The information in this manualapplies to Oxinet III systems with the Revision Esoftware running on a Dell PC.
NellcorPuritanBennett Inc. is an affiliate of Tyco Healthcare. Nellcor and Oxinet aretrademarks of Nellcor PuritanBennett Inc.
To obtain information about a warranty, if any, contact Nellcor’s Technical ServicesDepartment, 1.800.635.5267, or yourlocal Nellcor representative.
Purchase of this instrumentconfers no express orimplied license under any NellcorPuritan Bennettpatent to use the instrumentwithany sensorthat is notmanufactured orlicensed by NellcorPuritan Bennett.
Covered by one ormore of the following U.S. Patents and foreign equivalents: 4,653,498;4,802,486; 4,869,692; 4,934,372; 5,078,136; 5,351,685; 5,485,847; 5,533,507; 5,577,500; 5,803,910; 5,865,736; 6,463,310; 6,708,049; Re.35, 122; and foreign equivalents.
Warningsare identified by the WARNING symbol shown above.
Warnings alertthe userto potential, serious outcomes (death, injury, or adverseevents) tothe patient or user.
WARNING: The Oxinet®III system is not intended to be a substitute forclinical supervision.Patients onlife-support equipment should beappropriatelymonitoredby competent medical personnel and suitablemonitoring devices.
WARNING: The OxinetIII system is a secondary alarmnotification system. It is intended to supplementand not to replace any part of the hospital’sdevice monitoringprocedures (includingprocedures regarding bedside pulse oximetersand respondingto besideoximeter alarms). Do not rely onthe Oxinet III system as the solesourceof oximeter alarms.
WARNING: It is essential that the CentralStation be visually and/or audibly monitored at all timesto assure prompt response to alarms. Do not rely onthe pagers as the sole source ofOxinet III alarms.
WARNING: Do not ignore medical device audible alarms. Alarms indicateconditions that require immediate attention.
WARNING: Do not use medical devices, parts, accessories, or optionsthat are not for use withthe Oxinet IIIsystem.
WARNING: Users are not notifiedwhenthe pager is out ofrange ofthe transmitter.
Oxinet III1
IntroductionService Manual
WARNING: Explosionhazard. Do not use the Oxinet III system inthepresence of flammable anesthetics or gases or oxygen-enrichedenvironments.
WARNING: The Oxinet III transmitter is notdefibrillator-proof. Althoughitmay remainattached to a monitor that is attached to a patient duringdefibrillationor while anelectrosurgicalunit is inuse, its transmission maybeinterrupted during defibrillatoruse.
WARNING: Do not use an Oxinet III transmitter, pager,or CentralStationthat appears to be damaged.
WARNING: Do not spray,pour,or spill any liquid onthe OxinetIII, its accessories, connectors, switches, or openingsin the chassis since this may damage theOxinetIII system. (The transmitter,pager, or any other systemcomponent must beremoved fromservice if they ever become submerged inliquid.) To ensure accurate performance and prevent device failure, do not subject the Oxinet III to extreme moisture, such as direct exposure to rain. Suchexposure may cause inaccurate performance or device failure.
Cautions
Cautions are identified by the CAUTION symbol shown above.
Cautions alertthe userto exercise care necessary for thesafeand effective useofthe Oxinet III system.
Caution: Federallaw (U.S.A.)restricts this device to sale by or on the order of a physician.
Caution:The Oxinet III software is intended for use with thefollowingoximeters: the Nellcor N-395, N-550, N-595, N-560, and N-600.
Caution: The displayed data is limited to that provided by the pulseoximeter.
2Oxinet III
Service ManualIntroduction
Caution:Refer to the operator’s manuals for thespecificpulse oximeterfor oximeter warnings and cautions.
Caution: Oxinet III software is intended to run on computers that meet the minimumrequirements set forth in the Specifications chapter of this manual. No applications other than those specified shouldbe installed or executed onthe application server.
Notes
Manual Overview
Notes are identified bythe
Notes contain important information thatmayotherwise beoverlooked or missed.
This manual contains information for the Oxinet III system. All users should readthismanual completely. More experienced users can usethis manual as areference.
The latest versions of this servicemanual and theoperator’smanualare availableonline, along with otherNellcor oximetry manuals,at:
The Oxinet IIIsystem transmits data fromthe N-395, N-550, N-595, N-560, orN-600 pulse oximeter tothe Central Station for patient monitoring, via a wiredorwireless configuration. The Central Station displays all monitored rooms, relevantpulseoximeter data, andalarms.
WARNING: The OxinetIII system is a secondary alarmnotification system. It is intended to supplementand not to replace any part of the hospital’sdevice monitoringprocedures (includingprocedures regarding bedside pulse oximetersand respondingto besideoximeter alarms). Do not rely onthe Oxinet III system as the solesourceof oximeter alarms.
The intended patient population is comprised of adult,pediatric, and neonatal patients.The intended environmentsof use are hospitalsand hospital-typefacilities. Hospital usetypicallycovers such areas as generalcare floors, operatingrooms, specialprocedure areas, andintensive and critical care areas within thehospital andhospital-type facilities, such as surgicenters, sub-acutecenters, special nursing facilities,and sleeplabs, outside ofthe hospital.The OxinetIII system is for use byprescription only.
Oxinet III5
System OverviewService Manual
Description
The Oxinet III software collectsand distributes time-sensitiveoximetry data viawired or local networkwireless technology.Making use ofthe Intranet’s securityandconnectivitystandards, theOxinet III software enables the review andsurveillance of medical device settingsand real-time patient dataremotely, using a standard HTML compatible web browser.
The components that makeup the wirelessand wired systems arelistedbelow.
Wireless Configuration:
•PulseOximeter (suitable for usewithin thepatient environment)
•Transmitter (suitable for usewithin the patient environment)
•Access Point
•Router/Switch
•Central Station (application server)
•OxinetIII Operator’s Manual
•Pager Transmitter (optional)–Pagers, atleast two, if pager option installed
Wired Configuration:
•PulseOximeter (suitable for usewithin thepatient environment)
•Communication Server
•Router/Switch
•Central Station (application server)
•OxinetIII Operator’s Manual
•Pager Transmitter (optional)–Pagers, atleast two, if pager option installed
Each of these systems is discussed in moredetailinthe followingsections.
