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CardioSoft - Davis Medical Electronics

1. 2000 eee aee 3 19 3 4 4 2 Electrical Interfaces 0 2 cece eee eee 3 19 3 5 Troubleshooting Help Functions 0 ccceeee scene eee eee 3 22 CardioSoft Revision C 2014708 001 Troubleshooting TipS c cee ee eee eras 4 1 4 1 Frequently Asked Questions cece cece eee eee eee eens 4 1 4 2 Printer debugging errero eni a E A A ER ees 4 10 4 3 General Troubleshooting 0ccecee eee eee eee eee eens 4 11 4 4 System diagnosis with Windows 2000 ME XP 4 14 4 5 Reprogramming Serial Number 00 eee eee e eee eee ees 4 14 4 6 Database Repair for CASE CardioSys Card_RepV5 x 4 15 tor GON al caivnadaneatalta bed ah E n E eR RAA 4 15 4 6 2 Directory Filestructure 0 0 0 0 eee eee eee 4 16 4 6 2 1 Case CardioSys directory structure 0 4 16 4 6 2 2 Repair directory structure 00 4 17 46 3 User Interface 2 ccc eke erent ne i E aE 4 17 46 4 After Repair 0 00 2 4 18 4 6 5 gt Special E iea a e e e doesent ebay 4 19 46 5 1 Merging da e erees teeneid a A 4 19 4 6 5 2 External stored examinations u ne 4 19 4 6 5 3 Examinations with Online ECG auauai 4 19 4 6 5 4 Repair Message codes uunc 4 20 46 5 5 Patient Filtler oeenn ee enanta e EE ees 4 21 4 7 Remote Servicing ccc ce cece eect eee ee ees 4 21 5 Supported Operating Systems 00 ee eee 5 1 6 Care and Maintenance
2. 0e eee eeee eee 6 1 6 1 General introduction 0 ccc eee eee ete eee eee eee eens 6 1 6 1 1 Recommended Test Equipment 2200 cee eee 6 1 6 1 2 Leakage Current Measurement 000 c cece eee eee 6 1 6 1 2 1 Enclosure Leakage Current Test 00005 6 1 6 1 2 2 Patient Leakage Current Test 00008 6 2 6 1 2 3 Enclosure Leakage Current Test System 6 3 6 1 2 4 Protective Earth Resistance Test 0005 6 4 Revision C CardioSoft 3 2014708 001 Specifications wists seceeeine ieee eini i sii ndini isa 7 1 7 1 Technical Specifications for CAM USB and CAM 14 7 1 7 2 Description of Conformity of CAM USB to IEC 60601 1 2 Second Edition ii rde erie pnn inre a o a a Eaa eeu 7 3 7 3 Technical Specifications CORINA asasena 7 6 7 3 1 ECG Signal Processing o iererririrecie rieren ei Ee e 7 6 Tog Analog output data 0 tein iE TE EE EE AEE ae 7 6 7 3 3 Signal Output aeea a a e a e EEE EA eae 7 1 T34 Powersupply nienean i a a al aun ea 7 7 T39 EnVIrONMENE siente EE nE EEEE nei tea Oe 7 1 13 6 E A U EEDE taunted A E SS SENS 7 8 Spare Parts sis Pk Pie des Sites bteurtes ahaa ee indy 8 1 8 1 GAM USB s orcie fort este he cinta cle canis le sieve ond gain aeons aao bie 8 1 8 2 CORINA sds bhivdie note ea oon eee ee ae 8 3 CardioSoft Revision C 2014708 001 1 Introduction 1 1 Manual Information 1 1 1 Revision Hist
3. Revision C CardioSoft 4 1 2014708 001 Troubleshooting Tips Frequently Asked Questions Question PATIENT MODULE is not detected at the LPT port Solution Set LPT Mode in BIOS to NORMAL MODE not to ECP or EPP Mode If this will not help please use Multi I O card from GEMS IT Service PN 2000148 001 There is be anew PATIENT MODULE generation with better communication capa bilities PATIENT MODULE V3 1 available Because of the enhanced communi cation features this new PATIENT MODULE only will work with newer CardioSoft versions greater equal V4 14 PATIENT MODULE V3 0 and older work only with PCI card VSCOM210 PATIENT MODULE V3 1 and higher work with all XT compatible or 16550 com patible PCI cards Question got the error message 115 when installing CardioSoft Solution The file that was displayed within the error message is write protected or the actual User do not have the rights to write to the destination directory Change the readonly attribute for the file or the User s policies Question When I start CardioSoft get a data base error Solution Copy new REORG BAT file from CardioSoft V4 1x directory to DATABASE directory and start a reorganisation of the data base Question When open an examination get a Decompression Error Solution Use Check and repair hard disk using SCANDISK or CHKDSK Then restore the system by using the last BACKUP fi
4. 3 6 3 2 7 Replacement of CORINA Model 1 4 through newer CORINA Variants with enhanced communication interface to PE AOU NEIT Meena a salar datc ae ands 3 6 3 3 Introduction o esicecsAe Mate a wine a aa a ias 3 6 3 3 14 Repair Procedure 00 aaea 3 7 3 4 Hardware Structure cece eee eee eee eee eens 3 7 3 4 1 Physicomechanical Structure 0 cece eee eee eee 3 7 SAW CASING pcs canceaciie E antecedent 3 7 3 4 1 2 Floating screening 0 eee e eee eee ee 3 8 3 4 1 3 PCBCORINA 0000cc cece eens 3 10 SATAY Cabet PC niance tases Bead a deeds dab e adn 3 11 3 4 1 5 Pump Module 0000 c eee eee eee 3 12 3 4 1 6 PCB CORINA TRIGGER 200055 3 13 3 4 1 7 Insulation Foil for PCB CORINA TRIGGER 3 13 3 4 1 8 Internal Wiring of the Analog Output 3 14 3 4 2 Electrical and electronic structure 20000e eens 3 14 3 4 2 1 ECG Processing cece irae k eens 3 14 3 4 2 2 CONTROLLER asi sma isnt e R 3 14 342 3 PC PORT drerean e e EA Seen ne E 3 16 3 4 2 4 Optional Analog Out Electronics n uaaa 3 16 3 4 3 Internal Interfaces 0 0 c cee teens 3 18 3 4 3 1 Mechanical Interfaces 2 0000 eee aee 3 18 3 4 3 2 Electrical Interfaces 0 c cece eee eee 3 18 3 4 4 Interfaces to Peripherals 0 0c cece ee eee eee 3 19 3 4 4 1 Mechanical Interfaces
5. Q h N 2 Z lt 0 0 Figure 3 20 3 18 CardioSoft Revision C 2014708 001 Aquisition Modules for CardioSoft Hardware Structure The pump module interface is in the form of a 3 pin male multipoint connector The pump module requires only a 12 V power supply 3 4 4 Interfaces to Peripherals 3 4 4 1 Mechanical Interfaces CORINA has three mechanical interfaces These are power cable to PC connection socket for patient cable nozzle for air tubing optional Analog Out connector A 00 000000 Figure 3 21 3 4 4 2 Electrical Interfaces CORINA has two external interfaces These are interface to PC ECG input optional Analog Out 3 4 4 2 1 Interface to PC Data interface Y S 1 m gt __ 82 Ezoo FFs FFAS m OP SSS lon os WN oo MOD ZA Dla e 4 2 3 4 5 6 7 8 9 10 n 2 3 00000000 eee 00000008 0008 14 15 16 17 18 19 20 21 22 23 24 2 o Oooog g csgzzZ2z2z is wbo PUGS Figure 3 22 Revision C CardioSoft 3 19 2014708 001 Aquisition Modules for CardioSoft Hardware Structure 3 4 4 2 2 ECG Input Description of interface OUT 0 5 data to PC OUT6 ACK data bit to PC and data acceptance confirmation this interface lead fulfils two functions READ MODE gt data line D6 data from CORINA gt PC WRITE MODE gt ACK data from PC gt CORINA For outputs OUT 0 OUT 1 and OUT 3 it is important to observe that these
6. Copy merged database to server database Map drive letter to cardio e g f Copy contents of x CARD_R0 to f Empty x CARD_RO Note Local users and the configured reports will not be merged automatically by CARD _REP If you want to take the users and the configured reports from a special station press the button Users Conf Rep to copy the files from the local database to the corresponding repair directory For detailed information see section Database Repair Tool chapter 4 6 in this document F Install CardioSoft Application Software Login as Local Administrator 2 Map the next available drive letter to the cardio share on the CardioSoft server Note Make sure the Reconnect at login box is checked 3 Begin the installation of the CASE application appropriate CD Drive If the installation does not start automatically wait some seconds launch setup exe in directory Disk1 e Disk1 setup 4 At the Choose Destination Location screen select Browse and browse to the root folder of the network drive that was just mapped to the CardioSoft server 5 Verify the Path edit box value is the root folder of the mapped network drive e g f 6 Finish the installation and reboot the system as prompted 2 8 CardioSoft Revision C 2014708 001 Installation Installation of the Software Merging Databases with Card_Rep Tool d icase CardioSoft Server ie
7. SOUND Directory Sound Files from all modalities sa Sound Files ONLINE Directory Online Files from all modalities gt Online Files NARRATIV Directory Configured Reports mE Configured Reports from all modalities 4 6 2 2 Repair directory structure 4 6 3 User Interface The repair directories have fix names from Card_RO to Card_R9 where any write able disk drive can be selected Select the directories where Case CardioSys is installed Program Directory This is important because CARD_REP generates the directories of all modalities depending on this directory Select the disk drive and the directory where all the repaired data is stored Make sure that there is enough disk space Special Settings for handling the patient data This is what to do when the patient data which is stored in the examination file is different from the data stored in the database This may happen when the patient data is modified after an examination was made 1 Control the Patient data with a dialogue 2 Use always the Patient data from the examination file 3 Retain always the Patient data found in the database 4 Update empty fields of the database with valid entries from the examination file Special Settings for handling the examination data This is what to do when the key which is generated out of the examination file is already available in the database This may happen when examination are merged from different directories and th
8. CORINA power supply ESD protection data communication to and from PC Control Bus YATIONLNOO 9 S S FIFO Data Bus 5V direct 5V 12V Figure 3 16 All cables leading to and from the PC are provided with ESD protection A DC DC transducer is used to generate the 5 V This transducer generates the 5 V power voltage from the 12 V received from the plug in power supply The DC DC transducer can be switched on and off by the PC via the control cable There is a connector on the PC to connect the 12 V The pump module can then be connected to this connector Data communication between PC and CORINA is via a FIFO This enables the PC to pick up ECG data at any time The FIFO has a memory depth of 8 K 32K X 9 bits 7 4 bits being used of these 6 3 bits for ECG data and 1 bit for synchroniza tion All output leads are led through a driver chip 3 4 2 4 Optional Analog Out Electronics The PCB CORINA TRIGGER provides the user with a floating analog ECG output signal for connection to ultrasound units Pacing pulses are blanked out Funtionality Using QSPI serial data transfer the ECG data are transmitted via a medically float ing segment to a D A transducer 10 bits located on the PCB CORINA TRIGGER The analog output signal is subsequently standardized amplified and made available to the user The signal is short circuit proof unfiltered and does not have AD
9. Signal input Signal output P10 amp Fuse On Standby iis Classified by Underwriters Laboratories Inc with respect to electric shock fire mechanical and other OY specified hazards only in accordance with UL 2601 1 CAN CSA C22 2 No 601 1 IEC 60601 1 and UL ROVA GANGSA at if required IEC 60601 2 27 IEC 60601 2 30 IEC 60601 2 34 IEC 60601 1 1 1 4 CardioSoft Revision C 2014708 001 Introduction Service Information 1 5 Service Information 1 5 1 Service Requirements Follow the service requirements listed below Refer equipment servicing to GE Medical Systems nformation Technologies authorized service personnel only Any unauthorized attempt to repair equipment under warranty voids that warranty It is the user s responsibility to report the need for service to GE Medical Systems Information Technologies 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 Revision C CardioSoft 1 5 2014708 001 Introduction Service Information For your notes 1 6 CardioSoft Revision C 2014708 001 2 Installation 2 1 Installation of the Software After Software installation
10. non destructive range for lead electrode connections and the neutral electrode connection referred to chassis either polarity e g defibrillation 1500 V 7 3 2 Analog output data Important ECG signal output to synchronize ultrasound units not for diagnostic purposes lead II standard configurable with CardioSoft CardioSys V 3 0 and later ECG lead selectable from CORINA amp CardioSoft Version V3 0 floating output 1500 V referred to ground chassis 1 V output signal per 1 mV input signal Umax 10 V offset accuracy over the entire range lt 300 mV typically full deflection accuracy over the entire range typically lt 3 RL min 2kOhm delay lt 10 ms pacing pulse filtered out unedited signal unfiltered no ADS short circuit proof 7 6 CardioSoft Revision C 2014708 001 Specifications Technical Specifications CORINA 7 3 3 Signal Output 7 3 4 Power supply 7 3 5 Environment Insulated ECG signal output 1 V floating output pin assignment 1 signal output 2 zero 3 not assigned output voltage 10 V 5 minimum load 2 kOhms max output current 5 mA delay input output lt 10 ms From plug in power supply unit type FW 7324 2 supplied with the system The newer PCB version used in CORINA 101 118 31 36 and 101 118 41 44 you can choose between the FW 7324 2 power supply or the new SW 172 widerange power supply The default is the FW 7324 2 power supply
11. CASE 1 with local examinations ie CASE 2 with local examinations install application on each station Cardio V5 new directory copy once when upgraded all stations he CASE x with local examinations merge databaseon each station DB_Merge CARD_RO temp Directory merge once when e g cicardio upgraded all stations W CARDIOSYS x with local examinations Card_Old existing database renamed directory formerly e g Cardio d cardio iL CARDIOSOFT x with local examinations Revision C CardioSoft 2 9 2014708 001 Installation Installation of the Software 2 1 1 2 Installation of CardioSoft Web on a Web Server Do following steps to install CardioSoft Web 1 Installation of Microsoft Information Server 2 Installation of CardioSoft Web 3 Installation on Workstation Installation of CardioSoft Web on a Windows Server running Internet Infor mation Server IIS It is assumed that Windows Server and IIS IIS from Windows Server CD is already installed Install CardioSoft Web with the description of topic Installation of CardioSoft Web Set the location of the CardioSoft Database through the following entry in the sec tion Cardio of the file win ini CFG_ProgDir lt DriveLetter gt lt path gt c cardio or CFG_ProgDir lt machine gt lt share gt lt path gt mhd Csys42 CardioSoft Use Microsoft Management Console MMC to configure the CardioS
12. the CAM USB should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the CAM USB b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Recommended separation distances between portable and mobile RF communications equipment and the CAM USB IEC 60601 1 2 The CAM USB is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the CAM USB can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the CAM USB as recommended below according to the maximum output power of the communications equipment Rated maximum output Separation distance according to frequency of transmitter m power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz w d 1 17 P d 1 17 P d 2 33 P 0 01 0 12 0 12 0 23 0 1 0 37 0 37 0 74 1 1 17 1 17 2 33 10 3 7 3 7 7 37 11 7 11 7 23 3 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 8
13. CFG ProdName GE marquette CardioSoft Poduct name for CardioSoft GE marquette MicroLab Poduct name for MicroLab CFG_CorinaTime 5 CFG_Abcux 2977 2978 or entry not available USA version 2977 international version CAUTION If the file win ini is inadvertently deleted only the USA version of Car dioSoft can be started It is thus advisable to make a backup of the INI files from time to time INST_DevType 0 Device Type is set from the Installation Program 0 CardioSoft is default if value not present 1 CardioSoft 2 MicroLab 3 CASE RES ShowQTDispTable Range of values 0 1 Default 1 Meaning Output of the QT data for all leads in the measurement table GRA_PrinterFontFactor Range of values 50 500 Default 100 Meaning Font size factor for print fonts GRA_ScreenFactor Range of values 50 500 Default 100 Meaning Multiplication factor for screen display fonts GRA_GridWeight Range of values 1 9 Default 5 Meaning Grid points in printouts GRA_CharSet Range of values 0 17 Default 0 Meaning Determines the character set for the CardioSoft fonts Revision C CardioSoft 2 13 2014708 001 Installation Installation of the Software ANSI CHARSET DEFAULT CHARSET SYMBOL_CHARSET SHIFTJIS CHARSET Recommendation for Japanese OEM_CHARSET BALTIC CHARSET CHINESEBIG5 CHARSET EASTEUROPE CHARSET GB2312 CHARSET 9 GREEK C
14. Temperature Humidity Pressure 10 to 40 C 50 to 104 F 30 to 90 RH non condensing 700 to 1060 hPa Storage Transport conditions Temperature 30 to 60 C Humidity 10 to 90 RH non condensing Pressure 500 to 1060 hPa 7 2 CardioSoft Revision C 2014708 001 Specifications Description of Conformity of CAM USB to IEC 60601 1 2 Second Edition 7 2 Description of Conformity of CAM USB to IEC 60601 1 2 Second Edition CAM USB means CAM USB Interface box and CAM 14 Aquisition Module Guidance and manufacturer s declaration electromagnetic emissions IEC 60601 1 2 The CAM USB is intended for use in the electromagnetic environment specified below The customer or the user of CAM USB should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance Emissions test Compliance guidance Electromagnetic environment Emissions test Compliance Electromagnetic environment guidance RF emissions CISPR 11 Group 1 The CAM USB uses RF energy only for it s internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Harmonic emissions IEC 61000 3 2 not applicable Voltage fluctuations flicker emissions IEC 61000 3 3 not applicable The CAM USB is suitable for use in all estab
15. normally the same as the Web Server Use Username and Password if this information is required for the FTP Server For MUSE 4 x the prefered method will be the shared directory 1 Specify the account informations on CardioSoft gt System Configuration gt MUSE by enabling Data transfer via shared directory 2 Type in the correct shared directory Use Username and Password if these informations is required for accessing this shared directory Revision C CardioSoft 2 19 2014708 001 Installation Installation of the Software Example Use an existing mapped network drive f e F as a synonym for SvrName SharePointName already established from file manage reconnected at logon time not available if using a modem or use the UNC Format in a valid form like SvrName SharePointName If no DNS WINS is installed on the domain server f e you re using RAS write 123 456 789 255 SharePointName all samples without quotes where 123 456 789 255 is the physical IP address of the Server Transfering examinations to MUSE using FTP or shared directory the connection to the server can be established via local modem Enable Start modem connection before transfering data to use these RAS func tionality Note You have to configure the modem RAS phonebook etc in a separate step Modem RAS Installation Prerequisites RAS access on MUSE Server for required account Transfering Data from to
