Foreword....................................................................................................................................................... v
Warnings, Precautions and Notes.....................................................................................................................v
How To Get Help............................................................................................................................................ vii
Theory of Operation........................................................................................................................................ 1 - 10
Panorama Central Station and Wireless Telemetry Server ............................................................................. 1 - 10
Equipment and Special Tools Required .............................................................................................................. 2 - 2
Central Station and Displays ..................................................................................................................... 2 - 3
Communication Loss From An Individual Bedside Monitor............................................................................. 2 - 5
Communication Loss From All Bedside Monitors .......................................................................................... 2 - 8
System Wide Problem .............................................................................................................................. 2 - 10
Panorama Wireless Telemetry Server ......................................................................................................... 2 - 11
Fan ................................................................................................................................................ 2 - 21
Power Supply ................................................................................................................................. 2 - 21
Parts Pricing Information .................................................................................................................................. 3 - 2
Ordering Information ...................................................................................................................................... 3 - 3
Uninterruptible Power Supplies (UPS)................................................................................................................. 5 - 4
Panorama Patient and Central Networks............................................................................................................ 5 - 4
ii0070-10-0634Panorama® Service Manual
Table of Contents
System Maintenance ....................................................................................................................................... 5 - 5
Central Station Local Installation ................................................................................................................ 6 - 2
Central Station Remote Installation ............................................................................................................. 6 - 2
Tower Cases, 2U Telemetry Server and 4U Central Station ........................................................................... 7 - 2
2U Central Station................................................................................................................................... 7 - 7
Panorama® Service Manual0070-10-0634iii
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iv0070-10-0634Panorama® Service Manual
ForewordIntroduction
Foreword
The Panorama® Service Manual is a guide for technically-qualified personnel who perform
maintenance and/or repair on the Panorama Patient Monitoring Network.
The Service Manual conveys system-wide information that is divided into sections. For quick
reference, each chapter’s title page displays a table of contents that indicates, sectionally, the
topics covered.
This publication may have been updated to reflect product design changes and/or manual
improvements.
NOTE:Unauthorized servicing may void the remainder of the
warranty. Check with the factory or with a local authorized
representative to determine the warranty status of a
particular instrument.
Warnings, Precautions and Notes
Please read and adhere to all warnings, precautions, and notes listed here and in the
appropriate areas throughout this manual.
A WARNING is provided to alert the user to potential serious outcomes (death, injury, or
serious adverse events) to the patient or the user.
A CAUTION is provided to alert the user signaling that special care is necessary for the
safe and effective use of the device. They may include actions to be taken to avoid effects on
patients or users that may not be potentially life threatening or result in serious injury, but
about which you should be aware.
A NOTE is provided when additional general information is applicable.
Warnings
WARNING: Do not attempt to use either Panorama® Patient Network or
Central Network, including cabling for any purpose other
than its intended use.
WARNING: Route cables neatly. Ensure cables are not in the way of
WARNING: Loading any unauthorized software including utilities on
WARNING: Do not connect or attempt to connect or reconfigure any
patient or hospital personnel.
Panorama
application to no longer be suitable for medical patient
monitoring use.
equipment to Panorama
or Central Network LANS unless authorized in writing. This
includes all commercially available networking hardware
i.e., switches, routers etc.) or peripherals (i.e., Printers) even
if they are the same brand as recommended by the
configuration of the system and supplied by the
manufacturer.
®
Patient Monitoring Network will cause the
®
Central Station Patient Network
Panorama® Service Manual0070-10-0634v
IntroductionPrecautions
WARNING: Do not attempt to load any devices or device drivers onto
Panorama
to connect any equipment Panorama
System may not operate as intended.
WARNING: Only qualified and trained service personnel or Service
personnel should attempt to service equipment. Service is
defined as any activity requiring the cover to be removed
for internal adjustments, parts replacements, repairs or
software upgrades of any kind to insure compatibility.
WARNING: To insure compatibility with the operating system and
applications software, use only the supplied and/or
approved components to repair any part of the Panorama
Patient Monitoring Network. Use of unauthorized software,
devices, accessories, or cables other than those approved
may render the application unsuitable for medical patient
monitoring. It may also result in increased electromagnetic
Emissions or decreased Immunity of the system.
WARNING: Do not block or turn down the volume from the maximum
position on the speakers provided with Panorama
Monitoring System. Set the volume levels so that alarms can
be heard at all times, as described in the Operation Manual.
WARNING: Be careful not to turn off patient alarms. Turning off patient
alarms can jeopardize patient safety.