6Oxinet III
Service ManualSystem Overview
Wireless Configuration
In a wirelessconfiguration (Figure 1),each PulseOximeter is connected to a Transmitter. Each Transmitter communicates wirelesslywith an Access Point, which is connected through aRouter/Switch tothe Central Station (applicationserver), wherethe patient’sdata maybe monitored. The Central Station can beconnected to an optionalPager Transmitter: ifpagers are assigned to a patient,alarmsare transmitted from the oximeter tothe Central Station, then through thePager Transmitter to the assigned pagers.
In a wired configuration(Figure 2), all pulse oximeters are connected toaCommunication Server (generally,the pulse oximeters are connectedtoa portinthewall, which connects to the Communication Server housed in a datacommunications closet). The Communications Server is connected to aRouter/Switch,which is connected to the CentralStation (application server), where thepatient’s data may be monitored. The Central Station can be connected to anoptional Pager Transmitter: ifpagers areassigned to a patient, alarmsaretransmitted from the oximeter to the CentralStation,then throughthe PagerTransmitter to theassigned pagers.
In either configuration,the Central Station (application server) is the computerrunning the Oxinet III software.The software displays all monitored rooms,relevant Pulse Oximeter data, and alarms.
Figure 2: Wired Configuration — with Optional PagerTransmitter
Oxinet III7
System OverviewService Manual
Alarms
Alarms are indicated both audibly and visually atthe Central Station. If the optional paging system isused, an alarm text messageis transmitted to a pager,displaying the room number, patient name, alarm message, SpO
rate at the time ofthe alarm.
value, and pulse
2
Reports
Pagers
Note:
The Oxinet III software performsdatabase maintenance automatically: thesoftwaretemporarily closes the program, performsdatabase file maintenance,and relaunches the programat 10:05 ameveryday.This maintenance procedure normally takes less than 45 seconds to run.
During the briefperiod that database maintenance is in progress, the system does not process any incomingdata —including alarms.
The Oxinet III softwareallowsupto 72 hours ofmonitored data to be stored,trended, and retrieved in avarietyof printable reports. Reports can berun atany time orperiodic snapshots of oximetry data can be scheduled at intervals selectedby the clinician.
Use of pagerswiththe Oxinet III system is optional,since patients are being continuouslymonitored atthe Central Station. If you decide to assign pagers to a patient, you shouldassignbotha primaryand a different secondary pager. Theprimarypagerreceives thealarm page within 10seconds ofthe alarm. If no one responds to the alarm by either silencing the alarm at the oximeter or resolving the reason for the alarm, the system sends a notification tothe secondary pagerwithin 30 to 120 seconds of theprimarypage, depending onthe settings for yourOxinet III system. The range of operation from pager transmitter to pager is150 feet withno intervening structures.
WARNING: It is essential that theCentralStation be visually and/or audibly monitored at all timesto assure prompt response to alarms. Do not rely onthe pagers as the sole source ofOxinet III alarms. The Oxinet III systemis a secondary alarm notification system. It isintendedto supplement and not toreplace any part of the hospital's device monitoringprocedures (includingprocedures regarding bedside pulse oximeters and responding to bedside oximeter alarms).
8Oxinet III
Service ManualSystem Overview
Component Descriptions
Table 1: WirelessConfiguration
ComponentDescription
Pulse OximeterThe pulse oximeter monitors and processes patient data and
TransmitterThe transmitter convertsserial data fromthe oximeter to Ethernet
AccessPointTheaccesspoint receives the wireless data from thetransmitter
Router/SwitchThe router/switch receivespatient data from the access point via
Central Station (application server)
sends thisdigital data to the transmittervia the oximeter’s serialdata port.The following Nellcor oximeters aresupported: N-395,N-550, N-595, N-560, and N-600.
data and then transmits thedata to the access point.
and forwards itto the router/switch. A number of access pointscan be installed together tocreate a Wireless LocalArea Network (WLAN), which can cover asinglecare unit, asinglefloor,ormultiple floors. The numberof access points requiredtocreate theWLAN isdeterminedby the size ofthe area to bemonitored. Because every building is unique, access pointplacement mustbedetermined by trained personnel beforetheOxinet III installation.It is not recommended that an access point be moved afterinstallation, since the wireless coveragearea will be affected.
the Ethernet networkconnection (or throughthe Cat5Patch cable) then forwards the datato theCentral Station(applicationserver).
The Central Station (application server), which includes thecomputer that runsthe Oxinet III software, displaysall monitoredrooms/beds,relevant pulse oximeter data,and alarms.Oximetrydatais received from theconnected router/switch and, if theoptional pagingfeatureis used, sends the alarm datato the pager transmitter for transmission tothe assigned pagers.
Pager Transmitter(optional)
The pager transmitter receives thealarmdata through the serialRS-232 port of the Central Station andsends a text messageto the assignedpager(s)thatincludes: the room number,patientname, alarm message, time and date.
Table 2: Wired Configuration
ComponentDescription
Pusle OximeterThe pulse oximeter monitors and processes patient data and
Communication Server
Router/SwitchThe router/switch receives patient data from the communication
sends this digital data to the Communication Server via hardwireconnection to the oximeter’s serial data port. The following Nellcor oximeters are supported: N-395, N-550, N-595, N-560, and N-600.
The communication server ishard-wired to each bedside locationand converts digitalserialdata from the serial port of the pulseoximeter to Ethernet data, then forwards that Ethernet data to theEthernet router/switch.
server via the Ethernet network(or through the Cat5 Patch cable)and then forwards the data tothe Central Station (application server).
Oxinet III9
System OverviewService Manual
Table 2: Wired Configuration
ComponentDescription
Central Station(application server)
Pager Transmitter(optional)
The Central Station (application server), which includes thecomputer thatrunsthe Oxinet III software, displaysall monitoredrooms/beds,relevant pulse oximeter data,and alarms.Oximetrydata isreceivedfrom the connected router/switch and, iftheoptional pagingfeatureis used, sends the alarm datato the pager transmitter for transmission tothe assigned pagers.
