Datex-Ohmeda S-5 Anesthesia Monitor, S-5 Critical Care Monitor User manual

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Datex-Ohmeda

S/5™ Anesthesia Monitor and Critical Care Monitor

Technical Reference Manual

All specifications are subject to change without notice.

CAUTION: U.S. Federal law restricts this device

sale by

or on

the

order

of a

licensed medical

practitioner.

Outside

the

USA,

check

local

laws

for

any

restriction that

may apply.

M1021563

June, 2005

Datex-Ohmeda

Inc.

Healthcare

Finland

Р.О. Вох 7550

Helsinki,

Finland

Madison, WI 53707-7550, USA

P.0.

Box

900

Tel:

608

221

1551

FI-00031 GE, FINLAND

Fax:

608

222

9147

Tel:

+358

39411

Fax:

+358

9 1463310

www

datex-ohmeda.com

www.gehealthcare.com

2005 Copyright

General

Electric Company

Intended purpose (Indications for use)

The Datex-Ohmeda S/5 Anesthesia Monitor with L-ANEO5 or L-ANEO5A software is intended for multiparameter patient monitoring with optional patient care documentation.

The S/5 Anesthesia Monitor with L-ANEO5 and L-ANEOSA software is indicated for monitoring of hemodynamic (including arrhythmia and ST-segment analysis), respiratory, ventilatory, gastrointestinal/ regional perfusion, Bispectral index (BIS), Entropy (State Entropy and Response Entropy) and neurophysiological status of all hospital patients.

The

S/5 Anesthesia Monitor with L-ANEO5 and L-ANEOSA

software

when

using

BIS

is for

monitoring the

state

the

brain by data acquisition and processing of electroencephalograph signals and

may

used

aid in

monitoring

the

effects

of certain

anesthetic

agents.

The

S/5 Anesthesia Monitor with L-ANEO5 and L-ANEOSA

software

also indicated for

documenting

patient

care

related information.

The

S/5 Anesthesia Monitor with L-ANEO5 and L-ANEODA

software

indicated

for

use

qualified

medical

personnel

only.

The

Datex-Ohmeda S/5 Critical

Care Monitor with L-ICUO5

or L-ICUO5A

software

intended

for multiparameter

patient

monitoring.

The

S/5 Critical Care Monitor with L-ICUO5 and L-ICUO5A software is indicated for

monitoring of

hemodynamic

(including arrhythmia and ST-segment analysis), respiratory, ventilatory, gastrointestinal/regional perfusion,

Bispectral

index

(BIS)

and neurophysiological status of all

hospital

patients.

The

S/5

Critical

Care

Monitor with L-ICUO5 and L-ICUO5A

software

when

using BIS

is for

monitoring

the

state

the

brain by data acquisition and processing of electroencephalograph signals and

may

used

aid in

monitoring

the

effects

of certain

anesthetic

agents.

The

S/5 Critical Care Monitor with L-ICUO5 and L-ICUO5A software is indicated for

use by qualified

medical

personnel

only.

Classifications

In accordance with IEC 60601-1

Class | and internally powered equipment - the type of protection against electric shock.

Type BF or CF equipment. The degree of protection against electric shock is indicated by a symbol on each parameter 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

With F-CU8 Central Unit: IPXO - the degree of protection against harmful ingress of water. With F-CU5(P) Central Unit: IPX1 - the degree of protection against harmful ingress of water. In accordance with EU Medical Device Directive

The Datex-Ohmeda S/5 Anesthesia Monitor is classified as IIb. The Datex-Ohmeda S/5 Critical Care Monitor is classified as IIb. In accordance with CISPR 11:

Group 1, Class B (F-CU5(P), F-CPU and N-AC: Class A)

s	Group	1 contains all ISM (industrial, scientific				and	medical) equipment		in which there is	intentionally
	generated and/or used conductively coupled radio-frequency energy							which is necessary		for the	internal
	functioning of the equipment			itself.
e	Class B	equipmentis	suitable	for use	in domestic		establishments and	in	establishments	directly	connected
	to a low	voltage power	supply	network	which	supplies buildings used		for	domestic purposes.

eClass A equipment is suitable for use in all establishments other than domestic and those directly connected to a low voltage power supply network which supplies buildings used for domestic purposes.