16. s 22 8 gj 2 23 3 2 a3 5i 8 32 oe a 2 fers 2 Gp J a m a 2009590 001 2008614 001 2010210 001 d Ss xo D xo a 4 a4 CardioSoft Revision C 2014708 001 Aquisition Modules for CardioSoft CORINA 3 2 3 2 1 3 2 2 3 2 3 3 2 4 CORINA Context CORINA is an ECG recorder for the system CardioSys and CardioSoft CORINA stands for CORD INTEGRATED AMPLIFIER and is an interface between patient and personal computer There are four CORINA models Supported Operating Systems and System performance CORINA and CardioSoft V5 x are working with a Windows ME Recommended PC min 1 6 GHz min 128 MB SDRAM min 20 GB HDD b Windows 2000 SP2 or higher Recommended PC min 1 6 GHz min 128 MB SDRAM min 20 GB HDD c Windows XP Professional SP1 or higher Recommended PC min 1 6 GHz min 128 MB SDRAM min 20 GB HDD Model 1 CORINA Comprises the following components Compact plastic casing with interfaces for patient cable and connection cable to PC All the electronics are integrated inside the casing This includes ECG preprocessor controller to buffer data data converter and transfer to PC The electronics has its own power supply Model 2 CORINA with Suction Pump Is designed for use with the Electrode Application System The casing also houses the suction pump with the additional electronics required Casing design CORINA models 1 2 eo 0000
17. 01 00 Stage 2 01 00 01 00 01 00 Stage 3 01 00 01 00 01 00 Stage 4 01 00 CardioSoft CardioSoft since version 4 2 and CASE 8000 use the interval time entries stage dependent so a time entry belongs to its stage and will be repeated until the stage is over Question Integration of CardioSoft in an archiving system of the customer Solution Customer buys Adobe Acrobat V4 0 V 5 x Adobe Acrobat installs a printer driver which can generate PDF files This generated PDF files can be send to the archiving system of the customer and the archiving system can view this files with the PDF reader PDF files can be printed with high quality on a Laser Printer This PDF files are better than Export screen shoots as JPG files Question Proxy Settings from the Internet Explorer influence the FTP file transfer to MUSE Solution If a Proxy Server name is configured than must be the intranet MUSE FTP Server Name excluded from the Proxy Server CardioSoft Revision C 2014708 001 Troubleshooting Tips Frequently Asked Questions Problem The Windows 2000 network display a BTRV error message when a registered user tries to invoked CardioSoft Solution In the Windows 2000 network register the user and grant ALL rights In Windows 2000 the selection of users with limited rights is the default setting Question 11007 Error starting print job on Windows 2000 PC Solution This Error Message is
18. Corina Serial Number The following Screen comes up Read Acquisition System Information Only when the Acquisition System serial number is 0 the Serial Number Programming Mode can be entered E Service Tool for Corina and CAM USB 5 0 x ge GE Medical Systems JO Injormation Technologies Acquisition System serial number Read Acquisition System Information Enter Serial Number Programming Mode Acquisition System VE software revision Acquisition System found on port Vendor ID 0x05D0 Product ID 0x0008 Device ID 0x0001 WA CAM USB hardware revision r Status Connection CONNECTED Close Error Code Figure 4 1 Enter the serial number The Serial number always starts with 101 and has 9 Digits Select the Target System When the Serial number is entered correct the button Pro gramming is enabled Press it to program the serial number 4 14 CardioSoft Revision C 2014708 001 Troubleshooting Tips Database Repair for CASE CardioSys Card_Rep V5 x Programming Mode xi m Enter Serial Number Serial Number 9 Digits 101 xxxxxx VERIFY Serial Number 9 Digits 101 xxxxxx rm Select Target System C CardioSoft C CardioSys C MicroLab rm Status Generated Serial Number Programming Status Programming Figure 4 2 4 6 Database Repair for CASE CardioSys Card_Rep V5 x 4 6 1 General m The repair tool can be use
19. ECGs 2 1 3 General Entries in INI Files All INI Files are in the Windows Dirctory Procedure Setups will be stored in CAR DIO INI General settings will be stored in CA_SYS INI and could be exported to floppy disc Special service settings are stored in WIN INI When CardioSoft is started the first time and there is no CA_SYS INI or no entry in this INI file the default values from the WIN INI will be used and copied to the CA_SYS INI file After that the values from the CA_SYS INI file are used 2 12 CardioSoft Revision C 2014708 001 Installation Installation of the Software 2 1 4 Entries in WIN INI Entries from the file WIN INI described here are mainly those which cannot be changed directly by changing settings in CardioSoft Describtion of the CARDIO section in the WIN INI File Font entries full screen HF output CARDIO GRA_ScreenFontl Default MS Sans Serif GRA_ScreenFont2 Default Arial GRA_ScreenFont3 Default Courier New GRA_ScreenFont4 Default Small Fonts GRA_ScreenFont5 Default MS Sans Serif GRA_PrinterFontl Default Times New Roman GRA _PrinterFont2 Default Arial GRA _PrinterFont3 Default Courier New GRA _PrinterFont4 Default Small Fonts GRA_PrinterFont5 Default Times New Roman
20. Level mm 10 1 9 6 xxxxl ST Slope mV s 10 0 1 6 xx 12 ST Integral uV 12 6 9 x Ending 4C Checksum 7 CR Carriage return Notes 1 Could be K for KPH Kilometers per hour If so SPEED is KPH Could be P for KPM Kilopondmeters If so SPEED is KPM from Ergo Could be W for WATTS Watts From Ergo Could be D dor DEGREES If so GRADE is DEGREES This is ECTOPIC COUNT for the minute previous mmHg If unavailable pass 0 If unavailable pass 999 Sle Oy Ori ee Sa S Rightmost 2 ASCII characters of checksum Checksum includes all spaces Alpha characters must be Upper Case If Ergometer Watts or KPM SPEED value is not 10 9 Not supported in the current version value 999 o0 10 The stage names are fixed as the following table shows Phase Stagenumber Stagename in the shared file 4 characters Pre Test 1 base Pre Test 2 warm si warm Exercise 1 ramp ae ramp Recovery 1 reco reco Revision C CardioSoft 2 23 2014708 001 Installation Installation of the Software 2 1 9 2 Communication over shared file If this option is set test data is written every 5 seconds to a shared file with the name ERGOSPIR DAT The default directory for the file is C TEMP It is possible to change the directory of the shared file with a entry in the file WIN INI in the Win dows directory The name of the entry must be SpiroDirectory in the section CAS_RECORD Example entry in the file WIN INI
21. MULTISCRIPTOR MUSE MUSE CV Neo Trak NEUROSCRIPT OnlineABG OXYMONITOR Pres R Cuff PRESSURE SCRIBE QMI QS Quantitative Medicine Quantitative Sentinel RAC RAMS RSVP SAM SEER SILVERTRACEH SOLAR SOLARVIEW Spectra 400 Spectra Overview Spectra Tel SpiroSoft ST GUARD TRAM TRAM NET TRAM RAC TRAMSCOPE TRIM KNOB Trimline UNION STATION UNITY Logo UNITY NETWORK Vari X Vari X Cardiomatic VariCath VARIDEX VAS and Vision Care Filter are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office 12SL 15SL Access AccuSpeak ADVANTAGE BAM BODYTRODE Cardiomatic CardioSpeak CD TELEMETRY LAN CENTRALSCOPE Corolation EDIC EK Pro Event Link Cirrus Event Link Cumulus Event Link Nimbus HI RES ICMMS IMAGE VAULT IMPACT wf INTER LEAD IQA LIFEWATCH Managed Use MARQUETTE PRISM MARQUETTE RESPONDER MENTOR MicroSmart MMS MRT MUSE CardioWindow NST PRO NAUTILUS O SENSOR Octanet OMRS PHi Res Premium Prism QUIK CONNECT V QUICK CONNECT QT Guard SMART PAC SMARTLOOK Spiral Lok Sweetheart UNITY Universal Waterfall and Walkmom are trademarks of GE Medical Systems Information Technologies GE Medical Systems GE Medical Systems Information Technologies GmbH Information Technologies Inc Munzinger Str 3 8200 West Tower Avenue D 79111 Freiburg Germany Milwaukee WI 53223 USA Tel 49 761 45 43 0 Tel 1 414 355 5000 Fax 49 761 45 43 233 800
22. MUSE can be done via LAN or modem Select taskbar gt Start gt Settings gt Control Panel 2 Doubleclick on Modem and follow the questions on the displayed dialogs Take attention in Properties gt Call preferences and disable Wait for dial tone before dialing if modem is linked in an Inhouse telephon compount Select taskbar gt Start gt Settings gt Control Panel Doubleclick on Network Select Tab Services add Remote Access Service and confirm by OK Choose TCP IP protocol in Properites gt Network Select taskbar gt Start gt Programs gt Accessories gt Dial Up Networking Describe your connectivity to the MUSE server modem SISOS Si sae OP 8 Behind Advanced gt change properties gt Tab Server select the correct type of server protocol TCP IP and the properties for this protocol So far it s possible to establish a RAS connection for receiving patient and order information from MUSE or for transfering examinations to MUSE In advance you should confirm the configuration of RAS Modem before you start a transfer in CardioSoft Use explorer exe or winfile exe after establishing a connec tion to a PC via RAS and try to down upload some files Example The most problems occur with Dial Up Networking gt Advanced gt change properties gt Tab Entries gt Configuration gt Modem com pression and in combination with gt Tab Ser
23. Revision C 2014708 001 Installation Installation of the Software Some printer drivers have problems managing the printout area so that the last line may be missing for example Where printing should start can be set as follows PRI_FrameLeft left hand margin in 1 10 mm PRI FrameTop top margin in 1 10 mm CARDIO Range of values 0 1 Default 0 Mai_MoveMainWindow 0 Meaning 1 The main window can be moved by clicking on the title bar in the initial screen 0 The main window can not be moved 2 1 5 Entries in SETUP_CM INI This file is located in the program directory Option to set the sorting sequence of the alphanumerical key as required Example sort patients in reverse order max 255 characters permitted DATABASE SortTable ZzYyXxWwVvUuTtSsRrQqPpOoNnMmLIKkJjliHhGgFfEeDdCcB bAa This entry only comes into effect when made before calling up CardioSoft for the first time The sorting sequence is stored in the database during its creation If a change in the sorting sequence is to be made at some later time the entire database has to be deleted 2 1 6 Directory structure and notes on CardioSoft files When installing CardioSoft it creates a subdirectory default CARDIO into which the files required for execution are copied When calling up CardioSoft for the first time several subdirectories are then created in this directory for the examination data speech entries and the configuration
24. Settings Home Directory from C WINNT to C CARDIO Change security settings for C WINNT add permission write for Group Users C WINNT WTN INI add permission full control for Group Users C WINNT CA_SYS INI add permission full control for Group Users C WINNT CARDIO INI add permission full control for Group Users Revision C CardioSoft 2 3 2014708 001 Installation Installation of the Software 2 Windows XP Log on as Administrator To log on as Administrator press CTRL ALT DEL twice to get the log on screen Run Cardio exe at least once that the Registry entries for Btrieve Technolo gies appears in the Registry Make the following changes in the registry use regedt32 exe Change security settings for key HKEY LOCAL_MACHINE Software Btrieve Technologies set permissions for Group Users to full control Change the value for the key HKEY LOCAL_MACHINE Software Btrieve Technologies Microkernel Workstation Engine Version6 1 5 Settings TraceFile from C Windows MKDEWE TRA to C CARDIO Change the value for the key HKEY LOCAL_MACHINE Software Btrieve Technologies Microkernel Workstation Engine Version6 15 Settings Home Directory from C Windows to C CARDIO Change security settings for files and directories If the explorer does not show the security tab then go to the explorer menue Tools FolderOptions gt View and uncheck Display simple folder view in Explores Folder
25. generated if the print job can not be started Reasons for this error message 1 No printer is defined as Default Printer or 2 The user does not have all rights The user in Windows 2000 must be not created as belonging to the restricted user group default for new users in Windows 2000 The user must belong to the administrator group with full rights Problem On some occasions the program does not calculate the target load Solution To calculate the target load the program needs to know the patient s gender date of birth height and weight In the following situations the program is not able to calculate the target load age lt 15 years or age gt 84 years or height lt 50 cm or height gt 250 cm or weight lt 20 kg or weight gt 200 kg or body surface area men lt 1 6 m or body surface women lt 1 2 m Problem If a PDF report with ECG grid is generated with Adobe Acrobat in CardioSoft the figure 2 is displayed instead of the ECG grid Solution 1 Display Acrobat Distiller from Adobe Acrobat V5 x Start Menu gt Settings gt Printers 2 Double click on Acrobat Distiller and select the menu Printer gt Document Defaults 3 Deactivate field Do not send fonts to Distiller on the Adobe PDF Settings tab 4 Set field Graphic gt True Type Font to value Download as Softfont on the Advanced tab Revision C CardioSoft 4 5 2014708 001 Troub
26. list C Windows add permission write for Group Users C Windows WIN INI add pennission full control for Group Users C Windows CA_ SYS INI add permission full control for Group Users C Windows CARDIO INI add pennission full control for Group Users C Cardio add pennission full control for Group Users Merge database see also diagram page 2 9 1 Login as the designated Network User Select the following criteria and perform the according steps New CardioSoft Server Local CardioSoft station with existing examinations Merge local database to CARD_RO Map drive letter to DB_ Merge e g x Copy CARD_REP exe initially to the local program directory Launch CARD_REP exe Change program directory to the local program directory D CASE and the repair directory to the mapped DB_ Merge drive letter and CARD_RO directory Press Start Repair button After the merge press Program End Last system to be networked AND at least one local CASE CardioSys CardioSoft has been merged Copy merged database to server database Map drive letter to cardio e g f Map drive letter to DB_ Merge e g x CardioSoft Revision C 2014708 001 Installation Installation of the Software Copy contents of x CARD_R0O to f Empty x CARD_RO Existing CardioSoft Server Local CardioSoft station with existing examinations Merge local database to CARD_RO Map drive
27. menu Select Non Plug and Play Drivers Double click on COR_SYS driver Select Tab Driver and change Startup Type to disable Double click on Hardlock driver Select Tab Driver and change Startup Type to disable After reboot of the notebook the Standby selection is available 4 2 Printer debugging Symptom Windows 2000 some characters overlap the following character Select Start gt Settings gt printers and select your Standard printer Solution Select menu File the entry Properties Select General Tab and press button Printing Preferences and than press button Advanced In the displayed list is in the topic Document Options the Entry Print Optimizations This Print Optimizations must be disabled Symptom Printout incomplete Solution The printer probably has insufficient memory Symptom EPSON EPL 5700 does not work at the Novell server Solution The speed of the parallel interface in the configuration of the Epson EPL 5700 must be set on LOW Symptom NT 4 0 slowly printing with HP6P HP2100M HP4050M only Car dioSoft Solution Please replace the original printer driver with HP Laserlet 5M from the Windows Workstation CD ROM Symptom Windows ME 98 only CardioSoft EPL 5700 do not work properly Solution Replace the original printer driver with the EPL 5500 Problem no landscape printout possible u
28. number on the How to Reach Us page provided at the beginning of this manual Part Number Software Item 2006301 008 Software CD CardioSoft V5 1 Part Number Hardware Item 2009000 001 CAM USB Interface 2001762 007 System Tonoport V 2014845 001 System Spirosoft CAM 14 Modules Part Number Item 901142 005 KIT CAM 14 Stress AHA W O cable 901142 008 KIT CAM 14 Stress IEC W O cable Revision C CardioSoft 8 1 2014708 001 Spare Parts CAM USB Operator Manuals Part Number Item 2014708 002 MNL OPR CardioSoft V5 x ENG 2014708 003 MNL OPR CardioSoft V5 x GER 2014708 004 MNL OPR CardioSoft V5 x FRE 2014708 005 MNL OPR CardioSoft V5 x DUT 2014708 006 MNL OPR CardioSoft V5 x ITA 2014708 007 MNL OPR CardioSoft V5 x SPA 2014708 008 MNL OPR CardioSoft V5 x SWE 2014708 009 MNL OPR CardioSoft V5 x RUS 2014708 012 MNL OPR CardioSoft V5 x SLA 2014708 013 MNL OPR CardioSoft V5 x JPN 2014708 014 MNL OPR CardioSoft V5 x CHS 2014708 015 MNL OPR CardioSoft V5 x NOR 2014708 016 MNL OPR CardioSoft V5 x DAN Spare Parts Part Number Item 700657 002 Cable coild assy Host AM114 CardioSoft Revision C 2014708 001 Spare Parts CORINA 8 2 CORINA Power Supply Part Number Item 91920251 Power Supply Cable 12V 2000300 001 Power Supply 12V Table Ve
29. the modem is connected This chapter describes the general configuration of this software by example of a modem configuration Install the PCAnywhere 10 5 HOST ONLY Software typical installation and skip any registration screens Select Reboot Install then the PCAnywhere Update to 10 5 1 Revision C CardioSoft 4 21 2014708 001 Troubleshooting Tips Remote Servicing After successful installation of the update please start the PCAnywhere HOST 10 5 application and configure the program as described within the next pictures skip any registration screens PcAnywhere HOST Initialization E SEES Ea PC Anywhere Startup Screen Add Host DIRECT Way NETWORK CABLE DSL About pcAnywhere Use the tab about and check the software version 10 5 1 4 22 CardioSoft Revision C 2014708 001 Troubleshooting Tips Remote Servicing MODEM Properties Within the startup screen select MODEM and press right mouse button Then select PROPERTIES pcAnywhere Host Properties MODEM ISDN via CAPI 2 0 pcAnywhere Host Properties MODEM x Change Wait 10 minutes for current user to reconnect then Cancel host and secure by selecting logoff user After a normal end of Session Cancel host and secure by selecting logoff user Press Apply Add new caller Press button New item to cre ate a n
