Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that
may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of
intended use published in this manual.
Welch Allyn and Connex are registered trademarks of Welch Allyn.
SQL Server, Visual Studio, Windows and Windows Server are all registered trademarks of Microsoft.
For patent information, please visit www.welchallyn.com/patents
Software in this product is Copyright 2014 Welch Allyn or its vendors. All rights are reserved. The software is protected
by United States of America copyright laws and international treaty provisions applicable worldwide. Under such laws,
the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation
of the product in which it is embedded. The software may not be copied, decompiled, reverse-engineered,
disassembled, or otherwise reduced to human-perceivable form. This is not a sale of the software or any copy of the
software; all right, title, and ownership of the software remain with Welch Allyn or its vendors.
For information about any Welch Allyn product, contact Welch Allyn Technical Support (www.welchallyn.com/support
visit (www.welchallyn.com/about/company/locations.htm).
.
),
This device complies with Part 15 of the FCC rules and with the rules of the Canadian ICES-003. Operation is subject
to the following two conditions: (1) This device may not cause harmful interference and (2) this device must accept
any interference received, including interference that may cause undesired operation.
Caution! Changes or modifications not expressly approved by Welch Allyn could void the purchaser’s authority to
operate the equipment.
DIR 80018210 Ver. F
Welch Allyn, Inc.
4341 State Street Road
Skaneateles Fall, NY 13153-0220 USA
www.welchallyn.com
This manual applies to 901066 Monitoring Station
Regulatory Affairs Representative
Welch Allyn Limited
Navan Business Park
Dublin Road
Navan County Meath
Republic of Ireland
This manual provides information to configure, maintain and support Connex CS central
station and server.
Before making changes to the central station or server, read sections of this manual that
pertain to your use of the product or planned activity.
Scope
Procedures documented within this manual are intended to be performed by trained
Welch Allyn support personnel, authorized and training biomedical engineers, or
authorized and trained information technology professionals. Familiarity with Microsoft
Window Operating Systems, SQL Databases, and networking is assumed including:
•File system directory navigation
•Editing application and system files
•Basic CLI commands
•MS Visual Studio
•Database modify and restore
•Basic network diagnostic commands
Contact Welch Allyn technical support for additional assistance as needed.
2IntroductionWelch Allyn
Note
Related Documents
Document NumberDocument Title
20012793Connex CS Central Station Install Guide
20012794Connex CS Server Install Guide
20012800Connex CS Install Validation Guide
80017306Connex CS Customer Project Req. Form
80018284Connex CS HL7 Interface Guide
80018292Connex CS System Technical Requirements
80018295Best Practices, Connex, Overview
80018296Best Practices, Connex, Aruba
80018297Best Practices, Connex, Cisco
Symbols used in this manual
WARNING Warning statements identify conditions or practices that could result
in personal injury.
Caution Caution statements identify conditions or practices that could result in
damage to the equipment or property.
Notes provide additional important information. The content of the note may not
be contained elsewhere in the document.
Definitions
ADTAdmit, Discharge, Transfer, a type of message notification of a change in
AGSAlarm Gateway Service, a licensable feature which provides alarm
BMCBaseboard Management Console, a console that runs on the server which
BIOSBasic Input / Output System, the boot firmware program that controls the
CPUCentral Processing Unit, a desktop computer (PC) in the case of a central
ComponentA major subassembly of the central station or network (e.g. CPU, Video
DNSDomain Name System (Server or Service), a system on the network which
status within the facility’s record keeping system and/or the EMR
application
messages in a data stream to a 3rd party system.
provides autonomous monitoring and recovery of critical server functions.
server on startup until the operating system takes over. Also performs POST
functions and error reporting.
station, or a server computer in the case of a hardware Connex Server.
Display, Printer, Ethernet Switch, etc.).
translates domain names to IP addresses
Connex CS Admin GuideIntroduction3
DHCPDynamic Host Configuration Protocol, a protocol for assigning dynamic IP
addresses on the network.
