Home

- Frank`s Hospital Workshop

1. No No continue to perform the 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 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 MN lt 0 2 ohms A 1 4 2062973 003 CARESCAPE Monitor B450 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
2. 611 Testing tine battery Charge suarostarcinscrrsria arar baldas 6 1 2 Installing the battery into the patient MOnItOr maaViaiaddadr di 6 1 3 Installing the battery into the PDM module 00 00 oo 62 Mounting me patient Monto catan aa isa 6 3 CONNECTING ASECONGCIY display strains 6 3 1 Connections to D15K and D19KT displays tada 6 4 Installing parameter modules incaico tienta cid tibia 6 4 1 Installing a PSM or a PDM module 0 0 ccc ccc cence eens 6 5 Connecting to the MAINS BOWEN lt A eara 6 6 Connecting to the MC Network or the S 5 Network 0 00 ccc cece eee e eee es 6 7 Connecting to the IX Network rc deceo ib o oleo wrt tad Inches ait Gaal 6 8 Connecting to a Unity Network ID connectivity device o oooooococcocccooomm 69 7 COnMeECIING USB ASC scada o irradia abs 6 10 Connecting Collect and other data acquisition SysteMS oooococccocconooooo 6 11 Connecting a remote on cable nueve ld ido is 6 12 Connecting a local printer to the IX CcoONMNeCclO uscar 7 Configuration Tas AUS UNT CNS ICV nai iaa 7 1 1 Adjusting the brightness of the integrated primary display AE lol kei repone a AA ein eat A T ee E nee cases EA 7 1 3 Adjusting optional secondary display ra it wale tthe Ueto Le Connu ME NeW ressnoclilansa ora accio adan AL COMMUN MOS NON E arse eats Roe sodeasonneednensee artos ease Table of contents 7 2 2 Selecting and configuring CARES
3. Wireless LAN IX printers Panel connection Insite with EXC Test completion Notes ee AAA Signature Date A 3 4 2062973 003 CARESCAPE Monitor B450 A 4 4 2062973 003 Maintenance check form APPENDIX B Maintenance check form CARESCAPE Monitor B450 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 Electrical safety tests Power outlet is correctly wired Power cord and plug are undamaged and all conductors are properly connected Ground earth
4. Can you select the n appropriate unit and parameters bed name no GotoA on page B 4 Can you now see waveforms parameters yes patient monitor at the CIC Pro center Can you select the patient monitor at Broadcast traffic is not making it to the CIC Pro center CIC Pro center connectivity problem 1 Is the CIC Pro center in Exit yes Can you now see waveforms parameters another CIC Pro 2 the correct CARESCAPE center Network Please verify CIC Pro center network no configuration settings in the CIC Pro Service Manual Can you select another patient fo q GotoA on monitor to view from this patient monitor yes no GotoA on next page Network problem Broadcast traffic is going between the patient monitors but not to the CIC Pro centers The CIC Pro centers may not be on the same network as the patient monitors Please verify configuration settings using the Wireless LAN Network Configuration Guide and consulting the hospital s IT department o next page GotoA on next page 163 2062973 003 CARESCAPE Monitor B450 Ensure patient monitor is installed in the appropriate wireless network infrastructure Enable wireless NO NO A Does network Is the pa
5. Speaker cable loose or faulty Check that the speaker cable is intact and properly connected to the E module board Tone generator or audio Replace CPU board assembly amplifier failure 11 8 3 Incorrect system time Problem Possible cause Recommended action System time Is incorrect when CPU timekeeper battery empty Replace CPU timekeeper battery patient monitor is not connected to network l l Time not configured properly Configure date and time see 7 3 System time is incorrectwhen 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 Central time master patient monitor is connected to S 5 network 157 2062973 003 CARESCAPE Monitor B450 11 8 4 License issues Problem Possible cause Recommended action A license has not been purchased for the feature Unable to perform a function or a feature is not available The trial license has expired for the feature The license is not installed properly although the license is enabled does not i
6. ET Fl A A e an ie yl 3 7 0 1 14 3 7 0 1 14m A nn ESA EJ A AA e 3 2 3 Input devices 10 2062973 003 You can connect several USB input devices to the patient monitor including alphanumeric keyboard mouse remote control and barcode reader Refer to the patient monitor s supplemental information manual for a list of compatible USB input devices 9 SO OCH 5 A Sefii Ll ie System overview 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 display 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 003 CARESCAPE Monitor B450 3 2 4 Acquisition modules The patient monitor includes standard docking for the following multiparameter hemodynamic modules PSM and PDM PSM PDM ec hn
7. Pull out the module rail unit m a A WU Keep the rear unit assembly on the table the device label side facing down 181 2062973 003 CARESCAPE Monitor B450 q 3 Detach the WLAN card from the CPU carrier board if installed Remove the two screws T6 that hold the WLAN radio card to the CPU carrier board Torque 0 3 Nm Detach the WLAN radio card carefully from its connector in the CPU carrier board NOTE Be careful not to damage the fragile WLAN antenna boards or antenna cables 4 Detach the grounding screw T10 holding the CPU assembly and AC DC unit together Torque 1 6 Nm NOTE During the reassembly make sure to fasten the grounding screw properly This is important to ensure that the CPU assembly is properly connected to the protective earth 5 Release the latch holding the CPU assembly and pull the assembly out from the rear unit Carefully detach the uDOM from the CPU assembly The uDOM is connected to the CPU assembly with a connector from one and with a nylon support post from the other end You may need pliers to squeeze the nylon support post a little to detach the uDOM NOTE If replacing the CPU assembly detach the original uDOM from the CPU carrier board and then attach it to the new CPU assembly The software licenses and clinical and service configurations are stored in the original uDOM 182 2062973 003 Disassembly and reassembly e FRU CPU asse
8. rewnsoncate O Softw are Acti vation 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 In the Host Software window verify that the software you are activating is listed as Inactive in Current Software State In Software License if applicable enter the Activation Code for the new software version In Software Activation select Immediately 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 Configuration 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 completes and the pati
9. 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 Example of character delimited parser information entry on page 80 79 2062973 003 CARESCAPE Monitor B450 80 2062973 003 1 In the 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 any 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 Se
10. Ground open reverse lt 50 pA E Normal Condition NC Polarity Reserved lt 10 pA C Patient sink leakage current tests Polarity 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 003 Functional check PASS N A FAIL PASS N A FAIL Installation check form Start up Device Information Display Configuration Information Keypad and remote Mouse Alphanumeric keyboard Barcode reader MC Network and S 5 Network
11. Launch a web browser on the service PC In the 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 I The Login to Webmin dialog box displays Login to Webmin You must enter a username and password to login to the Webmin server on 3 187 27 2 Username Password Clea Monitor Type CARESCAPE Monitor B450 Host Serial Number 5J412505895HP Host Software Version 2 Host Build 200 233 278 Host Software Package HACU IX IP Address 3 187 27 2 IX Netmask 295 255 255 0 CE 0537 GE Healthcare Finland Oy Kuortaneenkatu 2 FI 00510 Helsinki FINLAND Continue to 4 4 Login to Webmin Closing Webmin 1 2 40 2062973 003 Restore the original network settings in the service PC 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 Dev
12. 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 and record the current leakage indicated on the safety tester 6 Configure the safety analyzer as follows SFC Polarity REVERSED Neutral OPEN 7 Read and record the current leakage indicated on the safety tester 8 Configure the safety analyzer as follows NC Polarity REVERSED Neutral CLOSED Installation checkout 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 ti
13. Select the Patient tab Installation checkout 3 Scan a 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 4 Select Edit Name amp MRN and press Enter to highlight the Medical Record Number field 5 Scan a sample barcode that only contains one piece of information e g a Serial Number barcode from a module s device label 6 Verify that the data is correctly populated into the Medical Record Number field 7 Select a 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 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 1 Check that a network symbol is displayed in the upper right corner of the screen 2 Select Data Pages Other Patients and select a patient from the list 3 Select View and verify that a window with paramet
14. 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 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 transferred the origin and destination and the date and time the log file transfer occurred Webmin related error messages e g information about
15. WARNING 12 1 4 WARNING WARNING WARNING 168 2062973 003 insulated Torx T6 and T10 screwdrivers insulated flat blade screwdriver width 2 5 mm 0 1 in pliers antistatic ESD wristband NOTE Use torque wrench and torque screwdriver to comply with the given torques Due to possible high voltage present use an insulated screwdriver at all times Before disassembly 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 Disassembly and reassembly WARNING 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 patient monitor off from the On standby button 2 Disconnect the patient monitor power cord first from the wall outlet and then from the monitor 3 Remove the patient monitor batteries 4 Disconnect all external cables connected to the patient mo
16. 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 B450 is referred to as the patient monitor The following naming conventions are used to refer to different modules and module categories 206297 3 003 CARESCAPE Monitor B450 PDM Patient Data Module PSM Patient Side Module E PSM E PSMP E PSMW and E PSMPW E modules all modules with prefix E Cardiac output and SvO E modules E COP and E COPSv Pressure and Temperature E modules E P E PP and E PT Continu
17. 1 1 standard Refer to IEC 60601 1 1 for requirements if using non medical grade displays in the patient environment 6 3 1 Connections to D15K and D19KT displays 56 2062973 003 The following instructions describe two methods to connect a D15K or D19KT display as a secondary display DVI I connector Type B USB port Type A USB ports A Cable length is less than 5 meters 1 Connect one end of the DVI D to DVI D video cable to the DVI I connector on the bottom of the display and the other end to the DVI D connector on the back of the patient monitor 2 Connect the Type A plug of the standard USB cable to one of the downstream ports Type A USB port on the back of the patient monitor Hardware installation 3 Connect the Type B plug of the standard USB cable to the upstream port Type B USB port on the bottom of the display 4 Secure the USB cables connections to the displays according to the instruction included in the display package NOTE A USB hub should not be used to connect the USB touchscreen to the patient monitor B Cable length is 5 to 15 meters If complete isolation is not required this method will provide the most cost effective means of extending your USB 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
18. 3 1 for 15VMOD voltage mV If 15VMOD voltage is out of spec the problem is most likely in the DC DC board Replace the DC DC board CPU assembly failure The RS 485 communication for the E modules is managed by the EMBC section of the CPU carrier board Check EMBC Frame logs for possible EMBC failures see section 11 3 4 If the cause is none of the above the problem is most likely in the CPU carrier board Replace the CPU assembly 160 2062973 003 PDM module issues Possible cause DC DC board failure CPU assembly failure Troubleshooting Recommended action The VSYS supply voltage for the PDM module is generated in the DC DC board Check from the Webmin Hardware Statistics that the supply voltages are within specification VSYS voltage mV VSYS_EPORT mV VSYS_PDM mV If PDM is connected to PDM dock DC DC board should identify PDM and enable the VSYS_PDM circuit breaker on CPU carrier board to connect VSYS voltage to VSYS_PDM If PDM is connected to ePORT DC DC board should identify PDM and enable the VSYS_EPORT circuit breaker on CPU carrier board to connect VSYS voltage to VSYS_EPORT If VSYS voltage is out of spec the problem is most likely in the DC DC board Replace the DC DC board The Ethernet communication for the PDM module is managed by the CPU carrier board Check PDM Log for possible PDM errors messages see section 11 3 4 If the cause is none of the above the p
19. 5V voltage mV 3 3V voltage mV The AC DC voltage is generated by the AC DC power supply unit and supplied as an input voltage to the DC DC board The voltage is measured from the DC DC board The AC DC voltage is 0 if the patient monitor is not connected to the AC mains Also see section 11 4 Power management LEDs These voltages are generated by the monitor batteries and supplied as input voltages to the DC DC board These voltages are measured by the A D converter in the DC DC board The BATx voltage is 0 if a battery is not connected to the patient monitor Also see section 8 4 1 Power management LEDs See Monitor Setup gt Battery Status gt Monitor gt Advanced Battery Data for more detailed information about the battery These voltages are generated by the voltage converters in the DC DC board These voltages supply power to the following subsystems e VSYS 9V 16V is supplied for the PDM module or ePort 12V is supplied for the CPU module display backlight and the optional recorder 15V is supplied for the E modules and PSM module when 15VMOD circuit breaker is enabled These voltages are measured by the A D converter in the DC DC board Also see section 8 4 1 Power management LEDs These voltages are generated by the step down converters in the CPU carrier board These voltages supply power to the following subsystems 5V is supplied for the external USB boards Alarm Light
20. B message is shown on the monitor screen The condition cycle recalibrates the electronic fuel gauge Condition the battery by fully discharging and recharging the battery twice according to the following procedure NOTE The patient monitor must be in a discharged state during battery conditioning Disconnect any acquisition modules from the patient monitor if connected 1 Turn on the patient monitor Disconnect the power cord from the wall outlet Leave the patient monitor on until the battery is fully discharged and the patient monitor turns off automatically NOTE Ignore the Monitor Battery Low and Monitor Battery Empty messages when discharging the battery 2 Reconnect the power cord to the wall outlet and turn on the patient monitor Leave the patient monitor on until the battery is fully recharged and the orange battery charging indicator LED turns off 3 Repeat the steps 1 and 2 once The battery is now conditioned and ready for use However if either Condition Battery A or Condition Battery B message is still shown on the patient monitor screen repeat the conditioning cycle once more If the problem persists replace the battery NOTE Refer to section 11 6 Battery diagnostics and 11 7 Error messages and codes for more detailed information about the battery status and operating condition 10 4 6 Replacing a battery WARNING 134 2062973 003 Replace the battery in the following situations jf either Replac
21. Check that the patient monitor replies to the ping command there are no lost packets and the maximum latency is 250 ms NOTE The patient monitor withstands a maximum packet loss of 5 packets per 1 million and maximum latency of 250 ms without performance degradation 9 Select to return to the main display 10 Reconnect the MC Network cable back to the MC Network connector if applicable Verification procedure for wireless MC Network infrastructure Verify the wireless MC Network infrastructure according to the procedure described in Appendix C The purpose of this test is to ensure the operation of the wireless network infrastructure coverage area with a wireless CARESCAPE Monitor B450 8 3 11 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 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 ee oe a AA Repeat steps 3 to 5 for all connected IX printers 8 3 12 iPanel connection Perform the following test only if the Citrix Panel is configured and in use 112 2062973 003 Installation checkout 1 Select Data Pages gt Panel and verify that the initial program configured in Webmin is launched correctly 2 Select 0 to exit the Citrix th
22. Configuration gt Settings 3 Inthe Sub Modules for Settings menu select Activate 4 Select Cancel to cancel settings activation 90 2062973 003 Configuration Status 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 next 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 ve
23. 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 145 2062973 003 CARESCAPE Monitor B450 146 2062973 003 PDM log All PDM errors and messages System log OS events and errors including operating system related information such as clinical application startup and recovery information power on self test results etc PUIC PMC WLAN and battery events and errors InSite with ExC events and errors including InSite with ExC agent related information Clinical log Clinical related application events including module parameter connections disconnections case starts ends cold starts warm starts etc Technical notes and errors displayed for clinical users including all host and module related technical errors e g Failure in Agent ID Clinical alarms including clinical application related patient alarms and their level e g FiO Low Clinical user interactions such as the host keystrokes and touchscreen se
24. 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 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 Test equipment The test equipment required to perform electrical safety tests Is listed below 99 2062973 003 CARESCAPE Monitor B450 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 perform
25. Front Unit w Touchscreen Sensor Includes the complete plastic front bezel B450 subassembly with the touchscreen sensor amp cable 8 M1233492 FRU User Interface Board amp Buzzer Includes user interface board user interface B450 cable buzzer and the screws to mount the UI board 9 M1233493 FRU Speaker Unit B450 Includes the main speaker with cable 10 M1233494 FRU Alarm Light Unit B450 Includes the alarm light board alarm light cable and plastic alarm light lens 11 M1233495 FRU DC DC Board B450 Includes the DC DC board with the mounting screw 12 M1233496 FRU CPU Assembly B450 Includes CPU carrier board CPU Module CPU battery heat sink and all fastening parts Excludes the USB Disk on Module uDOM with monitor software 13 2069650 001 FRU CPU Battery 5 pcs B450 CR2032 Coin battery Li MnO2 min capacity 225mA 203 2062973 003 CARESCAPE Monitor B450 FRU Item part FRU Item description FRU content number 14 M1233497 FRU Battery Board B450 Includes the battery board 15 M1233498 FRU E Module Board B450 Includes the E Module board with the mounting SCrews 16 M1233499 FRU WLAN assembly B450 Includes the complete WLAN assembly with WLAN radio card and 2 mounting screws antenna cables and antenna boards 17 M1233501 FRU Plastics Kit B450 Includes the following plastic parts service cover middle frame power cable w lock spring recorder cover and alarm le
26. IA 03 MN l YSIIMS 39U19413 foe ON 00T 01 eee Aiowa YSe y p1e0g 1311189 NdD wopn T d L ss dx4 NOJ 9 NPOIN NdI soijausew 0 M QOT OT 40yDaUUOD Sa ue13e1q 190 9 Ajquiassy nd SJOJDBUUO Ued JESY 10 93UU09 JoyaUuUOD 10 93UU09 JOJ99UUO X IN a lAd uo a 0WAay 9T 00T 0T OT OOT OT a lAd INOYd13 M7 1901340 J9JHUISUBAL 19419413 11q8319 IAG OAGS 43 0 3409 YyoNo 0 SN 31d 01 gsn 1911 dwe olpny d SSV1 3 p09 Olpny 4SN Josuas aunjyesadway JA ajalolololalalsislslalsis a e e S 2 2 IAY 10 UO0N 3eYOA lt lt lt lt lt 915 15 pi pde ajz zl S S 3 ols aj Jos 3 AIdANS YIMOd E Jaw 1959Y AH gt aiqeisnipy yum Aiddng samog lt 4OWd NE E JOWUOW 3SEHOA J0 e n3oy Sats jddns Jamod Ajddns pend Jeau A S Z IRPIN NE E AS 2 AT A8 T i ajqewwelso1d lt 4 d0OWAST Ss JOp9UuU0 auvog 9090 dows CARESCAPE Monitor B450 CPU board block diagram Figure 5 120 2062973 003 Theory of operation 9 3 1 CPU carrier board DC DC subsystem The DC DC subsystem takes care of the following voltage conversions The VSYS voltage is converted to 5V and 3 3 V supply voltages by a step down converter e 5Vissupplied for the
27. 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 18 254 254 172 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 Inthe 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 s selected enter the following information in the entry fields 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 8 Select the applicable Speed amp Duplex option 9 Select Save Configuration 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 1 Login to
28. Related wire color in the Digital defibrillator syncronization Black marker out signal Digital defibrillator syncronization Green marker in signal Brown wire Is not connected 2 Test the ECG Arterial BP and Marker Out signals from the defibrillator synchronization connector port They should closely resemble the waveforms in the figures below 131 2062973 003 CARESCAPE Monitor B450 DEFIB Sync connector ECG ECG analog output signal Grey Analog GND Blue or White Probe Type x10 Time Division 200 mS Volts Division 0 5V DEFIB Sync connector arterial BP IP analog output signal Yellow Analog GND Blue or White Probe Type x10 Time Division 200 mS Volts Division 0 2V There are two Marker Out traces shown below The upper Marker Out figure references the frequency aspects of the signal The lower Marker Out figure references the pulse width aspects of the signal 10 3 16 Test completion DEFIB Sync connector Marker Out frequency Digital defibrillator synchronization marker out signal Black Common GND Red Probe Type x10 Time Division 200 mS Volts Division 2V DEFIB Sync connector Marker Out pulse width Digital defibrillator synchronization marker out signal Black Common GND Red Probe Type x10 Time Division 5 mS Volts Division 2V Select Discharge Patient or Reset Case to discard any changes made to the patient monitor configuration during checkout Complete the App
29. S 5 Network Recorders A recorder may print text waveforms and numeric trends The patient monitor supports printing e toan integrated local recorder optional e toa PRN 50M recorder connected to another patient monitor or to a CIC Pro Clinical Information Center on the MC Network 15 2062973 003 CARESCAPE Monitor B450 3 2 10 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 16 2062973 003 Po CARESCAPE Network Is Patient monitor 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
30. Wireless MC Network The wireless MC Network infrastructure shall be installed according to the CARESCAPE Wireless Network Configuration Guide Ensure that the wireless coverage area is adequate for the installation Refer to the sections 7 2 2 Selecting and configuring CARESCAPE Network 7 2 4 Configuring WLAN 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 wireless MC Network 5 3 3 S 5 Network The S 5 Network shall be installed according to the S 5 Network Installation Guide Refer to the Central and Central Client Service Manual for Central installation instructions 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 4 S 5 Wireless Network 48 2062973 003 The S 5 Wireless Network shall be installed according to the S 5 Network Installation Guide Refer to the Central and Central Client Service Manual for Central installation instructions Ensure that the wireless coverage area is adequate for the installation Pre installation requirements Refer to the sections 7 2 3 Selecting and configuring S 5 Network and 7 2 4 Configuring WLAN to see the configuration infor
