GE S5 Owners Manual
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Service Menu23 Document no. M1187329-003 4.1.1 General Service Data Module configuration shows which measurement options are available, i.e. are detected by the module. Timeouts is a cumulative number that indicates how many times the module has not responded to the monitors inquiry. Bad checksums is a cumulative number that indicates how many times communication from the module to monitor has broken down. Bad c-s by mod is a cumulative number that indicates how many communication errors the module has detected. The monitor starts counting these items at power up and resets to zero at power off. The values may also be reset when a module is attached to the monitor frame and be set to 32769 or continuous counting may be started when the module is removed from the monitor frame. The nonzero values do not indicate a failure, but the co ntinuous counting (more than 5 per second) or value 32769 indicates either a serial communication failure or a module not in place. Also failures in other modules may cause these numbers to rise or be set to 32769.
Datex-Ohmeda S/5 FM 24 Document no. M1187329-003 4.1.2 Gases Noise Measactivates the noise measurement. Sample gain adj adjusts the sampling pump gain, i.e. for adjusting the sample flow measurement. Pump ctrl A manual control for the sampling pump. Zero valve ctrl A manual control for the zero valve. Record Data prints out the shown service data and board information (id. serial number and software id.) onto the recorder module, N-FCREC, N- FREC. Service Data CO2% field shows real-time concentrations. CO 2noise-% is standard deviation of concentration. CO 2 /channels A-E mV field: signal is scaled to mV. Gain : User gain. It is scaled as (User gain)/(Factory gain). O2, N2O, AA Not in use with S/5 TM Extension Modules ID Not in use with S/5 TM Extension Modules ID unrel. Not in use with S/5 TM Extension Modules Sample Flow is calculated from differential pressure and adjusted by the module. Zero value as measured during initialization when the pump is off. Gain: sample flow measurement can be calibrated by adjusting the gain. Ambient Ambient pressure is measured continuously. Amb-Work: ambient pressure - sampling system internal pressure. Fall time Not in use with S/5 TM Extension Modules CO 2-O2 Delay Not in use with S/5TM Extension Modules Pump Can be toggled ON/OFF. PWM output 0-100% is shown. Pump voltage is also shown. Lamp The state, PWM control, and current of the lamp are shown. Fan Not in use with S/5 TM Extension Modules Zero and Occl valve Can be toggled between the measurement state (MEAS) and zeroing/occlusion states (ZERO/ OCCL). Temp Temperatures measured by the module from TPX, CPU, and OM. Time after power on In minutes after power on.
Service Menu25 Document no. M1187329-003 4.2 ECG Module Power freq: Set power frequency; 50 Hz/60 Hz. Filter low : Set filter low frequency; 0.05 Hz/0.5 Hz. Filter high: Set filter high frequency; 30 Hz (40 Hz if power freq is 60 Hz) /150 Hz. Service Data Power freq, and Cable type show the values chosen or detected, Filter low and high defines the selected filter (Monitor/Diagnostic/ST). Quick zero module is ON when the ECG signal is beyond the scale, and therefore, is quickly returned to optimal range using fast signal processing methods. All the Quick zero bits are ON at the same time. Cable shows ON when ECG cable is connected. Electrode shows ON when each of these electrodes are connected. Pacer count is a running number for pacemaker users. Button No effect on the module. Resp Available indicates that ECG hardware is capable of measuring impedance respiration. Measurement shows ON when the respiration measurement is on. Amp zero shows ON when zeroing of the respiration amplifier takes place. Waveform VALUE will be updated in one second interval. Timeouts is a cumulative number that indicates how many times the module has not responded to the monitor’s inquiry. Bad checksums is a cumulative number that indicates how many times communication from the module to the monitor has broken down. Bad c-s by mod is a cumulative number that indicates how many communica tion errors the module has detected. The monitor starts counting these items at powe r up and resets to zero at power off. The values may also be reset when a module is attached to the monito r frame and be set to 32769 or continuous counting may be started when the module is removed from the monitor frame. The nonzero values do not indicate a failure, but the co ntinuous counting (more than 5 per second) or value 32769 indicates either a serial communication failure or a module not in place. Also failures in other modules may cause these numbers to rise or be set to 32769. RAM indicates the state of the RAM memory. ROM indicates whether the checksum at the EPROM is in accordance with the one the software has calculated. EEPROM indicates if the values stored in the permanent memory are valid. The state is either OK, Fail or ? (module not in place or a communication error).