Thepager transmitterreceives the alarm data through theserialRS-232 port of the Central Station andsends a text messageto the assigned pager(s) that includes: the roomnumber, patient name, alarm message, time and date.
10Oxinet III
Installation
Power and Space Requirements
Caution: Oxinet III system power cords should only be connected to properly grounded 120V AC, 60 Hzoutlets.
When installing the components, leave space beyond the dimensionslisted in Table3 to accommodatecablesand to provideadequateventilation to preventoverheating.
Table 3: Component Dimensions
ComponentDimensions
Computer13” W x 4” H x15” D
Display,17-inchLCD Touchscreen19” W x 19” H x 16” D
(height x width x depth)
(330 mm Wx102 mmH x 381 mm D)
(483 mm Wx483 mmH x 406 mm D)
Keyboard2”W x 19” H x7” D
(51 mm Wx 483 mm H x 178 mm D)
Mousewith Mouse Pad2”W x 8” H x7” D
(51 mm W x 203 mm H x178 mm D)
Transmitter (optional for theWireless Configuration)
6.93” W x 1.9” H x4.26” D(176mm W x 48.3mm H x 108.2 mm D)
(196.9 mm W x 31.7 mm H x 139.7 mm D)
(430mm W x 45 mm H x 229.9 mm D)
(185.9mm W x 48 mm H x153.9 mmD)
8.5” W x 8.5” H x2” D(215.9 mm W x 215.9 mm H x50.8 mm D) wall mountable
Place the optional pager transmitter in a location where it is not close tolarge metal objects such as tall metal filing cabinets ormetal desks,whichtend tointerfere withradio frequency signals. In addition, thepagertransmittershould beplaced at least3 feet away from other electronic equipmentsuch ascomputers,radios, orPA systems tominimize interference with those systems.
Note:
Typical symptoms of interference includeflickering screenson theCentral Station ora computermonitor,or hissing/popping sounds comingfrom speakers.Ifeither of these symptoms occur,increase the distance between the pagertransmitter and thedevice experiencing thesymptoms.
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InstallationService Manual
Installation
The Oxinet III system should onlybe installedby trained Nellcor personnelorauthorized representatives.The installation information provided in thismanual can beused to reconnectthe Oxinet III systemafter moving it.
Wired Configuration
The followingNellcoroximetersare supportedin the Oxinet III system:
•N-395
•N-550
•N-595
•N-560
•N-600
The Oximeterdata outputport mustbe configured asfollows:
•communication protocol —ASCII
•baud rate— 9600
Refer to the Oximeter’servicemanual for detailson Oximeter settings.
Connect the Oximeter to the Communication Server
1
Plug a DB15M/RJ-45 Cat5 Adapter connector into thedata portof each Oximeter(patientroom/bed)as shown in Figure 3.
2
ConnectaACpower cord to the powerinput jack on the back ofeach Oximeterand plug the other end into AC power outlet.
3
Connect a Cat5Patch cable fromthe DB15M/RJ-45connector of each Oximeterto an available serial port on the back of the Communication Server and take noteof the room sequence versus the communication serialportnumber (Figure 3).
Connect the Communication Server to the Router/Switch
1
Connectthe Cat5 Patch cable from the 10/100Base-T networkport on the Communication Server toanyavailablenumbered RJ-45 LAN port on theRouter/Switch as shown in Figure 3 (
DONOT use theport labeled“WAN”
).
2
ConnectaACpower cord to the powerinput jack on the back oftheCommunication Server and plug the other end intoone ofthe batterybacked-upAC power outletsof theUPS.
3
Connectthe DC barrel connectorend ofthe DC Adapter Powercable to the round DC jack on thebackof theRouter/Switch and plug the AC end into one of the battery backed-up AC power outletsof theUPS (Uninterruptible PowerSupply).
12Oxinet III
Service ManualInstallation
Connect the Router/Switch to the Central Station
Connect a Cat5 Patch cable fromany ofthe numbered RJ-45LAN portson theback ofthe Router/Switch to thenetwork port in thebackof theCentral Station (Figure 3).
Connect the Central Stationto Pager Transmitter (Optional)
This procedureneeds to beperformonlyif your system includes theoptional Pager Transmitter.
1
Connect power cord fromthe power jack on thebackof theCentral Station toone of thebattery backed-up AC power outletsof theUPS.
Caution: Toavoid damagingthe Pager Transmitter,connect its antenna before connecting power to the Pager Transmitter.
2
Connect the antenna for the Pager Transmitter tothe BNC connector on the PagerTransmitter (Figure 3).
3
Connect theCentral Station’santenna as shown in Figure 3.
4
Connectone end of the two-ended RS-232 serial cable to thetheCentral Station, and connectthe other end to the
RS232C Interface
COM1
serial port of
serialport
on the leftside ofthe PagerTransmitter (Figure 3).
5
Connect theDC power cable intothe
12V DC
power port of the Pager Transmitter
and plug the ACcord into the AC power outlet (Figure 3).
6
Connect themouseand keyboard to theCentral Station (Figure 3).
Connect the Printer to theCentralStation
You need toconnecta printerto the Central station in order to print Oxinet IIIreports.
1
Connectthe printercable from the printer to the parallel port connector on theback ofthe PCportion ofthe Central Station(Figure 3).
2
If you are using a USB printer,connect the USB cable to the USB port on the back of the PC portionof the Central Station (Figure 3).
Oxinet III13
InstallationService Manual
Figure 3: Wired Configuration System Connection
14Oxinet III
Service ManualInstallation
Wireless Configuration
Connect the Oximeter to the Transmitter
The followingNellcoroximetersare supported in the Oxinet III system:
•N-395
•N-550
•N-595
•N-560
•N-600
The oximeterdata outputport must be configuredas follows:
•communication protocol — ASCII
•baud rate — 9600
Refer to the Oximeter’servicemanual for detailson Oximeter settings.
1
Place the Transmitter (ClientBridge) near oron top ofthe Oximeter (Figure 4).
2
Connectthe Oximetertothe Transmitter using the transmitter’s RS-232cable (Figure 4).
3
Connect one end ofthe AC Y-cord toeach unit(Oximeter and Transmitter) and plug the otherend intothe AC outlet(Figure 4).
