector to a corresponding connector on the external monitor. Tighten the finger screws.
Communication parameters are: baud rate 19200, no parity (none), data bits 8, stop bits 1. Mode of communication port: IFM out.
4.2.5 Connection to Nellcor N-100 and N-1000
Use the Monitor-Nellcor Cable.
1. Make sure that the power to both monitors is turned off.
2. Connect the 9 pin D-connector to the X3, X7, X8 or X9 connector on Interface Board, B-INT, or Interface Module, M-INT. Tighten the finger screws.
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NOTE: The X3 and X9 connectors cannot be used when interfacing the S/5 Anesthesia Monitor or the S/5 Critical Care Monitor with Nellcor N-100 monitors.
3. Connect the other connector to the corresponding connector on the external monitor. Tighten
the finger screws. Connect also the mono connectors on the external monitor.
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General Service Guide
4.2.6 Connection to Nellcor N-200
Use the Monitor-Nellcor Cable.
1. Make sure that the power to both monitors is turned off.
2. Connect one of the connectors to the corresponding connector on Interface Board, B-INT, or Interface Module, M-INT. Tighten the finger screws.
3. Connect the other connector to the corresponding connector on the external monitor. Tighten the finger screws. Connect also the mono connectors on the external monitor. Connect also the mono connectors on the external monitor
4.3 Interfacing external bedside devices via S/5 Device Interfaci ng Solutions, N-DISxxx
The Device Interfacing Solution,N-DISxxx, provides means for transferring physiological, waveform and event data from various bedside patient care devices to the Datex-Ohmeda monitoring system. The real-time and trended data can be displayed on the monitor screen and used for record keeping purposes. The interfacing module reads the data coming from the external device, converts it to a suitable format and sends it to the monitor. With the Device Interfacing Solution, N­DISxxx you can interface up to ten different devices simultaneously.
See the following lists and tables of devices that you can interface with the Device Interfacing Solution.
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4.3.1 Interfaced devices and parameters
Ventilator interfaces
Device Device set values for
trends
Datex-Ohmeda SmartVent 7900
Vent. mode, I:E ratio, RR, TV, PEEP, Pinsp, InspPause
Datex-Ohmeda Aestiva /5 Aestiva /5 7100
Vent. mode, I:E ratio, RR, TV, PEEP, Pinsp, InspPause
Aestiva /5 Compact Dräger Evita 4 FiO2, Vent. mode, I:E
ratio, RR, TV, PEEP, Pinsp
Nellcor Puritan Bennett 7200
Nellcor Puritan Bennett 840
Vent. mode, RR, TV, PEEP, O
setting
2
Vent. mode, I:E ratio, RR, TV, PEEP, O
2
setting.
Measured numeric values Waveforms
, TVexp, MV, RR, Pmean,
FiO
2
Paw, Flow, Vol N-DIS7900
Ppeak, Pplat
FiO2, TVexp, MV, RR, Pmean,
Paw, Flow, Vol N-DISAEST
Ppeak, Pplat
FiO2, EtCO
, TVexp, MV,
2
Paw, Flow, Vol N-DISEV MVspont, RR, Ppeak, Pplat, Pmean, Raw, Compl, PEEPi
expTV, expMV, expMVspont, RR, Ppeak, Pplat, Pmean, Dyn. Raw, Dyn. Compl, I:E ratio
expTV, expMV, expMVspont, RR, Ppeak, Pplat, Pmean, I:E ratio
N-DIS7200
N-DIS840
Siemens Servo 300 CMV freq set, SIMV freq
set, Insp. Time, Pause time, MV, PEEP, Pinsp, Plimit, Vent mode, O
concentr
2
insp, TV exp, TV insp, MV
O
2
exp, MV insp, RR, Ppeak, Pplat, Pmean, PEEP, PAmbient
Paw, Flow, Vol N-DISS300
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General Service Guide
Monitor interfaces
Device Numeric values
Abbott Qvue/Q2 CO, CCO, Tblood, and SvO2 (Q2 only) N-DISQVUE Abbott Oximetrix 3 CO, SvO
2
N-DISOXIM3 Aspect A-2000 BIS Monitor BIS, SQI, EMG N-DISA2000 Baxter Vigilance CO, CCO, SvO2, TBLOOD N-DISVIGIL Datex-Ohmeda RGM CO2, O2, N20, AA, RR, SpO2, HR, Paw, TV, MV N-DISRGM Datex-Ohmeda Tonocap PgCO Datex-Ohmeda
Capnomac, Capnomac II, EtCO
2
, FiCO2, EtO2, FiO2, EtN2O, FiN2O, EtAA, FiAA, AA selection,
2
N-DISTONO
N-DISWHITE
RR, PAmbient
Satlite, Satlite trans a nd
Pulse, SpO
2
Satlite Plus Oscar II, Oscar oxy, Cardiocap
EtCO2, FiCO2, EtO2, FiO2, EtN2O, FiN2O, RR, Pulse, SpO2%
1GS and Cardiocap 2GS Capnomac Ultima EtCO2, FiCO2, EtO2, FiO2, EtN2O, FiN2O, EtAA, FiAA, AA selection,
RR, PAmbient, Auto id AA, Pulse, SpO
%, MV exp, MV insp, TV
2
exp, TV insp, Compl, Ppeak, Pplat, PEEP, I:E Normocap CD-200 EtCO2, FiCO2, EtN2O, FiN2O, RR, PAmbient Multicap, Normocap CD2-02, EtCO2, FiCO2, EtO2, FiO2, EtN2O, FiN2O, RR, PAmbient
