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4 - Frank`s Hospital Workshop

1. SNOW S391N3 P9IP3N Y 01 dN E Y p1DOg 9y OJJUOD 3 0U19yY ddMOd a E THOdW SNIVW IV 7dSn IES od gSn algo 1ono xog Aud ojul pabbBn d aq Anu woy ajoweay lt gt ZHOdW S321430 9SN podfey me gt CUOdW _ AGE podfax NOS NyYd J Uldd a UOC a tons opno yusi uuo Tiree HOdW jq0 I0A0 Kub ojul pabOhnyd aq Kow 1DHBIP S391430 HOdWN ital Bo oub TI INO gt ind au0 919 CUISIS S LIORDUJOJUL RIMIOMION IAVISIBV os OWASOY J3 ULIJ 1 S07 9 9 UO DIS PJJUID SJOPUOW juanod 19Y10 t IN AJOMION IdAVISIYVI padis CE ae Yono oipno ypj WIAD gt gsn I0 161p MezeSa Ai 2 25258 2 G IAG IAG e AUO W013 53 RTS a a JUNOW Apl s QUWDI JOd9 Wad hsd SWDI4 ANPON oo ott tii M ea a a yono oipno 1461 woy gt asn Nd 0 aqua bay Oopl Aq Ajyoauip JO Junow apis 4 ols jouONdO G4 DIA SII3ULOI WIdd 6 y JOUDIp a OPPIA Bo pub SANA gt IAd 00 Wad aWDJ4 ajnpo y RAE a au0 091 aaa Wd SINPOW DIG Wand WUN Add Y DDJ WYYL l A UO JNPOW WIL Z IOI WYYL 9UIDJYJ jNpow 3 Z4 WOd WSd 104 JUNOUI apl s SIPN DUI BWWOI4 jnpow 3 GA sXpjdsig a37 paoddns 5 0 dp 111 2062973 001 CARESCAPE Monitor B850 The system block diagram describes the functional units of the CARESCAPE Monitor B850 T
2. etc 134 2062973 001 Troubleshooting Speaker audible alarm issues Possible cause Recommended action Audible alarms are not Audible alarms are turned off Enable audible alarms sounding See Alarms Setup gt Audible amp Visual Alarm volume is low Adjust alarm volume using Monitor Setup gt Sound Volumes The alarm limits are not set Make sure the alarms are enabled Refer correctly to the patient monitor s user s manual for correct alarm settings The patient is not being The alarm function remains disabled until monitored the patient is correctly admitted into the system If a patient s waveform and the DISCHARGED message both display refer to the patient monitor s user s manual for correct patient admitting instructions USB cable from display is not Connect the USB cable to the patient connected to the patient monitor monitor The speakers are disconnected Check that the speakers are properly connected Tone generator or audio Replace the processor board amplifier failure Speaker failure Test if the speaker is functioning using Monitor Setup gt Sound Volumes Replace the faulty speaker 11 5 3 Incorrect system time Problem Possible cause Recommended action 135 2062973 001 CARESCAPE Monitor B850 System time is incorrect when CPU timekeeper battery empty Replace CPU timekeeper battery patient monitor is not connected to network Time not configur
3. yes no User Error Plug into correct jacks Wired network problem Please verify configuration settings with the hospital s IT department 11 5 7 S 5 Network communication issues Troubleshooting Check the following things before proceeding with any detailed network troubleshooting Check status of the network connection indicators for reference see 3 7 Check network compatibility Refer to the patient monitor s supplemental information manual Check that each patient monitor has been assigned a unique Virtual ID key see 7 2 3 141 2062973 001 CARESCAPE Monitor B850 S 5 Network Problem Possible cause Recommended action 142 Bedside monitor doesn t register to the Monitor Network all bedside monitors affected Bedside monitor doesn t register to the Monitor Network only one patient monitor or some of the bedside monitors affected 2062973 001 The problem is related to the Central or to the cabling between the Central and the hub switch The problem is related to the bedside monitor or to the cabling between the bedside monitor and the hub switch The problem is related to network setup the bedside monitor s is are missing from the network setup The problem is related to view setup the bedside monitor s is are missing from the view setup Proceed to the iCentral troubleshooting Check the cabling between the i
4. e Immediately 9 After next case end discharge E rase Inactive Softwa re After Activati on e No L E Status Software activation pending No 1 In the Host Software window verify that the software you are activating is listed as Inactive in Current Software State 2 In Software License if applicable enter the Activation Code for the new software version 3 In Software Activation select Immediately 4 In Erase Inactive Software After Activation select No to keep the currently active software version as inactive software after the new software version is activated successfully This option lets you restore the patient monitor to the previous software version later Yes to erase the currently active software version permanently after the new software version is activated successfully Select Activate to start the host software activation Confirm activation by selecting Yes in the Host Software window that opens The patient monitor shows a screen saver that informs about the ongoing software activation 91 2062973 001 CARESCAPE Monitor B850 92 2062973 001 Software activation in progress Do not disconnect any measurement modules or other peripheral devices or shut down the monitor until the software activation is complete Activation may take up to 10 minutes The device will automatically restart once the software activation is complete 7 Wait until the software activation com
5. Refer to the patient monitor s supplemental information manual and Unity Network Interface Device ID Operator s Manual to see compatible peripheral devices BEFORE INSTALLATION Compatibility is critical to safe and effective use of this device Please contact your local sales or service representative prior to installation to verify equipment compatibility INTERFACING OTHER EQUIPMENT Connect only items that are specified as part of the system and as compatible For more information see the CARESCAPE Modular Monitors Supplemental Information Manual Before connecting an interfacing module to the device verify compatibility Verify the connectivity of device interfaces before using the equipment Verify the compatibility of software versions before using the equipment Do not use identical measurement modules or modules that map a measurement to the same channel or parameter window If such modules have been connected remove the module that has been most recently connected You can also remove both modules and re connect the new module after five seconds 47 2062973 001 CARESCAPE Monitor B850 WARNING The use of accessories transducers and cables other than those specified may result in increased emissions or decreased immunity performance of the equipment or system WARNING For detailed instructions and information regarding supplies and accessories always refer to their own instructions for use 5 3 Network inf
6. Touchscreen inoperative Touchscreen USB cable loose Connect the USB touchscreen cable to the CPU unit or to the display NOTE Secure the connected USB cable to the CPU unit Use the existing retaining clips attached to the CPU unit Touchscreen USB cable Connect the touchscreen USB cable to the connected to the wrong USB correct connector connector in the monitor Faulty touchscreen sensor Replace the display 133 2062973 001 CARESCAPE Monitor B850 Keypad Trim Knob on off switch and alarm light issues Alphanumeric Keyboard and barcode scanner issues Problem Possible cause Recommended action Wrong character is displayed The keyboard locale is not Configure the keyboard locale correctly when a key is pressed on configured correctly see 7 10 keyboard Wrong character is displayed The keyboard locale is not Configure the keyboard locale correctly when a barcode is read configured correctly see 7 10 The barcode reader s language Refer to the barcode reader manual configuration is incorrect Barcode reader does not read a Barcode reader parser Configure the barcode settings see 7 8 2 multi field barcode correctly configuration is incorrect lada Ono The barcode reader is Check the barcode information content populated correctly to the fields din incompatible with the parser and compare it to the current parser l configuration field lengths field configuration types delimeters symbologies
7. e There is no physical damage e All peripheral devices are connected properly e The patient monitor and the connected peripheral devices are properly powered Also verify that the problem is not caused because of 1 Incompatibility issue See the patient monitor s supplemental information manual for the list of compatible devices 2 Incorrect platform or clinical configuration Refer to the chapter 7 Configuration in this manual for details about platform configuration and the patient monitor s user s manual for details about clinical configuration If loose parts or cable connections inside the patient monitor are suspected disassemble the patient monitor to a level needed to perform an internal visual check Check that e all screws are tightened properly e all cables are connected properly e there are no loose objects inside the patient monitor NOTE Perform the electrical safety test and the checkout procedure every time you have disassembled the patient monitor 11 2 Webmin Information tab Access Webmin service interface to view configuration information and device information 121 2062973 001 CARESCAPE Monitor B850 Configuration Information Mon Oct 1 12 04 52 2012 View configuration information about the host and connected devices Host ean are Host Serial Number MEZZO Ta Number Nc Address 0 00 0500 4K 85 Network Virtual D 0 Hardware Version PDM License Informat
8. NOTE IX IP address is the X Network IP address of the patient monitor The Login to Webmin dialog box displays Login to Webmin You must enter a username and password to login to the Webmin server on a LET 27 20 Usemame Password Login Clear Monitor Type CARESCAPE Monitor B850 Host Serial Number 5ED08400200GP Host Software Version 2 Host Build 2 0 0 230 Host Software Package BICU IX IP Address 3 187 27 20 IX Netmask 255 255 255 0 GE Healthcare Finland Oy Kuortaneenkatu 2 FI 00510 Helsinki FINLAND 7 Continue to 4 4 Login to Webmin Closing Webmin 1 Restore the original network settings in the service PC 2 Disconnect the service PC from the live IX Network Using Webmin service interface 4 4 Login to Webmin 1 Inthe Login to Webmin dialog box type the username and password and select Login or press Enter Username biomed Password Change lt space gt Me NOTE Username and password are case sensitive NOTE Change Me is the factory default password for the username biomed Refer to section 7 14 Changing passwords for details on how to change the default password The Webmin application opens and defaults to the Information tab Medical Information Configuration System Information Information n Hostname GE_00DOC9A912DF Device Information _ Tue Nov 25 11 02 23 2008 Logout Figure 1 Webmin user interface when accessed using the integrated browser 41 206
9. The license file is for a patient Licenses monitor with a different serial If you have printed license information number select Software Package and Host Licensing If you have a license file select Upload License The wrong software application The wrong software application 1 To view the software package that is is displayed on the patient is activated for the device currently activated Log in to Webmin monitor gt Configuration gt Licenses gt Host Licensing Make sure that the desired software application is displayed under Currently Active Software Package If you need to activate a different software package access Configuration gt Licenses gt Software Package Select the correct option and select Activate 11 5 5 Acquisition module problems Problem an acquisition module does not work with the patient monitor Locate first whether the problem is in the patient monitor or in the acquisition module 1 Connect another similar Known good module to the suspect patient monitor and check if the module works normally Yes gt The suspect module is most likely faulty Refer to Module Frames and Modules Technical Manual for troubleshooting Instructions No gt The problem is most likely in the patient monitor Continue troubleshooting the problem according to the related troubleshooting chart below OR Connect the suspect acquisition module to another similar
10. 2062973 001 CARESCAPE Monitor B850 PDM Patient Data Module PSM Patient Side Module E PSM E PSMP E PSMW and E PSMPW E modules all modules with prefix E Hemodynamic E modules E PRESTN E PRETN and E RESTN Cardiac output and SvO E modules E COP and E COPSv Pressure and Temperature E modules E P E PP and E PT Continuous Cardiac Output Module E PiCCO CARESCAPE respiratory modules E sCO E sCOV E sCAiO and E sCAIOV Compact airway modules E CO E COV E COVX E CAIO E CAIOV and E CAiOVX Single width airway module E miniC Specialty E modules E NMT E EEG E BIS and E ENTROPY SpO E modules E NSATX E MASIMO TRAM TRAM modules 451 451M 451N 451N5 851 851M 851N 851N5 Tram Rac Single parameter Tram Rac modules measuring BP SpO SpO Masimo Capnostat CO Dual CO The CARESCAPE Network MC is referred as MC network and the CARESCAPE Network IX as IX network Menu naming varies within software packages Admit Discharge is also used in this manual for Start End case menu in OR and PACU software 1 4 Illustrations and names This manual uses illustrations as examples only Illustrations in this manual may not necessarily reflect all system settings features configurations or displayed data Names of persons institutions and places and related information are fictitious any similarity to actual persons entities or places is pu
11. Approved under ANATEL Ag ncia Nacional de Telecomunica es requirements South Africa only Approved under ICASA Independent Communications Authority of South Africa requirements Korea only Approved under KCC Korea Communications Commission requirements 3 7 User interface symbols The following symbols appear in the software user interface Alarm off indicator Displays in the upper right corner of the parameter window and in the Alarms Setup menu when physiological alarms for this parameter are turned off The symbol is not displayed at the central station or on a remote bedside monitor Alarm priority indicator High red Indicates a high priority alarm Alarm priority indicator Medium yellow Indicates a medium priority alarm Alarm priority indicator Low cyan Indicates a low priority alarm Alarm volume icon Adjust the minimum alarm tone volume Audio alarms off indicator Displays in the upper left corner of the alarm area when physiological audible alarms are turned off Audio alarms paused indicator with countdown timer Indicates all audio alarms are paused and the amount of time remaining for the alarm pause period displays as a countdown timer Displays in the upper left corner of the screen Pause audio alarms Selectable from the monitor s main menu Also an indicator of a temporarily paused active audio alarm 32 2062973 001 System overview The following symbols appear in t
12. Detach the retaining clips for the power cord and USB cables NOTE Remember to reattach the retaining clips for the power cord and USB cables after reassembly Disassembly and reassembly 3 Disconnect all external cables connected to the CPU unit 4 Detach the CPU unit from the mount if installed 12 2 Unit disassembly 12 2 1 Opening the unit If the monitor is opened electrical safety tests must always be performed after the monitor is reassembled For more information refer to the Corrective maintenance requirements in the 10 Maintenance and checkout chapter 1 Remove 4 screws on each side of the top cover Remove the top cover 145 2062973 001 CARESCAPE Monitor B850 2 Remove 7 screws on the rear panel Remove the rear panel 12 2 2 Replacing the processor board 1 Open the unit as described in steps 1 and 2 in Opening the unit 2 Disconnect the speaker cable connection light pipe pull gently from the receptacle on the PCB and power supply cable If installed remove the optional third DVI I board a Remove 4 screws and 4 standoffs b Remove 2 jackscrews from the third DVI I board 146 2062973 001 Disassembly and reassembly 4 Remove the 8 screws that hold the processor board to the chassis Remove the processor board 5 Replace the processor board Remove the screw that holds the uDOM to the old processor board Remove the uDOM from the old processor board and reassemble
13. NC All readings shall be less than or equal to 100 uA Installation checkout Acceptance criteria in Single Fault Condition SFC earth open or one of the supply conductors open at a time e All readings shall be less than or equal to 300 uA for installations that require compliance to UL 60601 1 requirements e All readings shall be less than or equal to 500 uA for installations that require compliance to EN 60601 1 IEC 60601 1 requirements 8 2 7 Patient leakage current tests overview The following table specifies the parameter modules and the related patient connectors to be tested in the 8 2 8 Patient source leakage current tests and in the 8 2 9 Patient sink leakage current tests Use the safety test body kit P N M1155870 or equivalent to perform patient leakage current tests This safety test body kit contains various patient connectors where all pins are shorted out together For information on which test body to use for each patient connector refer to the service instructions included in the safety test body kit NOTE If not otherwise stated in the table below each test body is connected directly to the specified connector in the patient module Table 1 Patient connectors to be tested with each module E PRESTN E PSMP E ECG amp PSMPW Sp02 E RESTN E PSM E ECG A PSMW SpO2 E PRETN ECG amp P1 E P E PT P3 P7 E COP E COPsv P4 P8 eno 1 Connect the BISx Digital Signal Processing Unit with
14. e activate new sGAS software to a CARESCAPE Respiratory Module activate new PDM software to a CARESCAPE Patient Data Module activate new PiCCO software to a E PiCCO Module Before you start Make sure that the patient monitor is in a case reset patient discharge state Make sure that the target parameter module is connected to the patient monitor NOTE Do not disconnect the parameter module or shut down the patient monitor until the software activation is completed and the parameter module has restarted To activate module software 1 In the PDM sGAS PiCCO Software window in Current Software State verify that the software you want to activate is listed as Inactive 2 Select Activate to activate the inactive software Confirm activation by selecting Yes in the Host Software window that opens The patient monitor will now start activating the module software It will show a message PDM module removed Gas measurements removed or CO measurement removed on the patient monitor screen This message will remain until the module software activation is completed and the parameter module has restarted This may take up to 15 93 2062973 001 CARESCAPE Monitor B850 minutes Do not shut down the patient monitor or disconnect the parameter modules The parameter module restarts automatically after the software activation is complete 4 After the parameter module restarts verify that the software activation is succes
15. gt Citrix In the Citrix Configuration window enter the applicable information in the following fields 71 206297 3 001 CARESCAPE Monitor B850 si lds Server Address Blank server IP address or server hostname up to 255 character long Initial Program Initial Citrix published application that will be launched for example MUSE This field is mandatory if the server address has been entered The maximum length is 128 characters Citrix Session Timeout in Minutes Valid values are between 0 99 Keeping the session alive allows users to quickly return to their last session but locks a Citrix license Selecting 0 disables the timeout feature Username Any valid Windows username You can leave this field empty to allow anonymous login The maximum length is 128 characters Password Any valid Windows password You can leave this field empty to allow anonymous login The maximum length is 128 characters Confirm Password The password and confirmed password must be the same Encryption Level Select one of the following encryption levels Basic RC5 128 bit Login Only RC5 40 bit RC5 56 bit RCS 128 bit 4 Select Save All changes take effect immediately 7 7 Configuring MUSE 12SL 72 2062973 001 NOTE MUSE viewing is a licensed software feature You can configure the MUSE 12SL settings independent of the license status but actual viewing of MUSE reports requires that t
16. is Yes Select Cancel The pending software activation is cancelled and the patient monitor continues running the current software version 7 19 4 Erasing an inactive software version You can erase an inactive host software version from the patient monitor Erasing can prevent the activation of a wrong software version by mistake 1 2 Log in to Webmin Select Configuration gt Software Management The Software Management window opens Select the software that you want to erase and select Next The selected software activation window appears Select Erase to erase the inactive software 95 2062973 001 CARESCAPE Monitor B850 For your notes 96 2062973 001 Installation checkout 8 Installation checkout The purpose of the installation checkout procedure is to ensure that the system is properly installed and configured for use Service personnel shall perform the following checkout procedure for the monitoring system after the hardware installation and platform configuration is completed e 8 1 Visual inspection e 8 2 Electrical safety tests NOTE The manufacturer has performed the electrical safety test for the patient monitor and acquisition modules during final inspection You do not have to perform the electrical safety tests during installation checkout if there is less than 12 months since the patient monitor was manufactured Check the manufacturing week and year from the device plate see sec
17. A ma i Fixed Option 7 8 4 Configure character delimited parser information 76 2062973 001 Points to note Ifyou configure Age you must either select the Age Unit item or one of the age units e g Years Months Weeks Days below Fixed Option Ifyou configure Height you must either select the Height Unit item or one of the height units e g Feet Inches Meters Centimeters Millimeters below Fixed Option Ifyou configure Weight you must either select the Weight Unit item or one of the weight units e g Kilograms Grams Micrograms Pounds Ounces below Fixed Option Foran example of admit discharge configuration for a length delimited parser see Example of character delimited parser information entry on page 77 Configuration 1 Inthe Position column of the Admit Discharge Configuration window enter the sequence number of each item included in the barcode Use incremental numbers from 1 the left most field up to 16 the right most field If an item is not included in the barcode leave the Position field blank for the item 2 Below Field Delimiter in the Delimiter field enter the special character that separates the fields on the barcode NOTE Allowed characters are ASCII characters 33 126 NOTE Forbidden characters are control characters ASCII characters 0 31 the space character ASCII character 32 and ASCII characters 127 and above NOTE If the character selected exists in a
18. Controls and connectors 3 3 1 Front view 3 3 2 Rear views Service information 3 4 1 Service requirements 3 4 2 Equipment identification 3 5 1 Security features 3 5 2 Security operations 3 5 3 Product change management 3 5 4 Communication Equipment symbols Table of contents 2062973 001 CARESCAPE Monitor B850 37 iS ajo eo MOOlSx 2 tances anak cnn a oc mrans seen Oentaeeeeresseneese sae oeuas 4 Using Webmin service interface 4 1 Local access to Webmin using the integrated browser on the patient monitor 4 2 Local access to Webmin with a service Press excel cacao eens sl tias 4 3 Remote access to Webmin using a service PC over the IX Network oo A A O A PP nan E E E E T E EET 4 5 Webmin configuration modules ccs su dete aaa Meteora ts se tensen dealer 46 Weoo matones its 4 7 Webmin diagnostics modules stars 5 Pre installation requirements S UPAK A E ER E O A A E eC AAA E II E E ET E EE TEE eee So NEWOK MaS TUU er sedoso n ey A A E II A BeBe FS INCU OU ore ison a irene E ee cam E e EEE E ls A SA aee e tao beheaded atte e AEEA 54 Installing the mounting MGW ONS ito O oe Oe wae Sok owes 5 5 Unity Network ID connectivity device INSTONGUO Miseria ancien 5 6 Power and environmental requirements 0 ccc ccc cece cee eurenean 6 Hardware installation 6 1 Installing a battery into the PDM Mode cota soe ent ete ss ee het ee 5 BL TESTING Me DOL eh OC NOs ida debatida pei 6 1 2 Installing the batter
19. Module Frames for E series modules or Tram Rac housing for TRAM and Tram Rac modules e Acquisition modules Patient Data Module PDM Patient Side Module PSM E PRESTN and other E modules TRAM or Tram Rac modules Network Printers and writers e Accessories and supplies for example ECG leadwires cable sets mounts The CARESCAPE Monitor B850 monitoring system components are introduced below 3 2 1 CPU unit The primary function of the patient monitor is to render a clinically meaningful display of acquired patient data and allow the caregiver control alarms configuration etc of the system through the user interface The CPU unit is the central processing unit for the patient monitoring system and provides a link between parameter acquisition and input output devices It also facilitates network communication and interface to several ancillary devices for example printers displays The patient monitor works with multi parameter acquisition devices 9 2062973 001 CARESCAPE Monitor B850 In addition to the primary function to display patient data the patient monitor software has a service interface for performing device level service tasks such as configuration maintenance and troubleshooting Refer to the the patient monitor s supplemental information manual for care area specific software and features 3 2 2 Software The patient monitor is highly configurable and provides many monitoring possibilities with
20. Network NOTE Make sure that at least one other patient monitor is on the network The other patient monitor must be in an admitted state and have an active ECG measurement with a simulator signal 2 Select Data Pages Other Patients and select a patient from the list 1 Check that a network symbol is displayed in the upper right corner of the screen 109 2062973 001 CARESCAPE Monitor B850 3 4 Select View and verify that a window with parameters from another patient displays on the left side of the screen Select Close View to close the window 8 3 10 IX printers Perform the following test only if the patient monitor is connected to a printer in the IX Network and you did not print a test page while you configured the IX printer E E E Log in to Webmin Select Configuration gt Printers gt Print Test Page Select the IX Printer to test Select Save Verify that the test page was printed to the selected printer Repeat steps 3 to 5 for all connected IX printers 8 3 11 iPanel connection Perform the following test only if the Citrix Panel is configured and in use 1 2 Select Data Pages gt Panel and verify that the initial program configured in Webmin is launched correctly Select oO to exit the Citrix thin client 8 3 12 Insite with EXC Perform the following test only if remote service is configured and enabled and you did not test the connectivity already whil
21. according to the Unity Network ID Connectivity Device Service Manual prior to connecting it to the patient monitor Make sure that the Unity Network ID connectivity device is configured as follows IP address is 192 168 253 x where x is a number between 2 and 254 Netmask is 255 255 255 0 e The location of the Unity Network ID is set to a value other than the default XXXX XXX For example BAY3 UNID3 Refer to the Unity Network Interface Device ID Service Manual for instructions on checking and changing the IP address 5 6 Power and environmental requirements WARNING CAUTION WARNING Check the patient monitor s supplemental information manual for power and environmental requirements Operation of the monitor outside the specified performance range may cause inaccurate results Do not use or store equipment outside the specified temperature humidity or altitude ranges Power requirements e The installation site shall have hospital grade grounded power outlets and power cords for all system components EXCESSIVE LEAKAGE CURRENT A display or printer that is a non medical grade device and is used within the patient environment must always be powered from an additional transformer providing at least basic isolation isolating or separating transformer Using without an isolating transformer could result in unacceptable enclosure leakage currents 49 2062973 001 CARESCAPE Monitor B850 WARNI