DHCP Option 43/60A location method for devices to locate a Connex Server using the facility’s
DHCP service. The facility’s DHCP services provide a forwarding service to a
system running NRS. Configure the DHCP server to support option 609
lookup or fixed Vendor Class Identifier “welchallyn-nrs”. The corresponding
option 43 value is an encapsulated list of up to 3 Connex Server IP
addresses.
EMRElectronic Medical Record, the record system maintained by the facility with
patient information and data, including vital signs.
FRUSDRField Replaceable Unit / Sensor Data Record, contains a hardware list that
is used by the BMC in monitoring and managing server health.
HISHospital Information System, the network in use by the facility that supports
network communication with various systems and devices, including
Connex CS central station, Connex server, and devices.
HDDHard Disk Drive, the internal media which contains the operating system
InstallationThe on-site process for installing the hardware, network infrastructure, and
LANLocal Area Network, a network of computers connected together in a local
NRSNetwork Rendezvous Service, a service that runs on the central station and
POSTPower On Self Test - An integrity check within the CPU and/or device to
UpgradeOn-site service activity to enhance or add functionality to a device or
UPSUninterruptable Power Supply, a unit which provides battery back-up power
Virtual Connex ServerA server instance which has been virtualized to an appliance form (includes
along with all software required to run the server and installed applications
system configuration at the customer’s location of business.
environment. Typical communication includes standard Ethernet protocols.
Connex server that provides a location service to direct devices to the
proper system upon connection to the network.
ensure that all expected components are present and working (e.g. memory
tests).
system. An upgrade can be accomplished with changes to hardware,
software, configuration, or combinations of all three.
for connected devices.
Operating System, Connex Applications, and Database) and installed within
the customer’s Virtual Server environment.
Technical support services
Welch Allyn offers the following technical support services:
•Telephone support
•Remote diagnostics
•Exchange computers
•Replacement service parts
•Service agreements (Partners in Care)
•On-site product service
•EMR Integration professional services
•Service training
For information on any of these services, go to www.welchallyn.com.
4IntroductionWelch Allyn
Partners in Care service agreements
While product warranties provide basic assurance of Welch Allyn hardware and software
quality, they may not include the full range of services and support you need. Welch Allyn
offers premium service and support through our Partners in Care program. Whether you
service your own devices and require a minimum of support or rely on us to service your
device, Welch Allyn provides a program that will meet your needs. For more information
visit our web site at
www.welchallyn.com or call your sales representative.
Connex components general maintenance
General preventive maintenance consists of basic cleaning of equipment, inspection, and
verification of the equipment and system operation. Only a trained biomedical engineer
should perform these tasks.
Perform general preventative maintenance according to the following
r
ecommended schedules:
Service ActivityFrequencyComponentAction
InspectionBi-annuallyCentral Station
uter
Comp
Connex server
Computer
• Visually inspect all cables, connectors, and
indicators.
• Perform alarm test and confirm proper operation
of audio speakers.
• Visually inspect all cables, connectors, and
indicators.
• Review O/S system performance logs and tool
re
ports.
Display• Visually inspect all cables, connectors, and
Keyboard• Visually inspect keys and cables.
Mouse• Visually inspect cables and connectors.
Printer• Run the on-board print quality tests.
indicators.
• Inspect display quality and settings, such as
brightness and contrast.
• Test function of keys.
• Test functions of rollers and control buttons.
• Visually inspect display LE
and controls.
Ds, connectors, cable,
Connex CS Admin GuideIntroduction5
Note
Note
Service ActivityFrequencyComponentAction
Cleaning and
maintenance
AnnuallyCentral Station
Computer
Connex server
Computer
Display• General cleaning.
Keyboard• Remove and dust or debris build up.
Mouse• Remove and dust or debris build up.
Printer• Clean external cooling vents.
• Power down the computer.
• Open the computer case and clean dust build up.
• Power down the computer.
• Open the computer case and clean dust build up.
• General cleaning.
• General cleaning.