30. ugust 17576 10 10 20 05 03 02 15 30 44 Resting ECG 941 000003 Dumm August 17576 10 10 20 04 03 02 16 44 05 Resting ECG 580 000003 DummAugust 17576 10 10 20 11 02 03 09 00 30 Resting ECG 017 000004 Smith Tom Poo 02 03 78 11 02 03 08 55 57 Exercise Test 456 000004 Smith Tom Poo 02 03 78 11 02 03 08 55 28 Exercise Test 000004 Smith Tom Poo 02 03 78 4 i DB Nb 000000 Cancel Figure 4 4 CardioSoft Revision C 2014708 001 Troubleshooting Tips Database Repair for CASE CardioSys Card_Rep V5 x 4 6 5 Specials 4 6 5 1 Merging data To continue working with the repaired database there are the following possibilities 1 Install CASE CardioSys on the temporary repair directory c CARD_RO Copy the file Users Btr and the Configured Reports from the master directory to the temporary directory Button Users Conf Rep Delete the master directory and rename the temporary directory to the master directory 2 Delete the content of the master directories DATABASE BTR RESTECG ERGOECG AVER SPIR EMECG RHK HOLTERBP CAS SOUND ONLINE and copy these from the temporary repair directories Copy the files Examina Btr and Patient Btr from the temporary database directory to the master database directory With Card_Rep it is also possible to merge the patient and examination data stored in different directories 1 Decide w
31. when compromizing examination When compressing examination and using a Hard Disk gt 4 3GB the fol lowing message will occur that less than 15 of storage medium is free Solution Set the percentage of storage medium in CardioSoft Tab System Configuration Button Database to 1 or Disable Check of free disk space with Entry LOG_DisableFreeCheck 1 in section CARDIO in the WIN INI file Symptom OS Message appears Adobe Acrobar Reader is not installed Solution When the message appears please install the Acrobat Reader V5 1 from the CardioSoft CD 1 You must have system administrator priviliges to install the software 2 Insert the CardioSoft CD in the CD ROM drive If the CD drive does an automaitcally start up close the CardioSoft Installation Screen m Selecto Start gt Run m Inthe command line type X Disk Setup Acrobat X CD ROM drive letter e g E or D m Click OK 3 Follow the displayed prompts Revision C CardioSoft 4 13 2014708 001 Troubleshooting Tips System diagnosis with Windows 2000 ME XP 4 4 System diagnosis with Windows 2000 ME XP Windows 98 ME Use the tab System Information under the Tab Start Programs Accessories Tools Other Windows Use the tab Event Viewer or Windows Diagnostics under Tab Start Programs Administrative Tools 4 5 Reprogramming Serial Number Go to Service Screen and call Set CAM USB
32. yes Wires br and bk are cut off in PC cables manufactured after May 1997 The pump module comprises the following components pump PCB tubing connection Pump old tubing system Figure 3 12 3 12 CardioSoft Revision C 2014708 001 Aquisition Modules for CardioSoft Hardware Structure Pump When using the PCB Analog Out the power line to the suction pump optional is not plugged into the PCB CORINA but the PCB CORINA TRIGGER CAUTION When used together with the PCB CORINA TRIGGER the braided pumppower supply wires must be covered by a heat shrinkable tube Pump new tubing system Figure 3 13 PCB The PCB is screwed onto the pump casing The electronics for pressure regulation is located on the PCB The 12 V power cable is soldered to the PCB Tubing connection The air tubing is preassembled and only needs connecting to the nozzle on the cas ing 3 4 1 6 PCB CORINA TRIGGER There is a floating analog ECG output based on an optional plug in card It provides a 1V lmV signal unedited signal without filter and ADS pacing pulse is blanked out at the analog output The PCB CORINA TRIGGER only needs plugging in It remains firmly attached without requiring any additional fixation The standard sig nal to be output is a lead II signal For CORINA and CardioSoft Version 3 0 and later versions the output signal can be config
33. 0 CardioSoft Revision C 2014708 001 Aquisition Modules for CardioSoft Hardware Structure Figure 3 10 3 4 1 4 Cable to PC The connection cable to the PC has a 25 pin plug on the PC side The plug casing also houses a 3 pin socket A plug in power supply supplying CORINA with power is then connected to this socket On the CORINA side is a 26 pin socket ter minal strip This is then plugged directly onto the PCB Figure 3 11 Pin Connections 25 Pin Plug up to 101 118 24 Pin Wire Color Pin Wire Color Pin Wire Color 1 wh_ye 8 br_vi 16 wh_br 2 br_ye 9 br_bl 17 wh_bk 3 br_or 10 wh_bl 18 wh_vi 4 br_rd 11 wh _ gn 19 wh 5 br_bk 12 wh_gr 20 gr 6 br_gn 13 wh_rd 21 bk 7 br_gr 14 wh_or Revision C CardioSoft 3 11 2014708 001 Aquisition Modules for CardioSoft Hardware Structure 3 4 1 5 Pump Module Pin Connections 25 Pin Plug CORINA variants up from 101 118 31 Pin Wire Color Pin Wire Color Pin Wire Color 1 8 br_vi 15 wh_br 2 br_ye 9 br_bl 17 wh_bk 3 br_or 10 wh_bl 18 wh vi 4 br rd 11 wh_gn 19 wh 5 br_bk 12 wh_gr 20 gr 6 br_gn 13 wh_rd 21 bk 7 br_gr 14 wh_or Pin Connections 3 Pin Plug Pin Wire Color Pin Wire Color Pin Wire Color 1 rd 2 br or
34. 00 Figure 3 3 Revision C CardioSoft 3 5 2014708 001 Aquisition Modules for CardioSoft Introduction 3 2 5 Model 3 CORINA with Analog Output As Model 1 plus additional analog ECG output This output enables CORINA amp CardioSoft models prior to release 3 0 output of lead II The output signal of the ana log output in the stress test mode is configurable 3 2 6 Model 4 CORINA with suction pump and Analog Output Like Model 3 with additional suction pump 3 2 7 Replacement of CORINA Model 1 4 through newer CORINA Variants with enhanced communication interface to PC 101 118 31 34 Note Only CORINA Models 101 118 31 34 and 37 38 OEM are supported by CardioSoft V5 x When using the new modles you can also use the new Power Sup ply SW 172 or as default the FW 7324 2 Power Supply CORINA Block Circuit Diagram Block circuit diagram of CORINA models 1 2 in models 3 4 there is an addi tional functional block PCB CORINA TRIGGER to generate the analog signal U z 7 g v 2 8 o z Q I taal a 2 v e f O O a fn o Lpl CORINA i I Pump Module optional Figure 3 4 3 3 Introduction The Hardware Design Description describes the structure of the hardware imple mented internal interfaces and those for connection of peripherals CardioSoft Revision C 3 6 2014708 001 Aquisition Module
35. 00 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Revision C CardioSoft 2014708 001 7 5 Specifications Technical Specifications CORINA 7 3 Technical Specifications CORINA 7 3 1 ECG Signal Processing Continuous acquisition of the ECG signal formation of lead II which is transmitted to signal output symbol lower cut off frequency 3 dB limits 0 08 Hz upper cut off frequency 3 dB limits 150 Hz resolution referred to the input 20 yV gain x 1000 non linear distortion better than specified in IEC and AHA recommendations noise of signal transmission path below values specified in IEC and AHA recommendations lt 2 5 uV rms common mode rejection better than specified in IEC and AHA recommendations electrode connections for R F N input impedance for differential signals between any two electrode connections gt 50 MQ at 10 Hz dynamic range for differential signals between any two electrode connections for AC voltage 10 mV for superimposed DC voltage polarization voltage 600 mV patient leakage current rms values according to IEC class CF in normal condition lt 10 mA in single fault condition e g patient in contact with line voltage lt 20 m suppression of pacer pulses detection via F electrode
36. 200 then the RR duration and the Heart Rate can be calculated Question Small differences in the measurement values after transferd from MAC 1200 to CardioSoft Solution The protocol which is used to transfer the data doesn t use the same amplitude unit for the measurement values from MAC 1200 These values have to be converted when the data is received in CardioSoft and the results may not be exactly the same values Question Instruction how to use the ECG record interval and blood pressure interval Solution CardioSoft and CardioSoft up to version 4 14 need a special way to program the ECG record intervals and blood pressure intervals The list of interval times are completely independent from the list of stage times That means every interval time entry is processed one time Revision C CardioSoft 4 3 2014708 001 Troubleshooting Tips Frequently Asked Questions When the time is over the next time entry is processed until all time entries are pro cessed After that there are no more ECG reports So a time entry does not belong to the stage and is not repeated until the stage is over For example you have four stages every stage lasts three minutes and you want to set the ECG record interval time to one minute for every stage Then you need twelve ECG record interval time entries with one minute That looks like Stage Time ECG Rec Int 03 00 01 00 03 00 01 00 Stage 03 00 01 00 03 00 01 00
37. 558 5120 USA only Fax 1 414 355 3790 GE Medical Systems Information Technologies 2003 2004 All rights reserved T 2 CardioSoft Revision C 2014708 001 Contents Introduction 3 fy cei dco tenon a wa wwe sata ataewes 1 1 1 1 Manual Information ccccc cece eeeee neuen eueuuueuaunes 1 1 1 1 1 Revision History ce cee eee cee ee ene eee ee ne 1 1 1 1 24 Manual Purpose ai oa e 04k aban Oe see anhalt Bintan Gd 1 1 1 1 3 Intended Audience 0 ccc ccc eee eee 1 1 1 2 Safety Information 0c cee cette eee eee eee eens 1 2 1 2 1 Responsibility of the Manufacturer 00 0 cece eee eee 1 2 12 2 Genera cece cea elevate ames at a e e ane cuca a ERS ene oS Gee 1 2 1 3 Warnings Cautions and Notes 0 ccc cece eee e eens 1 3 1 4 Equipment Symbols 0 00 cece eee eee eee eens 1 4 1 5 Service Information es eie reorient iune a Er e 1 5 1 5 1 Service Requirements 0000 c cece eee eee ees 1 5 installation cxi35 005 08 Gad kere awe he hE Chee este EEn 2 1 2 1 Installation of the Software ccc cc cee eee eee eee eeeeeeaunes 2 1 2 1 1 Installation of CardioSoft 0 0000 2 1 2 1 1 1 Installation in the network 0 00 eee 2 1 2 1 1 1 1 Network environment Domain ccccscesescsesseseseseeeeteesessseee 2 1 2 1 1 1 2 Network environment Workgroup cscececeseseseseeeeseeneees 2 5 2 1 1 2 Installation of CardioSoft Web on a W
38. CardioSoft Service Manual Version V5 1 2014708 001 Revision C CE 0459 GE Medical Systems Information Technologies gemedicalsystems com NOTE The information in this manual only applies to the CardioSoft Due to continuing product innovation specifications in this manual are subject to change without notice Listed below are GE Medical Systems Information Technologies trademarks All other trademarks contained herein are the property of their respective owners Trademarked names appear throughout this document Rather than list the names and entities that own the trademarks or insert a trademark symbol with each mention of the trademarked name the publisher states that it is using the names only for editorial purposes and to the benefit of the trademark owner with no intention of improperly using the trademark 900 SC ACCUSKETCH AccuVision APEX AQUA KNOT ARCHIVIST Autoseq BABY MAC C Qwik Connect CardioServ CardioSmart CardioSoft CardioSys CardioWindow CASE CD TELEMETRY CENTRA CHART GUARD CINE 35 CORO COROLAN COROMETRICS Corometrics Sensor Tip CRG PLUS DASH Digistore Digital DATAQ E for M EAGLE Event Link FMS 101B FMS 111 HELLIGE IMAGE STORE INTELLIMOTION IQA LASER SXP MAC MAC LAB MACTRODE MANAGED USE MARQUETTE MARQUETTE MAC MARQUETTE MEDICAL SYSTEMS MARQUETTE UNITY NETWORK MARS MAX MEDITEL MEI MEI in the circle logo MEMOPORT MEMOPORT C MINISTORE MINNOWS Monarch 8000 MULTI LINK
39. Computer Name Win2000 Settings gt Control Panel gt System gt Network Identification gt Properties NT ME Settings gt Control Panel gt Network gt Identification 3 Reboot D Configure Network User on CardioSoft station not for ME Login as Domain Administrator 2 Add the designated Network User to the local Administrator group XP Control Panel gt Administrative Tools gt Computer Management gt SystemTools gt Local Users and Groups gt Groups gt Administrators gt Properties Win2000 Settings gt Control Panel gt Users and Passwords NT Programs gt Administrative Tools gt User Manager 3 Logoff and Login as the designated Network User to create the Network User Profile E Running CardioSoft as User To run Cardiosoft as User several settings has to be changed 1 Windows 2000 Log on as Administrator Run Cardio exe at least once that the Registry entries for Btrieve Teehnologies appears in the Registry Make the following changes in the registry use regedt32 exe Change security settings for key HKEY LOCAL MACHINE Software Btrieve Technologies set permissions for Group Users to full control Change the value for the key HKEY LOCAL_MACHINE Software Btrieve Technologies Microkernel Workstation Engine Version6 1 5 Settings TraceFile from C WINNT MKDEWE TRA to C CARDIO Change the value for the key HKEY LOCAL_MACHINE Software Btrieve Technologies Microkernel Workstation Engine Version6 15
40. Forcierte Exspira torische Vitalkapazitat FEV 1 liters Volume of air exhaled during the Ist second of FEVC Forciertes exspira torisches Volumen in 1 Sekunde PEF liters second Peak expiratory flow Max exspiratorischer Flow MEF75 liters second Max expired flow at 75 FEVC remaining Forcierter max exspira torischer Flow bei 75 Restvolumen FEVC 4 8 CardioSoft 2014708 001 Revision C Troubleshooting Tips Frequently Asked Questions Parameter Designation MEF50 liters second Max expired flow at 50 FEVC remaining Forcierter max exspira torischer Flow bei 50 Restvolumen FEVC MEF25 liters second Max expired flow at 25 FEVC remaining Forcierter max exspira torischer Flow bei 25 Restvolumen FEVC MMF liters second Max mid expiratory flow forced between 25 and 75 of FEVC Mittlerer Flow bei 25 75 FEVC FIVC liters Forced inspiratory vital capacity Forcierte inspiratorische Vitalkapazitat FIV1 liters Volume of air inhaled during the Ist second of FIVC Forciertes inspira torisches Volumen nach 1 s PIF liters second Peak inspiratory flow Max inspiratorischer Flow MIF75 liters second Max inspired flow at 75 of inhaled FIVC Forcierter max inspira tor Flow bei 75 der inhalierten FIVC MIF50 liters second Max inspired flow at 50 of inhaled FIVC Forci
41. HARSET 10 HANGUL CHARSET 11 MAC CHARSET 12 RUSSIAN _ CHARSET 13 SYMBOL CHARSET 14 TURKISH_CHARSET 15 JOHAB_ CHARSET 16 HEBREW_CHARSET 17 THAI CHARSET Ww Ne GRA_PropSheetX 100 Default 100 Meaning Scaling factor for the width of Property Sheets like the Setup Dialog GRA_PropSheetY 100 Default 100 Meaning Scaling factor for the hight of Property Sheets like the Setup Dialog GRA_ScreenFont Factor Range of values 50 500 Default 100 Meaning Multiplication factor for screen display fonts GRA_ Dlg SizeX 100 Default 100 Meaning Scaling factor for the width of dialogs GRA_ Dlg SizeY 100 Default 100 Meaning Scaling factor for the height of dialogs PRI_CancelExe Range of values 0 1 Default 1 for P2000 Printer others 0 Some printer drivers have problems with aborting the print job A seperate program CancelPr Exe can be used to improve this behaviour GRA_DontRemoveGrid 0 Range of values 0 1 Default 0 When CardioSys is closed before all print layouts are finished there may be prob lems with the grid Setting this value to 1 causes the grid font not to be removed when CardioSys is closed CAMUSB ImpedanceSlape 115 Meaning for Impedance Measurement CAMUSB Impedancelntercept 2152 Meanig for Impedance Measurement CAMUSB LeadFailBias 1 Range of values 0 1 Default 1 Meaning Enable lead Fail Detection CardioSoft
42. Inc in Europe is GE Medical Systems Information Technologies GmbH Munzinger Strasse 3 D 79111 Freiburg Germany Phone 49 761 4543 0 Fax 49 761 4543 233 CardioSoft Revision C 2014708 001 Introduction Warnings Cautions and Notes 1 3 Warnings Cautions and Notes The terms danger warning and caution are used throughout this manual to point out hazards and to designate a degree or level or seriousness Familiarize yourself with their definitions and significance Hazard is defined as a source of potential injury to a person Term Definition DANGER Indicates an imminent hazard which if not avoided will result in death or serious injury WARNING Indicates a potential hazard or unsafe practice which if not avoided could result in death or serious injury CAUTION Indicates a potential hazard or unsafe practice which if not avoided could result in minor personal injury or product property damage NOTE Provides application tips or other useful information to assure that you get the most from your equipment Revision C CardioSoft 1 3 2014708 001 Introduction Equipment Symbols 1 4 Equipment Symbols ATTENTION Consult accompanying documents In Europe this symbol means dangerous or high voltage In the United States this symbol represents the CAUTION notice Type CF defibrillation proved Ey Type BF equipment external defibrillator protected Power switch ON OFF Equipotential
43. M USB interface status Additional there is a buzzer to allow any acoustically signalling and the QRS beep if enabled within the CardioSoft soft ware Meaning of the system status LED s beeper signals Buzzer LED B LED A Function green yellow OFF OFF OFF Device not powered OFF ON ON Device powered not ready after startup OFF ON OFF Device powered normal operation OFF ON Blinking No CAM 14 module connected ON ON ON No USB communication i e PC system Application crash or and no CAM 14 module detected due to CAM 14 module error CAM USB Interface defects handling According to the actual service strategy there will be no repair of the CAM USB Interface In the case of defect the complete box with mounted cables will be exchanged Only the two cables could be exchanged see Spare Parts chaper 8 Reprogram the serial number after box exchange see herefore chapter 4 5 Repro gramming Serial Number Revision C CardioSoft 3 3 2014708 001 Aquisition Modules for CardioSoft CAM USB panheat EE s6 927 229 00 801 777 25 plastic 3x6 panhead 923 081 00 2x ser tpi 4x a 3042 842 ae 5E 927 229 02 D 3 E 3 gy b 5 C S 32 EE a ZE 2 PEJ ga amp ea oS a gs a o 58 s 43 22 4 ag f a
