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

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Datex-Ohmeda

S/5TM Compact Anesthesia Monitor

S/5

Compact Critical Care Monitor

Technical Reference Manual

CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner.

Datex-Ohmeda Inc.

P.O. Box 7550

Madison, WI 53707-7550, USA

Tel: +1 608 221 1551

Fax: +1 608 222 9147

All specifications are subject to change without notice.

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

Order Code M1021567

March, 2006

GE Healthcare Finland Oy

Helsinki, Finland

P.O. Box 900

FI-00031 GE, FINLAND

Tel: +358 10 39411

Fax: +358 9 1463310

www.gehealthcare.com

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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

IPX1- degree 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.

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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.

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Technical Reference Manual, Order code: M1021567

Document No. Updated Description

S/5

Master table of contents

Datex-Ohmeda

Compact Anesthesia Monitor

Compact Critical Care Monitor

Part I, General Service Guide

M1031517-02 Introduction, System description, Installation,

Interfacing, Functional check, General troubleshooting

M1031518-02 Planned Maintenance Instructions 2

Part II, Product Service Guide

Document No. Updated Description

M1031519-01 CAM, CCCM Service Menu 1

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)

M1044470-01 Frame Unit for F-CM1, F-CMC1 rev. 00...04

F-CMREC1, F-CMCREC1 rev. 00...02

AC/DC Power Supply Unit

M1031521 Spare parts 4

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Table of contents

Table of contents i

Table of figures iv

List of tables vi

About this manual 1

1Introduction 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

Document no. M1031517-02

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

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

4.4.3 Setting 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

Document no. M1031517-02

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Table of contents

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

Document no. M1031517-02

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

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

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.

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.

Introduction

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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1.1 Symbols

1.1.1 Symbols on transport packaging

The contents of the transport package are fragile and must be handled with care.

Indicates the correct upright position of the transport package.

The transport package must be kept in a dry environment.

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

Introduction

1.1.2 Symbols on equipment

This battery contains Ni-MH and can be recycled.

Ni-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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1.1.3 Equipment 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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Introduction

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”.

1.1.4 Other symbols

SN, S/N

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

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

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:

IPX0 IPX1 IPX2 IPX3 IPX4 IPX7 IPX8

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

- Ordinary equipment

- Protection against vertically falling water drops.

- Protection against vertically falling water drops when enclosure tilted up to 15 °.

- Protected against spraying water.

- Protected against splashing water.

- Protected against the effects of temporary immersion in water.

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

1.2 Safety

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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Introduction

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

• 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.

1.2.2 ESD 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.

Introduction

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 giv en o f m e th o ds to p re v en t b u il d -u p o f 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.

1.2.3 Disposal

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

2 System description

2.1 Introduction

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.

2.2 Bus structure

Patient

Modules

Module

MODULE-BUS

PCMCIA Serial

Non-

Volatile

Memory

Reset

Logic

Boot

Memory

Ethernet Sound UPI

ISA-BUS

Code

Memory

Display

Controller

Chipset

486 LOCAL BUS

DRAM

486

Processor

cam_p1_gnrl_bus_strctr_cm.vsd

Figure 2 General bus structure of S/5 system

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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2.3 Distributed 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.

2.4 Module 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.

System description

Voltage

Temp

Meas

Shared

SRAM

Control

ISA-BUS

Logic

Processor

UPI

Analog & Digit al outputs

Module Bus

ComWheel I nterface

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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2.5 Software 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.

2.6 Parameter modules

PATIENT

Module

keys

Analog

electronics

Peripheral

drivers

A/D

converter

RAM

EEPROM

+5 V

+12 V

CPU

Isolation

transformer

Patient isolation

Opto

isolation

+13...16 V

VMOD

Data

RS485 drivers

Module Bus

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.

eneral_struct_of_parm_mod.vsd

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3 System installation

3.1 Unpacking instructions

1. Confirm that the packing box is undamaged. If the box is damaged, contact the shipper.

2. Open the top of the box and carefully unpack all components.

3. Confirm that all components are undamaged. If any of the components are damaged, contact the shipper.

4. Confirm that all components are included. If any of the components are missing, contact your GE Healthcare distributor.

3.2 Choosing location

Consider the following aspects:

• lighting

• space

• connections

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

Compatibility

System installation

• 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.

3.3 S/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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3.3.1 Compact Monitor connections

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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System installation

Figure 6 External connections of Compact Monitor frame F-CM(C)1 rev.00...03

(1) Dust filters

(2) Recorder unit (optional)

(3) Connector for factory use only

(4) Synchronization connector

(5) Connector for external keyboard (anesthesia record keeping solution keyboard), K-CREMCO or

Barcode Reader

(6) Potential equalization connector

(7) Serial port connector

(8) Receptacle for power cord

(9) NET ID connector

(10) NET connector

(11) WLAN antenna cover (optional)

(12) Connector for Device Interface Solution

(13) WLAN antenna card LED

WLAN antenna card (optional)

CAUTION Switch the power to standby before making any connections.

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

3.3.2 Connecting to mains

Connect the power cord to the mains power inlet on the side of the power supply unit and to the wall socket.

NOTE: Before taking the monitor into use for the first time, the batteries should be fully charged. Keep the monitor connected to the mains until the Battery charging symbol disappears, or in STBY mode the Stby LED stops blinking (may take up to 10 hours if the batteries are fully discharged).

WARNING The power cord may only be connected to a three-wire, grounded, hospital grade

receptacle.

3.3.3 Connecting to Network

Make sure that the Datex-Ohmeda Network Option, N-CMNET or S/5 MemCard and Network Option, N-CMMEM is installed.

NOTE: With L-CANE03(A) and L-CICU03(A) or newer software, the N-CMNET option is automatically installed.

Use the Monitor-Network cable to connect the monitor to the network.

1. Make sure that the power is switched off.

2. Connect the Identification Plug and one RJ-45 connector to the connectors X4 and X5.

3. Connect the other RJ-45 connector to the corresponding connector on the wallbox.

4. Switch on the power. Confirm that the network symbol and 'Connected to Network' message are displayed on the upper part of the screen.

3.3.4 Connecting to Wireless Network

Make sure that the S/5 Wireless LAN Option, N-CMW and the antenna cover are installed. Use the wireless LAN antenna card to connect the monitor to the network.

NOTE: The N-CMW option requires also that either N-CMNET or N-CMMEM option is installed.

1. Make sure that the power is switched off.

2. Connect the wireless LAN antenna card into the foremost card drive slot.

3. Switch on the power. Confirm that the wireless LAN network symbol and the wireless LAN signal strength symbol are displayed on the upper part of the screen.

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3.3.5 Inserting the parameter modules

Insert each plug-in parameter module into a module slot. Firmly press the module in position.

NOTE: Ensure that the module is properly oriented (i.e. the module release latch is facing downward). Do not use two or more modules with identical functions in the monitor.

Modules with identical functions are:

• 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

• Pressure Modules, E-P/ M-P, Pressure Temp Module, E-PT/ M-PT

• Cardiac Output Modules, E-COP, E-COPSv, M-COP and M-COPSv

• NIBP Modules, M-NIBP and hemodynamic multiparameter modules w/ N measurement

• Compact Airway Modules, E-CO, E-COV, E-COVX, E-CAiOVX, E-CAiOV, E-CAiO, M-C, M-CO,

M-COV, M-CAiO, M-CAiOV, M-CAiOVX, Single-width Airway Modules M-miniC, E-miniC

• The Recorder Module, E-REC/M-REC and the built-in recorders in F-CMREC1 or F-CMCREC1

and U-CMREC1 or N-CMREC1

System installation

3.3.6 Downloading Monitor Software

The following instructions apply to downloading of new monitor software in case of upgrade or service. Detailed instructions for downloading software are supplied with software PCMCIA cards.

NOTE: All user settings will be lost after downloading of new monitor software.

NOTE: During the downloading of software, the serial number of the monitor is written on the software card. The software can then be downloaded again onto the same monitor, but not onto any other monitor.

1. Make sure that the monitor is switched to standby.

2. Press and hold the service reset button on the rear panel for at least five seconds or until the service reset indicator LED turns off.

3. Open the cover for card drive slots, if installed. Insert the software card into one of the card drive slots and press the software card firmly in position.

4. Make sure that at least 30 seconds have passed since the service reset, then switch the monitor on.

5. Wait for approximately 80 seconds. After the start-up screen appears, enter the Service View and make sure that the information regarding monitor software has been updated. Memorize the serial number of new software.

6. Remove the software card.

7. Replace the original device plate for monitor software by the new one supplied with the software card.

8. Perform Factory Reset, see “Performing Factory Reset” . Make sure that the monitor functions normally after the restart.

9. Set the time and date.

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10. Set the monitor's network communication according to the network software in use, if necessary. Enter the service menu: Monitor Setup -Install/Service (16-4-34) - Service (26-23-8)- Frame - Network- Config and set

• Network software S-CNET99 -> DRI Level = 1999

• Network software S-CNET01 -> DRI Level = 2001

• Network software S-CNET02 -> DRI Level = 2001 or 2002 (WLAN)

• Network software L-NET03 -> DRI Level = 2003

• Network software L-NET05 -> DRI Level = 2005

NOTE: The DRI level 1999 is not selectable in all monitor software versions.

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

11. Fill out all necessary documentation regarding the new monitor software.

NOTE: The license agreement of monitor software needs to be in accordance with the monitor software serial number. Make sure you archive the license agreement in a secure location.

NOTE: The first start-up after software loading takes considerably longer.

3.3.7 Performing Factory Reset

NOTE: The factory reset is necessary after replacing monitor software.

NOTE: The factory reset will restore all customized defaults, including language selection, to factory defaults.

1. Press the

2. Select Install/Service and password (16-4-34).

3. Select Service and password (26-23-8).

4. Select Set/ Test and Factory Reset.

5. The monitor will perform an automatic restart. After the restart is completed, restart the monitor also manually.

Monitor Setup key.

3.3.8 Installing the Datex-Ohmeda Network and MemCard Upgrade, U-CMMEM

The following instructions apply to upgrading the monitor with both the MemCard and the Network options. Detailed upgrade instructions are supplied with the corresponding upgrade product.

NOTE: You can download the option software only onto one monitor. During the downloading of option software, the serial number of the monitor is written on the software card, and if the downloading for some reason would fail, the software can be downloaded again onto the same monitor, but not onto any other monitor.

1. Make sure that the monitor is switched to standby.

2. Detach the cover plate on the network connectors at the rear of the frame unit (above the power supply unit). Leave the collar on the connectors attached.

3. Open the cover for card drive slots (on the left side of the monitor). Insert the option software card into one of the card drive slots and press the software card firmly in position.

4. Switch the monitor on.

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5. Wait until the normal screen appears and check that a message 'Field upgrade OK' is displayed as a note of successful upgrade.

6. Remove the option software card.

7. Enter the service menu and make sure that both options were loaded (Monitor Setup

-Install/Service - Service - Frame - Options - "Net+DC").

8. Install the device plate for option software on inside the cover for card drive slots. Close the cover.

9. Test the monitor with a MemCard and by connecting it to Datex-Ohmeda Network.

10. Fill out all necessary documentation regarding the upgrade.

3.3.9 Installing the Datex-Ohmeda Network Upgrade, U-CMNET

The following instructions apply to upgrading the monitor with the Network option. Detailed upgrade instructions are supplied with the corresponding upgrade product.

System installation

1. Make sure that the monitor is switched to standby.

2. Detach the cover plate on the network connectors at the rear of the frame unit (above the power supply unit). Leave the collar on the connectors attached.

3. Open the cover for card drive slots (on the left side of the monitor). Insert the option software card into one of the card drive slots and press the software card firmly in position.

4. Switch the monitor on.

5. Wait until the normal screen appears and check that a message 'Field Upgrade OK' is displayed as a note of successful upgrade.

6. Remove the option software card.

7. Enter the service menu and make sure that the option was loaded (Monitor Setup

-Install/Service - Service - Frame - Options - "Net").

8. Install the device plate for option software on inside the cover for card drive slots. Close the cover.

9. Test the monitor by connecting it to Datex-Ohmeda Network.

10. Fill out all necessary documentation regarding the upgrade.

3.3.10 Installing the S/5 Wireless LAN Upgrade, U-CMW

The following instructions apply to upgrading the monitor with the Wireless LAN option. Detailed upgrade instructions are supplied with the corresponding upgrade product. You can download the option software only onto one monitor. During the downloading of option software, the serial number of the monitor is written on the software card, and if the downloading for some reason would fail, the software can be downloaded again onto the same monitor, but not onto any other monitor.