Heart-lung machines
Device Device set values for
trends
Jostra HL20 bypass on, bypass off,
aorta closed, aorta open
Measured numeric values in trends
speed, flow rate, systolic pressure, diastolic pressure, mean arterial pressure, FiO2, FiCO
2,
cardioplegia amount
Bloodgas analyzers
Device Numeric values
AVL Opti CCA pH, PCO2, PO2, ctHb, SO2, barometric pressure, HCO3, BE, Temp,
Kalium, Natrium, O
Ct
2
N-DISHL20
N-DISOPT
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Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor
4.3.2 Device Interfacing Solution components
The Device Interfacing Solution consists of:
a device specific interfacing module
a device specific cable
a bus cable
a connector for another bus cable
label specifying the external device
4.3.3 Connections
Connect the device specific cable to the external device and the bus cable to the S/5 Anesthesia Monitor’s UPI4 or UPI4NET board, or to another interfacing module.
2
1
3
5
4
Figure 26 Connection cables and LED indicators
(1) label specifying the external device (2) LED indicators (3) black bus cable from another
interfacing module, if needed
(4) grey device specific cable to the
communication port of the external device
(5) black bus cable to the monitor’s
UPI4 or UPI4NET board (or to another interfacing module)
WARNING The S/5 Anesthesia Monitor, interfacing modules and interfaced devices must
be situated in the same patient environment (as defined in IEC 60601-1-1).
WARNING Connecting electrical equipment together or using the same extension cord for
more than one device may cause their leakage currents to exceed the limits specified in relevant safety standards. Always make sure that the combination complies with the international safety standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities.
4.3.4 Mounting
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The DIS module can be mounted on the side panel of the external device. Also IV pole placement is possible.
NOTE: As the Device Interfacing Solution works only with the device specified in the label of the interfacing module, it is recommended that the interfacing module always travels along with the external device.
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General Service Guide
2
1
Figure 27 An example of interfacing external devices with Device Interfacing Solution
(1) Datex-Ohmeda S/5 Anesthesia Monitor (with the L-ANE01(A) or L-ICU01(A) software) (2) Aestiva/5 anesthesia machine (3) RGM monitor (4) Interfacing module (max. 10 pcs)
NOTE: You can connect up to ten (10) interfacing modules to one system simultaneously.
CAUTION Make sure that the interfacing module is always used in vertical posi tion to prevent
water from entering the module.
CAUTION Make sure that you are connecting the interfacing module to the device specified in
the label.
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4.3.5 Selecting the external device
1. Connect the interfacing module to the monitor’s UPI4(NET) board or to another interfacing module.
2. Connect the device specific cable to the external device and turn the external device on.
3. The monitor identifies the connected device automatically.
4.3.6 Selecting the parameter data source
Select the external device via
Select the desired measurement parameter (e.g.,
Select the desired source by name (e.g.,
NOTE: The name of the device is visible on the list only if the device is correctly connected.
Monitor Setup-/Interfacing
Aestiva
).
– menu:
Gases
).
4.4 Interfacing Datex-Ohmeda Anesthesia Delivery Unit
It is possible to interface the Datex-Ohmeda Anesthesia Delivery Unit to the S/5 Anesthesia Monitor via the UPI Board, B-UPI4 or UPINET Board, B-UPI4NET. The data link is bi-directional. The parameters transferred to the Anesthesia Delivery Unit are summarized in table 3 and the events transferred to the S/5 Anesthesia Monitor are summarized in table 4. The events are transferred continuously once a minute or during the system check procedure and appear in the trend pages or in the anesthesia record. The transfer of events requires record-keeping software.
4.4.1 Interconnection
Use the ADU-AS/3 Monitor Cable.
4.4.2 Setting interfacing parameters on the S/5 Anesthesia Delivery Unit
1. Press the Setup key.
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2. Select
3. Select
4. Press the Normal Screen key.
Install Interfacing
password 10.
and choose S/5 AM.