Responsibility of the manufacturer

GE Healthcare Finland Oy (GE) is responsible for the safety, reliability and performance of the product only if: modifications, service and repairs are carried out by personnel authorized by GE.

the	electrical installation of the room complies with appropriate reguirements.
the	equipment is	used in accordance with the User's Guide and serviced and maintained in accordance
with	the Technical	Reference Manual.

Master table of contents

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

Technical Reference Manual, Order code: M1021563

Part I, General Service Guide

Document No. \| Updated	Description
M1027807	Introduction, System	description,	Installation,
	Interfacing, Functional check, General troubleshooting
M1027808	Planned	Maintenance	Instructions

Part II, Product Service Guide

Document No.	Updated	Description
M1027809		AM, CCM		Service	Menu
M1027810		8-Module		Frame,	F-CU8
M1027811		5-Module Frame, F-CU5(P)
M1027812		CPU Board, B-CPU5
M1027813		UPINET Board, B-UPI4NET
M1023412		Displays and Display Controller Boards
M1027814		Command	Boards and		Bars
M1027815		Interface Board, B-INT
M1027816		Extension Frame, F-EXT, Extension		Module,	M-EXT
M10 39372		AM,	CCM Spare		Parts

AK oon©

ona

pa©

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

About this manual

Notes to the reader

This Technical Reference Manual is intended for service personnel and engineers who will service and maintain Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

The order

code for

the

entire printed

manual

M1021563.

The manual

includes Technical

Reference

Manual

Slots

and

every

slot

has an

individual document number.

M102 7807 is the

document

number

this

first

slot.

Parti gives

the

reader

overview

the

S/5

Anesthesia Monitor and S/5 Critical Care Monitor.

It contains

the

information needed

install,

interface and

troubleshoot

the

monitors.

Instructions for functional check and planned maintenance are also included. Read the manual through and make sure that you understand the procedures described before the installation of the monitor. To avoid risks concerning safety or health, strictly observe the warning indications. İf you need any assistance concerning the installation, please do not hesitate to contact your authorized distributor.

e	Partll contains detailed descriptions	of each component			of	the	S/5 AM, CCM, such as frame
	unit and displays. Service check for	each	product is	included		in	these slots. Service Menu slot
	contains all the service menus and Spare		Parts slot	all the	spare		parts information for this
	monitor.

For

information

parameter modules,

Remote

Controller

and

Device

Interfacing Solution refer to

the

S/5 E-Modules Technical Reference Manual. Service check for each

of these

products

included

these slots.

The

manufacturer

reserves the

right to

change

product specifications

without

prior notice.

Although

the

information

this manual

is believed

accurate

and

reliable,

the manufacturer

assumes

responsibility for

its use.

GE Healthcare Finland Oy (GE)

assumes

responsibility

for

the use

or reliability of its software in

eguipment that

not furnished

by GE.

Related documentation

S/5 Modules

S/5 E-Modules Technical Reference Manual

S/5 M-Modules Technical Reference Manual

Other devices closely related to the S/5 Anesthesia Monitor: iCentral, User's Reference Manual

3/5 Arrhythmia Workstation User’s Reference Manual

S/5	Anesthesia Monitor
Instructions for daily use, clinical				aspects and basic methods of measurement:
S/5	Anesthesia	Monitor,	User's	Guide
S/5	Anesthesia	Monitor,	User's	Reference Manual

S/5	Critical Care Monitor
Instructions for daily use, clinical					aspects and basic methods of measurement:
S/5	Critical	Care	Monitor,	User's	Guide
S/5	Critical	Care	Monitor,	User's	Reference Manual

Document no. M1027807

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

Conventions used

To help you find and interpret information easily, the manual uses consistent text formats:

BS		Sign	the	check form		after	performing the procedure.
BS
Hard	Keys	Names	of	the	hard keys on		the Remote	Controller,	Command Bar and	modules are	written in the
		following		way:	Others.
Hard	Keys	Menu	ItemsSoftware			terms	that identify	window	parts or menu items	are written in	bold italic: ECG
		Setup.

Menu access is described from top to bottom. For example, the selection of the Monitor Setup hard

key, the Screen 1 Setup menu item and the Waveform Fields menu item would be shown as

Monitor Setup - Screen 1 Setup - Waveform Fields.

