GE S5 Owners Manual

							GE Healthcare
Datex-Ohmeda S/5 FM
Technical Reference Manual
Conformity according to the Council Directive 93/42/EEC concerning Medical Devices amended by 2007/47/EC
CAUTION: U.S. Federal law restricts this device to sale by or on the order of a li censed medical practitioner.
Outside the USA, check local laws  for any restriction that may apply.
All specifications subject to change without notice.
Order code M1181261
3rd edition
10 Febru ary, 2012
GE Healthcare Finland Oy
Kuortaneenkatu 2
FI-00510 Helsinki, Finland
Tel: +358 10 39411
Fax: +358 9 1463310
 www.gehealthcare.com
Copyright  2010, 2012 General Electric  Company. All rights reserved. 
						

							Indications for use
The S/5 FM with L-FICU06 and L-FICU06A and N-FCREC Module are intended for multiparameter patient 
monitoring. 
The S/5 FM with L-FICU06 or L-FICU06A software is indicated for monitoring of hemodynamics (including 
arrhythmia and ST-segment analysis) and respiratory status of all hospital patients. 
Extension module N-FCREC (option N-FCREC or N-FC) is indicated for monitoring CO2 and respiration rate 
of all hospital patients. 
CO2 measurements are indicated for patients weighing over 5kg (11lbs).
The S/5 FM Monitor and N-F(C)(REC) Extension Module  are indicated for use by qualified medical personnel 
only. 
The Datex-Ohmeda S/5 PSM module (consisting of  E-PSM, E-PSMP and E-INTPSM Modules) and 
accessories is intended for monitoring hemodynamic parameters of hospitalized patients.
The Datex-Ohmeda S/5 PSM module (consisting of  E-PSM, E-PSMP and E-INTPSM Modules) and 
accessories are indicated for monitoring of hemodynamic parameters of all hospital patients. The 
hemodynamic parameters of the module comprise  ECG (including ST-segment and arrhythmia), 
Impedance respiration, NIBP, Temperature, SpO2 (inc luding monitoring during conditions of clinical 
patient motion), and invasive blood pressure.
Impedance Respiration measurement is in dicated for patients ages 3 and up.
The NIBP measurement is indicated for pa tients who weigh 5 kg (11 lbs.) and up.
The device is indicated for use by qualified medical personnel only.
NOTE: E-INTPSM Module is not in use with the S/5 FM. 
Classifications
In accordance with IEC 60601-1
CLASS I AND INTERNALLY POWERED EQUIPMENT – the  type of protection against electric shock.
TYPE BF or CF equipment. The degree of protection  against electric shock is indicated by a symbol on 
each parameter module.
EQUIPMENT not suitable for use in the presence  of a FLAMMABLE ANESTHETIC MIXTURE WITH AIR OR 
WITH OXYGEN OR NITROUS OXIDE.
CONTINUOUS OPERATION according to the mode of operation.
In accordance with IEC 60529
IPX1 - degree of protection against harmful ingress of water. 
In accordance with EU Medical Device Directive
The Datex-Ohmeda S/5 FM is classified as IIb.
In accordance with CISPR 11:  Group 1, Class A
• Group 1 contains all ISM (Industrial, scientific and medical) equipment in which there is intentionally  generated and/or used conductively coupled ra dio-frequency energy which is necessary for the 
internal functioning of the equipment itself.
• Class A equipment is suitable for use in all establishments other than domestic and those directly  connected to the public low-voltage power supply  network that supplies buildings used for domestic 
purposes. 
Responsibility of the manufacturer
GE Healthcare Finland Oy (GE) is  responsible for the effects on safety , reliability and performance of the 
equipment only if:
• assembly, extensions, readjustments, modificati ons, servicing and repairs are carried out by 
personnel authorized by GE.
• the electrical installation of the monitor  room complies with appropriate requirements.
• the equipment is used in accordance with the “Users Guide.”
Trademarks
S/5, D-lite, D-lite+, Pedi-lite, Pedi-lite+, Mini D- fend, D-fend, D-fend+, MemCard, ComBar, ComWheel, 
EarSat, FingerSat, FlexSat, PatientO2, Entropy and  Patient Spirometry are trademarks of GE Healthcare 
Finland Oy.
Datex, Ohmeda, and OxyTip+ are trademarks of GE  Healthcare Finland Oy and Datex-Ohmeda, Inc.
All other product and company names are  property of their respective owners. 
Product availability
Some of the products mentioned in this manu al may not be available in all countries. 
Please, consult your local representative for the availability. 
						