Connect the Access Point to the Router/Switch
1
Installa Cat5 cable fromthe RJ45jackonthe back ofthe Access Point to any ofthe numbered RJ-45 LAN ports on the back of the Router/Switch (Figure 4).
2
Connectthe AccessPointAntenna tothe Primary AntennaConnector on the back of theAccessPoint (Figure 4).
3
Connect DC barrel connector end of the DC Adapter Power cable to the round DC jack on the back ofthe Router/Switch and plug theAC plug end into an AC outlet(Figure 4).
4
Connect DC power to theAccessPointby performing either the
Point Power Supply ConnectionDistributed Power Supply Connection
procedure or the
procedure.
Multiple Access Points
Single Access
a.Single Access Point Power Supply Connection
if a single AccessPoint is to beinstalled in a location (such as a bookcaseortallshelf) wherean AC power outlet isavailable.
•Plug the DC barrel connector end of the DC AdapterPower cable intothe round power jack on the access pointand plugthe AC power cord into an AC outlet(Figure 4).
Oxinet III15
— Thisoption can beused
InstallationService Manual
b.Multiple Access Points Distributed Power SupplyConnection
— Thisoptioncandistribute 15V DC power to as many as six access points,concurrently. The distributed powersupply is usefulwhen multiple accesspoints are usedto cover larger areasor when there is no AC outlet near theaccess point(such aswhen an accesspoint is installed ina ceiling plenum).
Perform the following steps to connect DC powertomultiple access points:
1.Run a cable between the distributed powersupply andeach Access Pointseparately. Since a datacable also hastobe run toeach Access Point,acable contractor can pull the two cables atthe sametime.
Thecabletype required for the distributedpowersupply is a stranded 18 AWG, STP (shielded twisted pair) with anoverall foil shield with arating appropriate for the application (plenum rated, for example). Followlocal, state,and national regulations regarding cabling.An electrician orlicensed contractor should be consulted.The power cable mustbeterminated withaspecial barrel connector atthe accesspoint.The white striped connector is positive.
2.Plug the barrel connector intothe round power jack on theAccessPoint.
3.Connectthe oppositeend ofthe power cable to terminal blocks on the power distribution panel ofthe distributed power supply. When terminating the ends ofthe powercable, observe polarity.
4.Plug theACpower cord ofthe distributed power supplyintoanAC outlet.
5.Repeat the process for each AccessPoint.
Note:
When multiple access pointsare combined to cover large areas, it mightbe
necessarytouse multiple switches and multiple distributed power supplies.
Connect the Router/Switch to the Central Station
Connect a Cat5cable fromany ofthe numbered RJ-45 LAN portson the back ofthe router/switch to thenetwork port in thebackof thePC portionof theCentral Station (Figure 4).
Connect the Central Station to the Pager Transmitter
Caution: Toavoid damagingthe Pager Transmitter, connect its antenna before connecting power to the Pager Transmitter.
1
Connect the antenna for the Pager Transmitter tothe BNC connector on the PagerTransmitter (Figure 4).
2
Connectone end of the two-ended RS-232 serial cable to thethe PCportion ofthe Central Station, and connectthe otherend to the
Interface
16Oxinet III
serialport on theleft side ofthe Pager Transmitter(Figure4).
COM1
serial port of
RS232C
Service ManualInstallation
3
Connect theDC power cable intothe
12V DC
power port of the Pager Transmitter
and plug the ACcord into the AC power outlet (Figure 4).
4
Connect thePC portion of the Central Station to an AC poweroutlet, connectthe DC power tothe Monitor Portion of theCentral Station(via the DC power cable), and connectthe mouse and keyboard to the Central Station (Figure4).
Connect the Printer to theCentralStation
You need toconnecta printerto the Central station in order to print Oxinet IIIreports.
1
Connectthe printercable from the printer to the parallel port connector on theback ofthe PCportion ofthe Central Station(Figure 4).
2
If you are using a USB printer,connect the USB cable to the USB port on the back of the PC portionof the Central Station (Figure 4).
Oxinet III17
InstallationService Manual
Figure 4: WirelessConfiguration System Connection
18Oxinet III
Administrative Functions
Central Station
The Central Station performs various Administrativefunctions for theOxinetIII system.
Caution: The procedures described inthis chapter must be performed by qualified service personnel.
All butone ofthe Administrative functions are password-protected to prevent accessbyunauthorized personnel. The password is provided in thischapter.
There are two ways to gain accesstothe Administrative functions, either viaanexternally connected keyboard orbyusing the on screen “touchscreen” keyboard.
You mayalso wantto connect a mouse instead of using the touchscreen capability.To connect themouseand thekeyboard to theappropriateports, see Figure 3 orFigure 4 in the Installation chapter ofthis manual.
Once the mouse and the keyboardare connected,use the the Central Station (Figure 5).
On/Off
button to restart
Figure 5: Central Station Keyboard Display and On/Standby Button
Oxinet III19
Administrative FunctionsServiceManual
Funciton Keys Explained
The keyboard’sfunctionkeys provide accesstothe Administrative functions ofthe Oxinet III Central Station. Table 4 lists and describeseach ofthe function keys.
Table4: Function Keys Explained
KeyDescription
F5Allows youto refresh screen.
F7Allows youto align the touchscreen.
F8Allows youto adjustthe volume.
F9Allowsyou tobackup thecurrent system configuration or to restore
F10Allows youto changethe various alarm settings, add/delete
the most current backed-up versionof thesystem configuration.
pagers, modify the room list, and schedule snapshots.
Refreshing the Screen (F5)
Refreshingthe screenenables you to restart the current screen ifthereis a problemwith the Central Station. For example, you may want to use the refresh function asthe first stepwhen troubleshooting error messagessuch as NetworkCommunication Error or Pulse Oximeter Communication Error, if the operational statusof the CentralStation is suspect,or whentroubleshooting systeminterference problems. Thisisthe only Administrative function that is notpassword-protected; simplypress thescreen.
thelower tool bar
Ascreenrefresh can also be performed by touching the Oxinet III logo on
.
Aligning the Touchscreen (F7)
Alignment ofthe touchscreen is necessary ifyou notice thecursoris not lined upwithyour finger when using thetouchscreen. This functionis password-protected.
