Troubleshooting Guide, Alarm Management for GE Patient
Contents
1. A filter that stops or delays the specific test alarm settings might be active Export the language files and compare them Make sure that the lt language id tag is unique for each file Enter a valid license and restart the module Restart the module in normal mode Ensure that Java Runtime Environment JRE version 6 or later is installed on your computer The Java program is found at www Java com Check that the Event Elements have been synchronized in the Action Configuration page See Installation and Operation Manual MMG TD 92654GB for information about how to synchronize the defined Event Elements See respective Installation and Operation Manual for settings See respective Installation and Operation Manual for settings Compare alarm text with message Check the description of the test alarm 3 1 1 Simulated CARESCAPE Test Alarm with the filter settings 17 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB Problem Probable cause Action or comment e A message with the Expected color coding has Set color coding in the MMG wrong color coding is not been set in the MMG so displayed by the handset the Unite CM uses its default color coding in the message Expected color coding has been set in the Unite CM If Set color coding in the MMG there is also a color coding in the MMG it overrides the Unite CM color coding The handset has no color scr2. If it does not work continue with chapter 2 1 General Troubleshooting and or check the carrier system Send a test message from the MMG according to 3 1 3 Test Message from the Q MMG If this works check Duty Assignment settings and User settings If it does not work check the network connection and the UNS configuration see Installation and Operation Manual MMG TD 92654GB More information can be found in chapter 3 1 Test Messages ECG Waveform Image Check if the MMG is receiving data as expected First clear the location list by disabling storage of all received locations in the GE CARESCAPE page see 3 2 View Location List on page 11 Enter or refresh the page showing the location list Enable storage of all received locations with RWhat in the GE CARESCAPE page Wait 2 minutes View the location list to see if certain locations are missing or if they have not been set up in the MMG Duty Assignment NOTE This document does not cover troubleshooting in e GE CARESCAPE Network e The carrier system DECT VoWiFi On site Paging including handsets and chargers 15 June 2012 Ver E 4 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB 2 1 General Troubleshooting See also Installation and Operation Manual Unite Connectivity Manager TD 92718GB and Installation and Operation Manual MMG TD 92654GB The following may also be investigated e Messaging between the Unite Connec
3. and Basic Administration 3 Under Input Interfaces select GE CARESCAPE Server A In the Use waveform test image drop down list select Yes IMPORTANT Make sure the Use waveform test image parameter is set to Off when a successful test has been performed If the parameter is turned on display devices will display the wrong image data This may lead to hospital personnel taking the wrong action in critical situations 5 In the MMG start page click Service 6 In the CARESCAPE Test Alarm page select a location for example ICU BED1 and click Send Default this will generate an alarm on the MMG with location ICU BED1 alarm level 5 and with the alarm text Test Message Check that the test message arrives at the handset assigned for ICU BED1 The alarm level can be changed if needed see Note below CARESCAPE Test Alarm Location ICU BED1 vil Alarm level 5 Advisory v Alarm text Test Message NOTE For the simulated CARESCAPE Test Alarm only locations that have been set up in Duty Assignment are selectable NOTE A filter setting in the MMG can block the CARESCAPE Test Alarm for example if there is a stop filter not allowing level 5 alarms to pass through the MMG level 5 corresponds to Advisory To get around this problem the priority that is the test Alarm level needs to be changed for the test alarm or the stop filter needs to be disabled Disable the stop filter In the MM
4. 15 June 2012 Ver E ST Complex is stored when ST is turned on Ventricular tachycardia is 2 consecutive ventricular beats at a rate 120 beats min 22
5. 92717GB The simulated CARESCAPE Test Alarm is handled in the same way as a monitor alarm and will pass all filters duty assignment setup etc For a deeper understanding how the MMG converts an alarm to a message see Function Description Alarm Management for GE Patient Monitoring TD 92655GB It is mainly settings for Duty Assignment and settings for CARESCAPE in the MMG that are tested with this test alarm This test verifies the complete chain of Ascom equipment including MMG Unite Connectivity Manager carrier system and handset 1 Open the MMG start page by entering the IP address of the MMG http nnn nnn nnn nnn 2 In the MMG start page click Service SERVICE FA A 3 In the CARESCAPE Test Alarm page select a location for example ICU BED1 and click Send Default this will generate an alarm on the MMG with location ICU BED1 alarm level 5 and with the alarm text Test Message Check that the test message arrives at the handset assigned for ICU BED1 The alarm level can be changed if needed see Note below CARESCAPE Test Alarm Location ICU BED1 vl Alarm level 5 Advisory v Alarm text Test Message Note that for the simulated CARESCAPE Test Alarm only locations that have been set up in Duty Assignment are selectable NOTE A filter setting in the MMG can block the CARESCAPE Test Alarm for example if there is a stop filter not allowing level 5 alarms to pass through the M
