Datex-Ohmeda S-5TM Compact Anesthesia, S-5TM Compact Critical Care User manual

Datex-Ohmeda

S/5TM Compact Anesthesia Monitor

S/5TM Compact Critical Care Monitor

Technical Reference Manual

All specifications are subject to change without notice. CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner.

Outside the USA, check local laws for any restriction that may apply.

	Order Code M1021567
	March, 2006
Datex-Ohmeda Inc.	GE Healthcare Finland Oy
P.O. Box 7550	Helsinki, Finland
Madison, WI 53707-7550, USA	P.O. Box 900
Tel: [phone]	FI-00031 GE, FINLAND
Fax: [phone]	Tel: [phone]
	Fax: [phone]
	www.gehealthcare.com
	Copyright 2006 General Electric Company

Intended purpose (Indications for use)

The Datex-Ohmeda S/5 Compact Anesthesia Monitor with L-CANE05 or L-CANE05A software is intended for multiparameter patient monitoring with optional patient care documentation.

The S/5 Compact Anesthesia Monitor with L-CANE05 or L-CANE05A 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 Compact Anesthesia Monitor with L-CANE05 and L-CANE05A software when using BIS is for monitoring the state of the brain by data acquisition and processing of electroencephalograph signals and may be used as an aid in monitoring the effects of certain anesthetic agents.

The S/5 Compact Anesthesia Monitor with L-CANE05 or L-CANE05A software is also indicated for documenting patient care related information.

The S/5 Compact Anesthesia Monitor with L-CANE05 or L-CANE05A software is indicated for use by qualified medical personnel only.

The Datex-Ohmeda S/5 Compact Critical Care Monitor with L-CICU05 or L-CICU05A software is intended for multiparameter patient monitoring.

The S/5 Compact Critical Care Monitor with L-CICU05 and L-CICU05A 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 Compact Critical Care Monitor with L-CICU05 and L-CICU05A software when using BIS is for monitoring the state of the brain by data acquisition and processing of electroencephalograph signals and may be used as an aid in monitoring the effects of certain anesthetic agents.

The S/5 Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated for use by qualified medical personnel only.

Classifications

In accordance with IEC 60601-1

Class I and internally powered equipment – the type of protection against electric shock.

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

IPX1degree of protection against harmful ingress of water.

In accordance with EU Medical Device Directive

The Datex-Ohmeda S/5 Compact Anesthesia Monitor is classified as IIb.

In accordance with CISPR 11:

Group 1, Class B

•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.

•Class B equipment is 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.

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 requirements.

•the equipment is used in accordance with the User's Guide and serviced and maintained in accordance with the Technical Reference Manual.

Trademarks

Datex, Ohmeda, S/5, D-lite, D-lite+, Pedi-lite, Pedi-lite+, Mini D-fend, D-fend, D-fend+, OxyTip+, MemCard, ComWheel, EarSat, FingerSat, FlexSat, PatientO2, Entropy, Patient Spirometry and Tonometrics are trademarks of GE Healthcare Finland Oy. All other product and company names are property of their respective owners.

A portion of the Entropy software is derived from the RSA Data Security, Inc. MD5 Message-Digest Algorithm.

Master table of contents

Datex-Ohmeda

S/5TM Compact Anesthesia Monitor

S/5TM Compact Critical Care Monitor

Technical Reference Manual, Order code: M1021567

Part I, General Service Guide

Document No.	Updated	Description
			1
M1031517-02		Introduction, System description, Installation,
		Interfacing, Functional check, General troubleshooting
			2
M1031518-02		Planned Maintenance Instructions

Part II, Product Service Guide

Document No.	Updated	Description
			1
M1031519-01		CAM, CCCM Service Menu
			2
M1031520-02		Display Unit for F-CM1, F-CMC1 rev. 00...04
		F-CMREC1, F-CMCREC1 rev .00...02
		Software Licenses L-CANE05(A), L-CICU05(A)
			3
M1044470-01		Frame Unit for F-CM1, F-CMC1 rev. 00...04
		F-CMREC1, F-CMCREC1 rev. 00...02
		AC/DC Power Supply Unit
			4
M1031521		Spare parts

