GE Cardiocap 5 Service Manual

							
Datex-Ohmeda Cardiocap™/5 
 
Technical Reference Manual 
 
 
 
Document Number M1031914 
2
nd edition 
9 May 2007 
   
Datex-Ohmeda, Inc. 
P.O. Box 7550, Madison 
WI 53707-7550, USA 
Tel. +1-608-221-1551   
Fax +1-608-222-9147 GE Healthcare Finland Oy 
Helsinki, Finland 
P.O. Box 900 
 FI-00031 GE 
Tel. +358 10 39411 Fax +358 9 146 3310  
www.gehealthcare.com  
Copyright  © 2007 General Electric comp any. All rights reserved.  
						

							
NOTICE 
Intended use 
The Datex-Ohmeda Cardiocap/5 and accessories are indicated for indoor monitoring of hemodynamic (ECG, 
impedance respiration,  NIBP, temperature, SpO
2, and invasive pressure), respiratory (CO2, O2, N2O, respiration 
rate, anesthetic agent, and agent identification), ventilato ry (airway pressure, volume, and flow), and relaxation 
status (NMT) of all hospital patients. 
With the N-XOSAT option, monitoring of arterial oxygen  saturation includes monitoring hospital patients during 
conditions of clinical patient motion. 
Cardiocap/5 is indicated  for patients weighing 5 kg (11 lb.) or more. 
Impedance respiration measurement is indica ted for patients ages 3 years and older. 
The monitor is indicated for use by qualified medical personnel only. 
CAUTION:  US Federal law restricts this device to sale by or on the order of a licensed medical 
practitioner. Outside the USA, check local  laws for any restriction that may apply. 
Classifications 
IEC 60601-1: 
• Type of protection against elec tric shock:  Class I equipment. 
• Degree of protection against electric shock (indicated  by a symbol on the panel beside each connector):  
Type BF applied part or Type CF applied part.  
•  The equipment is not suitable for use in the presence  of a flammable anesthetic mixture with air or with 
oxygen or nitrous oxide. 
•  Mode of operation: Continuous. 
• CISPR 11: Group 1, c lass A 
IEC 60529 (degree of protection agai nst harmful ingress of water): IPX1 
EU Medical Device Directive: IIb  
Responsibility of the manufacturer 
GE Healthcare Finland Oy (GE) is re sponsible for the safety, reliability and performance  of the equipment only if: 
• Assembly, operation, extensions, readjustments, modifications, service, and repairs are carried out by 
personnel authorized by GE. 
• Electrical installation complies with appropriate requirements. 
• The equipment is used in accordanc e with the Cardiocap/5 User’s Guide and serviced and maintained in 
accordance with the Cardiocap/5 Technical Reference Manual. 
GE Healthcare assumes no responsibilit y for the use or reliability of its software on equipment that is not 
furnished by GE Healthcare.  
Trademarks 
Datex®, Ohmeda®, and other trademarks  (Cardiocap/5, AS/3, CS/3, S/5, S/5 Light, D-lite, Pedi-lite, D-fend, 
D-fend+, MemCard, ComWheel, EarSa t, FlexSat, OxyTip, Patient O
2, and Patient Spirometry) are trademarks of 
GE Healthcare Finland Oy.  
Nellcor® is a registered tr ademark of Mallinckrodt Inc. 
All other product and company names are th e property of their respective owners. 
Product availability 
Some of the products mentioned in this manual may not be available in all countries. Please, consult your local 
representative for the availability.  
						

							
Cardiocap/5 Technical Reference Manual 
Part I – General Service Guide 
Overview 
Monitor Structure 
Safety Precautions 
Product Specifications
 
1 
Installation and Functional Check 
Installation  Interfacing 
Functional Check  
Functional Check Form
 
2 
Planned Maintenance 
Planned Maintenance Instructions  Planned Maintenance Form 
3 
Troubleshooting 
Messages 
Troubleshooting Charts  
4 
Part II – Product Service Guide 
Frames and Software 
Hemodynamic Frame (F-MX)  
Hemodynamic with Airway Gases Frame (F-MXG)  Anesthesia and Critical Care Software 
5 
Measurement Parameters 
Parameter Unit (NESTPR) 
Invasive Pressures and Second  Temperature Option (N-XP) 
Nellcor Pulse Oximetry Option (N-XNSAT) 
Datex-Ohmeda Enhanced Pulse  Oximetry Option (N-XOSAT) 
 Airway Gas Options (N -XC, N-XCO, N-XCAiO) 
Patient Spirometry  Option (N-XV) 
NeuroMuscular Transmissi on Option (N-XNMT) 
6 
Service Procedures 
Repair and Replacement 
Checks, Adjustments, and Calibration 
7 
Service Menus 8 
Spare Parts 9  
						