WARNING: Do not incinerate batteries, possible explosion may occur.
®
Central Station. If the user connects or attempts
®
Central Monitoring
®
Central
WARNING: The 18.1" flat panel may tip over, if the display head is
inclined to an angle greater than 45°, backward tilt. If the
user elects to have the display head inclined to an angle
greater than 45°, backward tilt, the flat panel must be
attached to a secure mounting surface via three screw
locations on the bottom of the base.
WARNING: The Panorama Central Station and the Panorama Telemetry
WARNING: Do not put MPSO (Multiple Portable Socket Outlets, i.e.,
WARNING: Do not clean the monitor while it is on and/or plugged in.
Server must utilize the hospital emergency power system.
Failure to do so will result in loss of monitoring during
extended periods of power failure. The back-up power time
period, for the Panorama Patient Monitoring Network, is
limited.
multiple outlet extension cords) used with the Panorama
Central Station System on the floor. Connect only Panorama
Central Station accessories and components to the same
MPSO as the Panorama Central Station. Do not overload
MPSOs. Use only MPSOs that comply with the requirements
of IEC 60601-1-1.
Precautions
CAUTION:This system is intended for use in a hospital or clinical
setting and to be operated by trained and authorized
personnel who are acting on the orders of a physician. Its
purpose is the real time monitoring of a patient's
physiological parameters over an extended time frame.
vi0070-10-0634Panorama® Service Manual
How To Get HelpIntroduction
CAUTION:For proper operation do not obstruct the fan air holes.
CAUTION:For proper operation never place fluids on top of this
equipment. In case of accidental spillage, wipe clean
immediately and have the system serviced to ensure no
hazard exists.
CAUTION:For proper operation do not use Panorama Patient
Monitoring Network with a frayed or damaged power cord.
CAUTION:Do not operate Panorama
have been dropped or the case has been damaged.
CAUTION:Use only the supplied power cords or if a substitute is
necessary, only use Hospital Grade power cords.
CAUTION:For proper operation use only approved accessories with
this product.
CAUTION:Dispose of single use items in accordance with hospital
policy.
CAUTION:Software is written directly to some of the PC boards within
the tower. Replacement of the PC boards with off-the-shelf
PC boards may compromise the proper operation of the
Central Station.
®
or any of its components if they
How To Get Help
For U.S., Canada, and Latin America please contact:
1.5 Theory of Operation ................................................................. 1-10
Panorama® Service Manual0070-10-06341 - 1
IntroductionInstrument Description
1.1Introduction
This section of the service manual initially provides a high-level overview of the Panorama®
Patient Monitoring Network, followed by more detailed information.
1.1.1Overview
The Panorama Patient Monitoring Network is a comprehensive patient care monitoring and
management system designed for use in a hospital setting. The system is intended to be
installed and used in a fixed, non-portable, permanent location that serves as a central data
viewing station. The Panorama Patient Monitoring Network consists of the following four
primary modules that are linked to and/or by one another:
• Panorama Central Station
• Panorama Central Network
• Panorama Patient Network
• Bedside Monitor
NOTE:Optional modules include ISM telemetry and WMTS
telemetry for wireless operation.
Hardware and software components within each module provide system-wide functionality
and connectivity.
Patient information is routed to the Panorama Patient Monitoring Network via the four
modules. Information is sent across a network provided to and by the Panorama Patient
Network and the Panorama Central Network modules. The Panorama Patient Network
connects the Passport 2
flexible and uses industry standard components to provide network communications to all
connected patient monitors and peripheral devices. The Panorama Central Network connects
two or more Panorama Central Stations and/or laser printers.
This service manual focuses on the Panorama Central and Telemetry Server modules since
they are the hands-on interface between the medical staff and the Panorama Patient
Monitoring Network. The Panorama Central Station module is a combination of both
hardware (e.g., Central Station computer and display monitor) and software components
(i.e., Panorama software application). Much of the patient information processing and data
management occurs within the Central Station.
®
and Spectrum™ monitors. The monitoring capacity of the system is
Panorama® Telemetry
The Panorama Wireless Telemetry Server collects patient data from bedside monitors and/or
Ambulatory Telemetry Packs (Telepacks) via ceiling or wall mounted antennas. This allows
transport through specifically designated areas of the hospital without disconnecting cables
or discharging a patient while transporting that patient from room to room. Patient data is
displayed at the Central Station, which is mounted at the nurses’ station. The system operates
in either the 2.4 GHz Industrial Scientific Medical (ISM) band or the 608 - 614 MHz
Wireless Medical Telemetry Service (WMTS) band.