Table of contents

Table of contents

Table of contents				i
Table of figures				iv
List of tables				vi
About this manual				1
1	Introduction			3
	1.1	Symbols.	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. . 5
		1.1.1	Symbols on transport packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. 5
		1.1.2	Symbols on equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. 5
		1.1.3	Equipment safety symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. 6
		1.1.4	Other symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. 7
	1.2	Safety . . .	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	10
		1.2.1	Safety precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	10
		1.2.2	ESD precautionary procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	13
		1.2.3	Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	13
2	System description			14
	2.1	Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		14
	2.2	Bus structure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		14
	2.3	Distributed processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		15
	2.4	Module communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		15
	2.5	Software loading. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		16
	2.6	Parameter modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		16
3	System installation			17
	3.1	Unpacking instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		17
	3.2	Choosing location. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		17
	3.3	S/5 Frame for Compact Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		17
		3.3.1	Compact Monitor connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	18
		3.3.2	Connecting to mains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
		3.3.3	Connecting to Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
		3.3.4	Connecting to Wireless Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
		3.3.5	Inserting the parameter modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	21
		3.3.6	Downloading Monitor Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	21
		3.3.7	Performing Factory Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	22
		3.3.8	Installing the Datex-Ohmeda Network and MemCard Upgrade, U-CMMEM . . . . . . . . . . . . .	22
		3.3.9	Installing the Datex-Ohmeda Network Upgrade, U-CMNET . . . . . . . . . . . . . . . . . . . . . . . . . .	23
		3.3.10	Installing the S/5 Wireless LAN Upgrade, U-CMW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	23
		3.3.11	Installing the S/5 Recorder Upgrade, U-CMREC1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	24
	3.4	S/5 Remote Controller, K-CREMCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		25
	3.5	Anesthesia Record Keeping Keyboard, K-ARKB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		25
	3.6	ARK Barcode Reader, N-SCAN (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		25
		3.6.1	Connection to Compact Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	25
	3.7	S/5 Compact Airway Modules, E-xxxx / M-xxxxx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		26

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	3.7.1	Sample gas exhaust . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	.26
	3.7.2	Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	.29
4	Interfacing		31

4.1 Interfacing external monitors via Interface Module, E-INT / M-INT . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 4.1.1 Connection to external Datex-Ohmeda monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 4.1.2 Connection to Critikon Dinamap 1846SX, Abbott Oximetrix 3 and Baxter Explorer. . . . . . .33 4.1.3 Connection to Baxter Vigilance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 4.1.4 Connection to Nellcor N-100 and N-1000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 4.1.5 Connection to Nellcor N-200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

4.2 Interfacing external bedside devices via S/5 Device Interfacing Solutions, N-DISxxx . . . . . . . . . . . . .34 4.2.1 Device Interfacing Solution components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 4.2.2 Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 4.2.3 Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 4.2.4 Selecting the external device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 4.2.5 Functional check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 4.2.6 Selecting the parameter data source. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

4.3 Interfacing Datex-Ohmeda Anesthesia Delivery Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 4.3.1 Interconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 4.3.2 Setting interfacing parameters on the S/5 Anesthesia Delivery Unit . . . . . . . . . . . . . . . . . .39 4.3.3 Setting interfacing parameters on the S/5 Compact Anesthesia Monitor . . . . . . . . . . . . . .39

4.4 Interfacing Dräger Cicero, Cato, Julian and Narkomed 2C (by NAD) . . . . . . . . . . . . . . . . . . . . . . . . . . .40 4.4.1 Interconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 4.4.2 Setting communication parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

4.4.3Setting interfacing parameters on the S/5 Compact Anesthesia or Compact Critical Care

Monitor41

4.5 Interfacing printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 4.5.1 Setting S/5 Compact Monitor interface for printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 4.5.2 Connection to serial printers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 4.5.3 Connection to parallel printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 4.5.4 Installing the Serial-to-Parallel Converter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 4.5.5 Connection to printer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

4.6 Interfacing computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 4.7 Output signals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 4.7.1 Digital outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 4.7.2 Analog outputs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 4.7.3 S/5 Pressure Temp Module, E-PT or M-PT, output signals . . . . . . . . . . . . . . . . . . . . . . . . . . .46