31. 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 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 Pre installation requirements 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 51 2062973 003 CARESCAPE Monitor B450 For your notes 52 2062973 003 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
32. aut 4 wy E D h i p lt m o a K O A _ fo _ sesos comer de a NS 4 vee es amp 460 x 2 i ll mE Oli f enco fe 3 3 gt f EOP i Veer a 1 i aur i EMO 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 5 CARESCAPE Network MC or S 5 Network The patient monitor is compatible both with the CARESCAPE Network MC and the S 5 Network infrastructures The optional WLAN support enables wireless network communication using IEEE 802 11a b g Refer to the patient monitor s supplemental information manual for a list of compatible CARESCAPE and S 5 Network devices 12 2062973 003 System overview EDCOMIDARY E AS a E The MC Network establishes communication and allows patient data to be sent to an optional CIC Pro Clinical Information Center central station IA AO PEO SY SES SS 1 memo a gt A a SERA Y AAA T A pa a a amiin ah sa The S 5 Network establishes communication and allows patient data to be sent to an Central central station 3 2 6 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 enable
33. based COM Express CPU module The CPU module has the main processor that manages the data processing of the patient monitor and volatile SDRAM memory for run time code execution and temporary data storage The CPU module provides the following interfaces LVDS Low Voltage Differential Signaling interface for the integrated LCD display and SDVO Serial Digital Video Out output to SDVO DVI transmitter in the CPU Carrier Board e The Ethernet host controller for the Ethernet switch is in the CPU Module PCle interface for the Ethernet controller in the CPU carrier board USB interface for the uDOM audio codec touchscreen controller and PUIC controller SDIO interface for the WLAN module 9 4 Other subsystems 9 4 1 Display subsystem Display The patient monitor has an integrated 12 1 active matrix color TFT LCD panel with a LED backlight unit It provides wide viewing angle and supports XGA 1024 768 pixels resolution The video controller is integrated into the CPU board and it provides LVDS output to the LCD panel through the display cable The display cable also supplies the 3 3 V supply voltage to the LCD panel LCD backlight unit The LCD panel has an integrated long life LED backlight unit that is used to illuminate the LCD display The LED backlight unit receives the 12 V input voltage from the DC DC board via backlight cable The backlight enable signal and brightness control is received from the CPU carrie
34. board audio amplifier and for the optional WLAN module and recorder 3 3V is supplied for the DC DC board CPU Carrier board LCD display and Alarm Light board These voltages are measured by the A D converter in the DC DC board Also see section 8 4 1 Power management LEDs Troubleshooting DC DC Board Measurement System power mW DC DC temperature C System power is the total power consumption of the patient monitor Power consumption is measured from the DC DC board The internal temperature of the patient monitor measured by the temperature sensor in the DC DC board CPU Carrier Board Measurement 12 Vsync CPU Voltage in mV 12 Vsync CPU Voltage in mV 15V MOD voltage mV VSYS mV VSYS_EPORT mV VSYS_PDM mV These voltages are generated for the ECG and Invasive pressure analog outputs and marker out synchronization pulse The voltages are measured by the A D converter in the CPU Carrier board This voltage is generated by the voltage converter in the DC DC board It supplies power to the E module The voltages are measured by the A D converter in the CPU carrier board This voltage is generated by the voltage converter in the DC DC board It is measured by the A D converter in the CPU carrier board The VSYS_EPORT voltage is supplied for a PDM module that is connected to the ePort connector DB9 in the rear of the patient monitor It is measured by the A D converter in the CP
35. connector labelled ID in the rear panel of the patient monitor 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 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 6 9 Connecting USB devices WARNING NOTE The USB connection to a D15K or D19KT secondary display reserves one of the USB connectors in the rear panel of the patient monitor 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 configured 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 62 2062973 003 iCollect and other data acquisition systems can be connected to one of the USB connectors in the rear panel of the patient monitor NOTE Use the ATEN UC232A USB to serial Conv
36. 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 user 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
37. external USB connectors alarm light board audio amplifier and for the optional WLAN module and recorder e 3 3V is supplied for the DC DC board alarm light board CPU carrier board and LCD display The 5V is converted to 1 8V and 1V supply voltages by a step down converter e 1 8V is supplied for the Ethernet and EMBC subsystem e 1V is supplied for the Ethernet subsystem The 3 3V is converted to 12V and 12V voltages for the direct ECG and Invasive BP analog outputs 5V 3 3V 1 8V and 1V supply voltages have over voltage and short circuit protection The CPU carrier board has also the circuit breakers for the VSYS_EPORT and VSYS_PDM supply voltages EMBC subsystem The Ethernet module bus controller EMBC section in the CPU board has its own micro controller It has serial flash memory for the EMBC bootloader software NAND flash for EMBC application software and Linux kernel and SDRAM to run time EMBC code execution and temporary data storage The EMBC section takes care of the following CPU services It provides serial communication for the optional built in recorder It provides RS 485 module bus communication for the E modules and PSM module It provides analog ECG and invasive pressure outputs and a digital marker out signal for a user supplied equipment for example a defibrillator or an intra aortic balloon pump that is connected to EMBC application software controls the EMBC related The EMBC sof
38. 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 77 2062973 003 CARESCAPE Monitor B450 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 CI O E poe fe e o C ECO E The following sample shows the corresponding entries in the Admit Discharge Configuration window 78 2062973 003 Configuration Admit Discharge Configuration Length Delimited Parser ao a m a m mm dm y E bi M J A ma i Fixed Option 7 8 4 Configure character delimited parser information 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
39. frame until it locks 8 na N 6 5 Connecting to the mains power WARNING WARNING 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 59 206297 3 003 CARESCAPE Monitor B450 WARNING WARNING CAUTION 60 2062973 003 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 the integrity of the protective earth conductor is in doubt disconnect the monitor from the power line and use it with the battery power All devices of a system must be connected to the same power supply circuit Devices
40. infrastructure Purpose and scope The purpose of this verification procedure is to test the operation of the wireless network infrastructure with a wireless CARESCAPE Monitor B450 the transport monitor To verify the operation you move the transport monitor throughout the predetermined wireless coverage area and observe that a constant ECG waveform from a stationary hardwired patient monitor is displayed in the bed to bed view of the wireless CARESCAPE Monitor B450 during the transport Due to the dynamic nature of a wireless environment this test provides only a snapshot of the wireless network at the time of performing the test This is not a comprehensive test that covers all possible use situations network traffic situations radio frequency interferences or takes into account possible other changes in the wireless environment Test equipment and documentation needed Ensure that you have the following equipment and documentation available CIC Pro e CIC Pro Clinical Information Center with full disclosure license NOTE CIC with full disclosure license is optional It is needed for documentation and reporting purposes only It enables you to view afterwards potential network connectivity issues between the transport monitor and the wireless MC Network and to print reports about waveform loss situations Hardwired CARESCAPE modular monitor the stationary monitor e ACARESCAPE modular monitor with wired MC Network connection e AP
41. integrity Observed result Acceptance pee 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 without 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 AEC lt 300 yA UL Electrical Safety Test completion B 1 2 2062973 003 CARESCAPE Monitor B450 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 7 Wireless LAN IX printers Panel connection Insite with EXC Recorder Synchronization connector test Test completion Notes Used service parts Signature Date B 2 2 2062973 003 Verification procedure for wireless MC Network infrastructure APPENDIX C Verification procedure for wireless MC Network
42. l l l l i l i Open i O l l l l l l l l l l l l NOTE Perform this test for all the connected parameter modules and patient connectors 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 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 10 11 12 L35 14 15 Installation checkout 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 Repeat this test for all the connected para
43. 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 _ 0 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 2 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 Select _ 0 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 EA 3 4 5 Select Data amp Pages gt Admit Discharge or Start End Case Select the Patient tab gt Edit Name amp MRN Press Enter to highlight the Medical Record Number field Type some text into the Medical 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 Select G 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 2 110 2062973 003 Select Data Pages gt Admit Discharge or Start End Case
44. 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 e Connect the IX Network patch cable to the network connector labelled as IX in the rear panel of the patient monitor 6 8 Connecting to a Unity Network ID connectivity device Ensure that the Unity Network ID connectivity device is properly mounted installed and configured prior to connecting it to the patient monitor 61 2062973 003 CARESCAPE Monitor B450 CAUTION WARNING CAUTION WARNING 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 e Connect a Unity Network ID connectivity device to the network
45. related problems This Webmin module provides information about the WLAN driver WLAN status and the detected access points 1 Login to Webmin 2 Select Diagnostics gt WLAN 3 Scroll down the page to view the following WLAN diagnostics information WLAN Driver Driver API Version Driver Version Firmware Version MAC Address 142 2062973 003 Troubleshooting WLAN Status WLAN radio WLAN client IP Address Antenna diversity mode Region mode Center frequency i e the current actual center frequency which is associated with the operating channel number used e g in the 2 4 GHz band on channel 6 the displayed frequency should be 2 437 GHz RTS Threshold Fragmentation Threshold Quality of Service Applied QoS standard i e None or WMM QoS parameters CWmin CWmax AIFS and TXOP for each QoS access category Voice Video Best Effort Background The DSCP settings for network traffic types Realtime Clinical Traffic Non Realtime Clinical Traffic Non Realtime Non Clinical Traffic SSID i e Service Set Identifier network name Security status Authentication method i e open Confidentiality method i e None WEP 64 WEP 128 WPA PSK TKIP WPA2 PSK AES CCMP Used Key Index if WEP 64 or WEP 128 is used RF readings from the WLAN radio Operating channel Transmit rate in Mbps Transmit power in mW Signal Level RSSI in terms of dBm The minimum RSSI should be 60dBm
46. shutdown and restart the patient monitor automatically via Webmin NOTE The patient must be discharged in order to enable monitor restart via Webmin 43 206297 3 003 CARESCAPE Monitor B450 Webmin module Settings Software Management Time Unit and bed name WLAN Use the module 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 to update patient monitor and parameter module software to set the date and time settings to configure the care unit name and bed name for patient monitors that are configured to connect to the MC Network to configure the WLAN client settings for the MC Network or S 5 Network 4 6 Webmin information modules The Webmin information modules provide useful information about the patient monitor setup Information 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 44 2062973 003 System Information Hostname 6004007164388 Wed Aug 23 14 26 13 2012 Using Webmin service interface 4 7 Webmin diagnostics modules Access Webmin service interface to view hardware s
47. 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 15 Synchronization connector test Required Tools E PSMP module A multiparameter patient simulator with invasive pressure adapter cable to GE invasive pressure connector 5 lead ECG trunk cable IEC or AHA 5 leadwire set IEC or AHA Oscilloscope Analog output cable 2000633 001 NOTE You can alternatively use the GE defib sync tester 2040582 001 together with the Analog output cable 2000633 001 and a multiparameter simulator to perform this test Follow 130 2062973 003 Maintenance and checkout the instructions included with the tester See analog output cable wire colors and related signals from the table below Connections 1 Ensure that the module is connected to the patient monitor 2 Connect the 5 lead ECG trunk cable to the green ECG connector in the module 3 Connect the 5 leadwire sets to the trunk cable and to the simulator Procedure 1 Use the figure and table below as a reference for connecting the oscilloscope to the defibrillator synchronization connector port located on the left side of the patient monitor for performing these tests D GTO OD Defibrallator Syncronization connector Analog output Cable 2000633 umbes Sand 001
48. the display cable from the CPU carrier board 11 Pull out the front unit and mid frame assembly all way out from the rear unit assembly Reassemble in reverse order When reassembling ensure that the connector in the E module board is properly aligned with the connector in the CPU carrier board Remember to reconnect the AC DC cable and the display cable 179 2062973 003 CARESCAPE Monitor B450 12 2 7 Detaching the uDOM Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly Keep the rear unit assembly on the table the device label side facing down 1 Carefully detach the uDOM from the CPU assembly The uDOM is connected to the CPU assembly with a connector from one and with a nylon support post from the other end You may need pliers to squeeze the nylon support post a little to detach the uDOM uDOM replacement e Reassemble in reverse order Contact GE Service if you doubt that the uDOM is defective Some of the reconfiguration steps required after uDOM replacement can be performed only by GE service NOTE The uDOM service part includes software but no licenses The monitor serial number and all clinical and platform settings are set into factory defaults After replacing the uDOM and reassembling the patient monitor perform the following tasks 1 Connect the power cord to the patient monitor and to the wall outlet 2 Turn on the patient m
49. to the DVI I connector on the bottom of the display Connect the DVI I to DVI D adapter to other end of the DVI I cable 3 Connect the DVI I to DVI D adapter to the DVI D connector on the back of the patient monitor 6 4 Installing parameter modules WARNING Refer to the patient monitor s supplemental information manual to verify compatible parameter modules and to identify the parameter modules with identical measurements Ensure that the CARESCAPE respiratory modules are in vertical position when used Tilting them may result in erroneous readings 6 4 1 Installing a PSM or a PDM module WARNING 58 2062973 003 You can install a PSM or a PDM module either to the patient monitor or to a remote mounting solution Connecting a PSM or a PDM module to the patient monitor 1 Connect a module by aligning it with the insertion guides of the module rail unit on the back of the monitor 2 Push the module into the frame until it clicks and stops ENS a PAW 774 0 MUM Jaa a TA M y E i Te id Tu Upim AN dl ge f i D Me Installing a PSM module to a pole mount Ensure that the Pole Mount for PSM is properly installed to an IV pole according to the installation guide included with the mounting hardware 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 WARNING WA
50. traffic Wireless Network None no QoS in use WMM WLAN Multimedia in use 69 2062973 003 CARESCAPE Monitor B450 WLAN Client Configuration WMM AC Parameters Configure the WMM AC Parameters Wireless DSCP Settings 70 2062973 003 CWmin CWmax AIFS TXOP for each access category voice video best effort and background if the QoS Configuration was selected as WMM Configure the DSCP settings for the following network traffic Real Time Clinical Traffic Non Real time Clinical Traffic Non Real time Non Clinical Traffic WLAN Multimedia WMM provide basic Quality of Service QoS features to IEEE802 11 networks by prioritizing wireless network traffic according to four Access Categories AC voice video best effort and background Use the default WMM AC parameter values unless otherwise specified in the wireless network design Valid values CWmin 3 1023 CWmax 7 1023 AIFS 0 20 TXOP 0 65536 0 for Best Effort and Background NOTE The WMM AC parameters are configurable only if the QoS Selection was selected as WMM NOTE The DSCP settings are configurable only if the QoS Selection was selected as WMM NOTE This option is not configurable in S 5 Wireless Network Valid DSCP ranges Real Time Clinical Data 32 47 Waveforms Parameters etc Non Real time Clinical Data 0 7 Trends Full Disclosure Printing etc Non Real time Non Clinical Data 8 23 InSite Ser
51. 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 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 Donot 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 Hardware installation n 6 6 Connecting to the MC Network or the S 5 Network WARNING WARNING WARNING MISSED ALARMS Do not use 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
52. 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 avoid excessive patient leakage current do not simultaneously touch the patient and the electrical connectors located at the rear panel of the monitor or within the module housing or frames 6 1 Installing a battery into the patient monitor and the PDM module WARNING WARNING WARNING The batteries for the patient monitor and the PDM module if included are 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 section 10 4 Monitor battery maintenance in this manual for mainten
53. 093yY F sesueny i uo ajowas pue GIS INO i pul sumes 1013409 937 Welly i exu 9 wuoyejd A yun 19p1099y E i suopeojdde eopues DO E E E mE TE EEO i i Ms voneondde gs3 i uva MS wopeld xnu C C i useu woan coeja i J i EJ i Jasn t 3NPOMW MAD RRA DD a n N E ora i i ss idxa w09 pueog 90 94 i Jazzng i i i ajqe9 AA i LA 1u6InDeg a1qeo Vinicio INN ARRANCA A An 1161 ES IO E i We i sopeuuog Ti USaJosyano L Iv paeog a9ejuaju esp E i ejds gt 4 ajqe 91989 ABICSIG 4 T KETE i t 1 I 1 abeo s eqeo i Josuas yb yuaiqu SJEMYOS C i PIWAN seyeads i uun seyeedg A pueog 14817 ue y SoUBYOOW t Aejdsig sosues a a srssssssssssasesssss d vox att u39195y9N0 3A1ISIS9Y DU id i i 1 iquiasse Ajquessy ewes4 piy pue pun Juosy i spaeog S91u0 99 3 115 2062973 003 CARESCAPE Monitor B450 System block diagram The system block diagram shows the functional units of the CARESCAPE Monitor B450 Figure 3 CARESCAPE Monitor B450 The following sections describe the operation and interaction of the different subsystems 9 1 Power Supply Power management subsystem 9 1 1 AC DC Power Supply Power Entry Module The power entry module consists of an appliance inlet and mains filter The fuses in the appliance inlet provide the input protection AC DC input cable provides the AC voltage to AC DC power supply and pr
54. 235 jaooo 12600 VSYS voage in my no foo 17000 a O A 1500 13500 15V voltage n mv M5010 t3000 7000 Promem foo heo 0 3 3V voltage in mv 320 pooo e fasoo 110000 DCDC temperature n C e70 po f CPU Carrier Board Upper Limit 11000 13000 12Vsync CPU Voltage in mV 11950 f 3000 11000 15V MOD voltage in mv 4980 i3o00 t7000 vsys inmv Oo AO a A A VSYS_PDM inmv Ryo CPU Carrier temperature in C 4000 fo js CPU Module CPU Module temperature in C The Hardware Statistics module displays several internal voltages temperatures and power consumption 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 Login 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 The measured values are then communicated over the 12C bus to the power management controller in the DC DC board for processing except for CPU voltages which are both measured and processed by the CPU carrier board 139 2062973 003 CARESCAPE Monitor B450 140 2062973 003 DC DC Board AC DC voltage mV BAT1 voltage mV BAT2 voltage mV VSYS voltage mV 12V voltage mV 15V voltage mV
55. 4 6 Keypad Buzzer The patient monitor has a user interface board with an on standby button and three power indicator LEDs mains voltage indicator battery use indicator and battery charging failure indicator The user interface board is connected to the DC DC board with a user interface cable The buzzer is connected to the user interface board It functions as a back up speaker and also provides an audible power loss alarm 9 4 7 Recorder unit assembly The optional recorder assembly consists of a 50 mm recorder and a recorder board The recorder board interfaces the recorder to the DC DC board through the battery board The recorder board provides the following main functions It passes the recorder control signals and the serial communication lines to the recorder It has a circuit breaker and a LC filter for the 12 V It passes 5 V to the recorder The serial communication and recorder buffers are in the EMBC section of the CPU carrier board 9 4 8 Battery board The battery board is a simple connector board It interfaces the two lithium ion batteries and the optional thermal recorder to the DC DC board 124 2062973 003 Theory of operation 9 4 9 Module Rail Unit The Module Rail Unit connects to the CPU carrier board It provides interfaces for PSM and PDM modules The 10 pin PDM connector provides the VSYS PDM supply voltage and the Ethernet communication lines to the PDM module The PSM connector
56. 5dB 54Mbps or greater to maintain application performance Noise floor in dBm Signal to Noise Ratio SNR in dB 143 2062973 003 CARESCAPE Monitor B450 144 2062973 003 Log WLAN status Detected access points e The current Association Authentication status of the WLAN Radio Association Description of the state Authentication state Disconnected The WLAN client radio is not authenticated or associated to any network infrastructure Authenticating The network infrastructure is authenticating the WLAN client radio Authenticated The WLAN client radio is authenticated but not yet associated to the network infrastructure Associating The WLAN client radio is in the process of associating to the network infrastructure Connected The WLAN client radio is connected to the network infrastructure and data is now being transmitted Associated AP BSSID i e the MAC Address of associated Access Point WLAN Radio transmission information Packets received Packets transmitted Bytes received Bytes transmitted Receiving errors Transmission errors The following information on maximum 8 detected Access Points on the same network same SSID is displayed e Signal Level RSSI in terms of dBm Signal Level RSSI in terms of dBm The minimum RSSI should be 60dBm 5dB 54Mbps or greater to maintain application performance Operating channel number MAC Address Troubleshooting 11 3 4 Log files