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4.4.3 Setting interfacing parameters on the S/5 Anesthesia Monitor
No settings are required on the S/5 Anesthesia Monitor.
Table 3 Parameters transferred from S/5 Anesthesia Monitor to S/5 Anesthesia
Delivery Unit
Waveforms Numerics
CO
2
Table 4 Events transferred from S/5 Anesthesia Delivery Unit to the S/5 Anesthesia
Et & Fi CO2 % Et & Fi O2 % O2% difference (I-E) Et & Fi N2O% Et & Fi AA% Vol Exp MV Vol Exp TV
Monitor
General Service Guide
Events transferred once a minute
Ventilator settings Ventilation (mode)
Tidal Volume Minute Volume Resp. Rate I:E Times: inp I:E Times: exp Insp. Pause
Ventilator measurements Ppeak
Pplat Peep Pmin
Fresh gas settings Agent name
Agent % in fresh gas Total flow O2 flow
O flow
N
2
Air flow
Events transferred during system check
System check test results Gas Delivery: Agent
Gas Delivery: N2O Leak Tests: AUTO AUTO Leak (ml/min) Leak Test: MAN MAN Leak (ml/min) Number of confirmed checklist items Bypass Check
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4.5 Interfacing Dräger Cicero, Cato, Julian and Narkomed 2C (by NAD)
It is possible to interface Dräger Cicero and Cato to the S/5 Anesthesia Monitor or to the S/5 Critical Care Monitor via Interface Board, B-INT, or Interface Module, M-INT.
NOTE: The Interface Board must be equipped with revision 881652-4.0 software or later. The parameters transferred to the S/5 Anesthesia Monitor or S/5 Critical Care Monitor are
summarized in tables 5 and 6.
WARNING Always make sure that the combination complies with the international safety
standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities .
4.5.1 Interconnection
Use the INT-External Device Cable, except for Julian and Cicero EM, in which case use the INT­Julian/Cicero EM cable.
1. Make sure that the power to both monitors is turned off.
2. Connect the 9 pin D-connector to the X3, X7, X8 or X9 connector on Interface Board, B-INT, or Interface Module, M-INT. Tighten the finger screws..
3. Connect the 25 pin D-connector to a corresponding connector on the anesthesia machine. The connector is labelled 'RS-232-C'. Tighten the finger screws.
4.5.2 Setting communication parameters
Set the communication parameters for Cicero and Cato to RS-232: 9600, e, 8, 1 (MEDIBUS 3.00). In all cases please refer to the documentation provided by Dräger.
4.5.3 Setting interfacing parameters on the S/5 Anesthesia Monitor or S/5 Critical Care Monitor
Set the interfacing parameters on the S/5 Anesthesia Monitor or S/5 Critical Care Monitor according the instructions given in section 4.1.3.
Table 5 Parameters transferred from Dräger Cicero monitor to S/5 Anesthesia Monitor or S/5 Critical
Care Monitor
Selection Waveforms Numerics States
Gases / SSS CO2 (kPa, mmHg, %) CO2 Fi & Et (kPa, %)
O2 Fi & Et (%) N2O Fi & Et (%) RR (CO2) (1/min) AA Fi & Et (%) Tidal Volume insp. (1) Minute Volume exp. (1) Ppeak (mbar) Pplat (mbar), PEEP (mbar)
SpO
2
Pleth (% full scale) SpO2 (%)
Pulse Rate (1/min)
None
Probe Off
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General Service Guide
Table 6 Parameters transferred from Dräger Cato, Julian and Narkomed 2C (NAD) monitor to the S/5
Anesthesia Monitor or S/5Critical Care Monitor
Selection Waveforms Numerics States
Gases / SSS CO2 (kPa, mmHg, %) CO2 Fi & Et (kPa, %)
O2 Fi & Et(%) N2O Fi & Et (%) RR (CO2) (1/min) AA Fi & Et (%) Tidal Volume insp. (1) Minute Volume exp. (1) Ppeak (mbar) Pplat (mbar); not in Narkomed 2C PEEP (mbar)
SpO
2
Pleth (% full scale) SpO2 (%)
Pulse Rate (1/min)
None
Probe Off
NOTE: The transference of parameters illustrated in tables 5 and 6 represents the maximum. Some of these parameters may not be available in all device versions.
NOTE: The transference of waveforms requires the MEDIBUS real-time extension and, in Cato monitors, waveforms are available only on port 1.
4.6 Interfacing printer
It is possible to interface a laser printer (either serial or parallel) to the S/5 Anesthesia Monitor and Critical Care Monitor via the UPI Board, B-UPI4 or UPINET Board, B-UPI4NET. The printer must be PCL5 or PCL6 compatible and it should contain at least 2 Mb of memory.
NOTE: The following information on the printers can be used as a reference when obtaining suitable printers locally.