5	Functional check			47
	5.1	Recommended tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		.47
		5.1.1	Hemodynamic patient simulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	.49
	5.2	Visual inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		50
	5.3	Functional inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		51
		5.3.1	General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	51
		5.3.2	Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	52
		5.3.3	Keyboard(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	52
		5.3.4	Frame unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	52
		5.3.5	Display unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	52
		5.3.6	Compact Airway Module, E-CXXXXX/ M-CXXXXX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	53
		5.3.7	Single width Airway Module, E-miniC/ M-miniC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	53

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5.3.8 Tonometry Module, E-TONO/ M-TONO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 5.3.9 Multiparameter Hemodynamic Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 5.3.10 Pressure/Pressure Temp Modules, E-P, E-PT, M-P, M-PT. . . . . . . . . . . . . . . . . . . . . . . . . . . .54 5.3.11 Dual pressure Module, E-PP/ M-PP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 5.3.12 Cardiac Output Modules, E-COP/ M-COP, E-COPSv/ M-COPSv . . . . . . . . . . . . . . . . . . . . . .55 5.3.13 NIBP module, M-NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 5.3.14 Nellcor Compatible Saturation module, E-NSAT/ M-NSAT . . . . . . . . . . . . . . . . . . . . . . . . . .56 5.3.15 Datex-Ohmeda Oxygen Saturation module, M-OSAT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 5.3.16 BIS Module, E-BIS/ M-BIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 5.3.17 Entropy Module, E-ENTROPY/ M-ENTROPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 5.3.18 Data Card and Menu Card function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 5.3.19 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 5.3.20 Network connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 5.3.21 Wireless Network Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 5.3.22 Interface Module, E-INT/ M-INT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 5.3.23 Device Interfacing Solution, N-DISxxx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 5.3.24 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

6	General troubleshooting		59
Appendix A:		Functional check form, Datex-Ohmeda S/5 CAM, CCCM	A-1
Appendix B:		ElectroMagnetic Compatibility	B-1

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Table of figures

Figure 1	S/5 Compact Anesthesia Monitor system .............................................................................................	3
Figure 2	General bus structure of S/5 system...................................................................................................	14
Figure 3	Principle of UPI section operation .......................................................................................................	15
Figure 4	General structure of parameter modules with patient isolation.............................................................	16
Figure 5	External connections of Compact Monitor frame F-CM(C)1 rev.04 ........................................................	18
Figure 6	External connections of Compact Monitor frame F-CM(C)1 rev.00...03.................................................	19
Figure 7	Installation of the U-CMREC1 .............................................................................................................	24
Figure 8	ARK Barcode Reader, N-SCAN connected to Compact Monitor ............................................................	25
Figure 9	Compact Airway Module, E-XXXX.........................................................................................................	26
Figure 10	Scavenging through ventilator reservoir...............................................................................................	27
Figure 11	Connecting the gas module to the scavenging connector of S/5 Avance ..............................................	27
Figure 12	Sample gas returned to patient circuit in ADU .....................................................................................	28
Figure 13	Connection cables and LED indicators ................................................................................................	36
Figure 14	An example of interfacing external devices with Device Interfacing Solution..........................................	37
Figure 15	Connecting S/5 Compact Monitor to printer, converter model PI130-R2 ..............................................	43
Figure 16	Connecting S/5 Compact Monitor to printer, converter model PI 1115A...............................................	44
Figure 17	S/5 Compact Monitor general troubleshooting flowchart .....................................................................	59