22. any of the 3 displays up to 15 metres See Connecting local displays to see to which USB and video port in the patient monitor the USB touchscreen cable and the DVI I cable should be connected to 1 Connect the Type A plug of the first USB extender to one of the downstream ports Type A USB port on the back of the patient monitor 2 Connect the Type A plug of the second USB extender to the Type A receptacle on the first USB extender 3 Connect the Type A plug of the standard USB cable to the Type A receptacle on the second USB extender 4 Connect the Type B plug of the standard USB cable to the upstream port Type B USB port on the bottom of the display 5 Connect one end of the video cable to the specific connector in the rear of the patient monitor Connect the other end of the video cable to the display NOTE Make sure that all cables are securely connected Hardware installation 6 3 3 Securing the USB cable connections of the displays 1 Secure the connected USB cables of all displays to the CPU unit Use the existing retaining clips attached to the patient monitor 2 Secure the USB cables connections to the displays according to the instruction included in the display package 6 4 Installing module frames and modules The patient monitor provides support to connect multiple parameter modules at a time The ePort and Tramnet ports allow connection of E Module Frame Tram Rac housing and PDM See the followi
23. built up before handling semiconductors or assemblies containing semiconductors e A grounded antistatic wristband or heel strap should be worn at all times while handling or repairing assemblies containing semiconductors Use properly grounded test equipment Use a static free work surface while handling or working on assemblies containing semiconductors e Semiconductors and electronic assemblies should be stored only in antistatic bags or boxes Handle all PCB assemblies by their edges Do not remove semiconductors or assemblies containing semiconductors from antistatic containers until absolutely necessary Do not slide semiconductors or electrical electronic assemblies across any surface Do not touch semiconductor leads unless absolutely necessary Do not flex or twist a circuit board Pins of connectors identified with the ESD warning symbol should not be touched Connections should not be made to these connectors unless electrostatic discharge ESD precautions are used 12 1 2 Reassembly precautions Pay attention to the following precautions when reassembling the monitor Note the positions of any wires cables or connectors Mark them if necessary to ensure their correct reassembly e Save and set aside all hardware for reassembly 143 2062973 001 CARESCAPE Monitor B850 e GErecommends using the new fasteners screws washers etc in the FRU kits rather than reusing the old fas
24. deat tw seneuk 89 7 19 3 Canceling pending host software activation 0 0 cece eee eee eee een 94 7 19 4 Erasing an inactive software VETSION 2 042 avec ddteecde iia di n 95 Installation checkout 97 lil 2062973 001 CARESCAPE Monitor B850 Suk le lo o tate taccusonins O adaanteenae tease 97 Be IEICCUNCO SOIR ee cle nati ca haem ntti nie ado C aE A E ar he Aedes hee eae ee 97 Opel ESE UD casan rita Rad i ae erate sare cee ot O27 POU COURIER EPA nn cactus aeee EER 98 Seo Power CO peleo A Acker seen bee ree one cena es 98 824 li A 98 8 20 BOR JeOkage UNEN bl St csteasisscerscriosr trees Anana 100 8 2 6 Enclosure leakage current touch current OSU sao cd nemetcouns esteban 101 8 2 7 Patient leakage current tests Overview 1 0 ccc ccc eee eee ees 103 8 2 8 Patient source leakage current tests srta ai col 104 8 2 9 Patient sink leakage current tests seven din 105 Sz MOS Ol OO MON An Ge he parade E E AA 107 Oro UME TOMC CMCC 6 ot 5 ig tga ec a ce ae nan yee eas Pacer a ata eaehens 107 e O AA Ee oe nT a aN aE EEA 107 Oe DCO A he eae ee ae ae ea at eee 107 DA a A O aya eee eae oa 107 8 3 4 Configuration Information do ele ad orl ish oe 108 8535 Kaypadand remote 42245 vestuario replies aoa neutras dieta 108 0 MOUSC to sedis inn aie aad outa cates atausewe ana nieeen ahaa wee 108 8 3 7 Alphanumeric keyboard AAA 108 Oe One Ode Feder oraraa r EN E a E aT 109 8 3 9 ME Network did S S NE Wo Kiss ii a E a tes bee
25. failed the impedance check BIS and Entropy sensor impedance check passed indicator Indicates the specified sensor passed the impedance check when an NIBP measurement result is available Manual NIBP icon Start a manual NIBP measurement q Completed NIBP volume icon Adjust the volume of the tone that sounds Nellcor OxiMax SatSeconds indicator Indicates the amount of time the SpO saturation is outside the limits before alarms are generated SpO signal strength indicator Indicates the signal strength with three asterisks indicating the strongest signal NMT Stimulus beep volume icon Adjust the volume of the tone that sounds when a stimulus pulse is generated Progress bar Indicates the amount of time remaining until the next automatic measurement 0mm 2 min 35 2062973 001 CARESCAPE Monitor B850 For your notes 36 2062973 001 Using Webmin service interface 4 Using Webmin service interface Webmin is a browser based service interface that is used to configure the platform settings of the patient monitor and to diagnose and retrieve system information for maintenance and troubleshooting Local Webmin Remote Webmin Patient monitor Biomed workstation Ce _CARESCAPENetworkIX aaa l GE Healthcare Local access to Webmin You can access Webmin locally through the integrated browser on the patient monitor or from a configured service PC that is connected to the IX port of the patient monitor w
26. hospital environment Device is compliant to Class A Use of known RF sources such as cell portable phones or other radio frequency RF emitting equipment near the system may cause unexpected or adverse operation of this device system Consult qualified personnel regarding device system configuration e The patient monitor should be isolated from sources of strong electromagnetic and radio frequency interference NOTE Refer to the patient monitor s supplemental information manual for more information Hardware installation 6 Hardware installation CAUTION WARNING WARNING WARNING WARNING WARNING LOSS OF MONITORING Leave space for circulation of air to prevent the monitor from overheating The manufacturer is not responsible for damage to equipment caused by improperly vented cabinets improper or faulty power or insufficient wall strength to support equipment mounted on such walls The parameter modules are not able to withstand unpacked drops from a height of 1 m without damage If a module is dropped please service it before taking it back into use After transferring or reinstalling the monitor always check that it is properly connected and all parts are securely attached SITE REQUIREMENTS Do not route cables or tubing in a way that they may present a stumbling hazard EXPLOSION Do not use this equipment in the presence of flammable anesthetics vapors or liquids EXCESSIVE TOUCH CURRENT To av
27. it to the new processor board 7 Reassemble the patient monitor in the reverse order of disassembly 12 2 3 Replacing the power supply 1 Open the unit as described in step 1 and 2 in Opening the unit 2 Disconnect the speaker and power supply cables 147 2062973 001 CARESCAPE Monitor B850 3 Remove the 4 screws that hold the power supply to the chassis Remove the power supply 4 Replace the power supply 5 Reassemble the patient monitor in the reverse order of disassembly 12 2 4 Replacing the speaker 1 Open the unit as described in steps 1 and 2 in Opening the unit 2 Disconnect the speaker and power supply cables 3 Remove the 4 screws that hold the power supply to the chassis Remove the power supply 4 Remove the power supply PCB to access the speaker screws 5 Remove the 2 screws and washers that hold the speaker to the front bezel Remove the speaker 148 2062973 001 Disassembly and reassembly 6 Replace the speaker Reassemble the power supply PCB Reassemble the patient monitor in the reverse order of disassembly 12 2 5 Replacing the CPU timekeeper battery Once the battery is replaced the system loses its time and the time must be configured before connecting the patient monitor to the network For instructions on configuring the time see 7 3 Setting time and date 1 Open the unit as described in step 1 in Opening the unit 2 Remove the lithium ion battery from the
28. month 28 2062973 001 System overview The following symbols appear on one or more of the devices Manufacturer name and address Batch or lot number Abbreviation for label part number Catalogue or orderable part number Device serial number Atmospheric pressure limitations Temperature limitations Humidity limitations Keep dry Protect from rain Fragile Handle with care t t This way up This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment Recycled materials or may be recycled 29 2062973 001 CARESCAPE Monitor B850 The following symbols appear on one or more of the devices uO Recyclable Lithium ion LI ION Mercury This product consists of devices that may contain mercury which must be recycled or disposed of in accordance with local state or country laws Within this system the backlight lamps in the patient monitor display contain mercury ec European authorized representative Je European Union Declaration of Conformity Indicates that the product is certified for both the U S and Canadian markets to the applicable U S and Canadian standards FCC USA only Complies with applicable US government Federal Communicati
29. not being monitored WARNING Due to possible high voltage present use an insulated screwdriver at all times Whenever you open the unit you need to perform the 8 2 Electrical safety tests 1 Turn the display power off at the rear power switch and disconnect all cables USB display and AC power 2 Place the display as shown below to prevent damage to the main TRIM KNOB 3 Remove the side TRIM KNOB by gently pulling the TRIM KNOB C 1 10 2062973 001 CARESCAPE Monitor B850 4 Remove all rear cover screws Remove mounting bracket 6 Use a screwdriver to disassemble the alarm light cover C 2 10 2062973 001 Appendix C Display 7 Place the display as shown below to remove the rear cover 8 Remove the rear cover 15 inch display 19 inch display C 3 10 2062973 001 CARESCAPE Monitor B850 Replacing the TRIM KNOB and rotary switch 1 Open the display as described in Opening the unit on page C 1 2 Locate the rotary switch on the display 15 inch display 19 inch display 3 Pull the speaker to separate it from the front cover Temporarily place the speaker on top of the metal enclosure C 4 10 2062973 001 Appendix C Display 4 Disassemble the connecting wire from the board 5 Pull the main TRIM KNOB C 5 10 2062973 001 CARESCAPE Monitor B850 6 Use a wrench to disassemble the rotary switch Replace the rotary switch and the main TRIM KNO
30. or equal to 10 uA Acceptance criteria in Single Fault Condition SFC earth open or one of the supply conductors open at a time All readings shall be less than or equal to 50 uA 8 2 9 Patient sink leakage current tests This procedure measures the leakage current from an applied part connector of the device to ground Perform the test in Normal Condition NC with normal and reverse polarity NOTE Refer to the instructions delivered with the safety analyzer to perform this test 105 2062973 001 CARESCAPE Monitor B850 WARNING 106 2062973 001 Power Cord Leakage Tester LINE 2 DORM Power Cord NEUTRAL m RVS Closed Test Body E N hy gt 7Y Keep cable length as L short as possible Patient connector NOTE The measuring device MD represents the network and voltage measuring instrument and its frequency characters according to IEC 60601 1 NOTE According to IEC 60601 the impedance to protect the circuitry and the person performing the test but low enough to accept currents higher than the allowable values of the leakage current to be measured SHOCK HAZARD The following step causes high voltage at the test body Do not touch the test body NOTE Perform this test for all the connected parameter modules and patient connectors specified in Table 1 Configure the safety analyzer as follows Polarity NORMAL Neutral CLOSED GND CLOSED Power on t
31. or for administrative purposes These settings are saved to the permanent memory of the related acquisition module and the settings travel with the module from one patient monitor to another Refer to the Module Frames and Modules Technical Manual for detailed information how to change these settings to activate France specific defaults for the ECG HR adjustment range and the reminder beep behavior to select and configure the real time network as the MC Network CARESCAPE Network or S 5 Network It also allows the user to configure the IX Network settings to change the passwords for the biomed and clinical users to set the power line frequency to configure the patient monitor to print to up to 12 laser printers connected on the IX Network There are sub modules for installing a printer deleting a printer and for printing a test page to configure and control the Insite with Exc remote service tool to shutdown and restart the patient monitor automatically via Webmin NOTE The patient must be discharged in order to enable monitor restart via Webmin 43 2062973 001 CARESCAPE Monitor B850 Webmin module Use the module Settings to transfer platform and or clinical settings from one patient monitor to another to take backup copies of the settings to an external device and to restore the settings from an external device Software Management to update patient monitor and parameter module software Time to set
32. software Contact GE service for advance beyond the GE incompatible software Support logo screen Error messages may appear to the screen 132 2062973 001 Troubleshooting 11 5 2 User interface issues Display Problem Possible cause Recommended actions The display is blank The video display has no power Verify that the display s power indicator is illuminated The patient monitor has no Verify that the power indicator on the power patient monitor is illuminated The video display is not properly Verify that the correct cable connects the connected to the patient video display to one of the two or three monitor video ports on the patient monitor The display was turned off via Press the Display On Off button on the the Display On Off button on kKeypad remote control the keypad remote control The quality of the display is not e The cable is not connected Check the connection between the good properly video display and the patient monitor If necessary replace the video display with a known good one If the problem is not corrected replace the processor board e The video display is bad The power on off switch on the The power supply is bad Replace the power supply patient monitor does not illuminate when it is toggled Touchscreen Problem Possible cause Recommended actions Touchscreen operation Touchscreen not calibrated Calibrate touchscreen see section 7 1 2 inaccurate
33. specified in Table 1 1 Configure the safety analyzer as follows NC Polarity NORMAL Neutral CLOSED Earth GND CLOSED Power on the device under test 3 Read and record the current leakage indicated on the safety tester 4 Configure the safety analyzer as follows SFC 10 11 LZ 13 14 15 Polarity NORMAL Neutral OPEN Earth GND CLOSED Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity NORMAL Neutral CLOSED Earth GND OPEN Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity REVERSED Neutral CLOSED Earth GND OPEN Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity REVERSED Neutral OPEN Earth GND CLOSED Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows NC Polarity REVERSED Neutral CLOSED Earth GND CLOSED Read and record the current leakage indicated on the safety tester Power off the device under test Installation checkout Repeat this test for all the connected parameter modules and patient connectors specified in Table 1 Acceptance criteria in Normal Condition NC All readings shall be less than
34. storage e A detachable non volatile flash memory USB Disk On Module UDOM is used as the permanent memory for application and service software and to store clinical and platform settings The uDOM may hold two versions of the software in different partitions inactive and active System supervision e Watchdog timers control the operation of the main processor e The processor board has battery backed up real time clock to store system date and time Video and audio system e The processor board controls the generation of audible tones and displayed information for analog and digital type displays Support for interfaces e The processor board provides support for the communication channels to support M Port peripherals ePort Tramnet eT Ports connected acquisition systems the CARESCAPE or S5 Network USB devices and Serial Devices 9 2 3 Speaker Assembly The speaker is used for audible tones beat tone and alarms 113 2062973 001 CARESCAPE Monitor B850 9 2 4 Bottom Chassis Top and Back Cover The bottom chassis houses the processor board power supply speaker and light pipe assembly The bottom chassis provides the means for mounting the CPU unit to GCX or other mechanical mounts The light pipe assembly transmits light from a LED on the processor board to the front panel of the CPU unit for presence of 5V DC 9 2 5 User interface The M Port based keypad USB touchscreen USB remote control USB keyboa
35. the date and time settings Unit and bed name to configure the care unit name and bed name for patient monitors that are configured to connect to the MC Network 4 6 Webmin information modules The Webmin information modules provide useful information about the patient monitor setup especially for troubleshooting The Configuration Information module shows the current platform configuration of the patient monitor and the connected peripheral devices The Device Information module shows the hardware and software information of the patient monitor and the connected peripheral devices System Information Hostname GEQ0D0C9AD4A81 Tue Dec 4 15 37 56 2012 44 2062973 001 Using Webmin service interface 4 7 Webmin diagnostics modules Access Webmin service interface to view hardware statistics ping a network deviceand view or download log files Diagnostics System Information Hostname GEQO0DOC9AD4A81 Tue Dec 4 15 42 43 2012 The Hardware Statistics module displays several internal voltages temperatures and power consumption Ping a TCP IP network device Use this Webmin feature to verify connectivity with a network device on the MC Network and IX Network Log files The patient monitor collects information about different system events and errors to log files These log files help troubleshooting problems in the patient monitor and the connected peripheral devices 45 2062973 001 CARESCAPE M
36. to another patient monitor or to a CIC Pro Clinical Information Center on the MC Network System overview 3 2 11 Service Interface Webmin is a browser based interface that provides service and diagnostic functions for the patient monitor Using a web browser the user can connect to Webmin to configure diagnose and retrieve system information The user can access Webmin either locally on the patient monitor or remotely over the IX Network Local Webmin Remote Webmin Patient monitor Biomed workstation Po CARESCAPE Network Is GE Healthcare Local access to Webmin The user can access Webmin locally using the integrated browser on the patient monitor The other way to access Webmin locally is from a configured service PC that is connected to the patient monitor with an Ethernet crossover cable Remote access to Webmin The user also can access Webmin remotely using a configured service PC over the IX Network InSite with ExC InSite with ExC provides a set of software applications to manage diagnose and track systems at customer sites by using the Internet for secure communications between the customers and GE s firewalls InSite with ExC consists of Enterprise Server which resides at GE s support center and Remote Service Agent that resides on a system at the customer site or on a PC controlling the system s at the customer site 17 2062973 001 CARESCAPE Monitor B850 3 3 Controls a
37. up to seven characters long and bed name up to five characters long 4 Select Save The unit and bed name configuration takes effect immediately 7 5 Configuring printers You can configure the patient monitor to print to up to 12 laser printers connected on the IX Network Use the Webmin sub modules to install or delete a printer and to print a test page NOTE Ensure that you have the host name s or IP address es for all the connected IX printers available Configure the IX printers according to this information NOTE Laser printers that are installed on central stations do not need to be configured using Webmin Refer to the user s manual for details on configuring the printer NOTE Refer to the CARESCAPE Modular Monitors Supplemental Information Manual for the list of supported devices 7 5 1 Installing a printer 70 2062973 001 1 Login to Webmin 2 Select Configuration gt Printers 3 Inthe Sub Modules for Printers menu select Install Printer 4 Below Printer Configuration Information in the Install Printer window provide the following information OP a SOY 9 10 Configuration a Select either the Hostname or IP Address radio button as applicable b Inthe Hostname or IP Address field enter the printer Hostname or IP Address c Inthe Printer Name field enter the Printer Name d Select Yes from the drop down list next to Test Page Select Save From the patient monitor select Monitor Se
38. with EXC Test completion Notes Used service parts Signature Date A 3 4 2062973 001 CARESCAPE Monitor B850 A 4 4 2062973 001 Maintenance check form APPENDIX B Maintenance check form CARESCAPE Monitor B850 Customer Monitor S N Service S N Service engineer Software Planned maintenance Corrective maintenance Module type S N Prior to testing verify all equipment is calibrated via Cal labeling and record Cal Due Dates Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS Test passed N A Test not applicable FAIL Test failed Visual inspection CT Electrical safety tests Power outlet is correctly wired Power cord and plug are undamaged and all conductors are properly connected Ground earth integrity Observed result Acceptance een PASS N A FAIL a Ground continuity test without power cord lt 0 1 ohms with power cord lt 0 2 ohms b Impedance of protective earth witho
39. 1 CARESCAPE Monitor B850 One LED illuminated 10 24 9 of full charge capacity One LED flashing lt 10 of full charge capacity remaining NOTE Keep the PDM connected to the patient monitor and the patient monitor connected to the AC mains until the PDM battery is fully charged 6 1 2 Installing the battery into the PDM module 1 Open the battery door by gently pulling on the battery door pull tab 2 Pull the battery tray out of the PDM using the battery tray strap 3 Insert the battery with the TEST button facing up and the arrow pointing into the PDM 4 Press the battery door closed until it seals the battery compartment 52 2062973 001 Hardware installation 6 2 Mounting the patient monitor The patient monitor has an integrated GCX mounting plate This facilitates all mounting options for the patient monitor Refer to the CARESCAPE Modular Monitors Mounting Solutions to identify the compatible mounting hardware for the patient monitor NOTE The GE logo can be rotated for vertical mounting configurations Rotating GE logo 6 2 1 CPU Flush Mount WARNING WARNING CAUTION For vertical mounting configurations a flush mount is available The flush mount lowers the probability of the ingress of fluids into the assembly The mount can be installed in two orientations and should be placed to ensure the top surface of the patient monitor is protected For details refer to the installation instruc
40. 1 CARESCAPE Monitor B850 7 9 Setting power frequency WARNING Incorrect power line frequency setting could adversely affect ECG and EEG processing 1 Login to Webmin 2 Select Configuration gt Power Frequency 3 In the Power Frequency window select the applicable power line frequency 4 Select Save The power frequency configuration takes effect immediately 7 10 Selecting language and locale Select the language used in clinical user interface and select the keyboard locale setting for the alphanumeric keyboard and the barcode reader 1 Login to Webmin 2 Select Configuration gt Language 3 Inthe Language window select the patient monitor language and keyboard language a Select the patient monitor language from the drop down list and select Save b Select the keyboard locale from the drop down list and select Save The language takes effect after the patient monitor is restarted The keyboard locale takes effect immediately after it is submitted 7 11 Selecting national requirements Activate France specific defaults for the ECG HR adjustment range and the reminder beep behavior 1 Login to Webmin 2 Select Configuration gt National Requirements In the National Soe window select the applicable option Select the normal defaults France Enable the following country specific monitoring Heart Rate high alarm limit maximum 230 Reminder beep will sound every 2 minutes when alarms have been
41. 1 Login to Webmin 2 Select Configuration gt Modules 3 Inthe Sub Modules for Modules menu select Assets Settings 4 In the Assets Settings window enter the user assigned asset number for the device in the Change Value to column 5 Select Save The change will take effect immediately 7 13 Setting the host asset number Enter a host asset number and view the host serial number NOTE The Host Serial Number field is view only and cannot be changed To set the host asset number 1 Login to Webmin 2 Select Configuration gt Host Asset Settings 3 Inthe Host Asset Settings window enter the user assigned host asset number up to 32 ASCII characters long in the Change Value to column 4 Select Save The host asset changes take effect immediately 7 14 Changing passwords You can change the passwords for the biomed and clinical users 81 2062973 001 CARESCAPE Monitor B850 WARNING Control of this user s password is critical to ensure that Webmin on this device is accessed only by trained and authorized personnel Failure to limit access of Webmin to trained and authorized personnel only may compromise patient safety and or system performance NOTE Username and password are case sensitive The allowed characters for biomed and clinical passwords are alpha A Z a z numeric 0 9 and space The password length shall be between 8 and 16 characters NOTE The user name biomed is common for the W
42. 2 18 255 255 192 168 250 x 192 168 252 x 192 168 253 x 192 168 254 1 and 192 168 254 2 5 In the Network Configuration window below MC Network a Enter a Static IP address b Enter a valid Netmask level c Select the applicable Speed amp Duplex option 6 If separate MC Network segments are connected together by a router configure the router information below the MC static route a Enter Destination Address b Enter Destination Netmask c Enter an MC Gateway 7 Below IX Network select DHCP or Manual Configuration If Manual Configuration is selected enter the following information in the entry fields a Entera Static IP address b Enter a valid Netmask level c Enter a valid Default Gateway d Enter valid DNS Server addresses if applicable 8 Select the applicable Speed amp Duplex option 9 Select Save The network configurations will be saved and become active when the patient monitor is restarted 7 2 3 Selecting and configuring S 5 Network To select S 5 Network for the real time network infrastructure 68 2062973 001 Configuration 1 Login to Webmin 2 Select Configuration gt Network gt Wired Interfaces The current network configuration is shown in the Present Configuration table 3 Below Select Network Type in the Network Configuration window select the applicable network type S 5 4 Select Next to proceed on network configuration NOTE When S 5 Network is selected the
43. 2973 001 CARESCAPE Monitor B850 System Information Hostname 5 004057184358 Wed Aug 25 14 28 13 2012 Figure 2 Webmin user interface when accessed using the service PC 4 5 Webmin configuration modules Configuration System Information Hostname GEOODOC9AD4A81 Tue Dec 4 15 26 50 2012 The Webmin service interface includes the following configuration modules Select Help for additional information related to each Webmin module 42 2062973 001 Webmin module Admit Settings Citrix Host Asset Settings Language Licenses MUSE 12SL Modules National Requirements Network Passwords Power frequency Printers Remote Service Restart Using Webmin service interface Use the module to configure Patient ID Prefix and barcode settings to configure the Citrix client settings for the iPanel software server address initial program Citrix session timeout username password encryption level to enter a host asset number and to view the host serial number to select the language used in clinical user interface and to select the keyboard locale setting for the alphanumeric keyboard and the barcode reader to enable and activate a software package to enable and activate software features and to upload and activate a license file to configure the host for sending and viewing 12SL information to configure some acquisition module specific settings after corrective maintenance