57. 973 003 Disassembly and reassembly 12 2 9 Replacing the AC DC power supply unit FRU Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly b 12 2 8 Detaching the CPU assembly FRU Keep the rear unit assembly on the table the device label side facing down 1 Press the latch and pull out the AC DC power supply unit from the rear unit NOTE Be careful not to damage the fragile WLAN antenna boards or antenna cables A oe Re A wry fhr henii j Ms Reassemble in reverse order Ensure that the AC DC power supply unit is properly aligned to the rear unit assembly P MM Make sure that the primary conductors are not squeezed e FRU AC DC power supply unit B450 185 0629 13 003 CARESCAPE Monitor B450 12 2 10 Replacing the WLAN assembly FRU Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly 1 Keep the rear unit assembly on the table the device label side facing down Be careful not to damage the fragile WLAN antenna boards and antenna cables 2 Remove the two screws T6 that hold the WLAN radio card to the CPU assembly Torque 0 3 Nm Detach the WLAN radio card carefully from its connector in the CPU carrier board 186 2062973 003 Reassemble in reverse order Disassembly and reassembly 3 Detach the two WLAN antenna boards and antenna cables care
58. A Charging a Data PP r cus e cos SENGE 133 TOAS OMG EO MMC a DAU TV esenea aan aaen aa a Aera a TTL 134 a ao AP pad ETE ene T 134 11 Troubleshooting 135 U VISAS E CUM cara A ENEA E ae EEE ae 135 TL2 Webmim Inio mation ta eree e rua ca ia ainda 135 11 2 1 Configuration information amp sisi wsiedcs ridad di 136 11 2 2 Device information A A A NT 137 PLS O alo o ers AA r Macatee eae Ot eee EEE oE 138 tts L Hardware Statistics berere a aur a actin E E EA eet SG 139 132 Png TCP IP network devi Cen x rd tabs 141 de 5 3 WEA NCI GNOSUCSi be aiaa aa dario 142 ded Lo ak o T ee ne A 145 TLA Fower mandgement LEDS a a AAA A A ES 147 ES NETWORK MUS EDS iupesstar dates code a ob a e ea 148 ILe eo oo oa AA Ue A ion RRE sees beats 149 br Error messages COOCS watcccateiea dba batch a an 150 TES Probleme OG SOLOS rosana arias 154 So a A 2 R ac G ptetta a A me ented Ea 154 trg 2 Userimteriace ISSUES oc atu x treo AA eae ne cai en eae Re nena 156 LLS ANACO MECES STE mM UNS she tutes Seen a Whee 157 NESARA o O 158 Ro AAA II a herein eee eine nceats 159 11 8 6 Acquisition module problems 0000 e cece e ees 159 11 8 7 CARESCAPE Network communication iSSu S 0 00 cece cece eens 161 11 8 8 S 5 Network communications US lada 165 V 2062973 003 CARESCAPE Monitor B450 12 Disassembly and reassembly 167 ish DISAssembIVOUIOSINES ar ltolarninzs ib ENE e ies 167 LE DECO NS a o o e od 167 12 1 2 Reassembly Dre CULONAS rara AA Les
59. Aun jewopc AEZ 6 waysAsqns wayshsqng E A da ie AAA bait Meal Neb saves NOHANIHLIA IN Hod DEN L ds S099 o epa una e rm 3 WOL Hod Wad Jopauuop e a apeg WOOL HOd S0H ainpow 3 sza E saGseys ueyeg yews 2 UNS we s y yms yed amod D asemyos qemyos a uoyesdde sepeonoog wuajeKeqns Jusipa waj3s sqns 90 90 ACZL 6 rr Menea NO FWNIHLO 1 1 1 1 1 1 1 1 1 i 1 1 1 i 1 i 1 i 1 i 1 1 1 i 1 1 i i 1 1 i i BW ogna ji sindino Boyeue 104 AZL ajqeabueyoxa i 1 i 1 i 1 i 1 1 i 1 i 1 1 1 1 i 1 1 1 i 1 1 1 i 1 1 1 i 1 1 1 i i 1 i 1 i ysel4 ONVN ysejy ejes AE E Wouy LOISISAULOO abelon auemyos uopeajdde Dif AJEMYJOS JAPeo DiNd usey asemyos MO Ul Jaye y apeg nding Gojeuy ye i was sqns yaua JO Al i yndjng Bofeuy 993 E weayshsqns ogyya pue Puya JO Ag T AB JOIJUOD 8983133u J0 DBUUOD DU S po AG UOJ LOISISALOS A EYOA j is an i J9p1039y pue i avepeul SU S dgYI 8 WEG jnpow Ny1M euondo pue sayiduy oipny i 298 1974 sng ANPON pueog yf wey gsn jewerxe Joj AG E i J8 ONUOS SNA SINPON JPW swajs sqns pieog 90 90 pue peog yb peog E Pamens Wey RIdsIg pleog JaLe dD JO AE E oa x i SASA WOJ UOISISALVOI I EYON INPOW 3 aaia JOSUOS 1461 uojquiy i BAP 037 ebueyD PUE semog 193p1
60. C DC board is faulty Replace the DC DC board Unable to turn on the patient Battery Empty Check the battery charge status see section 6 1 1 monitor when it is powered Charge or replace the battery rOn o Battery Failure or missing Check the status of the battery charge failure The patient monitor ts Mel battery indicator see section 6 1 1 Depending on the LED connected to the AC mains as Insert a battery Replace the battery DC DC board failure Replace the DC DC board 154 2062973 003 Troubleshooting Problem Possible causes Recommended actions Unable to turn on the patient The cable between user Check the status of the red ON Stdby button LED monitor when it is both interface board and on DC DC board when On Stdby button is pushed connected to AC mains and DC DC board is loose or During the push LED should illuminate If it is not a fully charged monitor faulty illuminating the cable between the user interface battery is installed board and DC DC board is loose or faulty or the user interface board is faulty Check that the cable is intact and properly connected to the user interface board and the DC DC board Reconnect the cable if loose Replace the user interface cable if the cable is faulty The user interface cable is Connect or replace the user interface cable loose or faulty The user interface board is Replace the user interface board faulty DC DC Board fa
61. CAPE NeIWOFK escusa 66 7 2 3 Selecting and configuring S 5 NGtWOMK saicicicdcdtvdsdaddicdadinvaduddimaalennse 67 7 2 4 Configuring WLAN ostras residentes 67 Fe Semne add Eeee o iaa iaa 72 TA Genn WEI CHOCO A e Sate T ona aae ee 73 KS Se COMMON DTS ense oda anta eyed eg acia ctas 73 A a uo lalo EA ease aa aaea A a aaa nE 15 Woe OCU 90 019 E APR OEA un O acum eeeaeoas 74 a PIONO O test Pspain rn ada s 74 LO CONOS Gin tera rato suda calcetas pta eo oe ias 74 A a A leg erate ett pm aad tease ae ee ane 75 Te S ONG Se CLM stirs spe ese OO 76 Cook Paen ID Oli 324 5 ceeusote pas ducenes O A 76 7 8 2 Barcode SEUS cdas toco de 76 7 8 3 Configuring Length Delimited Parser information o oooooococccccooo 77 7 8 4 Configure character delimited parser information 0 0 cece eee eee oo 79 7 8 5 Barcode data specifications lt a oo 81 7 9 Setting power frequency AA II a A E 83 10 Selecting language ana Ocursante 83 7 11 Selecting national Te quite Men Sosa nia tetas dente 83 112 COROLA NOMS rosca ro saco ia Seine cae eae 83 Tle oo o IA seed asa AT bean pees 84 TAS SCM eNO SE assi UOC Serareg mettha rrer ee EEEE eet 84 LA CHEMO DOSS WONG Sant s2c08 cc ncton A Me Ade doaswese NRE a 84 745 RESTAN Me patient MONO arrieros sos eee RAaeaeice 85 7 16 Setting up the remote service cr ai a adi anwea doen 85 7 16 1 Configuring the remote service sien drd ton Bedale red io 85 7 16 2 Enabling remote service agent connect
62. DM or PSM module e Acompatible 5 lead ECG trunk cable and 5 leadwire set e A patient simulator NOTE You can alternatively use compatible Dash Solar or S 5 monitor as a stationary monitor Check CARESCAPE Modular Monitors Supplemental Information Manual for software compatibility Wireless CARESCAPE Monitor B450 the transport monitor e CARESCAPE Monitor B450 with wireless MC Network connection e APDM or PSM module e A compatible 5 lead ECG trunk cable and 5 leadwire set e A battery operated patient simulator e Service PC laptop with a crossover Ethernet cable e A plastic roll cart for the patient monitor service PC and the simulator To avoid RF impairment do not use metal roll carts NOTE The PDM PSM module ECG cables and patient simulator for the wireless CARESCAPE Monitor B450 are needed only if a CIC with full disclosure license is available in the MC Network C 1 6 2062973 003 CARESCAPE Monitor B450 Documentation about the Wireless LAN infrastructure e GEWLAN pre quote questionnaire with all applicable attachments e Wireless LAN design documentation including site survey results Test plan Each wireless installation is unique As it is often impractical and uneconomical to verify the whole wireless coverage area and all the installed access points prepare a site specific test plan that covers the areas that are most likely to encounter issues with the wireless communica
63. DVI I to DVI I video cable with DVI I to DVI D adapter p n 2042766 001 5 meter USB extender p n 2042768 001 Standard USB A to USB B cable up to 5 meters Type A receptacle P f USB extender Type A plug 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 CARESCAPE Monitor B450 A standard USB cable up to 5 m 16 ft B USB extender cable 5 m 16 ft C single port USB hub D DVI I cable 15 m 49 ft E DVI I to DVI D adapter USB connection 1 Connect the Type A plug of the 1st 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 2nd USB extender to the Type A receptacle on the 1st USB extender 3 Connect the Type A plug of the standard USB cable to the Type A receptacle on the 2nd USB extender 57 206297 3 003 CARESCAPE Monitor B450 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 Secure the USB cables connections to the displays according to the instruction included in the display package NOTE The USB connection to the D15K and D19KT secondary display reserves one of the USB connectors in the rear panel of the patient monitor Video cable 1 Connect one end of the 15 meter DVI I to DVI I video cable
64. 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 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 109 2062973 003 CARESCAPE Monitor B450 3 Unit and Bed name are correctly configured S 5 printers are correctly configured X 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 configured MUSE 12SL is correctly configured WLAN is correctly configured Citrix is correctly configured Log out Webmin 8 3 5 Keypad and remote Perform this test for the optional secondary display 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
65. E E A rs ee ee IES eee POCO IO IS E E rs es ee ee eee rs IESO ee IS A PO OOO EOS E PO OOO IS E CO OAD II E PONS es FIN ee ee rs es ee O A PO ee E E PO IO IS E A A PO OO EE E O IW G E e a PO OOO E E Test summary and recommended actions Date time of testing Signature 2062973 003 GE Healthcare Finland Oy Kuortaneenkatu 2 FI 00510 Helsinki FINLAND Tel 358 10 39411 Fax 3589 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 No 1 Huatuo Road Zhangjiang Hi tech Park Puding Shanghai P R China 201203 Tel 86 215257 4650 Fax 86 21 5208 2008
66. 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 System overview 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 Battery monitor The battery slot cover is open closed Battery monitor Test button on the battery to check the battery charge level 25 2062973 003 CARESCAPE Monitor B450 26 2062973 003 The following symbols appear on one or more of the devices Battery monitor Located on the battery slot cover Battery PDM a _ Communication PDM Power indicator PDM On standby button Standby or power indicator I 0 Signal power input Signal power output ON Power connection to the mains Power supply connector E Signal power input output combined System overview The following symbols appear on one or more of the devices Display brig
67. GE Healthcare CARESCAPE Monitor B450 Technical Manual Software Version 2 Hardware Version B450 01 aw ee ay a er ar Fy t af All specifications subject to change without notice English 2062978 001 DVD 2062978 002 DVD 510 k 2062973 003 paper 13 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 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 Safety symbols stecsean teens sde 2 1 2 2 2 5 3 System overview 5 1 5 2 5 3 5 4 5 5 5 6 System introduction System components See MONTOR 26 erat A 322 SO WM eua eee PEENE CENERI 3 2 3 Input devices 3 2 4 Acquisition modules 3 2 5 CARESCAPE Network MC or S 5 Network 3 2 6 CARESCAPE Network IX 3 2 7 Unity Network ID connectivity device 3 2 8 Secondary display 3 2 9 Printers and recorders 3 2 10 Service Inter
68. NOTE A Pass Phrase Key will be displayed as hexadecimal HEX string This 10 successive asterisk characters after it has security key will be assigned for been saved the currently selected Key Index WPA PSK TKIP and WPA2 PSK AES CCMP Enter a8 to 63 character long ASCII string OR Enter a 64 character long hexadecimal HEX string Confirm Pass Phrase Re enter the Pass Phrase Key Key entered above 6 Select Save to confirm the selections above If the WLAN Radio status is changed all the WLAN configuration changes take effect on the next monitor restart If the WLAN Radio status is not changed all the WLAN configuration changes will take effect immediately 7 3 Setting time and date 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 ifthe patient monitor is not connected to the S 5 Network and the patient monitor is in a discharged state CAUTION 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 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 1 Login to Webmin 2
69. RNING Hardware installation 1 Connect the PSM module to the Pole Mount for PSM as instructed in the accompanying installation guide 2 Connect the Module Bus Adapter for PSM to the PSM connector in the patient monitor 3 Connect the cable from the Pole Mount for PSM to the Module Bus Adapter for PSM Installing a POM module to a mounting solution Ensure that the selected PDM mount is properly installed according to the installation instructions included with the mounting hardware 1 Connect the PDM module to installed mounting hardware as instructed in the accompanying installation instructions 2 Connect one end of the ePort cable to the PDM module ePort connector 3 Connect the other end of the ePort cable to the ePort connector in the rear panel of the patient monitor 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 Installing E modules to the patient monitor 1 Connect a module by aligning it with the insertion guide inside the module slot 2 Push the module into the
70. Reference 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 2062973 003 About this manual 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 Medical 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 WMM WPA and WPA2 are trademarks of Wi Fi Alliance 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 comp
71. SMBus host device and takes care of the battery management and charging The smart battery charger acts as a SMBus slave device that responds to charging current and charging voltage requests received via SMBus The PUIC controller may reduce or stop charging current if needed from the system point of view for example if the system power consumption or temperature would get too high The smart battery is responsible for the charging algorithm and capacity calculation System supervision The PUIC controller monitors the internal supply voltages temperatures and power consumption of the patient monitor The voltages and temperatures are measured by the A D converters and temperature sensors in the DC DC board and CPU Carrier Board System current is measured from the DC DC board and used to calculate the system power consumption The communication between the PUIC controller and the A D converter and temperature sensor on CPU Carrier board takes place via the 12C bus Inter Integrated Circuit Theory of operation 9 2 3 User Interface Controller UIC subsystem The User Interface Controller UIC subsystem manages the following user interface related functions Alarm light control PUIC controller controls the alarm light LEDs according to the information received from the CPU assembly e The DC DC board passes the 3 3V and 5 V supply voltages to the alarm light board Ambient light sensor e The PUIC controller digitizes t
72. Select Configuration gt Time 72 2062973 003 Configuration 3 Inthe Time Configuration window in Configure Date and Time update the following fields as needed e Date e Month e Year Hour Minute AM PM 12 24 Hrs 4 Inthe 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 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 patie
73. 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 System overview 3 3 Controls and connectors 3 3 1 Front view 1 Alarm light 2 Power on standby button 3 Power indicators 4 Ventilation holes 5 Ambient light detector lens 6 Audio alarm paused off area blue 7 Alarm light area blue yellow or red 8 Mains voltage indicator the green LED is lit when the patient monitor is connected to AC mains 9 Battery use indicator the green LED is lit when the patient monitor is operating on battery power 10 Battery charging failure indicator the orange LED is lit when the patient monitor battery is charging and flashing in case of battery failure or missing battery 17 2062973 003 CARESCAPE Monitor B450 3 3 2 Side views 18 2062973 003 1 Battery cover release latch 2 Battery cover 3 Receptacle for power cord and fuse holder 4 Defibrillation synchronization connector 5 Service cover 6 Recorder 7 Module slot optional NOTE The Defibrillation synchronization connector can be used only with E PSM P modules PDM module has its own defibrillation synchronization connector System overview 3 3 3 Rear views Y ast O y 1 Power LEDs for troubleshooting 2 Ventilation holes 3 Slide mount with connector fo
74. T a A a mace 123 gaT DEPOS SUDY SUC a er aean E E ENTE ee neue 123 OA Touch ereen sen Oates coo ot etc ee a a a e aa 124 OAS E Module 9 8 0110 askearen II EAE ATACAN 124 ga A OGG OMe OOOO AAA E T E T AE Ah 124 OA o O iecerei dente tain A A E E 124 TAO NE PA A BUZZ dolia A A TATAE 124 OAT Recorder roniv OS SEMI ON AA A a a E 124 OO BOEN OOO Gerrei ee ae ee A A E E A N ES EEA A 124 SUS Mode ROU Altai dadas EEO deter 125 10 Maintenance and checkout 127 tO E Visaal nS PECHO Mercancias T O T 128 iv 2062973 003 Table of contents A ales era AAA 128 1 eo CHECK A E II O AN 129 PO MIE SILO qee ONO ONU ue o ba E aanar eats EEEE 129 TA ISO iio oo canos 129 10 3 3 PS POMO CON rana drid data 129 10 3 4 e module o a AAA O A eeu EDR 129 10529 eV DOG Andiem Ol oaea ZO shee sb aeasad Mt aseaauees AEL 129 TOS OM US 129 10 3 7 Alphanumeric keyboard scada lia 129 IO 918 Oleole CE a e sea A EAA 129 10 3 9 MC Network and S 5 NCTWORK aii iii 129 WOME A EE a Sta ee a ae ea he 130 MAA A A E EEE S ai as AE A E EEE E catee 130 10 3 12 iPanel coneccion lia diia 130 SMN SS ETE EE TE E A E A 130 OS TARE COO A E EN EE OEA 130 10 3 15 Synchronization connector testar Sd 130 Moo E A E E EE E EE T 132 10 4 Monitor battery maten cen oni tated a e ac Gest EE S 133 10 4 1 Use recommendations ova se sudan dansa unite napa datar idea end 133 104 2 Storage recommendations sce sia da AA LESS T043 Testing the battery charg AAA O da TE TEN 133 TOL
75. U carrier board The value is shown as if PDM module is not connected or if VSYS_PDM voltage is enabled The VSYS_PDM voltage is supplied for a PDM module that is connected to the PDM connector in the module rail unit It is measured by the A D converter in the CPU carrier board The value is shown as if PDM module is not connected or if VSYS_EPORT voltage is enabled CPU carrier temperature C The internal temperature of the patient monitor measured by the temperature sensor in the CPU carrier board CPU Module Measurement CPU module temperature C 11 3 2 Ping a TCP IP network device The internal temperature of the patient monitor measured by the temperature sensor in the CPU module Use this Webmin feature to verify connectivity with a network device on the MC Network and Ix Network 141 2062973 003 CARESCAPE Monitor B450 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 packets per 1 million and maximum latency of 250 ms without performance degradation 11 3 3 WLAN diagnostics Use this Webmin feature for troubleshooting WLAN
76. 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 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 2 4 Configuring WLAN NOTE The network infrastructure selection MC Network or S 5 Network and related configuration shall be completed prior to configuring the WLAN settings NOTE Wireless communication is s
77. afety ground Remove power cord from the mains source by grasping the plug Do not pull on the cable 7 2062973 003 CARESCAPE Monitor B450 For your notes 8 2062973 003 System overview 3 System overview 3 1 System introduction The CARESCAPE Monitor B450 is a multi parameter patient monitor for multiple care areas and intra hospital transport within a professional healthcare facility 3 2 System components 3 2 1 Monitor The patient monitor can be mains voltage or battery powered It has an integrated AC DC power supply unit and it supports up to two detachable lithium ion batteries The DC DC board provides the supply voltages for the electronics of the device takes care of the power path logic and battery management The CPU subsystem takes care of the user input and acquisition data processing and displays the processed information on the screen It controls the monitor operation and communication with the other subsystems and external interfaces The main software and all platform and clinical settings are stored in a detachable flash memory uDOM The patient monitor supports two optional multi parameter hemodynamic modules Patient Data Module PDM and Patient Side Module PSM In addition it supports one single width E series parameter module that extends the monitoring capability to other hemodynamic modules gas measurement brain monitoring and relaxation measurement The optional integrated recorder enab
78. agent responsible for compliance e Japan only Approved under Japan TELEC requirements gt Brazil only Approved under ANATEL Ag ncia Nacional de aiani Telecomunica es requirements HHHH AA FFFF 01 0789 RRRRRR PPP D South Africa only Approved under ICASA Independent Communications Authority of South Africa requirements Korea only Approved under KCC Korea Communications Commission requirements 32 2062973 003 System overview 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 s
79. al 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 In the Software List select the software that you want to activate Host Software Patient monitor software for the host unit including e PUIC SW for the DC DC board e EMBC SW for the CPU Carrier board PDM Software CARESCAPE Patient Data Module PiCCO Software E PiCCO Module SGAS Software CARESCAPE Respiratory Modules E sCO E sCOV E sCAIO E sCAIOV 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 93 206297 3 003 CARESCAPE Monitor B450 94 2062973 003 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
80. ance instructions of the patient monitor battery 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 53 2062973 003 CARESCAPE Monitor B450 Three LEDs illuminated 50 74 9 of full charge capacity Two LEDs illuminated 25 49 9 of full charge capacity One LED illuminated 10 24 9 of full charge capacity One LED flashing lt 10 of full charge capacity remaining NOTE Before taking the patient monitor into use for the first time the batteries should be fully charged Keep the PDM connected to the patient monitor and the patient monitor connected to the AC mains until the batteries are fully charged 6 1 2 Installing the battery into the patient monitor WARNING The patient monitor must always be used with a battery inserted This will ensure the functioning of the monitor and prevent data loss during possible supply mains interruptions 1 Open the battery cover by pressing the battery cover release latch down and pulling the battery door open 2 Insert the batteries one at time with the test indicator facing to front and