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Table of figures

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List of tables
Table 1	Transference of parameters, Datex-Ohmeda monitors ............................................................	32
Table 2	Transference of parameters, external monitors .......................................................................	32
Table 3	DIS modules and interfaced devices......................................................................................	34
Table 4	Parameters transferred from S/5 Compact Anesthesia Monitor to S/5 Anesthesia
	Delivery Unit .........................................................................................................................	39
Table 5	Events transferred from S/5 Anesthesia Delivery Unit to the S/5 Compact Anesthesia Monitor 40
Table 6	Parameters transferred from Dräger Cicero monitor to S/5 Compact Anesthesia Monitor or
	S/5 Compact Critical Care Monitor ........................................................................................	41
Table 7	Parameters transferred from Dräger Cato, Julian and Narkomed 2C (NAD) monitor to the S/5
	Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor .......................................	42
Table 8	Coding element connector, X4...............................................................................................	45
Table 9	Synchronization connector, X8 ..............................................................................................	45
Table 10	Signal output connector pin assignments ..............................................................................	46
Table 11	Patient simulators’ compatibility with each hemodynamic module..........................................	49
Table 12	Adapter cables for hemodynamic patient simulators ..............................................................	50
Table 13	Guidance and manufacturer’s declaration – electromagnetic emissions ................................	B-1
Table 14	Guidance and manufacturer’s declaration – electromagnetic immunity .................................	B-2
Table 15	Guidance and manufacturer’s declaration – electromagnetic immunity .................................	B-3
Table 16	Recommended separation distances between portable and mobile RF communications
	equipment and the S/5™ CAM/ CCCM.................................................................................	B-5

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About this manual

Notes to the reader

This Technical Reference Manual is intended for service personnel and engineers who will install, service and maintain Datex-Ohmeda S/5 Compact Anesthesia Monitors running the software license L-CANE05 or L-CANE05A and S/5 Compact Critical Care Monitors running the software license L-CICU05 or L-CICU05A. As the monitor setup may vary, some functions described may not be available in the monitor you are using.

•The order code for the entire printed manual is M1021567. The manual includes Technical Reference Manual Slots and every slot has an individual document number.

•Part I gives the reader an overview of the monitor. It contains the information needed to 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. If you need any assistance concerning the installation, please do not hesitate to contact your authorized distributor.

•Part II contains detailed descriptions of each component of the S/5 CAM, CCCM Monitor,

For information of 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 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 use.

Installation and service are allowed by authorized service personnel only.

GE Healthcare Finland Oy (GE) assumes no responsibility for the use or reliability of its software in equipment that is not furnished by GE.

Related documentation S/5 Modules

S/5 E-Modules, Technical Reference Manual

S/5 M-Modules, Technical Reference Manual

S/5 Compact Anesthesia Monitor

For instructions for daily use including cleaning and daily maintenance, clinical aspects and basic methods of measurement see:

S/5 Compact Anesthesia Monitor, User’s Guide

S/5 Compact Anesthesia Monitor, User’s Reference Manual

S/5 Compact Critical Care Monitor

For instructions for daily use including cleaning and daily maintenance, clinical aspects and basic methods of measurement:

S/5 Compact Critical Care Monitors, User’s Guide

S/5 Compact Critical Care Monitors, User’s Reference Manual

For more information about the iCentral, S/5 Arrhythmia Workstation and anesthesia record keeping solution, see the “Technical Reference Manuals” and “User’s Reference Manuals” for these products.

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Software options and default settings are described in the “Default Configuration Worksheet” delivered with each monitor.

Available accessories are described in the “Supplies and Accessories” catalog delivered with each monitor.

Conventions used

	To help you find and interpret information easily, the manual uses consistent text formats:
"	Sign the check form after performing the procedure.
Hard Keys	Names of the hard keys on the Remote Controller, Command Board, side panel and modules are
	written in the following way: Others.
Menu Items	Software 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 to different sections in this manual or to other manuals, manual names and section
	names are enclosed in double quotes:
	See section "Cleaning and care."
	Please refer to "iCentral User's Reference Manual: Alarms."
Hypertext links	Hypertext links on PDF versions are written in blue color.
WARNING	Warnings are written in the following way:
WARNING	This is a WARNING.
CAUTION	Cautions are written in the following way:
CAUTION	This is a CAUTION.
NOTE	Notes are written in the following way:
	NOTE: This is a NOTE.
	In this manual, the word “select” means choosing and confirming.

Illustrations and names

All illustrations in this manual are only examples, and may not necessarily reflect your system settings or data displayed in your system. If a particular selection is not available in your system, the selection is shown grayed.

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Introduction

1 Introduction

The modular design makes the system flexible and easy to upgrade. In addition to patient parameter

modularity and easy upgrades, the monitor can be upgraded to anesthesia record keeping, wired and wireless networking and memory card operation. Additionally, external devices can be interfaced to the monitor with interface modules.