							 Master Table of Contents1
Document no. M1187317-009
Datex-Ohmeda S/5 FM
Technical Reference Manual, Order code: M1181261 3rd edition
Part I, General Service Guide
Part II, Product Service Guide
Document No. Updated Description
M1187317-009 Introduction, Syst em description, Installation,
Interfacing, Functional check, General troubleshooting 1
M1187318-003 Planned Main tenance Instructions2
Document No. Updated Description
M1187329-003  S/5 FM Service Menu 1
M1187335-004 Frame for FM 2
M1215098-002  Patient Side Module, E-PSM, E-PSMP 3
M1187338-003 S/5 Extension Module for FM, N-FC, N-FCREC, N-FREC 4
M1187342-004 S/5 Remote Controller, K-REMCO, K-CREMCO 5
M1187344-003  Device Inte rfacing Solution, N-DIS6
M1187346-007 S/5 FM Spare Parts 7 
						

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Document no. M1187317-009 
						

							Table of contentsi
Document no. M1187317-009
Table of contents
Table of contents i
Table of figures iii
List of tables iv
About this manual1
1Introduction 3
1.0.1 Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  3
1.1 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  4
1.1.1 Symbols on transport packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . .  4
1.1.2 Symbols on equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . .  4
1.1.3 Equipment safety symbols . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  5
1.1.4 Other symbols  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . .  6
1.2 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . .  9
1.2.1 Safety precautions  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . .  9
1.2.2 ESD precautionary procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . 13
2 System description14
2.1 Introduction  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.2 Bus structure  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.3 Distributed processing  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . 15
2.4 Module communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.5 Software loading. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . 16
2.6 Parameter modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . 17
3 System installation 18
3.1 Unpacking instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
3.2 Choosing location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . 18
3.3 Mounting the S/5 FM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . 18
3.3.1 E-PSM(P) Mounting Accessories  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . 18
3.3.2 Monitor connections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . 20
3.3.3 Connection to mains  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . 22
3.3.4 Connection to Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
3.3.5 Connection to Wireless Network  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . 22
3.3.6 Inserting and removing the parameter modules  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3.3.7 Downloading Monitor Software F-FM(W)-00  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3.3.8 Downloading Monitor Software, F-FM(W)-01 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
3.3.9 Performing Factory Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . 25
3.3.10 Installing the Datex-Oh meda Wireless Network Upgrade, U-FMW (F-FM-00) . . . . . . 25
3.3.11 Installing the Datex-Ohmeda  Wireless Network Service Option, 
N-FMWS (F-FM-00)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . 27
3.3.12 Installing the S/5 Wireless Network Upgrade, U-FMW-01 . . . . . . . . . . . . . . . . . . . . . . . . 28
3.4 Remote Controller, K-CREMCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . 31
3.5 Visual indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . 31
3.6 Troubleshooting  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . 31 
						

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4Interfacing32
4.1 Interfacing external bedside devices via Device Interfacing Solutions, N-DISxxx . . . . . . . . . 32
4.1.1 Device Interfacing Solution  components  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4.1.2 Connections  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . 33
4.1.3 Mounting  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . 34
4.1.4 Selecting the external device  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . 34
4.1.5 Functional check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . 35
4.1.6 Selecting the parameter data source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 5
4.2 Interfacing printer  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . 36
4.2.1 Setting S/5 FM interface for printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . 36
4.2.2 Connection to serial printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . 36
4.2.3 Connection to parallel printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . 36
4.2.4 Installing the Serial-to-Parallel Converter . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
4.2.5 Connection to printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . 37
4.3 Interfacing computer  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . 37
4.4 Output signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . 38
4.4.1 Digital outputs  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . 38
4.4.2 Analog outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . 38
5 Functional check 40
5.1 Recommended tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
5.2 Visual inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . 42
5.3 Functional inspection  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . 42
5.3.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . 42
5.3.2 Display  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . 43
5.3.3 Keyboard(s)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . 43
5.3.4 Frame unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . 43
5.3.5 Extension Module with CO
2 measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
5.3.6 Multiparameter Hemodynamic Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
5.3.7 Data Card and Menu Card function  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5
5.3.8 Recorder   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . 45
5.3.9 Network connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . 45
5.3.10 Wireless Network Option  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . 45
5.3.11 Device Interfacing Solution, N-DISxxx  . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
5.3.12 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
6 General troubleshooting  47
Appendix A: Functional check  form, Datex-Ohmeda S/5 FM A-1
Appendix B: ElectroMagnetic Compatibility B-1
Appendix C: Channel Mask  Selections for S/5 FM C-1 
						

							 Table of figuresiii
Document no. M1187317-009
Table of f igures
Figure 1 S/5 FM with N-FCREC (1) and E-PSM (2)  modules .......................................................................................................... 3
Figure 2 General bus structure of S/5 FM  ....................................................................................... .................................................14
Figure 3 Principle of UPI section operation ..................................................................................... .................................................15
Figure 4 General structure of param eter modules with patient isolation .......................................................... ...............17
Figure 5 E-PSM(P) mounting accessories .......................................................................................... ................................................19
Figure 6 S/5 FM front panel ..................................................................................................... ................................................................20
Figure 7 Rear panel connections ................................................................................................. .........................................................21
Figure 8 Connection cables and LED indicators ................................................................................... .........................................33
Figure 9 An example of interfacing external devices with Device  Interfacing Solution..............................................34
Figure 10 Connecting S/5 FM monito r to printer, converter model PI130-R2 ........................................................ ............37
Figure 11 S/5 FM general troubleshooting fl owchart ....................................................................................................................47 
						