F5
key on the keyboard to refresh the
1
Press the
F7
key on the keyboard.
The uShield dialog box appears (Figure 6).
Figure6: uShield Dialog Box
2
Type the Administrative function password,
1234
, thenpress orclick the
Ok
button.
20Oxinet III
Service ManualAdministrative Functions
The
Elo TouchscreenProperties
dialog box appears (Figure7).
Figure 7: Elo Touchscreen PropertiesDialog Box
3
Press orclick the
The system willguide you throughthe alignmentprocess. When complete, pressor click the
OK
functionand return to the
Adjusting Volume (F8)
Thispassword-protected function enables you to control the Central Station volume.
1
Press the
The uShield dialog box appears (Figure 6).
2
Type the Administrative function password,
button
3
The
F8
key on the keyboard.
.
Volume Control
Align
button.
button on the
Elo Touchscreen Properties
Main Display
dialog box appears (Figure8).
screen.
1234
dialog box to closethis
, thenpress orclick the
Ok
Oxinet III21
Administrative FunctionsServiceManual
Figure 8: Volume Control Dialog Box
4
Make the following adjustments as desired:
Warning: The Oxinet IIICentral Station shouldNOT be muted.
•If the Volume Control’s (turnedoff); clear thecheckbox by clicking it to un-mute (turn-on)thevolume.
•Raise and lower the volumeby clicking and dragging the Volume slider in the
Volume Control
section — drag it up to raise the volume and down to lower the
volume.
•When you have completed thevolume adjustments,pressor click the X in theupper right cornerof the return to the
Main Display
Using Backup/Restore (F9)
Use thispassword-protectedfunction to back up the current system configurationor to restore the most current backed-up version of the system configuration.A USB Memory Device is needed toperform this function.
Backing up the Current System Configuration
1
Press the F9 key on the keyboard.
The
Oxinet Backup/Restore Wizard
through thebackup process.
Mute all
check box is selected, thevolumeismuted
Volume Control
screen.
opens (Figure 9). The wizard willguide you
dialog box to close this function and
Note:
Pressing (orclicking) the
Cancel
button enables you to cancelthis action
and close this function.
22Oxinet III
Service ManualAdministrative Functions
Figure 9: Oxinet Backup Wizard
2
Type the Administrative function password,
1234
, thenpress orclick the
Next
button.
The
Select an action
screen appears (Figure10).
Figure 10: Backup/Restore Function — Selectan Action
The systemdeterminesif theUSB Memory Device is installed. If thedeviceisinstalled, thedevice is not installed, the
Note:
Backup Device Detected
No Backup Device Detected
Pressing (orclicking) the
Cancel
messageappears (Figure 11). Ifthe
messageappears.
button enables you to cancelthis action
and close this function.
Oxinet III23
Administrative FunctionsServiceManual
Figure 11: Backup Function
3
Press orclick the
Next
button.
The system begins the backup processand displaysthe message:
Progress
(Figure 12). Thedesktop outside the Backup screen willbe black.
Figure 12: Backup in Progress
4
When the backupprocess is complete, the word
Done
appears (Figure 13).
Backup in
24Oxinet III
Service ManualAdministrative Functions
Figure 13: Backup in Progress — Done
5
Press orclick the
Next
button.
The finalmessage,
6
Click the
Finish
Backup Completed,
is displayed (Figure 14).
Figure 14: Backup Completed
button toclose this function.
Oxinet III25
Administrative FunctionsServiceManual
Restoring the Most Current Backed-up Version
Make sure the USB Memory Device,containing the most current backed-upversion, is in place.
1
Press the
Thethe restore process.
F9
key on the keyboard.
Oxinet Backup Wizard
opens (Figure 15). The wizard will guide you through
Note:
Pressing (orclicking) the
Cancel
and close this function.
Figure 15: Backup/Restore Wizard
2
Type the Administrative function password,button.
button enables you to cancelthis action
1234
, thenpress orclick the
Next
The
Select an action
screen appears (Figure 16).
Figure 16: Backup/Restore Function — Selectan Action
3
Select the
26Oxinet III
Restore
option (Figure 16), then pressor click the
Next
button.
Service ManualAdministrative Functions
Note:
Pressing (orclicking) the
Back
button at any point in the Wizardenables
you toreturn to theprior Wizard screen.
The systemdeterminesif theUSB Memory Device is installed. If thedeviceisinstalled, thedevice is not installed, the
4
Press orclick the
Restore Device Detected
No Backup Device Detected
Next
button.
message appears (Figure17). If the
messageappears.
Figure 17: Restore Function
5
Ifyou have more than one version backed up, the system asks you to select the version you wanttorestore; the most recent version will be the currentselection. Press orclick the drop-down arrow to viewand select anothersaved version (Figure 18).
Figure 18: Restore Function —Selecta Version
6
Press orclick the
7
You will then be asked toconfirm yourversion selection (Figure 19). Press orclick the the
Oxinet III27
Next
Back
button to returntothe prior screen (Figure 18).
Next
button.
button tocontinue. Or, if you haveselected thewrong version, click
Administrative FunctionsServiceManual
Figure 19: Restore Function — Confirm the Version
8
The system begins the backup processand displaysthe message:
Progress
(Figure20).
Restore in
Figure 20: Restore in Progress
When the backupprocess is complete, the word
28Oxinet III
Done
appears (Figure 21).
Service ManualAdministrative Functions
Figure 21: Restore in Progress - Done
9
Press orclick the
Next
button.
The finalmessage,
10
Click the
Finish
Restore Completed
, is displayed (Figure 22).
Figure 22:Restore Completed
button toclose this function.
Oxinet III29
Administrative FunctionsServiceManual
Oxinet Control Panel (F10)
1
Press the
The uShield dialog box appears (Figure 6).
2
Type the Administrative function password,button.
The
F10
key on thekeyboard.
Oxinet Control Panel
opens (Figure 23).
1234
, thenpress orclick the
Ok
Figure 23: Oxinet Control Panel
The
Oxinet Control Panel
menus enable you to:
•Change the various alarm settings
•Add/delete pagers
•Modify the roomlist
•Schedule snapshots
There are fourtabsat the top of themenu:
Alarms, Pagers, Rooms
, and
(or click)the corresponding tab.