6. No Warning delta greater than 3 seconds 3 3 35 Capacity limit reached Yes Error 11 3 37 GE CARESCAPE time No Warning synchronization error 1 Persistent means that the fault is shown in the Active Faults page as long as it remains 2 Default value NOTE This information may be improved without prior notice A 2 CARESCAPE Log Entry information If a CARESCAPE related log entry is found in the Fault log check this list for possible causes e GE CARESCAPE network lost Check network connection and router e GE CARESCAPE protocol error The MMG cannot interpret the received information e GE CARESCAPE Time_in_Alarm delta greater than 3 seconds A packet might have been lost for an ongoing alarm e The Capacity limit reached fault can occur for two reasons more than 80 simultaneous alarms CPU load too high 100 for more than 50 seconds e GE CARESCAPE time synchronization error The time difference between CARESCAPE and MMG exceeds the pre set limit 15 June 2012 Ver E 21 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB Appendix B List of medical terms The following list of medical terminology is intended to assist Ascom personnel during troubleshooting Term Explanation Apnea Lack of oxygen in the blood circulation Artifact May occur from loose leads or electrical contacts when measuring EEG EHG EMG ECG An electrical impulse of noncardiac origin which is recorded as a vertical spike on an
7. if locations disappear from CARESCAPE it will not automatically disappear from the location list at MMG To reflect the current situation the location list needs to be disabled and then enabled again Changes in the duty assignment will however be reflected in the location list automatically 3 3 Logs For troubleshooting purposes there are two major logs located in the Unite Connectivity Manager that collects log entries from all Unite equipment in the Alarm Management system Fault and Activity logs are stored centrally on the Unite Connectivity Manager This requires that all modules in the system are set up to send Fault and Activity log entries to the Unite Connectivity Manager For details see the respective Installation and Operation Manuals and Function Description Activity Logging in Unite TD 92341GB e Fault Log Contains information warnings and errors The Fault log is sometimes referred to as Status log e Activity Log Contains entries about all messaging activities in Unite Activity Log Viewer A tool for viewing information about activities in the system It is started from the Unite Connectivity Manager start page Extended Activity Log The Unite products can be set up to send additional activity information to the Activity Log Viewer This information is not logged to a file The Extended Activity Log shall only be used by Ascom personnel during debugging 3 3 1 Fault Log The Fault log is a complete log of a
8. is handled as an event in the Alarm Management system GE CARESCAPE MC Network Ethernet based network that connects GE patient monitoring equipment and servers Formerly called Unity MC Groups Used to set up messaging in the Unite Connectivity Manager If a message is sent from the MMG to a group number the message is sent to all Call IDs belonging to that group In the group setup the Call IDs to be included are specified See also user teams ICU Intensive Care Unit Hospital unit used as an example in template and use cases Message In the Alarm Management system a message sent to a device MMG Mobile Monitoring Gateway Interface to GE patient monitoring Unite The Unite system is another name for the Ascom Professional Messaging system The Unite communication protocol is used for communication within the Ascom Unite system Unite CM Unite Connectivity Manager Unite module handling users communication interfaces message routing activity logging and other essential messaging services Unity See GE CARESCAPE Network UPS Uninterruptible Power Supply User teams Used in Duty Assignment in the MMG to set up work shifts or as different types of personnel such as doctors or nurses Setup is done in the Unite Connectivity Manager Which user teams a user shall be a member of is also set up in the Unite Connectivity Manager See also Groups A list of medical terms can be found in Appendix B List of medical t