44. S bed side processing CAUTION To enable QRS complex triggering when using PACE the pacing pulses are removed from the ECG signal 3 16 CardioSoft Revision C 2014708 001 Aquisition Modules for CardioSoft Hardware Structure non floating floating Data via Opto Analo ve DA ae l O9 p gt QSPI Couplers Converter Amplifiers DC DC Converter POWER gt ee 12 Bas Ly 12V e Figure 3 17 CAUTION When connecting up an ultrasound unit it is important to ensure that the instrument connected has an input LPF of lt 400 Hz If this is not the case an external passive low pass should connected to the input of the peripheral Suitable low pass configuration 2K L Figure 3 18 Revision C CardioSoft 3 17 2014708 001 Aquisition Modules for CardioSoft Hardware Structure 3 4 3 Internal Interfaces 3 4 3 1 Mechanical Interfaces Tubing connection of the pump module Figure 3 19 The pump module air tubing is preassembled and only needs connecting to the noz zle on the casing 3 4 3 2 Electrical Interfaces CORINA has three internal interfaces These are interface to pump module debugging interface interface for further peripherals PCB Analog Out Interface to pump module Description of interface
45. Soft 4 19 2014708 001 Troubleshooting Tips Database Repair for CASE CardioSys Card_Rep V5 x Example If you want to repair Exercise Tests where the examinations are stored in the directory d exercise make sure that the according online files are stored in d online 4 6 5 4 Repair Message codes The following codes are used to indicate the status of the actual examination to be repaired English PN PF PD PE PU PM PR EN EK EF EO EE German PN PF PD PE PU PM PR EN EK EF EO EE Patient entered new Patient found and identical to the examination data Patient found and different to the examination data not updated general error Patient data different updated by the user Patient data different emty fields supplemented Patient data used from the examination file Examination entered new Examination entered new but recording date modified duplicate examination key examination ignored Error internal patient number is zero general error Patient neu eingetragen Patient gefunden und identisch Patient gefunden aber unterschiedlich kein Update Allgemeiner Fehler Patientendaten unterschiedlich Update durch Benutzer Patientendaten unterschiedlich leere Fehler erg nzt Patientendaten aus dem Untersuchungsfile bernommen Untersuchung neu eingetragen Untersuchung neu eingetragen aber Aufnahmedatum modifiziert doppelter Untersuchungsschl ssel Untersuchung ignori
46. Symptom Solution Symptom Solution Symptom Solution Symptom Solution Symptom Solution after reorganization and should only be deleted when the reorganization has been completed successfully If the reorganization is unsuccessful the only option remaining is to retrieve the latest backup data or contact technical support for the Data base Repair Tool CARD_REP There are problems with my printer since I connnected PATIENT MODULE to the system CardioSoft normally checks all LPT ports to detect the PATIENT MOD ULE acquisition box If the connected printer has problems with this access and you have CardioSoft V4 14 or greater there is a possibility to fix this problem Open WIN INI and write in section CARDIO WCO_CorinaLptPort x where x is the number of the LPT Port PATIENT MODULE is con nected to If you define PortNo 0 the detection for PATIENT MODULE will be disabled This could be neccesary on View and Edit stations if there are problems with the printer after starting CardioSoft Error when reading examinations examinations get lost Error messages when calling up examinations from the archive or exami nations no longer there There are two causes which may lead to the loss of data on hard disks One is a read error on the disk the second is the destructive influence of some viruses Indications of a defective hard disk sometimes exhibit themselves as reading errors in certain sectors
47. The number of defective sectors increases with time Such a hard disk must be replaced Patient locked although only called up from one work station A patient in the network is locked although they are only called up from one work station This error occurs only occurs when the program crashes or after switching off the PC without having terminated CardioSoft beforehand Delete the file network btr and station btr in the subdirectory database of the CardioSoft directory Please be sure that CardioSoft is not running form any workstation Monitoring stress tests Attempt to monitor a stress test from two stations at the same time None A stress test currently being performed can be monitored from one station only at any one time Swapping out examinations Almost simultaneous swap out at several stations examinations are destroyed None Refer to Device Manual Transferring examinations to data media When an examination is transferred to another data medium naming a subdirectory with an umlaut 4 6 U the examination cannot be retrieved Create subdirectories without umlauts It is not possible to transfer more than 512 examinations into the root directory of a data medium as DOS is only able to manage a maximum of 512 files on this medium If more examinations are the to transferred a subdirectory must be created The number of files there is practically unlimited 4 12 CardioSoft Revision C 2014708 001 Troubl
48. West Tower Avenue Milwaukee WI 53223 United States of America Tel 1 414 355 5000 Fax 1 414 355 3790 GE Medical Systems Information Technologies gemedicalsystems com Asian Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd 24th Floor Shanghai MAXDO Centre 8 Xing Yi Road Hong Qiao Development Zone Shanghai 200336 People s Republic of China Tel 86 21 5257 4650 Fax 86 21 5208 2008
49. a remote machine not running a server engine In this case the MicroKernel is not able to access the remote files To solve this problem set the target engine to workstation using the BTI Database Setup Util ity 2 10 CardioSoft Revision C 2014708 001 Installation Installation of the Software Installation of CardioSoft Web 1 Install CardioSoft on the PC Install the Hardlock Start CardioSoft Enter the CWEB Software Option Code in System Configuration Tab Option Code Set in System Configuration Tab Country Settings the language field Time Format field Date Format field and ST Level field CardioSoft Web uses the database in which CardioSoft is installed see field CFG_ProgDir in section TCARDIO in file WIN INI Example If you start CardioSoft and Btrieve Error 20 is displayed please change the following registry entries Entry HKEY_ LOCAL MACHINE SOFTWARE Btrieve Technologies Microker nel Engine Version 6 15 Microkernel Interface Settings Target Engine set to 0 value Entry HKEY_ LOCAL MACHINE SOFTWARE Btrieve Technologies Microker nel Workstation Engine Version 6 15 Microkernel Interface Settings Local set to 1 value Entry HKEY_ LOCAL MACHINE SOFTWARE Btrieve Technologies Microker nel Workstation Engine Version 6 15 Microkernel Interface Settings Requester set to 1 value Entry HKEY LOCAL MACHINE SOFTWARE Btrieve Technologies Microker nel Workstation Engi
50. ardioSys directory structure 1 2 MB Total Repair Master Disk Nb 7 Archived Patient Records d EXTSTORE mo 7 Ee Ambul Blood Pressure 1 from 1 100 Geen Spirometry 2 from 2 100 Exercise Test till CardioSys V4 2 6 from 6 100 Setti STAT ECG 7 from 7 100 T Late Potentials 1 from 1 100 Patients 4 PN Patient entered new 12 PF Patient found and identical to the examination data 11 PR Patient data used from the examination file Examinations 27 EN Examination entered new Program End Figure 4 3 With the View Button it is possible to have a look at the entries made in PATIENT BTR and EXAMINA BTR D CARD_R1 DATABASE Total Patients 4 C Search Patient Lastname Ht Name C PatID C DB Nb Firstname SSS Lastname Firstname Pat ID cr ve Birthdate ia cm at Sex ks i DBNb Race Z F Pace DB Nb Date DB Nb Modality Examinations 27 Total 27 Bl E z a Modality Nb DB Nb Name PatiD Birthdate 13 03 02 10 01 52 STAT ECG 970 000001 TEST DEMO TEST TEST DEMO 000 28 04 68 07 03 02 16 15 01 Resting ECG 396 000001 TEST DEMO TEST TEST DEMO 000 28 04 68 22 02 02 08 27 45 Resting ECG 438 000001 TEST DEMO TEST TEST DEMO 000 28 04 68 22 02 02 08 25 28 Resting ECG 805 000001 TEST DEMO TEST TEST DEMO 000 28 04 68 04 03 02 16 43 02 Resting ECG 901 000002 Dampf Hans 24697 11 11 60 05 03 02 15 33 07 Resting ECG 117 000003 Dumm
51. are output inverted by CORINA since initially the PC inverts these inputs In newer CORINA versions 101 118 31 38 and 101 118 41 44 a new cable to PC is used where only OUT 2 4 5 are used to transmit data to the PC ERROR indicates full or empty FIFO IN 0 3 data from PC ES selection whether ERROR should indicate full or empty FIFO ES LOW gt CORINA indicates empt FIFO ES HIGH gt CORINA indicates full FIFO READ transmit data to PC WRITE read data from PC ON switch on CORINA ON LOW gt CORINA is switched off ON HIGH gt CORINA is switched on Power source interface 2 Figure 3 23 AGL aN9 As of 05 1997 this interface no longer delivers a 5 V signal Figure 3 24 3 20 CardioSoft Revision C 2014708 001 Aquisition Modules for CardioSoft Hardware Structure 3 4 4 2 3 Analog Out Description of interface electrode input right arm electrode input left arm electrode input left foot electrode input right foot electrode input chest electrode C1 Wilson electrode input chest electrode C2 Wilson electrode input chest electrode C3 Wilson electrode input chest electrode C4 Wilson electrode input chest electrode C5 Wilson electrode input chest electrode C6 Wilson electrode input chest electrode NAX Nehb electrode input chest electrode NST Nehb shielding pan N An BW gt x lt Nn SJ les esi es a a a a a
52. ations online ECGs are stored In ONLINE spoken comments in SOUND Dictated files are stored in TAPE Con figurations are stored in the SETUP directory Files in Windows system32 directory CardioSoft requires the following files from the Windows system32 directory mfc42 dll msvert dll Visual C class library Functions Hel_grid ttf Special Font Msflxgrd OCX Flex Grid Tools for Stress Test Table Files in Windows system32 drivers directory CardioSoft requires the following files from the Windows system32 drivers direc tory Cor_sys sys PATIENT MODULE driver mmsusb sys mtpd sys Thermal Printer driver 2 16 CardioSoft 2014708 001 Revision C Installation Installation of the Software Cor_W98 sys PATIENT MODULE driver for Windows 98 Camusb sys CAM USB Driver Files in Windows system directory CardioSoft requires the following files from the Windows system directory for Win dows 98 hardlock vxd Hardlock Functions cor_vxd vxd PATIENT MODULE driver for Windows 95 File name nomenclature of the examination procedure The file name comprises the ID letter for the examination procedure C Ergometry R Resting ECG S spirometry N STAT emergency ECG A late potential analy sis B ambulatory blood pressure measurement H Holter ECG U ultrasound T stress echocardiography Y X ray K cardiac catheterization X external programs Z Right Heart Catheterization the identifica
53. ble however to make a backup of the file as it cannot then be lost even in the event of a hard disk error Revision C CardioSoft 2 17 2014708 001 Installation Installation of the Software 2 1 7 System Configuration Service screen The service screen is accessed in the General Settings via the For Service key The password is helserv or case8k This contains the logbook listing the errors arising during the run period since the last program start One can delete the logbook or save it for future reference under a different file name x peste E OK 14 52 46 LOG_TOOL C FreeDiskSpace 1559552 KB 14 52 46 LOG_TOOL C TotalDiskSpace 8578932 KB Cancel 14 52 51 BACKSPACE 14 52 51 BACKSPACE ao 14 52 51 BACKSPACE v active 14 52 54 8 Delete Save as l Archive Path as z Test dictionary CORINA time constant HP filter 204sec z 04 we sec T Service notice CAM14 High Pass Filter O01Hz2 f Set CAM USB CORINA Serial Number Research Full Disclosure ECG in ___SetCAM USB CORINA Serial Number none z directory SONL500 S ONL2000 J CAM14 Disable Lead Fail Bias Delete Network Locks Test Software Save Log Files ACO TEST BURN IN TEST Format Floppy WRTR TEST LOOPBACK TEST KEYPAD TEST Figure 2 1 Service Screen Description m Logbook Displays internal logbook entries with time stamp Active Ac
54. ctory as cardio 3 Configure the share permissions such that the designated Network User has full control permission 4 If at least one local CASE CardioSys CardioSoft with existing examinations will be networked additionally create a directory on the CardioSoft server for merging the databases later and share the directory as DB_ Merge with full control permission Existing CardioSoft Server Configure Network Share All local CASEs CardioSys CardioSoft that will be networked are new 1 Configure the share permissions for the CardioSoft directory such that the designated Network User has full control permission At least one local CASE CardioSys CardioSoft with existing examinations will be networked 1 Rename the existing CardioSoft directory cardio to card_old Create a new directory on a local drive volume that meets the minimum space requirements for a CardioSoft database 2 Share the new directory as cardio and the renamed directory as card_old 3 Configure the share permissions of cardio and card_old such that the designated Network User has full control permission 4 Create a directory on the CardioSoft server for merging the databases later and share this directory as DB_ Merge with full control permission Note All further steps have to be performed with each CardioSoft station C Configure CardioSoft station as Workgroup 1 Login as loca
55. d for all CASE Versions toV5 x and for CardioSys CardioSoft from version V4 1 to V5 x m There is no installation program The program file CARD_REP EXE must be manually copied into a directory on the hard disk where CASE CardioSys is installed because some DLLs used from CASE CardioSys are needed The user interface is in English or German language It is possible to repair the database because CASE CardioSys stores the patient data in the header of the examination files So with each examination file that can be successfully read and if necessary decompressed an according entry can be made in the files PATIENT BTR and EXAMINA BTR m tis possible to repair the database for the following modalities supported from Version 5 Exercise Test Resting ECG Ambulatory Blood Pressure Spirometry Archived Patient Records The modalities from CardioSys prior V5 like Exercise Test Late Potentials STAT ECG Right Heart Cath are supported also m tis not possible to repair the entries made from External Programs because there is no patient information stored in these examination files Revision C CardioSoft 4 15 2014708 001 Troubleshooting Tips Database Repair for CASE CardioSys Card_Rep V5 x It is not possible to repair the following entries because the according data is not stored in the examination file Device Cart number Flag if the examination was sent to MUSE Starting the repair is protected with a password T
56. data After calling up CardioSoft the directory structure is as follows CARDIO DATABASE Databases for Patient Examination Data L RESTECG Resting ECG Reports SPIR Spirograms t EMECG Emergency ECG Reports not supported since CardioSoft V 5 0 H ERGOECG Ergometry ECG Reports not supported since CardioSoft V 5 0 t SOUND Sound Files from all Examin ONLINE Online ECG from all Examin Revision C CardioSoft 2 15 2014708 001 Installation Installation of the Software CARDIO _ DATABASE m SETUP m TAPE e AVER t DOC t CAS t NARRATIV t ONL500 m ONL2000 m RHK m HOLTERBP m EXTPROG m DIAGS c HELP m WRITER Databases for Patient Examination Data Configurations Dictaphone Data Late Potential Reports User manual and Help Files Ergometry Reports Configured report templates not used not used Right Heart Catheterization Long Term Blood Pressure Reports Reports from all External Progs Thermal Writer Diagnostic Software Help files Thermal Writer Windows Driver The data base files containing the patient data and the references file names from the examinations are located in the directory DATABASE BTRIEVE is used as a data base The examination data from operating modes resting ECG spirometry emergency and ergometry are stored in the directories RESTECG SPIR EMECG ERGOEGG respectively In all examin
57. design in compliance with protection class I rated voltage range 230 to 240 V AC 100 250 V SW 172 operating voltage range 207 to 264 V 50 Hz 90 V to 265 V 50 60 Hz SW 172 rated current 0 22 A power consumption typically w o pump 6 W with pump 9 W 15 W max with Analog Out typically w o pump 7 5 W with pump 16 5 W max Operation ambient temperature between 10 and 40 C rel humidity between 30 and 75 atmospheric pressure between 700 and 1060 hPa Storage and Transport ambient temperature between 30 and 60 C rel humidity between 10 and 90 atmospheric pressure between 500 and 1060 hPa Dimensions and Weight length 400 mm depth 200 mm height 48 mm weight w o pump 700g with pump 900 g Revision C CardioSoft 7 7 2014708 001 Specifications Technical Specifications CORINA 7 3 6 Grounding Grounding of intermediate circuit for interference elimination to potential equaliza tion system or water pipe 7 8 CardioSoft Revision C 2014708 001 8 1 8 CAM USB Spare Parts Introduction The parts lists and assembly drawings in this chapter supply enough detail for you to order parts for the assemblies considered field serviceable If you require additional information schematic diagrams or troubleshooting assis tance contact Technical Support To order parts contact Service Parts at the address or telephone
58. dical Systems nformation Technologies m The electrical installation of the relevant room complies with the requirements of the appropriate regulations The equipment is used in accordance with the instructions for use The country of manufacture appears on the device label This device is not intended for home use Contact GE Medical Systems Information Technologies for information before con necting any devices to the equipment that are not recommended in this manual Parts and accessories used must meet the requirements of the applicable IEC 601 series safety standards and or the system configuration must meet the requirements of the IEC 60601 1 1 medical electrical systems standard Periodically and whenever the integrity of the device is in doubt test all functions The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include m use of the accessory in the PATIENT VICINITY and m 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 If the installation of the equipment in the USA will use 240V rather than 120V the source must be a center tapped 240V single phase circuit The authorized representative for GE Medical Systems Information Technologies