WARNING Always make sure that the combination complies with the international safety
standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities .
WARNING Connecting the power supply cord of the printer to the wall socket may cause
the printer leakage current to exceed the limit specified for medical equipment. Always connect the printer to an appropr iate separating transform er.
4.6.1 Connection to HP LaserJet 4P printer
Contact your authorized Datex-Ohmeda distributor.
4.6.2 Connection to Epson EPL-5200 printer
Setting the printing parameters
Set the printing parameters for the EPL-5200 printer according to tables 7 and 8.
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Table 7 Printing parameter settings - EPL-5200, SelecType Level 1
Item Settings
Input Auto Page size A4 Copies 1 Orient. Port. Font RD-0 Status sheet Choose to print Font sample Choose to print
Sub config
Form Symset
System
Full print T-offset L-offset Memory left Load macro Save macro Delete macro Power on macro
64 lines PcMulti
20 0 0 Actual value displayed 1 1 1 1
Table 8 Printing parameter settings - EPL-5200, SelecType Level 2
Item Settings
Feature Print Choose to print
Emulation
CH Emulation
Interface
SLCTIN Autofeed Busy delay Word length Baud rate Parity Stop bit DTR XON/XOFF ENQ/ACK DSR CTS
RX-buffer size 5 kbytes Uset Autosense CH time-out 60 Auto cont. Off Lang. English Density L***D Toner Actual value displayed Version Actual value displayed Page counter Actual value displayed Ritech Medium Standby Enable
S 3/P/Si
Off Off 0 ms 8 bit 19 200 bps None 1 On Off Off On On
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General Service Guide
4.6.3 Connection to Epson EPL-5500 printer
The S/5 Anesthesia Monitor and S/5 Critical Care Monitor can be connected to an Epson EPL­5500 laser printer via the 25 pin parallel connector (X3) or the 9 pin serial connector (X8) on the UPI Board. By default the printer has only a parallel port, but it is possible to add a serial module with a serial port for the connection. The printer and the serial module (C823341) should be purchased from your local Epson dealer. The printer memory should be at least 2 MB. Also the printer cable should be purchased from your local Epson dealer.
WARNING Connecting the power supply cord of the printer to the wall socket may cause
the printer leakage current to exceed the limit specified for medical equipment. Always connect the printer to an appropr iate separating transform er.
Printer setup
NOTE: For a detailed description, please refer to the documentation provided with the printer.
Serial connection
1. To select the serial mode open the printer cover, remove the side cover, and the shield cover. Check that the jumper switch and the side switches on the serial module are in the serial interface position.
Parallel connection and serial connection
2. Insert the photoconductor unit, and the developer cartridge into the printer.
3. Plug the printer into mains supply, and connect the printer cable.
Serial connection
4. Hold down the button on the control panel, and turn on the printer. Continue to hold down
the button until both lights on the control panel turn off, then release the button. Make sure that the green light is flashing, indicating that the printer is in the default setting mode. Input the following code numbers:
Code Option
124 Set baud rate to 19200 111 Exit the default setting mode
e.g. for 124 push the button on the control panel first once, th en twice, and then four times.
Parallel Connection and Serial Connection
Load paper into the paper tray and open the top paper support.
S/5 Anesthesia Monitor or S/5 Critical Care Monitor Setup
Set the printer mode to serial or parallel from the Printer Settings menu.
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4.7 Interfacing computer
It is possible to interface a computer to the S/5 Anesthesia Monitor and to the S/5 Critical Care Monitor. For further information, please contact your authorized Datex-Ohmeda distributor.
WARNING Always make sure that the combination complies with the international safety
standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities .
WARNING Connecting the power supply cord of the computer to the wall socket may cause
the computer leakage current to exceed the limit specified for medical equipment. Always connect the computer to an appropriate separating transformer.
4.8 UPI4 and UPI4NET Board Output Signals
Analog/ digital output signals on the connectors X4 and X7 can be used for interface with other devices. The pin assignments are illustrat ed in tabels/pictures below.
Coding element connector, X4
9 pin female D-connector
1
6
5 9
Pin Signal
1 2 3 4 5 6 7 8 9
Synchronization connector , X7
4 pin female connector
1
4
23
Pin Signal
1 2 3 4
4.8.1 Digital outputs
The digital output signals are as follows:
IDCS1 (chip select) IDCL (clock) IDDI (data in) IDDO (data out) IDPE (protect enable) +5Vdc Direct ECG Nurse call gnd
GND Def_Sync Direct ECG Pressure Out
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Defibrillation Sync (X7 pin 2)
The defibrillation sync signal is generated by th e ECG. When activated, the signal is set to a high level and then set back to a low level after 10 ms. The signal is regenerated only after returning to the low level. The high level ranges from 2.8 to 5 V while the low level ranges from 0 to 0.8 V. The delay from the R wave peak to the start of the signal is 35 ms maximum.