							
Contents 
Chapter 1. Overview  
1.1 About this manual ................................................................ 1-1 
Related documentation ........................................................................\
....... 1-1 
1.2 Cardiocap/5 models  and features ......................................... 1-2 
1.2.1 Options for hemodynami c model (F-MX) ....................................................... 1-2 
1.2.2 Options for hemodynamic model with airway gas measurement (F-MXG) ......... 1-2 
1.2.3 Data collection and management op tions (for F-MX and F-MXG) ..................... 1-2 
1.3 Monitor structure ................................................................. 1-3 
1.3.1 Measurement parameter units ..................................................................... 1-3 
NESTPR unit ........................................................................\
....................... 1-3 
PVX unit for Patient Spirom etry (N-XV option) ................................................. 1-4 
CAiO unit (N-XC, N-XCO, and N-XCAiO options) .............................................. 1-4 
Datex-Ohmeda enhanced pulse ox imetry (N-XOSAT option) ............................ 1-4 
Nellcor® compatible pulse oxim etry (N-XNSAT option)................................... 1-4 
NeuroMuscular Transmission (N-XNMT option) .............................................. 1-4 
1.3.2 Communication ........................................................................\
.................. 1-4 
1.3.3 CPU board........................................................................\
.......................... 1-4 
Distributed processing........................................................................\
......... 1-5 
1.3.4 Display ........................................................................\
.............................. 1-5 
1.3.5 I/O board ........................................................................\
........................... 1-5 
1.3.6 DC/DC board ........................................................................\
..................... 1-5 
1.3.7 AC/DC unit........................................................................\
......................... 1-5 
1.3.8 Recorder (N-XREC option)........................................................................\
.... 1-5 
1.4 Symbol definitions ................................................................ 1-6 
Symbols on eq uipment........................................................................\
........ 1-6 
Symbols on screens ........................................................................\
............ 1-7 
Symbols on transport  packaging .................................................................. 1-7 
1.5 Safety precautions ............................................................... 1-8 
1.5.1 Warnings........................................................................\
............................ 1-8 
Installation ........................................................................\
......................... 1-8 
Power connection ........................................................................\
............... 1-8 
External conn ection........................................................................\
............. 1-8 
Electrical shock hazard ........................................................................\
........ 1-9 
Fuse replacement ........................................................................\
............... 1-9 
Explosion haz ard ........................................................................\
................. 1-9 
Patient safety........................................................................\
...................... 1-9 
Temperature probes ........................................................................\
............ 1-9 
Cleaning and service ........................................................................\
........... 1-9 
Accessories ........................................................................\
...................... 1-10 
1.5.2 Cautions ........................................................................\
.......................... 1-10 
General ........................................................................\
............................ 1-10 
Installation ........................................................................\
....................... 1-10 
Before us e ........................................................................\
........................ 1-10  
						

							
Cardiocap/5 Technical Reference Manual 
Airway gas measurement........................................................................\
... 1-10 
Autoclaving and st erilizing ........................................................................\
.. 1-10 
Cleaning and  service ........................................................................\
......... 1-10 
Batteries........................................................................\
........................... 1-11 
Special components and  modifications ...................................................... 1-11 
Storage and transport........................................................................\
........ 1-11 
1.5.3 ESD precautionary procedures ................................................................... 1-11 
ESD precautionary procedure training ......................................................... 1-12 
1.5.4 Disposal........................................................................\
........................... 1-12 
1.5.5 Points to note ........................................................................\
................... 1-12 
1.6 Specificat ions .................................................................... 1-12 
1.6.1 F-MX and F-MXG frames........................................................................\
.... 1-12 
Power suppl y ........................................................................\
.................... 1-12 
Environmental co nditions........................................................................\
... 1-12 
Mechanics........................................................................\
........................ 1-13 
LCD display........................................................................\
....................... 1-13 
Battery........................................................................\
............................. 1- 13 
1.6.2 NIBP ........................................................................\
................................ 1-13 
1.6.3 Temperature ........................................................................\
..................... 1-13 
1.6.4 ECG ........................................................................\
.................................1-13 
1.6.5 Impedance respiration ........................................................................\
...... 1-14 
1.6.6 Pulse oximetry, standard........................................................................\
.... 1-14 
1.7 Specifications for opti ons ................................................... 1-14 
1.7.1 Classifications ........................................................................\
.................. 1-14 
According to IEC 60601- 1 ........................................................................\
. 1-14 
Classification according to EU  Medical Device Directive ............................... 1-15 
1.7.2 Pulse oximetry, Datex-Ohmeda  enhanced (N-XOSAT)................................... 1-15 
1.7.3 Pulse oximetry, Nellcor co mpatible (N-XNSAT)............................................. 1-16 
1.7.4 Invasive blood pre ssure (N-XP) ................................................................... 1-16 
1.7.5 Airway gases (N-XC, N- XCO, and N-XCAiO)................................................... 1-16 
General ........................................................................\
............................ 1-16 
Respiration ra te (RR)........................................................................\
.......... 1-17 
Carbon Dioxide (CO2), Oxygen (O2), and Nitrous Oxide (N2O) ......................... 1-17 
Anesthetic agen ts (AA) ........................................................................\
....... 1-17 
Agent identification........................................................................\
........... 1-17 
MAC ........................................................................\
................................. 1-18 
Normal conditions........................................................................\
............. 1-18 
Conditions exceed ing normal ..................................................................... 1-18 
1.7.6 Patient Spiromet ry (N-XV) ........................................................................\
.. 1-19 
Conditions exceed ing normal ..................................................................... 1-20 
1.7.7 NeuroMuscular Transmi ssion (N-XNMT)....................................................... 1-20 
NMT stimulatio n modes ........................................................................\
..... 1-20 
Stimulator........................................................................\
......................... 1-21 
Regional bloc k mode ........................................................................\
......... 1-21 
1.7.8 Recorder (N-XREC)........................................................................\
............ 1-21  
						