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Document no. M1187317-009
List of tables
Table 1 DIS modules and interfaced devices............................................................................................................. 32
Table 2 NET ID connector, X8 on Multi I/O adapt er ............................................................................................... 38
Table 3 Defib & IABP sync connector, X5  .. .................................................................................................................. 38
Table 4 Patient simulators’ compatibility with ea ch hemodynamic module.............................................. 41
Table 5 Adapter cables for hemody namic patient simulators .......................................................................... 42
Table 6 Guidance and manufacturer’s declaration –  electromagnetic emissions ................................ B-1
Table 7 Guidance and manufacturer’s declaration  – electromagnetic immunity ................................. B-2
Table 8 Guidance and manufacturer’s declaration  – electromagnetic immunity ................................. B-3
Table 9 Recommended separation distances between portable and mobile  RF communications equipment and the S/5 FM  .. ................................................................................ B-4 
						

							 
1
Document no. M1187317-009
About this manual
Intended audience
This Technical reference manual is meant for service representatives and technical personnel 
who install, configure, maintain, ad minister, troubleshoot or repair Datex-Ohmeda S/5 FM. 
Notes to the reader
As the monitor setup may vary, some functions described may not be available in the monitor 
you are using.
•The order code for the entire printed manual is  M1181261. The manual includes Technical 
Reference Manual Slots and every slot  has an individual document number. 
•Part I gives the reader an overview of the S/5 FM. It contains the information needed to 
install, interface and troubleshoot the moni tors. Instructions for functional check and 
planned maintenance are also included. Read the manual through and make sure that 
you understand the procedures described before th e installation of the monitor. To avoid 
risks concerning safety or health, strictly observe the warning indications. If you need any 
assistance concerning the installation, please do not hesitate to contact your authorized 
distributor.
•Part II contains detailed descriptions of each component of the S/5 FM, such as frame 
unit, parameter modules Remote Controller  and Device Interfacing Solution. Service 
check for each product, service menus and all  the spare parts information for the Monitor 
is included.
The manufacturer reserves the right to change  product specifications without prior notice. 
Although the information in this manual is believed to be accurate and reliable, the 
manufacturer assumes no  responsibility for its use.
Installation and service are allowed by authorized service personnel only. 
GE Healthcare Finland Oy (GE) assumes no responsibility for the use or re liability of its software 
in equipment that is  not furnished by GE.
Ordering manuals
A paper copy of this manual will be provi ded upon request. Contact your local GE 
representative and request the part number on the cover page of the manual. 
Related documentation
S/5 FM Monitor
For instructions for daily  use including cleaning and daily maintenance, clinical aspects and 
basic methods of measurement see:
S/5 FM Monitor, User’s Guide
S/5 FM Monitor, User’s Reference Manual
For more information about the iCentral, S/5 Arrhythmia Workstation and anesthesia record 
keeping solution, see the “Technical Reference Manuals” and ”User’s Reference Manuals” for 
these products.” 
Software options and default settings are describ ed in the “Default Configuration Worksheet” 
delivered with each monitor. 
Available accessories are described in the “Supplies and Accessories” catalog. 
						

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Document no. M1187317-009
Conventions used
To help you find and interpret information easily, the manual uses consistent text formats:
Hard KeysNames of the hard keys on the Remote Controller, Command Board, side panel and modules 
are written in the following way: 
Others.
Menu Items Software terms that identify window parts or menu items are written in bold italic:  ECG Setup.
Menu access is described from top to bott om. For example, the selection of the 
Monitor 
Setup hard key, the Screen 1 Setup  menu item and the  Waveform Fields menu item would be 
shown as 
Monitor Setup - Screen 1 Setup - Waveform Fields .
‘Messages’ Messages (alarm messages, informative messages) displayed on the screen are written inside  single quotes: ‘Please wait’.
“Sections” When referring to different sections in this manual or to other manuals, manual names and  section names are enclosed in double quotes:
See section Cleaning and care.
Please refer to Users Reference Manual: Alarms.
Hypertext links Hypertext links on PDF versions  are written in blue color.
WARNING Warnings are written in the following way:
WARNING This is a WARNING.
CAUTION Cautions are written in the following way: 
CAUTION This is a CAUTION.
NOTE Notes are written in the following way:
NOTE: This is a NOTE.
In this manual, the word “select” means choosing and confirming.
Illustrations and names
All illustrations in this manual are only exampl es, and may not necessarily reflect your system 
settings or data displayed in your system. If  a particular selection is not available in your 
system, the selection is shown grayed. 
  
Sign the check form after performing the procedure.