• Refer to the Mfg. printer directions for use for
additional cleaning and maintenance
information.
Use only approved cleaning solutions according to your facility’s guidelines and
the manufacturer’s recommendations.
Service ActivityFrequencyComponentAction
Component
Replacement
AnnuallyKeyboard• Replace to meet performance recommendations.
Mouse• Replace to meet performance recommendations.
2 to 3 yearsDisplay• Replace to meet performance recommendations.
Actual performance of system components may vary depending on usage.
6IntroductionWelch Allyn
7
2
Safety warnings and cautions
Safety
All persons performing activities to configure, maintain and support Connex CS central
station and/or server must read and understand all safety information presented within
this manual before beginning repairs.
Warnings and Cautions
WARNING It is strongly recommended that the central station computer and
display are installed with a redundant power source, such as an uninterrupted
power supply (UPS) capable of supporting at least 600 watts. The facility is
responsible to provide 100 percent reliable power to the central station. The
central station will only work with reliable AC power.
WARNING It is strongly recommended that the hardware Connex server is
installed with a redundant power source, such as an uninterrupted power supply
(UPS) capable of supporting at least 500 watts. The facility is responsible to
provide 100 percent reliable power to the central station. The hardware Connex
server will only work with reliable AC power.
WARNING When performing service and repair procedures, follow the
instructions exactly as presented in this manual. Failure to do so could damage
the system, invalidate the product warranty, and lead to serious personal injury
WARNING For maximum system performance and availability, the central
station PC and server hardware must be replaced on a recommended
preventative maintenance interval. See the service documentation for
recommended intervals.
WARNING Do not change central station components or configuration, such as
removing or adding a printer or substituting hardware, without approval by Welch
Allyn. Such changes could degrade system performance and affect patient
monitoring.
WARNING Do not install additional software on the central station PC or server
without prior approval by Welch Allyn. Such changes could degrade system
performance and affect patient monitoring.
8Safety warnings and cautionsWelch Allyn
WARNING Devices connected to the central station must be certified for overall
system compliance according to the IEC 60601-1 safety standard. The
interconnection of any device with the central station must comply with IEC
60601-1-1. If in doubt about network connectors or devices, please consult your
facility’s Biomedical Engineering department or Welch Allyn Technical Support
Caution The system many not function properly if components have been
dropped or damaged. Protect system components from severe impact or shock.
Do not us the system if you notice any signs of damage.
Caution Do not operate the system in the presence of magnetic resonance
imaging (MRI) or hyperbaric chambers.
Caution No component-level repair of circuit boards and subassemblies is
supported. Use only the support procedures documented in this manual.
Caution Changes to the network interfaces on a live network will cause
outages, and should be planned with the facility. Additional changes may also be
required on each central station if the IP address of the server that supports
them is changed. Refer to the Connex CS Central Station Install Guide and/or
the Connex CS Server Install Guide for additional information.
Caution Customer networks used to support continuous monitoring functions
as part of Connex CS shall be configuration and maintained by information
technology professionals.
Caution Connex CS shall be serviced by Welch Allyn trained service personnel.
Caution Connex CS components shall be replaceable by Welch Allyn service
personnel, authorized customer biomedical engineers, or authorized information
technology professionals.
Caution Do not enable automatic updates on the central station virus protection
software. Automatic updates can impact product performance.
Connex CS Admin GuideSafety warnings and cautions9
General safety considerations
•If the system detects a recoverable problem, it displays an exception message onscreen. Contact Welch Allyn technical support for additional information.
•If the system detects an unrecoverable problem,
more information see “Troubleshooting” o
•To ensure patient safety, use only accessories recommended or supplied by Welch
Allyn.
(See the accessories list on the user documentation CD or
www.welchallyn.com.) Always use accessories according to your facility’s standards
and according to the manufacturer’s recommendations and instructions. Always
follow the manufacturer’s directions for use.
•Welch Allyn recommends that only Welch Allyn service personnel or an authorized
epair center perform warranty service. Performing unauthorized service on a device
r
that is within warranty may void the warranty.