‘Messages’

Messages

(alarm messages, informative messages) displayed on the screen are

written

inside single

quotes:

‘Please

wait’.

“Sections”

When

referring

different

sections

in this

manual

or to

other manuals,

manual

names

and section

names are

enclosed

double

quotes:

See section

"Cleaning

and

care."

Please refer

"iCentral

User's

Reference

Manual:

Alarms. "

Hypertext links

Hypertext

links

PDF

versions

are

written

in blue

color.

WARNING

Warnings

are

written in

the

following

way:

WARNING

This

WARNING.

CAUTION

Cautions

are

written

the

following

way:

CAUTION

This

CAUTION.

NOTE

Notes

are

written

following way:

NOTE:

This

NOTE.

this

manual,

the

word

“select”

means

choosing

and

confirming.

Illustrations

and

names

All

illustrations

this

manual

are

only

examples,

and may not necessarily reflect your system

settings

data

displayed

in your

system.

If a particular

selection is not

available in your system, the

selection

is shown

grayed.

Document no. M1027807

Introduction

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 full patient profile throughout the care period.

The modular design makes the system flexible and			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.

Re eso

Ara,

РМval|

Document no. M1027807

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

1.1Symbols

1.1.1Symbols on transport packaging

5	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.
Y	Indicates the		temperature limitations	within		which the	transport package should be
	stored.

1.1.2Symbols on equipment

NA	The battery	contains	lead	acid,	and	in	the event of disposal must be separated from other
NA	waste according to local			regulations.
Pb
GÖ	This battery	contains	lead	and	can	be	recycled.
Pb
	Dangerous	voltage.

	When using the	ARK	Barcode	Reader, N-SCAN, do not stare into beam. The N-SCAN
AR	Barcode Reader	is a	Class 2	laser product.

Document no. M1027807

Introduction

1.1.3Equipment safety symbols

Attention,

consult accompanying

documents.

When

displayed next

the

value,

indicates

that

the Fi02

low alarm

limit is

set

below

When

displayed

the

value,

indicates

that

there

risk that

the

monitor

counts

pacemaker

spikes

because

the

pacer is

set

T-waves

because

wide

QRS

selected.

the

15”

display,

D-VMC15,

indicates that

the

display should be supplied from

the

mains

outlet

(or

from

the

Central

Unit,

F-CU8

Rev.03

- 09).

the

15”

display,

D-VNC15,

indicates that the display must be supplied from

the

mains

outlet via an appropriate additional separating

transformer (or from

the

Central

Unit, F-CU8 Rev.03

09).

the

15"

LCD display, D-LCC15, indicates that

the display must only be used

together

with

the

original type

D-LCC15

power

adapter.

The

display

should

supplied from the mains outlet (or from the Central Unit, F-CU8 Rev.03 - 09).

On	the	17”	display,	D-LCC17	indicates that the display		must be used only
together		with the original D-LCC17 power				adapter.
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 mains outlet via an appropriate additional separating

transformer (or

from

the

Central Unit,

F-CU8

Rev.03

- 09).

the

19”

display,

D-LCC19,

indicates

that

the

display

must

only

be supplied

from

the

mains

outlet

via

appropriate

additional

separating

transformer

and

the original D-LCC19

power

adapter,

not

from the Central

Unit,

F-CU8.

the

21”

display,

D-VSC21,

indicates

that

the

display

must

only

be supplied

from

the

mains

outlet

via

appropriate

additional

separating

transformer,

not

from

the

Central

Unit,

F-CU8.

the

Interface

Module

E-INT,

M-INT,

indicates

that

it is

for connecting external

On the E-TONO, M-TONO module indicates that the module should only be used with Tonometrics catheters.

On the E-miniC module indicates that airway gases should be calibrated every six months in normal use and every two months in continuous use.

BIS: On	the Aspect DSC indicates that the converter must not be opened for any
reason	or autoclaved.

On the E-PRESTN,		E-PRETN, E-RESTN, E-PSM, E-PSMP, E-P,					E-PP, E-PT, E-COP and
E-COPSv	module	indicates that		protection	against	cardiac	defibrillator	discharge
is due in	part to the		accessories	for pulse	oximetry	(SpO2),	temperature	(T) and
invasive	pressure	(P)	measurement.