9. monitor This can be used to check the whole chain from the patient monitor to the handset e Simulated CARESCAPE Alarm This is used for sending a simulated CARESCAPE alarm from the MMG to the CARESCAPE port of the MMG By doing this a simulated alarm is received and handled by the MMG To send CARESCAPE test alarms admin or sysadmin login is required e Test ECG waveform image from the Image Presentation Server This is used for sending a test ECG waveform image from the Image Presentation Server to a handset when the user of the handset requests the image e Test message from the MMG This is used for sending a test message from the MMG to a handset with a selected Call ID e Test message from the Unite CM This is used for sending a test message from the Unite CM to a handset with a selected Call ID Test Test Alarm from Simulated Message Message a patient CARESCAPE from from monitor Test Alarm MMG Unite CM Patient Ascom Em ms AGE TA EN Test ECG Waveform ae from Image Presentation eN Image Presentation Server Figure 4 Test message ECG waveform image possibilities in the system 3 1 1 Simulated CARESCAPE Test Alarm The simulated CARESCAPE Test Alarm is first sent as an alarm from the MMG to the MMG itself which receives it and passes the alarm to the Unite CM When the Unite CM has received the alarm it forwards the alarm to the handset Troubleshooting Guide Alarm Management for GE Patient Monitoring TD
10. to Potential Problem Areas essence 16 4 1 Potential problem areas ssh hein 16 42 Troubleshooting ten nds 16 5 Related Documents ns vnveoseeonensvenseennvennvenseonenenensvenseennvenseensennennnennsennseonensnenveen 20 6 Document History neneonvonsensenvenvenvenvenvenveoreereerenneeneenvenveneenennennvenvenvenveoreerserenncnse 20 Appendix A Fault Log settings sense 21 Appendix B List of medical terms ss 22 15 June 2012 Ver E Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB How to use this document This document is intended for system administrators and technicians from Ascom and from GE Delimitation The document does not describe problems occurring in the CARESCAPE system the carrier system nor does it describe problems in handsets CE Ascom Sweden AB Grimbodalen 2 SE 417 49 Goteborg Sweden www ascom com ws 15 June 2012 Ver E 1 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB 1 Introduction This document serves as a guide during troubleshooting of the Alarm Management system 1 1 Abbreviations and Glossary Alarm The CARESCAPE MC Network handles alarms and the Alarm Management system receives alarms from CARESCAPE Device Can be an Ascom handset or other mobile handset used with Ascom equipment ELISE Embedded Linux Server used as the MMG and Unite CM platform Event An alarm that is received from the CARESCAPE Network
11. ECG monitor Bigeminy An arrhythmia consisting of the repetitive sequence of one atrial premature complex followed by one normal sinus impulse Brady Bradycardia A slow heartrate usually defined as less than 60 beats per minute Couplet 2 consecutive PVCs NBP Non invasive blood pressure Tachy A rapid heartrate usually defined as greater than 100 beats per minute The tachycardias include sinus tachycardia paroxysmal atrial tachycardia PAT and ventricular tachycardia Trigeminy A cardiac arrhythmia characterized by the occurrence of three heartbeats in a repeating pattern two normal beats coupled to an ectopic beat or two ectopic beats coupled to a normal beat trigeminal adj V Brady Ventricular Bradycardia Slowness of ventricular rate usually implying the presence of atrioventricular block V Tachy Ventricular tachycardia is 3 consecutive ventricular beats at a rate 120 beats min Asystole Cardiac arrest heart does not beat SPO2 Saturation of hemoglobin with oxygen as measured by Pulse Oximetry ACC VENT Accelerated Ventricular AR off Arrhytmia off ARR SUSPEND Arrhytmia supended Noise See Artifact PVC Premature Ventricular Contraction RONT When the R wave comes in the T wave Rate Regular RSP Normal Sinus Rhytm Respiration Sample Stores a sample of ECG ST Deviation Any deviation from the isoelectric line ST Limit ST Limit that violates the upper or lower limit for the ST value ST Reference VT gt 2
12. G start page click Configuration Click Advanced and Basic Administration Click GE CARESCAPE in the menu Click on the link Units Filters Disable the stop filter by adding a semi colon character in the first position in the Stop filter text field Do not forget to enable the stop filter afterwards that is remove the semi colon 7 Verify that the message arrives at the destination that is the handset 15 June 2012 Ver E 9 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB If this works continue with step 7 If it does not work the configuration in the Unite CM is not correct or there may be an error in the carrier system 8 In the handset press Accept and then Image Verify that the test image is displayed in the handset 3 1 3 Test Message from the MMG The test message is first sent from the MMG to the Unite CM which receives it and sends it to the handset with the Call ID that was entered This test verifies the complete chain of Ascom equipment except the MMG user settings made in the Duty Assignment Compared to the previous test it also verifies that the MMG is set up to use the number plan in the Unite CM 1 In the MMG start page click Configuration 2 Click Advanced and Basic Administration 3 Click Troubleshoot 4 Click Send Test Message 5 Enter a Call ID and click Send message 6 Verify that the