81. and if possible potential cause of it for example roaming or out of range situations Verification procedure for wireless MC Network infrastructure e Take a snapshot of the refreshed WLAN Diagnostics screen for example by printing it to a file 3 Move the roll cart to the following test point along the walking path and repeat the step 2 at each test point until you have completed the test plan While moving the roll cart from one test point to another at all times verify that there are no losses in the ECG waveforms NOTE Amomentary up to 5 seconds waveform loss is normal during roaming If longer or repeating waveform losses occur between test points make this an extra test point and report it the same way as observations in step 2 Summary and Reporting Include the following documents to the test results 1 Print the full disclosure reports from the CIC about the observed waveform loss situations 2 Print the snapshots of the WLAN diagnostics screens that you saved into the service PC 3 Mark to the printouts the id of the test point Review and evaluate the test results together with GE personnel and the hospital IT specialists Summarize if additional testing is needed and or if the WLAN infrastructure needs to be changed C 5 6 2062973 003 CARESCAPE Monitor B450 C 6 6 Test Form Observations rs ee ee ee eee PEO IO E E E A 2 ASTON IESO ee IO ee PEO IO EOS E PO IO E E S PO IO E E PAU IO
82. and the parameter module runs 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 2 gt Log in to Webmin 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 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 97 206297 3 003 CARESCAPE Monitor B450 For your notes 98 2062973 003 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
83. 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 will 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 In patient 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 Ne
84. are activation that will automatically take place after next case end next discharge If required the service user may cancel the delayed setting activation See section 7 19 3 Canceling pending host software activation Reactivate software If that does not help reinstall the software and then reactivate it Reactivate settings Software activation failed Setting activation failed One of the supply voltages Log in to Webmin and select Diagnostics gt Hardware Stats to diagnose the problem If there is a faulty board replace it for the acquisition modules is out of specification An analog output voltage is out of specification The operating system informs that the Webmin local browser was terminated abnormally Select Audio Pause to acknowledge the message Troubleshooting Message Possible causes Possible solutions Replace battery A The full capacity of the battery Replace the monitor battery with a new Replace battery B sless than or equal to 50 compared to the full capacity of a new battery Battery A failure Battery failure Replace battery with a new one Battery B failure Condition Battery A Battery needs conditioning Condition the monitor battery See Condition Battery B section 10 4 5 Conditioning a battery Battery A Battery temperature error due Replace battery with a new one If that temperature high to faulty battery or battery does not help replace the DC DC B
85. ared EFUP the product shall be operated normally according to the instructions and environmental conditions as defined in the product manual and periodic maintenance schedules specified 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 O 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 Canada only Industry Canada certification number indicates that this IC product meets the applicable Industry Canada technical specifications Underwriters Laboratories product certification mark China only China Ministry of Industry and Information Technology identification number for Radio Transmission Equipment Type Approval CMIIT ID Australia only The product complies with the applicable Australian standard Y and establishes a traceable link between the equipment and the N410 manufacturer importer or their
86. ary display WARNING WARNING WARNING WARNING The patient monitor supports one independently configurable secondary display Do not connect a monochrome display to the monitor Visual alarm indicators may not appear properly The secondary display will not sound the audible alarms To prevent liquids from entering the display do not tilt the display more than 15 degrees Use only manufacturer specified mounts NOTE Refer to the patient monitor s supplemental information manual for a list of compatible secondary displays NOTE Refer to the display s user manual for more information about the display installation NOTE Ensure that the display is installed to the mounting hardware according to the installation instructions included with the mounting hardware NOTE Make sure that all cables are securely connected NOTE Refer to the CARESCAPE Modular Monitors User s Manual for information how to setup the screens Monitor Setup gt Default Setup gt Care Unit Settings gt Screens NOTE Refer to section 7 1 for information about touchscreen calibration and display adjustments 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 is used If a non medical grade display is to be used the configuration must meet the IEC 60601
87. ation 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 According 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
88. atteries recorder and WLAN options PDM License Information e PDM 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 Troubleshooting Configuration information Default Clinical Settings e Current default clinical settings Admit Settings e Patient ID Prefix Citrix e Server address initial program session timeout in minutes username and encryption level Unit Unitand Bed Name Bed Name e Unit Unit name and Bed name for CARESCAPE Network Unit name and Bed name for CARESCAPE Network Bed name for CARESCAPE Network Ee a a Information e STP TP ST configuration information and P PT PP configuration information from E modules IX Printers e Printer name hostname or IP address Printer Location Information e Printout type Alarm Waveforms Numeric Trends 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 in
89. attery B management error board temperature high Speaker failure 1 Speaker cable loose 1 Connect the speaker cable 2 Speaker failure 3 Replace the speaker 4 CPU tone generator or audio 5 Replace the CPU carrier board amplifier failure 153 2062973 003 CARESCAPE Monitor B450 11 8 Problems and solutions 11 8 1 Start up failures Problem Possible causes Recommended actions Unable to turn on the patient Power cord is loose Ensure that the power cord is connected properly monitor when it is powered to the wall outlet and to the patient monitor rom the a tate oe Blown fuses Check the status of the fuses and replace them if battery is not installed 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 822 The cable between the Check that the cable is intact and properly AC DC power supply unit connected to the AC DC power supply unit and the and the DC DC board is DC DC board loose or faulty The AC DC power supply is Replace the AC DC power supply unit faulty The D
90. bmin 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 with 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 003 CARESCAPE Monitor B450 You must enter a username and password to login to the Webmin server on localhost Username Password Login Clear Device Type CARESCAPE Monitor Host Serial Number OR Host Software Version 2 Host Build 2 0 0 204_211 Host Software Package 4ORP IX IP Address 192 168 111 382 IX Netmask 255 255 255 0 GE Healtheare Finland Oy Kuortaneenkatu 2 FI 005 10 Helsinki FINLAND 2 Continue to 4 4 Login to Webmin Closing Webmin Select Gl to close Webmin and return to the main display 4 2 Local access to Webmin with a service PC WARNING 38 2062973 003 You can access Webmin locally by connecting an Ethernet crossover cable between the service PC
91. cal 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 NOTE Check and manually modify the following WLAN settings after activating them in the destination monitor RTS Threshold Fragmentation Threshold TXOP for Best Effort TXOP for Background 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 89 2062973 003 CARESCAPE Monitor B450 Host Asset Settings Licenses 5 Inthe Setting Activation select whether you want the new settings to take effect immediately or after the next case end discharge 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 dischar
92. calibration mark or cross hair in each corner of the screen according to the instructions shown on the screen 7 13 Adjusting optional secondary display 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 manual for details 7 2 Configuring the network 7 2 1 Configuring 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 65 2062973 003 CARESCAPE Monitor B450 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 4 Select Save The hostname configuration will take effect immediately 7 2 2 Selecting and configuring CARESCAPE Network 66 2062973 003 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
93. ce cover Torque 1 2 Nm 2 Release the snap that holds the service cover using a flat blade screwdriver 3 Pull out the service cover 4 Detach the CPU battery from the CPU carrier board with a flat blade screwdriver NOTE Dispose the battery according to local state or country laws e Reassemble in reverse order 173 20629735 005 CARESCAPE Monitor B450 12 2 4 Replacing the battery door unit FRU 1 Open the battery door 2 Release the snap that holds the battery door assembly to the patient monitor using a flat blade screwdriver 3 Pull the battery door assembly out of the patient monitor e FRU Battery door unit B450 Reassemble in reverse order Align the battery door plate to its guide rails Push the battery door assembly all the way into the monitor frame until it snaps to its place Close the battery door 174 2062973 003 Disassembly and reassembly 12 2 5 Replacing the module rail unit FRU 1 Remove the four screws T10 that mount the module rail unit to the rear unit assembly NOTE Notice the torque during the reassembly if you replaced the CPU assembly use 1 2 Nm if you didn t replace the CPU assembly use 0 8 Nm 2 Pull out the module rail unit FRU Module rail unit B450 Reassemble in reverse order e Ensure that the module rail unit connector is correctly aligned to the connector in the CPU board WARNING Use only GE specified scr
94. ce to your local regulations NOTE Refer to the instructions delivered with the safety analyzer to perform each test a Ground continuity test The measuring device MD in the diagram below may be a digital multimeter or part of the safety analyzer Installation checkout Power Cord 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 im
95. ce uDOM Contact GE service for support starts but the start up corrupted 3 Ensure that the attached uDOM has correct and sequence does not a aac be compatible software Contact GE service for advance beyond the GE incompatible software support logo screen Error messages may appear to the screen 155 2062973 003 CARESCAPE Monitor B450 11 8 2 User interface issues Touchscreen Problem Possible cause Recommended actions A operation Touchscreen not calibrated Calibrate touchscreen see section 7 1 2 inaccurate Touchscreen inoperative Touchscreen cable loose Connect touchscreen cable to the DC DC board Faulty touchscreen sensor Replace the front unit assembly On standby button and alarm light issues Problem Possible cause Recommended action On Standby and the power User interface cable is loose or Check user interface cable and replace it indicator LEDs are inoperative faulty if necessary User interface board is faulty Replace the user interface board Alarm light does not illuminate Alarm light cable is loose Connect the alarm light cable to the when there is an alarm DC DC board Sci aati Alarm light board or alarm light Replace the alarm light board work and alarm message is cable is faulty visible Alarm light does not illuminate Warm start It is less than 15 minutes since the last during power on self test power up warm start and this normal operation The ala
96. cluding 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 e Wireless LAN configuration information including WLAN radio status Antenna Diversity Region Frequency Band RTS Threshold Fragmentation Threshold Applied QoS Standard WMM AC Parameters for Voice Video Best Effort and Background DSCP Settings for Realtime Clinical Traffic Non Realtime Clinical Traffic and Non Realtime Non Clinical Traffic SSID Authentication method Confidentiality method and Key Index 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 Login to the Webmin 137 2062973 003 CARESCAPE Monitor B450 2 Select the Information tab 3 Select Device Information 4 Scroll down the page to view the device information Device information Host Information e Active software part number and version Inactive software part number and version Host serial number Host asset number MC Network IP address IX Network IP address MAC address S 5 Network virtual ID CPU hardware ver
97. creen Pause audio alarms Selectable from the monitor s main menu Also an indicator of a temporarily paused active audio alarm 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 33 2062973 003 CARESCAPE Monitor B450 The following symbols appear in the software user interface Reminder volume icon Adjust the volume of the tone that sounds every two minutes when audio alarms are turned off Touch volume icon Adjust the volume of the tone that sounds when a user 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 Network connection indicator Indicates the patient monitor is connected to the Local Area Network LAN Network connection indicator Indicates the monitor is connected to the Wireless Local Area Network WLAN Network WLAN signal strength The number of segments correspo
98. ct 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 Communications 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 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 31 2062973 003 CARESCAPE Monitor B450 The following symbols appear on one or more of the devices In order to maintain the decl
99. ctions of the DC DC and user interface controller subsystems The PUIC software Is included in the host software package and upgradeable via software CD 9 2 2 DC DC Subsystem 118 2062973 003 The DC DC subsystem takes care of e the power path control and sequencing e DC DC conversions e smart battery management system supervision Power path control and sequencing The DC DC subsystem takes care of controlling the power path switches The power path switches select either AC DC output voltage or battery voltage as the DC DC board input source The PUIC controller controls power supplies sequencing DC DC conversions The DC DC board converts the output voltage of the AC DC power supply or the battery voltage to the following supply voltages e 12V is generated by using buck boost converter It is supplied to the CPU module thermal recorder and the LED backlight converter unit in the LCD display e 15V is generated by using a buck boost converter It is supplied to the E modules and PSM module through 15VMOD circuit breaker e VSYS voltage level depends on the selected power source In battery use the VSYS is between 8 7 12 3V and in AC DC use the VSYS is between 14 9 16 1V The VSYS voltage s supplied to the PDM module and to the voltage converter in the CPU Carrier Board All supply voltages have over voltage and short circuit protection Smart Battery Management The PUIC controller acts as a
100. d 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 Environmental requirements Install the patient monitor to a location that meets the specified environmental requirements of operating temperature humidity and atmospheric pressure e 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 Other equipment may interfere with the system even if that other equipment complies with CISPR emission requirements 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
101. deration 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 in property damage 206297 3 003 CARESCAPE Monitor B450 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 blu
102. e 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 defibrillator 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 003 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 S
103. e battery A or Replace battery B message is displayed This message indicates that the full charge capacity of the used battery has considerably degraded compared to the design capacity of a new battery if either Battery A failure or Battery B failure message is displayed Remove the battery from the patient monitor and install a new battery according to the battery installation instructions in the Hardware Installation section we NOTE Dispose of the battery according to local state or country laws LI ION NOTE Refer to the section 11 6 Battery diagnostics and 11 7 Error messages and codes for more detailed information about the battery status and operating condition NOTE Refer to the Troubleshooting chapter for more detailed information about the battery diagnostics and error messages Do not incinerate a battery or store at high temperatures Serious injury or death could result 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 d
104. e check is in progress BIS and Entropy sensor impedance check error indicator red Indicates the specified sensor failed the impedance check BIS and Entropy sensor impedance check passed indicator Indicates the specified sensor passed the impedance check 35 2062973 003 CARESCAPE Monitor B450 36 2062973 003 The following symbols appear in the software user interface Completed NIBP volume icon Adjust the volume of the tone that sounds when an NIBP measurement result is available Manual NIBP icon Start a manual NIBP measurement 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 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 We
105. e 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 network and bedside devices Refer to the patient monitor s supplemental information manual for a list of compatible supplies and accessories Refer to the patient monitor s supplemental information manual and Unity Network Interface Device 1D 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 Veri
106. e the safety analyzer as follows Polarity NORMAL Neutral CLOSED 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 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 8 2 10 Test completion PP A TS 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 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 1 108 2062973 003 Turn on the patient monitor and perform a cold start NOTE The patient monitor performs a cold start when the monitor has been off for more than 15 minutes You can force the patient monitor to perform a cold start earlier by detachin
107. e 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 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 software 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 soft
108. ecorder unit CPU board failure The serial communication for the recorder is managed by the EMBC section of the CPU carrier board Check EMBC Frame logs for possible EMBC failures If the cause is none of the above the problem is most likely in the CPU assembly Replace the CPU assembly Recorder works but nothing Paper installed upsidedown Turn the paper roll over appears on the paper To test which side is active Place the paper ona hard surface and draw a line with a fingernail a dark line will appear on the active thermal side 11 8 6 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 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 troublesho
109. emental 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 8 Secondary display The patient monitor supports one independent secondary display The secondary display is 19 touchscreen LCD with an abbreviated keypad and a Trim Knob control The secondary display shows visual alarms and provides connectivity to the USB input devices 14 2062973 003 System overview Refer to the patient monitor s supplemental information manual for a list of compatible displays 3 2 9 Printers and recorders 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
110. endix B Maintenance check form 132 2062973 003 Maintenance and checkout 10 4 Monitor battery maintenance The lithium ion Li lon battery is a rechargeable battery containing lithium ion cells Each battery contains an integrated electronic fuel gauge and a safety protection circuit The following are facts about lithium ion battery technology The battery discharges on its own even when it is not installed in the equipment This discharge is the result of the lithium ion cells and the bias current required for the integrated electronics The capacity loss of the battery degrades significantly at higher temperatures As the battery ages the full charge capacity of the battery degrades and is permanently lost As a result the amount of charge that is stored and avallable for use is reduced The following terms are used to define the battery capacity Design capacity The theoretical capacity of the battery cells when the battery is new Full charge capacity The actual amount of charge the battery can store and deliver Remaining charge capacity The amount of full charge capacity currently remaining in the battery This is a percent of full charge capacity 10 4 1 Use recommendations GE recommends the following methods to improve battery performance Location Position the equipment in a location that does not artificially increase the operating temperature of the batteries Conditioning guideline Cond
111. ent 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 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 49 2062973 003 CARESCAPE Monitor B450 5 6 Power and environmental requirements WARNING CAUTION WARNING WARNING WARNING CAUTION CAUTION 50 2062973 003 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 use
112. ent for correct access point security settings and then update the patient monitor ICO ror Comp aul configuration see section confidentiality method 734 Incorrect Pass Key Check that the used security e Incorrect key index method is none WEP 64 or WEP 128 Select correct confidentiality method Ensure Pass Key used Is correct Select correct key index Access control list is in use in the Contact the hospital IT access point The patient monitor department to update the is blocked out access control 166 2062973 003 Disassembly and reassembly 12 Disassembly and reassembly 12 1 Disassembly guidelines 12 1 1 WARNING 12 1 2 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 patient monitor NOTE Only a qualified service technician should perform field replacement procedures NOTE Perform the checkout procedure described in chapter 10 Maintenance and checkout each time after you have done any disassembly to the patient monitor ESD precautions All external connectors of the patient monitor are designed with protection from ESD damage However if the patient monitor requires service exposed components and assemblies inside are suscep
113. ent monitor The remote on functionality is disabled when the patient monitor is battery powered In the side panel 1 Synchronization connector The synchronization connector provides analog ECG and invasive pressure outputs and a digital marker out signal for external user supplied equipment for example a defibrillator or an intra aortic balloon pump This connector does not operate with the PDM module Refer to the CARESCAPE Modular Monitors Supplemental Information Manual for details about the pin layout and electrical specifications Theory of operation The external connectors have ESD protection RJ 45 connectors are electrically isolated by Ethernet transformers 9 3 2 uDOM 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 can hold two versions of the software in different partitions inactive and active 9 3 3 WLAN assembly The optional IEEE 802 11a b g WLAN module enables wireless network communication in the 2 4 and 5 1 GHz frequency bands The WLAN module connects to the CPU carrier board The two internal dual band antennas are attached to the rear unit assembly WLAN connection is activated when the patient monitor is not connected to a wired network through the MC port It shares the same MAC address with the wired MC port 9 3 4 CPU Module The patient module has an Intel Atom