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Nurse Call (X4 pin 8)
The nurse call signal is generated by the red, yellow and white alarms. When activated, the signal is set to the high state and remains at the high state until the alarm situation is over or the SILENCE ALARM key is pressed. The high state range is from 2.8 to 5 V, while the low state range is from 0 to
0.8 V.
If the output signals are used simultaneously with the coding element, the B-UPINET Y-cable, order number 889308, is recommended to be used.
4.8.2 Analog outputs
Direct ECG (X4 pin 7 and X7 pin3):
Delay (max.): 15 ms
Gain ECG (in)/ECG(out): 1 mV/1V
The signals require an input impedance of 100 k NOTE: The ECG signal is based on the ECG measurement of the Hemodynamic Modules, M-ESTPR
(all variations) and M-NE(12)STPR (all variations). The ECG signal from the modules is channel 1 (ECG1). The channels 2 and 3 (ECG2, ECG3) are not transmitted. Make sure that the signal in channel 1 (ECG1) is good enough (extensive QRS for IABP synchronization). For further information, please contact your authorized Datex-Ohmeda distributor.
General Service Guide
NOTE: The direct ECG out signal is not available with the Central Unit, F-CU8 rev. 01, and with modules M-ESTP rev. 01, M-EST rev. 00 and M-ETP rev.
Pressure out (pin 4):
P1 from hemodynamic module
The Invasive pressure output signal is 1 V/100 mmHg, originally ranging from 0 to 300 mmHg, and with a delay of approximately 25 ms. The signal requires an input impedance of 100 kΩ.
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4.9 S/5 Pressure Temp Module, M-PT, output signals
The signal output connector on the Pressure Temp Module, M-PT, can be used to interface some models of IABPs to the S/5 Anesthesia Monitor and S/5 Critical Care Monitor. The pin assignments are illustrated in table 9. Please contact your local distr ibutor for more information.
WARNING Always make sure that the combination complies with the international safety
standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities .
Table 9 Signal output connector pin assignments
Pin Signal
3
1 2 3 4
4.9.1 Analog outputs
ECG out, ECG1 Pressure out, P3 ECG out, ECG1 Ground
2
4
1
The analog output signal specifications are as follows.
ECG (ECG1)
The ECG signal is 1 V/1 mV with a delay of max 15 ms. The signal requires an input impedance of 100 kΩ.
NOTE: The ECG signal is based on the ECG measurement of the Hemodynamic Modules, M-ESTPR (all variations) and M-NE(12)STPR (all variations). The ECG signal from the modules is channel 1 (ECG1). The channels 2 and 3 (ECG2, ECG3) are not transmitted. Make sure that the signal in channel 1 (ECG1) is good enough (extensive QRS for IABP synchronization). For further information, please contact your authorized Datex-Ohmeda distributor.
Invasive Pressure (P3)
The Invasive pressure output signal is 1 V/100 mmHg, originally ranging from 0 to 300 mmHg, and with a delay of approximately 25 ms. The signal requires an input impedance of 100 kΩ.
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General Service Guide

5 FUNCTIONAL CHECK

These instructions include procedures for a functional check for Datex-Ohmeda S/5 Anesthesia Monitor and S/5 Critical Care Monitor. The functional check is recommended to be performed after monitor installation.
These instructions include a Check form (APPENDIX A) to be filled in when performing the corresponding procedures. The symbol
? in the instructions means that the performed procedure should be signed in the check form. The
procedures should be performed in ascending order, by passing those that are not applicable for a particular monitor. All menu selections related to Datex-Ohmeda products are written in following typeface:
e.g.
Parameters -More...-TONO
As you enter the service menus, you need following passwords:
Monitor Setup
-Install/Service
(password 16-4-34)-
Service
(password 26-23-8)
In case you evaluate the measurement accuracy with a patient simulator, add simulator ’s accuracy specification to the one of the monitor.
The procedures are designed for monitors with S/5 monitor software L-ANE01(A) or L-ICU01(A).However, most of the procedures also apply to monitors with older monitor software.
5.1 Recommended tools
Tool Order No. For product(s)
Sampling line 3.0 m 73319 All Airway modules Sampling line 2.0 m 73318 Compact Airway Module,M-COVX/M-CAiOVX Spirometry tube 884101 All Airway modules w/(V) D-lite 733950 All Airway modules w/(V) Patient simulator -Hemodynamic modules SpO2 fi ger probe SAS-F4 Hemodynamic modules w/(S) Adult NIBP cuff 572435 Hemodynamic modules w/(NIBP) Adult NIBP hose 877235 Hemodynamic modules w/(NIBP) Earphones EEG Module,M-EEG Nellcor SpO2 probe M-NSAT MemCard – Menu -- M-MEM MemCard – Data -- M-MEM Screwdriver – All
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5.2 Visual inspection
Make sure that the monitor is switched to standby. Disconnect the mains power cord from the 8-Module Frame, F-CU8. If the monitor is connected to the Datex-Ohmeda network, disconnect the Mon-Net cable from the Network Board, B-NET or UPI4NET board, B-UPI4NET. If the Memory Module, M-MEM is connected, remove any memory cards.