59. e during the installation of CardioSoft 2 3 MARS PC Application Configuration If using MARS PC as the Holter ECG program go to System Configuartion gt Devices gt Path to Holter ECG Program Browse to the following path where drive is the driver letter whre MARS is installed Drive gem sit op MarsNT bin superapp exe Revision C CardioSoft 2 27 2014708 001 Installation MARS PC Application Configuration For your notes 2 28 CardioSoft Revision C 2014708 001 3 1 3 CAM USB Aquisition Modules for CardioSoft CAM USB is a 15 leads ecg acquisition device with USB interface It consists of two main parts the CAM 14 acquisition module and the CAM USB Interface box Only additionally lead wires and electrode grabbers are needed to complete the sys tem hardware for the CAM USB see Figure 3 1 Figure 3 1 Supported PC and Operating Restrictions The CAM USB system is allowed to be connected to the USB port of any PC certi fied according IEC950 m The PC must not be within the patient care area 1 5 m m The CAM USB system may only be connected directly to a PC USB PORT It is not allowed to use any USB HUB or cable extension between PC and the CAM USB system m Because the CAM USB device is powered directly from the USB bus care must be taken with the connection of other bus powered USB devices to assure full USB single port operating power 5V DC 500 mA for the CAM USB system Rev
60. e share permissions for the CardioSoft directory such that the designated Network User has full control permission At least one local CASE CardioSys CardioSoft with existing examinations will be networked 1 Rename the existing CardioSoft directory cardio to card_old Create a new directory on a local drive volume that meets the minimum space requirements for a CardioSoft database 2 Share the new directory as cardio and the renamed directory as card_old Configure the share permissions of cardio and card_old such that the designated Network User has full control permission 4 Create a directory on the CardioSoft server for merging the databases later and share this directory as DB_ Merge with full control permission Note All further steps have to be performed with each CardioSoft station Add CardioSoft station to NT Win2000 Domain Login as local Administrator 2 Change settings such that the CardioSoft computer joins an NT Win2000 domain where the CardioSoft server resides or an NT Win2000 domain that has a trust relationship with the NT Win2000 domain where the CardioSoft server resides Note Typically the Domain Administrator or another user that has been granted the right to add computers to the specified domain must do this step 2 2 CardioSoft Revision C 2014708 001 Installation Installation of the Software XP Control Panel gt System gt
61. e window and close the CardioSoft Application Test every shortcut in the same way 5 Copy all Shortcuts to the Menu Group Start up with the Windows Explorer 6 Close all applications and reboot the system With every start up to 4 CardioSoft Applications are started and store the received Resting ECG s If errors messages are displayed then check the error like described in Step 4 NOTE Up to V5 02 the communication server assigned al received examinations regard less of different patient demographic data From V5 1 the default behaviour is dif fent examinations that have the same patient ID as stored on the local network server but different demographic data last name first name date of bith are copied to a list to allow the customer later a manual assignment of this examinations The comparison of patient demographic data is done case insentive possible empty fields don t care The number of not assigned examinations is displayed If the End Button of any of the 4 windows is pressed a dialog to assign manually all received examinations that have not yet been assigned comes up automatically If it is desired to assign all examinations automatically as in versions lt 5 1 even if patient data are different the entry PAT CommSrvTempList 0 in WIN INI sec tion CARDIO must be inserted Please note that patient demographic data in the examination is always updated with the patient data of the database Resting
62. eb Server 2 10 2 1 2 Installation of Communication Server 000005 2 11 2 1 3 General Entries in INI Files 0 00 00 cece eee eee 2 12 2 14 Entries in WNIN oeat e ghee cee ae heed 2 13 2 1 5 Entries in SETUP_CMLINI 0 cece eee eee 2 15 2 1 6 Directory structure and notes on CardioSoftfiles 2 15 2 1 7 System Configuration Service screen 0 cece eee eee 2 18 2 1 8 Data transfer to from MUSE 0 0 000 c eee eee eee 2 19 2 1 9 Metabolic Interface 2 0 eee eee eee 2 22 2 1 9 1 Communication over serial port 2 2 22 2 1 9 2 Communication over shared file 000 2 24 2 2 Installation of the hardlock Parallel serial amp USB type 2 26 2 3 MARS PC Application Configuration 00 0cecee eee aes 2 27 Revision C CardioSoft 1 2014708 001 3 Aquisition Modules for CardioSoft 3 1 3 1 GAM USB ives ol Slice edhe an aes ona hare E A EEE AE A 3 1 3 2 CORINA 25 iia teei stan rene a An vets ane a ere rad ak deat 3 5 1 2 ia 07 61 eee eee Th ee ee aa 3 5 3 2 2 Supported Operating Systems and System performance 3 5 3 2 3 Model1 CORINA 00 00 cece cece eee 3 5 3 2 4 Model 2 CORINA with Suction Pump 200002005 3 5 3 2 5 Model 3 CORINA with Analog Output 0 02 e ee eee 3 6 3 2 6 Model 4 CORINA with suction pump and Analog Output
63. ere are several entries for one patient from the same date and time year month day hour minute and second This is quite unique 1 Ignore examination The examination file will not be copied to the repair directory 2 Generate new key and store the examination The second of the recording time will be incremented and a new try is made with this modified key This possibility should be used with care because when Card_Rep is used with the same examination files more than once also more than one entry will be found in the database Revision C CardioSoft 4 17 2014708 001 Troubleshooting Tips Database Repair for CASE CardioSys Card_Rep V5 x 4 6 4 After Repair Ba Case CardioSys CardioSoft Repair 5 0 Repair Directory View Master Directory a CaRDva2 fal p zco Database Directory ENCARDVAZADATABASE E 7 Delia Free 6 9 GB Total 10 9 GB COo 8 8 8 Examinations Directory MB Exam Files Exam Database Exercise Test a CARDV42 CAS CC eo Fa r Resting ECG a CARDV42 RESTECG o2 10 100 J to 10 IV AmbulBlood Pressure d CARDV42 HOLTERBP oo T 100 Ea M Spirometry d CARDV42 SPIR oo 2 100 ie ee M Exercise Test till CardioSys V4 2 d CARDV42 ERGOECG o3 6 100 J 67 6 STAT ECG d CARDV42 EMECG o7 m 100 jz jp Late Potentials d CARDV42 AVER oo T 100 1 1 I Right Heart Cath d CARDV42 RHK oo f oO En FF Extemal Programs d CARDV42 EXTPROG oo fo io IV Use the Case C
64. ert Fehler Patientennummer ist null Allgemeiner Fehler 4 20 CardioSoft 2014708 001 Revision C Troubleshooting Tips Remote Servicing 4 6 5 5 Patient Filter It is possible to set a filter for the patients lastname So only patients examinations according this filter are stored in the new database The filter specification can also include wildcards for example Me selects patients beginning with Me followed by any other combination of characters Me selects patients beginning with Me followed by exact 3 other characters Meier selects patients with the lastname Meier xyz selects patients containing the substring xyz The specification for searching can also be extended by the property Match case The filter can be set on the dialog Settings Settings x What is to do if the patient data is different from the database C Control with dialogue Use data from the examination file C Retain the data from the database Update empty fields of the database What is to do if the examination key is found in the database Ignore examination Generate new key and store the examination Language Engish OOU Filter Lastname ME M Match case a Figure 4 5 4 7 Remote Servicing Remote Servicing could be realized by using Symantec s PCAnywhere 10 5 HOST ONLY Software CAUTION Disconnect the patient from the system during remote servicing or when
65. erter max inspira tor Flow bei 50 der inhalierten FIVC MIF25 liters second Max inspired flow at Forcierter max inspira 25 of inhaled FIVC tor Flow bei 25 der inhalierten FIVC MVV liters second Maximal voluntary ven Maximales exspira tilation of air expired for torisches Ventilations one minute indirect Volumen pro Minute derived from FEV1 indirekt abgeleitet von FEV1 Question What are the rules for the MILLER spirometry interpretation LF501 Answer 1 FEVI IVC 2 70 and IVCref IVC 2 70 gt No Respiratory Problem 2 FEVI IVC lt 70 and IVCref IVC lt 70 gt Combined Respiratory Problem 3 FEVI IVC lt 70 and IVCref IVC 2 70 gt Obstruction 4 FEVI IVC 2 70 and IVCref IVC lt 70 gt Restriction Revision C CardioSoft 2014708 001 4 9 Troubleshooting Tips Printer debugging Question After installation of CardioSoft V5 x on a notebook with Windows 2000 why is the Standby shut down selection no longer available Solution Two drivers of CardioSoft V5 x do not support power management and this removes the standby selection These two drivers must be disabled inorder to retain the standby selection Start Control Panel with Start gt Settings gt Control Panel Start Administrative Tools Start Computer Management Select Device Manager from the System Tools Select Show hidden devices from the View
66. eshooting Tips General Troubleshooting Symptom Blood pressure display cut off In the operating modes late potentials and ergometry the blood pressure display can be cut off especially when the diastolic value is a 3 figure number only in the case of monitors gt 17 and VGA or 800 x 600 resolu tion Solution Select higher resolution 800 x 600 or 1024 x 768 or 1280 x 1024 Symptom No connection to ergometer Stress test performed in German with EC 1200 and BD2 BOSO was correct Language option French selected and start no command sent to ergometer Command comes only after calling up stress test a second time Solution After switching to a new language option terminate the program and restart Symptom No connection to ergometer Ergoline 900 Solution Use of Version 752 or M345 with OEM 4 Buttons or Version 236 436 in Program 10 with original 25 Button Ergoline Symptom No RAS connection with ELSA Modem Pulse dailing is not supported from ELSA 33 6 TQV Modem Solution Select Tone Dailing Symptom Modem RAS connection is not started In MUSE Settings of System Configuration of CardioSoft is activated Start Modem connection before transfer but the connection is not started Please do not start manually the Modem RAS connection when you configure that the application should start the connnection Solution Terminate the manually started Modem RAS connection Symptom Not enough memory space
67. ever atti P Record in local BCAAYWHETe IGG BE Recordi event log oncental senen Pomputer a rolIniocal i i event iog 4 26 CardioSoft Revision C 2014708 001 Troubleshooting Tips Remote Servicing pcAnywhere Options a ee LC pcAnywhere Options RenGye taiten pcAnywhere Options x Press OR Revision C CardioSoft 4 27 2014708 001 Troubleshooting Tips Remote Servicing Administrator privileges are necessary to use the remote service feature 2 Contact your nearest Remote Servive Center and arrange a time and date for remote servicing At the agreed time start the Symantec pcAnywhere program and click Modem 4 After servicing installation of software upgrades the Remote Service program shuts automatically down and the system user is logged off 4 28 CardioSoft Revision C 2014708 001 9 Supported Operating Systems CardioSoft Windows ME Windows 2000 gt min Service Pack 2 Windows XP gt min Service Pack 1 Revision C CardioSoft 2014708 001 5 1 For your notes 5 2 CardioSoft Revision C 2014708 001 Care and Maintenance 6 1 General introduction The suggested Safety Analysis Tests refer to the international standard IEC 601 1 The tests are generally performed with Safety Testers on most of them the measur ing circuits according IEC 601 are already implemented The following is a general description of the tests
68. ew caller See also pic tures of MODEM Properties gt Caller Properties below E Administrator Revision C CardioSoft 4 23 2014708 001 Troubleshooting Tips Remote Servicing MODEM Properties gt Callers Properties 2s New Caller E Hone number IF youleave lt pr f pcAnywhere Caller Properties New Caller pcAnywhere Caller Properties New Caller Conti password _ T Reguiredito view properties a Login Name Administrator Password Administrator Caller rights Superuser caller has full access rights to the host machine Press OK 4 24 CardioSoft 2014708 001 Revision C Troubleshooting Tips Remote Servicing Back to the MODEM Properties pcAnywhere Host Properties MODEM Changes to default Make passwords case a sensitive B Limeut us eeoa P TA Encryption Level pcAnywhere a K Disable Limit time to com plete login n iee Roo Press Apply pcAnywhere Host Properties MODEM pcAnywhere Host Properties MODEM Press OK Revision C CardioSoft 4 25 2014708 001 Troubleshooting Tips Remote Servicing pcAnywhere TOOLS OPTIONS Change Video mode selec tion to Compatibility pcAnywhere Options Press Apply pcAnywhere Options Ring number Dialup propel Irap destinations mi M Recard BCAnvWheTe OG GHCenital S
69. g stored examinations from MUSE database CardioSoft requires an Internet Browser Install IExplorer V6 0 Older versions as V4 01 SP 2 of IE have some difficulties in working with MUSE Prerequisites IExplorer V4 01 SP 2 or above MUSE version 5 x or above Acrobat Reader V4 0 or above Select taskbar gt Start gt Settings gt Control Panel doubleclick on Internet Open tab Connection Bo ae Deactivate Access via proxy server but this depents on the configuration of the proxy server in your LAN if you have to use a proxy server look furthermore in Advanced Settings 5 Activate Connect to Internet via LAN if connection is caused by LAN otherwise activate Connect via modem 6 Confirm by OK Example Some changes of MS IExplorer are working not before next restart of the Operating System Revision C CardioSoft 2 21 2014708 001 Installation Installation of the Software 2 1 9 Metabolic Interface 2 1 9 1 Communication over serial port The stress test module can process the following commands from the serial port E echo on T start treadmill O stop treadmill H stage hold R request measurements W start pretest S start exercise M start recovery The stress test module writes the stress test data if it receives the command R request measurements to a serial port The default settings for serial port are parity no data bits 8 stop b
70. gs of the selected language with the actual selected language of the system configuration Service notice Service Person can write notice to a file m Set CAM USB CORINA Serial Number Set the CAM USB or the CORINA Serial number of a CAM USB or CORINA from Service with Serial Number 0 m Delete Network Locks All other stations of the network using this server must be stopped before this Network Locks should be deleted m Save Log Files Save the Log Files what have been activated from Engineering and send this Log Files please to Engineering m Format Floppy Formats a Floppy Disk 2 1 8 Data transfer to from MUSE Store Examinations for MUSE Prerequisites Network with correct installed TCP IP specifications or Modem and RAS with installed TCP IP assuming FTP or a shared directory will be used Each CardioSoft has to use its unique Cart number as well as the correct location number for generating an unique filename Tests on CardioSoft can be transferred to MUSE database for general accessibility Three possibilities are implemented in CardioSoft a Save Examinations on Floppy and carry it to MUSE b Send Examinations to MUSE using FTP via LAN or RAS c Store Examinations on a shared directory located on MUSE via LAN or RAS The usual way for MUSE 5 x is FTP 1 Specify the FTP account informations on CardioSoft gt System Configuration gt MUSE by enabling Data transfer via FTP 2 Type in the FTP Server
71. he valid password is same as the password of the current day used for CASE CardioSys CARD_REP doesn t make any modifications with the original data from a CASE CardioSys 0 database Instead of this the repaired data is stored in a temporary directory So the person who repairs the database is responsible how to continue working with the repaired data After the repair is finished a protocol can be printed 4 6 2 Directory Filestructure 4 6 2 1 Case CardioSys directory structure Directory File Desciption CARDIO Program directory DATABASE Database directory Patient Btr Btrieve file Patients Examina Btr Btrieve file Examinations Users Btr Btrieve file Users Station Btr Btrieve file Network Stations not used in V5 Network Btr Btrieve file Network Locking temporary files RESTECG Resting ECG directory R Examinations files ERGOECG Exercise Test directory E Examinations files from CardioSys until V4 2 AVER Late Potentials directory AC Examinations files SPIR Spirometry directory SCE Examinations files EMECG STAT ECG directory N Examinations files RHK Right Heart Cath directory Lem Examinations files HOLTERBP Ambulatory Blood Pressure directory BC Examinations files CAS Case8000 directory Ch Examinations files EXTPROG Directory Results from external programs a Result files 4 16 CardioSoft Revision C 2014708 001 Troubleshooting Tips Database Repair for CASE CardioSys Card_Rep V5 x
72. hich database should be used as base and copy the whole directory into a repair directory c Card_Rep0 c Card_Rep9 2 Select the directorys of the files where the examinations are stored which should be merged 3 Start Repair and the selected examinations are merged to the repair directory Continue with the work described in the chapter 1 4 After Repair 4 6 5 2 External stored examinations It is possible to regenerate the database entries for the external stored examinations The only restriction is that the device must be writeable where the examinations are stored because the repair procedure makes it necessary that the header of each examination file has to be changed and file has to be renamed So before the repair is started it is advisable to make a backup from the directory of the external stored examinations This would be helpful when the system crashes while all the files are renamed 4 6 5 3 Examinations with Online ECG When using a directory structure not according to CASE CardioSys conventions there may be problems with examinations which have an Online ECG That s why Card_Rep assumes that the Online Files are stored in the directory ONLINE which is parallel to examinations So when Card_Rep doesn t find such a directory no Online File will be available for that examinations The modalities which may have Online Files are Exercise Test STAT ECG Right Heart Cath Revision C Cardio