Document no. M1027807

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

*	Do not	place	the	NMT	stimulating electrodes on the patient’s chest.
*	Always	stop	the	NMT	measurement before handling the stimulating electrodes.

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

-Qn the rear or bottom panel this symbol indicates the following warnings and Cautions:

Electric

shock

hazard.

not open the cover or the

back.

Refer servicingto

qualified

service

personnel.

For

continued

protection

against

fire hazard,

replace

the

fuse only

with one of

the same

type

and

rating.

Disconnect

from

the power

supply

before servicing.

not

use

the

monitor

without manufacturer

approved

mounting

attached.

-On the rear panel of the power unit (N-AC) this symbol indicates the following

warnings and cautions:

*Electric shock hazard. Do not open the cover. Refer servicing to qualified service personnel.

*Does not contain field replaceable fuses.

Type BF (IEC 60601-1) protection against electrical shock.

Type BF (IEC 6060 1-1) 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 in the upper left corner of the screen, indicates that the alarms are silenced. When displayed in the menu or digit fields, indicates that the alarm source has been turned off or alarm does not meet the alarm-specific activation criteria.

ÂLA

ESD	warning	symbol	for electrostatic	sensitive devices. Pins of connectors	identified
with	the ESD	warning	symbol should	not be touched. Connections should	not be

made to these connectors unless ESD precautionary procedures are used. For details, see “ESD precautionary procedures” in the User's Reference Manual.

(4)	Symbol	for non-ionizing electromagnetic radiation. Interference may occur in the
	vicinity	of equipment marked with this symbol.

Document no. M1027807

1.1.4Other symbols

о SN, S/N

剛のeo@@

©)

LE }{ }

Introduction

Equipotentiality. Monitor can be connected to potential equalization conductor.

Alternating current

Fuse.	Replace the fuse only with one of the same type and rating.
Serial	Number

Connector for color display

Signal/power output

Signal/power input

Signal/power input/output

Connector for defibrillator synchronization

Connectorforthe 5/5 Device Interfacing Solution, DIS

Power	input
Signal	input
Power	input

Submenu. Selecting an alternative marked with this symbol in a menu opens a new

menu.

The monitor is connected to the iNetwork (LAN).

Document no. M1027807

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

品

IPX class:

Data Card (green) and/or Menu Card (white) is inserted.

A blinking heart next to the heart rate or pulse rate value indicates the beats detected.

A lung next to the respiration rate	value indicates that respiration rate is calculated
from the impedance respiration	measurement.

Gas inlet

Gas outlet

Do not reuse.

Use by. Indicates the last use day.

Do not immerse the sensor in liquids.

Degree of protection against harmful ingress of water as detailed in the IEC 60529:

IPXO

-Ordinary equipment

Date	of manufacture
This	symbol	indicates that the waste	of electrical and electronic equipment must not
be disposed as unsorted municipal			waste and must be collected separately. Please
contact an authorized representative of the manufacturerfor information
concerning		the decommissioning of	your equipment.

Ethernet connector

Document no. M1027807

Introduction

1.2Safety

The following list contains general warnings and cautions you should know before installing, maintaining or servicing the system. Warnings and cautions specific to the use of the system can be found in the User's Guide and User's Reference Manual.

1.2.1 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
	e	Use	only	hospital-grade			grounded power outlets	and power	cord. Do	not remove the	grounding
		pin	from	the	power	plug.
	e	Use	only	an	intact	power	cord. Replace the power	cord if it is	cracked,	frayed, broken	or

	otherwise	damaged.
s	Do not apply tension to the power cord otherwise the cord may get damaged.
«e	Donotuse	extension cords or adapters of any type.

eBefore starting to use the system, ensure that the whole combination complies with the international standard IEC 60601-1-1 and with the requirements of the local authorities.

Installation
s	Keep	the monitor	horizontal	when the Compact	Airway Module is	used. Tilting the monitor may
	Cause	erroneous	results in	the Compact Airway	Module’s readings	and damage the module.

e The monitor or its components should not be used adjacentto or stacked with other equipment.

If adjacent

or stacked

use

necessary, the monitor and its

components should

be observed

verify

normal

operation

the

configuration

in which

it will

be used.