13. June 2012 Ver E 3 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB First find out whether the problem is located in the GE or Ascom equipment Generate an alarm at the patient monitor O If the message arrives at the handset it might be an intermittent error View the fault logs and or the activity logs in the Unite Connectivity Manager for more information see section 3 3 Logs If the message did not arrive continue with number 2 Send a CARESCAPE test alarm described in 3 1 1 Simulated CARESCAPE Test Alarm or 3 1 2 Test ECG Waveform Image from the Image Presentation Server The CARESCAPE Test Alarm is a simulated CARESCAPE alarm When the MMG receives the test alarm it is handled by the MMG sent to the Unite Connectivity Manager and passes the whole Alarm Management system to a handset Be aware that the simulated alarm contains a pre set alarm level and alarm text and therefore a stop or delay filter might intercept the message If this works troubleshoot the GE equipment or refer to the GE manuals or to the GE technical support Continue with number 5 to check what data that is received by the MMG If it does not work continue troubleshooting according to this document beginning with number 3 Send a test message from the Unite Connectivity Manager according to 3 1 4 Test Message from the Unite Connectivity Manager If this works send a test message from the MMG see number 4
14. MG level 5 corresponds to Advisory To get around this problem the priority that is the test Alarm level needs to be changed for the test alarm or the stop filter needs to be disabled Disable the stop filter In the MMG start page click Configuration Click Advanced and Basic Administration Click GE CARESCAPE in the menu Click on the link Units Filters Disable the stop filter by adding a semi colon character in the first position in the Stop filter text field Do not forget to enable the stop filter afterwards that is remove the semi colon 4 If this does not work continue with 3 1 3 Test Message from the MMG on page 10 15 June 2012 Ver E 8 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB 3 1 2 Test ECG Waveform Image from the Image Presentation Server A simulated CARESCAPE Test Alarm is first sent as an alarm from the MMG to the MMG itself which receives it and passes the alarm to the Unite CM When the Unite CM has received the alarm it forwards the alarm to the handset The user of the handset that accepted the alarm then selects to view the ECG waveform image by sending a request via Unite CM to the MMG The MMG then requests the test image from the Image Presentation Server that sends the image to the MMG The MMG forwards the image via Unite CM to the handset 1 In the MMG start page click Configuration 2 Click Advanced
15. PE Network In the MMG start page click Configuration Click Advanced and Basic Administration Click GE CARESCAPE in the menu Select which network traffic to mirror Alarms RWhat or Alarms RWhat in the Mirror CARESCAPE traffic drop down list Enter the IP address to which the mirrored traffic shall be sent to in the Mirror IP address text field Enter the IP port to which the mirrored traffic shall be sent to in the Mirror IP port text field For best result an application on the configured IP address shall be configured to receive udp traffic on the selected port number View Location List It is possible to view a list of all locations that are received from the CARESCAPE Network and which locations that are set up in Duty Assignment in the MMG Example 1 In this example some locations set up in Duty Assignment are never reported from CARESCAPE CARESCAPE MMG ICU BED1 ICU BED1 ICU BED2 ICU BED3 Figure 5 Example of a location list Example 2 An example of what could be viewed if CARESCAPE alarms from another department are received and if a location has been misspelled in Duty Assignment is CARESCAPE MMG CCUBED1 CCU BED2 ICU BED1 ICU BED1 ICU BED2 ICU BED2 ICU BED3 ICU BED4 ICU BED4 ICU BEDD3 To view the list of locations 1 In the MMG Start page click Service 2 The locations are shown in a list with e CARESCAPE locations the diffe
16. TD 92717GB Troubleshooting Guide Alarm Management for GE Patient Monitoring 15 June 2012 Ver E Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB Contents How to use this document seen 1 I IntrOHUCEION soscsccscsscsicssessescessesceaseacesssecsecsecnessecsesvessesteaseacebsnscnectechesnssessnssnsebsanstssssseseecnes 2 1 1 Abbreviations aNd GlOSSARY neer nennen neun 2 2 Workflow en eveonennennennennsenvenvenvenvenvenrenrenrennennennennennennvensenvenvenvenvenrenrenrennennennennvenvenr 3 2 1 General Troubleshooting nn 5 22 Low level Troubleshooting nmr tse 5 2 2 1 Elise3 EED INCI GATORS ennen dende 5 Sy TOONS esccsscdeccscccessasecsies2ccceccacscsctesscssasssonsonsioaseascaspascasocssesasdssdsccsaceadaecseoussscseosseassssenessaessees 7 3 1 Test Messages ECG Waveform Image essesssssessesseseesessessessecsssessseesessecseesesneeesseeneeneenees 7 3 1 1 Simulated CARESCAPE Test Alarm seen 7 3 1 2 Test ECG Waveform Image from the Image Presentation Server 9 3 1 3 Test Message from the MMG een 10 3 1 4 Test Message from the Unite Connectivity Manager 10 3 1 5 Mirror the Traffic Received on the CARESCAPE Network annen 10 3 2 View L catlomllSt neren nennen nnee ennen benner eenden 11 eer LOSS Sn en eden nanne 12 3 31 RAUNT LOS renners meenen sentent 12 3 3 2 ACV LOG nre a enten 13 3 3 3 Log Examples in the Activity LOg 14 4 Quick Guide