Electrostatic discharge (ESD)
it displays an error message. For
n page 125.
Caution Electrostatic discharge (ESD) can damage or destroy electronic
components. Handle static-sensitive components only at static-safe workstation.
Caution Assume that all electrical and electronic components of the monitor
are static-sensitive.
Electrostatic discharge is a sudden current flowing from a charged object to another
object or to ground. Electrostatic charges can accumulate on common items such as
foam drinking cups, cellophane tape, synthetic clothing, untreated foam packaging
material, and untreated plastic bags and work folders, to name only a few.
Electronic components and assemblies, if not properly protected against ESD, can be
permanently damaged or destroyed when near or in contact with electrostatically charged
objects. When you handle components or assemblies that are not in protective bags and
you are not sure whether they are static-sensitive, assume that they are static-sensitive
and handle them accordingly.
•Perform all service procedures requiring
replacement hard disk drive) in a static-protected environment. Always use
techniques and equipment designed to protect personnel and equipment from
electrostatic discharge.
•Remove static-sensitive components and assemblies fr
only at static-safe workstations - ensuring that the person performing these activities
is at the same ground potential as the device being serviced.
•Use of a properly grounded table and grounded floor mat, including the wearing of a
g
rounded wrist strap (with a resistor of at least 1 megohm in series) or other
grounding device is recommended.
disassembly of computers (e.g. installing a
om their static-shielding bags
10Safety warnings and cautionsWelch Allyn
•Any assembly or subassembly that has an exposed circuit board should be treated as
a static sensitive device.
•Avoid touching the contacts or components on circuit board assemblies. Handle by
the edges of the board whenever practical
•Remove or insert static-sensitive components and assemblies only with system
power turned off.
•Insert and seal static-sensitive components and assemblies into their original static-
shielding bags before removing them from static-protected areas.
11
3
Overview
Overview and System Hardware
The Connex Central Monitoring Station (central station) is intended to be use by clinicians
for the central monitoring of neonatal, pediatric, and adult patients in health care facilities.
In addition to the central monitoring of patient data, alarms and alerts, the Connex
software can include optional modules to provide extended recording of patient data,
including full disclosure.
The Connex CS system consists of a central station that receives and displays information
from connected devices. In this configuration, continuous and episodic devices
communicate over the network to the central station. The central station contains all of
the software needed to monitor patients’ continuous parameters and episodic data on a
single computer.
The central station also monitors connected continuous devices for proper operation, and
displays an alarm if a continuous monitor stops working or is improperly disconnected.
Multiple central stations may be installed in a shared environment with a Connex server
(Hardware or Virtual) providing a central data repository for all information. In addition, the
Connex server may also be used to support integration with the facilities HIS to share
patient information and data.
A high-level topology with multiple central stations and a Connex server is shown
in“Figure 3-1: Multiple Connex CS conceptual model” below. Although all devices are
shown with wireless communication, a wired-networking model may also be used.
12Overview and System HardwareWelch Allyn
Figure 3-1: Multiple Connex CS conceptual model
Connex CS Admin GuideOverview and System Hardware13
Central Station Computer Controls and Connectors
1.Review “Figure 3-2: Central Station computer front panel controls and connectors”
and “Figure 3-3: Central Station computer rear panel connectors” on page 14.
2. Familiarize yourself with the location of all features, controls, indicators, and
connectors on the CPU.
Figure 3-2: Central Station computer front panel controls and connectors
AExpansion Drive Bay (not used)EReset switch. Press this switch to
reset the computer. Recessed to
prevent accidental activation.
BOptical drive bay (CD / DVD)FPower Switch. Press and release
to turn on the CPU. Push and hold
to turn off.
CPower LED. Turns Green when
computer is on, and is Off when
computer is not on.
DHard disk LED. Turns on when the
computer read or writes data to
the hard disk.
GFront Panel USB ports (Qty. 2)
HFront door. Keep closed during
normal usage.