1. Make sure that the monitor is switched to standby.

2. Open the cover for card drive slots (on the left side of the monitor). Insert the option software card into one of the card drive slots and press the software card firmly in position.

3. Switch the monitor on.

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4. Wait until the normal screen appears and check that a message 'Field Upgrade OK' is displayed as a note of successful upgrade.

5. Remove the option software card.

6. Switch the monitor to standby.

7. Detach the cover for card drive slots and install the antenna cover.

8. Insert the wireless LAN antenna card into the foremost card drive slot.

9. Switch the monitor on.

10. Enter the service menu and make sure that the option was downloaded successfully (Monitor Setup - Install/Service - Service - Frame - Options - "WLAN" or "All").

11. Enter the WLAN service menu and enter appropriate Network ID, WEP Algorithm, Key ID and Encryption Key information (Monitor Setup - Install/Service - Service - Frame - Network - WLAN - WLAN Config).

12. Check all installed options on the monitor software device plate and attach the Virtual ID sticker under the device plate at the monitor rear panel.

13. Test the monitor on Datex-Ohmeda Network.

14. Fill out all necessary documentation regarding the upgrade.

3.3.11 Installing the S/5 Recorder Upgrade, U-CMREC1

NOTE: Only S/5 Compact Anesthesia Monitor rev. 02 or later and S/5 Compact Critical Care Monitor rev. 02 or later can be upgraded with this S/5 Recorder Upgrade kit.

1. Turn the monitor off.

2. Disconnect the power cord.

3. Push the Service Reset button for at least 5 seconds until the service reset indicator LED turns off (the fan should turn off).

4. Remove the plate that covers the recorder installation place in the side panel.

5. Open the recorder (by pressing the button on the right upper corner at the front of the recorder).

6. Insert the recorder from outside to the side panel (opening button upwards).

7. Attach the recorder to the side panel with two screws at the back of the recorder (the screws can be accessed inside the recorder).

8. Check that the recorder and the side panel are aligned and the recorder tightly attached.

Figure 7 Installation of the U-CMREC1

9. Attach the device plate to the back cover of the monitor, near the other device plates.

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3.4 S/5 Remote Controller, K-CREMCO

To connect S/5 Remote Controller, K-CREMCO, to an S/5 Compact Monitor:

1. Make sure that the monitor is switched to standby.

2. Connect the K-CREMCO to the 5-pin DIN connector X9 that is located on the right side of the Compact Monitor display unit.

3.5 Anesthesia Record Keeping Keyboard, K-ARKB

To connect Anesthesia Record Keeping Keyboard, K-ARKB, to an S/5 Compact Monitor:

1. Make sure that the monitor is switched to standby.

2. Connect the K-ARKB with an appropriate cable to the 5-pin DIN connector X9 that is located on the right side of the Compact Monitor display unit.

3.6 ARK Barcode Reader, N-SCAN (optional)

3.6.1 Connection to Compact Monitor

1. Make sure that the monitor is switched to standby.

2. Connect the N-SCAN with an appropriate cable to the 5-pin DIN connector X9 that is located on the right side of the Compact Monitor display unit.

System installation

Figure 8 ARK Barcode Reader, N-SCAN connected to Compact Monitor

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3.7 S/5 Compact Airway Modules, E-xxxx / M-xxxxx

This chapter provides information for installing Compact Airway Modules E-xxxxx.

Figure 9 Compact Airway Module, E-XXXX

Connection to frame

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.

3.7.1 Sample gas exhaust

Preventing operation room pollution

When N2O or volatile anesthetics are used, pollution of the operation room by these gases should be prevented. Connect the sample gas outlet of the monitor to the scavenging system or return it to the

patient circuit.

NOTE: The sample gas from the E-miniC/ M-miniC can only be connected to the scavenging, not returned to the patient circuit.

Connect the sample gas outlet of the monitor to the scavenging system either

• through the ventilator, or

• directly to the vacuum scavenging system.

CAUTION Strong scavenging suction may change the operating pressure of the Airway Module

and cause inaccurate readings or internal damage. To prevent this, there must for example be an opening to room air.

Connect the sample gas outlet only to an open scavenging system where gas is removed in room pressure.

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Scavenging through the ventilator reservoir

Figure 10 Scavenging through ventilator reservoir

1. Connect an exhaust line to the sample gas outlet on the module’s front panel.

2. Attach the other end of the line to the ventilator reservoir. Make sure that the reservoir tube diameter is at least 2 - 3 times larger than the exhaust line.

System installation

SAMPLE GAS OUT

Scavenging through the anesthesia gas scavenging system

Anesthesia machines are equipped with an anesthesia gas scavenging system (AGSS), and in some machines the sample gas outlet can be connected directly to that.

For example, connect the sample gas outlet to the S/5 Avance:

Figure 11 Connecting the gas module to the scavenging connector of S/5 Avance

NOTE: Refer to the anesthesia machine’s documentation to find out where and how the sample gas can be connected.

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Connecting directly to the vacuum scavenging system

1. Connect the exhaust line to the monitor’s sample gas outlet.

2. Connect the exhaust line only to an open scavenging system where gas is removed at room pressure. Do not connect the monitor directly to a vacuum scavenging system.

Returning sampling gas to the patient circuit

The sampling gas can also be returned to the patient circuit. If you use the S/5 Anesthesia Delivery Unit (ADU), you need an optional adapter connected to the patient breathing tubes.

Take special care when returning sample gas to the patient circuit. For further information, please contact your GE Healthcare distributor.

NOTE: If E-miniC is being used, do not return the sample gas to the patient circuit.

SCAVENGING

SAMPLE GAS OUT

Figure 12 Sample gas returned to patient circuit in ADU

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System installation

3.7.2 Troubleshooting

If a problem occurs during a functional examination, check the components of the monitor according to the following troubleshooting chart. If the problem persists, please refer to Part II of this Technical Reference Manual.

Trouble Treatment

Nothing functions. Unplug and re-plug Remote Controller Cable. Also confirm that the cable is intact.

Unplug and re-plug the Power Cord. Also confirm that the cable is intact.

Confirm that the fuses are intact.

A plug-in module does not function.

Compact Airway Module does not function.

Remove and replace the module.

Confirm that the desired parameters are configured to be displayed.

Confirm that ‘Occlusion’ or ‘Calibrating Gas Sensor’ messages are not displayed.

Confirm that a D-fend water trap and a sample tube are attached.

Confirm that the desired parameters are configured to be displayed.

Remove and replace the module.

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For your notes:

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4 Interfacing

External devices can be interfaced with the S/5 Compact Anesthesia and S/5 Compact Critical Care Monitors via the Compact Monitor’s serial port, via the Interface Module, E-INT / M-INT, and via the Device Interfacing Solution, N-DISxxx.

The serial port can be used for interface with:

• S/5 Anesthesia Delivery Unit

• Printers

• Computers

An E-INT / M-INT can be used for interface with:

• Datex-Ohmeda monitors

• Various other manufacturers’ monitors

• Various anesthesia machines

Printers and computers can be interfaced via the monitor’s serial port.

Device specific N-DISxxx modules can be used with:

Interfacing

• Ventilators/ anesthesia machines

• Heart-lung machines

• Monitors

• Blood-gas analyzers

4.1 Interfacing external monitors via Interface Module, E-INT / M-INT

It is possible to interface Datex-Ohmeda monitors, Critikon Dinamap 1846SX, Abbott Oximetrix 3, Baxter Explorer and Vigilance, Nellcor N-100, N-200 and N-1000 to the S/5 Compact Anesthesia Monitor or to the S/5 Compact Critical Care Monitor via Interface Module, E-INT / M-INT. The parameters that are transferred from external monitors are summarized in tables: Table 1

Transference of parameters, Datex-Ohmeda monitors and Table 2 Transference of parameters, external monitors.

The Interface Module, E-INT / M-INT, has two serial/analog connectors (X7 and X8).

WARNING Always make sure that the combination complies with the international safety

standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities.

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Table 1 Transference of parameters, Datex-Ohmeda monitors

Device Waveforms (analog) Numerics Alarms

Cardiocap E-INT / M-INT -> CO

Et&Fi Airway gases,

Respiration rate, SpO Pulse rate

Capnomac Capnomac II

Capnomac Ultima E-INT / M-INT -> CO

E-INT / M-INT -> CO Pleth

Et&Fi Airway gases,

Respiration rate

Et&Fi Airway gases,

Respiration rate, Spirometry, SpO

rate, Pleth amplitude

Normocap 200 Normocap 200 OXY

Oscar Oscar II Oscar OXY

E-INT / M-INT -> CO

E-INT / M-INT -> CO Pleth

Et&Fi Airway gases,

Respiration rate

Et&Fi Airway gases,

Respiration rate, SpO2, Pulse rate, Pleth

amplitude

Satlite Satlite II

E-INT / M-INT -> CO

SpO2, Pulse rate, Pleth

amplitude

Satlite Plus

Satlite Trans None SpO

, Pulse rate, Pleth

amplitude

Table 2 Transference of parameters, external monitors

, Pulse

None

, O2, Anesthesia

agent, Respiration rate, Apnea, Occlusion, SpO2,

Pulse rate

None

Device Waveforms Numerics Alarms

Critikon Dinamap 1846SX

Abbott Oximetrix 3

Baxter Explorer

Baxter Vigilance

Nellcor N-100 N-200 N-1000

None NIBP None

None SvO

None C.O., SvO

Pleth (analog) SpO

4.1.1 Connection to external Datex-Ohmeda monitors

Use the INT-External Device Cable.

1. Make sure that the power to both monitors is turned off.

2. Connect the 9 pin D-connector to one of the connectors on the Interface Module, E-INT / M-INT. Tighten the finger screws.

3. Connect the 25 pin D-connector to the corresponding connector on the other monitor. Tighten the finger screws.

/SaO2, CO None

REF, Tblood None

C.C.O., Tblood None

, Pulse rate None

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Interfacing

4.1.2 Connection to Critikon Dinamap 1846SX, Abbott Oximetrix 3 and Baxter Explorer

Use the INT-External Device Cable.

1. Make sure that the power to both monitors is turned off.

2. Connect the 9 pin D-connector to one of the connectors on the Interface Module, E-INT / M-INT. Tighten the finger screws.

3. Connect the 25 pin D-connector to the connector on the external monitor. Tighten the finger screws.

4.1.3 Connection to Baxter Vigilance

Use the INT-Baxter Vigilance Cable.

1. Make sure that the power to both monitors is turned off.

2. Connect the 9 pin D-connector to one of the connectors on the Interface Module, E-INT / M-INT. Tighten the finger screws.

3. Connect the other 9 pin D-connector to a corresponding connector on the external monitor. Tighten the finger screws.

Communication parameters are: baud rate 19200, no parity (none), data bits 8, stop bits 1. Mode of communication port: IFM out.

4.1.4 Connection to Nellcor N-100 and N-1000

Use the Monitor-Nellcor Cable.

1. Make sure that the power to both monitors is turned off.

2. Connect the 9 pin D-connector to one of the connectors on the Interface Module, E-INT / M-INT. Tighten the finger screws.

3. Connect the other connector to the corresponding connector on the external monitor. Tighten the finger screws. Connect also the mono connectors on the external monitor.

4.1.5 Connection to Nellcor N-200

Use the Monitor-Nellcor Cable.

1. Make sure that the power to both monitors is turned off.

2. Connect one of the connectors to the corresponding connector on Interface Module, E-INT / M-INT. Tighten the finger screws.

3. Connect the other connector to the corresponding connector on the external monitor. Tighten the finger screws. Connect also the mono connectors on the external monitor. Connect also the mono connectors on the external monitor.

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4.2 Interfacing external bedside devices via S/5 Device Interfacing Solutions, N-DISxxx

The Device Interfacing Solution, N-DISxxx provides means for transferring physiological, waveform and event data from various bedside patient care devices to the Datex-Ohmeda monitoring system. The real-time and trended data can be displayed on the monitor screen and used for record keeping purposes. The interfacing module reads the data coming from the external device, converts it to a suitable format and sends it to the monitor.

See the following table of DIS modules and devices that you can interface with the Device Interfacing Solution.

NOTE: The Device Interfacing Solution (DIS) is only compatible with the S/5 Compact Anesthesia and S/5 Compact Critical Care Monitor when the monitor has S/5 Monitor software of rev. 02 or later installed.