17. are set From here it is also possible to enter the Advanced Storage Settings page In the Log Export page settings for manual or automatic export of the Activity log can be done Automatic export can be set to start periodically or when the database is full The size of the Activity Log is limited by storage capacity which corresponds to 30 000 messages typical pagings with 50 characters per message There is no time limit When full the oldest 10 of the log entries will be deleted For details see Installation and Operation Manual Unite Connectivity Manager TD 92718GB 3 3 3 Log Examples in the Activity Log This example shows what a GE CARESCAPE alarm looks like when it is put into the activity log Exported in CSV format e The Logld is used to relate log entries triggered by an alarm e The QueueTm is the time when the message was received from GE CARESCAPE network and put into the MMG queue This can be used to verify that the ASCOM system received an alarm from GE CARESCAPE network e The Location is the GE CARESCAPE Bed name e The Alarm text is included in the message in this example it was an ASYSTOLE alarm The alarm text from previous alarms is also included normally truncated Serialnumber 701 Activityld UNITE paging Logid VtjkSdUpwA55xT9BgAA Priority 6 Origin Callld Unite address 10 30 4 37 Ascii CARESCAPE 01 Userld Time 2010 03 19 06 57 49 Receiver 1 Callld Unite address 10 30 4 37 TaskAssignme
18. ed gt Option 5 Reference 3 Text Close Option 6 Reference 6 Text RN Data response 3 Option 7 Reference 7 Text CNA Data response 4 Option 8 Reference 8 Text Back Option 9 Reference 9 Text Close 15 June 2012 Ver E 14 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB This example shows the response from the handset e The Origin and the Callld shows who responded to the message e Response data shows which option was selected Serialnumber 703 Activityld UNITE imResponse Logid VtjkSdUpwA5 5xT9BgAA Priority 3 Origin Callld 2085 Unite address 2085 10 30 4 31 DECT Userld 2085 Time 2010 03 19 06 57 58 Receiver 1 Callld Unite address 10 30 4 37 TaskHandler ID 1 Userld Time 2010 03 19 06 57 58 Status 200 Receiver 1 Callld Unite address 10 30 4 37 TaskHandler ID 1 Userld Time 2010 03 19 06 57 58 Status 200 Response data 1 15 June 2012 Ver E 15 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB 4 Quick Guide to Potential Problem Areas This section contains general troubleshooting areas such as FAQs and potential problem areas The figure shows how an alarm message is sent through the system MMG Padsndsncsinntcapeacsaseccssacetisensuascnsiassantnecssiisdsnssonsnassaconssnen Monitor Vali H alid Alarm passes Anyone s E end message Alarm i location filters assigned 9 i Filter i i Yes i Yes Unite Patient P Stop D
19. een e Wrong beep indication in Expected beep code has sS the handset been set in the MMG but the setting is overridden in individual messages defined in Action Configuration e The log event GE The time in CARESCAPE and Set time in the MMG or in CARESCAPE time in the MMG differs too much CARESCAPE This may be synchronization error has confusing when reading logs been found in the fault log e The log event GE Packets may have been Check connections CARESCAPE protocol error corrupted by for example has been found in the electromagnetic interference fault log or crosstalk Packets have been received Check compatibility see Data from a non compatible Sheet MMG TD 92653GB monitor e The log event GE Faulty router or a bad Check router and or connections CARESCAPE physical connection Time_in_Alarm delta Check if the MMG has been set up greater than 3 seconds Too many alarm broadcasts to receive broadcasts from too has been found inalog might be received by the many patient monitors MMG e The log event Capacity Too many alarm broadcasts Check if the MMG has been set up limit reached has been are received by the MMG to receive broadcasts from too found in a log many patient monitors 15 June 2012 Ver E 18 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB Problem Probable cause Action or comment e User assignments Someone is usi
20. erms 15 June 2012 Ver E 2 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB 2 Workflow It is important to isolate the problem to the GE or Ascom equipment as early as possible in order to determine whether it is GE or Ascom support that is responsible for solving the issue This section describes the workflow for troubleshooting in case of missing messages GE first line support Ascom first line support Generate an alarm at the patient monitor Did the message arrive To decide where the problem is located send a CARESCAPE test message The problem is not in Did the the GE equipment message arrive Send a test message from the Unite CM Check router Did the Unite CM connection message Chech the carrier arrive system Detect if the MMG is receiving data as expected Disable location list Enable location list with RWhat Wait 2 minutes View location list Send a test message from the MMG In the MMG check Duty Assignment user settings and filter settings Did the message arrive Misconfiguration MMG Check network Check filter settings connection Check location list Check configuration Do columns match column empty The Ascom equipment does not receive CARESCAPE data Figure 1 Troubleshooting tree describing the recommended workflow The following workflow is also shown in figure 1 15
