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GE Cardiocap 5 Service Manual

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    Contents 
    Chapter 2. Installation and Functional Check  
    2.1 Introduction ........................................................................\
    . 2-1 
    2.2 Installation ........................................................................\
    .. 2-1 
    2.2.1 Front panel components.......................................................................\
    ....... 2-1 
    Patient connectors  panel (F-MX)................................................................... 2-2 
    Patient connectors panel (F-MXG) ................................................................ 2-3 
    2.2.2 Rear panel ........................................................................\
    ......................... 2-4 
    2.2.3 Connection to network ........................................................................\
    ........ 2-5 
    2.2.4 Sample gas exhaust  connections ................................................................. 2-5 
    2.2.5 Scavenging through the ve ntilator reservoir ................................................... 2-5 
    2.2.6 Scavenging through the anesthesia gas scavenging system ........................... 2-6 
    2.2.7 Connecting directly to a va cuum scavenging system ...................................... 2-6 
    2.2.8 Returning gas to the patient circuit ............................................................... 2-7 
    2.3 Choosing the location ........................................................... 2-7 
    2.4 Interfacing........................................................................\
    ... 2-7 
    2.4.1 Interfacing a printer........................................................................\
    ............. 2-7 
    2.4.2 Interfacing a computer ........................................................................\
    ........ 2-8 
    2.4.3 Interfacing other devices using the a nalog/digital output connector................ 2-8 
    Digital outputs ........................................................................\
    .................... 2-8 
    Analog outp uts ........................................................................\
    ................... 2-9 
    2.4.4 Setting the analog ou tput signals ............................................................... 2-10 
    2.5 Connector pin assignments ................................................. 2-11 
    2.5.1 Analog/digital output  connector (X1).......................................................... 2-11 
    2.5.2 RS-232 serial communication interface/local printer connector (X2) ............ 2-12 
    2.5.3 Network identification pl ug connector (X3).................................................. 2-12 
    2.5.4 Ethernet connec tor (X4) ........................................................................\
    ..... 2-13 
    2.5.5 Remote Control connector (X5) .................................................................. 2-13 
    2.6 Functional check................................................................ 2-14 
    Using the Functional  Check Form................................................................ 2-14 
    Recommended  tools........................................................................\
    ......... 2-14 
    2.6.1 Functional in spection........................................................................\
    ........ 2-15 
    Recorder test (if N-XREC  option is included) ................................................ 2-17 
    Memory card (PCMCIA) test (if N- XDNET option is included) .......................... 2-17 
    Network test (if N-XNET or N-XD NET option is included)................................. 2-18 
    ECG board  test........................................................................\
    .................. 2-19 
    STP board test ........................................................................\
    .................. 2-19 
    NIBP board test......................................................................\
    ................... 2-20 
    Pulse oximetry test (if N-XOSAT or  N-XNSAT option is included) ..................... 2-20 
    Gas measurement and sp irometry test........................................................ 2-21 
    NeuroMuscular Transmission (NMT) test (if N-XNMT option is included) ......... 2-22 
    2.6.2 Performance checks ........................................................................\
    ......... 2-24  
    						
    							
    Cardiocap/5 Technical Reference Manual 
    Table of Figures 
    Figure 2-1. Cardiocap/ 5 monitor (F-MXG) ........................................................................\
    . 2-1 
    Figure 2-2. Patient connecti ons—Hemodynamic (F-MX) ...................................................... 2-2 
    Figure 2-3. Patient connections—He modynamic with gas (F-MXG) ....................................... 2-3 
    Figure 2-4. Rear panel (F-MXG)........................................................................\
    ................. 2-4 
    Figure 2-5. Scavenging throug h ventilator reservoir ............................................................ 2-5 
    Figure 2-6. Connecting sample gas outlet directly to an anesthesia gas scavenging system... 2-6 
    Figure 2-7. Gas return to patient circuit in  AS/3 ADU .......................................................... 2-7  
    						
    							
    Installation and Functional Check 
    2. INSTALLATION AND FUNCTIONAL CHECK 
    2.1 Introduction 
    This chapter includes the information needed to install and check the monitor. Information for   
    connecting other equipment, such as a printer or computer, is also included. If you need assistance 
    concerning the installation, please contact your authorized distributor. 
    2.2 Installation 
    2.2.1 Front panel components 
     
    Figure 2-1. Cardiocap/5 monitor (F-MXG) 
    (1) Power On/standby key 
    (2) External power indicator / Battery charge status LED 
    (3) Alarm indicators 
    (4) Insertion slots for memory cards (Data card and Menu card) 
    A cover for the slots is available. See the Spare Parts chapter later in this manual. 
    (5) Direct access keys 
    (6) Adjustable rear support 
    (7) ComWheel 
    2-1  
    						