114. ent 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 95 2062973 003 CARESCAPE Monitor B450 96 2062973 003 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 act
115. ers from another patient displays on the left side of the screen 4 Select Close View to close the window 8 3 10 Wireless LAN Perform the following test only if the patient monitor is connected to a wireless MC Network or S 5 Network NOTE The wireless network must be properly installed and the patient monitor must be within the wireless coverage area 111 2062973 003 CARESCAPE Monitor B450 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 Checkout procedure for wireless patient monitors Check each wireless patient monitor according to the following procedure The purpose of this test is to ensure that each wireless patient monitor is correctly configured 1 Disconnect the network cable from the MC Network connector if connected 2 Check that the wireless network symbol and the signal strength symbol are shown pi and that the signal strength is adequate 3 Select Data Pages Other Patients and select a patient from the list 4 Select View and verify that a window with parameters from another patient displays on the left side of the screen Check that the waveforms are continuous and there is no data loss 5 Select Close View to close the window Log into Webmin Select Diagnostics gt Ping 8 Type the IP address of the patient monitor you just viewed and select ping
116. erter and PC serial interface cable to connect Collect and the other data acquisition systems to the patient monitor Hardware installation 2 USB to serial converter if needed 1 USB to serial PC serial interface converter cable 881167 O J a NOTE Refer to the iCollect 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 remote on cable Remote on connection allows you to power up the patient monitor from the power switch of a GE Healthcare anesthesia machine 1 Connect the remote on cable to the remote on connector in the rear panel of the patient monitor 2 Connect the other end of the remote on cable to the related connector in the anesthesia machine Refer to the related product documentation for details NOTE Remote on connection is possible only if the anesthesia machine supports this feature NOTE The remote on standby function is disabled when the patient monitor is battery powered 6 12 Connecting a local printer to the IX connector WARNING 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 la
117. es 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 settings 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 n
118. escription 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 4 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 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 infor
119. etwork 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 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 87 2062973 003 CARESCAPE Monitor B450 Select Configuration gt Settings In the 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 destin
120. ews and torque when replacing the module rail unit 175 2062973 003 CARESCAPE Monitor B450 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly This step only for monitors without a recorder unit 1 Use a flat blade screwdriver to release the snap that fastens the recorder cover plate to the monitor frame Detach the recorder cover plate NOTE If there is a recorder installed you do not have to remove it 1 Remove the screw T10 holding the service cover Torque 1 2 Nm 2 Release the snap that holds the service cover using a flat blade screwdriver 3 Pull out the service cover 176 2062973 003 Disassembly and reassembly 4 Carefully detach the alarm light lens Release the snaps holding the alarm light lens by sliding a flat blade screw driver under the lens and carefully lift the lens up using the screw driver 5 Remove the three screws T10 in the bottom of the patient monitor Torque 0 6 Nm 6 Remove the two screws T10 in the top of the patient monitor Torque 1 2 Nm 7 Remove the screw T10 next to the handle Torque 1 2 Nm 177 2062975 005 CARESCAPE Monitor B450 8 Pull out the front unit and mid frame assembly from the rear unit assembly a little so that you have access to the AC DC and display cables 178 2062973 003 Disassembly and reassembly 9 Detach the AC DC cable from the DC DC board connector 10 Detach
121. face Controls and connectors 3 3 1 Front view 3 3 2 Side views 3 3 3 Rear views Service information 3 4 1 Service requirements 3 4 2 Equipment identification Product security 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 003 CARESCAPE ii 2062973 003 Monitor B450 37 WSerIehOCe Vmbo Seta ainda terrena loas 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 PCx uss sora rn dias 4 3 Remote access to Webmin using a service PC over the IX Network A ECan TOL COM Gac7 ones ose ecrunakeacnsae hen ohm hand oat ome area aueo aero eae 4 5 Webmin configuration modules ccs ante cata its rra Sete ee eee here anlar ows 46 Weoo matones its 4 7 Webmin diagnostics modules stars 5 Pre installation requirements S UPAK A cates R E AN E la COC AAA E T eee So INCAS sao o EN AA A A TI E Ne a esa tee eG le 52 Wireless MENCION odres ir reads 533 S S A A A A IA SS O A II A II aR EY eae E o E te oe irate teases 5 4 Installing the mounting hardware iaa A et ee eeraa ruen 5 5 Unity Network ID connectivity device installation ooooooooooooooomom 5 6 Power and environmental requirements sara add ons 6 Hardware installation 6 1 Installing a battery into the patient monitor and the PDM module
122. fety 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 NC Acceptance criteria in Single Fault Condition SFC earth open or one of the supply conductors All readings shall be less than or equal to 100 uA open at a time Installation checkout 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 Patien
123. fies 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 86 2062973 003 After the server has been configured for remote serviceability the remote service agent must be enabled for use 1 Login to Webmin 2 Select Configuration gt Remote Service 3 Inthe Sub Modules for Remote Service menu select Control 4 In the Remote Service Control window enable or disable the Service Agent by selecting Enable or Disable 5 Select Save The changes will take effect immediately Configuration 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 Modul
124. 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 88 2062973 003 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 pS oa A Configuration Log in to Webmin Select Configuration gt Settings In the Sub Modules for Settings menu select Activate In the Activate Settings window select the settings that you want to activate Select the settings that are to be activated a Cloned settings clinical and platform Ci Cloned platform settings L Factory default settings CO US default clinical settings Setting Activation O Immediately O After next case end discharge e Select Cloned settings clinical and platform to activate both the clinical and platform settings e Select Cloned clini
125. 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 section 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 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
126. frame assembly Guide the touchscreen and user interface cables through the openings in the mid frame assembly Connect the cables to the connectors in the DC DC board NOTE You may find it easier to first connect the user interface cable to the DC DC board and guide it towards the user interface board through the opening in the mid frame assembly 189 20629735 005 CARESCAPE Monitor B450 12 2 12 Replacing LCD display unit FRU Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly b 12 2 11 Detaching the front unit assembly from the mid frame assembly 1 Detach the LCD backlight cable from the DC DC board using a screw driver ANN P e ae 4 2 Guide the display cable through the openings in the mid frame unit free 3 Detach the two rubber fasteners that hold the LCD display attached to the plastic display holder of the mid frame unit 190 2062973 003 Disassembly and reassembly 4 Lift the LCD display with its gasket from the a Seal Pee PSs sone CEST Rear esa RO Se display holder in the mid frame unit Sel Psa les Pea loon may lt lt DUO y ae nn gt e FRU LCD Display unit B450 Reassemble in reverse order 1 Guide the display and LCD backlight cables back through the openings in the mid frame assembly 2 Check that the display gasket is properly aligned around the LCD d
127. fully from their holders on the inner roof of the rear unit di p i RE E e FRU WLAN assembly B450 Be careful not to bend the antenna boards or damage the antenna cards Ensure that the antenna boards and antenna cables are properly mounted to their holders on the inner roof of the rear unit 187 2062973 003 CARESCAPE Monitor B450 12 2 11 Detaching the front unit assembly from the mid frame assembly Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly Keep the front unit and mid frame assembly on the table the display facing down Protect the touchscreen sensor from any scratches and dust 1 Detach user interface and touchscreen cables from the DC DC board 2 Release the four snaps two on each side that mount the front unit assembly to the mid frame assembly TTF 3 Carefully support the LCD display while you lift the mid frame assembly from the front unit assembly The LCD display should remain attached to the display holder of the mid frame unit with the two rubber fasteners of the display gasket Guide the disconnected cables through the openings in the unit 188 2062973 003 Disassembly and reassembly e Front unit assembly e Mid frame assembly Reassemble in reverse order Ensure that the display gasket is correctly aligned and that the four snaps lock properly when attaching the front unit assembly back to the mid
128. fy 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 003 CARESCAPE Monitor B450 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 infrastructure 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 The MC Network infrastructure shall be installed according to the CARESCAPE Network Configuration Guide 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
129. g the Installation checkout monitor batteries and disconnecting the power cord from the wall outlet for a moment before turning the monitor on Verify that the patient monitor starts up normally The yellow red and blue alarm lights are lit momentarily The speaker gives an audible beep The normal monitoring screen appears and there are no error messages on the screen NOTE Refer to section 11 Troubleshooting to see the procedure for battery conditioning and battery replacement if you receive a Condition Battery A or Condition Battery B or a Battery A failure or Battery B failure message NOTE Before taking the patient monitor into use for the first time the battery should be fully charged Keep the monitor connected to the mains until the battery is fully charged 8 3 2 Display Picture quality Perform this test both for the integrated main display and for the optional secondary display 1 Verify that all text is readable and all images are clear 2 Verify that the brightness is good Adjust if necessary Touchscreen control Perform this test both for the integrated main display and for the optional secondary display 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 ESN to close any open menu and return to the main display 8 3 3 Device Information 1 Login to Webmin 2 Select Information gt
130. ge 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 pending 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
131. he information received from the ambient light sensor and passes it to the CPU assembly e CPU assembly adjusts the brightness of the display according to the ambient light information received from the PUIC controller User interface board e The UIC subsystem has the LED drives for three power indicator LEDs and ON Stdby button LED in the keypad e The PUIC controller provides an audible power failure alarm to the buzzer in case of sudden system power loss e The On Stdby button press and remote on signal are read by the PUIC controller Touchscreen controller e The touchscreen controller digitizes the user input received from the touchscreen sensor and passes the coordinate information to the CPU assembly using USB communication 119 2062973 003 CARESCAPE Monitor B450 9 3 CPU assembly i WALSASENS JIJNI i qasay Sopyoyem 11997 LUNT ysela ONVN ysel4 1009 A E A 19 10 4409 6INYV I9IN3 LIGIN9SZ LIGW9sz wvua wvud ee t AN Spn Janiasuel S8YSY aveau J0pp9uuos qa EN sng aNPON J9p1093Y aus m T i sngpo JOpauuos gpa WSd Wdd 00T OT JOPpauuos asnw olds 9 NPOIAN NVIM 4O IBUUOD 4O DOUUOD J0J99UUO9 a asn m Wod 3 m ayun asn l 00T OT 00T 0T
132. he 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 Possible causes 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 the unit and bed name of the duplicate patient monitor unit and bed name Troubleshooting Message Possible causes Possible solutions Identical IP address noticed Service Monitor Error Code O0xHOST1001 Service Monitor Error Code OxHOST1002 Service Monitor Error Code OxHOST1004 Service Monitor Error Code 0xHOST1100 A patient monitor with the identical IP address is on the network One of the internal temperature sensors indicate the inside temperature of the patient monitor is out of specification The message stays on
133. htness 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 or analog source Color video output digital Video output for analog source Color video output Video output for digital source ao Ba Ethernet connectors Serial interface 27 2062973 003 CARESCAPE Monitor B450 28 2062973 003 The following symbols appear on one or more of the devices 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 O iam olas 3 sens 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 Direct current Equipotentiality Connect device to a potential equalization conductor System overview The following symbols appear on one or more of the devices Protective earth ground Connectors grounded to the AC power source Defibrillator synchronization connecto
134. ice 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 129 2062973 003 CARESCAPE Monitor B450 10 3 10 Wireless LAN Follow the procedure in section 8 3 10 Wireless LAN 10 3 11 IX printers Follow the procedure in section 8 3 11 IX printers 10 3 12iPanel connection Follow the procedure in section 8 3 12 iPanel connection 10 3 13 Insite with Exc Follow the procedure in section 8 3 13 Insite with EXC 10 3 14 Recorder 1 Select Monitor Setup gt Printing gt Devices gt Setup and configure Printout Waveforms Location Local Select Monitor Setup gt Printing gt Waveforms and configure Waveform 1 Waveform 2 V1 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 Verify that the recorder starts printing Let the recorder print for approximately 10 seconds and verify the following things from the printout The header line contains the date time and some other applicable
135. ice Information _ Tue Nov 25 11 02 23 2008 Logout Figure 1 Webmin user interface when accessed using the integrated browser 41 2062973 003 CARESCAPE Monitor B450 Configuration information System Information __ Device Information Hostname GE004097164268 Wed Aug 23 14 26 13 2012 Logout Figure 2 Webmin user interface when accessed using the service PC 4 5 Webmin configuration modules Yi Favorites 8 Webmin on GE004097164368 Admit Settings System Information lo Citrix ee e e Host Asset Settings language licenses musenzse Modules _National Requirements _ Network _ Passwords Power Frequency Printers Remote Service Restart Settings Software Management time Unitand Bed Name man Logout The Webmin service interface includes the following configuration modules Select Help for additional information related to each Webmin module 42 2062973 003 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
136. ier board has a separate Ethernet controller that provides Ethernet interface for the MC and IX connectors with a unique MAC addresses Audio subsystem and speaker unit The main speaker is used to provide audible alarms The audio signal for the speaker is generated in the CPU carrier board using an audio codec and an audio amplifier Audio feedback controls the operation of the speaker The speaker cable is connected to the E Module board System supervision e Watchdog timers control the operation of the main processor and EMBC processor software execution e The CPU board has battery backed up real time clock to store system date and time e An 12C A D converter and SPI temperature sensor measure the CPU supply voltages and board temperature External Interfaces The CPU carrier board provides the following external interfaces In the rear panel 2 high speed USB connections for the USB input devices for secondary display and for exporting monitoring data to external systems 1 DVI D connector for an external digital display e 3 Ethernet RJ 45 connectors MC port for interfacing to CARESCAPE MC Network or S 5 Network IX port for interfacing to CARESCAPE IX Network ID port for interfacing to Unity ID Interface Device 1 ePort DB9 connector for interfacing a remote PDM module with an ePort cable 1 Remote on connector A remote on cable enables an external GE device to turn on to standby the pati
137. ies must be disposed of in compliance with the guidelines regulating the disposal of each product If you have any questions concerning disposal of a product please contact GE or its representatives System overview 3 4 2 Equipment identification Every GE device has a unique serial number for identification The serial number is written in a device label A sample of the information on a device label is shown below The product code for CARESCAPE Monitor B450 is SJA The device plate is located on the rear of the patient monitor The device type and the serial number are also in the ID label in the front panel HHH HH HH HHHH H H Era Description product code year manufactured fiscal week manufactured production sequence number manufacturing site miscellaneous characteristic 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 206297 3 003 CARESCAPE Monitor B450 3 5 1 Security features 22 2062973 003 Access control Access control is the overall mechanism used to determine and enforce the following
138. ilure Replace the DC DC board Unable to turn on the patient The backlight cable Check that the backlight cable is intact and monitor between the LCD display properly connected to the DC DC board and The patient monitor nd the ER board s the LCD display starts but the primary PORROT TOURY Reconnect the cable if loose display remains black eme backlahtdoes not Replace the backlight cable if the cable is faulty illuminate the LCD The LED backlights in the Replace the LCD display unit display LCD display are faulty Unable to turn on the patient The display cable is Check that the display cable is intact and properly monitor damaged or loose connected to the LCD display and the CPU board The patient monitor The LCD display is faulty Replace the LCD display unit starts but the primary display remains white The display controller Connect a secondary display to the patient i e the backlight section of the CPU module monitor If there is no picture on the secondary illuminates the LCD is faulty screen either the display controller section in CPU display but nothing module is most likely faulty Replace the CPU appears on the screen assembly No error messages 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 carrier board The patient monitor UDOM software is 2 Repla
139. in client 8 3 13 Insite with EXC Perform the following test only if remote service is configured and enabled and you did not test the connectivity already while you enabled it 1 Login to Webmin 2 Select Configuration gt Remote Service 3 Inthe Sub Modules for Remote Service menu select Control 4 In the Remote Service Control window under Test Connectivity select Test to test the connectivity to the remote service server 5 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 14 Test completion Discharge Patient or Reset Case to discard any changes made to the patient monitor configuration during checkout Complete the Appendix A Installation check form 113 206297 3 003 CARESCAPE Monitor B450 For your notes 114 2062973 003 Theory of operation 9 Theory of operation nn die i t Aiquiassy pun Jeoy gE ALSI an mo wun Ney anpow sesny Jayy suey aju aoueyddy ZH09 06 3 5 x OWA 0bZ 001 O65 ainpow 4J0 O9UU09 x ndu amp O Anuzsamod Gd WSd Aiddng samog 3 ae a oa ov ndno OA OV wun Aiddng 4emod 90 9V LOOLOL XION EW Z J8 OJUOJ awaa pJeog xa13 NSd Wad JO ga Y JOPSUUOI WOd JO AYL AG SASA WSd PUE sajnpow 3 10 AS 1by9eg
140. infrastructure Test setup The patient monitors and the CIC Pro shall be installed configured and tested to operate in the same MC Network CIC Pro e Configure the CIC to capture full disclosure data from the wireless CARESCAPE Monitor B450 Refer to CIC Pro Clinical Information Center Service Manual and CIC Pro Clinical Information Center Operator s Manual for detailed instructions Hardwired CARESCAPE modular monitor the stationary monitor Set up the connections 1 Connect a PDM or PSM module to the patient monitor 2 Connect the ECG cables to the module and to the patient simulator 3 Turn on the patient monitor and the patient simulator Configure the patient simulator 4 Configure the patient simulator to output ECG waveform normal sinus rhythm hearth rate 80 bpm amplitude 1mV Refer to the simulator documentation for details on how to use and configure the simulator Configure the patient monitor 5 Configure the ECG1 ECG2 and ECG3 waveform fields to the monitor screen with adequate priority 6 Select the Setup tab in the ECG menu and configure ECG1 lead II ECG2 lead V1 ECG3 lead aVL 7 Start a patient case admit a patient in Data Pages gt Admit Discharge menu Wireless CARESCAPE Monitor B450 the transport monitor NOTE The PDM PSM module ECG cables and patient simulator for the wireless CARESCAPE Monitor B450 are needed only if a CIC with full disclosure license is available in the MC Ne
141. ing 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 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 100 2062973 003 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 accordan
142. ion 00 ee 86 lO TOS LING eC Mae CLIN AAA haan pases waarmee II eee we esas 2 ae 87 7 17 Transferring settings from one patient monitor to other patient monitors 87 CM AE SVN SSS aay sd athe opt dee decedent s Sieh ace cee na II Donte te dk a R 87 PAM NOC ONO GORE Ss totic a 2 etal A dnt eta 88 Cl SANCUN GUNG SC CUING S 1 tiie A oe buen Boe ri 88 7 17 4 Canceling pending settings GCI VALOR escri 90 HiS License mgndoe mente sium eno O AAA 91 7 18 1 Enabling and activating host software package 0 ccc eee cee eee ees 91 7 18 2 Enabling and activating host software feature licenses oooooooooo o 91 T1835 Uplodang icense lero Aaa 92 FAD O Lis OI MMO JO LE NEN con OOOO DP Pen ba a a NSO 92 iS TROIS SW ai CuSO RON C AAA O eee eed eee Gt 92 7 19 2 Activating the installed software oJatta iS coder sation teens tude tact thane et ctas 92 7 19 3 Canceling pending host software activation 2 i 052642tneteiwadaede ds 97 7 19 4 Erasing ANIMACION Mii rererere 97 Installation checkout 99 Sl VISUAL DECO ts ridad a aida 99 8 2 Electrical safety tests ts ba Ad is 99 S A O A A A oen appre n eae an dole E 99 OZ A A sees O guise eet ees 100 lil 2062973 003 CARESCAPE Monitor B450 72 gt HOWE coid ana DI scarico baaa head aten 100 OLA o A mic dean halad tie daadumadduedadior andar 100 8 2 5 Earth leakage current test e nerstalas socorro onda nodos 102 8 2 6 Enclosure leakage current touch cur