44. 9 Displays The patient monitor supports up to three independently configurable displays The display is a 19 touchscreen LCD with an abbreviated keypad and a Trim Knob control The display provides both visual and audible alarms and connectivity to the USB input devices 15 2062973 001 CARESCAPE Monitor B850 Refer to the patient monitor s supplemental information manual for a list of compatible displays 3 2 10 Printers and recorders 16 2062973 001 The patient monitor can print to a recorder and to a laser printer Refer to the patient monitor s supplemental information manual for a list of compatible recorders and laser printers Laser printers A laser printer can print for example waveforms graphic and numeric trends snapshots events history parameter specific printouts stored laboratory data and calculation results and care reports Refer to the patient monitor s user s manual for more information about printing The patient monitor supports printing e toa laser printer that is connected to the patient monitor via the IX Network or directly to the IX connector in the patient monitor e to alaser printer that is connected to a CIC Pro Clinical Information Center on the MC Network e toalaser printer that is connected to an Central on the S 5 Network Recorders A recorder may print text waveforms and numeric trends The patient monitor supports printing e toa PRN 50M recorder connected
45. B Reassemble the display in the reverse order of disassembly NOTE The torque specification for tightening the screws and encoder washer nut is 1 13 0 11 Nm 10 0 1 0 Ibf in 9 Complete the procedures in Recommended checkout on page C 9 C 6 10 2062973 001 Appendix C Display Replacing the alarm light and alarm light enclosure 1 Open the display as described in Opening the unit on page C 1 2 Locate the alarm light on the display 3 Pull the alarm light to separate it from the front cover C 7 10 2062973 001 CARESCAPE Monitor B850 4 Disassemble the connecting wire from the board YA 5 Disassemble the protective cover from the alarm light to replace the alarm light board C 8 10 2062973 001 Appendix C Display 6 Replace the alarm light board and while reassembling the display replace the alarm light enclosure 7 Reassemble the display in the reverse order of disassembly NOTE The torque specification for tightening the screws and encoder washer nut is 1 13 0 11 Nm 10 0 1 0 Ibf in 8 Complete the procedures in Recommended checkout on page C 9 Recommended checkout Perform the recommended checkout procedures for the applicable FRU FRU description TRIM KNOB and rotary switch Alarm light and alarm light enclosure Functional checkout procedures 8 2 Electrical safety tests 8 5 1 Start up 8 3 2 Display Recalibrate the touchscreen if needed follow
46. CARESCAPE Network is disabled The patient monitor may be configured to the S 5 Network or IX Network or both Network connection s Steps to be performed IX Network only 2 3and 4 Both S 5 and IX Network 1 2 3 and 4 1 Inthe Network Configuration window below S 5 Network enter a Virtual ID NOTE Valid values are within the range of 50000 to 55000 inclusive NOTE The Virtual ID must be unique for each patient monitor connected to the S 5 Network 2 Below IX Network select DHCP or Manual Configuration a Enter a Static IP address b Enter a valid Netmask level c Enter a valid Default Gateway d Enter valid DNS Server addresses if applicable 3 Select the applicable Speed Duplex option 4 Select Save The S 5 virtual ID change will be applied immediately All other network configurations will be saved and become active after the patient monitor is restarted 7 3 Setting time and date CAUTION NOTE In the S 5 Network the patient monitor s date and time is automatically synchronized with the date and time of the Central it is connected to You can set the date and time locally only if the patient monitor is not connected to the S 5 Network and the patient monitor is in a discharged state NETWORK DEVICE TIME SYNCHRONIZATION When adding a new device to the CARESCAPE Network the existing devices on the CARESCAPE Network will synchronize to the new device s time To prevent potential time synchronization iss
47. CIC Pro centers The CIC Pro centers may not be on the same network as the no GotoA on next page patient monitors Please verify configuration settings consulting the hospital s IT department Broadcast traffic is not making it to the CIC Pro center CIC Pro center connectivity problem 1 Is the CIC Pro center in the correct CARESCAPE Network Please verify CIC Pro center network configuration settings in the CIC Pro Service Manual Can you now see waveforms parameters Go to Aon next page Go to Aon next page AL Leave the patient monitor plugged in Can you ping the patient monitor from the CIC Pro center Can you ping other CIC Pro centers or patient monitors from the CIC Pro center yes Broadcast traffic is not making it through Network configuration problem 1 Is the network set up to allow broadcasts Please verify configuration settings with the hospital s IT department Check IP addresses on the patient monitor Are the patient monitor and the CIC Pro center on the same network no No traffic is making it through Please verify configuration settings with the hospital s IT department Are they plugged into CARESCAPE Network jacks no Configuration issue Correct IP addressing issues
48. Central and the hub switch Check the patient monitor s network configuration Check the cabling between the bedside monitors and the hub Check the Central network setup Check the iCentral view setup Disassembly and reassembly 12 Disassembly and reassembly 12 1 Disassembly guidelines Field repair of the patient monitor is limited to replacing Field Replaceable Units FRUs See chapter 13 Service parts for a detailed list of available FRUs Attempting a field repair ona printed circuit board or a factory sealed component or assembly could jeopardize the safe and effective operation of the monitor NOTE Only a qualified service technician should perform field replacement procedures NOTE Perform the checkout procedure described in chapter 10 Maintenance and checkout always after doing any disassembly of the patient monitor 12 1 1 ESD precautions WARNING All external connectors of the patient monitor are protected against electrostatic discharge ESD damage However during service of the patient monitor exposed components and assemblies inside the patient monitor are susceptible to ESD damage Human hands non ESD protected work stations or improperly grounded test equipment can cause ESD damage The following guidelines do not fully guarantee static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have
49. Configuration ii 2062973 001 5 Sl 58 39 41 42 44 45 47 47 47 48 48 48 48 49 49 49 51 51 51 52 55 35 54 54 55 of 57 58 39 59 60 60 61 61 62 63 64 64 65 65 65 66 67 Table of contents LE Adu inod oO AAA e dations basen eo enaneeainaseweennuesatade 67 7 1 1 Adjusting the display brightness asistir sinaloa iras 67 7 1 2 Calibrating a TOUCHSCLCC Nu cctas rian une acew muse scee neta emueen ees nceenncaeedes 67 Re COMME UIMCMII WIC WH Ole cerere ord te een a a eee AEs a mane ee aban 67 Lel SS A ou ueus Steen es 67 7 2 2 Selecting and configuring CARESCAPE Network 0 000 cece cece eee ees 68 7 2 3 Selecting and configuring S 5 NCIWOKK soriana datada arenas 68 TO SAO IAN Ot riadas 69 LA dais MSI o gro Dedde rerea On II ee Sedona ene aa 70 O EOS DIN es siria boot erst erate 70 A pts oo A A a 70 Poe A CO AAA eat a eee wala eae el ee eae ea See 71 E PEIN O LESU DOC etoile dida eens dada rias 71 7 6 Configuring Citrix us dn tnssteda nd arenes de aot A 71 Ar o AAA IN 72 O AJME CUNO A 8 teach c A aera E aaa meee st ina he oe oe ae her omens 73 Lod PAUND OEN ceca ces ye hota A O A e ea a naar 73 Oe sBOlC Ode Se INS aot chaee A 75 7 8 3 Configuring Length Delimited Parser information 0 00 cece eee eee 74 7 8 4 Configure character delimited parser information 0 00 ccc eee eee eee 76 1 65 Barcod CGLGSPeCCINICGUONS 225 ns ite tua kuecte ee cise a
50. Equipment symbols The following symbols appear on one or more of the devices Bell cancel Audio off Audio pause Temporary audio off General alarm Fuse Replace with identical type and rating fuse Do not reuse Battery monitor The flashing orange symbol indicates that there is a battery failure missing battery Battery monitor The solid orange symbol indicates that the battery is being charged Battery monitor The solid green symbol indicates that the monitor is being used on battery power 24 2062973 001 System overview The following symbols appear on one or more of the devices Battery monitor The battery slot cover is open closed Battery monitor Test button on the battery to check the battery charge level Battery monitor Located on the battery slot cover Battery PDM Communication PDM Power indicator PDM On standby button Standby or power indicator Signal power input Signal power output Signal power input output combined ON Power connection to the mains 0P SEO BS Or 25 2062973 001 CARESCAPE Monitor B850 The following symbols appear on one or more of the devices Power supply connector oy ee Display brightness controls Display speaker volume controls DVI connector Video output connector for digital or analog source Color display connector port Color video input Video input connector for digital
51. GE Healthcare CARESCAPE Monitor B850 Technical Manual Software Version 2 Hardware Version CPU C1 All specifications subject to change without notice English 2062978 001 DVD 2062978 002 DVD 510 k 2062973 001 paper 14 March 2014 O 2013 2014 General Electric Company All rights reserved The information in this manual applies to the software and hardware versions listed on the first page of this manual Due to continuing product innovation specifications in this manual are subject to change without notice Table of contents 1 About this manual Intended use of the manual Intended audience of the manual Conventions used in this manual 1 3 1 Product naming conventions Illustrations and names Ordering manuals Related documents Trademarks evisos ara 1 7 1 Third party trademarks Responsibility of the manufacturer Product availability 1 1 12 5 1 4 1 5 1 6 1 7 1 8 ys 2 Safety information General safety statements Safety message signal words 2 1 2 2 2 5 Safety symbols 3 System overview 5 1 5 2 oe 5 4 5 5 5 6 System introduction System components 3 2 1 CPU unit 3 2 2 Software 3 2 9 Displays Product security 3 2 3 Input devices 3 2 4 Module frames and Tram Rac housing 3 2 5 Acquisition modules 3 2 6 CARESCAPE Network MC or S 5 Network 3 2 7 CARESCAPE Network IX 3 2 8 Unity Network ID connectivity device 3 2 10 Printers and recorders 3 2 11 Service Interface
52. NG CAUTION CAUTION 50 2062973 001 Environmental requirements Install the patient monitor to a location that meets the specified environmental requirements of operating temperature humidity and atmospheric pressure Set up the device in a location which affords sufficient ventilation The ventilation openings of the device must not be obstructed EMI amp RFI interference Do not use the monitor in high electromagnetic fields for example during magnetic resonance imaging EMC Magnetic and electrical fields are capable of interfering with the proper performance of the device For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements X ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation Changes or modifications to this device system not expressly approved by GE may cause EMC issues with this or other equipment This device system is designed and tested to comply with applicable standards and regulations regarding EMC and needs to be installed and put into service according to the EMC information stated as follows This device system is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Mains power should be that of a typical commercial or
53. Sub Modules for Settings menu select Save In the Save Settings window select the radio button next to the type of settings you want to save Select Save According to your Webmin access If you are using Webmin on a service PC you can save the settings file to any mass storage device connected to the service PC Inthe File Download dialog box select Save Inthe Save as dialog box select the destination drive and folder and select Save NOTE You may change the default filename but do not change the file extension If you are using Webmin locally through the integrated browser you can save the settings file to a USB flash drive that is connected to one of the patient monitor s USB ports The Save As window will show you the name of the created settings file Select Save to save the settings file to the USB flash drive NOTE You may change the default filename but do not change the file extension NOTE Do not disconnect the USB storage device until saving is complete 7 17 2 Loading settings Load the saved platform and or clinical settings from a service PC or USB flash drive to the patient monitor NOTE The loaded settings will remain in an inactive state in the patient monitor until they are purposely activated by the user see section 7 17 3 Activating settings 1 2 5 4 a Log in to Webmin Select Configuration gt Settings In the Sub Modules for Settings menu select Load Accordi
54. a flexible software licensing model The monitor supports care area specific software packages for OR PACU ICU ED and NICU Each dedicated software package provides a comprehensive feature set for the different monitoring needs and can be further extended with the optional feature licenses Software license model supports trial licensing and easy field upgrades with license key activation osy 13 28 Bm O Beat 4 Volume 4 y Sweep Speed 25 mm s Ea 4 00 RR 1 4 min er 30 7 40 a 291 14 NIBP Zero All Auto Pressures Admit Monitor Data and Discharge Setup ooo Tasks Take Snapshot Pages Go Stop Views 3 2 3 Input devices System overview You can connect several USB input devices to the patient monitor including alohanumeric keyboard mouse remote control and barcode reader Refer to the patient monitor s supplemental information manual for a list of compatible USB input devices SOIT coil REI Keyboard A washable antibacterial keyboard is specified for use with the monitor It may be connected to the monitor or display via one of the USB connectors The keyboard allows you to enter data without using the touchscreen display Mouse A standard mouse may be connected to the monitor or display via one of the USB connectors The mouse allows you to select any on screen items without a Trim Knob control or a touchscreen disp
55. agnostics Error Code voltages is out of the gt Hardware Stats to identify the supply OxHOST1002 specification The message voltage that is below or above the stays on screen as long as the specification limit condition is valid Service Monitor Disk usage exceeds 90 1 Back up the clinical and platform Error Code settings and print the licensing OxHOST1004 information page via Webmin 2 Re install software Service Monitor The CPU timekeeper battery Replace the CPU timekeeper battery Error Code needs to be replaced OxHOST1100 130 2062973 001 Troubleshooting Message Possible causes Possible solutions External alarm 1 The USB cable between the 1 Reconnect the USB cable light disconnect patient monitor and a display NOTE Secure the connected USB cable Check USB is disconnected when the to the CPU unit Use the existing connection patient monitor Is on retaining clips attached to the CPU unit 2 Display turned to standby 2 Turn on the display when the patient monitor is on NOTE Select Audio Pause to acknowledge the message if the USB cable is disconnected or a display turned off on purpose 3 User interface board 3 UpdateUIC software or replace user communication failure interface board Setting Service user has initiated a If required the service user may cancel activation after delayed settings activation the delayed setting activation See next case end that will automatically tak
56. al port Two RS 232C compatible serial ports are located on the back of the CPU unit to provide an interface to a PC The connector used for the serial ports is a DB 9M USB 2 0 Four USB ports are located on the back of the CPU unit to provide an interface for a USB based Remote Control Assembly keyboard mouse Bar Code reader or a touch screen display 115 2062973 001 CARESCAPE Monitor B850 For your notes 116 2062973 001 Maintenance and checkout 10 Maintenance and checkout This chapter specifies the checkout procedure and the maintenance activities to be performed to the patient monitor after corrective maintenance and during annual planned maintenance WARNING Only perform maintenance procedures specifically described in the manual WARNING Planned maintenance should be carried out annually Failure to implement the recommended maintenance schedule may cause equipment failure and possible health hazards NOTE The manufacturer does not in any manner assume the responsibility for performing the recommended maintenance schedule unless an Equipment Maintenance Agreement exists The sole responsibility rests with the individuals hospitals or institutions utilizing the device NOTE Refer to Module Frames and Modules Technical Manual for corrective and planned maintenance checkout procedures of the parameter modules NOTE Refer to the PDM section in the Module Frames and Modules Technical Manual for the batte
57. and their level e g FiO Low e Clinical user interactions such as the host keystrokes and touchscreen selections menu setting changes etc e EPI layer related errors including information about EPI layer issues detected by the clinical application e Host serial number and active software versions MPC860 Error Log e The errors that were logged within the code running on the 860 processor Tram log e Tram Module errors Downloading log files Log into Webmin Select Diagnostics gt Download Logs Select the logis you want to download Select Download According to your Webmin access If you are using Webmin on a service PC you can save the log file to any storage device connected to the service PC O O EN A eS In the File Download dialog box select Save In the Save as dialog box select the destination drive and folder and select Save NOTE You may change the default filename but do not change the file extension b Ifyou are using Webmin locally through the integrated browser you can save the settings file to a USB flash drive that is connected to one of the patient monitor s USB ports e The Download Logs window will show you the name of the created log file e Select Download to save the log file to the USB flash drive NOTE Do not disconnect the USB storage device until downloading is complete 6 Send this log file to GE Service for further investigation Viewing log files 1 Login t
58. ard 12 2 8 Replacing the front bezel cardiaca 13 Service parts ek Oden DOR S wis 2 tee man a EERE E HOA HTO RUS rera ATE EE a EE A 155 EXI WEW sporre ree a ET A E e Ra Appendix A Installation check form Appendix B Maintenance check form Table of contents V 2062973 001 CARESCAPE Monitor B850 Appendix C Display C 1 Cd vi 2062973 001 Disassembly and reassembly procedures SEVICE POTIS rad Mca ated About this manual 1 About this manual 1 1 Intended use of the manual This manual contains instructions necessary to install maintain and service the device to the assembly level Use it as a guide for installation maintenance and repairs considered field repairable Chapters 1 to 7 provide an overview of the CARESCAPE Monitor B850 patient monitoring system and contains information needed for system installation Chapters 8 to 13 provide information for the planned and corrective maintenance of the CARESCAPE Monitor B850 main unit Where necessary the manual identifies additional sources of relevant information and technical assistance See the Module Frames and Modules Technical Manual for the planned and corrective maintenance information about the parameter modules See the supplemental information manual for the technical specifications default settings and compatibility information including electromagnetic compatibility See the user s manual for the instructions necessary to o
59. arity NORMAL lt 50 uA C Polarity Reserved lt 50 uA C Module type S N Observed result Acceptance PASS N A FAIL criteria Patient source leakage current tests using a test body Normal Condition NC Polarity NORMAL lt 10 yA Single Fault Condition SFC Ground closed normal lt 50 yA Ground open normal lt 50 pA Ground closed reverse lt 50 pA Ground open reverse lt 50 pA Normal Condition NC Polarity Reserved lt 10 yA Patient sink leakage current tests Polarity NORMAL lt 50 yA Polarity Reserved lt 50 pA Electrical Safety Test completion A 2 4 2062973 001 Installation check form Functional check PASS N A FAIL PASS N A FAIL Start up Display Device Information Configuration Information Keypad and remote Mouse Alphanumeric keyboard Barcode reader MC Network and S 5 Network IX printers IX printers iPanel connection Insite
60. bly with all language labels 2021440 011 FRU Remote control kit Includes Remote controller assembly with all language labels 153 2062973 001 CARESCAPE Monitor B850 13 3 Exploded view 154 2062973 001 Installation check form APPENDIX A Installation check form CARESCAPE Monitor B850 Customer Monitor S N Service Software version Service engineer Hardware version B850 Prior to testing verify all equipment is calibrated via Cal labeling and record Cal Due Dates Measuring equipment test gases used Equipment tool gas Manufacturer Model Type Part No Serial Number ID Cal Due Date PASS Test passed N A Test not applicable FAIL Test failed Visual inspection o oO Electrical safety tests The manufacturing week and year of the device Se Is there less than 12 months since the device was manufactured Yes you do not have to perform the electrical safety tests To continue the installation check mark the electrical safety test completion N A and proceed to Functional check If available attach the original electrical safety test results to this check form No No continue to perform the electrical safety tests Power outlet is correctly
61. bracket on the processor board 3 Replace the battery 4 Reassemble the patient monitor in the reverse order of disassembly 12 2 6 Replacing the labels The device labels are affixed permanently Do not try to remove them by using solutions that might cause damage Affix new labels on top of the existing ones NOTE Take care not to obstruct connector or screw openings when affixing labels 149 2062973 001 CARESCAPE Monitor B850 12 2 7 Replacing or installing the third video card 1 Open the unit as described in step 1 in Opening the unit Remove the third DVI I board Remove 4 screws and 4 standoffs Remove 2 jackscrews from the third DVI I board oo N 3 Replace the DVI I board 4 Reassemble the patient monitor in the reverse order of disassembly 12 2 8 Replacing the front bezel 1 Open the unit as described in step 1 in Opening the unit 2 Remove 2 screws on front of bezel 150 2062973 001 oy eS Disassembly and reassembly Disconnect light pipe from receptacle on PCB Release 3 snap fingers to free bezel from front of chassis Remove the bezel Reassemble the patient monitor in the reverse order of disassembly 151 2062973 001 CARESCAPE Monitor B850 For your notes 152 2062973 001 Service parts 13 Service parts NOTE Perform the checkout procedure steps described in chapter 10 Maintenance and checkout after you have replaced any service parts 13 1 Ordering pa
62. broadcasts to other network devices Downstream broadcast The patient monitor receives broadcasts from other network devices 138 2062973 001 Troubleshooting Wired patient monitor CIC Pro center NN a os r NE E EN ee 9 Ook A Nei a Access Point Wired patient CIC Pro monitor center Wireless patient AS Wireless patient monitor monitor Types Flow e Broadcasts discovery alarms time e Upstream Broadcast Downstream Broadcast Bi Directional Unicast Unicasts waveforms ping Mediums e Wired Combinations Wireless e Wired Broadcast e Wired Unicast e Wireless Broadcast e Wireless Unicast 139 2062973 001 CARESCAPE Monitor B850 140 2062973 001 Problem No waveforms or parameters are displayed at the CIC Pro center Exit yes Can you now see waveforms parameters no Go to Aon page B 4 Configuration issue Select the appropriate unit and bed name START Can you select the Exit yes Can you now see waveforms parameters yes patient monitor at the CIC Pro center Can you select the patient monitor at another CIC Pro center Can you select another patient monitor to view from this patient monitor yes yes Network problem Broadcast traffic is going between the patient monitors but not to the
63. cated CARESCAPE Network IX with controlled connection to the organization s general purpose computing network Traffic between the organization s network and IX port of the patient monitor must be limited to the following packet flows listed below Inbound Source device Destination device Destination port Customer tcp 10000 Webmin defined l Patient monitor Customer tcp 10001 Software defined transfer DHCP server 67 68 DHCP Packets that are part of the communication initiated by authorized devices in the organization s network are allowed to go out of the IX Network reflexive Outbound Source Source device Destination Device Device Destination port icmp ping Patient monitor P tcp InSite with ExC Web Services mee rd service gehealthcare InSite with ExC Remote Tunnel a rr Packets that are part of the communication initiated by the patient monitor are allowed into the IX Network reflexive 23 2062973 001 CARESCAPE Monitor B850 3 5 3 Product change management GE has rigorous software verification and validation processes Any software update needs will be communicated by GE The patient monitoring system including all aspects of software should be used as it was intended by GE 3 5 4 Communication For detailed product security information go to one of the following Web addresses http www gehealthcare com usen security http www gehealthcare com usen security mds2 html 3 6
64. ch cable for the IX Network Refer to the section 7 2 2 Selecting and configuring CARESCAPE Network to see the configuration information you need to have available to configure the patient monitor to the IX Network Refer to the following sections for the information you need to have available for 7 5 Configuring printers for IX printer configuration 7 6 Configuring Citrix 7 7 Configuring MUSE 12SL 7 16 1 Configuring the remote service for Insite with Exc configuration 48 2062973 001 Pre installation requirements 5 4 Installing the mounting hardware WARNING Ensure that all the applicable required mounting hardware is properly installed prior to the installation of the patient monitor Mounting hardware for the patient monitor either for a stand alone installation or for an installation to an anesthesia machine or to a ventilator Mounting hardware for the module frames and TRAM Racs Mounting hardware for the PSM module Mounting hardware for the PDM module Mounting hardware for the displays Mounting hardware for the Unity Network ID connectivity device NOTE Refer to the patient monitor s supplemental information manual for compatible mounting hardware for each system component above Use only manufacturer specified mounts 5 5 Unity Network ID connectivity device installation The Unity Network ID connectivity device shall be properly installed configured and tested
65. ckets per 1 million and maximum latency of 250 ms without performance degradation 11 3 3 Log files 126 2062973 001 The patient monitor collects information about different system events and errors to log files These log files help troubleshooting problems in the patient monitor and the connected peripheral devices The following table describes the available log files and the type of information that they collect Troubleshooting Webmin Action log Webmin user authentication and access related information e g who accessed Webmin and when Webmin module settings changes e g what was changed and when Software transfer history information including the type and version of the transferred software the origin and destination and the date and time the software transfer occurred Host software activation information including the host type and serial number the type and version of the activated host software and the date and time the host software activation occurred Module software activation information including the module type and serial number the type and version of the activated module software and the date and time the module software activation occurred Settings transfer history information including the type of the transferred settings the origin and destination and the date and time the settings transfer occurred Log file transfer history information including the type of log that was tran