1 - 20070-10-0634Panorama® Service Manual
Instrument DescriptionIntroduction
1.1.2Core Functions
The Panorama Central Station views, records, and recalls the following clinical data:
• Heart rate
•ECG waveforms
• Oxygen saturation
• Invasive and non-invasive blood pressure
•CO2
• Respiration
•Temperature
• ST segment analysis
•Alarms
• Temperature Blood (Tb)
• Cardiac Output/Cardiac Index (CO/CI)
• Gas Module II
You can configure the Central Station to display up to 16 patients on dual Touch Screen
displays. The Central Station’s monitor is controlled by a set of menu keys that you activate
by:
• selecting a key on the Touch Screen monitor, or
• positioning the cursor over a key and clicking the left mouse button.
When you select a menu key, you receive visual feedback.
NOTE:Monitoring at the Panorama Central Station is automatic
The Telemetry Interface Module (TIM) Transceiver collects and processes RF data from the
antenna network. The transceiver also provides 9 VDC power to the antenna network.
1.1.3Connectivity
Each Panorama Central Station incorporates a 16-channel system designed for monitoring
up to 16 hospital patients. The data is derived from bedside monitors connected to the
Panorama
connection). Patient data is received and processed by the Central Station and displayed on
either an LCD or CRT display.
A Hewlett Packard LaserJet printer produces hard copy printouts of the patient data via the
Panorama Central Network.
Patient Monitoring Network via the Panorama Patient Network (an Ethernet
1.1.3.1Wireless Configuration
The wireless network configuration is remote from the nurses’ station. Located in a closet, the
Panorama Wireless Telemetry Server collects data from patient monitors via antennas and
access points. The equipment listed below is also included in the wireless configuration.
Panorama® Service Manual0070-10-06341 - 3
IntroductionInstrument Description
ISM Telemetry
• Instrument transceivers (for bedside monitors)
• Telepack 2.4 (patient worn transmitter)
• A DC power distribution system to provide power for the access points
• Power Over Ethernet (POE) modules to carry DC power to the access points over CAT5
cable
• CAT5 shielded cable used to connect the access points to the Server or switch
• A switch to network the access points together
WMTS Telemetry
• Instrument transceivers (for bedside monitors)
• Telepack 608 (patient worn transmitter)
• TIM Transceivers
• Antenna Network
• Active Antenna
• RG6 and/or RG11 coax cable
• RF Splitters
1 - 40070-10-0634Panorama® Service Manual
Instrument DescriptionPanorama Block Diagrams
1.2Panorama Block Diagrams
The following block diagrams illustrate wired and wireless (ISM, WMTS) configurations for
the Panorama Patient Monitoring Network.
System Modules, Components, and PeripheralsInstrument Description
1.3System Modules, Components, and Peripherals
1.3.1Panorama Central Station
The Panorama Central Station contains the Panorama Patient Monitoring Network
application software, operating system, patient data processing, and data storage
components.
The application software is stored on the system hard drive within the Panorama Central
Station. A separate hard drive stores patient historical data.
Monitors (LCD, CRT) provide a graphic display of patient waveforms and other data.
1.3.2Network Laser Printer
A network laser printer provides ECG Strip and Patient Report printouts. One Panorama
Central Station is capable of supporting up to two printers.
The following network printers are approved for use with the Panorama Central Station:
®
•HP
• HP4100N
• HP4200N
4050N
1.3.3Keyboard, Video, and Mouse (KVM) Extender
The KVM Extender allows display monitors, speakers, and mouse to be located away from
the Panorama Central Station. The KVM Extender consists of a transmitter and receiver
connected via CAT5 cable. The transmitter is located at the Central Station location, and the
receiver is located at the display monitor location. Data signals are carried by CAT5 Ethernet
cable and link the Central Station with the display monitor(s). The extenders can be located
up to a maximum of 400 ft. (122 m.) [cable distance] away from the nurses’ station.
1.3.4Network Switches
Switches route data from bedside monitors and telemetry servers and transfer the data to the
Panorama Central Station.
Switches facilitate Central Station-to-Central Station communication, and communication to a
network laser printer.
1.3.5Uninterruptible Power Supply (UPS)
UPS provides battery backup during a power outage and limited AC surge protection for all
Panorama Central Station components (except for a laser printer).
1.3.6Speakers
Speakers provide audio from the Panorama Central Station (i.e., they plug directly into the
Central Station or the KVM extender).