Table 3 DIS modules and interfaced devices

Device Ventilators

N-DISEV4

N-DISPRIM

N-DIS7200

N-DIS840

N-DISS300

N-DIS7900

N-DISAEST

N-DISVENT

Evita 4

Primus

NOTE: Not available in the US

7200 Series Ventilator System

840 Ventilator System

Servo Ventilator 300

7900 SmartVent Ventilator

Aestiva/5

S/5 Aespire

Aestiva/5d.

Aisys Carestation

S/5 Avance

Centiva/5

Engström Carestation

a. Trademark of Dräger Medical AG & Co b. Trademark of Nellcor Puritan Bennet Inc c. Trademark of Maquet Critical Care AB part of the Getinge Group (previously trademark of Siemens) d. Trademark of GE Healthcare Finland Oy e. Replaced by N-DISVENT

Device Monitors

N-DISOXIM3

N-DISQVUE

N-DISA2000

N-DISVIGIL

N-DISPICCO

Oximetrix 3

QVue /Q2a.

A-2000 Bispectral Index Monitoring System

Baxter-Vigilance

PiCCO-Technology

NOTE: Not available in the US

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Interfacing

N-DISRGM

N-DISTONO

N-DISWHITE

a. Trademark of Hospira Inc. (previously trademark of Abbott Laboratories) b. Trademark of Aspect Medical Systems c. Trademark of Edwards Lifesciences Corporation d. Trademark of Pulsion Medical Systems e. Trademark of GE Healthcare Finland Oy

RGM Monitor

Tonocap

Capnomac, Capnomac II

Multicap, Normocap, CD2-O2

Capnomac Ultima

Normocap CD-200

Oscar Oxy, Cardiocap 1GS, Cardiocap 2GS

Satlite, Satlite Trans, Satlite Plus

Device Blood gas analyzers

N-DISOPT

AVL Opti CCA

Device Heart-lung machines

N-DISHL20

a. Trademark of Diamond Diagnostics Inc b. Trademark of MAQUET GmbH & Co. KG part of the Getinge Group

Jostra HL-20

For specific information on parameters transferred from the interfaced device to the Datex-Ohmeda monitor and the applicable software versions of the device refer to the Installation guide accompanying each DIS module.

4.2.1 Device Interfacing Solution components

The Device Interfacing Solution consists of:

− a device specific interfacing module

− a device specific cable

− a bus cable

− a connector for another bus cable

− label specifying the external device

4.2.2 Connections

Connect the device specific cable to the external device and the bus cable to the monitor's DIS connector or to another interfacing module.

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(1) label specifying the external device

(2) LED indicators

(3) black bus cable from another interfacing

module, if needed

(4) grey device specific cable to the

communication port of the external device

(5) black bus cable to the monitor’s DIS

connector (or to another interfacing module)

Figure 13 Connection cables and LED indicators

WARNING The Compact Monitor, interfacing modules and interfaced devices must be

situated in the same patient environment (as defined in IEC 60601-1-1).

WARNING Connecting electrical equipment together or using the same extension cord for

more than one device may cause their leakage currents to exceed the limits specified in relevant safety standards. Always make sure that the combination complies with the international safety standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities.

WARNING The manufacturer guarantees a reliable functioning of the devices with tested

software versions only. Always refer to the Installation guide accompanying the DIS module and verify the compatibility before use.

4.2.3 Mounting

The DIS module can be mounted on the side panel of the external device. Also IV pole placement is possible.

NOTE: As the Device Interfacing Solution works only with the device specified in the label of the interfacing module, it is recommended that the interfacing module always travels along with the external device.

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Interfacing

For mounting accessories, please refer to the “Supplies and Accessories” catalog. See the figure below for an example of a device interfacing.

Figure 14 An example of interfacing external devices with Device Interfacing Solution

(1) Datex-Ohmeda S/5 Compact Anesthesia Monitor (with software L-CANE02(A) or later)

(2) Aestiva/5 anesthesia machine

(3) RGM monitor

(4) Interfacing module

NOTE: You can connect up to ten (10) interfacing modules to one system simultaneously. Check the maximum number of modules: one meter cable = max. four ten modules, three meter cable = max. three modules, six meter cable = one module.

CAUTION Make sure that the interfacing module is always used in vertical position to prevent

water from entering the module.

CAUTION Make sure that you are connecting the interfacing module to the device specified in

the label.

4.2.4 Selecting the external device

1. Turn off the external device.

2. Connect the interfacing module to the monitor’s connector for S/5 DIS or to another interfacing module.

3. Connect the device specific cable to the external device and turn the external device on.

4. The monitor identifies the connected device automatically.

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4.2.5 Functional check

There are two ways to check the function of the S/5 Device Interfacing Solution:

1. Press the

Monitor Setup key.

2. Select Interfacing and open the Status Page menu. The status page shows you the current communication status of the interfacing module (1 - 10).

NOTE: The status message ‘Connected’ appears on the Status Page after you have connected the external device to the interfacing module and turned it on. Note also that the monitor and the interfacing module must be operational.

• Check the LED indicators on the interfacing module (the green LED indicates physical

connections, the yellow LED software selections)

GREEN YELLOW INDICATION

lit dark

Physical connections between the monitor, interfacing module and external device are in order and the device has been selected in the menu.

dark

lit lit

lit

There is something wrong with the physical connections between the monitor, interfacing module and external device. The external device has not been selected in the menu.

Physical connections between the monitor, interfacing module and external device are in order but the external device has not been selected in the menu.

dark dark

The interfacing module is not connected to the monitor.

4.2.6 Selecting the parameter data source

Select the external device via Monitor Setup - Interfacing menu:

• Select the desired parameter, for example Gases.

• Select the desired source by name, for example Aestiva.

NOTE: The name of the device is visible on the list only if the device is correctly connected.

NOTE: Detailed information about interfacing module related mountings, connections and settings is included in the installation guides that are delivered with the interfacing modules.

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4.3 Interfacing Datex-Ohmeda Anesthesia Delivery Unit

It is possible to interface the Datex-Ohmeda Anesthesia Delivery Unit to the S/5 Compact Anesthesia Monitor via the serial interface port. The data link is bi-directional. The parameters transferred to the Anesthesia Delivery Unit are summarized in Table 4 and the events transferred to the S/5 Compact Anesthesia Monitor are summarized in Table 5. The events are transferred continuously once a minute or during the system check procedure and appear in the trend pages or in the anesthesia record. The transfer of events requires record-keeping software.

4.3.1 Interconnection

Use the ADU-AS/3 Monitor Cable.

4.3.2 Setting interfacing parameters on the S/5 Anesthesia Delivery Unit

1. Press the Setup key.

2. Select Install password 10.

3. Select Interfacing and choose S/5 AM.

4. Press the

Normal Screen key.

Interfacing

4.3.3 Setting interfacing parameters on the S/5 Compact Anesthesia Monitor

No settings are required on the S/5 Compact Anesthesia Monitor.

Table 4 Parameters transferred from S/5 Compact Anesthesia Monitor to S/5 Anesthesia

Delivery Unit

Waveforms Numerics

Et & Fi CO2 % Et & Fi O O

Et & Fi N Et & Fi AA%

Vol Exp MV Vol Exp TV

% difference (I-E)

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Table 5 Events transferred from S/5 Anesthesia Delivery Unit to the S/5 Compact

Anesthesia Monitor

Events transferred once a minute

Ventilator settings Ventilation (mode)

Tidal Volume Minute Volume Resp. Rate I:E Times: inp I:E Times: exp InspPause

Ventilator measurements Ppeak

Pplat Peep Pmin

Fresh gas settings Agent name

Agent % in fresh gas Total flow O

flow

O flow

Air flow

Events transferred during system check

System check test results Gas Delivery: Agent

Gas Delivery: N

Leak Tests: AUTO AUTO Leak (ml/min) Leak Test: MAN MAN Leak (ml/min) Number of confirmed checklist items Bypass Check

4.4 Interfacing Dräger Cicero, Cato, Julian and Narkomed 2C (by NAD)

It is possible to interface Dräger Cicero and Cato to the S/5 Compact Anesthesia Monitor or to the S/5 Compact Critical Care Monitor via the Interface Module, E-INT / M-INT.

The parameters transferred to the S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor are summarized in Table 6 and Table 7.

NOTE: Some of the summarized parameters (waveforms or numerics) may not be available in all device versions.

WARNING Always make sure that the combination complies with the international safety

standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities.

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Interfacing

4.4.1 Interconnection

Use the INT-External Device Cable, except for Julian and Cicero EM, in which case use the INT-Julian/Cicero EM cable.

1. Make sure that the power to both monitors is turned off.

2. Connect the 9 pin D-connector to one of the connectors on the Interface Module, E-INT / M-INT. Tighten the finger screws.

3. Connect the 25 pin D-connector to a corresponding connector on the anesthesia machine. The connector is labeled 'RS-232-C'. Tighten the finger screws.

4.4.2 Setting communication parameters

Set the communication parameters for Cicero and Cato to RS-232: 9600, e, 8, 1 (MEDIBUS 3.00). In all cases please refer to the documentation provided by Dräger.

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

1. Press the Monitor Setup key.

2. Select Install/Service (password 16-4-34).

3. Select Service (password 26-23-8) - Parameters - More...

4. Select Interface and combine a required parameter with the external monitor. Two letters, al,

denote alarm integration. The selection will be automatically stored in permanent memory.

5. Press the

Normal Screen key.

Table 6 Parameters transferred from Dräger Cicero monitor to S/5 Compact Anesthesia

Monitor or S/5 Compact Critical Care Monitor

Selection Waveforms Numerics States

Gases / SSS CO

SpO

Pleth (% full scale) SpO2 (%)

(kPa, mmHg, %) CO2 Fi & Et (kPa, %)

Fi & Et (%)

O Fi & Et (%)

RR (CO AA Fi & Et (%)

Tidal Volume insp. (1) Minute Volume exp. (1) Ppeak (mbar) Pplat (mbar), PEEP (mbar)

Pulse rate (1/min)

) (1/min)

None

Probe Off

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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

Selection Waveforms Numerics States

Gases / SSS CO2 (kPa, mmHg, %) CO2 Fi & Et (kPa, %)

Fi & Et(%)

N2O Fi & Et (%) RR (CO2) (1/min) AA Fi & Et (%)

Tidal Volume insp. (1) Minute Volume exp. (1) Ppeak (mbar) Pplat (mbar); not in Narkomed 2C PEEP (mbar)

SpO

Pleth (% full scale) SpO2 (%)

Pulse rate (1/min)

NOTE: The transference of parameters illustrated in Table 4 and Table 5 represents the maximum. Some of these parameters may not be available in all device versions.

NOTE: The transference of waveforms requires the MEDIBUS real-time extension and, in Cato monitors, waveforms are available only on port 1.

4.5 Interfacing printer

It is possible to interface a laser printer (serial or parallel) with the S/5 Compact Monitors via the monitors’ serial port. The printer should be PCL5 compatible and should contain at least 2 MB of memory. Parallel printers require the use of Serial-to-Parallel Converter, order code 78030, model PI 130-R2 or PI 1115A.

None

Probe Off

WARNING Always make sure that the combination complies with the international safety

standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities.

WARNING Connecting the power supply cord of the printer to the wall power outlet may

cause the printer leakage current to exceed the limit specified for medical equipment. A printer must be supplied from an additional transformer providing at least basic isolation (isolating or separating transformer).

4.5.1 Setting S/5 Compact Monitor interface for printers

1. Press the Print/Record key.

2. Select Printer Connection.

3. Select Serial.

4. Press the

Normal Screen key.

4.5.2 Connection to serial printers

A serial printer is connected to the serial port connector X11 on the frame unit.

Contact your authorized GE Healthcare distributor for advice on suitable serial printers.

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4.5.3 Connection to parallel printers

A parallel printer is connected to the serial interface port connector X11 on the frame unit via the Serial-to-Parallel Converter, order code 78030, model PI130-R2 or PI1115A.

Contact your authorized GE Healthcare distributor for advice on suitable parallel printers.

4.5.4 Installing the Serial-to-Parallel Converter

Order code 78030, model PI130-R2

A common serial modem cable, gender changer and parallel printer cable are required when connecting the serial to parallel converter between the monitor and a parallel printer. The converter gets power from the connected devices.