66. ctual module information but the information of the individual subassemblies inside the module NOTE You may need to refresh the Webmin screen if you have connected the module to the patient monitor after entering the Device Information Webmin screen 10 3 5 Keypad and remote Follow the procedure in section 8 3 5 Keypad and remote 10 3 6 Mouse Follow the procedure in section 8 3 6 Mouse 10 3 7 Alphanumeric keyboard Follow the procedure in section 8 3 7 Alphanumeric keyboard 10 3 8 Barcode reader Follow the procedure in section 8 3 8 Barcode reader 10 3 9 MC Network and S 5 Network Follow the procedure in section 8 3 9 MC Network and S 5 Network 10 3 10 IX printers Follow the procedure in section 8 3 10 IX printers 10 3 11 Insite with Exc Follow the procedure in section 8 3 12 Insite with EXC 10 3 12 Recorder 1 Select Monitor Setup gt Printing gt Devices gt Setup and configure Printout Waveforms Location Local 2 Select Monitor Setup gt Printing gt Waveforms and configure Waveform 1 Waveform 2 V1 3 Select Monitor Setup gt Printing gt Waveforms gt Print Waveforms or the related soft key in the main menu or the Print Waveforms hard key in the keypad to start printing 4 Verify that the recorder starts printing Let the recorder print for approximately 10 seconds and verify the following things from the printout 119 2062973 001 CARESCAPE Monitor B850 Th
67. d MUSE 12SL is correctly configured Citrix is correctly configured 3 Log out Webmin 8 3 5 Keypad and remote Perform this test for all the connected displays with a keypad and for the optional remote controller 1 Press any hard key in the keypad or remote and verify that the related menu is opened on the screen or the related activity is started 2 Rotate the Trim Knob control in either direction to move from option to option on the display until you have an active parameter window or main menu item highlighted Press the Trim Knob control once to select the highlighted option Verify that the related menu is opened on the screen or the related activity is started 3 Select cl to close any open menu and return to the main display 8 3 6 Mouse Perform this test only if a mouse is connected to the patient monitor 1 Move the mouse until the pointer arrow is over an active parameter window or a main menu item you wish to select and click the left mouse button once to select it 2 Select man to close the open menu and return to the main display 8 3 7 Alphanumeric keyboard Perform this test only if an alphanumeric keyboard is connected to the patient monitor 1 Select Data Pages gt Admit Discharge or Start End Case 2 Select the Patient tab gt Edit Name amp MRN 3 Press Enter to highlight the Medical Record Number field 108 2062973 001 Installation checkout 4 Type some text into the Med
68. d No touchscreen interface available i Connect one end of the video cable to the DVI I 3 connector in the rear of the patient monitor Connect the other end of the video cable to the display 2 If applicable connect a USB touchscreen cable to the USB 3 connector in the rear of the patient monitor Connect the other end of the USB touchscreen cable to the display 6 3 2 Connecting remote displays NOTE The instructions in this chapter applies to D15K and D19KT displays 55 206297 3 001 CARESCAPE Monitor B850 56 2062973 001 Carescape Monitor B850 If complete isolation is not required this method will provide the most cost effective means of extending your display installation This type of installation should not be used for connections to non medically used rooms according to IEC 60601 1 1 Displays may be extended up to 15 meters from the patient monitor using the following cables 15 meter DVI I to DVI I video cable p n 2042766 001 e 5 meter USB extender p n 2042768 001 e Standard USB A to USB B cable up to 5 meters In the following example two 5 meter USB extenders plus a standard 5 meter USB cable extend the remote display up to 15 meters from the patient monitor Remote display A standard USB cable up to 5 m B DVI D cable up to 5 m C USB extender cable 5 m D DVI I cable 15 m E single port USB hub Setup instructions for extended cable lengths NOTE You can extend
69. d in Product Maintenance Procedures shall be followed strictly Consumables or certain parts may have their own label with an EFUP value less than the product Periodic replacement of those consumables or parts to maintain the declared EFUP shall be done in accordance with the Product Maintenance Procedures This product must not be disposed of as unsorted municipal waste and must be collected separately and handled properly after decommissioning This symbol indicates that this electronic information product does not contain any toxic or hazardous substance or elements above the maximum concentration value established by the Chinese standard SJ T11363 2006 and can be recycled after being discarded and should not be casually discarded Underwriters Laboratories product certification mark Canada only Industry Canada certification number indicates that this product meets the applicable Industry Canada technical specifications China only China Ministry of Industry and Information Technology identification number for Radio Transmission Equipment Type Approval Australia only The product complies with the applicable Australian standard and establishes a traceable link between the equipment and the manufacturer importer or their agent responsible for compliance Japan only Approved under Japan TELEC requirements 31 2062973 001 CARESCAPE Monitor B850 The following symbols appear on one or more of the devices Brazil only
70. d maintenance thereafter For information on how to perform the clinical configuration including care unit settings and user profiles refer to the patient monitor s user s manual 7 1 Adjusting display 7 1 1 Adjusting the display brightness NOTE Refer to the the patient monitor s user s manual for information how to setup the screens Monitor Setup gt Default Setup gt Care Unit Settings gt Screens If needed adjust the picture on the display using the Auto Adjustment feature in the display s OSD menu Refer to the display s user documentation for details 7 1 2 Calibrating a touchscreen Calibrate the connected touchscreens one by one as follows 1 Select Monitor Setup gt Service Calibrations 2 Inthe Enter Password dialog box type the username and password and press Enter Username biomed Password Change lt space gt Me NOTE Username and password are case sensitive NOTE The factory default password for the username biomed is Change Me 3 Inthe Service Calibrations menu select Touch Screen 4 The Touch calibration screen opens 5 Touch the calibration mark or cross hair in each corner of the screen according to the instructions shown on the screen NOTE When you touch the cross hair in the upper left hand corner of the touch screen you are calibrating the other connected displays will turn blank until the calibration is completed 7 2 Configuring the network 7 2 1 Configuring
71. e back of the CPU unit such as Module Frame and PDM Tram net Up to two Tram net compatible devices can be connected to the eT Ports located on the back of the CPU unit so it can interface with Tram net devices such as the Tram rac GA Ethernet connections Two Ethernet ports are located on the back of the CPU unit and they provide an ANSI IEEE 802 3 10 100 BaseT Ethernet standard interface to the CARESCAPE Network S5 network and Hospital Enterprise network Basic insulation 250 VAC is provided to isolate the CPU unit from networked devices The connector used for the Ethernet ports is a dual 8 pin RJ 45 type Video Outputs A DVI I and a DVI D ports are located on the back of the CPU unit An optional 3rd Video Card 2020913 003 provides an additional interface to analog and digital displays Each DVI I amp DVI D port has the following features DDC Data Display Channel support Theory of operation Resolution of 1024 x 768 x 60HZ DVI I can drive displays in the following configurations Digital only using DVI D to DVI D cable e Analog only using DVI A or VGA cable Both digital and analog using the Y split cable along with a DVI D to DVI D cable and a DVI A to VGA Cable Note in this configuration image on both the analog and digital display will be the same with same resolution i e 1024x768 60Hz DVI D can drive displays in the following configuration Digital only using DVI D to DVI D cable Seri
72. e criteria For equipment without a power supply cord the impedance between the protective earth terminal and any accessible metal part which is protectively earthed shall not exceed 0 1 Ohms 99 2062973 001 CARESCAPE Monitor B850 For equipment with a power supply cord the impedance between the protective earth pin in the mains plug and any accessible metal part which is protectively earthed shall not exceed 0 2 Ohms 8 2 5 Earth leakage current test 100 2062973 001 This test measures the current leakage flowing from the mains part through or across the insulation into the protective earth conductor of the device under test Perform this test both in Normal Condition NC and in a Single Fault Condition SFC where one of the supply conductors is open at a time Perform the test with normal and reverse polarity NOTE Refer to the instructions delivered with the safety analyzer to perform this test Leakage Tester LINE 2 NORM Power Cord x NEUTRAL Open o RVS NOTE The measuring device MD represents the network and voltage measuring instrument and its frequency characters according to IEC 60601 1 1 Configure the safety analyzer as follows NC Polarity NORMAL Neutral CLOSED 2 Power on the device under test 3 Read and record the current leakage indicated on the safety tester 4 Configure the safety analyzer as follows SFC Polarity NORMAL Neutral OPEN 5 Read a
73. e ePort cable to the PDM and the other end of the ePort cable to the ePort Tramnet connector on the patient monitor o e 0 0 0707 EET T ED Coco 6 4 7 Connecting a Tram Rac housing to the patient monitor NOTE When using more than one Tram Rac housing one of the Tram Racs must have a power supply NOTE Make sure the Tram Net cable has ferrite blocks on both ends 1 Install the ferrite blocks that came with the patient monitor to both ends of the Tram Net cables a Place one end of cable in the groove of the ferrite block approximately 26 mm 1 in from the end of the cable 61 2062973 001 CARESCAPE Monitor B850 b Press the sides of the block together until you hear a click Make sure both snap fingers are fully engaged and they are flush against the housing c Repeat steps a and b for the other end of the cable Repeat steps a c for all Tram Net cables Connect the Tram Rac housing to an ePort Tramnet connector with ferrite blocks on the patient monitor 6 4 8 Installing a module to the Tram Rac housing Connecting a module 1 Face the Tram Rac housing and guide the back of the module into the appropriate position 2 Gently push the module into the housing You will hear a click when the module is fully inserted Removing a module 1 Push the module into the Tram Rac housing This releases the module and makes it easier to remove 2 Press and hold the release levers found on each side
74. e header line contains the date time and some other applicable status and configuration information The grid is clear The waveforms labels appear in the printout as configured Stop printing by selecting Monitor Setup gt Printing gt Waveforms gt Stop Printing or the related soft key in the main menu 10 3 13 Test completion Select Discharge Patient or Reset Case to discard any changes made to the patient monitor configuration during checkout Complete the Appendix B Maintenance check form 120 2062973 001 Troubleshooting 11 Troubleshooting The problems and solutions in this section represent only a few of the faults that you may encounter and are not intended to cover every possible problem that may occur This chapter focuses on troubleshooting technical problems See the patient monitor s user s manual for troubleshooting monitoring problems and clinical configuration issues If the problem remains call technical support for service To ensure accurate problem solving please be prepared to provide the following information Problem description and the troubleshooting done so far e Configuration information section 11 2 1 e Device information section 11 2 2 e Service Logs section 11 3 3 Error messages displayed if any Other information as requested 11 1 Visual inspection Before beginning any detailed troubleshooting complete a thorough visual inspection to be sure that
75. e jae eee hese cade 78 TO SAO DOW EF TEQUCIICY sabados rasa wed beeen Sane 80 210 Selecting language and OCC AA II ENRE 80 TL Selec ingnadationalregurement Ses zesnctactenchvovastonescat ae a a Ea RA 80 Te CONIC OC AAA e E gies ees A Saas ees 80 aMaule asset Settings rtorras ob 81 1 Seting Ne IMOSU GISSeL MONO ees tre doe ede datos a ae 81 1 14 Changing PASSION uno eae eRe Dae 81 ALS RESTON UG the pal AO trato rd acct tease haha baa hoot ete we ele eae 82 7 16 Setting up THE TEMOle service asta cerre te dus nds dnd lott EEEE s 82 7 16 1 Configuring the remote service nenita tr asad and dene eased 82 7 16 2 Enabling remote service agent connection cece cece eee eee 83 ISS TESUNO ne COnMeCUIVINY te asta eos SNe elena 84 7 17 Transferring settings from one patient monitor to other patient monitors 84 Gale el 5G IMO Set E dao EE EEEE ETE aca a cid vo dal ab dende 84 PA MOGONING SEUNG S ox bo Ghent erin dee lirio 85 CSR CUNA O SUIS rra data rotos E 85 7 17 4 Canceling pending settings activation acc casencaas d 87 Flo HCE EmMmondde men eraa dis a 88 7 18 1 Enabling and activating host software package 0 ccc eee eee eee ees 88 7 18 2 Enabling and activating host software feature licenses ooooooooooo o 88 185 DIOGO CSS Mes carros orita 88 LS Software MAN Nati ts E tet da 89 GNM GO STC ial Hi SOMO ito tado italia 89 7 19 2 Activating the installed software acs ecu A Gus Soto
76. e measuring device MD represents the network and voltage measuring Instrument and its frequency characters according to IEC 60601 1 1 Configure the safety analyzer as follows NC Polarity NORMAL 101 2062973 001 CARESCAPE Monitor B850 102 2062973 001 10 dal I2 Lo 14 Neutral CLOSED Earth GND CLOSED Power on the device under test Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity NORMAL Neutral OPEN Earth GND CLOSED Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity NORMAL Neutral CLOSED Earth GND OPEN Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity REVERSED Neutral CLOSED Earth GND OPEN Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows SFC Polarity REVERSED Neutral OPEN Earth GND CLOSED Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows NC Polarity REVERSED Neutral CLOSED Earth GND CLOSED Read and record the current leakage indicated on the safety tester Power off the device under test Acceptance criteria in Normal Condition
77. e page to view the device information Device information Host Information e Active software version Inactive software version Host serial number Host asset number MC Network IP address IX Network IP address MAC address S 5 Network virtual ID CPU hardware version Active Software License e Current monitor software license in use status and feature code Active Software Package e Current software package in use status and feature code 123 2062973 001 CARESCAPE Monitor B850 Device information Host License Information e Each host license name its current status enabled disabled or trial feature code and the expiration date for a trial license Acquisition Information e PDM Active software version Main board revision DAS board revision Serial number Asset number MAC address IP address Power frequency ECG filter Acquisition Information e E Module Label Software version Control number and Serial number Acquisition Information e Module Frame Frame serial number EMBC Serial number EMBC Software number EMBC Software version and EMBC IP address Installed 1X Printers e Printer name hostname or IP address Printer Location e Printout type Alarm Waveforms Numeric Trends Information Reports and Waveforms and Printer location Acquisition Information e Software part number and version Tram RAC M Port Information e Device name software number and version serial number port n
78. e procedure in section 8 1 Visual inspection 10 2 Electrical safety checks Electrical safety tests provide a method of determining if potential electrical health hazards to the patient or operator of the device exist Perform the following electrical safety tests described in detail in chapter 8 Installation checkout 8 2 1 Test setup 8 2 2 Power outlet 8 2 3 Power cord and plug 8 2 4 Ground earth integrity 8 2 5 Earth leakage current test 8 2 6 Enclosure leakage current touch current test Record the values of the tests on the Appendix B Maintenance check form 10 3 Functional check 10 3 1 Start up Follow the procedure in section 8 3 1 Start up 10 3 2 Display Follow the procedure in section 8 3 2 Display 10 3 3 PSM PDM identification 1 Configure the ECG1 waveform field and the NIBP parameter window to the patient monitor screen with adequate priority Connect a PSM or PDM module to the patient monitor 2 Verify that the ECG waveform field the NIBP parameter window and the related information appear on the patient monitor screen 10 3 4 E module identification 1 Login to Webmin 118 2062973 001 Maintenance and checkout 2 Select Information gt Device Information 3 Verify that the information about the connected module appears in the table named as Acquisition Information E Modules NOTE For some parameter modules the table does not show the a
79. e section 7 17 4 Canceling pending Setting place after next case end settings activation activation after next discharge next discharge Software Service user has initiated a If required the service user may cancel activation after delayed software activation the delayed setting activation See next case end that will automatically take section 7 19 3 Canceling pending host Software place after next case end software activation activation after next discharge next discharge Service Monitor Software activation failed Reactivate software If that does not Activation Failed help reinstall the software and then reactivate it Setting activation failed Reactivate settings Module One of the supply voltages Log in to Webmin and select voltage low for the acquisition Diagnostics gt Hardware Stats to modules is out of diagnose the problem If there is a specification faulty board replace it An analog output voltage is out of specification Application The operating system informs Select Audio Pause to acknowledge error that the Webmin local the message Webmin browser was terminated abnormally Speaker failure 1 Speaker cable loose 1 Connect the speaker cable 2 Speaker failure 3 Replace the speaker 4 Processor board tone 5 Replace the processor board generator or audio amplifier failure 131 2062973 001 CARESCAPE Monitor B850 11 5 Problems and solutions 11 5 1 Start up
80. e you enabled it 1 2 5 4 Log in to Webmin Select Configuration gt Remote Service In the Sub Modules for Remote Service menu select Control In the Remote Service Control window under Test Connectivity select Test to test the connectivity to the remote service server Verify that Connection to Enterprise URL and Connection to Tunnel URL both Pass the test If one of the connection tests fail check the failure description given and fix the connectivity issue Re test the connectivity 8 3 13 Test completion 110 2062973 001 Discharge Patient or Reset Case to discard any changes made to the patient monitor configuration during checkout Complete the Appendix A Installation check form Theory of operation 9 Theory of operation 9 1 System block diagram WIDIBDIG UIIS S 0589 JOHUON JdVISIYVD SBUISnOH ANPON JUAN payoddns z 0 dN J9PD3Y 30909
81. ebmin and Service Calibrations login screens A change to the biomed password will affect both service interfaces 1 Login to Webmin 2 Select Configuration gt Passwords 3 Inthe Edit User Password window change the biomed or clinical user s password as required 4 Select Save The change will take effect immediately 7 15 Restarting the patient monitor You can use the Restart module in Webmin to restart the patient monitor after making configuration changes that require a manual restart to come into effect For example after changing network or language settings or adding activation codes for licenses NOTE Loss of monitoring This function is enabled only when the patient monitor is in a discharged state Before restarting the patient monitor verify that the patient is discharged from the patient monitor 1 Login to Webmin 2 Select Configuration gt Restart 3 Inthe Monitor Restart window select Restart The patient monitor will shutdown and restart automatically 7 16 Setting up the remote service 7 16 1 Configuring the remote service 82 2062973 001 To configure the Insite with Exc remote service tool 1 Login to Webmin 2 Select Configuration gt Remote Service 3 Inthe Sub Modules for Remote Service menu select Configuration 4 Configuration In the Remote Service Configuration window enter the applicable data HTTP Proxy Server Configuration If this site uses an HTTP proxy serv
82. ed properly Configure date and time see 7 3 System time is incorrect when Network device time When adding a new device to the patient monitor is connected to synchronization error CARESCAPE Network the existing devices MC Network on the CARESCAPE Network will synchronize to the new device s time To prevent potential time synchronization issues you should set the new device s time to be as close as possible to the time within one minute or less used by the existing GE devices on the CARESCAPE Network System time is incorrect when iCentral time incorrect Configure iCentral time master patient monitor is connected to S 5 network 11 5 4 License issues Problem Possible cause Recommended action Unable to perform a function or A license has not been See License management chapter a feature is not available purchased for the feature The trial license has expired for the feature The license is not installed properly 136 2062973 001 Troubleshooting Unable to view a certain feature The software package in use Log into Webmin gt Configuration gt although the license is enabled does not include the feature in Licenses gt Software Package question For example Select the correct option and select Anesthetic agent measurement Activate is not supported by ICU software package Unable to upload a license file The license file is corrupted Log in to Webmin gt Configuration gt
83. edical Systems Information Technologies Inc D lite and Entropy are trademarks of GE Healthcare Finland Oy 1 7 1 Third party trademarks NELLCOR is a trademark of Covidien AG Covidien is a trademark of Covidien AG Masimo SET is a trademark of Masimo Corporation PiCCO is a trademark of Pulsion Medical Systems 1 8 Responsibility of the manufacturer GE is responsible for the effects on safety reliability and performance of the equipment only if e Assembly operations extensions readjustments modifications servicing or repairs are carried out by authorized service personnel e The electrical installation of the relevant room complies with the requirements of the appropriate regulations e The equipment is used in accordance with the instructions for use e The equipment is installed maintained and serviced in accordance with the instructions provided in the related technical manuals 1 9 Product availability Some of the products mentioned in this manual may not be available in all countries Please consult your local representative for the availability 2062973 001 CARESCAPE Monitor B850 For your notes 4 2062973 001 Safety information 2 Safety information 2 1 General safety statements See the user s manual for a list of general safety statements This device is intended for use under the direct supervision of a licensed health care practitioner Contact GE for information before connec
84. el 122 2062973 001 Troubleshooting Configuration information Unit and Bed Name e Unit name and Bed name for CARESCAPE Network Acquisition Information e STP TP ST configuration information and P PT PP E module configuration information from E modules dali IX Printers e Printer name hostname or IP address Printer Location e Printout type Alarm Waveforms Numeric Trends Information Reports and Waveforms and Printer location Remote Service e Proxy URL Proxy port Proxy username Remote service status System ID Serial number Enterprises URL Enterprises tunnel URL and Protocol e Clinical user interface language National Requirement e Setting for country specific alarms None or France Network e Active configuration information including MAC address MC Network type IP address Netmask Gateway Destination IP address Destination netmask and PHY configuration and IX Network type IP address Netmask Gateway DNS server 1 DNS server 2 and PHY configuration Power Line Frequency e Current power line frequency setting in use MUSE 12SL e Location ID Site number MUSE web username and MUSE web URL 11 2 2 Device information The Device Information module shows the hardware and software information of the patient monitor and the connected peripheral devices To view Device information 1 Log into the Webmin 2 Select the Information tab 3 Select Device Information 4 Scroll down th
85. en 109 OO WTO E a E E E EE E A eo E EE EE O 110 e oL o ale e olaa C O AAA a O II ATADA 110 a A SEA Clas rs OOOO OA USO O II ERS 110 No a o A A A 110 9 Theory of operation 111 Sul System DOCK ss qsinida ic Ona bro ad 111 de MaM OM DOMES Squid e iia didas Ged Sheed one 112 Ge OEP CUD O Wigs tee A tee eee A A A 112 922 CPU fOC OSS Or DO Usas ia caia oases hens 113 92 3 DERE ASS NO Gini corsets ined os a E a 113 9 2 4 Bottom Chassis Top and Back CO Para casa ees 114 ts SR o e naaa aaa e ea aa Ae ted a E a a ease 114 SAS o esner rrna EPEE ner Sai ge aerate TA EERIE EEIE 114 10 Maintenance and checkout 117 A peches O II e a a on aaa aa 118 102 Elecmiecd salet eheck ais aaa ada dio bi 118 10 Funciona HECK erernu tid ae dey ested eden ag hie eee eae win eet TEE 118 AD Srl SONU 5 sce acct vara Bk been ieee ahs ae we ee On Re DG 118 A OIG acne danse O aa gueh OET E A FEET 118 10 33 PSM POM NGS COO scp waccstn vest aut dr taa 118 103 Ae I HOCUICNGCHINCONOMawicaunacesacaimeabresaneneduce neos iia bataerod ac 118 19 3 5 Keypad mare mln ia E EA IO 119 MIDA A O O 119 MA ola keyboard AA A IN eE 119 Ooo eo A See ee ae eet Es nce eat ace Vae 119 iv 2062973 001 10 3 9 MC Network and S 5 Network 0 cece eee eee LO Set ON OMS sade beer O 10 3 11 Insite with EX Cts ape a nardece melon exes Hein ea RRR ERE LO 512 RECOIL E acx ate 4 2s tek ea Rak i ORS RG ele IOS ls ESC Ol IC OW tae kes tain wate eta cea bone oee 11 Troubleshoo
86. ending settings activation You can cancel pending settings activation anytime while the message Setting activation after next case end Setting activation after next discharge is shown on the display 1 Login to Webmin 2 Select Configuration gt Settings 3 Inthe Sub Modules for Settings menu select Activate 4 Select Cancel to cancel settings activation Status 87 2062973 001 CARESCAPE Monitor B850 7 18 License management You can upload a license file that contains all acquired licenses and activation codes Alternatively you can enable and activate individual software packages and host software feature licenses by entering the required activation code manually NOTE Contact GE Healthcare to acquire activation codes for licenses 7 18 1 Enabling and activating host software package WARNING NOTE You can have several software packages enabled but only one of them can be selected active at a time Enter an activation code to enable the software package 1 Login to Webmin 2 Select Configuration gt Licenses 3 Inthe Sub Modules for Licenses window select Software Package 4 Below Software Package in the Software Package window a From the Status drop down list select ENABLED b Enter a valid Activation Code for the new software version 5 Select Save 6 To activate a software package select the desired radio button in the Active column 7 Select Save All license changes take effect after the ne
87. er a These values are specific site proxy server IP Address and determined by the Port number are required for the customer Username and Remote Service communication to Password work Otherwise select None If the HTTP proxy server requires user authorization a specific Username and Password is required Otherwise select None Remote Service Configuration Item System ID Identifies the system to the GE back office These values are read only Servers and are unique Serial Number Identifies the unit and is set at the time of manufacture Enterprise URL If required designate the address of the GE This address should never backoffice servers required to be changed unless explicit communicate with the Remote Service instructions are given to do Agent SO Enterprise Tunnel If required designate the address of the GE URL backoffice servers required to communicate with the tunneling agent Protocol Identifies the protocol used to This field is read only and communicate with the enterprise servers cannot be changed 5 Select Save The changes will take effect immediately 7 16 2 Enabling remote service agent connection After the server has been configured for remote serviceability the remote service agent must be enabled for use 1 2 5 4 oF Log in to Webmin Select Configuration gt Remote Service In the Sub Modules for Remote Service menu select Control In the Remote S