1.3.7Access Point (2.4 GHz Telemetry only)
The Access Point collects patient data transmitted from the bedside monitors and telepacks.
1 - 80070-10-0634Panorama® Service Manual
Instrument DescriptionBedside Monitors
1.4Bedside Monitors
1.4.1Passport 2® (Monitors)
The Passport 2 monitor is a four-trace vital-signs monitor that can be mounted on a rolling
stand, wall mount bracket, or tabletop. You can monitor the following patient parameters:
• ECG, ST (optional)
• Invasive (optional) and Non-Invasive Blood Pressure
•SpO
• Respiration Rate
• Temperature, Arrhythmia (optional)
• Gases (optional)
•CO
For additional information on the Passport 2 monitor, refer to the Passport 2 Operating
Instructions manual.
2
(optional)
2
1.4.2Spectrum™
The Spectrum monitor is a four-trace vital-signs monitor that can be mounted on a rolling
stand, wall mount bracket, or tabletop. You can monitor the following patient parameters:
• ECG, ST (optional)
• Invasive (optional) and Non-Invasive Blood Pressure
•SpO
• Respiration Rate
• Temperature, Arrhythmia (optional)
• Gases (optional)
•CO
• 12 Lead ECG (optional) - hardwire only
• Cardiac Output (optional)
• Drug Calcs
For additional information on the Spectrum monitor, refer to the Spectrum Operating
Instructions manual.
2
(optional)
2
Panorama® Service Manual0070-10-06341 - 9
Theory of OperationInstrument Description
1.5Theory of Operation
The Panorama Central Station is a 16-patient channel, medical monitoring system. The
station’s design and monitor are based on an ATX computer architecture. Basic system data
processing configuration includes an ATX computer, a CRT display with Touch Screen, and
an Ethernet distribution system.
CAUTION:Software is written directly to some of the PC boards within
the tower. Replacement of the PC boards with off-the-shelf
PC boards may compromise the proper operation of the
Central Station.
1.5.1Panorama Central Station and Wireless Telemetry Server
Each of the Panorama Central Station’s hardware/software items (e.g., hard drives, controls,
etc.,) are identified and detailed below. Functionality and connectivity for each component
and/or peripheral is mentioned where appropriate. Specified for each is its contribution(s) to
either the overall Panorama Patient Monitoring Network and/or to data management
operations designated by system architecture for the Central Station module.
Cases are the same for the Central Station and the Telemetry Server with the exception of the
network connections. These connections are labeled specifically for telemetry, patient, and
central networks.
Software versions 6.X and 7.X are only compatible with the tower case or 4U case.
Software versions 8.X and above are only compatible with the 2U case.
Refer to Figure 1-4 for an internal, side view of the Central Station Tower. Refer to Figures
1-5 and 1-6 for views of the Central Station 2U chassis and wireless telemetry server.
1 - 100070-10-0634Panorama® Service Manual
Instrument DescriptionTheory of Operation
1
J29
2
3
4
5
J19
J17
J16
J15
J30
J54
BT1
6
11
FIGURE 1-4 Panorama Central Station Tower (Internal Side View)
7
8
9
10
1. Power Supply7. CD-ROM Drive
2. Motherboard8. System Hard Drive
3. AGP Display Board9. Floppy Drive
4. Serial Touch Screen Board10. Disclosure Hard Drive(s)
5. Network Interface Card11. TIM PCI Board (WMTS Wireless only)
6. Raid Controller
Panorama® Service Manual0070-10-06341 - 11
Theory of OperationInstrument Description
VGA Card
CDRW drive
Floppy drive
Disclosure Hard drive
FIGURE 1-5 2U Central Station and View-Only Workstation
Telemetry Network
Interface Card
VGA Card
Riser Card
Motherboard
Power Supply
System Hard drive
Riser Card
TIM PCI Card
CDRW drive
Floppy drive
FIGURE 1-6 2U Telemetry Server
Motherboard
Power Supply
System Hard drive
1 - 120070-10-0634Panorama® Service Manual
Instrument DescriptionTheory of Operation
1.5.1.1Motherboard
The motherboard is the physical platform on which the computer’s electronic circuitry and
processors reside. The computer’s Central Processing Unit (CPU) is docked on the
motherboard. The CPU executes the Panorama Patient Monitoring Network proprietary
software. The following components also reside on the motherboard:
• Random Access Memory (RAM)
• Read Only Memory, Basic Input/Output System (ROM BIOS)
• Associated Processing Logic
• Audio Circuit
• EIDE controller for 3.5” floppy drive and system hard drives
• Patient/Central Network Interfaces
• Mouse and keyboard controllers
1.5.1.2Connected to the Motherboard via PCI connectors:
• RAID Controller Card (Tower cases and 4U Central Station only)
• Patient Network/Telemetry Network Interface Card (Tower cases, 2U Server and 4U
Central Station only)
• Serial Interface Card Tower cases and 4U Central Station only)
• AGP Graphics Display Card (Tower cases and 4U Central Station only)
• TIM PCI Card (Tower Wireless Telementry Servers only)
• Riser Card (2U Central cases and 2U Panorama Telemetry Server only)
1.5.1.3Connected to the Riser Card (2U Cases only)
• Telemetry Network Interface Card (Panorama Telemetry Server only)
• TIM PCI Card (Panorama Telemetry Server only)
• AGP Graphics Display Card
1.5.1.4System Hard Drive Assembly
The system hard drive stores the Operating System (Windows NT®) and Panorama
application software. It is controlled by EIDE controller circuitry on the motherboard.