14Overview and System HardwareWelch Allyn
Figure 3-3: Central Station computer rear panel connectors
AAC Power inlet (100 - 240 VAC)ENetwork RJ45
BUSB 2.0 ports (Qty. 4)FAudio out (Green)
COn-board video HD15 - DO NOT
USE
DUSB 2.0 ports (Qty. 2)
GDMS-59 Video connector
Connex CS Admin GuideOverview and System Hardware15
Hardware Connex Server Computer Controls and
Connectors
1.Review “Figure 3-4: Hardware Connex Server Computer front panel features and
connectors”, “Figure 3-5: Hardware Connex Server Computer front panel
controls”below, and “Figure 3-6: Hardware Connex Server Computer rear panel
connectors” on page 16.
2. Familiarize yourself with the location of
connectors on the Connex server hardware.
Figure 3-4: Hardware Connex Server Compute
ARack handles (2)DUSB Ports
BHard drive baysEFront panel controls
CSlimline optical drive (optional)
all features, controls, indicators, and
r front panel features and connectors
Figure 3-5: Hardware Connex Server Computer front panel controls
AUnstuffable ID button with ID LEDFStatus / Fault LED
BNMI Button (recessed)GPower Button with LED
CLAN1 LEDHLAN2 LED
DLAN3 LEDILAN4 LED
EReset ButtonJHDD LED
16Overview and System HardwareWelch Allyn
Figure 3-6: Hardware Connex Server Computer rear panel connectors
AAC Power inlet (100 - 240 VAC)FPCI Express slot
BSerial port AGVideo connector
CService Mgmt network interface
(BMC)
DNIC 1 Connector (10/100/1000 Mb)IUSB Ports
ENIC 2 Connector (10/100/1000 Mb)
HUSB Ports
17
4
Central Station Startup
Different startup
Depending on the system configuration from manufacturing, the computer may be
configured as a networked central station with a shared Connex server, a warm spare
station, or a stand-alone central station. The station behavior at startup differs based on
the configuration.
In the networked environment, where there is a Connex server, it is preferred that the
Connex server be started first. The Connex server hosts the main database that all central
stations attempt to synchronize with on startup, using the Welch Allyn Connex Data
Synchronization Service. Refer to the Connex CS Server Install Guide for additional
information and startup behavior for the Connex server.
A central station configured as part of a network (client-server) model will startup with the
central station application and run by itself, but may take much longer during the startup
process if the Connex server is unreachable. The central station may also be running in a
degraded mode until the Connex server is brought online (e.g ADT services may not be
available).
Warm Spare station considerations
A system configured for Warm Spare operation is licensed and configured to contact and
synchronize its local database with that of the Connex server. The Warm Spare does not
perform any other functions than to maintain a state of readiness to be put into place as a
replacement central station when needed. Refer to “Standard central station startup” on
page 19 below startup behavior of a Warm Spare station.
A Warm Spare is part of a network environment, with a closet sever as well. It is preferred
that the Connex server be started first. Central stations, including a warm spare should be
started after the Connex server is running. Refer to the Connex CS Server Install Guide
for additional information and startup behavior for the Connex server.
Stand-alone central station considerations
In the stand-alone central station, all required services are self contained within the CPU.
Thus, there are no other systems to consider in terms of startup order. Stand-alone
stations do not have communication ability with the facility’s EMR application.
18Central Station StartupWelch Allyn
Power on the system
Once all peripheral items have been attached to the central station CPU, and the Connex
server installation is running (if applicable), complete these final steps to finish the install.
1.Ensure that all components are connected to a AC power outlet.
2. Power on the displays and any other peripherals which require power.
3. Turn the power ON for the CPU using the power control switch on the front bezel. The
ower On Self Test (POST) runs and displays a message on the screen.
P
4. On the main CPU, verify the following:
LED Indicator - front bezelState or Condition
Power LED.Glows a constant GREEN
Hard drive LEDTurns on after POST and CPU
wh
en on.
attempts to boot.