21. form Image on page 7 Updated with ECG Waveform Images description Added 3 1 2 Test ECG Waveform Image from the Image Presentation Server on page 9 15 June 2012 Ver E 20 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB Appendix A Fault Log settings In all modules MMG Unite Connectivity Manager etc different levels of seriousness are set up for different kinds of faults The default settings should normally be used but can be changed A 1 CARESCAPE Fault Log settings in the MMG Some faults are CARESCAPE specific and the settings of the corresponding parameters are described here It is possible to change and set the parameter Seriousness for different fault types in the logs This is used for setting up actions in the Unite Connectivity Manager fault handler for all errors of a certain level of seriousness 1 In the MMG start page click Configuration 2 Click the Advanced tab 3 Click Basic Administration 4 In the MMG System Setup page click Troubleshoot 5 Click Module Fault List 6 The following CARESCAPE specific settings are found under the heading Ascii input module Here it is possible to set parameters regulating the seriousness of the different fault types Code Status Persistent Seriousness 4 3 13 GE CARESCAPE network lost Yes Error 4 3 35 GE CARESCAPE protocol error No Warning 4 3 36 GE CARESCAPE Time_in_Alarm
22. ger start page click Configuration In the left menu click Other Settings gt Administer Fault Log Click Export A dialogue opens Click Save to save the file or Open If Save is clicked a window to save the file is opened If needed select where to save the file Click Save The CARESCAPE specific log settings and suggestions of what to do are described in Appendix A Fault Log settings The maximum size of the fault log is 1 000 entries There is no time limit When full the 50 oldest entries will be deleted For details see Installation and Operation Manual Unite Connectivity Manager TD 92718GB 3 3 2 Activity Log The Activity Log stores activities such as messages from handsets alarms faults input output activities etc Activity logging is useful for troubleshooting For troubleshooting this log is especially useful to trace when a specific message was sent to whom and possible user responses To find the Activity Log In the Unite Connectivity Manager start page click Configuration In the left menu click Activity Log In the left menu choose Activity Log Viewer Storage Settings or Log Export The Activity Log Viewer shows the activities that are logged in the system depending on settings 15 June 2012 Ver E 13 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB In the Storage Settings page message priorities
23. hing patterns Status OK Status LED Blue Starting up shutting down Blue Feedback 7 second Blue Error fault Red Warning Red Mode LED Boot mode Yellow Demonstration mode Yellow Waiting for automatic startup 7 minute Mass storage mode Yellow also used while in Troubleshoot mode and during firmware upgrade Secured settings Status LED Mode LED Indicates that manual confirmation is required Confirmation is done and setting can be activated Power Power OK Power LED Closing down caused by low voltage Low voltage Red M also used if the Power parameter conflicts with the actual setup Figure 3 LED indications 15 June 2012 Ver E Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB 3 Tools 3 1 15 June 2012 Ver E In order to facilitate troubleshooting in the Alarm Management system there are some tools included such as test messages ECG waveform test image mirroring the network traffic logs and a log viewer Test Messages ECG Waveform Image There are different ways to trigger test messages depending on which part of the system to troubleshoot There is only one way to trigger a test ECG waveform image e Test message from a patient monitor In many cases an alarm can be generated manually from the patient
24. ll faults errors warnings and information that have occurred in the system Typical entries that can be found in the Fault log are abnormal situations such as restarts and communication problems This can be useful to track down intermittent errors 15 June 2012 Ver E 12 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB To get to the Unite Connectivity Manager start page enter the IP address of the Unite Connectivity Manager http XXX XXX XXX XXX For settings In the Unite Connectivity Manager start page click Configuration In the left menu click Other Settings gt Advanced Configuration Click Logging and Status Log In the Log Settings page click Status Log To view the Fault Log In the Unite Connectivity Manager start page click Configuration Inthe left menu click Status In the left menu click Active Faults or Fault Log The Fault Log page shows all logged faults while the Active Faults page only shows the active faults To administer the Fault Log In the Unite Connectivity Manager start page click Configuration In the left menu click Other Settings gt Administer Fault Log In the Administer Fault Log page it is possible to export the fault log to a file to clear the fault log and to set a timeout to block repeated faults To export a fault log manually In the Unite Connectivity Mana