1.5.1.5CD-ROM Drive
The CD-ROM drive is used to load software and to copy error logs. It is housed in a
removable drive tray.
1.5.1.5.1RAID Controller Card (Tower Cases and 4U Central Station only)
The RAID Controller Card sits in the J15 slot on the motherboard. It controls the two (2)
disclosure hard drives.
1.5.1.5.2Panorama Patient Network Interface Card
The Panorama Patient Network Interface Card (NIC) sits in the J16 slot on the motherboard.
It provides a 100 Mbps Ethernet interface for the Panorama Patient Network.
Panorama® Service Manual0070-10-06341 - 13
Theory of OperationInstrument Description
1.5.1.5.3Serial Interface Card (Tower Cases and 4U Central Station only)
The Serial Interface Card sits in the J17 slot on the motherboard. It provides connection to the
Touch Screen inputs on the monitors.
1.5.1.5.4AGP Graphics Display Card
The AGP Graphics Display card sits in the J19 slot on the motherboard. There are two
versions of the graphic display card. The first version has two HD-15 connectors. The second
version has one DVI connector and one HD-15 connector. The second version requires the
use of a DVI-to-HD-15 adapter. These connectors are cabled to the display monitors.
1.5.1.6ATX Power Supply
The ATX switching Power Supply provides power for all electronic assemblies within the
Panorama Central Station. Regulated voltages are +5, -5, +12, and -12 Volts. The power
supply has a universal AC input and is rated for 300 Watts (minimum).
1.5.1.7Disclosure Hard Drives (Central Stations Only)
Tower Cases and 4U Central Stations
Two disclosure hard drives store all patient data. The RAID controller card controls these
drives.
2U Central Station
One disclosure hard drive stores all patient data. The IDE controller on the motherboard
controls the hard drive.
1.5.1.83.5” Floppy Drive
A Diskette Drive is used for running diagnostic software and uploading software. It is
controlled by Diskette Drive controller circuitry on the motherboard.
1.5.1.9Central Station Displays
1.5.1.9.1LCD Display
All text and graphics are displayed on the LCD screen. The unit is powered from an external
AC power supply. Graphics information is transmitted through a graphics cable from an AGP
Graphics Card.
1.5.1.9.2CRT Display
All text and graphics are displayed on the CRT screen. The display assembly contains the
cathode ray tube and the associated sweep boards. The unit is powered from the AC line
and contains its own fuse. Graphics information is transmitted through a graphics cable from
an AGP Graphics Card.
1 - 140070-10-0634Panorama® Service Manual
Instrument DescriptionTheory of Operation
1.5.2Touch Screen
The Touch Screen consists of a flat glass plate that fits over the face of a CRT or LCD monitor
display, and is an integral part of the monitor. The Touch Screen controller is located inside
the monitor housing. A DB-9 serial cable connects each monitor to the Serial Interface Card
or Serial Port on the Panorama Central Station. The Touch Screen uses surface acoustic wave
(SAW) technology.
1.5.2.1Principles of Operation
Surface acoustic waves (SAW) are mechanical waves that propagate in the surface of the
medium in which they are generated. The actual detection and location of a finger touch on
a SAW Touch Screen depends on the absorption of a subsection of the Touch Screen’s SAW
energy by the finger touching the screen.
The Touch Screen creates an absence of SAW energy. SAW energy is coupled to and
extracted from the Touch Screen by four identical piezoelectric transducers and a nearly
invisible array of fired-on glass-fit acoustic reflector strips around the border of a glass panel.