NOTE: Your system may not include all these components. Consult your local representative for the available components.

1	2	3
5		4

Figure 1 S/5 Compact Anesthesia Monitor system

(1)S/5 Compact Anesthesia Monitor with modules inside

(2)Remote Controller, K-CREMCO

(3)Printer

(4)Wireless Network (WLAN) Access Point, N-WAP

(5)Network (LAN)

Optional components

Optional components are:

•Built-in recorder, N-CMREC1

•Remote controller

•Keyboard for anesthesia record keeping solution, barcode reader

•Wireless network option, N-CMW

Possible software options are:

•MemCard option, N-CMMEM

NOTE: Insert the WLAN PC card in the first slot from the front.

NOTE: Memory Module, M-MEM/ E-MEM, is not compatible with the S/5 Compact Monitors.

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Communication between monitors

You can use the Compact Monitor as a stand-alone monitor or for

−viewing and receiving data (alarms, vital signs) from other patient monitors

−gathering and storing data during transportation.

To view other patient monitors, the monitor needs to be connected to the network (LAN or WLAN). To gather, store, and transfer data between different Datex-Ohmeda monitors, use memory cards or connect the monitor to the network.

NOTE: With WLAN, use only Data Card.

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1.1Symbols

1.1.1Symbols 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.

1.1.2Symbols on equipment

This battery contains Ni-MH and can be recycled.

NiPb-MH

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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1.1.3Equipment safety symbols

-Attention, consult accompanying documents.

-When displayed next to the O2 value, indicates that the FiO2 low alarm limit is set

below 21%.

-When displayed next to the HR value, indicates that the pacer is set on R.

-On the modules or frames indicates that modules with identical measurements should not be used in the same monitor. If such modules have been inserted, remove the module that has been most recently connected. You can also remove both modules and re-connect the new module after five seconds.

-On the Interface Module E-INT, M-INT, indicates that it is for connecting external devices. Do not connect patient cables to the module.

-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.

-On the E-NMT, M-NMT module indicates the following warnings:

*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.

-On the rear or bottom panel this symbol indicates the following warnings and cautions:

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

*For continued protection against fire hazard, replace the fuse only with one of the same type and rating.

*Do not touch a battery-operated monitor during defibrillation procedure.

*Disconnect from the power supply before servicing.

*Do not use the monitor without manufacturer approved mounting attached.

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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 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.

ESD warning symbol for electrostatic sensitive devices. Pins of connectors identified with the ESD warning symbol should not be touched. Connections should not be made to these connectors unless ESD precautionary procedures are used. For details, see section “1.2.2. ESD precautionary procedures”.

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

1.1.4Other symbols

Equipotentiality. Monitor can be connected to potential equalization conductor.

Alternating current

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

SN, S/N	Serial Number
	Battery operation and remaining capacity (green bar)
	Battery charging (white bar)
	Submenu. Selecting an alternative marked with this symbol in a menu opens a new
	menu.

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The monitor is connected to the network (LAN).

The monitor is connected to the wireless network (WLAN).

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

WLAN signal strength. The number of segments corresponds to the signal strength: four segments indicate strong signal, one segment weak signal. When connection to access point is being searched, the segments scroll from zero to four and back.

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.

Date of manufacture

Do not immerse the sensor in liquids.

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	Introduction
IPX class:	Degree of protection against harmful ingress of water as detailed in the
	IEC 60529:
IPX0	- Ordinary equipment
IPX1	- Protection against vertically falling water drops.
IPX2	- Protection against vertically falling water drops when enclosure tilted up to 15 °.
IPX3	- Protected against spraying water.
IPX4	- Protected against splashing water.
IPX7	- Protected against the effects of temporary immersion in water.
IPX8	- Protected against the effects of continuous immersion in water.
	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 manufacturer for information concerning
	the decommissioning of your equipment.
	Ethernet connector

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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

•Use only hospital-grade grounded power outlets and power cord. Do not remove the grounding pin from the power plug.

•Use only an intact power cord. Replace the power cord if it is cracked, frayed, broken or otherwise damaged.