Oxinet Control Panel
Schedule SnapShot
screen that identify each
. To see a menu,press
30Oxinet III
Service ManualAdministrative Functions
Alarms Menu
The
Alarms
Control Panel
menu (Figure24) is thefirstscreen that appears when the
opens.
Oxinet
Figure 24: Alarms Menu
The firstthree columns contain alarm information (description, abbreviation, and level).
1
Tochange settings in theor
Snap Shot
columns,press (or click)within thecell for the settingyou want to
Workstation Audible, Central Station Tone, Send Page
change.
A drop-down arrowappears (Figure 24).
2
Press(orclick) the arrow and the list ofoptions appears as shown in Figure 24.
3
Press(or click) theoption to select it.
The change is made.
Table5 lists anddescribes the alarmsettings in the
Alarm
menu.
,
Oxinet III31
Administrative FunctionsServiceManual
Table 5: Alarms Settings
DescriptionThis is the message that appears on the CentralStation
AbbrevIf pagers are assigned to a patient and the
LevelThe settingsin this column determines the prioritylevel of
WorkstationAudible
Central StationTone
Send PageThe settingsin this column determine whether or notthis
SnapshotThe settingsin this column determine if a snapshot will
whenthe alarmoccurs (can be edited by a Nellcor Service technician only)
the
Send Page
message that will be sent to the pager (can be edited by a Nellcor Service technician only).
an alarm:technician only).
The settingsin this column determine if an audible alarmsounds on theCentralStation when this alarm occurs:
Audible
or
The settingsin this column determine the audible toneforthe alarm:
(none)
.
alarm will triggeran alarm page,ifpagers are assignedtothe patient:
automatically betaken when this alarm occurs:
.
column is selected, this is the pager
Low
or
High
(canbeedited by a Nellcor Service
Off
. Default settingis
FivePulse, ThreePulse, Constant Tone
Yes
or No.
Audible
Yes
.
option in
, or
Yes
or No.
Pagers Menu
ToSet IntervalBetween Initial Pageto Primary Pager and Pageto Secondary Pager:
1
Press (or click)the
Pagers
tab toopen the
Pagers
menu as shown in Figure 25.
Figure 25:Pagers Menu —Initial
32Oxinet III
Service ManualAdministrative Functions
2
Use the
Send Secondary Page(s)
field to set the interval (in seconds) between the initial page to the primarypagerand the page tothe secondary pager(s), if pagersare assigned to thepatient. For example, if you type
30
(Figure 25), the secondarypager notification will occur30 seconds after the initial page occurs (ifno oneresponds to the initialalarm page to either silence the alarm at the oximeterorresolve the reason for thealarm).
To Add a Pager:
1
Press (or click)the starred (*) cell(Figure25) in the
Pager Name
column.
This inserts the cursorso you can type thepager name or number. Backspace todelete the word
New
(Figure 26).
Figure26: PagersMenu — Adding Pager
2
Press (or click) the cell in theexample
Oxinet III33
103
(Figure 27)
.
Pager Name
column and typethe pager number, for
Administrative FunctionsServiceManual
Figure 27: Pagers Menu — Entering Pager Name
3A
Press (or click)the cellinthenameand number, for example
Pager Number/E-mail
103A50
(Figure 27)
column andtype the pager
— the pager number is
indicatedonthe back ofthepager (in this examplethepager number is 103).
OR
3B
Ifthe Oxinet III system isconnected to aSMTPe-mail systemon the hospital’sintranetand theOxinetIIIsystem is connected to that intranet, you can typeane-mail address instead,then change the
Type
to
E-Mail
as shown in Figure 28.
Figure 28: PagersMenu — Entering PagerE-mail
34Oxinet III
Service ManualAdministrative Functions
To Edit a Pager:
Press (or click)the cell containing the information you want to modify, then make the change.
To Delete a Pager:
Press (or click)the areatothe left of therow tohighlight therow to be deleted,then pressthe
Delete
key on the keyboard.
Rooms Menu
Caution: Donot makechanges to the room list while patients are being monitored —you must first dischargeallpatients from the OxinetIIIsystem, then makeany necessary changes to thelist.
The
Unit
columnenables you to grouprooms/beds in categories that make sensefor yourfacility. If you havemultiple Units inthe system, buttonsrepresentingeach ofthose Units will appearat the top ofthe switch theUnit, the
Monitor
Step Down
viewfrom one Unittoanother. Figure 29shows only one
Unit.
Monitor
screen, so you can
The
RoomSeq
the
Available RoomList
The
Tech Page
field determinesthe order in which the rooms will be displayed on
and the
Monitor
screens.
buttonis reserved for use byNellcor Service technicians to clear
room assignments inthe event of a problem andispassword-protected.
Figure 29: Rooms Menu
Oxinet III35
Administrative FunctionsServiceManual
Schedule Snap Shot Menu
Use the Schedule Snap Shot menu toset the times forscheduled snapshotstooccur(refer to the Running Reports chapterof the operator’smanual formore information aboutSnapshots). Press (or click)the check boxnextto the desired time to select or clearit. Forexample, in Figure 30, snapshots will betakenforallpatients in theOxinetIII system atmidnight, atnoon, at4 am and 4 pm, and at8 am and 8 pm.
Figure 30: Schedule Snap Shot Screen
36Oxinet III
Service ManualAdministrative Functions
Maintenance (F11)
Note:
The OxinetIII software performs database maintenance automatically. The softwaretemporarily closes the program, performsdatabase file maintenance,and relaunches the programat 10:05 ameveryday.This maintenance procedure normallytakes less than 45
does not process any incoming data, including alarms.
maintenance is complete,the systemreturns youtothe
F11
function to
F11
key on the keyboard.
manually initiate database maintenance
1234
, thenpress orclick the
Please wait..Maintenance is running.This
messageappears (Figure 31). When
Monitor
. This function is
screen.
Ok
Figure 31: Database Maintenance
Oxinet III37
Administrative FunctionsServiceManual
38Oxinet III
Maintenance
Service
If service is needed for any of the Oxinet III system components, contact qualified service personnel or yourlocal Nellcorrepresentative.