Connex CS Admin GuideCentral Station Startup19
Standard central station startup
1.If properly configured, the central station should automatically startup with the
Connex CS application running.
2. Upon successful start-up of the Connex CS application, the main screen is displayed.
e“Figure 4-1: Connex CS main screen example”below.
Se
3. Some additional configuration may be required on site. Refer to other chapters in this
al for additional information subjects related to configuration and localization.
manu
4. Refer to Appendix A “Troubleshooting” o
with starting up the Connex CS Central Station CPU.
Figure 4-1: Connex CS main screen example
n page 125 if problems are encountered
Warm Spare station startup
If the station is configured as a Warm Spare:
1.Upon successful start-up of the Connex CS application, the Warm Spare screen is
disp
layed. An example is shown in “Figure 4-2: Warm Spare main screen example”.
2. With the exception of print driv
required beyond this point.
a. Print drivers may be required to work with customer supplied printers. Refer to
“Network, Printer, Time & Date config.” on page 29 for additional information on
installing print drivers.
ers installation, typically no additional configuration is
20Central Station StartupWelch Allyn
Figure 4-2: Warm Spare main screen example
3. Refer to Appendix A “Troubleshooting” on page 125 if problems are encountered
with starting up the Connex CS Central Station CPU.
21
5
Connex Server Startup
Server bootup screens
If Virtual Connex server has been installed, skip ahead to Step 8 at Windows Server
startup.
If a Hardware Connex server has been installed, follow all steps below.
1.Press the power button on the right side front bezel control panel of the server to
restart.
2. During normal startup, the server displays a number of bootup screens. The screen
emains blank for about 15 - 20 seconds, after which the Embedded RAID Controller
r
startup screen appears. An example is shown in “Figure 5-1: Bootup screen with
Embedded Server RAID startup”.
Figure 5-1: Bootup screen with Em
bedded Server RAID startup
3. The screen above remains for about 20 seconds, and is then updated with the current
state RAID information.
4. For normal operation, RAID screens present at least 2 drives present in port 0 and 1.
n the example shown in “Figure 5-2: Embedded Server RAID with status display” on
I
page 22, both port 0 and 1 are populated with drives reporting is size as about 953
GB.
5. The Virtual drive is configured as Online. This is the normal state.
22Connex Server StartupWelch Allyn
Figure 5-2: Embedded Server RAID with status display
6. After a few seconds, the display updates to the Intel Server Board screen. An
example is shown in “Figure 5-3: System startup display with blue Intel logo”.
Figure 5-3: System startup di
splay with blue Intel logo
7.Do not press any keys unless entering maintenance modes.
8. After a short pause, the display updates and the Windows Server 2008 operating
sy
stem begins to load. The animated Microsoft logo appears.
Connex CS Admin GuideConnex Server Startup23
9. Once the operating system startup is complete the administrator login screen
appears.
10. Startup process is now complete. Observe the operational state as continues below.
Confirm Connex Server operational state
1.Login to the server with the Administrator account user name and password.
2. Upon success, the desktop screen is displayed.
3. On the desktop, double-click on
a. If the icon is not present, go to Star
Admin Tools Launcher > (version number) to locate the program. Right-click on
Welch Allyn Admin Tools Launcher and select Send to > Desktop (create
shortcut) to send a shortcut to the desktop.
4. The Connex CS Administrator Tools is similar to the Set
needed) > Admin tools tab window on the workstation. An example is shown below.
Figure 5-4: Administrator Tools startup window
. The Connex CS Admin Tools function launches.
t > All Programs > Welch Allyn > Connex >
tings > Advanced settings (if
5. On the Admin Tools tab, navigate to Settings > Connections. The Services windows
displays the state of all of the core services running which make up the Connex
Server application. An example is shown below in “Figure 5-5: Administrator Tools
setting connections window” on
page 24.
24Connex Server StartupWelch Allyn
Note
6. A green state means that the service is currently running normally.
7.A re
d state means that the service is not running in a normal state or has stopped.