Datex-Ohmeda S/5 FM 26 Document no. M1187329-003 4.2.1 ECG Setup Filter filters the ECG signal high frequency noise and slow respiratory artefacts. Monit (monitor) filter is used in routine monitoring. It effectively filters the artefacts caused by the electrosurgery unit and respiration. Diagn (diagnostic) filter is used if more accurate information of the waveform is needed (e.g. of P- wave or AV block). The diagnostic filter is more susceptible both to high frequencies and baseline wander than the monitor filter. STfilt (ST filter) permits more accurate information of ST segment. It filters the high frequency artefacts caused by the electrosurgery unit, but catches the slow changes in ST segment. The ST filter is more susceptible to baseline wander than the monitor filter. 5-lead cable selects five or three electrodes. With the 12-lead ECG the selection is automatic. Pacemaker selects how to display the pacing pulse of cardiac pacemaker. The selections are Show, Hide , ON R and Sensit . Hide , the pacing pulse is filtered away from ECG data. Show , the pacer pulse is filtered away from ECG data but the pulse is displayed as a constant height marker. ON R , pacing pulses are not filtered away from ECG data. This improves ECG monitoring with A-V pacemaker patients, as QRS complexes are counted even if the pacing pulse hits the QRS complex. However, during asystole the monitor may count pacing pulses as heart beats. Sensit selection uses a more sensitive pacemaker detection. Pacemaker spike is displayed on ECG.
Service Menu27 Document no. M1187329-003 4.3 PSM STP Record Data prints out the shown service data and board information (id, serial number and sw id) onto the recorder. Temp Test activates the automatic temperature test for the temperature channels T1 and T2. The result from the test is shown in the service data field. NOTE: The Temp Test needs to be selected twice before the test starts. Service Data field Gain is a coefficient to co mpensate gain error. Usually the values for P1 and P2 are between 17000 and 25000 and for T1 and T2 between 13000 and 14300. Zero indicates the offset compensation value of each parameter in the A/D converter. Typically the values for P1 and P2 are within ±1000 and for T1 and T2 between -150 and +300. Calibrate if zero and/or gain value is outside the ranges. Cable shows ON when a corresponding cable is connected to the front panel and Probe shows ON when a corresponding pr obe is connected to the cable. Under Value , the measured numeric values are displayed simultaneously. Pressure values are real time values and shown in mmHg. Temperature values are shown in degrees Celsius. The front panel STP keys functions are confirmed by pressing each key and observing that OFF turns to ON at Button . T1 button is not in use with E-PSM(P). SpO2 shows the measured beat-to-beat SpO 2 value. Modpr is a modulation % that indicates the AC/DC ratio in the measured signal. Hr is a pulse rate calculated from every beat. Cable and Probe can be either OFF or ON, and these indicate the state PROBE OFF. Under them there is a message field for SpO 2. It can be OK, PULSE SEARCH, NO PROBE, PROBE OFF, NO PULSE, ARTEFACT, POOR SIGNAL, or CHECK PROBE.