73. ical Item CAM USB CAM 14 Height 33 mm 27 mm Width 155 mm 125 mm Depth 95 mm 95 mm Weight 525 g 181 g Interfaces included USB V1 1 Proprietary Revision C CardioSoft 7 1 2014708 001 Specifications Technical Specifications for CAM USB and CAM 14 Table B 3 Safety ingress of liquids Item Description Certification m UL 2601 1 classified m UL classified for CAN CSA C22 2 No 601 1 m CE marking for Council Directive 93 42 EEC concerning Medical Devices m Meets applicable AAMI EC 11 requirements Type of protection against Class 2 electrical shock Degree of protection against Ordinary Handling of disposable supplies and other consumables m Use only parts and accessories manufactured or recommended by GE m Follow manufacturerfs instructions for use for disposable consumable product m Follow local environmental guidelines concerning the disposal of hazardous materials Patient mode of operation Continuous Patient leakage current lt 10 uA Degree of protection against electrical shock Type BF defibrillation protection for the patient cable acquisition module Maintenance frequency m Recommended user daily visual inspection and cleaning m Recommended six month routine maintenance checks and test procedures performed by qualified technical personnel Table B 4 Environmental Power Requirements Item Description Operating conditions
74. in the Windows directory to change the direc tory for the shared file ERGOSPIR DAT CAS RECORD SpiroOptionWriteToFile 1 SpiroDirectory C SPIROAPP DATA The following string is written to the shared file every 5 seconds and immediately after phase or stage has changed recoxxx34xMxxxx0x xxx60xxxx4x 999x 999x 999xx 1 9xxxx1xx 12x 4CCR where a space is shown as an x Part of string Meaning Notes Beginning reco Stage Recovery 5 10 11 Xxx34 Speed 10 3 4 5 8 xM Speed designator MPH 1 xxxx0 Grade 10 0 0 5 x Grade designator 2 xxx60 Heart Rate 60 BPM 5 XXxx4 Ectopic Beats per Minute4 3 6 x 999 BP Measurement NBR 999 6 9 x 999 Systolic BP 999 4 6 x 999 Diastolic BP 999 4 6 xx 19 ST Level mm 10 1 9 6 xxxxl ST Slope mV s 10 0 1 6 xx 12 ST Integral uV 12 6 9 x Ending 4C Checksum 7 CR Carriage return Notes 1 Could be K for KPH Kilometers per hour If so SPEED is KPH Could be P for KPM Kilopondmeters If so SPEED is KPM from Ergo Could be W for WATTS Watts From Ergo Could be D dor DEGREES If so GRADE is DEGREES This is ECTOPIC COUNT for the minute previous mmHg If unavailable pass 0 If unavailable pass 999 SON TOT Rs eS Rightmost 2 ASCII characters of checksum Checksum includes all spaces Alpha characters must be Upper Case If Ergometer Watts or KPM SPEED value is not 10 9 Not supported in the current version value 999 o0 2 24 Cardi
75. ion not found Solution Look for the serial number System Configuration Option Code If the serial number is 0 leave CardioSoft disconnect the USB connector wait 5 sec before reconnecting them and start CardioSoft Look again for the serial number The CAM USB Interface have to be plugged in before starting CardioSoft Question No curves with CAM USB Interface Solution Please disconnect the USB connector and wait min 5 sec before reconnecting them Question I see red lines on remote screen Solution Set the TCP IP Protocol Parameter MaxMTU to the value 512 of the sending PC important of the sending PC For Windows 4 0 With the Registry Editor please locate the following key HKEY LOCAL MACHINE SYSTEM CurrentControlSet Services lt Adapter Name gt Parameters Tcpip Where lt Adapter Name gt refers to the subkey for a network adapter that TCP IP is bound to Please enter the key MTU with the Type REG_DWORD with the value 512 After the change please reboot the System For Windows ME 98 With the Registry Editor please locate the following key HKEY LOCAL MACHINE SYSTEM CurrentControlSet Ser vices Class netTrans 000n Where 000n refers to the network adapter that TCP IP is bound to Please enter the key MaxMTU with the Type String with the value 512 Important use Type String and enter the string 512 After the change please reboot the System
76. ision C CardioSoft 3 1 2014708 001 Aquisition Modules for CardioSoft CAM USB Supported Operating Systems and System performance CAM USB and CardioSoft V5 x are working with a Windows ME Recommended PC min 1 6 GHz min 128 MB SDRAM min 20 GB HDD b Windows 2000 SP2 or higher Recommended PC min 1 6 GHz min 128 MB SDRAM min 20 GB HDD c Windows XP Professional SP1 or higher Recommended PC min 1 6 GHz min 128 MB SDRAM min 20 GB HDD CAM 14 Acquisition Module P N 901142 005 901142 008 Functions 15 lead acquisition module already used with CASE8000 CASE and MACS5000 Interface Serial digital communication interface with 1 MHz clock CAM USB Interface P N 2009000 001 Functions The CAM USB INTERFACE implements the function of the protocol converter between the PC USB communication port and the patient data acquisition module CAM 14 It is used to isolate the PC System from the Patient environment with a 4kV medical floating isolation It also generates the operating voltage for the CAM 14 module see Figure 3 2 Interfaces USB Interface PC Communications Bus 12 MHz full speed device bus powered CAM 14 Interface Serial two wire protocol with 1 MHz serial clock Figure 3 2 3 2 CardioSoft Revision C 2014708 001 Aquisition Modules for CardioSoft CAM USB Indicators The CAM USB Interface has two LED s LED A yellow and LED B green to dis play the actual CA
77. its 1 baudrate 1200 handshake no The settings for the serial port can be changed with the following entries in the CARDIO INIT SpiroParity 0 no parity 1 even parity 2 odd parity SpiroDataBits 0 7 data bits 1 8 data bits SpiroStopBits 0 1 stop bit 1 2 stop bits SpiroBaudrate 0 300 baud 1 600 baud 2 1200 baud 3 2400baud 4 4800 baud 5 9600 baud 6 19200 baud 7 38400 baud 8 56000 baud 9 128000 baud SpiroHandShake 0 no handshake 1 XonXoff 2 hardware handshake 3 hardware handshake and interpretation of CR and NULL Example entries in the file CARDIO INI in the Windows directory to change the default settings to even parity 7 data bits 2 stop bits 9600 baud XonXoff CAS RECORD SpiroParity 1 SpiroDataBits 0 SpiroStopBits 1 SpiroBaudrate 5 SpiroHandShake 1 CASE8000 sends every 5 seconds the following string to the serial port recoxxx34xMxxxx0x xxx60xxxx4x 999x 999x 999xx 1 9xxxx1xx 12x 4CCR where a space is shown as an x 2 22 CardioSoft Revision C 2014708 001 Installation Installation of the Software Part of string Meaning Note Beginning reco Stage Recovery 5 10 xxx34 Speed 10 3 4 5 8 xM Speed designator MPH 1 Xxxx0 Grade 10 0 0 5 x Grade designator 2 xxx60 Heart Rate 60 BPM 5 XXxx4 Ectopic Beats per Minute4 3 6 x 999 BP Measurement NBR 999 6 9 x 999 Systolic BP 999 4 6 x 999 Diastolic BP 999 4 6 xx 19 ST
78. l Administrator 2 Change the workgroup name to the workgroup name of the CardioSoft server XP Control Panel gt System gt Computer Name Win2000 Settings gt Control Panel gt System gt Network Identification 2 6 CardioSoft Revision C 2014708 001 Installation Installation of the Software gt Properties NT ME Settings gt Control Panel gt Network gt Identification 3 Reboot D Configure Network User on CardioSoft station not for Windows ME Login as Local Administrator 2 Create a new local user same name and password as the designated Network User used on the CardioSoft server and add this Network User to the local administrator group XP Control Panel gt Administrative Tools gt Computer Management gt SystemTools gt Local Users and Groups gt Groups gt Administrators gt Properties Win2000 Settings gt Control Panel gt Users and Passwords NT Programs gt Administrative Tools gt User Manager 3 Logoff and Login as Network User to create the Profile E Merge database see also diagram page 2 9 1 Login as the new user Select the following criteria and perform the according steps New CardioSoft Server Local CardioSoft with existing examinations Merge local database to CARD_RO Map drive letter to DB_ Merge e g x Copy CARD_REP exe initially to the local program directory Launch CARD_REP exe Change program directory to the local program directory D CASE and the repair directory t
79. le Question PCW130 value will not be displayed in the stress test measurement summary Solution PCW 130 is not for use in combination with treadmill stress tests The stress test must be done weight of the patient is existing and a heart rate of 130 was reached ECG equipment must have the capability for a hart rate of 130 CardioSoft Revision C 2014708 001 Troubleshooting Tips Frequently Asked Questions Question The modem use is not in the modem list and brings up an error mesage at initialisation Solution Chose modem type User defined and delete X1 out of the field Initialisation After doing this the error message will disappear Configure modems type MultiTech only with 14400 baud and 19 2K baud Use the newer MultiTech 56K with the modified modem type User defined Question Patient selection menue will not fit within the screen Solution Select SMALL FONTS within the display configuration window Question The buttons on the screen have a grey shadow when using CardioSoft on a Windows 2000 based system Solution Select the scheme Windows Classic under Appearance in the display configu ration window Question Heart Rate removed after transfered from MAC 1200 to CardioSoft Solution The Heart Rate is calculated from the RR duration To get the Heart Rate in Cardio Soft you must have the Measurement Software Option on the MAC 1
80. leshooting Tips Frequently Asked Questions Problem When transferring data from MAC 1200 the same patient record is created twice Solution The function of CardioSys Soft to automatically assign an incoming resting ECG from a MAC 1200 to a patient record does not pose any problems If the patient with the patient ID from MAC 1200 already exists in CardioSys Soft the resting ECG will automatically be assigned to this patient If the patient with the patient ID from MAC 1200 does not exist in the CardioSys Soft database the patient record will be generated and the resting ECG will be assigned to the new patient record A second patient record with the name displayed in capital letters is generated only when a resting ECG with the same acquisition date and time is transferred a second time This second resting ECG is assigned to the second patient record and can thus be deleted Make sure that you do not unnecessarily transfer resting ECGs more than once If a new resting ECG is transferred after the resting ECG sent a second time the new one will be assigned to the first patient record Problem The MUSE Web Server works but an error message appears when the CardioSoft patient list is invoked Solution A MUSE Web user account must be created under Windows NT and assigned to the MUSE group The user account must also be created in MUSE Question Is the Japanese version of MAC 1200 capable of transferring resti
81. letter to DB_ Merge e g x Copy CARD_REP exe initially to the local program directory Launch CARD_REP exe and change the program directory to the local program directory D CASE and the repair directory to the mapped DB Merge drive letter and CARD_RO directory Press Start Repair button After the merge press Program End Last system to be networked AND at least one local CASE CardioSys CardioSoft has been merged Merge old server database to CARD_ RO Map drive letter to DB_Merge e g x Map drive letter to card_old e g y Launch CARD _REP exe and change program directory to the old server program directory y and the repair directory to the mapped DB_ Merge drive letter and CARD_RO directory Press Start Repair button After the merge press Program End Copy merged database to server database Map drive letter to cardio e g f Copy contents of x CARD_R0 to f Empty x CARD_RO Note Local users and the configured reports will not be merged automatically by CARD _REP If you want to take the users and the configured reports from a special station press the button Users Conf Rep to copy the files from the local database to the corresponding repair directory For detailed information see section Database Repair Tool chapter 4 6 in this document G Install CardioSoft Application Software Login as Local Administrator 2 Map the next available drive
82. letter to the cardio share on the CardioSoft server Note Make sure the Reconnect at login box is checked 3 Begin the installation of the CardioSoft application appropriate CD Drive If the installation does not start automatically wait some seconds launch setup exe in directory Disk1 e Disk1 setup 4 At the Choose Destination Location screen select Browse and browse to the root folder of the network drive that was just mapped to the CardioSoft server 5 Verify the Path edit box value is the root folder of the mapped network drive e g f 6 Finish the installation and reboot the system as prompted 2 1 1 1 2 Network environment Workgroup The CardioSoft server is configured as a Workgroup Revision C CardioSoft 2 5 2014708 001 Installation Installation of the Software A Setup User Account One of the following criteria must be met 1 A new user account must be created on the CardioSoft server 2 An existing user account on the CardioSoft server will be used This user is designated as Network User B Configure directory on CardioSoft Server see also diagram page 2 9 Select one of the following criteria and perform the according steps New CardioSoft Server Create Network Share 1 On the computer designated as the CardioSoft server create a directory on a local drive volume that meets the minimum space requirements for a CardioSoft database 2 Share this dire
83. lishments including domestic establishments and those directly connected to the low power supply network that supplies buildings used for domestic purposes Guidance and manufacturer s declaration electromagnetic immunity IEC 60601 1 2 The CAM USB is intended for use in the electromagnetic environment specified below The customer or the user of the CAM USB should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge 6 kV contact 6 kV Floors should be wood concrete or ESD IEC 61000 4 2 8 kV air BkKV ceramic tile If floors are covered with 7 synthetic material the relative humidity should be at least 30 Electrical fast transient 2 kV supply lines not applicable Mains power quality should be that of a burst typical commercial or hospital IEC 61000 4 4 1 kV for environment input output lines 1kV Surge to 1 kV differential mode not applicable Mains power quality should be that of a IEC 61000 4 5 not applicable typical commercial or hospital 2 kV common mode environment Revision C CardioSoft 7 3 2014708 001 Specifications Description of Conformity of CAM USB to IEC 60601 1 2 Second Edition Voltage dips short lt 5 Ur lt 5 Uy Mains power quality should be that of a interruptions and gt 95 dip in Ur typical commercial or hospital vo
84. ltage variations for 0 5 cycle environment If the user of the CAM USB on power supply 40 Ur requires continued operation during input lines 60 dip in Ur as power mains interruptions it is IEC 61000 4 11 for 5 cycles recommended that the CAM USB be 70 Ur powered from an uninterruptible power 30 dip in Ur 70 Uy supply or a battery for 25 cycles The test was performed on the entire lt 5 Ur system gt 95 dip in Ur for 5 sec lt 5 Ur Power frequency 3 A m 3A m Power frequency magnetic fields 50 60 Hz magnetic field should be at levels characteristic of a IEC 61000 4 8 typical location in a typical commercial or hospital environment NOTE Uris the a c mains voltage prior to application of the test level Guidance and manufacturer s declaration electromagnetic immunity IEC 60601 1 2 The CAM USB is intended for use in the electromagnetic environment specified below The customer or the user of the CAM USB should assure that it is used in such an environment Immunity Test IEC 60601 test level Compliance level Electromagnetic environment guidance Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 3 Vert 150 kHz to 80 MHz 3 V m 80 MHz to 2 5 GHz 3 Vert 3 Vim Portable and mobile RF communications equipment should be used no closer to any part of the CAM USB including cables than the recommended separation distance calculated from the equation ap
85. nce from power connector to any protective earth connected exposed conductive part is measured Specs of test circuit AC current source 50 Hz 60 Hz of at least 10 A up to 25 A with limited output voltage of 6 V Ifresistance is greater than 100 mOhm the unit fails this test 6 4 CardioSoft Revision C 2014708 001 specifications 7 1 Technical Specifications for CAM USB and CAM 14 Table B 1 Performance Specifications Data Acquisition Item Description Technology Active Type BF floating isolated powered 14 channel acquisition module with built in lead fail detection and lead prep impedance measurement Sampling rate Over sampling 4000 Hz 12 leads Dynamic range 320 mV 10 mV signal superimposed on 150 mV DC offset Resolution 4 88 uV LSB 500 Hz Noise lt 15 pV peak to peak noise over 0 1 to 150 Hz 3 dB bandwidth Frequency response 3dB display and writer High pass filter 0 01 Hz or 0 05 Hz special use with DC offset control measured with enhanced measurement methods 0 1 Hz measured according to YY 1139 2000 Single and Multichannel Electro cardiograph Common mode rejection Measured 100 dB calculated gt 140 dB 123 dB with AC filter disabled Input impedance gt 10 MQ 10 Hz defibrillator protected Pace detect Orthogonal LA LL and V6 750 uV 50 us Software corrected Table B 2 Phys
86. nder Windows 98 with original printer driver 4 10 CardioSoft Revision C 2014708 001 Troubleshooting Tips General Troubleshooting Symptom Solution Symptom Solution Symptom Solution Laser Printer prints numbers instead of grid There are four solutions for this issue a If you work within a network installation make sure that CardioSoft is installed on every client that want s to work with this software b Open Printer properties menue and change the printer scheduling to Print direct c Do the following entries to the WIN INI section CARDIO GRA_DontRemoveGrid 1 d Control Panel Regional Options General Language settings for the system The support for the following languages has to be deacti vated Arabic Hebrew Indic Korean Thai Vietnamese After changing these settings the system must be reboot While printing a Resting ECG on an EPL5500 printer the lettering is printed over the sheet margins Disable the Advanced Printing Features under Advanced Options in the printer configuration menue Paper out message from a laser printer is displayed delayed You can reduce the Transmission Retry Timeout This will decrease the delay of the displayed Paper out message but it could case a timeout mes sage during print of pages with noisy ECG curves Reduce the Transmission Retry Timeout in Windows Printer Settings Tab Port button Configure P