Pins

connectors

identified

with the ESD warning symbol

should not be touched. Connections

should not be made to these connectors unless ESD precautionary

procedures

are used. For

details,

see

section

"ESD

precautionary

procedures.”

After

transferring

reinstallingthe monitor,

always

check

that it

properly

connected and

all

parts

are

securely

attached.

Pay special

attention to

this in

case

stacked

mounting.

Laser radiation

e When using the ARK Barcode Reader, N-SCAN, do not stare into the beam. The N-SCAN is a Class 2 laser product.

External connection

Fuse replacement

e Replace a fuse only with one of the same type and rating.

Explosion hazard

e Do not use the monitor in the presence of flammable anesthetics.

Document no. M1027807

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

Patient safety

Do not perform any testing or maintenance on the monitor while it is being used on a patient.

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.
Never install	the	monitor or	the	displays	so that they	are above	the	patient.

The monitor must not be used without manufacturer approved mounting attached.

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.

not

touch any exposed wire or conductive

surface

while

any

cover

is removed

and the

monitor

is energized. The voltages present

can

cause

injury

death.

Pins

connectors identified with the ESD

warning symbol should not be touched.

Connections

should

not be

made

to these

connectors

unless

ESD

precautionary

procedures

are

used. For

details,

see 1.2.2. ESD precautionary procedures.

Always

perform

electrical

safety check

and

leakage current test

on the monitor

after

service.

Accessories

Use only accessories, including mounts and batteries, and defibrillator-proof cables and

invasive pressure transducers approved by GE Healthcare. For a list of approved supplies and accessories, see the “Supplies and Accessories” catalog delivered with the monitor. Other

cables, batteries, transducers

and accessories may cause a safety hazard, damage the

equipment or

the

system,

result

in increased

emissions

or decreased

immunity of

the

equipment or

system

interfere

with the

measurement.

Protection against cardiac

defibrillator

discharge

due

in part

the

accessories

for

pulse oximetry (SpO2),

temperature

(T) and

invasive

pressure

(P)

measurement.

	Single		use	accessories are not designed to			be reused.	Reuse may	cause a risk	of	contamination
	ane	affect		tha	Pasas rarn ant	Aair o,
	απ	ATPULL		UNO	MILUOJUTUTIITUTTTUT
Cautions
CAUTION	A CAUTION		indicates a condition that may				lead to	equipment	damage	or	malfunction.

installation

Leave space for air circulation to prevent the monitor from overheating.

Ensure that the module is properly orientated (i.e. module release latch facing downward) before insertion.

Before connecting the power cord to the mains outlet, check that the local voltage and

frequency correspond with the rating stated on the device plate on the rear panel of the monitor. See instructions for different displays in section “Displays”.

Turn off the power before making any rear panel connections.

Document no. M1027807

Introduction

Before use

eAllow two minutes for warm-up and note any error messages or deviations from normal operation.


e	Cleanthe rear		panel		fan dust	filters once			a	month or	whenever necessary.
s	Donotconnect		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	transducers.

Autoclaving and sterilizing

e Do not autoclave any part of the monitor.

e Do not gas sterilize the modules.

Cleaning and service

e Donotusehypoclorite, ammonia-, phenol-, or acetone based cleaners. These cleaners may damage the monitor surface.

eDonotimmerseanypartof the device in any liquid, or allow liquid to enter the monitor or modules.

Donotapplypressurizedairto

any outlet or

tubing

connected to

monitor.

Electrostatic

discharge

through

the PC boards may damage the

components.

Before handling

PC boards, wear a static

control

wrist

strap.

Handle

all

PC boards

by their

non-conductive

edges

and use anti-static containers

when

transporting them.

Do not break or bypass the patient isolation barrier when testing PC boards.

Donotclean

the spirometry tubes with high

pressure

air 02 flushing while

the

spirometry

tubes

are connected to Patient Spirometry connector. High differential pressure may damage PVX unit pressure transducers.

Special components

e Special components are used in these monitors that are vital to assure reliability and safety. GE Healthcare assumes no responsibility for damage, if replacement components not approved by GE Healthcare are used.

A lithi

atala

Ρζο

local

regulations.