The Pager requires periodic replacementof the battery.Refertothe operator’smanual for batteryreplacement instructions. The latest version of theoperator’smanual is available online at:
softwaretemporarily closes the program, performsdatabase file maintenance,and relaunches the programat 10:05 ameveryday.This maintenance procedure normallytakes less than 45
does not process any incoming data, including alarms.
database maintenance process, referto the section ofthe Administrative Functions chapter in this manual.
The OxinetIII software performs database maintenance automatically. The
Periodic Safety Checks
It is recommended that the following checksbeperformedonthe transmitterevery 24months:
•Inspect thetransmitter for mechanical and functional damage
•Inspectthe relevant safetylabels for legibility
If thelabelsare not legible, call Nellcor’s Technical Services Departmentat
1.800.635.5267 or contact your localNellcorrepresentative.
Cleaning
Caution: Donotspray, pour, orspillany liquid on anyof theOxinetIII components, its accessories,connectors,switches, or openings in thechassis,
since this may damage the OxinetIII system.
seconds to run.
During this brief period, the system
To manually initiate the
Maintenance (F11)
on page37
To clean the pager or Central Station screens, usea clean cloth designed for use on lenses ortouch-sensitive screens.To clean the pageror Central Station casings, use a clean damp cloth and wipe dry.
For surface-cleaning and disinfecting the transmitter, follow your institution’sprocedures or:
•Surface-clean byusing a soft cloth dampened witheither a commercial,
nonabrasive cleaner ora solution of 70% alcohol inwater, and lightly wipe the surfaces ofthe transmitter.
Oxinet III39
MaintenanceService Manual
•Disinfect by usingasoftcloth saturated with Glutaraldehyde (CIDEXTM orequivalent) or 10%chlorine bleach in tap water.
Spare Parts
Toorderspare parts,contact Nellcor’s Technical ServicesDepartment at
1.800.635.5267. Spare parts and part numbers are shown in tables 6 and 7. A parts
list for the Oxinet IIIsystem is also available online at:
Failureto follow the instructions in this section may result inloss or damagenotcovered by anyapplicable Nellcor warranty.
1.Contact yoursupplieror local Nellcoroffice (Technical Services Department,
1.800.635.5267) for a returned goods authorization (RGA) number. They willalso provide you with the address for returning the Oxinet III component.
2.Pack thecomponent(s). Thebest methodfor returning the component(s) is topack them in the original shipping carton. If the original shipping carton is notavailable,use another suitable carton, usingsufficient padding to protect the component. Markthe shipping carton and any shipping documents with the RGA number. Returnthe component(s) by anymethod thatprovidesproof ofdelivery.
Oxinet III41
MaintenanceService Manual
42Oxinet III
Troubleshooting
Troubleshooting List
Table 8 lists troubleshooting tips for some of the problems that might occur whileoperating the Oxinet III system.
Some problemsmight indicateequipment malfunction. Your OxinetIIIsystemadministratorshould becontacted to resolve these types ofproblems. You can alsocontact Nellcor’s Technical ServicesDepartment at1.800.635.5267.
Table 8: Troubleshooting
SymptomCauseCorrective Action
Message appears:
wait..Maintenance is running. This should takefew minutes to complete.
Poor cursor control on theCentral Station
Software Activity Indicator(colored bars inupper left cornerofscreen) stop scrolling
Please
The OxinetIII softwareperforms databasemaintenance automatically:the software temporarilycloses theprogram,performs database filemaintenance, andrelaunchesthe program at10:05am every day.Thismaintenance procedurenormallytakes less than45seconds to run.
this brief period, the system does not process any incoming data,including alarms.
Cursor out of alignment.•Connect a keyboard to the Central
Software activity hasstopped.
During
No intervention is needed.
Station and restart it.
•Press F7 key on thekeyboard, thentype the Administrative functionpass-word.
•When thedialog box opens, press theton. The system will guide you through the alignment process.
•When complete, press theOK button on thedialog box to close this function.
•Restart the Central Station.Ifthe problem still exists, contact
Nellcor’s Technical Services Department at 1.800.635.5267.
Elo Touchscreen Properties
Elo Touchscreen Properties
Align
but-
Oxinet III43
TroubleshootingService Manual
Table 8:Troubleshooting (Continued)
SymptomCauseCorrective Action
Nodisplay on the Central StationCentral Station loss of
No current data is beingdisplayed for an active oximeteror several oximeters
power.
Monitor not connected.•Ensure allmonitor cablesare con-
The UPS has drained itsbattery.
TheUPS is not operating properly.
Datafrom an activeoximeter is not reachingthe Central Station.
•Ensure that theAC powercord is con-nected to the powerinput jack on theback of thebase of theCentral Station and theother end isplugged into oneof the battery backed-up AC outletsorthe UPS.
nected.
•Rechargethe battery on the UPS.
•Replace the battery, if necessary.
•Replace the UPS.
•Make sure the cable issecurelycon-nected to the oximeter’s data port.
•Check that router/switchhas power
Wired configuration:
•Check the connection between the oximeter and communication server
•Check that thecommunicationserverhas power.
•Check the connection between the communication server and the router/switch.
Wireless configuration:
No current data is beingdisplayed for any oximetersinthe OxinetIII system.
Data fromall active oximeters isnot reachingthe Central Station.
•Check that thetransmitter has power.
•Check the connection between the oximeter and transmitter.
•Check that theaccesspoint haspower.
•Check that theCat5 cable connectingthe router/switch to the Central Stationis securely connected to any of therouter/switch’s numbered ports.
•Check that theother end of the Cat5cable is securely connected tothe net-work port connectiononthe backof the Central Station.
•Check that therouter/switch haspower.
Wired configuration:
•Check that thecommunicationserverhas power.
•Check the connection between the communication server and the router/switch.
Wireless configuration:
•Check that theaccesspoint haspower.
•Check the connection between the accesspoint and therouter/switch.
44Oxinet III
Service ManualTroubleshooting
Table 8:Troubleshooting (Continued)
SymptomCauseCorrective Action
A pager doesnot receive analarm page
Multiple pagers do not receive analarm
The Central Station is frozenProgram error•Restart the CentralStation.