    							
    Cardiocap/5 Technical Reference Manual 
    (8) Recorder (N-XREC option) 
    NOTE:  The two-button recorder (shown) is for Cardiocap/5 monitors using software version 3.0 
    or higher. A one-button recorder was available previously. 
    (9) Patient connectors 
    (10) Spirometry connectors 
    (11) NIBP connector 
    (12) D-fend housing (F-MXG only) 
    Patient connectors panel (F-MX) 
    NIBPECGSpO2P1P2T1
    T2
    1234567 
    Figure 2-2. Patient connections—Hemodynamic (F-MX) 
    (1) NIBP 
    (2) ECG 
    (3) SpO2  
    NOTE:  Connector type depends on which SpO2 option is installed: 
     
     
    Connector for Datex-Ohmeda 
    standard pulse oximetry 
     
    Connector for Datex-Ohmeda 
    enhanced pulse oximetry 
     
    Connector for Nellcor® compatible 
    pulse oximetry 
    (4) Invasive pressure, P1 (N-XP option) 
    (5) Invasive pressure, P2 (N-XP option) 
    (6) Temperature, T2 (N-XP option) 
    (7) Temperature, T1 
    2-2  
    						
    							
    Installation and Functional Check 
    2-3 
    Patient connectors panel (F-MXG) 
    P2P1
    SpO2
    ECG
    NIBP Spi r omet r y
    T1
    T2
    NM
    T
    1234
    5698710 
    Figure 2-3. Patient connections—Hemodynamic with gas (F-MXG) 
    (1)  Spirometry (N-XV option) 
    (2)  NMT (N-XNMT option) 
    (3)  Invasive pressure, P2 (N-XP option) 
    (4)  Temperature, T2 (N-XP option) 
    (5) Temperature, T1 
    (6)  Invasive pressure, P1 (N-XP option) 
    (7) SpO
    2  
    NOTE:  Connector type depends on which SpO
    2 option is installed: 
     
    Connector for Datex-Ohmeda 
    standard pulse oximetry 
     
    Connector for Datex-Ohmeda 
    enhanced pulse oximetry 
     
    Connector for Nellcor® compatible 
    pulse oximetry 
    (8) ECG 
    (9) NIBP 
    (10) D-fend housing  
    						
    							
    Cardiocap/5 Technical Reference Manual 
    2.2.2 Rear panel 
    1
    2
    3
    4
    567891011
    12
    13
     
    Figure 2-4. Rear panel (F-MXG) 
    (1) Built-in handle 
    (2) Gas outlet (F-MXG only), X6 
    (3) Remote Control connector, X5 
    (4) Ethernet connector, X4 
    (5) Network connection LEDs 
    (6) Network identification plug connector, X3 
    (7) Serial communication interface/local printer connector, X2 
    (8) Analog/digital output connector, X1  
    (includes nurse call and defibrillator synchronization signals) 
    (9) Mounting attachment 
    (10) Dust filter 
    (11) Potential equalization 
    (12) Fuse and voltage information 
    (13) Receptacle for mains power cord and fuses 
    WARNING:  Electrical shock hazard. Connect the power cord to a three-wire, grounded, hospital-
    grade receptacle only. 
    CAUTION: Turn off the power before making any rear panel connections. 
    2-4  
    						
    							
    Installation and Functional Check 
    2.2.3 Connection to network 
    If either Cardiocap/5 Network option (N-XNET or N-XDNET) is installed, you can connect the 
    Cardiocap/5 to the Datex-Ohmeda Network and iCentral. Use the Monitor-Network cable to connect 
    the monitor to the network. 
    1. Power off the monitor.  
    2. On the rear panel, connect one of the RJ-45 connectors to connector X4 and connect the 
    Identification Plug to connector X3. 
    3. Connect the other RJ-45 connector to the corresponding Datex-Ohmeda iCentral Network 
    connector on the wall box. 
    4. Power on the monitor.  
    5. Confirm that the network symbol and the “Connected to Network” message are displayed on the 
    upper part of the screen. 
     