87. nditions Polarity switch NORM and RVS GND switch GND closed Si closed Test has failed if the measured values are greater than 50 mA Electrical Diagram for Patient Leakage Current Test Safety Tester POWER CORD patient cable 2 or test plug Figure 6 3 For protection of the test person the following values of resistor R may be used Typ CF 100 kOhm 220 to 240 V 6 1 2 3 Enclosure Leakage Current Test System CAUTION Do not operate devices PC VGA Monitor Printer in the vicinty of the patient 1 5m 5ft if there are not in the condition with IEC 601 1 All units there are connected to the CardioSoft system PC VGA Monitor Printer has to be tested as follow Connect all power cords from the units sepatartly for test to your Safety Tester During single fault conditions S F C referring to the electrical diagram the measurements have to be done under the following conditions Polarity switch NORM and RVS GND switch GND open Sil closed S F C 3500 uA Revision C CardioSoft 6 3 2014708 001 Care and Maintenance General introduction Electrical Diagram for Enclosure Leakage Current Test Safety Tester POWER CORD Figure 6 4 6 1 2 4 Protective Earth Resistance Test The power cord is to be included in the protective earth resistance test This test determines whether the device has a power ground fault The protective earth resista
88. ne Version 6 15 Settings File Sharing On Local Drives set to 1 value 2 Install CardioSoft Web in the created directory InetPub and go to topic Installation on the Workstation Installation on the Workstation Check that Internet Explorer V 6 0 or higher is installed 2 Client Workstation Settings Check the Proxy Settings of the Internet Explorer Control Panel gt Internet Options gt Connections gt LAN Settings If Use Proxy Server is activated then press Advanced button and enter at Field Do not use proxy server for addressing beginning with the Computer Name of the Web Server If Use Proxy Server is activated then activate Bypass proxy server for local addresses 3 Start on Client Workstation the Internet Explorer and enter the www address lt Computer Name gt CardioSoftWeb CardioSoftWebHome htm 2 1 2 Installation of Communication Server The Communication Server is a separate PC with up to 4 Modems connected Rest ing ECG procedures can be send from MicroSmart MAC 500 CardioSmart MAC 1000 MAC1100 1200 to this Communication Server over a Modem The Commu nication Server stores the Resting ECG s in a local network server and this data can be sent to the MUSE Procedures can be sent from ECG Systems to this Communi cation Server over Modem Note This PC can only used as Communication Server and cannot used for other purpose Prerequisites PC with minim
89. ng ECGs to CardioSoft V4 2 or above using the A5 protocol Yes if japanese Windows Operation System is used Problem Metabolic Carts display a higher heart rate than CardioSoft Solution During exercise tests the heart rate is calculated for the 30 second tabular data The heart rate is averaged over 30 seconds at 5 second intervals and entered in the table The max heart rate is derived from the tabular data The heart rate is sent to the met abolic cart at 5 second intervals it the value displayed there may be higher than in CardioSoft CardioSoft Revision C 2014708 001 Troubleshooting Tips Frequently Asked Questions Question Access to DEMO CardioSoft Web Answer http 194 45 46 68 Login with webuserl and password webuser1 Problem If in exercise tests with the EC1200 the stage time for the PRETEST phase is set to 0 minutes the error message No communication with ergometer treadmill appears in about every second exercise test after initiation of the modality and before the patient start pedalling This problem only occurs with CardioSoft V4 2 not with V4 14 Solution Change the PRETEST phase of the protocol from 0 minutes to 99 minutes and select Phase gt gt when the patient start pedalling With this method the connection will not be interrupted Problem Patient assignment problems of CardioSoft in conjunction with MASTERSCOPE V4 52 Solution Mr Eirich kne
90. ny exposed conductive parts to ground the unit under test has to be switched on and off Connect the unit under test to your Safety Tester and measure with the probe to a CAM USB a foil 10 x 20 cm wrapped around the CAM USB Interface Box b CORINA the parallelport connector housing from CORINA During normal conditions N C referring to the electrical diagram measurements have to be done under the following conditions Polarity switch NORM and RVS GND switch n a Si closed During single fault conditions S F C referring to the electrical diagram the measurements have to be done under the following conditions Polarity switch NORM and RVS GND switch n a SI open Test has failed if the measured values are greater than N C S F C 100 mA 500 pA 300 pA U L requirements Electrical Diagram for Enclosure Leakage Current Test Safety Tester Figure 6 2 6 1 2 2 Patient Leakage Current Test This test performs a leakage current test under single fault conditions S F C depending on domestic power outlet with 115 or 230 V AC as source into the float ing inputs In all cases the leakage current is measured from input jack of unit under test to ground Connect the unit under test to your Safety Tester 6 2 CardioSoft Revision C 2014708 001 Care and Maintenance General introduction Referring to the electrical diagram measurements have to be done under the following co
91. o o o NAZAAQDAAANAATAMA ECG Ground Figure 3 25 Pin assignment of this socket Pin 1 Analog Out Pin 2 ground Pin3 reserved Revision C CardioSoft 3 21 2014708 001 Aquisition Modules for CardioSoft Troubleshooting Help Functions 3 5 Troubleshooting Help Functions After startup CORINA performs an internal self test The test results are filed in FIFO memory If an error is detected an alarm signal also sounds three times in suc cession Meaning of the error messages Self Test Results Program Display Meaning BYTE Value 00000000 0 no error 00000001 1 error in internal RAM of 68332 00000010 2 error in vector list 00000100 4 error in RAM memory 00001000 8 system software CRC check error 00010000 10 custom software CRC check error 00100000 20 QSPI check error When several errors occur together the relevant bit in each case is set Example System and custom software CRC check error Self Test Results Program Display Meaning BYTE Value 00011000 24 System and custom software CRC check error 3 22 CardioSoft Revision C 2014708 001 4 Troubleshooting Tips 4 1 Frequently Asked Questions Question Error Messages with CAM USB Interface 7983 Exercise test option not found 6400 Note The Record function is available only in conjunction with the Resting ECG Standard option Generally Opt
92. o the PCB and serves to secure the Marquette HELLIGE patient cable Revision C CardioSoft 3 7 2014708 001 Aquisition Modules for CardioSoft Hardware Structure Upper case shell with integrated PCB Figure 3 5 Upper case shell with integrated PCB incl PCB CORINA TRIGGER Figure 3 6 3 4 1 2 Floating screening The floating screening comprises a plastic shell with a floating shield cemented in place The plastic shell is secured with the locking device and by clipping it in onto the PCB On the one hand the floating screening protects the highly sensitive elec tronics from interference while on the other hand the plastic shell ensures a defined safe gap to the metal plating of the casing 3 8 CardioSoft Revision C 2014708 001 Aquisition Modules for CardioSoft Hardware Structure Lower case shell with integrated pump module old tubing system Figure 3 7 Lower case shell with integrated pump module new tubing system SaaS GU G Ua f 2 Figure 3 8 Revision C CardioSoft 3 9 2014708 001 A
93. o the mapped DB_ Merge drive letter and CARD_RO directory Press Start Repair button After the merge press Program End Last system to be networked AND at least one local CASE CardioSys CardioSoft has been merged Copy merged database to server database Map drive letter to cardio e g f Map drive letter to DB_Merge e g x Copy contents of x CARD_R0O to f Empty x CARD_RO Existing CardioSoft Server Local CardioSoft with existing examinations Merge local database to CARD_RO Map drive letter to DB_ Merge e g x Copy CARD_REP exe initially to the local program directory Launch CARD_REP exe and change the program directory to the local program directory D CASE and the repair directory to the mapped DB Merge drive letter and CARD_RO directory Press Start Repair button After the merge press Program End Last system to be networked AND at least one local CASE CardioSys CardioSoft has been merged Revision C CardioSoft 2 7 2014708 001 Installation Installation of the Software Merge old server database to CARD_RO Map drive letter to DB_ Merge e g x Map drive letter to card_old e g y Launch CARD _REP exe and change program directory to the old server program directory y and the repair directory to the mapped DB_ Merge drive letter and CARD_RO directory Press Start Repair button After the merge press Program End
94. oSoft Revision C 2014708 001 Installation Installation of the Software 10 The stage names are fixed as the following table shows Phase Stagenumber before Test Start Pre Test 1 Pre Test 2 Exercise 1 Resovery 1 Test finished Stagename in the shared file 4 characters chck base warm warm exer exer reco reco stop If a phase or stage change occurs the complete string is written immediately Revision C CardioSoft 2014708 001 2 25 Installation Installation of the hardlock Parallel serial amp USB type 2 2 Installation of the hardlock Parallel serial amp USB type If CardioSoft is running without PATIENT MODULE some of the options are locked with a hardlock There are two hardlocks available One is the hardlock with DB 25 connectors This hardlock can be connected to the parallel or the serial inter face And a newer USB hardlock to be connected to USB port When using this USB hardlock the hardlock has to be plugged into one free USB port of the PC and it will work When using the parallel serial hardlock then using an environment variable the program can be informed where to look for the hardlock In the default setting a search for the hardlock is made at the interfaces LPT1 and LPT2 only In addition using these environment variables certain PC configurations which could lead to problems can be indicated Port Identification Meaning p parallel normal
95. oft Web Site To run CardioSoft Web on the Default Web Site allowing anonymous access set up a virtual directory scripts to the path InetPub scripts under Default Web Site Use MMC To run CardioSoft Web on a separate Web Site set up a new web site Under this new web site set up a virtual directory named scripts Set the local path for this directory to InetPub scripts Setting access and authentication control for the web site Select the web site properties Select tab directory security Edit authentication methods Check Allow Anonymous Access to allow all users to establish a web HTTP connection to this web site Check Basic Authentication to limit access to the web site During the basic authen tication process the user has to enter a valid Windows account user name and pass word Setup Windows user account using the User Manager To identify a web site on a server hosting several web sites either the IP address Port or Host Header Name must be unique A host header name is an additional name for the same IP address The host header name is transmitted to the IIS in the request header CardioSoft and CardioSoft Web uses Btrieve for Windows MicroKernel engine W32MKDE EXE standalone workstation implementation If there is an Installation of Btrieve for Windows Server Edition on the Windows Server the MicroKernel engine NTMKDE EXE is used to access the database files This causes problems if the database is on
96. omain where the CardioSoft server resides NOTE Typically the Domain Administrator must do this step Revision C CardioSoft 2 1 2014708 001 Installation Installation of the Software C 2 An existing domain user account from the NT Win2000 domain where the CardioSoft server resides or an existing domain user from an NT Win2000 domain that has a trust relationship with the NT Win2000 domain where the CardioSoft server resides is designated as the Network User that will be configured to run the application on the CardioSoft system Configure directory on CardioSoft Server see also diagram page 2 8 Select one of the following criteria and perform the according steps New CardioSoft Server Create Network Share 1 On the computer designated as the CardioSoft server create a directory on a local drive volume that meets the minimum space requirements for a CardioSoft database 2 Share this directory as cardio Configure the share permissions such that the designated Network User has full control permission 4 If at least one local CASE CardioSys CardioSoft with existing examinations will be networked additionally create a directory on the CardioSoft server for merging the databases later and share the directory as DB_ Merge with full control permission Existing CardioSoft Server Configure Network Share All local CASEs CardioSys CardioSoft that will be networked are new 1 Configure th
97. onal functions are pace identification checking and testing functions configuration of the inputs N negative feedback loop measurement of d c voltage and blocking function Transfer of data between the functional unit ECG Processor and CONTROLLER is via a QSPI interface The exact specifications are described in the document ASIC Interface e c ASIC 1 ASIC3 gola vu E y es 5 g a 2 9 oe ae m g 3 am a on 3 g EE D o T 3 k fj 73 jw 5V m ASIC1 ASIC2 28 3 m Clock rN T Figure 3 14 all CORINA control functions initialization of hardware data communication from and to the functional unit ECG Processor data communication from and to the functional unit PC PORT output of ECG data to DA transductor on PCB CORINA TRIGGER optional 3 14 CardioSoft Revision C 2014708 001 Aquisition Modules for CardioSoft Hardware Structure 5 Pan m s 8 Control Bus S 7 U is O 2 A o 4 a 3 Periphery Reset N a Expansion Figure 3 15 CORINA is controlled by the Controller 68332 This controller already has all the important functions required to control CORINA These are CPU 68000 family plus 68020 commands plus commands for controller applications 2 serial interfaces SCI QSPI on chip memory for faster applications maximum of 12 p
98. ort 4 3 General Troubleshooting Symptom Solution Symptom Solution Stress test driver settings lost Stress test profiles were changed or newly created and are no longer there The file ERG_PROT_VS5AN DAT ERG _PROT_ANSI DAT old name before V4 2 in the Windows directory was inadvertently deleted or over written A backup of this file should be made after changing profiles so that it can be restored even after a hard disk error restore file into Win dows directory Defective data sets in the database Errors occur during patient selection but not when selecting examination options Contact technical support for a reorganisation tool which may repair the error in the data base By activating the REORG procedure you can reorganize defective BTRIEVE files from CardioSoft This repair procedure may become nec essary when the data become damaged for some reason or another e g after a power failure To carry out the repair procedure successfully Car dioSoft must first of all be terminated There must be sufficent memory space on your hard disk As a general rule the following applies memory space required twice as much free memory space as the sum of all CardioSoft files with the suffix BTR The original CardioSoft files are still available in the form of OLD files Revision C CardioSoft 4 11 2014708 001 Troubleshooting Tips General Troubleshooting Symptom Solution
99. ory Each page of the document has the document part number and revision letter at the bottom of the page The revision letter identifies the document s update level The revision history of this document is summarized in the table below Table 1 Revision History PN 2014708 001 Revision Date Comment A 08 August 2003 Initial release of CardioSoft Service Manual B 11 October 2003 ECO 075137 C 13 April 2004 ECO 075827 1 1 2 Manual Purpose This manual supplies technical information for service representative and technical personnel so they can maintain the equipment to the assembly level Use it as a guide for maintenance and electrical repairs considered field repairable Where nec essary the manual identifies additional sources of relevant information and or tech nical assistance See the operator manual for the instructions necessary to operate the equipment safely in accordance with its function and intended use 1 1 3 Intended Audience This manual is intended for the person who uses maintains or troubleshoots this equipment Revision C CardioSoft 1 1 2014708 001 1 2 Safety Information 1 2 1 Responsibility of the Manufacturer 1 2 2 General GE Medical Systems Information Technologies is responsible for the effects of safety reliability and performance only if m Assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by GE Me
100. oups in the computer administration and click the Groups folder In the window at right click Main User A dialog opens showing all members of the group Clicking the Add button opens a second dialog Select user or group Select the domain from the combo box at the top From the list box below select the user or the group and confirm with Add Exit with OK Running CardioSoft Web on Windows 2000 Domain Controller For CardioSoft Web to run on Windows 2000 domain controllers users IUSR_ lt Computer Name gt and IWAM_ lt ComputerName gt must be assigned to the group Server Operators after installation To do so open the dialog Active Directory Users and Computers via Control Panel Administrative Tools In the dialog at left select the Domain under Domain on the folder Builtin and open the Property Dialog for the Server Operators Select the Members tab a add the users USR_ lt Computer Name gt and IWAM _ lt ComputerName gt Question What is the meaning of the spirometry test parameters LF501 SpiroSoft parameters see users manual Answer Designation of Spirometry Test Parameters CardioSys Soft V5 x of LF501 Parameter Designation IVC liters Inspiratory vital capacity Inspiratorische relaxed Vitalkapazitat EVC liters Expiratory vital Exspiratorische capacity relaxed Vitalkapazitat FEVC liters Forced expiratory vital capacity
