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GE S5 Owners Manual

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    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. 
    						
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    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. 
    						
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    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). 
    						
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    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. 
    						
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    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.  
    						
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    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). 
    						
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    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. 
    						
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    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). 
    						
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    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. 
    						
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    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.  
    						
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