1. Check all units visually:
all parts are intact, the cables and screws are connected and tightened properly
the display power cord is locked to the display
modules go in smoothly and lock up properly in all module slots
sampling line is connected to a used Airway Module
?
5.3 Functional inspection
5.3.1 General
1. Connect the mains power cord to the F-CU8.
Check that the stand-by LED is lit.
2. Switch the monitor on.
Check that the monitor starts up properly, i.e.the alarm LEDs turn on and off, normal start­up sound is heard from the loudspeaker and monitoring screen appears. No error messages should appear onto the screen.
Enter the service menus. When applicable, check that the ‘Timeouts ’, ‘Bad checksums ’ and ‘Bad c-s by mod ’ values of a module are not increasing faster than by 50 per second. Check also that the modules memories have passed the intern al memory test, i.e.‘RAM ’, ‘ROM ’ and ‘EEPROM ’ all state OK. If the Recorder Module, M-REC, is connected, the module should record two lines of start­up information.
?
Preset measurement settings for those parameters that are connected are, for example:
Recorder -
Invasive Pressures -
Pulse Oximetry -
Record Waveforms -Waveform 1 -ECG1
-Waveform 2 -P1
-Waveform 3 -P2
P1 ‘ART ’ Setup --Label –ART
-P2 ‘CVP ’ Setup --Label –CVP
-P3 Setup -Label –PA
-P4 Setup -Label -P4
-P5 Setup -Label -P5
-P6 Setup -Label -P6
Pleth Scale –AUTO
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General Service Guide
5.3.2 Display(s)
1. Check that the picture on the screen is adjusted correctly. Readjust the picture with the
Others ­Airway Gas -
Ventil.-
Others -
adjustment knobs or with the display menu keys, if necessary.
SPO2 Setup -Pleth Scale –AUTO
Spirometry View -Scaling -Indep.
-Paw Scale –20
-Flow Scale –15
or
Spirometry Setup -Scaling -Indep
Paw Scale –20
-
-Flow Scale –15
Resp Setup -Size -1.0
-Resp Rate Source –AUTO
-Measurement –ON
-Detection Limit –AUTO
.
?
5.3.3 Keyboard(s)
1. Tests with the ComBar /Command Board, ARK Keyboard and Remote Controller: Press the Help key. Turn the ComWheel in both directions and check that the cursor in the menu moves corresponding gly. Highlight Normal Screen, press the ComWheel and check that the menu disappears from the screen.
?
5.3.4 8-Module Frame, F-CU8
1. Check that the fan is running.
2. Check that the clock on the screen shows correct time. Readjust the time and date, if necessary.
?
5.3.5 Extension Frame, F-EXT4
1. If the F-EXT4 contains a fan, check that the fan is running.
2. Check that the modules in the F-EXT4 are recognized i.e. the required parameter
information is shown on the monitor screen.
?
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5.3.6 Airway Module, G-XXXX
Wait until the message ‘Calibrating gas sensor ’ disappears from the screen.
1. Check that the Airway Module fan is running.
2. If the module contains a membrane key on the front panel, press the key for at least one second and check that it is identified.
?
For Airway Modules containing the Patient Spirometry option
3. Connect a clean spirometry tube and D-lite to the module. Connect the sampling line to the D-lite. Breathe through the wider side of the D-lite.Check that the flow waveform moves downwards when you breathe in and upwards when you breathe out.
?
For all Airway Modules,G-XXXX
4. Block the tip of the sampling line with your finger and check that the message ‘Sample line blocked ’ appears onto the monitor screen within 30 seconds.
5. Remove the D-fend and check that the message ‘Check D-fend ’ appears on the screen within 30 seconds.
6. Breathe to the sampling line briefly. Check that the CO2 information is updated on the screen.
?
5.3.7 Compact Airway Module
Wait until the message ‘Calibrating gas sensor ’ disappears from the screen.
1. Check that the fan is running.
2. If the module contains membrane keys on the front panel, press each of the keys for at least
one second and check that they are identified.
?
Compact Airway Modules w/the Patient Spirometry option
3. Connect a clean spirometry tube and D-lite to the module. Connect the sampling line. Breathe through the wider side of the D-lite. Check that the flow waveform moves downwards when you breathe in and upwards when you breathe out.
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For all Compact Airway Modules
4. Block the tip of the sampling line with your finger and check that the message ‘Sample line blocked ’ appears on the monitor screen within 30 seconds.