1. Make sure that power is switched off on both devices.

2. Connect a standard PC-to-parallel-printer cable (order code 713701) to the parallel printer.

3. Check the DIP-switch settings on the converter (order code 78030, model PI130-R2):

Position

OFF4OFF

Flow Control: hardware

LED: Enabled

Parity/D, Bits/S, Bit: None/8/1

D.Rate (kbps): 115,2

OFF

OFF7ON8OFF

Interfacing

4. Connect a DB25 female-to-female gender changer (order code 78032) between the printer cable and converter.

DB9F plugs into CM1

1234

Standard Async Modem Cable

Gender changer plugs into converter

Serial to Parallel

Converter

DB25M end plugs into gender changer

DB25F/DB25F

Gender Changer

Centronics

end plugs

into printer

Standard Parallel Printer

Adapter Cable

Parallel printer

Figure 15 Connecting S/5 Compact Monitor to printer, converter model PI130-R2

5. Connect a common RS-232 modem cable’s (order code 78031) DB9 connector to the serial port connector X4 on the monitor, and the DB25 connector to the converter.

Order code 78030, model PI1115A

A common serial modem cable, power adapter and parallel printer cable are required when connecting the serial to parallel converter between the monitor and a parallel printer. The converter gets power from an external power supply and requires an external power adapter.

NOTE: The order code 78030 includes the new serial to parallel converter PI1115A and the European power adapter PS1002-EU (230 VAC/50 Hz). Power adapters for US, UK or Asian markets must be locally sourced from Black Box Corporation through its international distributor network, see http://www.blackbox.com - Contact us - Contacts by Country.

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cam p1 inst serial parallel conv p1115A a

To connect the S/5 Compact Monitor to printer:

1. Make sure that power is switched off on both devices.

2. Connect a standard PC-to-parallel-printer cable (order code 713701) to the parallel printer.

3. Check the DIP-switch settings on the converter (order code 78030, model PI1115A).

Setting Position

12345678

115.2K Baud ON ON ON

XON/XOFF OFF

8 Data bits OFF

No parity OFF

Even parity OFF

Serial to Par. OFF

4. Connect a common RS-232 modem cable’s (order code 78031) DB9 connector to the serial port connector X4 on the monitor, and the DB25 connector to the converter.

5. Connect the converter to external power supply using the power adapter PS1002-xx.

PS1002-EU, Power Adapter, 230 VAC Europe, for PI1115A (included in p/n 78030),

DB9F plugs into CM1

plugs to power supply

Centronics

end plugs

into printer

Standard Async Modem Cable

p/n 78031

Serial to Parallel

Converter

p/n 78030 (PI1115A) p/n 713701

Standard Parallel Printer

Adapter Cable

Parallel printer

Figure 16 Connecting S/5 Compact Monitor to printer, converter model PI 1115A

4.5.5 Connection to printer

Setting the printing parameters

Refer to the documentation provided with the printer.

4.6 Interfacing computer

A computer is connected to the serial port connector X11 on the frame unit. Contact your authorized GE Healthcare distributor for further advice on computer interface.

WARNING Always make sure that the combination complies with the international safety

standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities.

WARNING Connecting the power supply cord of the computer to the wall power outlet may

cause the computer leakage current to exceed the limit specified for medical equipment. A computer must be supplied from an additional transformer providing at least basic isolation (isolating or separating transformer).

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4.7 Output signals

Analog/ digital output signals on the connectors X4 and X8 can be used for interfacing with other devices. The pin assignments are illustrated in tables/pictures below.

Table 8 Coding element connector, X4

9 pin female D-connector Pin Signal

Interfacing

Table 9 Synchronization connector, X8

4 pin female connector Pin Signal

2 3 4 5 6 7 8 9

1 2 3 4

IDCS1 (chip select) IDCL (clock) IDDI (data in) IDDO (data out) IDPE (protect enable) +5Vdc Direct ECG Nurse call GND

GND Def_Sync Direct ECG Pressure Out

4.7.1 Digital outputs

The digital output signals are as follows:

Defibrillation Sync (X8 pin 2)

The defibrillation sync signal is generated by the ECG. When activated, the signal is set to a high level and then set back to a low level after 10 ms. The signal is regenerated only after returning to the low level. The high level ranges from 2.8 to 5 V, while the low level ranges from 0 to 0.8 V. The delay from the R wave peak to the start of the signal is 35 ms maximum.

Nurse Call(X4 pin 8)

The Nurse Call signal is generated by red and yellow alarms. When activated, the signal is set to the high state and remains at the high state until the alarm situation is over or the pressed. The high state range is from 2.8 to 5 V, while the low state range is from 0 to 0.8 V.

SILENCE ALARM key is

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4.7.2 Analog outputs

Direct ECG (X4 pin 7 and X8 pin 3)

Delay (max.): 15 ms Gain ECG (out)/ECG (in): 1 V/1 mV Pacer: 5 V and 2 ms pulse

The signal requires input impedance of 100 kΩ.

NOTE: The ECG signal is based on the ECG measurement of the Hemodynamic Modules, M-ESTPR (all variations), M-NES(12)TPR (all variations), E-PRESTN/ M-PRESTN (all variations). The ECG signal from the modules is channel 1 (ECG1). The channels 2 and 3 (ECG2, ECG3) are not transmitted. Make sure that the signal in channel 1 (ECG1) is good enough (extensive QRS for IABP synchronization). For further information, please contact your authorized GE Healthcare distributor.

Pressure out (X8 pin 4)

− P1 from Hemodynamic Module

NOTE: With monitor software version 03 or earlier, the Invasive pressure output signal is 1 V/100 mmHg, originally ranging from 0 to 300 mmHgand with a delay of approximately 25ms. The signal requires an input impedance of 100k.

4.7.3 S/5 Pressure Temp Module, E-PT or M-PT, output signals

The signal output connector on the Pressure Temp Module, E-PT or M-PT, can be used to interface some models of IABPs to the S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor. The pin assignments are illustrated in Table 10. Please contact your local distributor for more information.

WARNING Always make sure that the combination complies with the international safety

standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities.

Table 10 Signal output connector pin assignments

Pin Signal

1 2 3 4

ECG out, ECG1 Pressure out, P3 ECG out, ECG1 Ground

Output signals

ECG out, ECG1 1V / 1mV Pressure out, P3 1V / 100mmHg ECG out, ECG1 1V / 1mV

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5 Functional check

These instructions include procedures for a functional check for Datex-Ohmeda S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor. The functional check is recommended to be performed after monitor installation.

These instructions include a “Functional check form, Datex-Ohmeda S/5 CAM, CCCM” to be filled in

Functional check

when performing the procedures. The symbol

procedure should be signed in the check form. The procedures should be performed in ascending order, bypassing those that are not applicable for a particular monitor.

All menu selections related to Datex-Ohmeda products are written in following typeface: e.g. Parameters - Gas Unit.

As you enter the service menus, you need the following passwords:

" in the instructions means that the performed

Monitor Setup - Install/Service (password 16-4-34) - Service (password 26-23-8)

In case you evaluate the measurement accuracy with a patient simulator, add simulator’s accuracy specification to the one of the monitor.

An electrical safety check and a leakage current test are recommended to be performed prior to the monitor installation.

5.1 Recommended tools

For product(s) Tool Order No.

Airway modules

Compact Airway Module, E-CAiO(VX)/ M-CAiO(VX)

Compact Airway Module, E-COVX/ M-COVX

Calibration gas and regulator 755583/755534*

Calibration gas and regulator 755587/755534*

Compact Airway Module, E-CO(V), M-C, M-CO(V)

E-miniC/ M-miniC Calibration gas and regulator 755580/755534*

Compact Airway Module, E-COVX, E-CAiOVX, M-COVX, M-CAiOVX

All Airway modules w/ (V) Spirometry tube, 2 m 890031

Hemodynamic modules

Hemodynamic modules w/ (P), M-NIBP

Hemodynamic modules w/ (P) InvBP transducer 70077-001

Calibration gas and regulator 755581/755534*

Sampling line, 2 m 73318

D-lite 733950

NIBP cuff and hose 2753E (cuff)

877235 (hose)

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For product(s) Tool Order No.

Multi-Link ECG accessories, IEC

E-PSM(P)/ E-PRESTN/ M-PRESTN

- Multi-link 3-leadwire set 412682-003

- Multi-link 5-leadwire set 412681-003

- Multi-link 5-leadwire set, C2-C6 416467-004

E-PRESTN/ M-PRESTN w/ (E12) - Multi-link 12-lead ECG trunk cable 416035-002

or Multi-Link ECG accessories, AHA

E-PSM(P)/ E-PRESTN/ M-PRESTN - Multi-link 3-leadwire set 412682-001

- Multi-link 5-leadwire set 4162681-001

- Multi-link 5-leadwire set, V2-V6 416467-003

E-PRESTN/ M-PRESTN w/ (E12) - Multi-link 12-lead ECG trunk cable 416035-001

M-NESTPR 3-lead ECG trunk cable 545302

5-lead ECG cable 545303

M-NESTPR w/ (E12) 10-leadwire ECG cable 545324

E-PSM(P)/ E-PRESTN SpO

M-PRESTN SpO

E-NSAT/ M-NSAT Nellcor SpO

finger probe OXY-F-UN

Interconnect Cable OXY-ES3

SpO

finger probe OXY-F4-N or SAS-F4

probe

Hemodynamic modules w/ (T) Temperature test set 884515

Hemodynamic E-Modules w/ (NIBP) Adult NIBP cuff hose with cuff ID 2021285-001

Infant cuff hose without cuff ID 414874-001

Hemodynamic M-Modules w/ (NIBP) Adult NIBP cuff 572435

Adult NIBP cuff hose 877235

E-COP/ E-COPSv/ M-COP/ M-COPSv C.O. Catheter cable 16590

E-COPSv/ M-COPSv SvO

simulator 890121

Tonometry Module, E-TONO/ M-TONO Calibration gas and regulator 755580/755534*

Sampling line 733251

Tonometrics

catheter

TONO-14F or another suitable TONO-_F catheter

Luer plug

Pressure manometer

EEG Module, E-EEG/ M-EEG Earphones

EEG simulator 90502

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For product(s) Tool Order No.

Functional check

BIS Module, E-BIS/ M-BIS BIS simulator or

BIS Sensor simulator

900509 900508

E-ENTROPY/ M-ENTROPY Entropy simulator N-ES

Entropy sensor cable 8002964

E-NMT/ M-NMT NMT simulator 871251

M-NMT ElectroSensor 888416

M-NMT sensor cable 888415

MemCard option MemCard – Data or Menu 893860 (Menu, English)

887045 (Data, English)

NOTE: * Ensure that the calibration gas and regulator are functioning properly before calibration. Perform annual maintenance on the regulator as required. For more information see section “Adjustments and calibrations” in Compact Airway modules slot.

For details on recommended accessories see “Supplies and Accessories” catalog.

5.1.1 Hemodynamic patient simulators

The following tables present the patient simulators’ compatibility with each hemodynamic module, and the accessories needed:

Table 11 Patient simulators’ compatibility with each hemodynamic module

Patient simulator

Module Parameter

M1010831 MedSim 874027

E-PSM(P), E-PRESTN ECG Ok Multilink ECG acc. Not compatible

T 402015-004 402015-004 and

M1010832

InvBP Ok M1010858

ECG

M-PRESTN ECG Ok Multilink ECG acc. Not compatible

Auto

Start

Zero

Cancel

Zero

SpO

On/Off

NIBP

TOk M1010832 M1010832

InvBP Not compatible Ok Ok

ECG

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Patient simulator

Module Parameter

M1010831 MedSim 874027

M-NESTPR ECG Not compatible 300 series acc. Ok

12 lead ECG Not compatible 300 series acc. Not compatible

NIBP

TOk M1010832 M1010832

ECG+ Resp

SpO

InvBP Not compatible Ok Ok

Table 12 Adapter cables for hemodynamic patient simulators

Patient simulator Adapter cables for simulators

Hemodynamic patient simulator - Dual temperature adapter cable 402015-004

Hemodynamic patient simulator - Dual Inv.BP adapter cable 2005772-001

Medsim - Temperature adapter cable M1010832

Medsim - Inv.BP adapter cable M1010858

Lionheart & MPS450 - Temperature adapter cable M1010846

Lionheart & MPS450 - Inv.BP adapter cable M1010862

5.2 Visual inspection

• Make sure that the monitor is switched to standby.

Disconnect the mains power cord from the monitor. If the monitor is connected to the Datex-Ohmeda Network, disconnect the Mon-Net cable from the monitor. Remove any memory cards, if installed.