143. ion 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 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 Example of Length Delimited Parser information on page 78 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
144. isplay Then carefully align the LCD display with the gasket to the display holder in the mid frame assembly and lock the two rubber fasteners to the mid frame 3 Connect the LCD backlight cable to the DC DC board 12 2 13 Replacing the Speaker unit FRU Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly b 12 2 11 Detaching the front unit assembly from the mid frame assembly c 12 2 12 Replacing LCD display unit FRU 191 2062975 005 CARESCAPE Monitor B450 TT T 1 Detach the speaker cable from the E module board and guide it through the openings in the mid frame unit 2 Lift the speaker up using a screw driver and detach the speaker o iin a i i mo at ALLELE FRU Speaker Unit B450 Reassemble in reverse order While reattaching make sure to guide the speaker cable correctly through the cable clamp and the guiding notch 192 2062973 003 Disassembly and reassembly 12 2 14 Detaching the user interface board and buzzer from the front unit assembly Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly b 12 2 11 Detaching the front unit assembly from the mid frame assembly Keep the front unit assembly on the table the touchscreen sensor facing down Protect the touchscreen sensor from any scratches and dust 1 Remove two screws T10 that mount the user interface board t
145. itch 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 Possible cause Recommended action Proceed to the iCentral troubleshooting Check the cabling between the iCentral and the hub switch Check the patient monitor s network configuration Check the cabling between the bedside monitors and the hub Check the iCentral network setup Check the iCentral view setup 165 2062973 003 CARESCAPE Monitor B450 Wireless S 5 network Problem Possible cause Recommended action No wireless connection the Patient monitor is out of wireless Contact the hospital IT patient monitor does not coverage area department to check the associate authenticate with the wireless coverage area ACCESS Point See seCuon Las wii ANiracioiedicabled e Enable WLAN radio see for WLAN diagnostics section 7 2 4 Incompatible wireless network e Check that the patient monitor infrastructure is installed to the appropriate wireless network infrastructure IEEE 802 11b SSID mismatch between patient Enter correct SSID see section monitor and access point 7 2 4 Security settings mismatch e Contact the hospital IT between patient monitor and departm
146. ithout 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 dedicated 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 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 ene ae tcp InSite with ExC Web Services ae rd service gehealthcare InSite with ExC Remote Tunnel rr Packets that are part of the communication initiated by the patient monitor are allowed into the IX Network reflexive 23 2062973 003 CARESCAPE Monitor B450 Wireles
147. ition the battery when a Condition Battery A or Condition Battery B message is shown on the monitor screen The condition cycle recalibrates the electronic fuel gauge 10 4 2 Storage recommendations GE recommends storing the battery outside of the device at a temperature between 20 C to 25 C 68 F tO 77 F 10 4 3 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 One LED illuminated 10 24 9 of full charge capacity One LED flashing lt 10 of full charge capacity remaining 10 4 4 Charging a battery The battery is charged whenever it is installed into the patient monitor and the patient monitor is connected to an AC power source The battery is charging both when the patient monitor is turned on and when it is in the standby mode Battery is charging as long as the orange battery charging LED indicator is lit To check the battery charge status select Monitor Setup gt Battery Status gt Advanced 133 2062973 003 CARESCAPE Monitor B450 10 4 5 Conditioning a battery Condition the battery when a Condition Battery A or Condition Battery
148. ity N A Battery is not connected to the patient monitor or battery is being discharged Temperature POR o Battery temperature is ok Over temperature Battery temperature error due to high battery temperature A Battery is not connected to the patient monitor Battery Quality O The full capacity of the battery is more than 50 compared to the full capacity of a new battery Condition Battery requires conditioning Replace The full capacity of the battery is less than or equal to 50 compared to the full capacity of a new battery N A Battery is not connected to the patient monitor 149 2062973 003 CARESCAPE Monitor B450 2 For more detailed information select Advanced tab Remaining capacity mAh Remaining capacity of the battery in mAh Full capacity mAh Full capacity of the battery in mAh Full capacity compared to new Full capacity of the battery compared to the nominal full capacity of a new battery Cycle count The total count of charging and discharging cycles of the battery Voltage V Battery voltage Current mA Battery current Positive when charging negative when discharging Temperature C or F Battery temperature NOTE Refer to the Module Frames and Modules Technical Manual for information about PDM battery 11 7 Error messages and codes 150 2062973 003 The following error messages display in the message field if there is a problem with t
149. ivated Select Activate to 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 in
150. lect 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 Configuration 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 81 2062973 003 CARESCAPE Monitor B450 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 entries 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 M
151. lections menu setting changes etc EPI layer related errors including information about EPI layer issues detected by the clinical application Host serial number and active software versions To download log files Log into Webmin Select Diagnostics gt Download Logs Select the log s you want to download Select Download According to your Webmin access E NIE If you are using Webmin on a service PC you can save the log file to any storage device connected to the service PC 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 To view log files 1 Login to Webmin 2 Select Diagnostics gt View Logfiles Troubleshooting 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 F
152. les local printing to a thermal paper The patient monitor has a 12 LCD display with integrated LED backlights and a resistive touchscreen sensor It supports one independently configurable secondary display The patient monitor is compatible with wired and wireless CARESCAPE Network MC and S 5 network infrastructures The wired CARESCAPE Network IX provides access for example to MUSE reports Panel applications and IX printers 9 2062973 003 CARESCAPE Monitor B450 The touch user interface is the main method for user input The patient monitor supports also various USB input devices including a mouse an alphanumeric keyboard a barcode reader and a remote controller The monitor frame has an integrated handle and GCX mounting The alarm system includes a speaker for audible alarms and a separate alarm light for visual alarms The thermal recorder and WLAN options are also available as a field upgrade 3 2 2 Software The patient monitor is highly configurable and provides many monitoring possibilities with 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 E Manual ho Ed
153. lies 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 003 CARESCAPE Monitor B450 For your notes 4 2062973 003 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 connecting 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 Consi
154. mation and device information 135 2062973 003 CARESCAPE Monitor B450 Device Information Thu Aug 30 12 43 29 2012 View information about the host and connected devices Host Information Host Serial Number SUAIZISSI4THP AssetNumber lt WAC press A Network vimario 3 CPU Hardware Version M1219249 EMBC Software Version 1 12 Jan 10 2010 170425 PUIC Hardware Version M1223026 004 PUIC Software Version Mi238802 1 4T14 m Host Hardware Information Host License Information O Reece DISABLED PR NA O O REST EOS mn ACITIPL DISABLED mzs NA T2Hourtrending 11 2 1 Configuration information 136 2062973 003 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 part number and version Inactive software part number and 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 EMBC software version PUIC software version and DC DC hardware version Host Hardware Information e Status information for the number of installed b
155. mation you need to have available to configure the patient monitor to the S 5 Wireless Network 5 3 5 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 patch 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 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 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 compon
156. mbly B450 Reassemble in reverse order Note the following Step 6 Remember to first reattach the original uDOM to the CPU assembly Step 5 When reassembling the CPU assembly make sure to first place the heat sink under the plastic lip of the rear unit assembly Then press the other edge of the heat sink under the latch 183 0629 13 003 CARESCAPE Monitor B450 Remember to reattach the WLAN radio card back to the CPU assembly Place the WLAN antenna guide around the CPU board connector before reattaching the connector HL AAA a buas 7 gd mor p w V Step 1 Check the correct position of the CPU assembly and the AC DC power supply unit before you fasten the four screws T10 that hold the CPU assembly and the module rail unit to the rear unit assembly Support the CPU assembly and the AC DC power supply with your hands while you attach and tighten the Screws NOTE Notice the torque during the reassembly if you replaced the CPU assembly use 1 2 Nm if you didn t replace the CPU assembly use 0 8 Nm WARNING Use only GE specified screws and torque when replacing the module rail unit NOTE After replacing the CPU Assembly during the first start up the patient monitor will automatically check the EMBC software version in the replaced CPU Assembly and update the software if necessary Wait for 5 minutes to see if the software update is initiated and do not interrupt the process 184 2062
157. me 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 Closed Probe to exposed conductive chassis 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 Earth GND CLOSED 2 Power on the device under test 103 2062973 003 CARESCAPE Monitor B450 104 2062973 003 10 11 LZ 13 14 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 sa
158. meter modules and patient connectors specified in Table 1 Acceptance criteria in Normal Condition NC All readings shall be less than 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 Power Cord LINE 2 NORM Power Cord NEUTRAL Ea Leakage Tester 7 Keep cable length as short as possible 0 Closed 0 Patient connector Test Body 0 gt 107 2062973 003 CARESCAPE Monitor B450 WARNING 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 Configur
159. min Diagnostics page is static Press F5 to refresh the web browser and to see up to date WLAN diagnostics data Association Associated AP BSSID Operating Channel ransmit Rate in Mbps ransmit Power in mW WLAN ignal Level RSSI in dBm Noise Floor in dBm communication information Packets Received Packets Transmitted Bytes Received Bytes Transmitted eceiving Errors ransmission Errors Detected Access Points Detected Access Points PD 00 23 69 c0 ab c Test execution C 4 6 2062973 003 Execute the test procedure according to the test plan Contact the nursing staff to ensure access to the needed areas before starting the test 1 Move the roll cart to the starting point of the planned test route 2 Stop at each test point and perform the following tasks a On the transport monitor Verify that ECG waveforms from the remote stationary patient monitor display in the bed to bed view without any losses b On the service PC Refresh Webmin view by selecting F5 and e Identify the Access Point the patient monitor is connected to e Verify that the Signal level RSSI in dBm is greater than or equal to 60 dBm e Verify that the Transmit Rate in Mbps is greater than or equal to 5 5 Mbps c Mark the network time RSSI and Transmit Rate to the test form d If there is a waveform loss situation or the RSSI or the Transmit Rate is lower than specified e Observe the length of the waveform loss
160. 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 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 85 2062973 003 CARESCAPE Monitor B450 4 In the Remote Service Configuration window enter the applicable data HTTP Proxy Server Configuration If this site uses an HTTP proxy server 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 System ID Identi
161. ms Main fuses are blown AC DC cable is disconnected from DC DC board Faulty AC DC power supply unit especially if the patient monitor operates normally when it is battery powered Faulty DC DC board especially if the patient monitor does not operate neither on AC mains nor battery 12 V green H3 These secondary voltages are created by the DC DC board and they should be lit when the patient monitor is turned On and operates normally 15 VMOD yellow H5 If one of the secondary voltages is not present LED not lit when the patient monitor is turned On the DC DC board is most likely faulty lf 15VMOD LED is not lit it may be because DC DC board has not got a request from CPU via communication to enable 15VMOD circuit breaker as such 5 V green H4 These secondary voltages are created by the CPU carrier board and routed to the DC DC board They should be lit when the patient 3 3 V yellow H2 a monitor is turned On and operates normally If one of the secondary voltages is not present LED not lit when the patient monitor is turned On the CPU carrier board is most likely faulty 11 5 Network status LEDs 148 2062973 003 The network status LEDs help in troubleshooting network connectivity and communication problems These LEDs are located next to each network connector in the rear of the patient monitor EE qe A green dual purpose LED Li link amp activity for each MC IX network connecto
162. n Guide and consulting 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 Configuration issue Correct IP addressing issues 164 2062973 003 No traffic is getting through to this patient monitor 1 Are you in the coverage area 2 Does it work under another AP 3 Does it work when hard wired Contact the hospital IT department for configuration settings in the wireless infrastructure yes Y Correct passphrase remember passphrase does not equal passkey Y Correct key index 4 Are you in the coverage area 5 Does it work under another AP 6 Do other patient monitors work Please verify configuration settings with the hospital s IT department Broadcasts are not making it through Network configuration problem 1 Is the network set up to allow broadcasts Please verify configuration settings using the Wireless LAN Network Configuration Guide and consulting the hospital s IT department 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 Can you ping other CIC Pro centers or patient monitors from the CIC Pro cente
163. nclude the feature in question For example Anesthetic agent measurement is not supported by ICU software package Unable to upload a license file The license file is corrupted The license file is for a patient monitor with a different serial number The wrong software application is activated for the device The wrong software application is displayed on the patient monitor 158 2062973 003 See License management chapter Log in to Webmin gt Configuration gt Licenses gt Software Package Select the correct option and select Save Log in to Webmin gt Configuration gt Licenses If you have printed license information select Software Package and Host Licensing If you have a license file select Upload License To view the software package that is currently activated Log in to Webmin 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 Save Troubleshooting 11 8 5 Recorder issues Problem Possible cause Recommended action Recorder does not work Graph location is not configured Check the configuration Monitor Setup gt correctly Printing gt Devices gt Setup Recorder unit failure Replace the r
164. nds to the signal strength four segments indicate strong signal one segment weak signal Monitor battery is full Monitor battery green The higher the charge the bigger the green bar within the symbol Numbers indicate the remaining run time 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 34 2062973 003 System overview The following symbols appear in the software user interface A 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 j iml PDM battery charging indicator Indicates that the PDM battery is charging D Ba PDM battery gauge indicator Indicates the charge level of the battery PDM X PDM battery failure indicator Indicates the battery is not available for use PDM Snapshot indicator Indicates the event has an associated snapshot J 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 impedanc
165. nfiguration 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 and 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 brightness of the integrated primary display If needed adjust the display brightness from the Monitor Setup gt Brightness menu Refer to the patient monitor s user s manual for more information 7 1 2 Calibrating a touchscreen NOTE The touchscreen function of the integrated primary screen has been calibrated in the factory Re calibration is typically needed only after replacing the uDOM or the touchscreen sensor 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 to calibrate the integrated primary display or External Touch Screen to calibrate the connected secondary display 4 The Touch calibration screen opens Touch the
166. nitor 5 Disconnect all parameter modules 6 Detach the patient monitor from the mount if installed NOTE If you disconnect the patient monitor from the AC power source and remove the battery prior to turning the monitor off the monitor will start alarming about power loss situation Select the Silence alarm to silence this alarm 169 2062975 003 CARESCAPE Monitor B450 Disassembly workflow Use this workflow diagram to find the simplest way to disassemble the required parts of the patient monitor Numbers in the diagram refer to the sections in this Disassembly chapter Follow the arrows from the top down to the required part and disassemble the monitor by following the steps in between 12 2 1 12 2 2 12 2 3 12 2 4 2 9 Recorder unit Mains fuses CPU battery Battery door unit Module rail unit FRU FRU FRU FRU FRU 12 2 6 Detaching the front unit amp mid frame assembly from the rear unit assembly Front unit and mid Rear unit assembly f bl rame assembly E 12 2 15 12 2 16 12 2 7 12 2 8 12 2 10 Detacning tone Unit Alarm light board Detaching DC DC board amp E WLAN assembl ly f id f j ia On mid fale FRU module board assembly Detaching the CPU assembly FRU FRU assembly uDOM 12 2 9 12 2 17 Front unit assembly DC DC board E Module board Battery board AC DC Power Mid frame assembly FRU FRU FRU Supply Unit FRU 12 2 12 12 2 14 Detaching user interface board and buzzer from LCD display unit FRU
167. ns 18 M1233502 FRU Hardware Kit B450 Includes a complete set of fastening parts that are needed to re assemble the patient monitor 19 M1233503 FRU Cable Kit B450 Includes the user interface cable alarm light cable touchscreen cable and LCD backlight cable 20 2062895 001 Monitor Battery 1 pc B450 Includes one monitor battery type FLEX 3S2P 204 2062973 003 Installation check form APPENDIX A Installation check form CARESCAPE Monitor B450 Customer Monitor S N Service S N Service engineer Software 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 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 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
168. nstallation check form A 1 Appendix B Maintenance check form B 1 Appendix C Verification procedure for wireless MC Network infrastructure C 1 vi 2062973 003 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 B450 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 B450 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 operate 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
169. nt 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 1 Login to Webmin 2 Select Configuration gt Printers 73 2062973 003 CARESCAPE Monitor B450 Oo aN 9 10 In the Sub Modules for Printers menu select Install Printer Below Printer Configuration Information in the Install Printer window provide the following information 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 Setup 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 but
170. o the front unit Torque 0 6 Nm 3 H SHOW pois gorosuLoa LSM 0000 6 O perziea N rs Detach the buzzer cable from the user interface board Lift the buzzer up The front unit with the touchscreen sensor is a FRU The user interface board with the buzzer is another FRU zo a nm o a aS 0000 percata 6 vr 204 gu 193 2062973 003 CARESCAPE Monitor B450 e FRU User Interface Board amp Buzzer B450 e FRU Front unit with touchscreen sensor B450 Reassemble in reverse order Note Make sure to guide the buzzer cable through the guiding notch 194 2062973 003 Disassembly and reassembly 12 2 15 Replacing the alarm light board FRU Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly I uve Jn wim its Peace ory gt ee Ms RU nE AA ais pepeseeeere neers n 1 Detach the alarm light board cable from the DC DC board 2 Release the four snaps two on each side that mount the front unit assembly to the mid frame assembly to be able to detach the alarm light board and detach the alarm light board 195 2062973 003 CARESCAPE Monitor B450 3 Release the snap that holds the alarm light board e FRU Alarm light unit B450 Reassemble in reverse order 196 2062973 003 Disassembly and reassembly 12 2 16 Detaching DC DC board and E Module b
171. oard assembly Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly E MEE EA O peau L Detach the following cables AAA the touchscreen cable and the user i Il ARS Aa interface cable from the DC DC board the speaker cable from the E module board Ang ir abet er eee AMAMA A AA A awk en Tks be Pez 2 Detach the following cables from the DC DC board Alarm light board cable LCD backlight cable Y LAAS TORE TIVA NN My 3 Remove the screw T10 that mounts the RATAS a E DC DC board to the mid frame assembly E TIN Ss Torque 0 6 Nm AS SAKN ANY IIA 197 20629735 005 CARESCAPE Monitor B450 4 Remove the two screws T10 that mount the E module board to the mid frame assembly Torque 0 6 Nm 5 Use the flat blade screw driver to release the DC DC board and the E module board assembly from the mid frame assembly 6 Slide the DC DC board and E Module board assembly out from the mid frame assembly ALLE J ij y CA NOTE When reassembling make sure that the PY I o connector between the battery board and the DC DC board is properly connected Ay gt A AA Es SSI Sie 7 Detach the E module board from the DC DC board 198 2062973 003 Disassembly and reassembly e FRU DC DC Board B450 e FRU E Module Board B450 aSio0st o 22 n
172. on 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 silenced permanently Select Save a national requirements changes take effect immediately 7 12 Configuring modules 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 se
173. on 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 7 7 Configuring MUSE 12SL 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 the 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 N