Thepager may not beassigned to that patient or the pagermay have beenout of range.
The pager transmitter may have lost power or the cord connecting thepagertransmitter withthe CentralStation may beloose ordisconnected.
•Check the Pager Assignments on theCentral Station to confirm that the pager is assigned tothe room/patient where the alarm occurred.
•The pagertransmitter may havelostpower or the cord connecting thepagertransmitter with the CentralStation may be loose or disconnected. Confirm that the cordis still securelyattached.
•Confirmthe red power light for thepager transmitteris on; make sure the power supplyis still connected tothe back of the pager transmitter.
•If needed,contact Nellcor’s Technical Services Department at
1.800.635.5267.
•Confirmthe red power light for thepager transmitteris on.
•Confirm thepower supplyis still con-nected tothe pagertransmitter.
•Check the cord connecting the CentralStation to the pager transmittertoensureitis securely connected to the serial port ofthe pager transmitter andthe
COM1
port of the Central Station.
Ifthe problem still exists, contact Nellcor’s Technical Services Department at 1.800.635.5267.
Central Station computererror
Alarms not audibleAlarm is not configuredas
an audible alert.
Volume is turned off/down for speakers.
•Restart the Central Station.Ifthe problem still exists, contact
Nellcor’s Technical Services Department at 1.800.635.5267.
•Press the
1. When the uShield dialogbox appears,type 1234 for the password and press the Ok button.
2. In the Oxinet Control Panel,set the typeof audible alarm desired.
See page 30 for details.
•Press theF8key on thekeyoard:
1. When the uShield dialogbox appears,type 1234 for the password and press the Ok button.
2. In theVolumeControl dialog box, raise the volumebyclickingand draggingthe Volume slider up.
See page 21 for details.
•Check Audio cable connection.
F10
key on thekeyboard:
Oxinet Control Panel (F10)
Adjusting Volume (F8)
on
on
Oxinet III45
TroubleshootingService Manual
Obtaining Technical Assistance
For technicalinformation andassistance, or to order parts or a service manual,contact Nellcor’s Technical ServicesDepartment at1.800.635.5267 oryour localNellcor representative.
The latest versions of this operator’smanualand the service manualare available online, along with otherNellcor oximetry manuals,at:
Marking and InstructionsIEC 60950-1, Sub-clause 1.7
Protection fromhazardsIEC 60950-1, Sub-clause 2
Wiring connections and supplyIEC 60950-1, Sub-clause 3
Comply with IEC 60950 orrelevant component standard
Protectionagainst ingress of water
ElectromagneticemissionsFCC Part 15:2002 CLASS B
PowerinterfaceIEC 60950-1, Sub-clause 1.6
Thermal requirementsIEC 60950-1, Sub-clause 4.5
Resistance to fireIEC 60950-1, Sub-clause 4.7
IEC 60950
IEC 60950-1, Sub-clause T
IPX1
This device hasbeen testedand found tocomply with FCC Part 15“Class B”regulations fordigital devices. Operation is subject to thefollowing two conditions:
•This device may not cause harmful interference and
•Thisdevicemust accept any interference that may cause undesiredoperation
These FCC limitsare designed to providereasonable protection against harmfulinterference when the equipment isoperated in aresidential orcommercialenvironment.This equipment generates,uses, and can radiate radio frequencyenergy, and, ifnotinstalled andused in accordance with this operator’s manual and the service manual, maycause harmful interference to radio communications.
50Oxinet III
Service ManualSpecifications
IEC 60601-1-1 Compliance
The following information provides instructions and guidanceregarding theuse of theNellcor N-395, N-550, N-595, N-560, and N-600pulseoximeters. Theseoximeters have been found to becompliantwith IEC60601-1-1, whenused in a system levelconfigurationwiththe AC Y-Cord and the Oxinet III transmitters.
Note that theACY-Cord is designed with oneACplug connectiontoACmains power and with two (IEC-320 style)connectors for powering an oximeter and atransmitter.
The requirements listed below mustbefollowed:
1.This systemisauthorized for usein the USA only.
2.The AC mains voltages mustbe in the range of100to132VAC.
3.The combinations ofequipment listed below areauthorized to be in thepatient environment.
•N-395 withOxinetIIItransmitter, both AC powered by AC Y-Cord
•N-595 withOxinetIIItransmitter, both AC powered by AC Y-Cord
•N-550 withOxinetIIItransmitter, both AC powered by AC Y-Cord
•N-560 withOxinetIIItransmitter, both AC powered by AC Y-Cord
•N-600 withOxinetIIItransmitter, both AC powered by AC Y-Cord
Note:
When using Oxinet III, useonly the“Lead Year, Model ADP-0502-5V
AC/DC Adapter”. The adapter is connected to mainspowervia theAC Y-Cord.
WARNING:Noother devices are intended for use with theAC Y-Cord. The use of equipment not specified inthis document may subject the patient to excessive leakage current. The Oxinet III has a DB-9 connector with a metalshell.Do not touchthe metal shelland the patient simultaneously. Highleakage current is possible incase ofgroundfailure ofthe PSU.Duringcleaning, sterilization, disinfection oradjustment of any kind,the instructionscontained inthis manual must be followed.
Please contactthe Nellcor’s TechnicalService Department at
1.800.635.5267
if
you have anyquestions regarding theproper use of the system.
Oxinet III51
SpecificationsService Manual
52Oxinet III
Index
A
Access Point
multiple DC powerconnection
single DC powerconnectionAccess Point specificationsadding a pageradjusting volume, F8Administrative function passwordadministrative functions
Tech PagebuttonTechnical Services, phone numberTelephone number, Technical ServicesTransmitter specificationstransmitter to pager, range of operationtroubleshooting tips
, 35
, 48
, 43
U
uShield dialog box
, 20
V
Volume Control dialog boxvolume, adjustment
, 21
, 21
W
WarningsWebsite address, NellcormanualsWebsite address, order spare parts
,
wireless configuration,table
, 1
, 9
, 46
, 46
, 8
, 3, 39, 46
, 40
S
Schedule SnapShotSchedule SnapshotsServicesingle Access Point DC power connectionSpace requirementsSpare Partsspecifications