5. Detach the D-fend and check that the messages ‘Check D-fend ’ appears on the monitor screen within 30 seconds.
6. Breathe to the sampling line briefly. Check that the CO2 information is updated on the screen.
?
5.3.8 Tonometry Module, M-TONO
1. Press each of the front panel membrane keys for at least one second and check that they are identified.
?
5.3.9 Hemodynamic Modules
General Service Guide
ECG and RESP measurements
1. Check functioning of the front panel membrane key ECG ,
2. Connect an ECG cable to the module. Connect the cable leads to a patient simulator. Check
that all ECG and impedance respiration information is shown on the monitor screen as configured on the simulator. Turn the simulator off. Check that the ‘Asystole ’ and ‘Apnea’ messages are displayed.
Lead, if available.
?
Modules w/temperature measurement
3. Check the temperature channels with a patient simulator. Check that temperature measurement information is shown on the monitor screen as configured on the simulator.
?
Modules w/invasive blood pressure measurement
4. Check functioning of the front panel membrane keys.
5. Check the InvBP channels with a patient simulator. Zero the InvBP channels, the check that the values and waveforms correspond to the simulator settings.
?
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Modules w/SpO2 measurement
6. Connect SpO2 finger probe to the module. Check that the message ‘Probe off ’ is show when the probe is not connected to a finger.
7. Attach the SpO2 probe to your finger. Check that a reading of 95-99 and a pleth waveform appear onto the screen
?
Modules w/non invasive blood pressure measurement
8. Check functioning the front panel membrane keys.
9. Attach an adult NIBP cuff onto your arm and perform one NIBP measurement. Check the module identifies the cuff, i.e. the text ‘Adult ’ appears in the NIBP digit field for a short time. Check that the module gives a reasonable measured result.
?
5.3.10 Pressure/Pressure Temp Modules, M-P/-PT
Invasive blood pressure measurement
1. Check the functioning of the front panel Zero P3 membrane key.
2. Check the InvBP channel with a patient simulator.
Zero the InvBP channel. Then check that the values and waveforms correspond to the simulator settings.
?
Modules w/temperature measurement
3. Check the temperature channels with a patient simulator. Check that temperature measurement information is shown on the monitor screen as configured on the simulator.
?
5.3.11 Dual pressure Module, M-PP
1. Check the functioning of the front panel Zero P5 and Zero P6 membrane keys.
2. Check the InvBP channels with a patient simulator.
Zero the InvBP channels. The check that the values and waveforms correspond to the simulator settings.
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5.3.12 Cardiac Output Modules, M-COP/-COPS v
Invasive blood pressure measurement
1. Check the functioning of the front panel membrane Zero P4 key.
2. Check the InvBP channel with a patient simulator. Zero the InvBP channel. Then check that the values and waveforms correspond to the simulator settings.
?
Cardiac Output measurement
3. Check the functioning of the front panel Start C.O.membrane key.
?
5.3.13 NIBP module, M-NIBP
1. Check the functioning of the front panel membrane keys.
General Service Guide
2. Attach an adult NIBP cuff onto your arm and perform one NIBP measurement. Check the module identifies the cuff, i.e. the text ‘Adult ’ appear s on the NIBP digit field for a short time. Check that the module gives a reasonable measured result.
?
5.3.14 Nellcor Compatible Saturation module, M-NSAT
1. Connect a Nellcor SpO2 finger probe to the module. Check that the message ‘Pulse search ’ is shown. Check also that the shown message changes to ‘Check probe ’ within 30 seconds.
2. Attach th e SpO2 probe on your finger. Check that a reading of 95-100 and a proper SpO2 waveform appear.
?
5.3.15 Datex-Ohmeda Oxygen Saturation module, M-OSAT
1. Connect a Datex-Ohmeda OxyLead Cable compatible sensor ot Integrated sensor to the
module. Check that the message ‘Pulse search ’ is shown. Check also that the shown message changes to ‘Check probe ’ within 30 seconds.
2. Attach th e SpO2 probe on your finger. Check that a reading of 95-100 and a proper SpO2 waveform appear.
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5.3.16 Memory Module, M-MEM
1. Insert Menu card and Data card into their slots. Check that the corresponding icons appear onto the monitor screen.
?
5.3.17 Recorder Module, M-REC
1. Press the Record Wave key and check that the module starts recording the selected waveforms. Press the Stop key on the module to stop recording. Press the Print Trends key and check that the module starts recording trends. Press the Stop key on the module to stop recording.
2. Check that the quality of the recordings is acceptable.
?