88. ervice Control window enable or disable the Service Agent by selecting Enable or Disable Select Save The changes will take effect immediately 83 2062973 001 CARESCAPE Monitor B850 7 16 3 Testing the connectivity NOTE Connectivity test works only if the connection is enabled that is the current state is enabled running 1 Login to Webmin 2 Select Configuration gt Remote Service 3 Inthe Sub Modules for Remote Service menu select Control 4 Below Test Connectivity in the Remote Service Control window select Test to test the connectivity to the remote service server 5 Verify that Connection to Enterprice URL and Connection to Tunnel URL both pass the test 6 If one of the connection tests fail check the failure description and fix the connectivity issue Re test the connectivity 7 17 Transferring settings from one patient monitor to other patient monitors You can transfer platform and or clinical settings from one patient monitor to another take backup copies of the settings to an external device and restore the settings from an external device 1 Complete the platform and or clinical configuration in one patient monitor 2 Save the completed platform and or clinical configuration settings to an external device section 7 17 1 Saving settings 3 Load the saved platform and or clinical configuration settings from an external device to the destination patient monitors section 7 17 2 Loading set
89. es Comments lt _ lt Forbidden characters are those that are not allowed by the patient monitor including the ee we characters MES la D E E _ lt gt 99 Both letters and numbers pa Last Name Name Day n Birth If Day of Birth is present in the barcode then Month of Birth and Year of Birth also need to be present Month of Birth If Month of Birth is present in the barcode then Day of Birth and Year of Birth also need to be present Year of Birth 4 1880 to current year If Year of Birth is present in the barcode then Day of Birth and Month of Birth also need to be present Numeric 9999 9999 Either a period or comma is accepted as a decimal symbol Age Unit A Y YR YRS years MO MOS months WK WKS weeks D DAY DYS days Gender 1 If gender is configured not fixed this must be 1 character Height Numeric 9999 9999 Either a period or comma is accepted as a decimal symbol Height Unit FT feet IN inches M meters CM centimeters MM millimeters Weight Numeric 9999 9999 Either a period or comma is accepted as a decimal symbol Weight Unit KG KGS kilograms G GM GMS grams MCG micrograms OZ OZS ounces LB LBS pounds Visit Number 99 Both letters and numbers Forbidden characters are those that are not F 7 allowed by the patient monitor including the Primary Physician 99 following characters Referring Physician CS MF l DESEES eS 79 2062973 00
90. failures Problem Possible causes Recommended actions actions Failure to turn on the patient Power cord is loose Ensure A the power cord is connected properly monitor to the wall outlet and to the patient monitor Blown fuses Check the status of the fuses and replace them if necessary Use only fuses with correct rating lf the fuses are blown repeatedly investigate the patient monitor carefully for possible short circuits Power cord is faulty Check the power cord for wear and damage and replace if necessary The power outlet does not Check the power outlet being used meet specified Refer to the patient monitor s supplemental requirements information manual for power requirements Check the power outlet being used see section FRA The cable between the Check that the cable is intact and properly power supply and the connected to the power supply and the processor processor board is loose board or faulty The power supply is faulty Replace the power supply MO CPU processor board is Replace the CPU processor board faulty Unable to turn on the patient 1 uDOM is missing or 1 Ensure that the uDOM is properly connected and monitor loose aligned to the connector in the CPU board The patient monitor UDOM software is 2 Replace uDOM Contact GE service for support starts but the start up corrupted 3 Ensure that the attached uDOM has correct and sequence does not Doin hos compatible
91. g the PDM E module Frame and Tram Rac housing Two serial RS232 connectors DVI D 2 connector for one digital display Optional 3rd video display connector DVI I 3 supports a digital display and a cloned analog display iPanel application only DVI I 1 connector for a digital display and a cloned analog display 3 4 Service information 3 4 1 Service requirements CAUTION 20 2062973 001 Follow the service requirements listed below Refer equipment servicing to GE authorized service personnel only Any unauthorized attempt to repair equipment under warranty voids that warranty It is the user s responsibility to report the need for service to GE or to one of their authorized agents Failure on the part of the responsible individual hospital or institution using this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards Regular maintenance irrespective of usage is essential to ensure that the equipment will always be functional when required DISPOSAL At the end of its service life the product described in this manual as well as its accessories must be disposed of in compliance with the System overview guidelines regulating the disposal of each product If you have any questions concerning disposal of a product please contact GE or its representatives 3 4 2 Equipment identification Every GE device has a unique serial number for identifica
92. he MuseView license is enabled Settings to send 12SL data 1 Login to Webmin 2 Select Configuration gt MUSE 12SL 3 Inthe MUSE 12SL window enter the applicable information in the following fields Location ID Identifies the location ID number within the range O to 599 associated with the patient monitor for searching the MUSE system Site Number Identifies the site number within the range 1 to 254 associated with the patient monitor for searching the MUSE system Configuration 4 Select Save These settings take effect immediately after they are submitted Settings to view 12SL data 1 Login to Webmin 2 Select Configuration gt MUSE 12SL 3 Inthe MUSE 12SL window enter the following MUSE Web Username Username used to authenticate with the MUSE Web to access 12 lead reports MUSE Web Password Password used to authenticate with the MUSE Web to access 12 lead reports Confirm Password The password and the confirmed password must be the same MUSE Web URL Used to locate the MUSE Web system to access 12 lead reports Enter the URL in a valid format 4 Select Save These settings take effect immediately after they are submitted 7 8 Admit settings 7 8 1 Patient ID prefix The patient monitor will automatically generate a temporary unique patient ID when a patient with unknown ID is admitted to the patient monitor The patient monitor will use this temporary patient ID for all 12SL report
93. he following sections describe the operation and interaction of the different subsystems 9 2 Main components The CPU unit is housed in a single package The main components of the CPU unit are Power supply CPU processor board 3rd video board optional Speaker assembly Bottom chassis Top cover and Back cover Front bezel Light pipe assembly 9 2 1 Power supply 112 2062973 001 The Power supply connects to the CPU processor board with a 12 pin connector and provides a 5 1V and two separate 16 75V outputs Power entry module The power entry module provides an AC input connector and a power on off switch Theory of operation 9 2 2 CPU processor board AC Power Power Supply a Speaker Speaker harness Power harness Ethernet gt gt 2 USB gt gt 4 eT Ports lt lt gt 2 B850 C1 CPU Processor Board w two videos Serial lt 4 gt lt 2 With optional v M Ports PWA B850 CPU C1 THIRD VIDEO DVI I Dv to 2 with 3rd Video Card 1 2 DVI D lt gt Main processor and memory e The main processor manages the data processing of the patient monitor It has a non volatile flash memory for the BIOS a volatile SDRAM memory for run time code execution and temporary data
94. he device under test Read and record the current leakage indicated on the safety tester Configure the safety analyzer as follows Polarity REVERSED Neutral CLOSED GND CLOSED Read and record the current leakage indicated on the safety tester Power off the device under test Repeat this test for all the connected parameter modules and patient connectors specified in Table 1 Acceptance criteria All readings shall be less than or equal to 50 uA Installation checkout 8 2 10 Test completion Disconnect the safety analyzer from the power outlet Disconnect the test equipment from the patient monitor Disconnect the patient monitor s power cord from the leakage tester Mark this task as complete on the Appendix A Installation check form A TA 8 3 Functional check The purpose of this functional check is to ensure that the system is properly installed and configured Cover all peripheral devices that are connected to the patient monitor by performing the applicable tests below Skip the tests that are not applicable for the installed patient monitor 8 3 1 Start up 1 Turn on the patient monitor Verify that the patient monitor starts up normally The speaker gives an audible beep The normal monitoring screen appears and there are no error messages on the screen 8 3 2 Display Picture quality Perform this test for all the connected displays 1 Verify that all text is readable and all
95. he software user interface Low priority audio off alarm indicator Displays in the upper left corner of the alarm area Configuration warning Displays when the priority setting for HR PR high low or SpO2 low has been set to low Check the alarm configuration Displays in the upper left corner of the alarm area General warning sign Displays when the priority setting for HR PR high low or SpO2 low has been set to low Displays in the lower part of the parameter menu s Alarms tab and in the Priority column of the selected alarm in the Alarms Setup gt Alarm Priorities Reminder volume icon Adjust the volume of the tone that sounds every two minutes when audio alarms are turned off ES Touch volume icon Adjust the volume of the tone that sounds when a user W touches a touchscreen display Home icon Close all menus applications displayed on the patient monitor Locking setting indicator Indicates this setting is locked and cannot be adjusted EN Network connection indicator Indicates the patient monitor is connected to the Local Area Network LAN 9 Network connection indicator Indicates the monitor is connected to the Wireless Local Area Network WLAN Network WLAN signal strength The number of segments corresponds to the signal strength four segments indicate strong signal one segment weak signal a Monitor battery is full Monitor battery green The higher the charge the bigger the green bar w
96. he unit and bed name of the duplicate patient monitor unit and bed name Identical A patient monitor with the Disconnect the patient monitor that IP address identical IP address is onthe has the identical IP address noticed network or Change the IP address of the patient monitor that has the duplicate IP address 129 2062973 001 CARESCAPE Monitor B850 Message Possible causes Possible solutions Service Monitor One of the internal If temperature is too high Error Code temperature sensors indicate 1 Turn off the patient monitor OxHOST1001 the inside temperature of the gt Letthe patient monitor cool down patient monitor is out of Check that the ventilation holes are specification The message not obstructed stays on screen as long as the 4 Ensure that the patient monitor is error condition is valid installed to a location that meets the specified environmental requirements of operating temperature Investigate the patient monitor thoroughly for potential short circuits and other electrical faults If possible log in to Webmin and select Diagnostics gt Hardware Stats to identify the root cause for the error message If temperature is too low or high If the patient monitor has been transported or stored outside the operating temperature range allow it to stabilize back to operating temperature range before applying power Service Monitor One of the internal supply Log in Webmin and select Di
97. hostname 1 Login to Webmin 2 Select Configuration gt Network gt Hostname The Hostname Configuration window opens The current hostname is shown in the Current Value column 3 Enter the new hostname in the Change Value to column NOTE The hostname is a unique 4 to 32 character long identifier of a patient monitor in the network Use alphanumeric characters A Z a z 0 9 The hostname may include also characters and _ but it can t start or end with these characters 67 2062973 001 CARESCAPE Monitor B850 4 Select Save The hostname configuration will take effect immediately 7 2 2 Selecting and configuring CARESCAPE Network To select CARESCAPE Network MC for the real time network infrastructure 1 Login to Webmin 2 Select Configuration gt Network gt Wired Interfaces The current network configuration is shown in the Present Configuration table 3 Below Select Network Type in the Network Configuration window select the applicable network type CARESCAPE Network 4 Select Next to proceed on network configuration NOTE When CARESCAPE Network is selected the S 5 Network is disabled The patient monitor may be configured to the MC Network or IX Network or both Network connection s Steps to be performed IX Network only 7 8 and 9 Both MC and IX Network 5 6 7 8 and 9 NOTE The following IP addresses are reserved and not valid 172 16 254 254 172 16 255 255 172 18 254 254 17
98. ical Record Number field using the connected alphanumeric keyboard Include some characters that are specific to the chosen keyboard locale to verify that the keyboard language configuration is correct 5 Select man to close the open menu and return to the main display 8 3 8 Barcode reader Perform this test only if a barcode reader is connected to the patient monitor 1 Select Data Pages gt Admit Discharge or Start End Case 2 Select the Patient tab 3 Scana test barcode that is applicable to your system Parser Type Test Procedure Length Delimited or Character 4 Select Scan from Barcode Delimited Parser Scan a known test barcode obtained from the hospital NOTE The barcode data content must be Known and in compliance with the completed parser configuration Verify that the data content in the barcode is correctly populated to the related fields in the Patient and the Administr Information tabs No parser Select Edit Name MRN and press Enter to highlight the Medical Record Number field Scan a sample barcode that only contains one piece of information e g a Serial Number barcode from a module s device label Verify that the data is correctly populated into the Medical Record Number field 7 Select Gl to close the open menu and return to the main display 8 3 9 MC Network and S 5 Network Perform the following test only if the patient monitor is connected to a wired MC Network or S 5
99. ill temporarily lose the services provided by the IX Network e g access to the IX printers and MUSE reports Non medical equipment does not provide the same level of protection against electrical shock Do not touch the patient and any part of non medical equipment at the same time Some examples of non medical equipment are laser printers and non medical computers 1 Connect a service PC to the IX connector on the patient monitor using a crossover cable 2 Inpatient monitor select Monitor Setup gt Service The local browser opens and displays the Login to Webmin dialog box 3 Record the IX IP address of the patient monitor IX IP address IX Netmask NOTE If the IX IP address field is shown as 0 0 0 0 you need to configure the patient monitor s IX Network address first Access Webmin using the integrated browser and configure a static IP address for the IX Network 4 Configure the service PC s IP address and subnet mask to the same network segment with the patient monitor s IX Network setting Using Webmin service interface NOTE For more information on how to configure the IP address refer to the PC s documentation 5 Launch a web browser on the service PC 6 Inthe Address field type https IX IP address 10000 and press Enter NOTE IX IP address is the IX Network IP address of the patient monitor The Login to Webmin dialog box displays Login to Webmin You must enter a username and password to login t
100. images are clear 2 Verify that the brightness is good Adjust if necessary Touchscreen control Perform this test for all connected touchscreen displays 1 Verify the operation and the calibration of a touchscreen by touching a corner of an active parameter window Verify that the related menu is opened 2 Select Baal to close any open menu and return to the main display Alarm light 1 Create an active alarm and check that the alarm light illuminates 8 3 3 Device Information 1 Login to Webmin 2 Select Information gt Device Information 3 Verify the following The connected parameter modules are identified The connected CARESCAPE Network ID interfaces are identified The connected USB input devices are identified 4 Stay connected to Webmin 107 2062973 001 CARESCAPE Monitor B850 8 3 4 Configuration Information 1 Select Information gt Configuration Information 2 Verify the following The host Information is correct The active software package is correct The correct host licenses are enabled The correct PDM licenses are enabled Patient ID prefix is correctly configured Unit and Bed name are correctly configured S 5 printers are correctly configured IX printers and printer locations are correctly configured Remote service is correctly configured National requirements are correctly configured Network is correctly configured Power Line Frequency is correctly configure
101. in property damage 206297 3 001 CARESCAPE Monitor B850 2 3 Safety symbols NOTE The following safety related symbols appear on one or more of the devices General warning This symbol is identified by a yellow background black triangular band and a black symbol General caution sign IEC 60601 1 2005 edition This symbol is identified by a white background black triangular band and a black symbol ATTENTION Consult accompanying documents IEC 60601 1 1988 edition This symbol is identified by a white background black triangular band and a black exclamation mark Follow instructions for use This symbol is identified by a blue background and a white symbol Consult operating instructions Operating instructions DANGER Shock hazard Dangerous voltage To reduce the risk of electric shock do not remove cover Refer servicing to qualified service personnel This symbol is identified by a yellow background black triangular band and a black symbol Electrostatic sensitive device Connections should not be made to this device unless ESD precautionary procedures are followed Non ionizing electromagnetic radiation Interference may occur in the vicinity of this device Type BF IEC 60601 1 protection against electric shock Isolated floating applied part suitable for intentional external and internal application to the patient excluding direct cardiac application Type BF IEC 60601 1 defibrillat
102. ing the procedure in Calibrating a touchscreen on page 67 8 2 Electrical safety tests 8 5 1 Start up 8 3 2 Display Recalibrate the touchscreen if needed following the procedure in Calibrating a touchscreen on page 67 C 9 10 2062973 001 CARESCAPE Monitor B850 C 2 Service parts NOTE Perform the checkout procedure steps described in Recommended checkout on page C 9 after you have replaced any service parts Ordering parts To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand List of FRUs C 10 10 2062973 001 GE Healthcare Finland Oy Kuortaneenkatu 2 FI 00510 Helsinki FINLAND Tel 358 10 39411 Fax 358 9 1463310 www gehealthcare com www gehealthcare com Headquarters GE Medical Systems Information Technologies Inc 8200 West Tower Avenue Milwaukee WI 53223 USA Tel 1414 355 5000 1 800 558 5120 US only Fax 1414 355 3790 Asia Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd No1 Huatuo Road Zhangjiang Hi tech Park Pudong Shanghai P R China 201203 Tel 86 215257 4650 Fax 86 215208 2008
103. ings d Below Barcode Setup in the Barcode Settings window select the applicable parser type from the drop down list Used with this type of barcode No Parser Simple barcode that contains one piece of information but no data control so there is no need for a parser Length Delimited Parser Barcode that specifies the beginning position and length of each field on the barcode Character Delimited Parser Barcode that specifies a special character that separates each field on the barcode Select Save If you selected No Parser the barcode setting configuration is complete For a Length or Character Delimited Parser follow the applicable instructions 7 8 3 Configuring Length Delimited Parser information or 7 8 4 Configure character delimited parser information 7 8 3 Configuring Length Delimited Parser information 74 2062973 001 Points to note If you configure Age you must either select the Age Unit item or one of the age units e g Years Months Weeks Days below Fixed Option If you configure Height you must either select the Height Unit item or one of the height units e g Feet Inches Meters Centimeters Millimeters below Fixed Option If you configure Weight you must either select the Weight Unit item or one of the weight units e g Kilograms Grams Micrograms Pounds Ounces below Fixed Option For an example of admit discharge configuration for a length delimited parser see Exa
104. ion No PDM found Active Software License a TRL Wess ECG DISABLED PRR WL Ecc wihaciTiF DISABLED pms ma Hour ending DISABLED TRI2 ____NA ia 759 DISABLED PSP SONA Araste agent measurement DISABLED POAS NA o e amen o NA M E As NA e 1 IA AS IN VS 11 2 1 Configuration information The Configuration Information module shows the current platform configuration of the patient monitor and the connected peripheral devices To view configuration information 1 Login to the Webmin 2 Select the Information tab 3 Select Configuration Information 4 Scroll down the page to view the configuration information Configuration information Host Information e Active software version Inactive software version Host serial number Host asset number MC Network IP address IX Network IP address MAC address S 5 Network virtual ID CPU hardware version PDM License Information e License option status and number of licenses Active Software License e Current monitor software license in use status and feature code Active Software Package e Current software package in use Host License Information e Each host license name its current status enabled disabled or trial feature code and the expiration date for a trial license Default Clinical Settings e Current default clinical settings dad e Server address initial program session timeout in minutes username and encryption lev
105. ith an Ethernet crossover cable Remote Webmin You can access Webmin remotely from a configured service PC that is connected to the patient monitor over the IX Network Requirements for service PC Network board with Ethernet port and TCP IP network installed Internet Explorer V6 or later 4 1 Local access to Webmin using the integrated browser on the patient monitor NOTE A USB keyboard and mouse are needed to access the integrated Webmin browser 1 Select Monitor Setup gt Service The local browser opens and displays the Login to Webmin dialog box 37 2062973 001 CARESCAPE Monitor B850 You must enter a username and password to login to the Webmin server on localhost Username Password Login J Clear CARESCAPE Monitor B850 Host Serial Number SKA1234567890AB Host Software Version 2 Host Build 2 0 0 204_211 Host Software Package BORP IX IP Address 192 168 111 32 IX Netmask 255 255 255 0 GE Healtheare Finland Oy Kuortaneenkatu 2 FI 00510 Helsinki FINLAND 2 Continue to 4 4 Login to Webmin Closing Webmin Select a close Webmin and return to the main display 4 2 Local access to Webmin with a service PC WARNING 38 2062973 001 You can access Webmin locally by connecting an Ethernet crossover cable between the service PC and the IX connector of the patient monitor NOTE If you disconnect the patient monitor from a live IX Network when a patient is admitted you w
106. ithin the symbol Numbers indicate the remaining run time 33 2062973 001 CARESCAPE Monitor B850 The following symbols appear in the software user interface Monitor battery yellow This symbol and a message indicating low battery charge appear when there is less than 20 minutes of run time left Monitor battery red This symbol and a message indicating empty battery appear when there is less than 5 minutes of run time left Monitor battery is charging There is a white running bar inside the symbol Monitor battery failure indicator Indicates a missing battery or a battery failure PDM battery charging indicator Indicates that the PDM battery is charging PDM battery gauge indicator Indicates the charge level of the battery PDM battery failure indicator Indicates the battery is not available for use Snapshot indicator Indicates the event has an associated snapshot Beat volume icon Adjust the volume of the QRS beep tone Also the beat source indicator Displays next to the selected beat source Respiration indicator Indicates a breath is detected by the impedance respiration algorithm BIS and Entropy sensor impedance check indicator gray Displays for each sensor as the impedance check is in progress 34 2062973 001 System overview The following symbols appear in the software user interface BIS and Entropy sensor impedance check error indicator red Indicates the specified sensor
107. known good patient monitor and check if the module works normally Yes gt The problem is most likely in the patient monitor Continue troubleshooting the problem according to the related troubleshooting chart below No gt The suspect module is most likely faulty Refer to Module Frames and Modules Technical Manual for troubleshooting Instructions 137 2062973 001 CARESCAPE Monitor B850 E module issues Possible cause Recommended action Incompatible module Refer to the patient monitor s supplemental information manual document to see the list of compatible modules Faulty E Module Frame Replace E Module Frame or repair it with existing service parts PDM module issues Possible cause Recommended action The external ePort cable is loose Check that the external ePort cable is intact and properly connected to the or defective PDM module and to the ePort connector in the CPU unit 11 5 6 CARESCAPE Network communication issues Traffic types Two main types of communication occurs in the CARESCAPE Network Broadcast and Unicast Broadcast traffic is sent from one device to all devices on the network Examples of CARESCAPE broadcast traffic are device discovery alarms and time synchronization Unicast traffic is sent from one device to another specific device on the network An example of CARESCAPE unicast traffic is patient waveforms Flow Upstream broadcast The patient monitor sends
108. l transformer providing at least basic isolation NOTE Refer to the printer manual on how to install and configure the printer The printer shall be configured to communicate in the same subnet with the patient monitor s IX Network settings EXCESSIVE LEAKAGE CURRENT Laser printers are UL 60950 IEC 60950 certified equipment which may not meet the leakage current requirements of patient care equipment This equipment must not be located in the patient environment unless the medical system standard IEC 60601 1 1 is followed Do not connect a laser printer to a multiple socket outlet supplying patient care equipment The use of multiple socket outlet for a system will result in an enclosure leakage current equal to the sum of all the individual earth leakage currents of the system if there is an interruption of the multiple socket outlet protective earth conductor Non medical equipment does not provide the same level of protection against electrical shock Do not touch the patient and any part of non medical equipment at the same time Some examples of non medical equipment are laser printers and non medical computers Configuration 7 Configuration The configuration of the patient monitor consists of platform configuration and clinical configuration This chapter describes how to perform the platform configuration tasks needed to take the patient monitor into use for the first time and the configuration tasks needed for administration an
109. lay Remote control The remote control provides all patient monitor controls on a portable component with a Trim Knob control The remote control is connected to the patient monitor via one of the USB connectors Barcode reader The barcode reader can be used to scan a Technician ID and Patient Information from barcodes when admitting patients 11 2062973 001 CARESCAPE Monitor B850 3 2 4 Module frames and Tram Rac housing F5 and F7 E module Frames provide an interface between the patient monitor and E Modules The F5 Frame has five module slots that support all E module acquisition modules It supports both PDM and PSM with a slide mount The F7 Frame has seven module slots but it does not have a slide mount for the PDM or PSM The PSM module may be interfaced to the F5 or F7 Frame with a cable when the Module Bus Adapter for PSM is used Ei oT tell be wn We at The Tram Rac housing provides an interface between the patient monitor and a TRAM module or a single parameter Tram Rac module 12 2062973 001 System overview 3 2 5 Acquisition modules The patient monitor supports the following multiparameter hemodynamic modules Patient Data Module PDM Patient Side Module PSM E PRESTN and TRAM modules PSM PDM E PRESTN Ra TRAM HE module re A E PRESTN You can use different types of acquisition modules with the monitor They provide connection to the patient process pa