25. message arrives at the destination If this works but the Simulated CARESCAPE Test Alarm did not the error is in the Duty Assignment setup 3 1 4 Test Message from the Unite Connectivity Manager The test message is first sent from the Unite CM to the Unite CM itself which receives it and sends it to the handset with the Call ID that was entered This test verifies the complete chain of Ascom equipment except the MMG In the Unite Connectivity Manager start page click Configuration Click Other Settings gt Advanced Configuration Click Troubleshoot Click Send Test Message ma BP WN Be Enter a Call ID and click Send message 6 Verify that the message arrives at the destination If this works but not the previous test there is an error in the communication between the MMG and the Unite CM If it does not work the Unite CM configuration is not correct or there may be an error in the carrier system 3 1 5 Mirror the Traffic Received on the CARESCAPE Network The MMG has the possibility to mirror all traffic received on the CARESCAPE network and send the information to a specific IP address NOTE The performance will be affected when enabled so be sure to disable when the troubleshooting is finished 15 June 2012 Ver E 10 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB 3 2 The following parameters are used to mirror communication received from the GE CARESCA
26. ng Layout are saved immediately in Setup in the Duty Assignment Duty Assignment on another client If Autosave has been enabled automatic saves may occur when working with Duty Assignment 15 June 2012 Ver E 19 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB 5 Related Documents Data Sheet Elise3 TD 92678GB nstallation Guide Elise3 TD 92679GB Data Sheet MMG TD 92653GB nstallation and Operation Manual MMG TD 92654GB User Manual Duty Assignment MMG TD 92691GB nstallation and Operation Manual Unite Connectivity Manager TD 92718GB Function Description Alarm Management for GE Patient TD 92655GB Monitoring Function Description Activity Logging in Unite TD 92341GB 6 Document History For details in the latest version see change bars in the document Version Date Description A 22 March 2010 First released version B 19 May 2010 e Changed the title to Alarm Management for GE Patient Monitoring old title Alert Management for GE Patient Monitoring e Added chapter 3 1 5 Mirror the Traffic Received on the CARESCAPE Network on page 10 Updated chapters e 3 1 1 Simulated CARESCAPE Test Alarm on page 7 e 3 1 3 Test Message from the MMG on page 10 C 20 October 2010 Document adapted to the Elise3 hardware D 18 November 2011 Added address information in How to use this document on page 1 E 15 June 2012 Updated 3 1 Test Messages ECG Wave
27. nt Userld Time 2010 03 19 06 57 49 Status 200 Receiver 1 Callld Unite address 10 30 4 37 TaskAssignment Userld Time 2010 03 19 06 57 49 Status 200 Subject Body QueueTM 06 57 49 AudAlLev 7 BCVer 1 TmInAlm 04I_AlarmState activedl_Type physiod WAlarmLevel 74AlarmLevelText Physio or Tech HighdlAlarm text 06 57 ASYSTOLE 4lCorrMess 17391 ASYSTOLEDa This example shows the corresponding paging sent to a handset e The Receiver 1 shows that the message is routed through the number plan e The Receiver 2 is the final destination in the handset e Status 200 indicates that the message was successfully delivered 400 499 indicates that the message did not reach the handset e Subject and Body shows the message content Serialnumber 702 Activityld UNITE paging Im Logld VtijkSdUpwA55xT9BgAA Priority 3 Origin Callld Unite address 10 30 4 37 TaskHandler ID 1 Userld Time 2010 03 19 06 57 49 Receiver 1 Callld 2085 Unite address 2085 10 30 4 47 MSC Userld Time 2010 03 19 06 57 50 Status 200 Receiver 2 Callld 2085 Unite address 2085 10 30 4 47 DECT Userld 2085 Time 2010 03 19 06 57 50 Status 200 Subject ACTIVE 17391 Body Physio or Tech High 06 57 ASYSTOLE Date 2010 03 19 Beep Code 7 Option 1 Reference 91 Text Accept Data response 1 Option 2 Reference 2 Text Busy Data response 2 Option 3 Reference 4 Text Assist Option 4 Reference 5 Text Call Data response call Digits to dial lt CallNo delet