5.3.18 Network Board, B-NET and UPINET board, B-UPI4NET
1. Check that the Mon-Net cable connector and the Identification plug are clean and intact,
then connect them to the Network/UPI4NET Board. Check that the monitor connects to the S/5 Network, i.e.the network symbol appears under the clock on the upper right-hand corner of the screen. Also a message regarding the connected Central should appear in the message field on the screen.
?
5.3.19 Interface Board/Module, B-INT/M-INT
1. Make sure that the monitor receives all necessary parameter data from the connected
devices. Check the screen configuration and the related interfacing settings, if necessary.
Monitor Setup –
Interfacing
?
5.3.20 Device Interfacing Solution, N-DISxxx
1. Make sure that the monitor receives all necessary parameter data from the connected
devices. Check the screen configuration and the related interfacing settings, if necessary.
Monitor Setup -
Interfacing - Staus Page
?
5.3.21 General
1. Perform an Electrical safety check and a leakage current test. Check that the monitor and all connected units function normally after the performed test
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6 GENERAL TROUBLESHOOTING

M onitor not functioning
General Service Guide
O n /S T B Y sw itch 'O N '
D isplay connected?
Keyboard connected?
P o w e r c o rd connected?
No
C onnect pow er cord
R em ove all m odules
and turn pow er on
STBY -LED lit ?
Yes
S ta r t-u p te x ts
appear on screen?
Yes
C lock etc appears on the screen?
Yes
No
No
OK?
C onnect and check
No
D is c o n n e c t a n d re c o n n e c t th e p o w e r c o rd
OK?
No
No
OK?
Yes
Yes
K e y b o a r d tro u b le . S e e P a r t II for troubleshooting.
No
No
F a u lty C e n tr a l U n it. G o to troubleshooting in P art II.
The pow er supply unit w as shut dow n by instant over voltage in the m ains. *)
*) N O T E ! In c a s e o f s h o rt p o w e r o ff and autom atic start-up see section "Pow er logic board/P rotections" from P a r t II/C e n tra l U n it's s lo t to fin d possible reason.
Yes
Plug in a m odule
M odule data
appear on
the screen?
No
A n o th e r
m odule w orks in sam e place?
No
Yes
Yes
Pick up next m odule
Faulty m odule. G o to M odule
troubleshooting in P art II.
F a u lty C e n tr a l U n it. G o to
troubleshooting in Part II.
Figure 28 S/5 monitor’s general troubleshooting flowchart
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APPENDIX A, S/5 AM and S/5 CCM

APPENDIX A

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APPENDIX A, Functional check form, S/5 AM and S/5 CCM

FUNCTIONAL CHECK FORM

S/5 Anesthesia Monitor and S/5 Critical Care Monitor
Customer Service Service engineer Date
Monitor Installation
F-CU8 S- M- M- K­L- M- M- K­B- M- M- F­B- M- M- N­B- B- M-
OK = Test OK N.A. = Test not applicable Fail = Test Failed
Visual inspection
5.2.1. Check all units visually:
Functional inspection
5.3.1 General
D- K- G-
OK N.A. Fail
5.3.2 Display(s)
5.3.3 Keyboard(s)
5.3.4 8-Module Frame, F-CU8
5.3.5 Extension Frame, F-EXT4
Notes
S/N S/N S/N
S/N
A-1(4)
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X
5.3.6 Airway Module, G-
S/N
For Airway modules w Spirometry For all Airway modules
Notes
OK N.A. Fail
5.3.7 Compact Airway Module
Compact Airway modules w/ Spirometry option For all Compact Airway modules
Notes
5.3.8 Tonometry Module, M-TONO
Notes
5.3.9 Hemodynamic Modules.
ECG and RESP measurement TEMP measurement
InvBP measurement
S/N
S/N
S/N
SpO2 measurement NIBP measurement
Notes
A-2(4)
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Pressure/Pressure Temp Modules, M-P/-PT
A
Notes
APPENDIX A, Functional check form, S/5 AM and S/5 CCM
OK N.A. Fail
S/N
5.3.10 Dual pressure Module, M-PP
Notes
5.3.11 Cardiac Output Modules, M-COP/-COPSv.
InvBP measurement C.O. measurement
Notes
5.3.12 NIBP module, M-NIBP
5.3.13 Nellcor Compatible Saturation modu le, M-NSAT
5.3.14 Datex-Ohmeda Oxygen Saturation module, M-OS
5.3.15 Memory Module, M-MEM
S/N
S/N
S/N S/N S/N S/N
5.3.16 Recorder Module, M-REC
5.3.17 Network Board, B-NET and UPINET board, B-UPI4
5.3.18 Interface Board/Module, B-INT/M-INT
5.3.19 Device Interfacing Solution, N-DISxxx
Notes
S/N S/N S/N S/N S/N S/N S/N S/N
A-3(4)
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5.3.20 General
Electrical safety test and leakage current test
Notes
Used Spare Parts
Signature
A-4(4)
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