1. Check all units visually

Check that all parts are intact and that the cables and screws are connected and tightened properly. Especially check the following parts:

− the display unit locking screw is in a locking position.

− sampling line is connected to the Airway Module, if installed.

Check that modules go in smoothly and lock up properly.

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5.3 Functional inspection

5.3.1 General

1. Connect the mains power cord. Check that the LED above the main switch is lit continuously (full charged batteries) or periodically (charging batteries).

2. Switch the monitor on. Check that the monitor starts up properly, i.e. a normal start-up sound is heard from the loudspeaker, the alarm LEDs turn on and off, and the monitoring screen appears. No error messages should appear on the screen.

3. Configure the screen for the parameters that are connected.

4. Enter the Service Menu.

When applicable, check from the corresponding Parameters submenu that the Timeouts, Bad checksums and Bad c-s by mod values of inserted modules are not increasing faster than by 5 per second. Check also that the module memories have passed the internal memory test, i.e. RAM, ROM and EEPROM all state OK. If installed, the recorder should record two lines of start-up information.

Functional check

Preset the measurement settings for those parameters that are connected, for example:

Recorder - Record Waveforms - Waveform 1 - ECG1

- Waveform 2 - P1

- Waveform 3 - P2

Invasive Pressures - P1 ‘ART’ Setup -- Label – ART

- P2 ‘CVP’ Setup -- Label – CVP

- P3 Setup -Label –PA

- P4 Setup -Label -P4

- P5 Setup -Label -P5

- P6 Setup -Label -P6

Pulse Oximetry -Pleth Scale –AUTO

Others -SPO2 Setup - Pleth Scale –AUTO

Airway Gas -Spirometry View -Scaling -Indep.

-Paw Scale –20

-Flow Scale –15

Ventil.-Spirometry Setup -Scaling -Indep.

-Paw Scale –20

-Flow Scale –15

Others -Resp Setup -Size -1.0

- Resp Rate Source – AUTO

- Measurement – ON

- Detection Limit – AUTO

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5.3.2 Display

1. Check that the picture on the screen is correct.

5.3.3 Keyboard(s)

1. Tests with all the connected keyboards:

− Press the

cursor in the menu moves correspondingly. Select Normal Screen and check that the menu disappears from the screen.

Tests with the Command Board:

− Press the

menu moves correspondingly. Select Normal Screen and check that the menu disappears from the screen. Check the rest of the menu keys by pressing them one by one.

Tests with the ARK Keyboard:

− Enter the Keyboard service menu

− Check functioning of the ComWheel.

− Press all keys, except

loudspeaker, or the Message count value in the service menu increases.

− Press the

monitor screen.

Tests with the Remote Controller:

− Enter the Keyboard service menu.

− Check the function of the ComWheel.

− Press all keys. Check that each key produces a sound from the loudspeaker, or the

Message count value in the service menu increases.

Monitor Setup key. Turn the ComWheel in both directions and check that the

Help key. Turn the ComWheel in both directions and check that the cursor in the

Modify and Print. Check that each key produces a sound from the

Modify and Print keys and check that the corresponding menus appear on the

5.3.4 Frame unit

1. Check that the frame fan is running.

5.3.5 Display unit

2. Check that the clock on the screen shows correct time. Readjust the time and date, if necessary.

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5.3.6 Compact Airway Module, E-CXXXXX/ M-CXXXXX

Wait until the message ‘Calibrating gas sensor’ disappears from the screen.

1. Check that the fan is running.

2. If the module contains membrane keys on the front panel, press each of the keys for at least one second and check that they are identified.

Compact Airway Modules with the Patient Spirometry option

3. Connect a clean spirometry tube and D-lite to the module. Connect the sampling line. Breathe through the wider side of the D-lite. Check that the flow waveform moves downwards when you breathe in and upwards when you breathe out.

For all Compact Airway Modules

4. Block the tip of the sampling line with your finger and check that the message ‘Sample line blocked’ appears on the monitor screen within 30 seconds.

5. Detach the D-fend and check that the message ‘Check D-fend’ appears on the monitor screen within 30 seconds.

6. Breathe to the sampling line briefly. Check that the CO2 information is updated on the screen.

Functional check

5.3.7 Single width Airway Module, E-miniC/ M-miniC

Wait until the message ‘Calibrating gas sensor’ disappears from the screen.

1. Block the tip of the sampling line with your finger and check that the message ‘Sample line blocked’ appears on the monitor screen within 30 seconds.

2. Detach the Mini D-fend and check that the message ‘Check D-fend’ appears on the monitor screen within 30 seconds.

Breathe to the sampling line briefly. Check that the CO2 information is updated on the screen.

5.3.8 Tonometry Module, E-TONO/ M-TONO

1. Press each of the front panel membrane keys for at least one second and check that they are identified.

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5.3.9 Multiparameter Hemodynamic Modules

ECG and RESP measurements

1. Check the function of the front panel membrane key ECG, Lead, if available.

2. Connect an ECG cable to the module. Connect the cable leads to a patient simulator. Check that all ECG and impedance respiration information is shown on the monitor screen as configured on the simulator.

Turn the simulator off. Check that the ‘Asystole’ and ‘Apnea’ messages are displayed.

Temperature measurement

3. Check the temperature channels with a patient simulator.

Check that temperature measurement information is shown on the monitor screen as configured on the simulator.

Invasive blood pressure measurement

4. Check the function of the front panel membrane keys.

5. Check the InvBP channels with a patient simulator.

6. Zero the InvBP channels and check that the values and waveforms correspond to the simulator settings.

SpO2 measurement

7. Connect an SpO2 finger probe to the module. Check that the message ‘Probe off’ is shown when the probe is not connected to a finger.

8. Attach the SpO2 probe to your finger. Check that a reading of 95-99 and a pleth waveform appear on the screen

Non invasive blood pressure measurement

9. Check the function of the front panel membrane keys.

10. Attach an adult NIBP cuff onto your arm and perform one NIBP measurement. Check that the module identifies the cuff, i.e. the text ‘Adult’ appears in the NIBP digit field for a short time.

Check that the module gives a reasonable measured result.

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

Invasive blood pressure measurement

1. Check the function of the front panel Zero P3 key.

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2. Check the InvBP channel with a patient simulator.

Zero the InvBP channel. Then check that the values and waveforms correspond to the simulator settings.

Temperature measurement

3. Check the temperature channels with a patient simulator.

Check that the temperature measurement information is shown on the monitor screen as configured on the simulator.

5.3.11 Dual pressure Module, E-PP/ M-PP

1. Check the function of the front panel Zero P5 and Zero P6 keys.

2. Check the InvBP channels with a patient simulator.

Zero the InvBP channels. Then check that the values and waveforms correspond to the simulator settings.

Functional check

5.3.12 Cardiac Output Modules, E-COP/ M-COP, E-COPSv/ M-COPSv

Invasive blood pressure measurement

1. Check the function of the front panel Zero P4 key.

2. Check the InvBP channel with a patient simulator.

Zero the InvBP channel. Then check that the values and waveforms correspond to the simulator settings.

Cardiac Output measurement

3. Check the function of the front panel Start C.O. key.

5.3.13 NIBP module, M-NIBP

1. Check the function of the front panel membrane keys.

2. Attach an adult NIBP cuff onto your arm and perform one NIBP measurement.

Check that the module identifies the cuff, i.e. the text ‘Adult ’ appears on the NIBP digit field for a short time.

Check that the module gives a reasonable measured result.

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5.3.14 Nellcor Compatible Saturation module, E-NSAT/ M-NSAT

1. Connect a Nellcor SpO2 finger probe to the module. Check that the message ‘Pulse search ’ is shown. Check also that the shown message changes to ‘Check probe ’ within 30 seconds.

2. Attach the SpO2 probe on your finger. Check that a reading of 95-100 and a proper SpO2 waveform appear.

5.3.15 Datex-Ohmeda Oxygen Saturation module, M-OSAT

1. Connect an OxyTip ® + Reusable Finger Sensor such as Integrated Finger Sensor OXY-F4-N to the module. Check that the message ‘No Probe’ in the screen changes to ‘Check probe’.

2. Attach the SpO2 probe on your finger. Check that a reading of 95-100 and a proper SpO2 waveform appear.

5.3.16 BIS Module, E-BIS/ M-BIS

1. Connect the BIS module to the monitor frame.

Check that ‘Cable off’ is displayed in the BIS waveform field.

2. Connect the DSC to the module.

Check that the ‘No sensor’ message appears in the waveform field.

3. Check the function of the front panel membrane keys. Open the BIS Setup menu:

NOTE: If the sensor is not connected, the

BIS - BIS Setup and check that Test DSC shows PASS.

Check Sensor key is inoperative.

5.3.17 Entropy Module, E-ENTROPY/ M-ENTROPY

1. Check the function of the front panel membrane keys.

2. Connect the Entropy sensor cable and Entropy simulator to the module. Check that ‘Checking sensor’ text and an image appear in the waveform numeric field. Wait for a while and check that all sensors show PASS.

3. Check that the EntrEEG waveform and RE and SE values appear on the monitor screen.

5.3.18 Data Card and Menu Card function

1. Insert a Data card or a Menu card to the slot.

Check that the corresponding symbol appears on the monitor screen.

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5.3.19 Recorder

1. Press the Record Wave module key and check that the module starts recording the selected waveforms. Press the

2. Check that the quality of the recordings is acceptable.

5.3.20 Network connection

1. Check that the Mon-Net cable connector and the Identification plug are clean and intact, then connect them to the frame unit.

Check that the monitor connects to the network, i.e. the network symbol appears on the upper right-hand corner of the screen. Also a message regarding the connected Central should appear in the message field on the screen.

5.3.21 Wireless Network Option

Functional check

Stop module key to stop recording.

1. Check that the green LED on the wireless antenna card blinks and the WLAN signal strenght symbol scrolls between zero and full or stays fixed on the monitor screen.

2. Check that the wireless LAN network symbol appears on the upper right-hand corner of the screen when the monitor connects to the Datex-Ohmeda Network.

NOTE: If the monitor does not connect to the Datex-Ohmeda Network, check the WLAN configuration on the monitor and on the network.

5.3.22 Interface Module, E-INT/ M-INT

1. Make sure that the monitor receives all necessary parameter data from the connected devices. Check the screen configuration and the related interfacing settings, if necessary.

Monitor Setup – Interfacing

5.3.23 Device Interfacing Solution, N-DISxxx

1. Make sure that the monitor receives all necessary parameter data from the connected devices. Check the screen configuration and the related interfacing settings, if necessary.

Monitor Setup - Interfacing - Status Page

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5.3.24 General

Switch the monitor to standby

•

• Perform final cleaning

• Fill in all necessary documents

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6 General troubleshooting

Monitor not

functioning

Power cord

connected?

Connect power

cord

Yes

General troubleshooting

Monitor can be

started now?

On/Standby LED

is ON or blinks?

Yes

Frame Unit fan is

running?

PMB failure.

Replace PMB.

Yes

Batteries were

empty

Possible AC/DC

unit failure.

Replace AC/DC

unit.

Display Unit

failure.

Monitor can be

started now?

Yes

AC/DC Unit

failure.