Datex-Ohmeda S/5 FM 28 Document no. M1187329-003 Balance between leds is adjusted by changing the intensity of red/infrared. Intensity of infrared (Ired int.) is in the range of 40 to 255 and red intensity ( Red int .) is in the range of 40 to 255. DC gain shows the gain of DC signal adjusted by the module. IDC is the value of infrared signal. RDC is the dc value of red signal. AC gain is the gain of infrared and red ac signals. AC gain values can be 1 or 0. Value 1 means high ac gain and 0 means low gain. Pre gain is a preamplifier gain for infrared and red signals. Pre gain values can be 1 or 0. Value 1 means normal operation. Value 0 means that signal levels are very low and extra gain is taken into use. Temp error shows the status of the temperature test. No errors found show the status (OFF) and errors found (ON). Protect key shows normally OFF but turns to ON when the button at the bottom of the module is pressed. Protect mode is normally ON. It turns to OFF, when Protect is switched to OFF for the temperature calibration in Calibration Menu. Conf iguration shows the chosen module configuration: TP, ST, or STP. Timeouts is a cumulative number that indicates how many times the module has not responded to the monitor’s inquiry. Bad checksums is a cumulative number that indicates how many times communication from the module to the monitor has broken down. Bad c-s by mod is a cumulative number that indicates how many communication errors the module has detected. The monitor starts counting these items at po wer up and resets to zero at power off. The nonzero values do not indicate a failure, but the continuous coun ting (more than 5 per second) indicates either a serial communication failure, or a module not in place. Also other modules can cause communication errors that cause these numbers rise. RAM indicates the state of the RAM memory. ROM indicates whether the checksum at the EPROM is in accordance with the one the software has calculated. EEPROM indicates if the values stored in the permanent memory are valid. The state is either OK, Fail or ? (module not in place or a communication error).
Service Menu29 Document no. M1187329-003 4.3.1 CalibrationsHow to calibrate T1/ T2 The calibrations are possible only when the protection is set OFF. The temperature calibration requires accurate test plugs of value 25 °C and 45 °C. 1. Select Calibrate T1/Calibrate T2. 2. Insert the test plug 25 °C into the T1/T2 connector. 3. Press the ComWheel. 4. Insert the test plug 45 °C into the T1/T2 connector. 5. Press the ComWheel. How to calibrate P1/ P2 The calibrations require a pressure transducer (with appropriate cable) and a pressure manometer. 1. Connect the pressure transducer with the pressure manometer to the P1/P2 connector. Select Calibrate P1/Calibrate P2 . Leave the transducer to room air pressure. 2. Press the ComWheel to start zeroing. 3. Supply a pressure of 100 mmHg to 300 mmHg to the transducer. The recommended pressure is 200 mmHg. 4. Set the pressure on the display to match the pressure reading on the manometer and press the ComWheel. Protection: Protection for the configuration can be set ON and OFF. Set Config: The module configuration should be set according to the module type. The setting is possible only when the protection is set OFF. The available selections are TP, ST or STP. The configuration setting should be checked, if the STP board is replaced. Calibrate T1 / Calibrate T2: The functions are for calibrating the temperature channels T1 and T2. Calibrate P1 / Calibrate P2: The functions are for calibrating the invasive blood pressure channels P1 and P2.
Datex-Ohmeda S/5 FM 30 Document no. M1187329-003 4.4 NIBP Module Service menu for Non-invasive Blood Pressure Modules. Service Data Pressure shows the measured pressure multiplied by 10. This value is automatically zero-drift compensated. Zero shows the difference between the zeroing value in the permanent memory (stored when the module is calibrated) and the current automatic zero-drift compensation multiplied by 10. The value can change between +20 and -20 mmHg. If the zero drift exceeds ± 10 mmHg, the module should be recalibrated. Protect handle indicates hardware protection for EEPROM memory. It should be ON all the time in normal operation. If it is OFF data can not be read from or written to EEPROM, only the calibration protection can be set or reset by software. It can be turned to OFF by pressing the the NIBP module buttons Auto ON/OFF and Start Cancel simultaneously for 3 seconds, which also enables Protection ON/ OFF menu selection in the calibration menu. Calibr. prot. shows software calibration protection and it should be OFF to enable calibration. +15 V power refers to legacy NIBP modules. Not used in E-PSM(P). AD0 to AD7 show the values of each eight channels of th e A/D converter. AD7 is not used in E-PSM(P). Timeouts is a cumulative number that indicates how many times the module has not responded to the monitor’s inquiry. Bad checksums is a cumulative number that indicates how ma ny times communication from the module to the monitor has broken down. Bad c-s by mod is a cumulative number that indicates how many communication errors the module has detected. The monitor starts counting these items at po wer up and resets to zero at power off. The nonzero values do not indicate a failure, but the continuous coun ting (more than 5 per second) indicates either a serial communication failure, or a module not in place. Also other modules can cause communication errors that cause these numbers rise. RAM indicates the state of the RAM memory. ROM indicates whether the checksum in the EPROM is in accordance with the one the software has calculated. EEPROM indicates if the values stored in the permanent memory are valid. The state is either OK, Fail or ? (module not in place or a communication error).