110. mple of Length Delimited Parser information on page 75 In the Admit Discharge Configuration window enter the location and length information for each data item If an item is not included in the barcode type 0 in the item s Position and Length fields or leave the Position and Length fields blank a Inthe Position column type the beginning position of the field in the data string from 1 to 300 b Inthe Length column type the number of characters from 1 to 99 that the field contains For Gender Format select Fixed or Configured If you select Configured a Type the character that identifies Male b Type the character that identifies Female Configuration 3 Below Fixed Option select the applicable value Item Item selection in the top part of Fixed Option selection the screen Height Unit Both Height and Height Unit Height only Select value from drop down list 4 Scroll to the bottom of the window and select Save All changes take effect immediately Example of Length Delimited Parser information In this example the barcode contains 10 items The following table lists the starting position and length of each item tartnone O E poe fe e o C ECO E The following sample shows the corresponding entries in the Admit Discharge Configuration window 15 2062973 001 CARESCAPE Monitor B850 Admit Discharge Configuration Length Delimited Parser ao a m a m mm mm cn E bi M J
111. nd connectors 3 3 1 Front view Display Y Alarm light 1 Alarm light 2 Power on standby button 3 Power indicators 4 Integrated keypad 5 Trim Knob control 6 Ambient light detector lens 7 Audio alarm paused off area blue 8 Alarm light area blue yellow or red 18 2062973 001 System overview CPU unit a 1 Power indicator IIluminates green when the power is turned on 2 Four M ports for connecting the remote control PRN 50 M recorder remote alarm box remote nurse call or a Unity Network Interface Device ID to the monitor 3 3 2 Rear views Display Power on off switch Receptacle for power cord DVI I connector Type A USB port Type B USB port a oe NY SY ES 19 2062973 001 CARESCAPE Monitor B850 CPU unit oY AD 10 eeeececeaeeeeeeeeee mero 0 A e DD A A A A oe oe ene ee eee ee ee ee Power on off switch Power inlet connector Equipotential connector Four USB ports for connecting the touchscreen display remote control keyboard mouse and barcode reader Two Ethernet network connectors for connecting the MC and IX networks The MC Network establishes communication and allows patient data to be sent to an optional CIC Pro Clinical Information Center or CARESCAPE Central Station The IX Network provides access for example to the MUSE server Citrix server and IX printers Two ePort Tramnet connectors for connectin
112. nd record the current leakage indicated on the safety tester 6 Configure the safety analyzer as follows SFC Polarity REVERSED Neutral OPEN Installation checkout 7 Read and record the current leakage indicated on the safety tester 8 Configure the safety analyzer as follows NC Polarity REVERSED Neutral CLOSED 9 Read and record the current leakage indicated on the safety tester 10 Power off the device under test Acceptance criteria in Normal Condition NC e All readings shall be less than or equal to 300 uA for installations that require compliance to UL 60601 1 requirements e All readings shall be less than or equal to 500 uA for installations that require compliance to EN 60601 1 IEC 60601 1 requirements Acceptance criteria in Single Fault Condition SFC one of the supply conductors open at a time e All readings shall be less than or equal to 1 mA 8 2 6 Enclosure leakage current touch current test This test measures current leakage through the exposed conductive parts on the device under test Perform the test in Normal Condition NC and in two different Single Fault Conditions SFC 1 earth open and 2 one of the supply conductors open at a time Perform the test with normal and reverse polarity NOTE Refer to the instructions delivered with the safety analyzer to perform this test Leakage Tester AC MAINS Probe to exposed conductive chassis NOTE Th
113. ng table for possible configuration options For detailed information on compatibility refer to the the patient monitor s supplemental information manual ePort 1 Tramnet 1 connected devices Tram Rac Tram Rac housing housing AC Mains powered CE Eee X X Tram Rac X X housing ePort X X 2 Tramnet Tram Rac X X 2 housing connected AC Mains devices powered lt i gt Oe X X ramo nn In the table above X supported Shaded not supported 57 2062973 001 CARESCAPE Monitor B850 WARNING WARNING WARNING Example If a PDM is connected to ePort 2 you cannot connect a second PDM to ePort 1 However you can connect one of the following devices to ePort 1 Tram Rac housing e Tram Rac housing AC Mains powered F5 Frame F7 Frame ELECTRIC SHOCK Do not use the F7 Frame for standalone use Ventilation holes on the F7 E module Frame will be covered only if installed within an Aisys Avance or Aespire anesthesia machine Do not use identical measurement modules or modules that map a measurement to the same channel or parameter window If such modules have been connected remove the module that has been most recently connected You can also remove both modules and re connect the new module after five seconds SIMULTANEOUS CONNECTION OF TRAM AND PDM The patient monitor only supports patient monitoring from one primary ECG acquisition device at a time A Patient Data M
114. ng to your Webmin access If you are using Webmin on a service PC you can load the settings file from any mass storage device connected to the service PC Inthe Load Settings window enter the file name or select Browse to select a file from the Choose File to Upload dialog box Select Upload to load the settings If you are using Webmin locally through the integrated browser you can load the settings file from a USB flash drive that is connected to one of the patient monitor s USB ports The Load Settings window will show you the available settings files Select the settings file to be loaded Select Load Settings to load the selected settings file from the USB flash drive NOTE Do not disconnect the USB storage device until loading is complete 7 17 3 Activating settings NOTE Settings activation takes place only when the patient monitor is in a case reset patient discharged state If you are going to activate settings immediately verify that the patient monitor is in a case reset patient discharged state You can alternatively initiate the setting activation process with a delay during an active patient case but the new settings will activate only after the next case reset patient discharged 85 2062973 001 CARESCAPE Monitor B850 86 2062973 001 oa te Log in to Webmin Select Configuration gt Settings In the Sub Modules for Settings menu select Activate In the Activate Settings
115. ny field in the barcode it will be misinterpreted as a field delimiter 3 Below Gender Code enter the codes that identify Male and Female Below Fixed Option select the applicable value Item Item selection in the top Fixed Option selection part of the screen Height Unit Both Height and Height Unit Height only Select value from drop down list 5 Scroll to the bottom of the window and select Save All changes take effect immediately Example of character delimited parser information entry In the following example the barcode contains 12 items and uses the pound sign as a delimiter Item Sequence number of the item in the barcode MRN 4 anome E CIN E 77 2062973 001 CARESCAPE Monitor B850 Item Sequence number of the item in the barcode The following sample shows the corresponding entries in the Admit Discharge Configuration window AdmitiDischarge Configuration Character Delimited Parser a PA Fixed Option 7 8 5 Barcode data specifications Points to note The maximum length of the entire barcode is 300 78 2062973 001 Configuration Ifthe field value is longer than the maximum length indicated the right most characters will be truncated when the value is displayed in the Admit Discharge menu If a field contains a forbidden character that character will be replaced with a space when it is displayed in the Admit Discharge menu Item Maximum _ Valid entri
116. o Webmin 2 Select Diagnostics gt View Logfiles 3 Select the log file you want to view 4 Select the information you want to view For the Webmin Action Log select the user module and timeframe and select Search Troubleshooting For the other types of logs select the link associated with the information you want to view Refer to the Module Frames and Modules Technical Manual for information about PDM battery 11 4 Error messages and codes The following error messages display in the message field if there is a problem with the patient monitor Refer to the patient monitor s user s manual for a complete list of system messages Refer to Module Frames and Modules Technical Manual for a list of parameter module specific error messages Message Message Possiblecauses Possible causes Possible solutions solutions License expired A trial license has expired A the license with a new activation code if needed Configuration Pending configuration Power cycle the patient monitor changes Restart __ changes to platform settings required that require patient monitor restart Network down No other network device Verify that the patient monitor is observed on the MC Network connected to an active network Identical unit bed A patient monitor with the Disconnect the patient monitor that name noticed identical unit and bed name is has the identical unit and bed name on the network or Change t
117. o start the software activation Confirm activation by selecting Yes in the Host Software window that opens The patient monitor shows a message Software activation after next case end after next discharge on the display until the next case end or patient discharge The patient monitoring can be continued normally until then 7 Software activation will start automatically after the next case end patient discharge unless this process is cancelled before it starts The patient monitor informs clinical users about pending software activation by showing the message Software activation after next case end after next discharge on the display The software activation starts automatically after the clinical user performs a patient discharge case end the next time The patient monitor shows a screen saver that informs about the ongoing software activation Software activation in progress Do not disconnect any measurement modules or other peripheral devices or shut down the monitor until the software activation is complete Activation may take up to 10 minutes The device will automatically restart once the software activation is complete The clinical user must wait until the software activation is complete and the patient monitor restarts automatically If the patient monitor starts up normally and no error messages appear on the display the activation is successful Activating module software Follow this instruction when you want to
118. o the Webmin server on 3 187 27 20 Username Password Login Clear Monitor Type CARESCAPE Monitor B850 Host Serial Number SED08400200GP Host Software Version 2 Host Build 2 0 0 230 Host Software Package SICU IX IP Address 3187 27 20 IX Netmask 255 2755 755 0 CE 0537 GE Healthcare Finland Oy Kuortaneenkatu 2 FI 00510 Helsinki FINLAND 7 Continue to 4 4 Login to Webmin Closing Webmin 1 Restore the patient monitor s original X Network configuration and service PC s network settings if they were changed 2 Disconnect the crossover cable from the patient monitor and from the service PC 3 Reconnect the patient monitor back to the IX Network if applicable 4 3 Remote access to Webmin using a service PC over the IX Network 1 Connect a service PC to the IX Network using a standard network cable 2 Inpatient monitor select Monitor Setup gt Service The local browser opens and displays the Login to Webmin dialog box 3 Record the IX IP address of the patient monitor IX IP address 39 2062973 001 CARESCAPE Monitor B850 40 2062973 001 IX Netmask 4 Configure the service PC s IP address and subnet mask to the same network segment with the patient monitor s IX Network NOTE For more information on how to configure the IP address refer to the PC s documentation 5 Launch a web browser on the service PC 6 Inthe Address field type https IX IP address 10000 and press Enter
119. odule PDM and a TRAM module cannot be used to monitor a patient at the same time NOTE Refer to the the patient monitor s supplemental information manual for a list of compatible devices 6 4 1 Connecting a F5 or F7 Frame to a B850 patient monitor 58 2062973 001 NOTE To ensure proper grounding of the Frame secure the cable connections by using a screwdriver to fully seat all thumbscrews 1 Connect an F5 or F7 frame to ePort Tramnet O O EIC 00000 00000 0 O ED q cio RS232 1 Hardware installation 6 4 2 Installing a PSM module to a F5 Frame 1 Connect a PSM module by aligning it with the insertion guides on the outside of the frame Push the module into the frame until it stops 2 Toremove the PSM module pull the pull tab out and slide the module out of the guides 6 4 3 Installing a PSM module to a F7 Frame WARNING PHYSICAL INJURY Take care when mounting devices to an IV pole If a device is mounted too high the IV pole may become unbalanced and tip over 1 Connect the PSM pole mount or frame mount cable to the back of the F7 Frame 2 Connect the PSM module to the mount 59 2062973 001 CARESCAPE Monitor B850 6 4 4 Installing another module to a F5 or F7 Frame WARNING Ensure that the compact airway modules and CARESCAPE respiratory modules are in vertical position when used Tilting them may res
120. of the safety analyzer Power Cord Device Under Test Acceptance criteria For equipment without a power supply cord the impedance between the protective earth terminal and any accessible metal part which is protectively earthed shall not exceed 0 1 ohms For equipment with a power supply cord the impedance between the protective earth pin in the mains plug and any accessible metal part which is protectively earthed shall not exceed 0 2 ohms b Impedance of protective earth connection This test is normally only required as a manufacturing production test to receive safety agency compliance Some country agencies do require this test after field equipment repairs 1 e Germany s DIN VDE 0751 standards Consult your country local safety agency if in doubt Check compliance as follows A current of 25A from a current source with a frequency of 50 or 60 Hz with a no load voltage not exceeding 6 V is passed for at least 5 seconds but not more than 10 seconds through the protective earth terminal or the protective earth pin in the mains plug and each accessible metal part which could become live in case of failure in basic insulation The voltage drop between the parts described is measured and the impedance determined from the current and voltage drop It shall not exceed the values indicated When taking this measurement flex the unit s power cord along its length There should be no fluctuations in resistance Acceptanc
121. of the front of the module 3 Pull the module out about 15 cm 6 inches Grasp the module firmly with both hands and remove it Do not try to hold the module by the release levers The release levers for TRAM modules are recessed in the side of the protruding front of the module 62 2062973 001 Hardware installation 6 5 Connecting to the mains power WARNING WARNING WARNING WARNING CAUTION Use only AC power cords recommended or manufactured by GE EXCESSIVE LEAKAGE CURRENT To avoid summation of leakage currents when interfacing the device with other equipment the devices may only be interconnected with each other or to parts of the system when it has been determined by qualified biomedical personnel that there is no danger to the patient the operator or the environment as a result In those instances where there is any element of doubt concerning the safety of the connected devices the user must contact the manufacturers concerned or other informed experts for proper use In all cases safe and proper operation should be verified with the applicable manufacturer s instructions for use and system standards IEC60601 1 1 must be complied with Do not under any circumstances remove the grounding conductor from the power plug Always check that power cord and plug are intact and undamaged POWER SUPPLY The device must be connected to a properly installed power outlet with protective earth contacts only If
122. oid excessive patient leakage current do not simultaneously touch the patient and the electrical connectors located at the rear panel of the C1 CPU unit or within the module housing or frames 6 1 Installing a battery into the PDM module WARNING WARNING WARNING The battery for the PDM module if included is shipped separately and need to be installed and fully charged prior to taking into use PHYSICAL INJURY Make sure the battery is completely inserted and the battery door is completely closed Falling batteries could seriously or fatally injure neonatal or other vulnerable patients EXPLOSION OR FIRE Using non recommended batteries could result in injury burns to the patients or users Only use batteries recommended or manufactured by GE EXPLOSION HAZARD Do not incinerate a battery or store at high temperatures Serious injury or death could result NOTE Refer to the Module Frames and Modules Technical Manual for information about PDM battery maintenance 6 1 1 Testing the battery charge Before installing a battery verify the battery s state of charge Press the green TEST button on the battery The number of charge level indicator LEDs that illuminate indicates the approximate charge remaining in the battery Four LEDs illuminated 75 100 of full charge capacity Three LEDs illuminated 50 74 9 of full charge capacity Two LEDs illuminated 25 49 9 of full charge capacity 51 2062973 00
123. on CPU processor board AVCC General operation voltage for IC components on CPU processor board 1 25 volts in mV Operation voltage for Ethernet Switch BCM5382M Power Supply 5VSB General operation voltage for IC components on CPU processor board 125 2062973 001 CARESCAPE Monitor B850 battery in mV Lithium Battery Voltage for the Real Time Clock Ambient temperature in C Ambient temperature of the CPU unit measured by the sensor in the main processor board CPU temperature in C An internal temperature of the CPU unit measured by the sensor in the main processor 945 temperature in C An internal temperature of the CPU unit measured by the sensor in the Intel 945 Graphic controller chipset 1st and 2rd display port temperature VideoCard temperature in C An internal temperature of the CPU unit measured by the sensor in the additional 3rd video board optional 11 3 2 Ping a TCP IP network device Use this Webmin feature to verify connectivity with a network device on the MC Network and IX Network 1 Login to Webmin 2 Select Diagnostics gt Ping 3 Inthe Address to Ping field in the Ping Command window type the IP address of a known device on the network and select ping If you receive a reply then you are able to connect to the device If you do not receive a reply make sure that the patient monitor is connected to an active network The patient monitor withstands a maximum packet loss of 5 pa
124. onfiguration Guide for details on configuring the CARESCAPE Network The iPanel application viewable from one of the monitor s display screens gives access to desktops created by the hospital IT These desktops provide patient information from other systems that may be installed at the hospital e g Centricity Clinical Information View Centricity CIV MUSE Web and Picture Archiving Communications System PACS Desktops 14 2062973 001 System overview can be created with customer defined resolutions using the hospital wide login and identification process The iPanel application is used through a Citrix thin client on the monitor SO no additional equipment is required at the bedside 3 2 8 Unity Network ID connectivity device The Unity Network ID connectivity device acquires digital data from up to eight peripheral bedside devices not necessarily manufactured by GE processes this data and transmits the formatted data to the patient monitor The supported interfaces include anesthesia machines ventilators gas analyzers continuous cardiac output devices pulse oximeters transcutaneous monitors and point of care blood gas monitors Refer to the Unity Network Interface Device ID Operator s Manual and the patient monitor s supplemental information manual for a list of compatible peripheral devices and to the patient monitor s user s manual for the peripheral device parameter data displayed on the patient monitor 3 2
125. onitor B850 For your notes 46 2062973 001 Pre installation requirements 5 Pre installation requirements This chapter specifies the pre installation requirements for the patient monitor 5 1 Unpacking WARNING CAUTION Confirm that the packing box is undamaged If the box is damaged contact the shipper 2 Open the top of the box and carefully unpack all components 3 Confirm that all components are undamaged If any of the components is damaged contact the shipper 4 Confirm that all components are included If any of the components is missing contact your GE Healthcare distributor EXCESSIVE LEAKAGE CURRENT If the device has been transported or stored outside operating temperature range allow it to stabilize back to operating temperature range before removing it from the plastic bag PACKAGING DISPOSAL Dispose of the packaging material observing the applicable waste control regulations 5 2 Compatibility check WARNING WARNING WARNING WARNING Verify the compatibility of all system components prior to the installation of the patient monitor Refer to the patient monitor s supplemental information manual for a list of compatible displays and display cables Refer to the patient monitor s supplemental information manual for a list of compatible network and bedside devices Refer to the patient monitor s supplemental information manual for a list of compatible supplies and accessories
126. ons Commission radio frequency interference regulations Prescriptive Device USA only For sale by or on the order of a Physician Russia only GOST R mark Brazil only INMETRO certificate 30 2062973 001 System overview The following symbols appear on one or more of the devices NOTE The following symbols required by China law only are representative of what you may see on your equipment The number in the symbol indicates the EFUP period in years as explained below Check the symbol on your equipment for its EFUP period This symbol indicates the product contains hazardous materials in excess of the limits established by the Chinese standard SJ T11363 2006 Requirements for Concentration Limits for Certain Hazardous Substances in Electronic Information Products The number in the symbol is the Environment friendly User Period EFUP which indicates the period during which the toxic or hazardous substances or elements contained in electronic information products will not leak or mutate under normal operating conditions so that the use of such electronic information products will not result in any severe environmental pollution any bodily injury or damage to any assets The unit of the period is Year In order to maintain the declared EFUP the product shall be operated normally according to the instructions and environmental conditions as defined in the product manual and periodic maintenance schedules specifie
127. or analog source Color video output digital Video output for analog source Color video output Video output for digital source USB connector 26 2062973 001 System overview The following symbols appear on one or more of the devices Ethernet connectors Serial interface Tram Net and ePort connector for PDM module E module frame Tram Rac housing and TRAM modules Gas outlet Zero all PDM Degree of ingress protection Degree of protection against harmful ingress of water Components not marked with an IPXn code are rated as Ordinary no protection against fluid ingress All other IPXn rated components have the degree of protection per the n rating Latex free D lite Pedi lte Add date 20 3 tenio g p 27 2062973 001 CARESCAPE Monitor B850 The following symbols appear on one or more of the devices Home Return to the main display Alternating current Green symbol on the B650 and B450 monitor front panel the monitor is being used on mains power Ec i Equipotentiality Connect device to a potential equalization conductor Protective earth ground Connectors grounded to the AC power source Defibrillator synchronization connectors WLAN Class 2 Identifier Stacking limit by number Date of manufacture This symbol indicates the date of manufacture of this device The first four digits identify the year and the last two digits identify the
128. or proof protection against electric shock Isolated floating applied part suitable for intentional external and internal application to the patient excluding direct cardiac application 6 2062973 001 Safety information Type CF IEC 60601 1 protection against electric shock Isolated floating applied part suitable for intentional external and internal application to the patient including direct cardiac application Type CF IEC 60601 1 defibrillator proof protection against electric shock Isolated floating applied part suitable for intentional external and internal application to the patient including direct cardiac application Safety ground Remove power cord from the mains source by grasping the plug Do not pull on the cable 7 2062973 001 CARESCAPE Monitor B850 For your notes 8 2062973 001 System overview 3 System overview 3 1 System introduction The CARESCAPE Monitor B850 is a modular monitoring solution for multiple care areas within a professional healthcare facility The patient monitor offers various hardware configurations software options and parameter module support to expand from basic hemodynamic operations to demanding operating room applications The patient monitor is backwards compatible and upgradeable for the future 3 2 System components The patient monitoring system is typically composed of these main parts CPU unit e Software Display Input devices
129. orage device connected to the service PC In the Upload Software Package and Host License window enter the file name of the license file or select Browse to select a file using the Choose File to Upload dialog box b Ifyou are using Webmin locally through the integrated browser you can upload the license file from a USB flash drive that is connected to one of the patient monitor s USB ports In the Upload Software Package and Host License window select the license file to be uploaded NOTE Do not disconnect the USB storage device until downloading is complete Select Upload to upload the license file 6 Verify that the information populated in the Software Package and Host License tables is accurate All license changes take effect after the next patient monitor restart 7 19 Software management Software installation consists of two main steps software transfer and software activation 7 19 1 Transferring software To begin software installation you first transfer the new software into the inactive memory partition of the patient monitor Transfer software using the GE Healthcare Software Transfer Utility that runs on a service PC With this application you can transfer new software from a software CD to the patient monitors over the CARESCAPE Network IX IX Network or a crossover cable The new transferred software is inactive in the patient monitor s until you activate it Alternatively you can use InSite ExC to transfer the sof
130. perate the device safely in accordance with its function and intended use 1 2 Intended audience of the manual This manual is intended for service representatives and technical personnel who install maintain troubleshoot or repair this device 1 3 Conventions used in this manual Within this manual special styles and formats are used to distinguish between terms viewed on screen a button you must press or a list of menu commands you must select For technical documentation purposes the abbreviation GE is used for the legal entity names GE Medical Systems Information Technologies Inc and GE Healthcare Finland Oy Names of hardware keys on the equipment keypad remote control and modules are written in bold typeface Start Cancel Menu items are written in bold italic typeface Monitor Setup Emphasized text is in italic typeface Menu options or control settings selected consecutively are separated by the gt symbol Procedures gt Cardiac Output e The word select means choosing and confirming Messages alarm messages informative messages displayed on the screen are written in bold italic typeface Learning Note statements provide application tips or other useful information 1 3 1 Product naming conventions In this manual the CARESCAPE Monitor B850 is referred to as the patient monitor The following naming conventions are used to refer to different modules and module categories