28. rent locations that the MMG has detected from CARESCAPE e MMG locations the locations that have been set up in Duty Assignment 15 June 2012 Ver E 11 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB Notes about the location list If the same location appears in bold in both columns it is an active CARESCAPE location that has been set up in the MMG Duty Assignment A location that only appears in the CARESCAPE column is undefined in Duty Assignment A location that only appears in the MMG column has been set up in Duty Assignment but is not active in CARESCAPE Enabling or disabling storage of all received locations is set in the GE CARESCAPE page in the Basic Administration pages The list of active alarms received from CARESCAPE will be emptied each time it is enabled Note that if storage of all received locations is enabled it adds heavier load to the MMG It is therefore strongly recommended to have this function disabled during normal operation The location list may be useful if a CARESCAPE alarm does not reach its destination but a simulated test alarm does reach its destination The location list can be used to check whether the location setup in the MMG matches the active locations in CARESCAPE When storage of all received locations is enabled the location list at MMG will be updated with all active locations detected from CARESCAPE New locations will be added to the list but note that
29. sages are received start with chapter 2 Workflow Problem Probable cause Action or comment e Import of language to The language file hasthe Export the default language to the configuration GUI fails wrong format set the format and edit the language file 15 June 2012 Ver E 16 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB Problem Probable cause Action or comment e Set language fails in the The language file might be MMG or the Unite Connectivity Manager e Several functions of the system does not start and the status LED is NOT fixed blue see also figure 2 on page 6 e Java applet windows do not open e No Event Elements can be found in Action Configuration after adding them in Event Assignment e Missing information in the Activity log e Missing information in the Fault log e A filter does not catch an alarm e The CARESCAPE Test Alarm does not reach a handset 15 June 2012 Ver E faulty There is not a valid license The module has been running for more than two hours in unlicensed mode Java Runtime Environment is not installed or is too old The Event Elements have not been synchronized One or more products are not set up to send to the Activity log One or more products are not set up to send to the Fault log The filtering feature is case sensitive and the wrong case might have been used
30. tivity Manager and handsets To see if a message has been sent view the Activity log in the Unite Connectivity Manager see 3 3 2 Activity Log Additional information is found in Installation and Operation Manual Unite Connectivity Manager TD 92718GB Possible communication problems etc can be detected by viewing the Fault log see 3 3 1 Fault Log e Firewall issues or No Indication of Connected Device If there is a firewall between the Unite equipment and any devices the firewall may need some configuration to allow communication For a description of used ports see the corresponding appendix in Installation and Operation Manual Unite Connectivity Manager TD 92718GB and Installation and Operation Manual MMG TD 92654GB 2 2 Low level Troubleshooting The Elise3 hardware is used by both the Mobile Monitoring Gateway MMG and the Unite Connectivity Manager Unite CM 2 2 1 Elise3 LED Indicators Mode button Status LED Power LED Figure 2 Elise3 module The LEDs show different colors to determine type of information and have different flashing frequency for showing the priority Colors Red Fault indication Yellow Mode indication Blue Normal operation OK Flashing frequency Fixed light indicates normal state Slow flashing light indicates medium attention Quick flashing light indicates high attention 15 June 2012 Ver E 5 Troubleshooting Guide Alarm Management for GE Patient Monitoring TD 92717GB Flas
31. uty i AA Monitor Location D Assignment p Connectivity Portable Group Manager Figure 6 System overview 4 1 Potential problem areas Check if any of the following potential problem areas might cause a problem e Check that the filtering feature in the MMG does not block messages e Ifa change of IP addresses has been made check that the change has been made in all places e Ifauser is not granted access check that correct user rights have been given in the MMG e fa message does not reach its destination check the Duty Assignment settings and the User settings For Duty Assignment for example check that a user has been assigned for that location e If radio transmissions from radio channels in the GE equipment typically telemetry equipment interfere with the messaging traffic One of the systems either Ascom system or GE system has to change radio channel if other actions does not solve the problem such as lower the output power in the Ascom system or relocating antennas or using band pass filters in the telemetry system An appendix in the Function Description Alarm Management for GE Patient Monitoring lists approved frequencies in different countries e Also refer to the table in 4 2 Troubleshooting e A location may be missing or incorrectly configured 4 2 Troubleshooting This section lists a number of possible problems probable causes and suggested actions If no mes
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