CM1_trbl_Flowchart.vsd

Figure 17 S/5 Compact Monitor general troubleshooting flowchart

Document no. M1031517-02

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

Document no. M1031517-02

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Appendix A, Functional check form, Datex-Ohmeda S/5 CAM, CCCM

APPENDIX A Functional check form, Datex-Ohmeda S/5 CAM, CCCM

Customer

Service

Service engineer Date

Monitor Installation

Frame: F-CM________ System options: E/M-

Software: N- E/M-

K- N- E/M-

OK = Test OK N.A. = Test not applicable Fail = Test failed

Visual Inspection OK N.A. Fail

1. Check all units visually

Functional Inspection OK N.A. Fail

5.3.1. General

5.3.2. Display

5.3.3. Keyboard(s) S/N

5. Functional check S/N

5.3.5. Display unit

Notes

5.3.6. Compact Airway Module, E-CXXXXX/ M-CXXXXX S/N

. Compact Airway Modules with the Patient Spirometry option

. For all Compact Airway Modules

5.3.7. Single width Airway Module, E-miniC/ M-miniC S/N

A-1

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

Functional Inspection OK N.A. Fail

Notes

5.3.8. Tonometry Module, E-TONO/ M-TONO S/N

5.3.9. Multiparameter Hemodynamic Modules S/N

. ECG and RESP measurements

. Temperature measurement

. Invasive blood pressure measurement

. SpO2 measurement

. Non invasive blood pressure measurement

Notes

5.3.10. Pressure/Pressure Temp Modules, E-P, E-PT, M-P, M-PT

. Invasive blood pressure measurement

S/N

. Temperature measurement

5.3.11. Dual pressure Module, E-PP/ M-PP S/N

Notes

5.3.12. Cardiac Output Modules, E-COP/ M-COP, E-COPSv/ M-COPSv

. Invasive blood pressure measurement

. Cardiac Output measurement

Notes

S/N

5.3.13. NIBP module, M-NIBP S/N

5.3.14. Nellcor Compatible Saturation module, E-NSAT/ M-NSAT

S/N

A-2

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Appendix A, Functional check form, Datex-Ohmeda S/5 CAM, CCCM

Functional Inspection OK N.A. Fail

5.3.15. Datex-Ohmeda Oxygen Saturation module, M-OSAT

5.3.16. BIS Module, E-BIS/ M-BIS S/N

5.3.17. Entropy Module, E-ENTROPY/ M-ENTROPY S/N

5.3.18. Data Card and Menu Card function S/N

5.3.19. Recorder S/N

5.3.20. Network connection S/N

5.3.21. Wireless Network Option S/N

5.3.22. Interface Module, E-INT/ M-INT S/N

5.3.23. Device Interfacing Solution, N-DISxxx S/N

Notes

S/N

5.3.24. General

• Perform final cleaning

• Fill in all necessary documents

Notes

Signature

A-3

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

For your notes:

A-4

Document no. M1031517-02

Page 77

Appendix B, ElectroMagnetic Compatibility

APPENDIX B ElectroMagnetic Compatibility

Table 1 Guidance and manufacturer’s declaration – electromagnetic emissions

Guidance and manufacturer’s declaration – electromagnetic emissions

The S/5™ CAM/ CCCM is intended for use in the electromagnetic environment specified below. The customer or the user of the S/5™ CAM/ CCCM should assure that it is used in such an environment.

Emissions test Compliance Electromagnetic environment - guidance

RF emissions CISPR 11

Harmonic emissions IEC 61000-3-2

Voltage fluctuations/ flicker emissions

IEC 61000-3-3

Group 1 The S/5™ CAM/ CCCM uses RF energy only for its internal function.

Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

Group 2

The S/5™ CAM/ CCCM must emit electromagnetic energy in order to perform its intended function. Nearby electronic equipment may be affected.

Class B The S/5™ CAM/ CCCM is suitable for use in all establishments,

including domestic establishments and those directly connected to

Class A

the public low-voltage power supply network that supplies buildings used for domestic purposes.

Complies

S/5™ CAM/ CCCM equipped with N-CMW option

B-1

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Table 2 Guidance and manufacturer’s declaration – electromagnetic immunity

Guidance and manufacturer’s declaration – electromagnetic immunity

The S/5™ CAM/ CCCM is intended for use in the electromagnetic environment specified below. The customer or the user of the S/5™ CAM/ CCCM should assure that it is used in such an environment.

Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance

Electrostatic discharge (ESD) IEC 61000-4-2

Electrical fast transients/bursts IEC 61000-4-4

Surge IEC 61000-4-5

Voltage dips, short interruptions and voltage variations on power supply lines IEC 61000-4-11

±6 kV contact

±8 kV air

±2 kV for power supply lines ±1 kV for input/output lines

±1 kV differential mode ±2 kV common mode

<5 % U

(>95 % dip in UT) for 0.5 cycle

40 % U

(60 % dip in UT) for 5 cycles

70 % U

(30 % dip in UT) for 25 cycles

±6 kV contact

±8 kV air

±2 kV for power supply lines ±1 kV for input/output lines

±1 kV differential mode ±2 kV common mode

<5 % U

(>95 % dip in UT) for 0.5 cycle

40 % U

(60 % dip in UT) for 5 cycles

70 % U

(30 % dip in UT) for 25 cycles

Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30 %.

Mains power quality should be that of a typical commercial or hospital environment.

Mains power quality should be that of a typical commercial or hospital environment. If user of the S/5™ CAM/ CCCM requires continued operation during power mains interruptions, it is recommended that the S/5™ CAM/ CCCM be powered from an uninterruptible power supply or a battery.

Power frequency (50/60 Hz) magnetic field IEC 61000-4-8

NOTE: U

is the a.c. mains voltage prior to application of the test level.

B-2

Document no. M1031517-02

<5 % U

(>95 % dip in UT) for 5 sec

<5 % U

(>95 % dip in UT) for 5 sec

3 A/m 3 A/m Power frequency magnetic field should be

at levels characteristic of a typical location in a typical commercial or hospital environment.

Page 79

Appendix B, ElectroMagnetic Compatibility

Table 3 Guidance and manufacturer’s declaration – electromagnetic immunity

Guidance and manufacturer’s declaration – electromagnetic immunity

The S/5™ CAM/ CCCM is intended for use in the electromagnetic environment specified below. The customer or the user of the S/5™ CAM/ CCCM should assure that it is used in such an environment.

Immunity test IEC 60601 test level Compliance

level

Conducted RF IEC 61000-4-6

3 Vrms 150 kHz to 80 MHz

3 Vrms

1 Vrms

150 kHz to 80 MHz

Radiated RF IEC 61000-4-3

3 V/m 80 MHz to 2.5 GHz

3 V/m

Electromagnetic environment - guidance

Portable and mobile RF communications equipment should be used no closer to any part of the S/5™ CAM/ CCCM, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.

Recommended separation distance

d 1.2 P=

d 3.5 P=

d 1.2 P=

80 MHz to 800 MHz

d 2.3 P=

800 MHz to 2.5 GHz

3 V/m 80 MHz to 2.5 GHz

1 V/m

d 3.5 P=

80 MHz to 800 MHz

d 7 P=

800 MHz to 2.5 GHz

where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m).

Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, the compliance level in each frequency range.

should be less than

Interference may occur in the vicinity of equipment marked with the following symbol:

B-3

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Page 80

NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.

NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption

and reflection from structures, objects and people.

Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the S/5™ CAM/ CCCM is used exceeds the applicable RF compliance level above, the S/5™ CAM/ CCCM should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the S/5™ CAM/ CCCM.

Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

For impedance RESP measurement. For invasive pressure measurement in M-series modules

except M-PRE(S)TN. The invasive pressure measurement compliance level is dependent on the transducer used, and only the lower level is guaranteed for all transducers.

For BIS measurement in E-BIS/M-BIS, RESP measurement in M-(P)RE(S)TN and invasive

pressure measurement in M-COPSv/E-COPSv and M-COP/E-COP modules. The invasive pressure measurement compliance level is dependent on the transducer used, and only the lower level is guaranteed for all transducers.

B-4

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Appendix B, ElectroMagnetic Compatibility

Table 4 Recommended separation distances between portable and mobile RF

communications equipment and the S/5™ CAM/ CCCM

Recommended separation distances between portable and mobile RF communications equipment and the S/5™ CAM/ CCCM.

The S/5™ CAM/ CCCM is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the S/5™ CAM/ CCCM can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the S/5™ CAM/ CCCM as recommended below, according to the maximum output power of the communications equipment.

Rated maximum output

power of transmitter

0.01 0.12

0.1 0.38

11.2

10 3.8

100 12

150 kHz to 80 MHz

d 1.2 P=

d 3.5 P=

Separation distance according to frequency of transmitter

80 MHz to 800 MHz

d 1.2 P=

d 3.5 P=

0.12

0.35

0.38

1.1

1.2

3.5

3.5 (2

3.8

d 2.3 P=

d 7 P=

0.23

0.70

0.73

2.2

7.0

2.3

7.3

For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.

NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.

NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption

and reflection from structures, objects and people.

For impedance RESP measurement. For invasive pressure measurement in M-series modules

except M-PRE(S)TN. The invasive pressure measurement compliance level is dependent on the transducer used, and only the lower level is guaranteed for all transducers.

For BIS measurement in E-BIS/M-BIS, RESP measurement in M-(P)RE(S)TN and invasive pressure measurement in M-COPSv/E-COPSv and M-COP/E-COP modules. The invasive pressure measurement compliance level is dependent on the transducer used, and only the lower level is guaranteed for all transducers.

Document no. M1031517-02

B-5

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For your notes:

B-6

Document no. M1031517-02

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Datex-Ohmeda

S/5TM Compact Anesthesia Monitor

S/5

Compact Critical Care Monitor

Planned Maintenance Instructions

CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner.

Datex-Ohmeda Inc.

P.O. Box 7550

Madison, WI 53707-7550, USA

Tel: +1 608 221 1551

Fax: +1 608 222 9147

All specifications are subject to change without notice.

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

Document no. M1031518-02

March, 2006

GE Healthcare Finland Oy

Helsinki, Finland

P.O. Box 900

FI-00031 GE, FINLAND

Tel: +358 10 39411

Fax: +358 9 1463310

www.gehealthcare.com

Page 84

Page 85

Table of contents i

1 Planned maintenance instructions 1

1.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

1.2 Recommended tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

1.2.1 Hemodynamic patient simulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

1.3 Recommended parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

1.4 Planned maintenance parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

1.4.1 PM parts for Compact Airway Modules, E-CXXXXX/ M-CXXXXX without CO2 absorber

- Anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

1.4.2 PM parts for Compact Airway Modules, E-CXXXXX/ M-CXXXXX without CO2 absorber

- Critical Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

1.4.3 PM parts for Compact Airway Modules, E-CXXXXX/ M-CXXXXX with CO2 absorber

- Anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

1.4.4 PM parts for Compact Airway Modules, E-CXXXXX/ M-CXXXXX with CO2 absorber

- Critical Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

1.4.5 PM parts for Airway Module, E-miniC/ M-miniC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

2 Planned maintenance check list 8

2.1 Visual inspection/preparation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

2.1.1 General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

2.1.2 Compact Airway Module, E-CXXXXX/ M-CXXXXX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

2.1.3 Single-width Airway Module, E-miniC/ M-miniC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

2.1.4 Tonometry Module, E-TONO/ M-TONO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

2.1.5 Recorder Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

2.1.6 Modules with NIBP measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

2.2 Functional inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

2.2.1 General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

2.2.2 Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

2.2.3 Keyboard(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

2.2.4 Display Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

2.2.5 Frame Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

2.2.6 Compact Airway Module, E-CXXXXX/ M-CXXXXX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

2.2.7 Single-width Airway Module, E-miniC/ M-miniC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

2.2.8 Tonometry Module, E-TONO/ M-TONO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

2.2.9 Multiparameter Hemodynamic Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

2.2.10 EEG Module, E-EEG/ M-EEG and EEG Headbox, N-EEG. . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

2.2.11 BIS Module, E-BIS/ M-BIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

2.2.12 Entropy Module, E-ENTROPY/ M-ENTROPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

2.2.13 Pressure/Pressure Temp Modules, E-P, E-PT, M-P, M-PT. . . . . . . . . . . . . . . . . . . . . . . . . . . .19

2.2.14 Dual pressure Module, E-PP, M-PP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

2.2.15 Cardiac Output Modules, E-COP, E-COPSv, M-COP, M-COPSv . . . . . . . . . . . . . . . . . . . . . . .19

2.2.16 NIBP module, M-NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

2.2.17 NeuroMuscular Module, E-NMT, M-NMT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

2.2.18 Nellcor Compatible Saturation module, E-NSAT, M-NSAT . . . . . . . . . . . . . . . . . . . . . . . . . . .21

2.2.19 Datex-Ohmeda Oxygen Saturation module, M-OSAT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

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

2.2.20 Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

2.2.21 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

2.2.22 Network Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

2.2.23 Wireless Network Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

2.2.24 Interface Module, E-INT, M-INT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

2.2.25 Device Interfacing Solution, N-DISxxx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

2.2.26 General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24

Appendix A: Planned maintenance check form, S/5 Compact Monitors A-1

Document no. M1031518-02

Page 87

1 Planned maintenance instructions

1.1 Introduction

These instructions include procedures for planned maintenance (PM) for the Datex-Ohmeda S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor. The Planned maintenance should be performed once a year.

These instructions include “Planned maintenance check form, S/5 Compact Monitors” to be filled in when performing the corresponding procedures.

Planned maintenance instructions

The symbol

check form.

The procedures should be performed in ascending order, bypassing those that are not applicable for a particular monitor.