131. pletes and the patient monitor restarts automatically 8 Verify that the software activation is successful and the patient monitor runs the activated software Activating host software after next case end discharge If you want to activate the new host software with a time delay that is after the next case end patient discharge follow this instruction You can initiate the software activation process with a delay during an active patient case Host Software Fri Nov 23 14 34 40 2012 Current Software State 2 0 0 204 211 2 0 0 210_ 217 are License O O O O O O O O O O O O A ES Software Activation a Immediately e After next case end discharge Erase Inactive Software After Activation 1 In the Host Software window verify that the software that you activate is listed as Inactive in Current Software State 2 In Software License if applicable enter the Activation Code for the new software version 3 In Software Activation select After next case end discharge Configuration 4 In Erase Inactive Software After Activation select No to keep the currently active software version as inactive software after the new software version is activated successfully This option lets you restore the patient monitor to the previous software version later Yes to erase the currently active software version permanently after the new software version is successfully activated Select Activate t
132. r of the patient monitor Connect the other end of the touchscreen cable to the display Hardware installation Display port 1 Display Touchscreen interface port Display 1 USB1 or RS 232 1 Display 1 cloned USB1 or RS 232 1 The secondary display The secondary display must be a digital display It can be either an USB or serial touchscreen or a non touchscreen display You cannot connect a cloned display to DVI D 2 connector 1 Connect one end of the video cable to the DVI D 2 connector in the rear of the patient monitor Connect the other end of the video cable to the display 2 If applicable connect a USB or serial touchscreen cable to the USB 2 or RS 232 2 connector in the rear of the patient monitor Connect the other end of the touchscreen cable to the display Display port 2 Display Touchscreen interface port DVI D 2 Display 2 USB2 or RS 232 2 The third display The optional third display can only be used to support the iPanel application The patient monitor must be equipped with an optional third video card The third display can be either an analog or digital display It can be either an USB touchscreen or a non touchscreen display You may optionally connect a cloned analog display to the DVI I 3 port Use a DVI I to DVI D and VGA splitter to do so The patient monitor does not support touchscreen interface for the cloned third display Display port 3 Display Touchscreen interface port Display 3 clone
133. r to Configuration chapter for information about touchscreen calibration NOTE Refer to the display s user manual for more information about the display adjustments and other information about the displays NOTE Proper function of serial or USB touchscreen displays is dependent on the usage of the correct RS232 and USB ports on the patient monitor NOTE A USB hub should not be used to connect the USB touchscreen to the patient monitor NOTE All installations should be compliant with IEC 60601 1 1 and local electrical codes NOTE The patient monitor with a non medical grade display which is IEC 60950 rated or equivalent meets UL and IEC specifications if a medical grade isolation transformer is used If a non medical grade display is to be used the configuration must meet the IEC 60601 1 1 standard Refer to IEC 60601 1 1 for requirements if using non medical grade displays in the patient environment The primary display The primary display can be either an analog or digital display It can be either an USB or serial touchscreen or a non touchscreen display You may optionally connect a cloned analog display to the DVI I 1 port Use a DVI I to DVI D and VGA splitter to do so 1 Connect one end of the video cable to the DVI I 1 connector in the rear of the patient monitor Connect the other end of the video cable to the display 2 If applicable connect a USB or serial touchscreen cable to the USB 1 or RS 232 1 connector in the rea
134. rastructure Ensure that the applicable network infrastructure is in place prior to the installation of the patient monitor Acquire the network configuration information from the hospital IT or the related project documentation and installation files 5 3 1 MC Network e The MC Network infrastructure shall be installed according to the CARESCAPE Network Configuration Guide e The installation site of the patient monitor shall have a wall jack and a network patch cable for the MC Network Refer to the sections 7 2 2 Selecting and configuring CARESCAPE Network and 7 4 Setting unit and bed name to see the configuration information you need to have available to configure the patient monitor to the MC Network 5 3 2 S 5 Network e The S 5 Network shall be installed according to the S 5 Network Installation Guide Refer to the iCentral and iCentral Client Service Manual for iCentral installation instructions e The installation site of the patient monitor shall have a wall jack and a network patch cable for the S 5 Network Refer to the section 7 2 3 Selecting and configuring S 5 Network to see the configuration information you need to have available to configure the patient monitor to the wired S 5 Network 5 3 3 IX Network e The IX Network infrastructure shall be installed according to the CARESCAPE Network Configuration Guide e The installation site of the patient monitor shall have a wall jack and a network pat
135. ration Immediately Activate the new settings The patient monitor must be in a Immediately case reset patient discharged state After next case end Take the new settings in use This option allows you to initiate the discharge with a delay after the next setting activation process with a case end patient discharge delay during an active patient case The new settings will activate only after the next case end patient discharge 6 Select Activate to start the settings activation process If immediate settings activation was selected a Wait until the settings activation is completed and the patient monitor has performed an automatic restart b Verify that the settings activation was successful and the patient monitor is running the activated settings If after next case end discharge settings activation was selected a The patient monitor will show a message Settings activation on next discharge after next case end on the display until the next case end patient discharge The patient monitoring can be continued normally until then b Settings activation will start automatically after the next case end patient discharge unless this process is canceled by the user c Wait until the settings activation is completed and the patient monitor has performed an automatic restart d Verify that the settings activation was successful and the patient monitor is running the activated settings 7 17 4 Canceling p
136. rd or an USB mouse provides the user interface for the patient monitor The USB remote control is connected to one of the USB ports at the CPU unit or at the display using a USB2 0 cable The keyboard and mouse are connected to the CPU unit using the USB connectors The keypad uses an M Port on the front panel of the CPU unit e Agreen LED illuminates on the front of panel of the CPU unit when the unit is powered e A Service Monitor Low Battery message is put on the display for a low lithium battery Power on off switch is lit green when it is in ON condition and power is present 9 2 6 External interfaces 114 2062973 001 M Ports Four M Ports are provided on the front of the CPU unit for connecting the PRN50 and Unity ID Basic insulation 250 VAC is provided to isolate the CPU unit from M Port devices Each M Port supports the 1 Wire Serial RS 232 and Ethernet Protocols Each M Port can supply 100mA at 4 75V minimum The connector used for the M Ports is an 8 pin RJ 45 type eT Ports Each eT Port port can support either an ePort device or a Tramnet device The pins of the eT Port connector are switched between the two protocols by use of relays Pin 7 in this connector is used as a Sense line to determine whether the connected device supports either the Tramnet or Ethernet protocol The connector used for the eT Ports is a DB 9 Female ePort Devices Up to two ePort devices can be connected to the eT Ports located on th
137. red and is ready to connect Refer to the included installation instructions for more details Use only washable keyboard with at least IPX1 protection against ingress of water 6 10 Connecting iCollect and other data acquisition systems iCollect and other data acquisition systems can be connected to one of the USB connectors in the rear side panel of the patient monitor 65 2062973 001 CARESCAPE Monitor B850 NOTE Use the ATEN UC232A USB to serial Converter and PC serial interface cable to connect iCollect and the other data acquisition systems to the patient monitor 2 USB to serial converter if needed 1 USB to serial PC serial interface converter cable 881167 a NOTE Refer to the Collect User s Manual for more information about the iCollect NOTE Contact GE Healthcare Service to get more information about interfacing other data acquisition systems to the patient monitor 6 11 Connecting a local printer to the IX connector WARNING WARNING 66 2062973 001 You can connect a local laser printer directly to the patient monitor s IX connector with a crossover cable 1 Connect the Ethernet cable to the IX connector labelled as IX in the rear panel of the patient monitor 2 Connect the other end of the Ethernet crossover cable to the connector in the laser printer NOTE If the local printer is used within the patient environment it must always be powered from an additiona
138. rely coincidental 1 5 Ordering manuals A paper copy of this manual will be provided upon request Contact your local GE representative and request the part number on the first page of the manual 1 6 Related documents 2 2062973 001 the patient monitor s user s manual the patient monitor s supplemental information manual Module Frames and Modules Technical Manual CARESCAPE Modular Monitors Software Installation Instructions CARESCAPE Network Configuration Guide CARESCAPE Modular Monitors Mounting Solutions TRAM and Tram Rac Modules Supplemental Information manual Unity Network Interface Device ID Operator s Manual Central and Central Client Technical Reference Manual About this manual S 5 Network Installation Guide Collect user s manual User documentation for displays NOTE The referred documents above are subject to change without notice Please contact your local sales or service representative for possible updates 1 7 Trademarks Listed below are GE Medical Systems Information Technologies Inc and GE Healthcare Finland Oy trademarks All other product and company names contained herein are the property of their respective owners GE GE Monogram and CARESCAPE are trademarks of General Electric Company Panel is a trademark of General Electric Company or one of its subsidiaries MUSE TRAM Tram Rac Trim Knob and UNITY NETWORK are trademarks of GE M
139. rts To order parts contact GE Healthcare Contact information is available at www gehealthcare com Make sure you have all necessary information at hand 13 2 List of FRUs FRU Item part FRU Item description FRU content number 2067715 001 FRU Power supply Includes power inlet module harness that connects to CPU board and power supply bracket Order hardware kit 2021440 006 if any replacement screws are needed 2 2021440 003 FRU Processor PCB Includes CPU PCB assembly and CPU timekeeper battery Excludes the USB Disk on Module uDOM with software Order hardware kit 2021440 006 if any replacement screws are needed 3 2021440 004 FRU Enclosure kit Includes front bezel enclosure cover back panel and back panel labels Order hardware kit 2021440 006 if any replacement screws are needed 4 2021440 005 FRU Speaker assembly Includes speaker with harness 2 mounting screws washers and spacers 5 2021440 006 FRU Hardware kit Contains complete set of replacement screws for all replaceable assemblies and chassis EMI gaskets 6 2067715 007 Label kit Includes rating label and 2 connector labels 7 2021440 008 FRU CPU timekeeper battery 20 pcs CR2032 lithium battery 8 2021440 013 FRU 3rd Video Card Includes 3rd video card assembly 4 mounting screws 4 standoff screws and 2 jackscrews 2021440 009 FRU M Port keypad kit Includes all M port Keypad assem
140. ry maintenance procedure of the PDM battery Corrective maintenance Service personnel shall perform the following checkout procedure steps after any corrective maintenance before taking the monitor back into clinical use Required checkout procedure Visual Electrical Functional check inspections safety test section 10 3 section 10 1 section 10 2 Performed service activity After detaching or replacing Power supply CPU PCB assembly All steps Lithium ion battery timekeeper After detaching or replacing 10 3 1 Start up 3rd video card 10 3 2 Display 10 3 3 PSM PDM identification After detaching or replacing Enclosure Kit Hardware kit or any part of this 10 3 1 Start up Speaker assembly After detaching or replacing Label kit Yes No 10 3 1 Start up After detaching or replacing uDOM Yes Yes Allsteps After detaching or replacing M Port keypad Kit Yes No 10 3 1 Start up Remote Control Kit 10 3 5 Keypad and remote 117 2062973 001 CARESCAPE Monitor B850 Planned maintenance schedule Service personnel shall perform the following checkout procedure every 12 months after installation 1 Visual inspection section 10 1 2 Electrical safety tests section 10 2 3 Functional check section 10 3 all steps Replace the CPU timekeeper battery every 5 years or whenever the Service Monitor Error Code OxHOST1100 message is shown 10 1 Visual inspection Follow th
141. s that are sent to MUSE until the patient is discharged from the patient monitor or his her patient ID is changed The temporary patient ID is generated from the temporary patient ID prefix care unit name bed name and current time The temporary patient ID prefix is a hospital defined prefix that is used as the first two characters in a temporary patient ID to ensure its uniqueness inside the hospital 1 Login to Webmin 2 Select Configuration gt Admit Settings 3 Inthe Sub Modules for Admit Settings menu select Patient ID Prefix 4 Inthe Patient ID Prefix window enter a 2 character prefix NOTE Valid values are uppercase letters and numbers 5 Select Save All changes take effect immediately 7 8 2 Barcode settings Barcode settings must be configured if a barcode reader is used to input patient data to the Admit Discharge menu NOTE Acquire detailed specification of the character delimited or the length delimited multi field barcode that the hospital uses This will configure the barcode parser correctly NOTE Acquire sample barcodes if possible to verify the operation of the parser configuration NOTE For details on barcode data requirements and restrictions see section 7 8 5 Barcode data specifications 73 2062973 001 CARESCAPE Monitor B850 Select the parser type a Log in to Webmin b Select Configuration gt Admit Settings c In the Sub Modules for Admit Settings window select Barcode Sett
142. se with iCentral software with Versions 5 0 3 and earlier or with Mobile Care Server with Version 5 2 and earlier INCORRECT CALCULATIONS Using the System with the Aware Gateway software version 1 4 or earlier could result in incorrect patient height and weight information This could lead to incorrect drug dose calculations hemodynamic calculations or oxygenation calculations Prior to installing the System please contact the GE Healthcare Aware Gateway HL7 Integration Engineering Team or your GE Healthcare service representative to verify or update your Aware Gateway configuration EXCESSIVE LEAKAGE CURRENT Only devices that are specified compliant with IEC 60950 1 or IEC 60601 1 may be connected to the Ethernet MC or IX ports The patient monitor can be connected either to the wired MC Network or S 5 Network Connect the MC Network or the S 5 Network patch cable to the network connector labelled as MC in the rear panel of the patient monitor 6 7 Connecting to the IX Network 64 2062973 001 Connect the IX Network patch cable to the network connector labelled as IX in the rear panel of the patient monitor Hardware installation 6 8 Connecting M port devices WARNING CAUTION CAUTION WARNING Before connecting an interfacing module to the device verify compatibility Verify the connectivity of device interfaces before using the equipment Verify the compatibility of software versions before using
143. ser See the user and technical manuals for detailed information on available features Authentication Authentication is the process of proving individual identity and is a key element in an access control system In the clinical and Webmin applications there are certain features that require user authentication To access these features the user must log into the clinical and Webmin applications with a valid username and password Authorization Authorization is the process of granting and revoking access to information and is another key element in an access control system Although primarily an administrative process that is driven by an organization s policies and procedures the patient monitor contains features that will help implement and enforce an organization s method Both clinical and Webmin applications have an authorization mechanism to provide information to the user Audit The ability to record and examine system activity is crucial to a successful information security program as well as a regulatory requirement in most environments The patient monitor stores system and Webmin access logs Malicious software protection Vigilant defense on many levels is required to keep systems free from compromise by malicious software Effective protection requires cooperation and partnership between GE and our customers Based on the Linux Operating System the patient monitor has a built in firewall to allow external comm
144. sferred the origin and destination and the date and time the log file transfer occurred Webmin related error messages e g information about EPI layer issues detected by Webmin EMBC Frame logs Date and time when the EMBC log was last updated Modbus 0 1 2 and 3 information including the following System information e g Sysinfo packet Log information e g Loginfo packet Module node connection disconnection information e g Module Node Log Module slot information e g addresses and times in the latest modbus frame Modbus frame statistics e g total number of frames number of synchronization errors number of lost frames number of unknown frames PDM log All PDM errors and messages System log e OS events and errors including operating system related information such as clinical application startup and recovery information power on self test results etc InSite with ExC events and errors including InSite with ExC agent related information 127 2062973 001 CARESCAPE Monitor B850 128 2062973 001 Clinical log e Clinical related application events including module parameter connections disconnections case starts ends cold starts warm starts etc e Technical notes and errors displayed for clinical users including all host and module related technical errors e g Failure in Agent ID e Clinical alarms including clinical application related patient alarms
145. sful and the parameter module runs the activated software Activating EMBC or UIC software Follow this instruction when you want to activate new EMBC software to a F5 or F7 Frame e activate new UIC software to a D15KT D19T or USB Remote Controller You can activate new software to several peripheral devices at a time Before you start Make sure that the patient monitor is in a case reset patient discharged state Make sure that all the target peripheral devices are connected to the patient monitor NOTE Do not disconnect any peripheral device or shut down the patient monitor until the software activation is successfully completed To activate EMBC and UIC software 1 In the EMBC UIC Software window in Current Software State verify that the software you want to activate Is listed as Inactive Select the peripheral devices whose software you want to activate 3 Select Activate to start the software activation to the selected peripheral devices Confirm activation by selecting Yes in the Host Software window that opens NOTE Software activation may take up to 10 minutes 5 According to your Webmin access If you are using Webmin on a service PC a EMBC Software Wait until the software activation completes and the E Module Frame F5 F7 performs an automatic restart The green On Standby Power LED in the F5 F7 frame turns off when the EMBC software activation is started and illuminates again after the EMBC soft
146. silenced permanently Select Save a national requirements changes take effect immediately 7 12 Configuring modules 80 2062973 001 You can configure some acquisition module specific settings The settings are saved to the permanent memory of the related acquisition module and the settings travel with the module from one patient monitor to another These settings are pre configured at factory except the Assets Settings You may need to re configure them after corrective maintenance or for administration purposes Configuration Refer to the Module Frames and Modules Technical Manual for detailed information on how to change these settings Webmin Description sub module Assets Settings PDM This setting allows you to view the customer assigned asset number of the PDM Licensing PDM This setting allows you to manage the PDM feature licenses ECG Filter PDM This setting allows you to temporarily Configuration disable the ECG filter of the PDM STP TP ST Settings E PRESTN E PRETN This setting allows you configure the E RESTN E PSM amp STP TP ST setting after replacing the STP E PSMP board P PT PP Settings E P E PT amp E PP This setting allows you to configure the P PT PP setting after replacing the STP board 7 12 1 Module asset settings NOTE This configuration applies only to the PDM NOTE The Device Serial Number field is view only and cannot be changed To set the device asset number of a PDM
147. teners Some fasteners are not intended to be re used more than three times Use only new screws when attaching parts into light metal parts Before fastening a screw turn it counterclockwise until it drops into an existing thread pattern 12 1 3 Required tools WARNING insulated crosshead screwdrivers small and medium antistatic ESD wristband spanner size 5 5 mm Due to possible high voltage present use an insulated screwdriver at all times 12 1 4 Before disassembly WARNING WARNING WARNING WARNING 144 2062973 001 PATIENT MONITORING INTERRUPTION Make sure a patient is not being monitored while servicing the equipment DISCONNECTION FROM MAINS When disconnecting the device from the power line remove the plug from the wall outlet first Then you may disconnect the power cord from the device If you do not observe this sequence there is a risk of coming into contact with line voltage by inserting metal objects such as the pins of leadwires into the sockets of the power cord by mistake SAFETY GROUND Remove power cord from the mains source by grasping the plug Do not pull on the cable ELECTRIC SHOCK Always unplug the grounded cables when not in use Leaving them connected could result in an electric shock from the ground contact in the other end 1 Turn the monitor off from the rear On off switch 2 Disconnect the power cord first from the wall outlet and then from the CPU unit
148. that all system components are properly connected to the patient monitor 8 2 2 Power outlet Verify that the power outlet is wired correctly according to the country s electrical code standard before starting the following electrical safety tests The results of the following tests will be inaccurate unless a properly wired power outlet is used 8 2 3 Power cord and plug WARNING Verify that the power cord being used with the patient monitor is good To do this check the following Inspect the power cord for wear or damage regularly If damage is suspected test for continuity through each conductor of the power cord connector Replace the power cord as necessary with a regulatory approved cord for the country of use Use only AC power cords recommended or manufactured by GE 8 2 4 Ground earth integrity 98 2062973 001 Listed below are two alternative methods for checking the ground earth integrity a Ground continuity test and b Impedance of protective earth connection These tests determine whether the device s exposed metal and power inlet s earth ground connection has a power ground fault condition Perform either test a or test b in accordance to your local regulations NOTE Refer to the instructions delivered with the safety analyzer to perform each test Installation checkout a Ground continuity test The measuring device MD in the diagram below may be a digital multimeter or part
149. the Patient Interface Cable PIC to the E BIS module 2 Connect the specified test body to the PIC cable NOTE The patient isolation is in the BISx Digital Signal Processing Unit not in the E BIS module E Entropy 1 Connect an Entropy sensor cable to the module 2 Connect the specified test body to the Entropy sensor cable 103 2062973 001 CARESCAPE Monitor B850 Fade patentcomnector o 2 Connect the test body directly to the E EEG module PDM ECG amp a TRAM Modules ECG SpO2 SpO2 Masimo SpO2 8 2 8 Patient source leakage current tests 104 2062973 001 This procedure measures the leakage current from an applied part connector of the device to ground Perform the test in Normal Condition NC and in two different Single Fault Conditions SFC 1 earth open and 2 one of the supply conductors open at a time Perform test with normal and reverse polarity NOTE Refer to the instructions delivered with the safety analyzer to perform this test Leakage Tester LINE 2 o NORM Power Cord gt o lt x I RVS j Closed Patient connector Test Body Z Nx NOTE The measuring device MD represents the network and voltage measuring instrument and its frequency characters according to IEC 60601 1 l l Open i O l NOTE Perform this test for all the connected parameter modules and patient connectors
150. the equipment INSTALLATION To avoid accidental ingress of liquids always mount the Unity Network Interface Device ID in a vertical position with the connectors at the bottom The use of the wrong interface adapter may cause improper operation of the supported peripheral device SINGLE PATIENT USE All eight serial ports of the Unity Network Interface Device ID must only be used on one patient Ensure that the Unity Network ID connectivity device is properly mounted installed and configured prior to connecting it to the patient monitor Connect the following interface devices to one of the four M ports in the front of the patient monitor Unity Network ID connectivity device PRN 50 M writer M port keypad Remote Alarm Box To install and configure Remote Alarm Box RAB or Remote Alarm Box with Remote Light RAB RL follow the instructions in Remote Alarm Box RAB and Remote Alarm Box with Remote Light RAB RL Service Manual for Solar monitor NOTE The remote alarm boxes will function when the patient monitor s alarm tone is set to either Legacy or IEC 6 9 Connecting USB devices WARNING Connect the following devices to the USB ports in the rear panel of the patient monitor or at the bottom of a D15K or D19KT display e Alphanumeric keyboard Mouse Remote control Barcode reader NOTE Always use a GE supplied barcode reader for the CARESCAPE monitors The barcode reader comes pre configu
151. the integrity of the protective earth conductor is in doubt disconnect the monitor from the power line All devices of a system must be connected to the same power supply circuit Devices which are not connected to the same circuit must be electrically isolated when operated POWER REQUIREMENTS Before connecting the device to the power line check that the voltage and frequency ratings of the power line are the same as those indicated on the device s label If this is not the case do not connect the system to the power line until you adjust the device to match the power source 63 2062973 001 CARESCAPE Monitor B850 In U S A if the installation of this equipment will use 240V rather than 120V the source must be a center tapped 240V single phase circuit This equipment is suitable for connection to public mains as defined in CISPR 11 If a non medical grade display is used as a display within the patient environment it must always be powered from an additional transformer providing at least basic isolation 1 Connect power cords to the mains power supply inlet and to a wall outlet on all system components that require AC mains power input 2 Do not power on any devices NOTE Be sure that all power cords are securely connected and that they are routed through the retaining clips or cable clamps as applicable 6 6 Connecting to the MC Network or the S 5 Network WARNING WARNING WARNING MISSED ALARMS Do not u