Batteries

The

battery packages

the

central

unit, F-CPU

and in the power supply

unit of F-CU8

contain lead

acid

(Pb)

which

is hazardous

the

environment

and therefore needs to

be disposed

of carefully

according to local regulations.

To replace the batteries safely, please refer to the service instructions in this manual.

e	Do	notshort-circuit the battery terminals, this		may	produce	a very	high	current,	which	will
	damage		the battery.
©	Do	not	dispose of the battery into open flame,	nor	put the	battery	near	fire, as	it may	explode.

Document no. M1027807

Datex-Ohmeda S/5 Anesthesia

and Critical

Care

Monitors

Donotdismantle

the

battery.

It contains

electrolyte, which may damage clothing

cause

injury

to skin

eyes. If

exposed

electrolyte,

wash the injured area with

plenty of

clean

water

and

contact

doctor.

See

also

section “Symbols”.

Storage

and

transport

not store or

transport the monitor outside

the

specified temperature,

pressure

and

humidity

ranges:

Temperature

-10...+50 °C/14...122 °F

Atmospheric

pressure

660...1060 hPa/500...800 mmHg/660...1060

mbar

Relative

humidity

10...90%

non-condensing

For display specific environmental requirements see specifications in the “Display” slot.

1.2.2 ESD precautionary procedures

e To avoid electrostatic charges to build up, it is recommended to store, maintain and use the

equipment

a relative humidity

of 30% or greater.

Floors

should

covered

ESD

dissipative

carpets

similar. Non-synthetic clothing should be used

when

working

with

the

component.

To prevent

applying a possible electrostatic discharge

to the ESD sensitive parts

the

equipment,

one should touch the metallic frame of the

component or to

a large

metal

object

located

to the

equipment.

When

working with

the

equipment

and

specifically

when the

ESD sensitive

parts

of the equipment

may be touched,

grounded

wrist

strap

intended

for use

with ESD sensitive equipment should be worn. Refer to the documentation provided with the wrist straps for details of proper use.

ESD precautionary

procedure

training

It is

recommended

that all potential users receive an

explanation

the

ESD warning symbol

and

training in

ESD

precautionary

procedures.

The

minimum

contents of an

ESD precautionary

procedure

training

should

include an

introduction

the physics of electrostatic charge, the voltage levels

that can

occur

normal

practice

and

the

damage that can be done to electronic components

if they

are

touched

operator

who

electrostatically charged. Further, an explanation should be

given

methodsto

prevent

build-up of

electrostatic charge and how and why to discharge one’s body to

earth or to

the frame

of the

equipment

bond

oneself by means of a wrist

strap

to the

equipment or the

earth priorto making

connection.

1.2.3Disposal

Dispose of the whole device and parts of it according to local environmental and waste disposal regulations.

Document no. M1027807

System description

2System description

2.1Introduction

Datex-Ohmeda 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.

2.2Bus structure

The operation

Datex-Ohmeda monitors

is based

two communication

channels,

the

CPU

bus and

module

bus.

In the 5-Module

Central

Unit,

boards

receive

power from the

F-CPU

power

supply

and

the

parameter modules

receive

power

from a

separate power supply in the 5-Module

Frame

unit. These

power supplies

are

both

fed

by the N-AC

Power

Unit.

In the 8-Module

Central

Unit,

F-CU8, 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

an integral

part of the

Central

Unit,

F-CU8.

UP!

CPU

Display

Controller

	Module	Bus
Parameter	Parameter		Parameter
Module	Module	000	Module

Figure1-—Generalstructure-ofbusS/5 system

The

CPU

bus

is a

communication

channel

used

only

for

internal data

transfer.

Itis based on

the

ISA

bus

used

IBM

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. The bus is based

the

industry

standard RS-485, which

usesa

differential

serial

method

transfer

data. This

type

bus

robust

and

it allows

parameter

modules

to be inserted

removed

while the power

on.

The

module

bus

uses

500 kbps data transfer rate

and

can

be used

for longer distances

than

the

CPU

bus,

e.g.

for

external

frame

connections.

The

RS-485

type

serial communication

supports

so-called

multidrop or party line connections. This

means

that

all parameter modules connected to the module

bus

use

exactly

the

same

lines

for

communication.

The

advantage

of this is that

all bus

connectors

are identical

and

the modules

can be

connected in any

order and

position.

