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