152. tient data signals and send patient data signals to the monitor E E gt gt i A CE M y u 2 ACT _s geeee S eee ens fois a z Refer to the patient monitor s supplemental information manual for a list of compatible acquisition devices and to the patient monitor s user s manual for a list of parameters each module measures 3 2 6 CARESCAPE Network MC or S 5 Network The patient monitor is compatible both with the CARESCAPE Network MC and the S 5 Network infrastructures 13 2062973 001 CARESCAPE Monitor B850 Refer to the patient monitor s supplemental information manual for a list of compatible CARESCAPE and S 5 Network devices eal 7 eet ES GEE SPSS rseeeess e ANTE The MC Network establishes communication and allows patient data to be sent to an optional CIC Pro Clinical Information Center central station The S 5 Network establishes communication and allows patient data to be sent to an iCentral central station 3 2 7 CARESCAPE Network IX The patient monitor may be connected to the CARESCAPE Network Ix The IX Network provides you access for example to the MUSE server for MUSE 12SL reports to Citrix server for iPanel connections and to the IX printers It also enables centralized Webmin access for service personnel from within the hospital and the InSite with ExC remote service connectivity to GE s support center Refer to the CARESCAPE Network C
153. ting IS ISOS CUO cts 3 ates cereatee EN 11 2 Webmin Information tl lt 2 si ee tector codecs cand 40 11 2 1 Configuration information ccssenioo s dt o neato a edkinedee 11 2 2 Device information O keane bees 11 3 Webmin Diagnostics 100s enti sebuchieratareicawaeecede ees LS oo AAA Suited sheen dyes 11 3 2 Ping a TCP IP network device oo ooocooocooooo MEE A A E E 11 4 Error messages and codes retrata as 11 5 Problems and solutions asia rl TLS 1 SHOU TANG ES a 5 0 eiiiai a a Garten EDE 11 5 2 User interface ISSUES over ded hd a bowie dd 11 5 3 Incorrect system RA A ee ante batacaras MER SS ed oti oe eilewiine tas usin bette was 11 5 5 Acquisition module problems ooooo 11 5 6 CARESCAPE Network communication issues 11 5 7 S 5 Network communication issues oo 12 Disassembly and reassembly A alos 0 SA ti cedtenscoaste eee 211 ESO PEC Sari creia cia ea 12 1 2 Reassembly precautions sau os ca805 sncuds picor 1213 Regu red OO e a da ates et asi eed tees 12 1 4 Before disassembly A A t22 Unitdisassemb A a Tevet cathe Beene ID a iaeei na aa N 12 2 2 Replacing the processor board 0 00 cece 12 2 3 Replacing the power supply 0 00 cece eee 12 2 4 Replacing the speaker cr cet dad pits eke dens 12 2 5 Replacing the CPU timekeeper battery 12 2 6 Replacing the labels ats ln paa hae eu alss 12 2 7 Replacing or installing the third video c
154. ting any devices to the equipment that are not recommended in this manual Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards and or the system configuration must meet the requirements of the IEC 60601 1 1 medical electrical systems standard Refer to the the patient monitor s supplemental information manual for compatible parts and accessories Periodically and whenever the integrity of the product is in doubt test all functions The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include use of the accessory in the patient vicinity and e evidence that the safety certification of the accessory has been performed in accordance to the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard 2 2 Safety message signal words Safety message signal words designate the severity of a potential hazard Danger Indicates a hazardous situation that if not avoided will result in death or serious injury Warning Indicates a hazardous situation that if not avoided could result in death or serious injury Caution Indicates a hazardous situation that if not avoided could result in minor or moderate injury Notice Indicates a hazardous situation not related to personal injury that if not avoided could result
155. tings 4 Activate the loaded platform and or clinical configuration settings in the destination patient monitors section 7 17 3 Activating settings 5 Some platform settings can t be transferred from one patient monitor to another See section 7 17 3 Activating settings for details Configure these unaffected settings manually in the destination patient monitor following the instructions in sections 7 2 Configuring the network 7 4 Setting unit and bed name 7 13 Setting the host asset number and 7 18 License management NOTE Clinical settings are software package and profile specific For example you can transfer clinical settings from a patient monitor with OR and PACU software only to other patient monitors with OR and or PACU software not to patient monitors with ICU NICU and ED software 7 17 1 Saving settings 84 2062973 001 NOTE The patient monitor must not be configured to receive any alarm notifications from other monitors when the settings are saved Before saving the settings to a patient monitor that is connected to the MC or S 5 Network make sure that the monitor is not receiving any alarm notifications from other monitors 1 Select Data amp Pages gt Other Patients gt Receive Alarms 2 Check that Change All Notifications is set to Off Save the completed platform and or clinical settings to a service PC or USB flash drive 1 Login to Webmin Configuration Select Configuration gt Settings In the
156. tion The serial number is written in a device label The product code for CARESCAPE Monitor B850 is SKA HHH HH HH HHHH H E ERER Description product code year manufactured fiscal week manufactured production sequence number manufacturing site miscellaneous characteristic The device plate is located on the outside of the patient monitor 3 5 Product security The patient monitoring software incorporates an assortment of security features designed to allow a flexible approach to safe and secure implementation focusing on the principles of confidentiality integrity and availability These features assist you in using the system in a manner that protects patient privacy and security in your setting and also addresses expectations for the environment where the system will be used 21 2062973 001 CARESCAPE Monitor B850 3 5 1 Security features 22 2062973 001 Access control Access control is the overall mechanism used to determine and enforce the following e Who has access How individuals gain access e When access is permitted e What information may be accessed Other than clinical and Webmin applications access to other subsystems for example BIOS is restricted The clinical and Webmin application interfaces have a role based access control for example biomed and clinical A user may log into these interfaces for example Webmin to perform operations that are limited to the generic u
157. tion 3 4 2 Equipment identification 8 3 Functional check NOTE Refer to chapter 10 Maintenance and checkout to see the recommended checkout procedure after corrective and planned maintenance 8 1 Visual inspection Perform the following visual inspection to the installed monitoring system Carefully inspect the patient monitor and the connected peripheral devices for any damage e Verify that the patient monitor and the connected peripheral devices are properly mounted with specified mounting solutions e Verify that the cables between the patient monitor and the connected peripheral devices are intact properly connected and secured to the right connectors e Verify that the power cord and USB cables are properly secured with the supplied retaining clips e Verify that all the network cables both MC and IX Network are intact and properly connected to the right connectors e Verify that ferrite blocks are installed on all Tram Net cables e Verify that the modules are properly connected and locked The cleaning precautions requirements procedures and recommended cleaning solutions for the patient monitor are described in the patient monitor s user s manual For details about cleaning disinfecting and sterilizing the accessories see the instructions for use in the accessory package 8 2 Electrical safety tests Electrical safety tests provide a method of determining if potential electrical health hazards
158. tion of the new patient monitor software version However any new or changed clinical and platform settings in the activated patient monitor software version have their factory default values and may require manual configuration For more information refer to the latest version of the CARESCAPE Modular Monitors Supplemental Information Manual Contact GE Healthcare for any inquiries regarding the software CD and or activation code for the new host software version 1 Login to Webmin 2 Select Configuration gt Software Management The Software Management window displays 3 Inthe Software List select the software that you want to activate PDM Software CARESCAPE Patient Data Module PiCCO Software E PiCCO Module SGAS Software CARESCAPE Respiratory Modules E sCO E sCOV E sCAIO E sCAIOV 4 Select Next The selected Software activation window appears 5 According to the software you are activating proceed to Activating host software immediately Activating host software after next case end discharge Activating module software Activating EMBC or UIC software 90 2062973 001 Configuration Activating host software immediately Before you start Make sure the patient monitor is in a case reset patient discharged state Host Software Fri Nov 23 14 34 40 2012 Current Software State Inactive 2 0 0 204 211 2 0 0 210_217 Softwa re License rewnsoncate O Softw are Acti vation
159. tions included with the flush mount Never install equipment above the patient Use only manufacturer specified mounts The device system should not be used adjacent to or stacked with other equipment Consult qualified personnel regarding device system configuration 53 2062973 001 CARESCAPE Monitor B850 6 3 Connecting displays 6 3 1 Connecting local displays WARNING WARNING WARNING 54 2062973 001 To prevent liquids from entering the display casing do not tilt the display more than 15 degrees Using other displays than the patient monitor system specific ones may result in loss of visual alarms and patient monitoring Do not connect a monochrome display to the monitor Visual alarm indicators may not appear properly NOTE Refer to the patient monitor s supplemental information manual for a list of compatible displays and display cables NOTE If only one display is connected to the patient monitor it must be connected to the DVI I 1 connector Additional displays can be connected to DVI D 2 or DVI I 3 connector Cloned displays can be connected only to DVI I 1 and DVI I 3 connectors using a video splitter NOTE Ensure that you have the license for Dual Video Triple Video if applicable NOTE Be sure that all cables are securely connected To prevent accidental disconnection and loss of display screen information firmly tighten the DVI connector screws into the DVI connector port NOTE Refe
160. to the patient or operator of the device exist 8 2 1 Test setup Test conditions Perform electrical safety tests under normal ambient conditions of temperature humidity and pressure 97 2062973 001 CARESCAPE Monitor B850 Test equipment The test equipment required to perform electrical safety tests Is listed below Safety Analyzer Leakage Current Tester Equivalent to the circuits shown Safety Test Body Kit P N M1155870 or equivalent 1 Instead of the test bodies included in the safety test body kit other applicable test bodies with all pins connected together may be used Perform electrical safety tests using an electrical safety analyzer according to IEC 60601 1 UL 60601 1 EN 60601 1 or CSA C22 2 No 601 1 The schematics in this section provide a general understanding of the test equipment Actual configuration of test equipment may vary Refer to the instructions delivered with the safety analyzer to perform each test The patient monitor being tested should be placed on an insulating surface NOTE Before proceeding make sure that all test equipment is properly calibrated maintained and functioning NOTE GE recommends that the qualified personnel performing the tests should record the test results of each electrical safety test for example by using the installation maintenance check forms included in this manual System setup These instructions are intended for every component in the system Ensure
161. tup gt Printing Select the Devices gt Setup In the Printout menu select what to print out for example Waveforms Alarm Waveforms Numeric Trends Reports Below Location select the radio button next to Network From the drop down list next to Network Device select the desired printer The change will take effect immediately 7 5 2 Deleting a printer NOTE Before deleting a laser printer check Monitor Setup gt Printing gt Devices gt Status If a printout is assigned to the printer to be deleted redirect the printout to another valid printer Se E Log in to Webmin Select Configuration gt Printers In the Sub Modules for Printers menu select Delete Printer In the Delete Printer window select the printer to delete Select Save The change will take effect immediately 7 5 3 Printing a test page A 2 gt 4 5 Log in to Webmin Select Configuration gt Printers In the Sub Modules for Printers menu select Print Test Page In the Print Test Page window select the printer Select Save 7 6 Configuring Citrix Configure the Citrix connection for iPanel software NOTE GE is not responsible for installing or configuring the Citrix server NOTE Contact hospital s IT Administrator or biomedical department to obtain values to the following fields NOTE Server address initial program and Citrix session timeout are mandatory fields 1 Zs 3 Log in to Webmin Select Configuration
162. tware You can transfer the software in the background without affecting normal patient monitoring NOTE The software CD contains both the patient monitor software and the Software Transfer Utility the tool to install the software Software transfer procedure is described in detail in the CARESCAPE Modular Monitors Software Installation Instruction that is delivered together with the software CD 7 19 2 Activating the installed software After transferring the new software to the patient monitors take the transferred inactive software into use by activating it Before you start e Verify the compatibility of the connected bedside and network devices with the new software version Refer to the latest version of the CARESCAPE Modular Monitors Supplemental Information Manual for a list of compatible network and bedside devices e Contact GE Healthcare to get the latest version of the user and service documentation e Contact GE Healthcare for any inquiries regarding the software CD and or activation code for the new host software version NOTE Loss of monitoring Software is activated only when the patient monitor is in a patient discharged case reset state Normal patient monitoring is unavailable until the software activation is completed This may take up to 10 minutes 89 2062973 001 CARESCAPE Monitor B850 NOTE The existing clinical and platform settings of the patient monitor are saved and are not affected by the activa
163. ues you should set the new device s time to be as close as possible to the time within one minute or less used by the existing GE devices on the CARESCAPE Network 1 Login to Webmin 2 Select Configuration gt Time 3 Inthe Time Configuration window in Configure Date and Time update the following fields as needed e Date 69 2062973 001 CARESCAPE Monitor B850 Month Year Hour Minute AM PM e 12 24 Hrs 4 In the Time Configuration window in Configure Time Zone select the appropriate UTC Offset if applicable NOTE The time zone configuration only applies to communication with Citrix server 5 Select Save The manual time configuration takes effect immediately 7 4 Setting unit and bed name Configure the care unit name and bed name for patient monitors that are configured to connect to the MC Network NOTE The unit name shall be set the same with all the patient monitors and CARESCAPE CIC Pro central stations that are connected to the same care unit in the MC Network Bed name shall be unique to each patient monitor in the same care unit NOTE Unit and bed name selections are not available if network selection is S 5 1 Login to Webmin 2 Select Configuration gt Unit and Bed Name 3 Inthe Unit and Bed Name Configuration window view or set the unit name and bed name for the device NOTE Use only capital letters A Z numbers dash asterisk and space The unit name may be
164. ult in erroneous readings 1 With the module properly oriented align the module insertion guide slot with the insertion guide 2 Push the module into the frame until it clicks 3 To remove a parameter module grasp it firmly press the release lever on bottom of module and pull out of the guides 6 4 5 Connecting a PDM module to a F5 Frame NOTE When the PDM is used without a battery it is necessary to allow additional time to power up Do not interrupt the startup sequence by unplugging the PDM 1 Align the PDM with the insertion guides on the outside of the frame Push the module into the frame until it stops 60 2062973 001 Hardware installation 6 4 6 Connecting a PDM module to the patient monitor WARNING WARNING PHYSICAL INJURY Do not install the PDM above a patient Make sure the battery is completely inserted and the battery door is completely closed Falling batteries could seriously or fatally injure neonatal or other vulnerable patients PHYSICAL INJURY Do not install the PDM above a patient Leaks from the battery cells can occur under extreme conditions The liquid is caustic to the eyes and skin If the liquid comes in contact with eyes or skin flush with clean water and seek medical attention NOTE When the PDM is used without a battery it is necessary to allow additional time to power up Do not interrupt the startup sequence by unplugging the PDM 1 Connect one end of th
165. umber active state for each serial device connected to the patient monitor and connection type PDM License Information e License option status and number of licenses UNITY ID Information e Product ID Unity Network ID software number and version Date Time Device name and software version of each device connected USB Port Information e Product name Manufacturer Vendor code Product ID and Serial number 124 2062973 001 Troubleshooting 11 3 Webmin Diagnostics tab Access Webmin service interface to view hardware statistics ping a network device and view or download log files 11 3 1 Hardware statistics Host E ETE CPU Gore Votage Gn mV 1210 The Hardware Statistics module displays several internal voltages and temperatures A value is displayed in red if the current reading exceeds a pre determined lower or upper limit A value is displayed either as 0 or as if it cannot be measured To access hardware statistics 1 Log in to Webmin 2 Select Diagnostics gt Hardware Stats 3 Scroll down the page to view the following device information The controlled parameters are measured with A D converters and temperature sensors in the specified subsystem CPU Core Voltage in mV Core Voltage of Intel 423 processor Operation voltage for Intel 945GME Graphics Memory Controller Hub Memory DDR2 LAN Controller and Power Supply VECS5 General operation voltage for IC components
166. unication to occur on a limited number of ports on the IX Network The following product features contribute to defense against malicious software e System integrity checking The patient monitor performs integrity checking on the root file system to detect any changes to the file system contents Any modification to the root file system contents will generate an error to the patient monitoring software application The patient monitoring software will then display a technical alarm to the user e Device design and configuration hardening The patient monitor has been hardened through the restriction and removal of user access to core operating system functionality In addition unneeded functionality has been removed or restricted System overview e Antivirus software To provide seamless real time patient monitoring the patient monitor does not have antivirus software Security updates and patching processes Security updates and patches cannot be applied to the CARESCAPE product without going through GE s vigorous software verification and validation process Any software update needs will be communicated by GE 3 5 2 Security operations Network security GE requires that the MC port of the patient monitor be connected to a physically or virtually dedicated CARESCAPE Network MC or S 5 Network isolated from all other networks GE requires that the IX port of the patient monitor be connected to a physically or virtually dedi
167. ut power cord lt 0 1 ohms connection with power cord lt 0 2 ohms Earth leakage current test Normal Condition NC lt 500 yA EN AEC lt 300 yA UL Single Fault Condition SFC lt 1mA Enclosure leakage current touch Normal Condition NC lt 100 uA current test Single Fault Condition SFC lt 500 LA EN IEC lt 300 yA UL Electrical Safety Test completion B 1 2 2062973 001 CARESCAPE Monitor B850 Functional check PASS N A FAIL PASS N A FAIL Start up Display PSM PDM identification E module identification Keypad and remote Mouse Alphanumeric keyboard Barcode reader MC Network and S 5 Network m IX printers iPanel connection Insite with EXC Recorder Test completion Notes m Used service parts Signature Date B 2 2 2062973 001 Appendix C Display APPENDIX C Display C 1 Disassembly and reassembly procedures Before you start read the following general guidelines and make sure to follow them 12 1 Disassembly guidelines 12 1 1 ESD precautions 12 1 2 Reassembly precautions 12 1 4 Before disassembly Opening the unit WARNING PATIENT MONITORING INTERRUPTION Make sure a patient is
168. ware activation is completed b UIC Software Wait until the software activation completes and the patient monitor performs an automatic restart It may take up to 10 minutes If you are using Webmin locally via the integrated browser of the patient monitor and you are activating a EMBC Software Wait until the software activation completes and the E Module Frame F5 F7 performs an automatic restart The green On Standby Power LED in the F5 F7 frame turns off when the EMBC software activation is started and illuminates again after the EMBC software activation is completed b UIC Software Select Refresh to start the activation then select Refresh repeatedly until the software activation progress bar shows 100 Then wait until the software activation completes and the patient monitor performs an automatic restart 6 Verify that the software activation is successful and the peripheral devices run the activated software 7 19 3 Canceling pending host software activation You can cancel a pending host software activation at any time while the message Software activation after next discharge after next case end is shown on the display 1 Login to Webmin 94 2062973 001 5 Configuration Select Configuration gt Software Management The Software Management window opens Select Host Software from the Software List and select Next In the Host Software window below Status verify that the Software activation pending
169. window select the settings that you want to activate Activate Settings select the settings that are to be activated E Cloned settings clinical and platform Ci Cloned platform settings L Factory default settings CO US default clinical settings Setting Activation po immediately a After next case end discharge e Select Cloned settings clinical and platform to activate both the clinical and platform settings e Select Cloned clinical settings to activate only loaded clinical settings e Select Cloned platform settings to activate only loaded platform settings NOTE Activation of the cloned clinical or platform settings will not effect the following settings in the target patient monitor Network Unit and Bed Name Host Asset Settings Licenses Remember to configure the unaffected settings manually in the target patient monitor e Select Factory default settings to restore all platform and clinical settings back to the factory defaults e Select US default clinical settings to restore all clinical and platform settings back to the US specific factory defaults NOTE Activation of the factory defaults and US factory defaults will leave the following settings in the target patient monitor unaffected Host Asset Settings Licenses In the Setting Activation select whether you want the new settings to take effect immediately or after the next case end discharge Configu
170. wired Power cord and plug are undamaged and all conductors are properly connected Ground earth integrity Observed result Acceptance PASS N A FAIL criteria a Ground continuity test without power cord E lt 0 1 ohms with power cord MN lt 0 2 ohms b Impedance of protective earth without power cord A lt 0 1 ohms connection l with power cord MO lt 0 2 ohms A 1 4 2062973 001 CARESCAPE Monitor B850 Earth leakage current test Normal Condition NC lt 500 yA EN IEC current test lt 300 yA UL Single Fault Condition SFC lt 1mA Enclosure leakage current touch Normal Condition NC lt 100 yA Single Fault Condition SFC lt 500 pA EN IEC lt 300 yA UL Module type Observed result Observed result Acceptance PASS N A FAIL ECG Spo2 criteria InvP Patient source leakage current tests using a test body E Normal Condition NC Polarity NORMAL lt 10 pA E Single Fault Condition SFC Ground closed normal lt 50 pA B Ground open normal lt 50 pA E Ground closed reverse lt 50 pA E Ground open reverse lt 50 pA E Normal Condition NC Polarity Reserved lt 10 pA C Patient sink leakage current tests Pol
171. xt patient monitor restart NOTE The software license for the active host software version is shown in the Software Package window below the Active Software License This license is typically entered before activating a new host software version see Software Management if the software package is changed all clinical settings will reset to factory defaults 7 18 2 Enabling and activating host software feature licenses Feature licenses are available either as permanent or as trial licenses Activation codes for trial licenses are valid for 90 days Enter the activation code to enable a software feature 1 Login to Webmin 2 Select Configuration gt Licenses 3 Inthe Sub Modules for Licenses menu select Host Licensing 4 In the Host License window enter the activation code by the appropriate OPTIONAL host license feature NOTE To activate an OPTIONAL TRIAL license enter the expiration date in addition to the activation code 5 From the Status drop down list select ENABLED 6 Select Save All license changes take effect after the next patient monitor restart 7 18 3 Uploading license file 88 2062973 001 Upload a valid license file as follows Configuration Log in to Webmin Select Configuration gt Licenses In the Sub Modules for Licenses window select Upload License ea According to your Webmin access a Ifyou are using Webmin on a service PC you can upload the license file from any mass st
172. y into the PDM module o1 lt cso teens ceases feeders eels eee 6 Mounting the patient MONO eto arras Ai A E A A 6 3 Connec ngdis plays eriscioesta Peen AE EEEE EE E EEEE arto caoa 631 Connecting localdispla yS cepa ais 6372 Connecting remote CISDIGY Seno pee ritea ads NEE OE EDSR 6 3 3 Securing the USB cable connections of the displayS o ooooomoooo 6 4 Installing module frames a a moduleS 2 ihe scot rete nica rd aerea ed aiii 6 4 1 Connecting a F5 or F7 Frame to a B850 patient MonitOT ooooooo 6 4 2 Installing a PSM module to a F5 rana iaa sas 6 4 3 Installing a PSM module to a F7 Frame ysis erensdne rare 6 4 4 Installing another module to a F5 or F7 Frame eee eee 6 4 5 Connecting a PDM module to a F5 Frame lt 22 lt c60e i220 dedstactshe cee ouadbesen 6 4 6 Connecting a PDM module to the patient monitor 00 c cece ee eee 6 4 7 Connecting a Tram Rac housing to the patient monitor 000 08 6 4 8 Installing a module to the Tram Rac housing 0 eee ees 65 GOnMECHIAG TO themas DOW EN 35 4chede dans ride psi 6 6 Connecting to the MC Network or the S 5 NeiWoOTK cti dd eeveeestaee a 6 7 GOnMECHNG TO mel NetWork coins asterisco 68 Connecting M Port devices aaa iisins 09 Connecting USB GEVICES o aiii 6 10 Connecting Collect and other data acquisition Systems 0 0 eee eee 6 11 Connecting a local printer to the IX COnMeCION rats aitor beis de 7

4 - Frank`s Hospital Workshop

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