If you need further information on how to perform a certain Planned maintenance procedure, please refer to the corresponding slot in the Technical Reference Manual.

All menu selections related to the Datex-Ohmeda monitors are written in the following typeface:

e.g. Parameters - Gas Unit

As you enter the service menus, you need following passwords:

Monitor Setup - Install/Service (password 16-4-34) - Service (password 26-23-8)

In case you evaluate the measurement accuracy with a patient simulator, add the simulator’s accuracy specification to the one for the monitor.

" in the instructions means that the procedure performed should be signed in the

1.2 Recommended tools

For product(s) Tool Order No.

All Airway modules Flowmeter

Compact Airway Module, E-CAiO(VX)/ M-CAiO(VX)

Calibration gas and regulator 755583/755534*

Compact Airway Module, E-COVX/ M-COVX Calibration gas and regulator 755587/755534*

Compact Airway Module, E-CO(V), M-C, M-CO(V)

E-miniC/ M-miniC Calibration gas and regulator 755580/755534*

Compact Airway Module, E-COVX, E-CAiOVX, M-COVX, M-CAiOVX

All Airway modules w/ (V) Spirometry tube, 2 m 890031

All Airway modules w/ (V) D-lite 733950

All Airway modules Sampling line, 6 m/19.7 ft 73306

Hemodynamic modules

Hemodynamic modules w/ (P),

M-NIBP

Calibration gas and regulator 755581/755534*

Sampling line, 2 m 73318

NIBP cuff and hose 2753E (cuff)

877235 (hose)

Document no. M1031518-02

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

For product(s) Tool Order No.

Hemodynamic modules w/ (P) InvBP transducer 70077-001

Multi-Link ECG accessories, IEC

E-PSM(P)/ E-PRESTN/ M-PRESTN - Multi-link 3-leadwire set 412682-003

- Multi-link 5-leadwire set 412681-003

- Multi-link 5-leadwire set, C2-C6 416467-004

E-PRESTN/ M-PRESTN w/ (E12) - Multi-link 12-lead ECG trunk cable 416035-002

or Multi-Link ECG accessories, AHA

E-PSM(P)/ E-PRESTN/ M-PRESTN - Multi-link 3-leadwire set 412682-001

- Multi-link 5-leadwire set 4162681-001

- Multi-link 5-leadwire set, V2-V6 416467-003

E-PRESTN/ M-PRESTN w/ (E12) - Multi-link 12-lead ECG trunk cable 416035-001

M-NESTPR 3-lead ECG trunk cable 545302

M-NESTPR 5-lead ECG cable 545303

M-NE12STPR 10-leadwire ECG cable 545324

E-PSM(P)/ E-PRESTN SpO

M-PRESTN SpO

E-NSAT/ M-NSAT Nellcor SpO

finger probe OXY-F-UN

Interconnect Cable OXY-ES3

SpO

finger probe OXY-F4-N or SAS-F4

probe

Hemodynamic modules w/ (T) Temperature test set 884515

Hemodynamic E-Modules w/ (NIBP) Adult NIBP cuff hose with cuff ID 2021285-001

Infant cuff hose without cuff ID 414874-001

Hemodynamic M-Modules w/ (NIBP) Adult NIBP cuff 572435

Adult NIBP cuff hose 877235

E-COP, E-COPSv, M-COP, M-COPSv C.O. Catheter cable 16590

E-COPSv/ M-COPSv SvO

simulator 890121

Tonometry Module, E-TONO/ M-TONO Calibration gas and regulator 755580/755534

Sampling line 733251

Luer plug

Pressure manometer

Tonometrics

EEG Module, E-EEG/ M-EEG Earphones

EEG simulator 90502

Document no. M1031518-02

catheter

TONO-14F or another suitable TONO-_F catheter

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Planned maintenance instructions

For product(s) Tool Order No.

BIS Module, E-BIS/ M-BIS BIS simulator or

BIS Sensor simulator

E-ENTROPY/ M-ENTROPY Simulator for M-ENTROPY N-ES

Entropy sensor cable 8002964

E-NMT/ M-NMT NMT simulator 871251

NMT ElectroSensor 888416

NMT sensor cable 888415

MemCard – Menu 893860 (English)

MemCard – Data 887045 (English)

All M-Modules Screwdrivers

All E-Modules Torx screwdrivers; T8, T10

900509 900508

1.2.1 Hemodynamic patient simulators

The following tables present the patient simulators’ compatibility with each hemodynamic module, and the accessories needed:

Table 1 Patient simulators’ compatibility with each hemodynamic module

Patient simulator

Module Parameter

E-PSM(P),E-PRESTN ECG Ok Multilink ECG acc. Not compatible

T 402015-004 402015-004 and

InvBP Ok M1010858

ECG

M1010831 MedSim 874027

M1010832

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Patient simulator

Module Parameter

M1010831 MedSim 874027

M-PRESTN ECG Ok Multilink ECG acc. Not compatible

Auto

Start

Zero

Cancel

Zero

SpO

On/Off

NIBP

ECG

TOk M1010832 M1010832

InvBP Not compatible Ok Ok

M-NESTPR ECG Not compatible 300 series acc. Ok

12 lead ECG Not compatible 300 series acc. Not compatible

NIBP

ECG+ Resp

SpO

TOk M1010832 M1010832

InvBP Not compatible Ok Ok

Table 2 Adapter cables for hemodynamic patient simulators

Patient simulator Adapter cables for simulators

Hemodynamic patient simulator Dual temperature adapter cable 402015-004

Hemodynamic patient simulator Dual Inv.BP adapter cable 2005772-001

Medsim Temperature adapter cable M1010832

Medsim Inv.BP adapter cable M1010858

Lionheart & MPS450 Temperature adapter cable M1010846

Lionheart & MPS450 Inv.BP adapter cable M1010862

1.3 Recommended parts

For product(s) Part Order No.

CM(C) Frame Unit Fan filter 896085

CM(C) Display Unit Fan filter 874594

Central Processing Board Battery for SRAM/Timekeeper 197230

Recorder paper 74205

Tonometry Module, E-TONO/ M-TONO 733382

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Planned maintenance instructions

1.4 Planned maintenance parts

1.4.1 PM parts for Compact Airway Modules, E-CXXXXX/ M-CXXXXX without CO2 absorber

- Anesthesia

Part Order No. For product(s)

Special tube (Nafion) 733382 All Airway modules

Ref. gas sticker 893110 Compact Airway Modules

Filter (2 pcs) 886136 Compact Airway Modules

Filter assembly 896025 Compact Airway Modules

Fan filter 886236 Compact Airway Modules

D-fend O-ring (2 pcs) 653125 All Airway modules

D-fend (black) 876445 All Airway modules

Sampling line 2.0 m 73318 Compact Airway Modules

PM sticker 893108 All Airway modules

NOTE: Corresponding PM kit is available with Order No. 8001758.

1.4.2 PM parts for Compact Airway Modules, E-CXXXXX/ M-CXXXXX without CO2 absorber

- Critical Care

Part Order No. For product(s)

Special tube (Nafion) 733382 All Airway modules

Ref. gas sticker 893110 Compact Airway Modules

Filter (2 pcs) 886136 Compact Airway Modules

Filter assembly 896025 Compact Airway Modules

Fan filter 886236 Compact Airway Modules

D-fend O-ring (2 pcs) 653125 All Airway modules

D-fend+ (green) 893200 All Airway modules

Sampling line 2.0 m 733162 Compact Airway Module, M-COVX

PM sticker 893108 All Airway modules

NOTE: Corresponding PM kit is available with Order No. 8001759.

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1.4.3 PM parts for Compact Airway Modules, E-CXXXXX/ M-CXXXXX with CO2 absorber

- Anesthesia

Part Order No. For product(s)

Special tube (Nafion 2 pcs) 733382 All Airway modules

Ref. gas sticker 893110 Compact Airway Modules

Filter (2 pcs) 886136 Compact Airway Modules

Filter assembly 896025 Compact Airway Modules

Fan filter 886236 Compact Airway Modules

D-fend O-ring (2 pcs) 653125 All Airway modules

D-fend (black) 876445 All Airway modules

Sampling line 2.0 m 73318 Compact Airway Modules

PM sticker 893108 All Airway modules

NOTE: Corresponding PM kit is available with Order No. 8001760.

1.4.4 PM parts for Compact Airway Modules, E-CXXXXX/ M-CXXXXX with CO2 absorber

- Critical Care

Part Order No. For product(s)

Special tube (Nafion 2 pcs) 733382 All Airway modules

Ref. gas sticker 893110 Compact Airway Modules

Filter (2 pcs) 886136 Compact Airway Modules

Filter assembly 896025 Compact Airway Modules

Fan filter 886236 Compact Airway Modules

D-fend O-ring (2 pcs) 653125 All Airway modules

D-fend+ (green) 893200 All Airway modules

Sampling line 2.0 m 733162 Compact Airway Module, M-COVX

PM sticker 893108 All Airway modules

NOTE: Corresponding PM kit is available with Order No. 8001761.

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Planned maintenance instructions

1.4.5 PM parts for Airway Module, E-miniC/ M-miniC

Part Order No. For product(s)

Special tube (Nafion 2 pcs) 733382 All Airway modules

Mini D-fend O-ring (2 pcs) 656565 E-miniC/ M-miniC

Mini D-fend 8002174 (pkg of 10 pcs) E-miniC/ M-miniC

Zero valve air filter M1011471 E-miniC, every 3 years

Zero valve air filter 571421 M-miniC

CO2 Sampling line 3.0 m 733163 E-miniC/ M-miniC

PM sticker 893108 All Airway modules

For details on recommended accessories see the “Supplies and Accessories” catalog.

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2 Planned maintenance check list

2.1 Visual inspection/preparation

2.1.1 General

NOTE: Wear a static control wrist strap when handling PC boards. Electrostatic discharge may damage components on the board.

Make sure that the monitor is switched to standby.

Disconnect the mains power cord. If the monitor is connected to the Datex-Ohmeda Network, disconnect the Mon-Net cable from the monitor. Disconnect the WLAN antenna card, if the Wireless LAN option is installed.

1. Check all the units visually. Check that all parts are intact and that the cables and screws are connected and tightened properly.

Especially check the following parts:

− the equipotential tap and all the screws are tightened properly.

− the display unit locking screw is in a locking position.

Check that modules go in smoothly and lock up properly in all module slots.

Insert the WLAN antenna card back into the foremost card slot, if the Wireless LAN option is installed.

2. Replace the batteries, if necessary.

The manufacturer recommendations are:

− Replace the SRAM/Timekeeper battery on the CPU board every 8 years.

NOTE: The Factory Reset must be performed if the SRAM/Timekeeper battery is replaced.

NOTE: If the monitor is used for frequent short transportation, refresh the batteries every two weeks and replace the batteries every six months.

3. Clean or replace the fan filters in the frame unit and display unit.

4. Check that the fuses are of the correct rating.

2.1.2 Compact Airway Module, E-CXXXXX/ M-CXXXXX

1. Detach the module box.

Check that all cables and tubes are connected properly and that there are no loose objects inside the module.

NOTE: The tubes connected to the Oxygen board pressure transducers should not be pressed too deep.

NOTE: Make sure that the tubes are not in contact with the sampling pump or the O its springs.

2. Install the PM Kit:

− Replace the special tubes (Nafion™).

− Replace the Ref. filter assembly.

− Replace the filters in the pneumatic unit (1 or 2 pcs).

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− Check the D-fend O-rings and replace them, if necessary.

− Replace the D-fend and sampling line.

− Clean or replace the fan filter.

NOTE: Use only approved sampling lines to ensure proper functioning. Use a 2 m/7 ft. sampling line with Compact Airway Modules E-/ M-COVX and E-/ M-CAiOVX.

3. The manufacturer recommendation is to replace the CO absorber, if necessary.

Note: All Compact Airway Modules do not contain a CO

Connect the Compact Airway Module to a module slot with a long gas interface cable (the grounding plates of the cable should be removed for the procedure).

2.1.3 Single-width Airway Module, E-miniC/ M-miniC

1. Detach the module box.

2. Check that all cables and tubes are connected properly and that there are no loose objects inside the module.

3. Install the PM Kit:

− Replace the special tube (Nafion™).

− Replace the Zero valve air filter every three years.

− Check the D-fend body connector O-rings and replace them, if necessary.

− Replace the Mini D-fend and the sampling line.

NOTE: Use only approved sampling lines to ensure proper functioning.