174. onitor from the On Standby button The new software in the uDOM will install automatically during the first restart This may take several minutes and the patient monitor may reboot automatically Wait until the software installation is completed and normal monitoring screen appears Do not interrupt software installation 3 Login to Webmin and perform the following configurations a Restore the backup copy of the saved platform and clinical settings back to the monitor see 7 17 b Enter the original Host Serial Number printed to the device plate see 7 13 c Reload licenses from a license file or enter them manually see 7 18 4 Perform a complete checkout procedure see 10 180 2062973 003 Disassembly and reassembly 12 2 8 Detaching the CPU assembly FRU The CPU assembly consists of CPU carrier board CPU module and uDOM Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly 1I a Keep the rear unit assembly upright on the table ill gt UT Support the CPU board and AC DC power supply ACCOUNT UUN unit with your hand so that they do not drop 5 ae aed f on e Jl when you perform the following steps 1 Remove the four screws T10 that mount the module rail unit to the rear unit assembly NOTE Notice the torque during the reassembly if you replaced the CPU assembly use 1 2 Nm if you didn t replace the CPU assembly use 0 8 A Nm na
175. onth 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 7 7 allowed by the patient monitor including the Primary Physician 99 following characters Referring Physician CS MF l DESEES eS 82 2062973 003 Configuration 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 configurati
176. or the other types of logs select the link associated with the information you want to view 11 4 Power management LEDs The DC DC board includes troubleshooting LEDs that helps the user to troubleshoot start up related problems in the patient monitor The troubleshooting LEDs in the DC DC board are visible through the ventilation holes in the rear of the patient monitor see picture below ement LEDS Power manag gt o A ce lt gt TATTLE es e On 12 V 5 V standby On standby red H6 The red on standby LED should be lit momentarily when the on standby button is pressed A lit LED normally indicates that the DC DC power supply board recognizes that the user has pressed the on standby button and should turn the patient monitor On Off If the On standby LED is not lit when the on standby button is pressed check the patient monitor for any of the following problems e Faulty user interface board e User interface cable is not connected to DC DC board e Faulty DC DC board 147 2062973 003 CARESCAPE Monitor B450 ACDC green H7 The green ACDC LED should be lit when the patient monitor is connected to the AC mains even if the patient monitor is in standby mode A lit LED indicates that the DC DC board receives the 15 2 16 2 VDC from the AC DC power supply unit If the ACDC LED is not lit when the patient monitor is connected to live AC mains check the patient monitor for one of the proble
177. otective earth connection to the device chassis AC DC Power Supply Unit The AC DC power supply unit is a compact medical switched mode power supply with a universal AC input The high efficiency design minimizes heat dissipation The AC input may vary between 90 264 Vac 47 63 Hz single phase It is designed to output 15 7 Vdc 3 and 65 W continuous output power for the DC DC board The AC DC power supply unit has overload and overvoltage protections AC DC Output cable The AC DC output cable provides the 15 7 Vdc to the DC DC board Batteries The patient monitor supports two rechargeable and exchangeable 9 12 3V 3800 mAh lithium ion batteries They are located in the battery compartment One battery must be installed at all times the second one is optional The batteries support Smart Battery Data and they communicate with the DC DC board using the System Management Bus SMBus Battery charging and conditioning can take place either inside the patient monitor or with an external battery charger Cooling The patient monitor uses convection cooling The ventilation openings of the device are located in the rear of the patient monitor and below the keypad The AC DC power supply and the CPU assembly have integrated heat sinks to enhance the cooling of the patient monitor 116 2062973 003 Theory of operation 9 2 DC DC Board AS Josuas yBI7 SUB wey sjeubis yano JOJ93Uuuo JOJ93uuo jaueq yono Wa
178. oting chart below No gt The suspect module is most likely faulty Refer to Module Frames and Modules Technical Manual for troubleshooting Instructions 159 2062973 003 CARESCAPE Monitor B450 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 DC DC board failure The 15 V MOD supply voltage for the E module board is generated in the DC DC board Check from Webmin Hardware Statistics that the supply voltage is within specification If the 15 V MOD is out of spec the problem is most likely in the DC DC board Replace the DC DC board CPU assembly failure The RS 485 communication for the E modules is managed by the EMBC section of the CPU carrier board Check EMBC Frame logs for possible EMBC failures If the cause is none of the above the problem is most likely in the CPU carrier board Replace the CPU assembly PSM module issues Possible cause Recommended action Pole mount cable loose or faulty if Check that the Module Bus Adapter for PSM and the connection cable is the PSM module is mounted to a intact and properly connected to the PSM module mounted to the IV pole pole mount and to the PSM connector in the patient monitor DC DC board failure The 15VMOD supply voltage for the PSM module is generated in the DC DC board Check that it is within specs see section 11
179. ous Cardiac Output Module E PiCCO CARESCAPE respiratory modules E sCO E sCOV E sCAIO and E sCAiOV 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 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 purely 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 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 Wireless Network Configuration Guide CARESCAPE Modular Monitors Mounting Solutions Unity Network Interface Device ID Operator s Manual Central and Central Client Technical
180. 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 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
181. pedance 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 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 101 2062973 003 CARESCAPE Monitor B450 8 2 5 Earth leakage current test 102 2062973 003 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 Z e NORM Power Cord Z NEUTRAL 5 Open o oRVS 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
182. 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 communication 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 w
183. provides the 15 VMod PSM supply voltage and the RS 485 communication lines to the PSM module 125 2062973 003 CARESCAPE Monitor B450 For your notes 126 2062973 003 Maintenance and checkout 10 Maintenance and checkout WARNING WARNING 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 This chapter also covers the battery maintenance information for the patient monitor s lithium ion battery Only perform maintenance procedures specifically described in the manual 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 battery maintenance procedure of the PDM battery Corrective maintenance Service personnel shall perform the following checkout procedure steps after any cor
184. r yes Check IP addresses on the patient monitor Are the patient monitor and the CIC Pro center on the same network No traffic is making it through no Please verify configuration settings with the hospital s IT department Configuration issue no yes Are they plugged into CARESCAPE Network jacks Correct IP addressing issues User Error yes no Wired network problem Please verify configuration settings with the hospital s IT department Plug into correct jacks 11 8 8 S 5 Network communication issues Troubleshooting Check the following things before proceeding with any detailed network troubleshooting Check status of the wired and wirelessnetwork connection indicators and the WLAN signal strength indicator for reference see 3 7 e Check status of network status LEDs Check network compatibility Refer to the patient monitor s supplemental information manual e Check that each patient monitor has been assigned a unique Virtual ID key see 7 2 3 Wired S 5 network 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 The problem is related to the Central or to the cabling between the Central and the hub sw
185. r Note the positions of any wires cables or connectors Mark them if necessary to ensure that they are reassembled correctly e Save and set aside all hardware for reassembly e GE recommends using the new fasteners screws washers etc provided in the FRU kits rather than reusing the old fasteners Some fasteners are not intended to be re used 167 206297 3 003 CARESCAPE Monitor B450 more than three times Use only new screws attaching into light metal parts Take advantage of existing thread pattern cut by turning the screw counterclockwise until it drops into the existing thread pattern e We have added the maximum recommended torque value to be used for each screw and nut in reassembly These values are listed in brackets after each disassembly step e When attaching self tapping screws to light metal parts without existing threads new light metal FRU parts you should use a higher torque than is recommended for reassembled parts but still not more than 1 6 Nm NOTE It is not required to a use torque wrench or torque screwdriver when reattaching the patient monitor using the recommended standard hand tools Just ensure visually that the screws are properly attached but avoid over tightening by using excess force as this may damage the existing thread patterns However when using battery operated tools ensure that it is equipped with torque limiter and the torque is properly adjusted 12 1 3 Required tools
186. r A A There is one dual purpose indicator LED for each network connector e The LED is lit to indicate a Link i e the patient monitor is physically connected to a network e The LED is flashing to indicate Activity i e the patient monitor is either transmitting or receiving data packets over the network Troubleshooting 11 6 Battery diagnostics You can check the monitor battery status from the Battery Status menu 1 Select Monitor Setup gt Battery Status The Monitor Battery Status menu will open The information is shown separately for each battery A and B Field Status Status Description Time to empty hh mm Estimated operating time before the battery is hh mm empty Battery is not connected to the patient monitor or battery is being charged Charge Level XxX Battery charge level compared to full capacity in percentage Battery is not connected to the patient monitor Slot status No battery Battery is not connected to the patient monitor No communication Battery is connected to the patient monitor but battery communication failure error condition is Battery error condition is on Discharging Patient monitor is operating on battery power Charging Patient monitor is connected to AC mains and charging the battery Full Patient monitor is connected to AC mains and battery is fully charged Time to full hh mm hh mm Estimated time to charge the battery to full capac
187. r PDM 4 Cable clamp for power cord 5 Equipotential connector 6 Connectors for input output devices and networking 7 Device label 8 Slide mount with connector for PSM 19 2062973 003 CARESCAPE Monitor B450 Interface board connectors 1 Network connector for the MC Network amp S 5 Network 2 Network connector for the IX Network 3 Network connector for the Unity Network Interface Device ID connectivity device 4 Remote on connector 5 USB ports 2 pcs USB 2 0 Type A connectors 6 ePort connector for PDM module 7 DVI D connector for a secondary display 3 4 Service information 3 4 1 Service requirements CAUTION 20 2062973 003 Follow the service requirements listed below Refer equipment servicing to GE authorized service personnel only e 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 accessor
188. r board 123 206297 3 003 CARESCAPE Monitor B450 94 2 Touchscreen sensor The patient monitor has a resistive touchscreen sensor in the front of the LCD panel The touchscreen sensor detects the presence and location of a touch within the display area and communicates the information through the touchscreen cable to the touchscreen controller at on the DC DC board 9 4 3 E Module board The E module board is a simple connector board It interfaces the CPU Carrier Board to the DC DC Board and provides a D25 male connector for one single width E module 9 4 4 Alarm light board The right hand side of the alarm light board contains red yellow and blue LEDs to display different priority visual alarms The left hand side of the alarm light board has blue LEDs for the silence alarm indicator light The alarm light board also has a separate light sensor that is capable of measuring the ambient light intensity The ambient light feedback can be used to auto adjust the brightness of the LED backlight of the LCD panel to the different ambient light conditions The alarm light board is connected to the DC DC board with the alarm light cable 9 4 5 Speaker Unit The speaker unit is used to provide audible alarms The audio signal for the speaker is generated in the CPU carrier board using an audio codec and an audio amplifier Audio feedback controls the operation of the speaker The speaker cable is connected to the E module board 9
189. rd is correctly aligned to its guide rails and DC DC board battery board connector is properly connected e FRU Battery board B450 201 20629735 005 CARESCAPE Monitor B450 For your notes 202 2062973 003 Service parts 13 Service parts NOTE Perform the specified checkout procedure steps described in chapter 10 Maintenance and checkout after you have replaced any service part 13 1 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 13 2 List of FRUs N FRU Item part FRU Item description FRU content number 1 M1233483 FRU Recorder Unit B450 Includes the thermal printer and recorder interface board assembly FRU AC DC Power Supply Unit B450 Includes the complete AC DC Power Supply Unit with AC inlet fuses heat sink and the cable NO M1233485 to DC DC board 3 M1168221 FRU Main Fuses 10 pcs B450 amp B650 FUSE 4A T 250V 5x20mm high breaking capacity 1500A IEC UL CSA CCC 2 pcs 4 M1233487 FRU Module Rail Unit B450 Includes a complete PDM PSM module rail unit assembly with the 4 mounting screws 5 M1233489 FRU Battery Door Unit B450 Includes a complete battery door assembly 6 M1233490 FRU LCD Display Unit B450 Includes the LCD display with LED backlights display cable amp LED backlight cable and the gasket around the display M1233491 FRU
190. re Frequency Band Select the frequency band to be The WLAN radio is capable to communicate on used with the WLAN radio the following frequency bands protocols and 2 4 GHzPass data rates s Gu 2 4 GHz IEEE 802 11b up to 11 Mbps All Band 2 4 GHz amp 5 1 GHz 24 GHz IEEE 802 11g up to 54 Mbps 5 1 GHz IEEE 802 11a up to 54 Mbps NOTE In the S 5 Wireless Network the frequency band is fixed to 2 4 GHz and it supports 802 11b protocol only RTS Threshold Configure the RTS Threshold value Use the default RTS Threshold value unless otherwise specified in the wireless network design A valid RTS Threshold is a numeric value within the range of 64 to 2300 NOTE This option is not configurable in the S 5 Wireless Network Fragmentation Configure the Fragmentation Fragmentation Threshold specifies the Threshold Threshold value maximum frame size a wireless device can transmit without fragmenting the frame A valid Fragmentation Threshold is a numeric value within the range of 64 to 2300 Use the default Fragmentation Threshold value unless otherwise specified in the wireless network design NOTE This option is not configurable in the S 5 Wireless Network QoS Configuration Select the Quality of Service QoS Select QoS configuration setting as specified in standard used in the wireless the wireless network design infrastructure to prioritize the NOTE This option is not configurable in S 5 network
191. rective maintenance before taking the monitor back into clinical use 127 2062973 003 CARESCAPE Monitor B450 Performed service activity After detaching replacing or upgrading Recorder unit FRU Upgrade After detaching or replacing Module rail unit FRU After detaching replacing Required checkout procedure Functional check section 10 3 Electrical safety test section 10 2 Visual inspections section 10 1 10 3 1 Start up 10 3 14 Recorder 10 3 1 Start up 10 3 3 PSM PDM identification 10 3 1 Start up CPU battery FRU Mains fuses FRU Battery door FRU Monitor battery FRU After detaching or replacing any Yes other part inside the patient monitor Perform all functional check steps from 10 3 1 to 10 3 15 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 4 Battery maintenance section 10 4 Replace the CPU timekeeper battery every 5 years or whenever the Service Monitor Error Code OxHOST1100 message is shown 10 1 Visual inspection Follow the 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 exis
192. rent Test ossicucina traida 103 8 2 7 Patient leakage current tests Overview o epirrar adoos 105 8 2 8 Patient source leakage cuUentieSiS s taa ururua 106 8 29 Patient sink leakage CUMENLICSIS 2ccscbsvancbanmcsedseeeoeeamannasbasnekeavea 107 S2 OTe 0 10 ORN AAN E nce A E STE mara 108 SS FUnNCUOndkeNEC rar a R wate ae T E a E 108 OSL SOU da AAA A A aa 108 Be OS ons A tcc ean eee one 109 Bo WEY A ass pec sacen ase eco necca needed nama EEE cena Gabe wie eek 109 8 3 4 idos A A A ehaned abou 109 8 3 5 Keypad and PM scarico Aids 110 A A orate E a A E E edn oye eter eae See ios Seca iaGes 110 ego UR ao meger teri O T ET EN 110 oo BAC Ode LO 0 ear E E E A AE 110 8 39 MC Network and 5 5 NetWork er cosacos osa a A aae 111 SIS SN A A IR E TRA 111 nn ee oe Ee E E EST 112 AS A a A A E EE AA 112 Sto Gi en E seo idas E OEE E ET is 113 Ns e eaa tree be Cat care ee ee eee A A A T AE 113 9 Theory of operation 115 9 1 Power Supply Power management subsystem 00 e cece eee eee eee een 116 SL ACIDO POWERS Usar ia ise 116 A SA eta see tie eee dee OE 117 9 2 1 PUIC controller and software catarro 118 922 DCDC SUBSYSTEM uedan are habeas een e ara a oi 118 9 2 3 User Interface Controller UIC Subsystem 0 0 cece eens 119 OD A II wiser Salah cana hikes Gena ean ites Ree 120 as os PA E A E avenad Ger ace teenie 121 Sa UDO Mi codi ees Se 123 OSS VERN ASS site rca trotar ies 123 E A no II A 123 E A a r NA
193. rm light illuminates during the power on self test only if it is a cold start more than 15 minutes from the previous start up Alphanumeric Keyboard and barcode scanner issues Problem Panella case ince 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 i e the information is not populated correctly to the fields in the Admit menu The barcode reader is Check the barcode information content incompatible with the parser and compare it to the current parser configuration field lengths field configuration types delimeters symbologies etc 156 2062973 003 Troubleshooting Speaker audible alarm issues Problem Possible cause Recommended action Audible alarms do not work Audible alarms are turned off Enable audible alarms See Alarms Setup gt Audible Visual Alarm volume is low Adjust alarm volume Monitor Setup gt Sound Volumes Speaker failure Replace the speaker unit
194. roblem is most likely in the CPU carrier boar Replace the CPU assembly 11 8 7 CARESCAPE Network communication issues Traffic types Two main types of communication occurs in the CARESCAPE Network Broadcast and Unicast Broadcast tra CARESCAPE b ffic is sent from one device to all devices on the network Examples of roadcast 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 broadcasts to other network devices Downstream broadcast The patient monitor receives broadcasts from other network devices 161 206297 3 003 CARESCAPE Monitor B450 Wired patient monitor Access Point Wired patient monitor RS Wireless patient monitor Types e Broadcasts discovery alarms time o Unicasts waveforms ping e Mediums e Wired e Wireless 162 2062973 003 CIC Pro center a CIC Pro center at 4 Wireless patient monitor Flow Upstream Broadcast Downstream Broadcast Bi Directional Unicast Combinations Wired Broadcast Wired Unicast Wireless Broadcast Wireless Unicast Troubleshooting Problem No waveforms or parameters are displayed at the CIC Pro center Can you now see Configuration issue Select the START
195. rs 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 month Manufacturer name and address LOT Batch or lot number 29 2062973 003 CARESCAPE Monitor B450 The following symbols appear on one or more of the devices 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 Recyclable Lithium 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 30 2062973 003 System overview The following symbols appear on one or more of the devices ES European authorized representative European Union Declaration of Conformity Indicates that the produ
196. rsion 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 91 206297 3 003 CARESCAPE Monitor B450 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 Upload a valid license file as follows 1 Login to Webmin 2 Select Configuration gt Licenses 3 In the Sub Modules for Licenses window select Upload License 4 According to your Webmin access a Ifyou are using Webmin on a service PC you can upload the license file from any mass storage 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 ar
197. s 167 AS REGU d TOO airat a e e eats a a oda 168 12 1 4 Before asas OD aid dias 168 12 2 Disassembly procedures es a o a id iaa lo ds at 171 12 2 REDIGCING THE recorder Un ti vrai ori cd pie bbs 171 122 2 Replacing the IMOINSTUSES FRU eenia e ea E LE TR EE 172 12 2 3 Replacing the CPU battery FRU ceramica cando a at 173 12 2 4 Replacing the battery door unit FRU irnos 174 12 2 5 Replacing the module rail UATIFRU No scessrrr arrancarle cetro 175 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly 176 IZA Deac hino ine WIDO A errs aE Na 180 12 2 8 Detaching the CPU assembly ERO cc scaic pare drats Geren nein dite aaleteemiemsdmesia Neen 181 12 2 9 Replacing the AC DC power supply unit FRU 000000000 eee 185 12 2 10 Replacing the WLAN assembly FRU 2 2 c n00 psi id 186 12 2 11 Detaching the front unit assembly from the mid frame assembly 188 12212 Replacing CEDISPIOY UNE PRU tenet been etek ied bead eE 190 12 2 13 Replacing the Speaker OMIT RU artos il is 191 12 2 14 Detaching the user interface board and buzzer from the front unit assembly 193 12 2 15 Replacing the alarm light board FRU axctadusriasanertidrdadacceond saedsduees 195 12 2 16 Detaching DC DC board and E Module board assembly 197 12 2 17 Replacing the battery board ER Ulsa doc do sel beatae 200 13 Service parts 203 EAS o O 203 er ISO RUS seso erat e ne 203 Appendix A I
198. s Network Security The patient monitor can operate both in the wired and the wireless MC Network or S 5 Network IX Network is wired only Refer to the Wireless LAN Network Installation Guide and S 5 Network Installation Guide for more information regarding the security features of the wireless MC Network and the S 5 Wireless Network respectively Network Identification The Service Set Identifier SSID also known as network name identifies a particular wireless network The patient monitors shall be configured to use the same SSID with the access points to enable wireless communication It is recommended to configure access points not to broadcast SSID to the wireless network The wireless MC Network shall be logically separated to its own virtual LAN with a dedicated SSID The S 5 Wireless Network shall have dedicated access points that are physically isolated from all other networks Security Authentication and Confidentiality The data transmitted on the wireless network can be secured by one of the following methods WEP 64 bit NOTE S 5 only WEP 128 bit WPA PSK TKIP NOTE MC only WPA2 PSK AES CCMP NOTE MC Only 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 24 2062973 003
199. s 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 Configuration 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 13 2062973 003 CARESCAPE Monitor B450 can be created with customer defined resolutions using the hospital wide login and identification process The Panel application is used through a Citrix thin client on the monitor so no additional equipment is required at the bedside 3 2 7 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 suppl