							
Contents 
Table of Figures 
Figure 1-1. Cardiocap/5  monitor structure ........................................................................\
 1-3  
						

							
Overview 
1. OVERVIEW 
1.1 About this manual 
The Technical Reference Manual is for use by service personnel who are qualified to perform service 
and maintenance procedures on the Datex-Ohmeda Cardiocap/5. The information in this manual is 
believed to be accurate and reliable, however, the manufacturer assumes no responsibility for its use. 
The manual is organized as follows: 
• Part I (chapter 1 – chapter 4) provides a general overview of the Cardiocap/5, including the 
information needed to install, checkout, and maintain the monitor. Part I also includes 
information for troubleshooting problems that may occur while using the monitor or that you may 
encounter while perfoming procedures in this manual, such as the Functional Check, for example. 
• Part II (chapter 5 – chapter 9) contains detailed functional descriptions of the Cardiocap/5 
hardware and software, including measurement principles and components for each 
measurement parameter. Procedures for replacing parts and making adjustments are also 
included. Part II also contains illustrations and detailed descriptions of all service screens used 
during checkout, maintenance, and other service-related activities. A list of parts with illustrations 
is located at the end of Part II. 
Read the entire manual and make sure you understand the procedures described before installing, 
repairing, or adjusting the monitor. To avoid risks concerning safety or health, strictly observe all safety 
precautions.  
This manual relates to the monitor versions 6051-0000-164..00 and ..01.  
Related documentation 
For information about using the monitor, refer to the following: 
Cardiocap/5 for Anesthesia User’s Guide 
Cardiocap/5 for Critical Care User’s Guide 
Cardiocap/5 for Anesthesia User’s Reference Manual  
Cardiocap/5 for Critical Care User’s Reference Manual 
For PCA drawings, circuit diagrams, and component lists, order the PCA Drawings Service Kit. See the 
Spare Parts chapter. 
1-1  
						

							
Cardiocap/5 Technical Reference Manual 
1-2 
1.2 Cardiocap/5 models and features 
The Cardiocap™/5 is a configured monitor that is intended for indoor monitoring of the hemodynamic, 
respiratory, relaxation, and ventilatory status of the  patient. Two models of the monitor are available:  
hemodynamic (F-MX) and hemodynamic with airway  gas measurement (F-MXG). Both models can be 
equipped with built-in options. 
• All measurement parameter options (and the Reco rder option, N-XREC) are factory-configured 
and cannot be added after purchase. 
• Data collection and management options (N-XNET  and N-XDNET) can be added later, if the CPU 
board supports Network functionality. 
1.2.1  Options for hemod ynamic model (F-MX) 
The F-MX measures NIBP, ECG (3-lead and 5-lead), pulse oximetry (SpO2), temperature (T1), and 
impedance respiration. The F-MX can be configured with the following built-in options:  
N-XP  Two invasive pressure channels and second temperature (T2) 
N-XREC Recorder 
The F-MX model can also be configured with  one of the following built-in options:  
N-XNSAT  Nellcor® compatible pulse oximetry (SpO
2) 
N-XOSAT  Datex-Ohmeda enhanced pulse oximetry (SpO
2) 
1.2.2  Options for hemodynamic model wi th airway gas measurement (F-MXG) 
The F-MXG measures NIBP, ECG (3-lead and 5-lead), pulse oximetry (SpO2), temperature (T1), 
impedance respiration, and airway gases. Gas meas urement depends on which airway gas option is 
installed (N-XC, N-XCO, or N-XCAiO): 
N-XC  Carbon Dioxide (CO
2) 
N-XCO CO
2, N2O, and Patient Oxygen (O2) 
N-XCAiO CO
2, anesthetic agents, agent identification, N2O, and O2 
The F-MXG can also be equipped with each of these built-in options:  N-XP  Two invasive pressure channels and second temperature (T2) 
N-XV  Patient Spirometry (N-XCO or N-XCAiO option required) 
N-XREC Recorder 
The F-MXG can also be configured with  one of the following options: 
N-XNSAT  Nellcor® compatible pulse oximetry (SpO
2) 
N-XOSAT  Datex-Ohmeda enhanced pulse oximetry (SpO
2) 
N-XNMT NeuroMuscular Transmission  (NMT) for relaxation measurement (N-XCAiO option required) 
1.2.3  Data collection and management  options (for F-MX and F-MXG) 
For both models, these options ca n be factory-built or added later as upgrades, if the CPU board 
supports Network functionality: 
N-XNET Network 
N-XDNET  Data card and Network