Document no. M1027807

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

2.3Distributed processing

Asystem	assembled from	S/5	products		is a multiprocessor			system. All	parameter modules	have their
Own microprocessor, which performs functions such as module key control, waveform filtering,
parameter	related computing		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	transfer data between the parameter modules and the CPU. At the same time the Display
controller	microprocessor	performs		pixel	calculations		for graphics.

Module

[ Dual-port	\|	Er
RAM	Il	A

Display

Controller Board

Display

memo

	a	=
Qs	a
Qs

Command

Board/Bar

Figure 2	Distributed processing in S/5 system
This kind of parallel processing gives one major advantage			to	centralized processing. When new
parameter modules or PC 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.

2.4Module communication

The communication master controlling data transfers between the CPU and parameter modules is

called

UPI processor.

It sends data

to each

connected

module

100 times

a second.

Modules

respond

each

data request

immediately

by sending a data package,

whose

length

depends

the

type

the

module.

This communication

protocol

ensures that each module receives and

sends

data

every

ms.

If a

module does not respond to data requests,

the UPI

processor

presumes that

the

module

disconnected.

Parameter modules may hold a static (fixed) or dynamic address, which

the

UPI processor

uses when

sending out data. Two parameter

modules of the same type must not

fitted onto

the

same

monitor

since they

might reply

to a data request simultaneously, thus

causing

communication

errors.

Document no. M1027807

System description

UPI Board

Dual-port

RAM

E prt

a Е

Microcontroller

BES

Figure 3	Principle of	UPI	section		operation
The UPI processor collects and			stores	all	data that is received from	the	parameter	modules		into	a dual
port RAM,	which is mapped	directly to		the address space of the main CPU. The main					CPU	reads	data
from the memory while the UPI			processor guarantees that the data			is up to date. This operation					also
works in the other direction. In			this the	main CPU fills the dual port		RAM	with data	and	the	UPI
processor	distributes it to the		parameter		modules.

2.5Software loading

The program memory on CPU board is loaded with monitor software at the factory. The software is

used for running all the functions that are procedures the CPU board is fitted with a loaded.

integrated into the PC board. For service and upgrade PCMCIA card drive through which new software can be

iService!

		\| Software
		—
		I
	JPCMCIA!
UPI	CPU	~	>	Display
Board	Board			Controller
				Board
		Flash
Program	\|	Program		Program
Memory		Memory		Memory

CPU Bus

Figure 4 Software loading

Document no. M1027807

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

2.6Parameter modules

Module E::.

keys

Patient	electronics	E:	eee	000000],
	Peripheral	È
	drivers	Е
	drivers

Bus

Module

Figure 5

General structure of parameter modules with patient isolation

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

module

is usually

divided

into isolated

(floating)

and non-isolated sections. Typically, the

non-isolated

section

consists of buffers to interface

the parameter module to the

module

bus while

the rest of the electronics

located

in the

isolated

section. The

isolated

section

includes

the

microcontroller together with memory components,

the

front-end analog

electronics

(amplifiers,

etc.)

and

sensor

drives.

Document no. M1027807

System installation

3 System installation

3.1 Unpacking instructions

Confirm that the packing box

undamaged.

If the box is damaged,

contact

the

shipper.

Open the

top

the box and

carefully unpack

all components.

Confirm

that

all

components

are

undamaged.

If any

of the components

are

damaged, contact

the shipper.

Confirm

that

all

components

are

included. If any of

the components

are

missing,

contact your

GE Healthcare

distributor.

3.2Choosing location

Consider the following aspects:

e	lighting
s	space
e	connections

selectromagnetic and radio frequency interference, see Appendix 8. ElectroMagnetic Compatibility

	e	environment
WARNING	The	monitor or	its	components	should not be	used adjacent to	or	stacked	with
	other equipment.			If adjacent	or stacked use	is necessary, the	monitor and		its
	components should be observed to verify normal operation in						the	configuration in
	which it will be		used.

3.3Central Unit; S/5 8-Module Frame, F-CU8

Figure 6 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.

M1027807

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

3.3.1Connecting 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

connected to a

three-wire,

grounded, hospital grade

receptacle.