    NOTE: The network symbol does not appear if the battery symbol is displayed. 
    2.2.4 Sample gas exhaust connections 
    When N2O or volatile anesthetics are used, take precautions against venting these gases into room air. 
    Return the sample gas to the patient circuit or connect the sample gas outlet of the monitor to the 
    scavenging system.  
    CAUTION: Strong scavenging suction may change the operating pressure of the monitor and cause 
    inaccurate readings or internal damage. 
    2.2.5 Scavenging through the ventilator reservoir 
    To scavenge through the ventilator reservoir: 
     
    Figure 2-5. Scavenging through ventilator reservoir 
    • Connect an exhaust line to the sample gas outlet on the rear panel of the monitor. 
    2-5  
    						
    							
    Cardiocap/5 Technical Reference Manual 
    • Attach the other end of the line to the ventilator reservoir. Make sure that the reservoir tube 
    diameter is at least 2-3 times larger than the exhaust line.  
    2.2.6 Scavenging through the anesthesia gas scavenging system 
    Anesthesia machines are equipped with an anesthesia gas scavenging system (AGSS), and in some 
    machines you can connect the sample gas outlet directly to that. 
    For example, connect the sample gas outlet to the Datex-Ohmeda S/5 Avance: 
     
    Figure 2-6. Connecting sample gas outlet directly to an anesthesia gas scavenging system 
    Note: Refer to the anesthesia machine’s documentation to find out where and how the sample gas 
    can be connected.  
    2.2.7 Connecting directly to a vacuum scavenging system 
    To scavenge through a direct connection: 
    1. Connect the exhaust line (733195, 5/pkg) to the sample gas outlet on the monitor.  
    2. Connect the exhaust line only to an open scavenging system where gas is removed at room 
    pressure. Do not connect the monitor directly to a vacuum scavenging system. 
    2-6  
    						
    							
    Installation and Functional Check 
    2.2.8 Returning gas to the patient circuit 
    In some anesthesia machines, you can return the sample gas to the patient circuit, refer to the 
    anesthesia machines manuals. For example, if you use the Datex-Ohmeda S/5 Anesthesia Delivery 
    Unit (ADU), connect an optional adapter (881644, 5/pkg) to the patient breathing tubes. 
     
    Figure 2-7. Gas return to patient circuit in AS/3 ADU 
    2.3 Choosing the location 
    The monitor can be placed on a flat surface or hung with the handle from the bed or wall rails. Make 
    sure that the surface or rail holds up to at least 13 kg/29 lb.  
    WARNING: The monitor or its components should not be used adjacent to or stacked with other 
    equipment. If adjacent or stacked use is necessary, the monitor and its components should be 
    observed to verify normal operation in the configuration in which it will be used. 
    When choosing the location, refer to the EMC guidance in the appendix later in this document. 
    2.4 Interfacing 
    WARNING: Electrical shock hazard. When you connect equipment to the Cardiocap/5 input and 
    output connectors, you are configuring a medical system and are responsible for ensuring that 
    the system complies with IEC/EN 60601-1-1 and with local requirements. 
    2.4.1 Interfacing a printer 
    You can connect a PCL-5 compatible laser printer to the Cardiocap/5 using the Datex-Ohmeda Light 
    Monitor–Printer cable. Connect this serial-to-parallel interface cable between the local printer 
    connector (X2) and the printer. For ordering details, refer to the Datex-Ohmeda Supplies & 
    Accessories Catalog. 
    WARNING: Connecting the power supply cord of the printer to the wall socket may cause the 
    printer leakage current to exceed the limit specified for medical equipment. Always connect the 
    printer to an appropriate isolation transformer. 
    2-7  
    						
    							
    Cardiocap/5 Technical Reference Manual 
    2.4.2 Interfacing a computer 
    It is possible to interface a computer to the Cardiocap/5. For further information, please contact your 
    authorized GE Healthcare distributor.  
    WARNING: Connecting the power supply cord of the computer to the wall socket may cause the 
    computer leakage current to exceed the limit specified for medical equipment. Always connect 
    the computer to an appropriate separating transformer. 
    2.4.3 Interfacing other devices using the analog/digital output connector 
    The analog/digital output connector (X1) can be used to interface other devices to the Cardiocap/5.  
    Digital outputs 
    Defibrillation sync 
    The ECG generates the defibrillation sync digital output signal. The signal is set to a high state  
    (logic 1:  2.8 to 5.0 VDC ) when activated. After 10 ms, it is set back to a low state  
    (logic 0:  0 to 0.8 VDC). The signal is regenerated only after returning to the low state. The delay from 
    the R-wave peak to the start of the signal is 35 ms maximum. 
    Nurse call 
    The nurse call digital output signal is generated by red, yellow, and white alarms. When activated, the 
    signal is set to a high state and remains at a high state until the alarm situation is over or the Silence 
    Alarms key is pressed. The high state (logic 1) ranges from 2.8 to 5.0 VDC while the low state (logic 0) 
    ranges from 0 to 0.8 VDC. The nurse call signal also activates a relay that connects X1 (pins 11 and 12). 
    2-8  
    						
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