•Do not apply tension to the power cord otherwise the cord may get damaged.

•Do not use extension cords or adapters of any type.

•Before 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. Do not connect any external devices to the system other than those specified.

•If the integrity of the external protective earth conductor arrangement is in doubt, use the monitor with battery operation.

•To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth.

•Do not use an additional multiple socket outlet or extension cord.

Installation

•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.

•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.

•Pins of connectors identified with the ESD warning symbol should not be touched. Connections should not be made to these connectors unless ESD precautionary procedures are used. For details, see section “1.2.2. ESD precautionary procedures”

•After transferring or reinstalling the monitor, always check that it is properly connected and all parts are securely attached. Pay special attention to this in case of stacked mounting.

•Never install the monitor so that it is above the patient.

•A printer or computer must be supplied from an additional transformer providing at least basic isolation (isolating or separating transformer).

•If you accidentally drop the monitor, modules or frames, have them checked by authorized service personnel prior to clinical use.

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Laser radiation

•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

•Do not connect any external devices to the monitor other than those specified.

Fuse replacement

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

Explosion hazard

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

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 so that it is above the patient.

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

•Operation of the monitor outside the specified values may cause inaccurate results.

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.

•Pins of connectors identified with the ESD warning symbol should not be touched. Connections should not be made to these connectors unless ESD precautionary procedures are used. For details, see section “1.2.2. ESD precautionary procedures”.

•Always perform an electrical safety check and a 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 or interfere with the measurement. Protection against cardiac defibrillator discharge is due in part to the accessories for pulse oximetry (SpO2), temperature (T) and invasive pressure (P) measurement.

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	• Single use accessories are not designed to be reused. Reuse may cause a risk of contamination
	and/or affect the measurement accuracy.
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.

•Before connecting the power cord to the power supply, check that the local voltage and frequency correspond with the rating stated on the device plate.

Before use

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

•Do not connect a sampling line to the female Patient Spirometry connector while the other end of the sampling line is connected to the D-fend water trap. The pressure in the gas sampling system may cause damage to the PVX unit pressure transducers.

Autoclaving and sterilizing

•Do not autoclave any part of the monitor.

•Do not gas sterilize the modules.

Cleaning and service

•Do not use hypoclorite, ammonia-, phenol-, or acetone based cleaners. These cleaners may damage the monitor surface.

•Do not immerse any part of the device in any liquid, or allow liquid to enter the monitor or modules.

•Do not apply pressurized air to any outlet or tubing connected to the 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.

•Do not clean the spirometry tubes with high pressure air or O2 flushing while the spirometry tubes are connected to Patient Spirometry connector. High differential pressure may damage PVX unit pressure transducers.

Special components

•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 lithium battery on the CPU Board. Dispose of the faulty IC containing the battery according to

local regulations.

Batteries

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

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•Do not short-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.

•Do not dismantle the battery.

See also section “Symbols”.

Storage and transport

Do 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% noncondensing

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

1.2.2ESD precautionary procedures

•To avoid electrostatic charges building up, it is recommended to store, maintain and use the equipment at a relative humidity of 30% or greater. Floors should be covered by ESD dissipative carpets or similar. Non-synthetic clothing should be used when working with the component.

•To prevent applying a possible electrostatic discharge to the ESD sensitive parts of the equipment, one should touch the metallic frame of the component or a large metal object located close to the equipment. When working with the equipment and specifically when the ESD sensitive parts of the equipment may be touched, a 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 of the ESD warning symbol and training in ESD precautionary procedures.

The minimum contents of an ESD precautionary procedure training should include an introduction to the physics of electrostatic charge, the voltage levels that can occur in normal practice and the damage that can be done to electronic components if they are touched by an operator who is electrostatically charged. Further, an explanation should be given of methods to prevent build-up of electrostatic charge and how and why to discharge one’s body to earth or to the frame of the equipment or bond oneself by means of a wrist strap to the equipment or the earth prior to making a connection.

1.2.3Disposal

Dispose of the whole device, parts of it and its packing material in accordance with local environmental and waste disposal regulations.