3.3.2

Connecting to

Datex

Ohmeda

Network

To connect

the monitorto

the

Datex Ohmeda

Network,

make sure

Network Board

B-UPI4NET

installed.

Use

the Monitor-Network

cable to connect the monitor the network as follows:

Make

sure that the

power to

the Central

Unit is turned off.

Connect the RJ-45

connector

and the Identification Plug to

the

corresponding

connectors

the B-UPI4NET.

Connect the other RJ-45 connector the corresponding connector on the wall box.

Turn on the power to the Central Unit. Enter the Network service menu:

Monitor Setup - Install/Service (password 16-4-34) -

Service (password 26-23-8) -

Frame - Network

Make sure that the	monitor's	network communication has				been	set according to the used
network software:
Network software S-CNETO1 -> DRI			Level	=	2001
Network software	S-CNETO2 -> DRI		Level	=	2001
Network software L-NETO3 -> DRI Level = 2003
Network software	LNETO5 ->	DRI	Level	= 2005
If necessary, change the monitor's			network		communication	by	selecting DRI Level and turning
the ComWheel.

NOTE: If the DRI level is changed, the monitor will restart automatically.

Confirm that the network symbol and ‘Connected to Network’ message are displayed on the upper part of the screen.

3.3.3 Inserting the parameter modules

1. Ensure that the module is properly orientated (i.e. module release latch facing downward). 2. Align the module insertion guide slot with the insertion guide.

3. Push the module into the frame until it clicks.

System installation

Figure 7

Module insert

NOTE: The Compact Airway Modules cannot be placed into the third and fourth slot from the right- hand side of the F-CU8 Central Unit.

NOTE:	Use	only one Extension	Frame F-EXT4 in one F-CU8 Central Unit.
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:

e	Hemodynamic		multiparameter	modules,	E-PRESTN, E-PRETN, E-RESTN, M-PRESTN, M-PRETN,
	M-RESTN, M-ESTPR, M-ETPR, M-ESTR, M-NESTPR, M-NETPR, M-NESTR, M-NE12STPR, M-
	NE12TPR, M-NE12STR
e	Dual Pressure Modules, E-PP/M-PP
e	Pressure Modules, E-P/ M-P, Pressure Temp Module, E-PT/ M-PT
e	Cardiac Output		Modules, E-COP, E-COPSv, M-COP			and M-COPSv
s	NIBP Modules, M-NIBP and hemodynamic modules w/ N measurement
s —	Airway Modules, E-CO, E-COV, E-COVX,				E-CAIOVX,	E-CAiOV, E-CAIiO, E-miniC, M-C, M-CO, M-
	COV, M-CAiO, M-CAiOV, M-CAiOVX, G-O, G-OV, G-AO, G-Ai0, G-AOV, G-AiOV, M-MiniC
e	Interface Module, E-INT / M-INT and Interface Board, B-INT
e	Oxygen Saturation Modules, E-NSAT/ M-NSAT and M-OSAT
e	Tonometry Modules, E-TONO/ M-TONO
e	NeuroMuscular		Transmission	Modules,	E-NMT/ M-NMT
e	EEG	Modules,	E-EEG/ M-EEG
e	BIS	Modules,	E-BIS/ M-BIS

M1027807

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors

3.3.4 Positioning of PC boards

o EEBo

“ER

| j ceo

(7)

Figure 8 Rear view and positioning, F-CU8 rev. 10

(1)Mains power inlet

(2) Battery 24 Vde input connector (F-CU8 rev. 10)/ Display power outlet (F-CU8 rev. 03 to 09)

(3)UPINET Board, B-UPI4NET

(4)	CPU Board, B-CPU5
( 5)	Display Controller Board, B-DISPX	(primary/screen 1)
( 6) )	Display Controller Board, B-DISPX (secondary/screen 2),
	Keyboard Interface Board, B-ARK
(7)	Interface Board, B-INT,
	Gas Interface Board, B-GAS,
	Display Controller Board, B-DISPX	(3 screen)

(8)Service reset button

(9)Equipotential connector

(10)Back plate lid for CPU Board, B-CPU5

NOTE: Authorized personnel only may open the cover of 24Vdc input connector (use aflat screwdriver).

3.3.5Replacing PC Boards

For service procedures refer to Part Il.

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 9).

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