4. Connect the module to a module slot with a long gas interface cable (the grounding plates of the cable should be removed for the procedure).

Planned maintenance check list

absorber every 4 years. Replace the

absorber.

2.1.4 Tonometry Module, E-TONO/ M-TONO

1. Detach the module box.

Check that all cables and tubes are connected properly and that there are no loose objects inside the module.

2. Replace the Special tube (Nafion 2 pcs).

Reattach the module box and check that the latch moves properly. Plug the module back into the module frame.

2.1.5 Recorder Unit

1. Clean the recorder.

− Open the paper compartment hatch and remove the paper roll, if installed.

− Remove any paper chaff from the paper compartment.

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− Clean the thermal printhead and the small glass window in front of the static brush with a

cotton swab dipped in isopropyl alcohol, if necessary.

NOTE: Avoid contact with the rubber paper roller. Be careful to limit the application of alcohol to the thermal printhead and the window.

− Reinstall the paper roll.

2.1.6 Modules with NIBP measurement

1. Check the NIBP pump filter. Replace the filter, if necessary.

Note: M-NIBP Rev. 00-03 do not contain a NIBP pump filter.

Plug the module back into the frame.

2.2 Functional inspection

2.2.1 General

1. Connect the mains power cord. Check that the LED above the mains switch is lit continuously (full charged batteries) or periodically (charging batteries).

2. Switch the monitor on.

Check that the monitor starts up properly, i.e. the alarm LEDs and the display unit fan turn on shortly, normal start-up sound is heard from the loudspeaker and the monitoring screen appears.

No error messages should appear on the screen.

3. Configure the screen for the parameters that are connected. Check that all the connected modules are recognized, i.e. the required parameter information is shown on the screen.

If installed, the recorder should record two lines of start-up information.

Preset the measurement settings for those parameters that are connected, for example:

Others - EEG - Montage - EEG Channels - 4

- Montage type - Bip

Others - EEG - EEG Setup - Numeric 1 - MF

- Numeric 2 - Ampl.

Others - EP - Cycle - Cont.

- AEP Setup - AEP Channels - 2

- Responses -100

- Stim. Frequency - 1.1Hz

- Stim. Intensity - 90 dB

- Sweep length - 100 ms

- EP size - 1

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Recorder - Record Waveforms - Waveform 1 - ECG1

- Waveform 2 - P1

- Waveform 3 - P2

Invasive Pressures - P1 ‘ART’ Setup - Label - ART

- P2 ‘CVP’ Setup - Label - CVP

- P3 Setup - Label - PA

- P4 Setup - Label - P4

- P5 Setup - Label - P5

- P6 Setup - Label - P6

Pulse Oximetry - Pleth Scale - AUTO

Others - SPO2 Setup - Pleth Scale - AUTO

Airway Gas - Spirometry View - Scaling - Indep.

- Paw Scale - 20

- Flow Scale - 15

Ventil. - Spirometry Setup - Scaling - Indep.

- Paw Scale - 20

- Flow Scale - 15

Others - C.O. View - C.O. Setup - Scale - 1.0 °C

- Injectate Volume - 10 ml

- Measurement Mode - SET

Others - SvO2 - Update HGB - 115 g/l

Wedge C.O: SVO2 - C.O. View - C.O. Setup - Scale - 1.0 °C

- Injectate Volume - 10 ml

- Measurement Mode - SET

Wedge C.O: SVO2 - SvO2 - Update HGB - 115 g/l

Planned maintenance check list

Others - NMT - Stimulus Mode - TOF

- Set Cycle Time - 10 sec.

Others - NMT -NMT Setup - Current - s(70mA)

- Pulse Width - 200 ms

- Stim. Beep Volume - 2

Others - Resp Setup - Size - 1.0

- Resp Rate Source - AUTO

- Measurement - ON

- Detection Limit - AUTO

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2.2.2 Display

1. Check that the picture on the screen is adjusted correctly.

2.2.3 Keyboard(s)

1. Tests with the Command Board:

− Press the

menu moves correspondingly. Select Normal Screen and check that the menu disappears from the screen. Check the rest of the menu keys by pressing them one by one.

Tests with the ARK Keyboard:

− Enter the Keyboard service menu

− Check the function of the ComWheel.

− Press all keys, except

loudspeaker, or the ‘Message count’ value in the service menu increases.

− Press the

monitor screen.

Tests with the Remote Controller:

− Enter the Keyboard service menu.

− Check the function of the ComWheel.

− Press all keys. Check that each key produces a sound from the loudspeaker, or the

Message count value in the service menu increases.

Help key. Turn the ComWheel in both directions and check that the cursor in the

Modify and Print. Check that each key produces a sound from the

Modify and Print keys and check that the corresponding menus appear on the

2.2.4 Display Unit

1. Check that the clock on the screen shows correct time.

Readjust the time and date, if necessary.

2. Enter the Service Log service menu.

Check the content of the Service Log for possible problems.

2.2.5 Frame Unit

1. Check that the Frame unit fan is running.

2.2.6 Compact Airway Module, E-CXXXXX/ M-CXXXXX

1. Check that the fan is running.

2. If the module contains membrane keys on the front panel, press each of the keys for at least one second and check that they are identified.

NOTE: The Compact Airway Module membrane keys require S/5 main software.

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Planned maintenance check list

3. Wait until the message ‘Calibrating gas sensor’ disappears from the screen, then enter the Compact Airway Module General service menu.

Check that the module configuration displayed corresponds with the Compact Airway Module type being used.

4. Check that the Time-outs, Bad checksums and Bad c-s by mod values are not increasing faster than by 5 per second.

5. Enter the Gases service menu: Check that the ‘Ambient’ value displayed corresponds with the current ambient pressure (±20 mmHg).

6. Check that the flow measurement offset, i.e. the sample ‘Zero’ value displayed is within ±10 ml/min.

7. Perform a sampling system leak test.

8. Check the flow rates. Adjust the sampling flow, if necessary.

9. Perform a gas calibration:

NOTE: For maximum accuracy, a warm-up time of 30 minutes is recommended.

NOTE: For correct measurement values, modules need different amounts of oxygen in the calibration. If you do not use the recommended calibrating gases, the calibration does not succeed.

Anesthesia Agent

Compact Airway Modules w/ the option

10. Enter the Gases service menu.

Feed calibrating gas (order code 755583) continuously for at least 30 seconds and check that the ‘ID’ in the service menu shows ‘DES’ and that the value for ‘ID unrel.’ is lower than 50.

Patient Spirometry

Compact Airway Modules w/ the option

11. Enter the Spirometry service menu.

Connect a clean spirometry tube and D-lite to the module.

Perform the spirometry leak test.

12. Connect the sampling line. Breathe through the wider side of the D-lite. Check that the flow waveform moves downwards when you breathe in, and upwards when you breathe out.

General

For all Compact Airway Modules

Switch the monitor to standby and reassemble the module.

•

NOTE: Attach the plastic cover to the CPU Board before fitting the module box. Make sure that the grounding claws in the front panel frame make good contact with the module box.

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NOTE: When reassembling the module, make sure that the tubes are not pinched between the module box and internal parts.

Insert the Compact Airway Module into the frame. Switch the monitor back on and wait until the message ‘Calibrating gas sensor’ disappears from the screen.

13. Block the tip of the sampling line with your finger and check that the message ‘Sample line blocked’ appears on the monitor screen within 30 seconds.

14. Detach the D-fend and check that the message ‘Check D-fend’ appears on the monitor screen within 60 seconds.

2.2.7 Single-width Airway Module, E-miniC/ M-miniC

1. Wait until the message ‘Calibrating gas sensor’ disappears from the screen, then enter the Gas Unit General service menu.

NOTE: The Airway Module M-miniC requires S/5 main software L-CANE02(A) / L-CICU02(A) or later.

2. Check that the Time-outs, Bad checksums and Bad c-s by mod values are not increasing faster than by 5 per second.

3. Enter the Gases service menu: Check that the ‘Ambient’ value displayed corresponds with the current ambient pressure (±20 mmHg).

4. Check that the flow measurement offset, i.e. the sample ‘Zero’ value displayed is within ±10 ml/min.

5. Perform a sampling system leak test.

6. Check the flow rates. Adjust the sampling flow, if necessary.

7. Block the tip of the sampling line with your finger and check that the message ‘Sample line blocked’ appears on the monitor screen within 30 seconds.

Remove the Mini D-fend and check that the message ‘Check D-fend’ appears on the screen within 30 seconds.

8. Perform a gas calibration:

NOTE: For maximum accuracy, a warm-up time of 30 minutes is recommended.

2.2.8 Tonometry Module, E-TONO/ M-TONO

1. Enter the TONO service menu:

Check that the Time-outs, Bad checksums and Bad c-s by mod values are not increasing faster than by 5 per second.

Check that the memories of the module have passed the internal memory test, i.e. RAM, ROM and EEPROM all state OK.

Check that the ‘general error status’, ‘module pneumatics error status’, ‘module hardware error status’ and ‘testbit status’ are all zero.

2. Check the function of the front panel

3. Perform the pressure sensor calibration.

4. Perform the system test.

Document no. M1031518-02

Start-Stop and Lab Data membrane keys.

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

Specifications and Main Features

Frequently Asked Questions

User Manual

Technical Reference Manual

Master table of contents

Table of contents

Table of figures

List of tables

About this manual

1 Introduction

1.1 Symbols

1.1.1 Symbols on transport packaging

1.1.2 Symbols on equipment

1.1.3 Equipment safety symbols

1.1.4 Other symbols

1.2 Safety

1.2.1 Safety precautions

1.2.2 ESD precautionary procedures

1.2.3 Disposal

2 System description

2.1 Introduction

2.2 Bus structure

2.3 Distributed processing

2.4 Module communication

2.5 Software loading

2.6 Parameter modules

3 System installation

3.1 Unpacking instructions

3.2 Choosing location

3.3 S/5 Frame for Compact Monitor

3.3.1 Compact Monitor connections

3.3.2 Connecting to mains

3.3.3 Connecting to Network

3.3.4 Connecting to Wireless Network

3.3.5 Inserting the parameter modules

3.3.6 Downloading Monitor Software

3.3.7 Performing Factory Reset

3.3.8 Installing the Datex-Ohmeda Network and MemCard Upgrade, U-CMMEM

3.3.9 Installing the Datex-Ohmeda Network Upgrade, U-CMNET

3.3.10 Installing the S/5 Wireless LAN Upgrade, U-CMW

3.3.11 Installing the S/5 Recorder Upgrade, U-CMREC1

3.4 S/5 Remote Controller, K-CREMCO

3.5 Anesthesia Record Keeping Keyboard, K-ARKB

3.6 ARK Barcode Reader, N-SCAN (optional)

3.6.1 Connection to Compact Monitor

3.7 S/5 Compact Airway Modules, E-xxxx / M-xxxxx

3.7.1 Sample gas exhaust

3.7.2 Troubleshooting

4 Interfacing

4.1 Interfacing external monitors via Interface Module, E-INT / M-INT

4.1.1 Connection to external Datex-Ohmeda monitors

4.1.2 Connection to Critikon Dinamap 1846SX, Abbott Oximetrix 3 and Baxter Explorer

4.1.3 Connection to Baxter Vigilance

4.1.4 Connection to Nellcor N-100 and N-1000

4.1.5 Connection to Nellcor N-200

4.2 Interfacing external bedside devices via S/5 Device Interfacing Solutions, N-DISxxx

4.2.1 Device Interfacing Solution components

4.2.2 Connections

4.2.3 Mounting

4.2.4 Selecting the external device

4.2.5 Functional check

4.2.6 Selecting the parameter data source

4.3 Interfacing Datex-Ohmeda Anesthesia Delivery Unit

4.3.1 Interconnection

4.3.2 Setting interfacing parameters on the S/5 Anesthesia Delivery Unit

4.3.3 Setting interfacing parameters on the S/5 Compact Anesthesia Monitor

4.4 Interfacing Dräger Cicero, Cato, Julian and Narkomed 2C (by NAD)

4.4.1 Interconnection

4.4.2 Setting communication parameters

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

4.5 Interfacing printer

4.5.1 Setting S/5 Compact Monitor interface for printers

4.5.2 Connection to serial printers

4.5.3 Connection to parallel printers

4.5.4 Installing the Serial-to-Parallel Converter

4.5.5 Connection to printer

4.6 Interfacing computer

4.7 Output signals

4.7.1 Digital outputs