200. s 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 76 2062973 003 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 Configuration Select the parser type a Log into Webmin b Select Configuration gt Admit Settings c In the Sub Modules for Admit Settings window select Barcode Settings 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 posit
201. screen as long as the error condition is valid One of the internal supply voltages is out of the specification The message stays on screen as long as the condition is valid Disk usage exceeds 90 The CPU timekeeper battery needs to be replaced Disconnect the patient monitor that has the identical IP address or Change the IP address of the patient monitor that has the duplicate IP address If temperature is too high Turn off the patient monitor Let the patient monitor cool down Check that the ventilation holes are not obstructed Ensure that the patient monitor is 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 Log in Webmin and select Diagnostics gt Hardware Stats to identify the supply voltage that is below or above the specification limit 1 Back up the clinical and platform settings and print the licensing information page via Webmin 2 Re install software Replace the CPU timekeeper ba
202. ser printer NOTE If the local printer is used within the patient environment it must always be powered from an additional 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 63 2062973 003 CARESCAPE Monitor B450 WARNING 64 2062973 003 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 co
203. sion EMBC software version PUIC software version and DC DC hardware version Host Hardware Information e Status information for the number of installed batteries recorder and WLAN options 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 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 PDM e Active software version Main board revision DAS board revision Serial number Asset number MAC address IP address Power frequency ECG filter Acquisition Information e Label Software version Control number and Serial E Module number Reports and Waveforms and Printer location 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 11 3 Webmin Diagnostics tab Access Webmin service interface to view hardware statistics ping a network device view WLAN diagnostics and view or download log files 138 2062973 003 Troubleshooting 11 3 1 Hardware statistics DCDC Board Upper Limit 14000 17000 BAT voltage in mv 12108 jaooo 12600 BAT2 voltage in mV 21
204. struction when you want to 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 Configuration minutes Do not shut down the patient monitor or disconnect the parameter modules The parameter module restarts automatically after the software activation is complete After the parameter module restarts verify that the software activation is successful
205. t 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 128 2062973 003 Maintenance and checkout Record the values of the tests on the Appendix B Maintenance checkform 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 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 actual 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 Dev
206. t connectors to be tested with each module E PSMP E PSMPW ECG amp SpO2 E PSM E PSMW ECG amp SpO2 eo p o oS 1 Connect the BISx Digital Signal Processing Unit with 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 E EEG 1 Disconnect the N EEG headbox from the E EEG module 2 Connect the test body directly to the E EEG module PDM ECG amp SpO2 105 2062973 003 CARESCAPE Monitor B450 8 2 8 Patient source leakage current tests 106 2062973 003 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 eS Au NOTE The measuring device MD represents the network and voltage measuring instrument and its frequency characters according to IEC 60601 1 l l l l l l l l
207. t i i ES WE Sa pd MAR x k 4 ns u f e TU t p s gt e A Dee CA ett ELE 22 PP ne Reassemble in reverse order NOTE After replacing the DC DC Board during the first start up the patient monitor will automatically check the PUIC software version in the replaced DC DC board and update the software if necessary Wait for 5 minutes to see if the software update is initiated and do not interrupt the process 199 20629735 005 CARESCAPE Monitor B450 12 2 17 Replacing the battery board FRU Disassemble first a 12 2 6 Detaching the front unit and mid frame assembly from the rear unit assembly b 12 2 16 Detaching DC DC board and E Module board assembly Steps 1 to 3 only for monitors with a recorder 1 Press the two snaps on each side of the recorder with a flat blade screwdriver NOTE If the monitor is not equipped with a recorder there is a cover plate which you do not have to remove a 5 2 Press the grounding plate to release the aun MN recorder unit from the mid frame assembly 3 Pull the recorder out of the mid frame assembly 200 2062973 003 Disassembly and reassembly 4 Use a flat blade screwdriver to press the snap that holds the battery board to the mid frame assembly i The tip of the screwdriver seen through the open battery slot 5 Pull the battery board out from the mid frame unit assembly Reassemble in reverse order Ensure that the battery boa
208. tatistics ping a network device view WLAN diagnostics and view or download log files Diagnostics System Information Hostname GE004097 164268 Wed Aug 29 14 54 40 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 WLAN diagnostics Use this Webmin feature for troubleshooting WLAN related problems This Webmin module provides information about the WLAN driver WLAN status and the detected access points 45 2062973 003 CARESCAPE Monitor B450 For your notes 46 2062973 003 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 Healthcar
209. the connector end first all the way into the battery slot 3 Close the battery door carefully 6 1 3 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 54 2062973 003 Hardware installation 4 Press the battery door closed until it seals the battery compartment 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 WARNING WARNING WARNING CAUTION fr a gt G I ELEREDERERERE LEE rrrErrE E La AN Install the patient monitor to the mounting hardware according to the installation instructions included with the mounting hardware Never install equipment above the patient Use only manufacturer specified mounts To prevent liquids from entering the monitor do not tilt the monitor more than 15 degrees The device system should not be used adjacent to or stacked with other equipment Consult qualified personnel regarding device system configuration 55 206297 3 003 CARESCAPE Monitor B450 6 3 Connecting a second
210. the front unit assembly 12 2 13 Front unit w Speaker unit User interface touchscreen sensor FRU board amp buzzer FRU FRU 170 2062973 003 Disassembly and reassembly 12 2 Disassembly procedures 12 2 1 Replacing the recorder unit FRU Open the recorder door and remove the paper roll if installed Release the two snaps on each side of the recorder by pressing with a flat blade screwdriver Pull the recorder out of the monitor first a little by pulling from the recorder door and then all way out by pulling from the recorder body NOTE Be careful not to damage the recorder door or the grounding plate when pulling out the recorder e FRU Recorder unit B450 Reassemble in reverse order Push the recorder unit all the way into its slot until it locks 171 2062975 005 CARESCAPE Monitor B450 12 2 2 Replacing the mains fuses FRU 4 gt The mains fuses are located on the side of the monitor inside the AC inlet 1 Release the snap in the fuse holder of the AC inlet by pressing it with a flat blade screwdriver Pull the fuse holder out of the AC inlet e Al 2 Replace the fuses with new ones Use only fuses with the same rating Reassemble in reverse order Push the fuse holder all the way in until it snaps to its place 172 2062973 003 Disassembly and reassembly 12 2 3 Replacing the CPU battery FRU 1 Remove the screw T10 holding the servi
211. tible to ESD damage This includes human hands non ESD protected work stations or improperly grounded test equipment The following guidelines may not guarantee 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have 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 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 e Semiconductors and electronic assemblies should be stored only in antistatic bags or boxes Handle all PCB assemblies by their edges 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 Reassembly precautions Pay attention to the following generic precautions when reassembling the patient monito
212. tication method used with WEP is Open System Authentication NOTE The wireless MC Network supports only confidentiality methods None WEP 128 bit WPA PSK TKIP and WPA2 PSK AES CCMP NOTE The S 5 Wireless Network supports only confidentiality methods None WEP 64 bit and WEP 128 bit The Key Index of the wireless client must match the Key Index of the wireless infrastructure NOTE The Key Index is selectable only if the confidentiality method selected is WEP 64 bit or WEP 128 bit Select the format of entering a Pass Phrase Key Format 71 2062973 003 CARESCAPE Monitor B450 WLAN Client Configuration CS AE Pass Phrase Key Enter the Pass Phrase Key for the The Pass Phrase Key of the wireless client must used confidentiality method as an match the Pass Phrase Key of the wireless ASCII or HEX string as selected infrastructure above A valid ASCII Pass Phrase Key includes only WEP 64 bit WEP 128 bit printable ASCII characters that is space and Enter a 5 13 character long ASCII ASCII decimals 32 to 126 However the following string The system will generate a three ASCII decimals are not valid 34 39 10 26 character hexadecimal and 96 security key and assign it tothe A valid HEX Pass Phrase Key may include currently selected Key Index numeric characters 0 9 and alpha characters OR A F Enter a 10 26 character long
213. tient patient monitor l monitor plugged in Can infrastructure and wireless d h h card match in technology a e a m yourping tne IEEE 802 11a b 2 network via patient monitor Rara hardwire from the CIC Pro center 7 Monitor configuration issue no 1 Does SSID match N Is wireless enabled O SROCES yes Does the patient monitor associate authenticate with the Access Point Refer to the troubleshoting section of this manual to check the association authentication status Leave the Y Nospaces at the end Y Case sensitive 2 Does wireless network support 802 11d World Mode Is it turned on 3 Do security settings match Y Correct confidentiality method WEP 128 bit WPA PSK TKIP WPA2 PSK AES CCMP yes Can you ping the patient monitor no Can you ping other wireless patient from the CIC Pro center monitors from the CIC Pro center no yes No traffic is getting through Potential network configuration issue 1 Is the SSID tied to the correct VLAN AP config 2 Is the VLAN bridged to the CARESCAPE Network 3 Is the CIC Pro center in the correct CARESCAPE Network 4 Is there a firewall or Access Control List between the hospital infrastructure and the CARESCAPE Network Please verify configuration settings using the Wireless LAN Network Configuratio
214. tion Utilize the information provided in the pre quote questionnaire existing design documentation and site survey results and discuss with the hospital IT specialists and clinical staff to identify the areas that are riskiest for poor wireless communication and prepare a test plan accordingly Take into account the following aspects when preparing a test plan e Identify areas with known or obvious low signal strength e Identify areas with known sources of radio frequency interference causing high noise floor and or poor signal to noise ratio e Identify the special characteristics in the building layout floors wings patient rooms and construction material used e Identify the time and areas of congestion with high number of wireless clients and a lot of network traffic e Identify intended clinical workflow paths including bedside locations and transport routes Prepare the test plan by documenting the intended walking path and test points to the floor plan preferably to copy of a site survey document that shows the wireless coverage area the location of wireless access points signal strengths and sources of known radio frequency interferences NOTE In the sample floor plan below EG1 EG20 represent possible test points Take into account in your plan that some rooms and areas may not be accessible at the time of performing the survey DJ Edge C 2 6 2062973 003 Verification procedure for wireless MC Network
215. ton 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 RE S 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 1 2 3 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 74 2062973 003 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 1 2 5 Log in to Webmin Select Configuration gt Citrix In the Citrix Configuration window enter the applicable information in the following fields Configuration sacate Server Address Blank server IP address or server hostname up to 255 character long Initial Program Initial Citrix published applicati
216. ttery 151 2062973 003 CARESCAPE Monitor B450 Message Possible causes Possible solutions External alarm light disconnect Check USB connection Power management failure Setting activation after next case end Setting activation after next discharge Software activation after next case end Software activation after next discharge Service Monitor Activation Failed Module voltage low Application error Webmin 1 The USB cable between the 1 Reconnect the USB cable patient monitor and the secondary display is disconnected when the patient monitor Is on 2 Secondary display turned to 2 Turn on the secondary display standby when the patient monitor is on NOTE Select Audio Pause to acknowledge the message if the USB cable is disconnected or the secondary display turned off on purpose 3 User interface board 3 Update PUIC Power Management Communication failure and User Interface Controller software host software or replace user interface board Update PUIC software host software or replace the DC DC board Power Management Controller communication failure Service user has initiated a delayed settings activation that will automatically take place after next case end next discharge If required the service user may cancel the delayed setting activation See section 7 17 4 Canceling pending settings activation Service user has initiated a delayed softw
217. ttings are pre configured at factory except the Assets Settings You may need to re configure them after corrective maintenance or for administration purposes 83 2062973 003 CARESCAPE Monitor B450 Refer to the Module Frames and Modules Technical Manual for detailed information on how to change these settings Webmin sub module Licensing This setting allows you to manage the PDM feature licenses ECG Filter This setting allows you to temporarily Configuration disable the ECG filter of the PDM STP TP ST Settings E PSM amp E PSMP This setting allows you configure the STP TP ST setting after replacing the STP 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 Assets Settings PDM This setting allows you to view the customer assigned asset number of the PDM 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 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 n
218. tware is included in the host software package and upgradeable via software CD The EMBC section communicates with the main processor in CPU module using Ethernet communication Display subsystem The display controller is integrated to the CPU Module It provides LVDS Low Voltage Differential Signaling and SDVO Serial Digital Video Out output to the CPU Carrier Board The display subsystem in the CPU Carrier Board takes care of the following functions It passes the LVDS signal lines and the 3 3 V supply voltage to the integrated 12 1 LCD display via the display cable It has a SVDO DVI transmitter that encodes the video signal for the external digital display that is connected to the DVI D connector It has the LED drivers for the LED backlight unit in the LCD display and controls the display brightness The backlight cable is connected to the DC DC board 121 206297 3 003 CARESCAPE Monitor B450 122 2062973 003 Ethernet subsystem The CPU carrier board has a 5 port Ethernet switch The interfaces provided by the Ethernet switch share the same MAC address The Ethernet host is in the CPU module The Ethernet switch port usage is as follows PDM interface for the connector in the Module Rail Unit e ePortinterface for the connector for PDM in the rear panel Unity ID interface for the connector in the rear panel EMBC communication between CPU Module and EMBC subsystem Host port The CPU carr
219. twork Skip steps 2 3 4 7 and 8 If CIC with full disclosure license is not avallable NOTE Ensure that the patient monitor battery the service PC battery and the patient simulator battery are fully charged Set up the connections 1 Setup the CARESCAPE Monitor B450 and the service PC on a roll cart 2 Connect a PDM or PSM module to the patient monitor 3 Connect the ECG cables to the module and to the patient simulator 4 Connect the service PC to the patient monitor IX port using the Ethernet crossover cable 5 Turn on the patient monitor the service PC and the patient simulator Configure the patient simulator 6 Configure the patient simulator to output ECG waveform normal sinus rhythm hearth rate 80 bpm amplitude 1mV Refer to the simulator documentation for details on how to use and configure the simulator C 3 6 2062973 003 CARESCAPE Monitor B450 Configure the patient monitor 7 Configure the ECG1 ECG2 and ECG3 waveform fields to the monitor screen with adequate priority 8 Select the Setup tab in the ECG menu and configure ECG1 lead II ECG2 lead V1 ECG3 lead aVL 9 Start a patient case admit a patient in Data amp Pages gt Admit Discharge menu 10 Select Data Pages gt Other Patients Select the unit and bed name of the stationary monitor and then select View Configure the service PC 11 Login to Webmin and select Diagnostics gt WLAN NOTE The WLAN information shown in Web
220. twork 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 3 187 27 2 Username Password Clear Monitor Type CARESCAPE Monitor B450 Host Serial Number 5JA12505895HP Host Software Version 2 Host Build 2 0 0 233 278 Host Software Package 4U IX IP Address 3 187 27 2 IX Netmask 255 255 255 0 C 0537 GE Healthcare Finland Oy Kuortaneenkatu 2 Fl 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 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 39 2062973 003 CARESCAPE Monitor B450 Record the IX IP address of the patient monitor IX IP address IX Netmask 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 6
221. umber 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 84 2062973 003 WARNING Configuration 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 Webmin 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
222. umber Identifies the site number within the range 1 to 254 associated with the patient monitor for searching the MUSE system 15 2062973 003 CARESCAPE Monitor B450 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 reports 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 character
223. upported only in CARESCAPE Network MC and S 5 Network CARESCAPE Network IX does not support wireless communication 1 Login to Webmin 2 Select Configuration gt WLAN The current status of the WLAN radio is shown below the Current State in the WLAN Configuration window 3 Select Enable as a New State to enable the WLAN radio Select Antenna as Enabled to enable both the internal antennas 67 2062973 003 CARESCAPE Monitor B450 68 2062973 003 NOTE Antenna diversity is a method used to assist in compensating for multipath interference When set to Enabled Antenna Diversity monitors the signal from each antenna and automatically switches to the one with the better signal 5 Configure the appropriate WLAN settings Note that the configurable attributes and available values are different for MC Network and S 5 Network WLAN Configuration tGEHGlinical WEP 128 bit Configuration WLAN Client Configuration Region Select the WLAN region mode from The region setting is used to set the maximum one of the following options transmit power and allowed channels for the USA WLAN radio card If your country or region is not listed select World Mode Europe a Janan World mode is a partial implementation of the 802 11d standard and using it requires the World Mode access points to be configured accordingly Failure to receive 802 11d regulatory information from access point disables the wireless networking featu
224. v ACL JOJOSUUOD qyBIpoeg JOJOBUUOD IN sjeudls 4371 DHO 8 MOd dJAv3dS dnyovd NOLLNG AGLS NO ssoujyoug 9 NI 118 a Cls o i g S S 3 9 wo He Die Z 2 z E JS x H 2 15 e lo 9 IE lt O fa c m T 5 jo E e O TU fo fS G 2 lo 2 9 Ie 3 0 Zz g Cc YATIOULNOO N33Y08 HONOL AAG 031 YOLVOIGNI YIMOd JjuawsBeuelA J2MOJ JO 99A sjonuoo jubi WEY G41 S9 qeuz Mod NO SLOWS s y9 0O N7 91d ASN snq Ozl jua uaBe ue p1eog ONdO 3LI1 JOpSUUOD peog CON 3 31 COWASL Na Moddow yaniv LINDO STVNOIS 43040938 AL9L 6 PL asn 9p 0e AL 9L 2 8 SASA 1N3Y44ND SAS Na SASA sn aada ans clva LINDYIO SIHOLIMS ML yond Hive SENS Liva OWd AS S YaMOd blvd s3301 Liva SAHOLIMS H1Vd YaMOd ADYVHO TOHLNOO HLYd YaMOd NOLLNG AGLS NO HNOS 13 O1JUOD yond 398e13 u YIDAVHO Jasn AY311Wg 3 LEVAS J9MOd SNGIAS Z1V4 9INd SENS sngWs snas LLva Buuu yuana indu eid 49018 peog 90 90 JOJ9aUULOD 31989 90 90 JOJO3uLIOS Pleo 118 3117 pueog META Ma 938 3117 AE ZL 6 NOI AYaLIVa LYVAS d St X3 13 Ag Z1L 6 NOI AYaL1W8 LEVAS d Se x414 CARESCAPE Monitor B450 DC DC Board Block Diagram Figure 4 DAB MG ET AZ GSL 0d OV 117 2062973 003 CARESCAPE Monitor B450 9 2 1 PUIC controller and software The Power Management and User Interface Controller PUIC software controls the hardware related fun
225. vice traffic etc DSCP Differentiated Services Code Point settings provide Quality of Service QoS features by prioritizing network traffic by traffic type It uses traffic classification by placing each data packet into a limited number of traffic classes Use the default DSCP values unless otherwise specified in the wireless network design Note For Non Real Time Clinical Data traffic on wireless do not use DSCP values of 24 31 A risk exists that Real Time Clinical Data and Non Real Time Clinical Data will arrive at the same Qos value in the wired network if proper DSCP to DSCP mapping is not done at the wired to wireless interface NOTE This option is not configurable in the S 5 Wireless Network WLAN Client Configuration Configuration Enter the Service Set Identifier SSID also known as network name SSID Confidentiality Select the Confidentiality Data Privacy method to be used None WEP 64 bit WEP 128 bit WPA PSK TKIP WPA2 PSK AES CCMP Key Index Select the Key Index to be used Pass Phrase Key Select the Pass Phrase Key Format Format ASCII HEX The SSID of the wireless client must match the SSID of the wireless infrastructure A valid SSID includes up to 32 case sensitive ASCII characters including space ASCII decimal 32 to 126 The confidentiality method of the wireless client must match the confidentiality method of the wireless infrastructure NOTE The authen
226. ware 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 92 2062973 003 Configuration e Connect the patient monitor to the AC mains during software activation Software activation does not start if the patient monitor uses its battery 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 NOTE The existing clinical and platform settings of the patient monitor are saved and are not affected by the activation of the new patient monitor software version However any new or changed clinic

- Frank`s Hospital Workshop

Contents

Download Pdf Manuals

Related Search

Related Contents