Service Menu31 Document no. M1187329-003 4.4.1 NIBP Demo A service menu for demonstrating the oscillometric method of NIBP measurement. The menu shows the real-time pressure signals that are measured from the NIBP cuff. The measurement result is shown in the adjoining digit field. Wave Recording is for selecting the recording option. If ON is selected, the pressure signals are printed out in real-time on the recorder after the recorder Start/Stop button is pressed. Remove menu widens the displayed waveform area. The menu can be closed by selecting the Previous Menu or just by pressing the ComWheel if the Remove menu was selected.
Datex-Ohmeda S/5 FM 32 Document no. M1187329-003 4.4.2 NIBP CalibrationHow to Calibrate Calibration selection is available only when protection is OFF. NOTE: Both channels B1 and B2 must be calibrated simultaneously. NOTE: The module must be in the frame during the whole procedure. NIBP calibration can be performed in the NIBP Service menu as follows: 1. If Protection is ON, change it to OFF by pressing the NIBP module buttons Auto ON/OFF and Start Cancel simultaneously for 3 seconds, which enables the Protection selection. Select protection OFF in the calibration menu and press the ComWheel. Then press the buttons again for 3 seconds to enable Calibration. NOTE: When the buttons have been pressed, the NIBP field shows an error message ‘Calibration switch on!’. NOTE: When calibration is enabled, a message ‘Calibration not protected’ appears. 2. For proper zeroing to take place, remove th e hose from the front panel connector. Select Calibration and push the ComWheel. Messages ‘Zeroing’ and ‘Zer oed’ will appear in the NIBP message field. After this , a pressure bar will appear be side the menu and the text ‘Calibrating’ will appear in NIBP digit field. 3. Connect an external mercury manometer with a pump to the module through the both tubes of the hose. Pump up to about 200 mmHg pressure (range of 150 to 300 mmHg allowed) according to the manometer. Verify that both pressure values in the prompt field match the manometer reading. If not, adjust by turning the ComWheel. Active Leak Test: Wrap an adult cuff around a pipe and connect the cuff to the module. Select the active leak test (ON). The module automatically pumps a pressure of 260 mmHg into the cuff. Wait for several seconds until the pressure stabilizes. Then check that the pressure reading does not drop more than 6 mmHg per minute. If it does, leaking point(s) should be detected and fixed. Cancel the test by selecting the Active leak test OFF. Calibration Check: After the calibration check is selected (ON), the module zeroes the pressure transducers at the beginning of the calibration check. Do not pump pressure until the text ‘Calibrating’ appears in the NIBP digit field or the zeroing will fail. After the zeroing is done, manually pump pressure into the module and make sure that the same pressure values are shown both on the display and on the manometer. Pressure of both pressure channels B1 and B2 are shown. The pressure values are automatically zero- compensated, so the readings of B1 and B2 sh ould be the same as the manometer readings. Protection: Software calibration protection (ON/OFF). Select OFF when calibrating. Protection selection becomes available in the menu after pressing the NIBP module buttons Auto ON/OFF and Start/Cancel simultaneously for 3 seconds.