101. parallel port s serial normal serial port e ECP parallel port in ECP mode n NEC Japan As the Japanese NEC models have a different port con figuration a special operation can be activated with this parameter A separate NEC API is thus no longer neces sary C Compaq The dockingbase multiplexer to toggle between the Contura Dockingbase parallel port and Ethernet adapter is reset on the paral lel port to scan for the hardlock I IBM PS 2 The specification for IBM PS 2 rectifies an error in reprogramming the ports for certain video drivers under Windows hardlock is no longer found after Windows has been started This effect can now only be activated via the specification of the environment variables Example in the file autoexec bat SET HL_SEARCH 378p 2f8s The hardlock is searched for at the parallel interface at address 0x378 and the serial interface at address 0x2f8 If PATIENT MODULE is connected to LPT1 the hardlock at LPT2 may not be identified In this case use SET HL_SEARCH 278p to inform hardlock API that the search for LPT2 should commence The ports are generally located at the following addresses COM1 3F8 COM2 2F8 COM3 3E8 2 26 CardioSoft Revision C 2014708 001 Installation MARS PC Application Configuration COM4 2E8 LPT 1 378 LPT 2 278 Under Windows ME when using the hardlock the file hardlock vxd must be located in the system directory It is copied ther
102. please reboot the system 2 1 1 Installation of CardioSoft For CardioSoft start the Setup Program without parameter Versions earlier than V 4 2 first have to be upgraded to V 4 2 before installing V 5 x To run CardioSoft properly the screen resolution must be set to 1024 by 768 pixels with 65536 64 k colors Note Only CORINA Models 101 118 31 34 and 37 38 OEM are supported by CardioSoft 5 x When using the new modles you can also use the new Power Sup ply SW 172 or as default the FW 7324 2 Power Supply 2 1 1 1 Installation in the network CAUTION Connect to the network with the delivered Transceiver do not plug in direct in the network card Network Configuration To communicate with a MUSE server Version 5 0a or Remote View Function you have to configure the TCP IP protocol Network Installation of CardioSoft CAUTION Before installation close all programs Case Cardio on all stations If local CASEs CardioSys CardioSoft with existing examinations will be net worked perform a data backup before merging the databases as described below The CardioSoft server itself must not be used as a CardioSoft station 2 1 1 1 1 Network environment Domain A Setup Domain User One of the following criteria must be met 1 A new domain user account must be created designated as Network User on the NT Win2000 domain where the CardioSoft server resides or a NT Win2000 domain that has a trust relationship with the NT Win2000 d
103. plicable to the frequency of the transmitter Recommended separation distance d 1 17 P d 1 17 P fur 80 MHz bis 800 MHz d 2 33 P f r 800 MHz bis 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol K 7 4 CardioSoft Revision C 2014708 001 Specifications Description of Conformity of CAM USB to IEC 60601 1 2 Second Edition NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the CAM USB is used exceeds the applicable RF compliance level above
104. quisition Modules for CardioSoft Hardware Structure 3 4 1 3 PCB CORINA Figure 3 9 There are 5 PCB versions a a b c 2x Standard b 2x for Analog Out c Standalone 2x Standard PCB The entire electronics as well as all interfaces are located on the PCB The patient input socket is fixed permanently to the PCB The lead to the PC and the power supply cable to the pump are plugged in The operational readiness display LED green is also located on the PCB When operative the light is transmitted to the outside of the casing via an optical fiber The newer PCB version used in CORINA 101 118 31 32 and 101 118 41 42 provides a newer communication protocoll to the PC and will not work inside other older CORINA variants 2x CORINA PCB model for CORINA TRIGGER Analog Out It has longer male multipoint connectors than the standard PCB model The PCB CORINA TRIGGER is plugged into this and the internal analog lead as well as optionally the suction pump connected The newer PCB version used in CORINA 101 118 33 36 and 101 118 43 44 provides a newer communication protocoll to the PC and will not work inside other older CORINA variants The CORINA PCB model for the CORINA standalone is almost exactly the same as model b The PCB CORINA TRIGGER is also plugged in here and the internal analog lead as well as optionally the pump power supply connected 3 1
105. rogrammable chip selects interrupt manager intelligent 16 bit timer clock generator Memory A 128 kByte FLASH 128 K x 8 PEROM which can be programmed directly with the 5 V operating voltage supply is used as a program memory store This per mits the subsequent loading of software updates using the PC The data memory comprises the ON The interrupt requests IEKG_and IPCPW_ are both stored by using FLIPFLOPS since the interrupt inputs IRQ1 to IRQ6 are only level gated In contrast to the others IRQ7 is edge gated and can thus be actuated directly Resets are generated by a MICROPROCESSOR SUPERVISORY CIRCUIT A floating section is used to connect the functional unit ECG Processor to the QSPI interface of the 68332 This is a full duplex interface with data input MISO Master In Slave Out data output MOSI Master Out Slave In and serial clock SCK A maximum of 4 devices can be connected to this interface To achieve this the PCB is equipped with a connector onto which this bus can be switched in Using this con nector thus allows the connection of a maximum of 3 further peripherals e g experimental input One of the peripherals is the PCB CORINA TRIGGER optional A signal transmitter gives an acoustic status message This signal transmitter enables signalling of errors for example Revision C CardioSoft 3 15 2014708 001 Aquisition Modules for CardioSoft Hardware Structure 3 4 2 3 PC PORT
106. rsion with International Main Power Input Connector Part Number Item 43252221 Lower Shell 43252261 Upper Shell 90227200 Shield and insulation tube 43252231 Connection Panel Patient Input 43252223 Fiber optic 92916645 Luer connection kit female 92916648 Nut 92916654 Filler cap PC Connection cable Part Number Item 2001934 001 or 2009877 001 Connection Cable to PC for CORINA 10111831 44 91541779 PANEL PLUG 91541780 PLUG HOUSING Part Number Item 30344291 Pump 12 V Standard 30344485 Pump for Corina with Analogoutput Revision C CardioSoft 8 3 2014708 001 Spare Parts CORINA CORINA 10111831 32 only for CardioSoft Version gt V4 14 Part Number Item 2002899 001 Pcb Corina 2002980 001 Exchange Pcb Corina CORINA 10111833 34 only for CardioSoft Version gt V4 14 Part Number Item 2002899 002 Pcb Corina Analog Output 200298 1 001 Exchange Pcb Corina Analog Output 8 4 CardioSoft 2014708 001 Revision C Spare Parts CORINA For your notes Revision C CardioSoft 2014708 001 European Representative GE Medical Systems Information Technologies GmbH Munzinger StraBe 3 D 79111 Freiburg Germany Tel 49 761 45 43 0 Fax 49 761 45 43 233 World Headquarters GE Medical Systems Information Technologies Inc 8200
107. s for CardioSoft Hardware Structure 3 3 1 Repair Procedure A number is stored in the CORINA which allows the accurate assignment of user and software options Repairs conducted by Availability of AT PCBs CORINA 4 types 2 with and 2 without the possibility of plugging in the PCB CORINA TRIGGER To reprogram the serial number please see chapter 4 5 Reprogramming Serial Number This tool enables the authorized service technician to program the replaced CORINA PCB with the customer specific serial number The AT PCB is pro grammed This number only allows the PCB to be modified by overwriting Replacement works with the AT PCB only The AT PCB can be programmed once only 3 4 Hardware Structure 3 4 1 Physicomechanical Structure 3 4 1 1 Casing CORINA comprises 4 optionally 8 mechanical functional units These are casing floating screening PCB CORINA 5 types a 2x standard b 2x for Analog Out c standalone cable to PC pump module for Electrode Application System optional PCB CORINA TRIGGER optional insulating foil for PCB Analog Out optional internal wiring Analog Out optional The casing comprises the following components lower case shell upper case shell locking device The pump module optional is affixed to the lower section of the casing The PCB and the floating screening are attached to the upper section The locking device is screwed t
108. tion letter for the compression C compressed U uncompressed the internal patient ID 6 digit with leading zeros and the internal examination ID 3 digit with leading zeros giving additional file data File in windows inf directory camusb inf INI files An initialization file CARDIO INI is created in the Windows directory where the program settings are stored These settings can be allocated with an identifier and stored in the help functions under Settings in the SETUP directory thus making them available to all users of a network load help functions under Settings Up to 10 settings can be stored The file names are SETUPO INI to SETUP9 INI Stress test driver settings are stored in file PASVO DAT to PASV9 DAT Entries in the initialization files SYSTEM INI and WIN INI are described in the cor responding sections of this Service Maunual An initialization file CA _SYS INI is created in the Windows directory where the system settings are stored Stress test driver ergometer treadmill settings are stored in the file ERG _ PROT_V5AN DAT in the Windows directory If the profiles are modified or recreated this file should be saved It has been known for this file to have been deleted during new installations It can also prove useful to assign the file with the attribute READONLY This prevents overwriting or deletion However this attribute must be removed again before making any new changes in the profile It is more advisa
109. tivates the entries in the internal logbook Can only be deactivated until next program start Delete Deletes all entries in internal logbook Save as Saves all entries of the internal logbook to a text file OK or Cancel Close the Service Screen Archive Path Select on a CASE System the path to the archive A floppy drive or E CDROM drive This Archive Path is only displayed if the password case8k was entered m CORINA time constant HP filter Time Constant for CORINA ECG Acquisition Module Should be not changed if not requested from Customer m CAM14 High Pass Filter High Pass Filter for CAM14 ECG Acquisition Module Should be not changed if not requested from Customer m Research Full Disclosure ECG in directory ONL500 ONL2000 Please always select non If you select other than none the hard disk will be filled up very fast because for every Full Disclosure ECG a Full Disclosure ECG with 500 Samples per second or 2000 Samples per second will be stored 2 18 CardioSoft Revision C 2014708 001 Installation Installation of the Software CAM14 Disable Lead Fail Bias Disable Lead Fail Bias for CAM14 ECG Acquisition Module ACQ TEST Test of the CASE ECG Acquisition Module WRITR TEST Test of the Thermal Writer KEYPAD TEST Test of the CASE function keyboard BURN IN TEST Burn In Test for CASE LOOPBACK TEST Loop back test for CASE Serial ports Test dictionary Compares the Text Strin
110. to be performed For the handling of your Safety Tester follow the user manual The tests may be performed under normal ambient conditions of temperature humidity and pressure and with line voltage The leakage currents correspond to 110 of rated voltage for the tested unit Most Safety Testers take this into account otherwise the measured values have to be cal culated 6 1 1 Recommended Test Equipment Safety Tester for measurements according to IEC 601 Testing connector according to the following description 6 1 2 Leakage Current Measurement To perform the suggested measurements the unit under test has to be separated from any interconnection to a system If the unit is part of a system extended tests accord ing to IEC 601 1 1 have to be performed The following diagram shows the Measur ing Circuit M required for leakage current The reading in mV corresponds to mA leakage current The Safety Testers generally work with this Measuring Circuit M and the displayed values are already converted to leakage current 0 015 pF Measuring instrument Calibrator R2 1MQ Figure 6 1 6 1 2 1 Enclosure Leakage Current Test This test is performed to measure leakage current from chassis to ground during nor mal conditions N C and single fault conditions S F C Revision C CardioSoft 6 1 2014708 001 Care and Maintenance General introduction In all cases the leakage current is measured from a
111. um requirement see CardioSoft User Manual Up to 4 serial ports Up to 4 Modems CAUTION all Modems must be from the same type PC must be integrated in a local network to store the data or send the data to MUSE Revision C CardioSoft 2 11 2014708 001 Installation Installation of the Software Installation Steps Install CardioSoft on the PC 2 Start the CardioSoft Application and view the System Configuration In the Tab Modem select the Baud Rate and the Modem Type The Port Setting is not used for the Communication Server In the Tab MUSE you can configure to send the Resting ECG s to MUSE The setting Start Modem connection before transfer cannot be used In the Tab General please deactivate the Enable Password Function 3 For every Modem create a Shortcut to the CardioSoft Application In the Properties Dialog of the Shortcut view Tab Shortcut For Modem 1 at COM1 change the content of the field Target to cardio exe cartmodem com1 for Resting ECG from ECG recorder or cardio exe sysmodem com1 for Resting ECG from ECG System and rename the shortcut to CardioSoft Modem 1 Change the other Shortcuts in the same way 4 Connect all Modems and switch on all Modems Start the first Shortcut It should be displayed a window with the title COM1 Data received form ECG System ECG recorder If an error message is displayed check the Modem Settings Press the End Button in th
112. ured in the stress test mode Peripherals can be connected via a 3 pin output socket Pin assignment of this socket Pin 1 Analog Out Pin 2 ground Pin 3 reserved also refer to Section 3 4 2 3 3 4 1 7 Insulation Foil for PCB CORINA TRIGGER The insulation foil serves to effect floating isolation of the analog section of the PCB CORINA TRIGGER with reference to the casing and optionally to the pump Revision C CardioSoft 3 13 2014708 001 Aquisition Modules for CardioSoft Hardware Structure 3 4 1 8 Internal Wiring of the Analog Output The connection from the analog output of the PCB CORINA TRIGGER to the 3 pin output socket on the casing is effected using a lead covered by a heat shrinkable tube For EMV purposes there are two wide band interference suppression coils inside this tube Using this tube effects high voltage resistant isolation between the analog output signal and ground and patient floating part 3 4 2 Electrical and electronic structure 3 4 2 1 ECG Processing 3 4 2 2 CONTROLLER The entire CORINA electronics is divided up into three functional units and located on a PCB These are ECG CONDITIONING CONTROLLER and PC PORT In addition optionally Analog Out electronics on the plug in PCB CORINA TRIG GER acquisition and analog digital conversion of the ECG signals via up to 11 electrodes preprocessing and intermediate storage of the data data transfer via a serial interface additi
113. ver gt Software compres sion as well as with LCP Extensions for PPP and in Tab Security with the correct encryption certification by using Service Packs before Version 3 The switches are dependent strongly on modem characteristics on both sides and on configuration of the integrated network with which you linked on it 9 Connecting Internet Browser to MUSE via modem 1 Select taskbar gt Start gt Settings gt Control Panel 2 doubleclick on Internet 3 Open tab Connection 2 20 CardioSoft Revision C 2014708 001 Installation Installation of the Software 4 Activate Connect via modem 5 Confirm by OK Patient database reading from MUSE Prerequisites Network with correct installed TCP IP specifications If you are using the MUSE database for selecting patients instead of the local data base you need an account on the MUSE server 1 Specify the Web account informations on CardioSoft gt System Configuration gt MUSE by enabling Request MUSE data 2 Type in Web Server the Username and the Password Select the correct MUSE site number Example For the MUSE servername specification you can use either the Internet name convention http www myMuseSvr or the Intranet name convention myMuseSvr as well as a valid TCP IP address in form of 123 456 789 255 all samples without quotes Configuration of Internet Browser IExplorer Readin
114. w about the patient assignment problem of CardioSoft V4 14 and Masterscope V 4 52 The problem has been resolved with CardioSoft V4 2 Mr Eirich only released CardioSoft V4 2 in conjunction with V4 52 and higher The functionality of transferring patient data from the medical reimbursement pro gram to the JAEGER Masterscope program via CardioSoft is not implemented in V4 14 or V4 2 this functionality is implemended in CardioSoft V5 x Network installation using cardiouser as the domain user does not work What can be done For Cardiosys to run in the Windows2000 environment the registered user must be a member of the local group of main users This applies to both local users and domain users The user must have the right to access the Cardio installation direc tory and the Temp directory We assume you have verified the latter requirement So the user rights are probably the root cause of the problem Log on to the Cardiosys client as the Administrator local add the user Domane cardiouser to the local user group of main users Repeat this configura tion at each CardioSys client Revision C CardioSoft 4 7 2014708 001 Troubleshooting Tips Frequently Asked Questions If multiple users use the CardioSys clients it is recommended to create a special user group for them on the domain controller and to add this user group to the local user group of main users To do so expand the entry Local users and gr

CardioSoft - Davis Medical Electronics

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