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2 System 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

				Patient
				Patient
				Patient
				Modules
				Module
				Module
					MODULE-			BUS
PCMCIA	Serial		Ethernet	Sound					UPI

ISA-BUS

Non-		Boot	Code
Volatile				Chipset		DRAM
		Memory	Memory
Memory
Reset			Display	486 LOCAL BUS	486
Logic			Controller		Processor

Figure 2 General bus structure of S/5 system

cam_p1_gnrl_bus_strctr_cm.vsd

The CPU bus is a communication channel used only for internal data transfer. 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 for the parameter modules. The bus is based on the industry standard RS-485, which uses a differential serial method to transfer data. This type of bus is robust and it allows parameter modules to be inserted or removed while the power is on. The module bus uses a 500 kbps data transfer rate.

The RS-485 type of serial communication supports so-called multidrop or party line connections. This means that 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.

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System description

2.3Distributed processing

A system 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.

This kind of parallel processing gives one major advantage to centralized processing. When new parameter modules 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 to each data request immediately by sending a data package, whose length depends on the type of the module. This communication protocol ensures that each module receives and sends data every 10 ms. If a module does not respond to data requests, the UPI processor presumes that the module is disconnected.

Parameter modules may hold a static (fixed) or dynamic address, which the UPI processor uses when sending out data. Two parameter modules of the same type must not be fitted onto the same monitor since they might reply to a data request simultaneously, thus causing communication errors.

ISA-BUS

			Voltage	Temp
	Shared		Meas		Meas
	SRAM						Analog & Digital outputs
Control			UPI				Module Bus
Logic			Processor

ComWheel Interface

Keypad Interface

cam_p1_prncpl_UPI_operation.vsd

Figure 3 Principle of UPI section operation

The UPI processor collects and stores all data that is received from the parameter modules into a shared SRAM, 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 shared SRAM with data and the UPI processor distributes it to the parameter modules.

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2.5Software loading

The program memory on the CPU board is loaded with monitor software at the factory. The software is used for running all the functions that are integrated into the PC board. For service and upgrade procedures, the CPU board is fitted with a PCMCIA card drive through which new software can be loaded.

2.6Parameter modules

	Module		+5 V
	keys
			+12 V		+13...16 V
				Isolation
					VMOD
				transformer		ModuleBus
PATIENT	Analog	A/D	CPU	isolationPatient
	electronics	converter			Data
			EEPROM	isolation	drivers	mod.vsd
			RAM	Opto	RS485
	Peripheral					_
	drivers					parm
						general struct of

Figure 4 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 is located in the isolated section. The isolated section includes the microcontroller together with memory components, the front-end analog electronics (amplifiers, etc.) and sensor drivers.

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System installation

3 System installation

3.1Unpacking 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 are damaged, contact the shipper.

4.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:

•lighting

•space

•connections

•electromagnetic and radio frequency interference, see Appendix B. ElectroMagnetic Compatibility

•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.
WARNING	Never install the monitor so that it is above the patient.
CAUTION	The monitor display is fragile. Ensure that it is not placed near a heat source or
	exposed to mechanical shocks, pressure, moisture or direct sunlight.

3.3S/5 Frame for Compact Monitor

	Mounting of S/5 Compact Monitor to the Bed Mount, Wall Mount or Roll Stand is described in a
	separate instruction sheet delivered with each mount.
WARNING	After transferring or reinstalling the monitor, always check that it is properly
	connected and all parts are securely attached. Pay special attention to this in
	case of stacked mounting.

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3.3.1Compact Monitor connections

1

9

10

11

12

2

3

4

14

5	8

13

6

7

Figure 5 External connections of Compact Monitor frame F-CM(C)1 rev.04

(1)Air filter

(2)NET connector

(3)NET ID connector (not used with N-CMW)

(4)Recorder (optional)

(5)SYNC connector

(6)Connector for external keyboard (anesthesia record keeping solution keyboard), K-CREMCO or Barcode Reader

(7)Potential equalization

(8)Serial port

(9)Receptacle for power cord

(10)WLAN PC card LED

(11)WLAN PC card

(12)Slot for Memory Cards (PCMCIA) and WLAN PC card

(13)Connector for Device Interfacing Solution

(14)Modules

NOTE: Insert the WLAN PC card in the first PC card slot from the front.

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