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GE S5 Owners Manual

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    Document no. M1187335-004
    DIS connector, X6 DIS interface (RS485) 
    2.2.2 Digital and analog outputs Digital outputs
    There are separate digital output s. Both signals use TTL-level. The outputs are: Defibrillation 
    Sync. and Nurse Call.
    Def ibrillation Sync  (X5, pin1)  indication is generated by ECG. When active, the signal is in state 
    1. After 10 ms the signal is reset to state 0. Ne w Defibrillation Sync is not generated before the 
    indication is deactivated. The delay from the R wave peak to the start of the signal is maximally 
    35 ms.
    Nurse Call (X8, pin 8) indication is generated by red and yellow alarms. When activated, it is set 
    to state 1 and remains at that state until the alarm situation is over or SILENCE ALARM key is 
    pressed.
    The range of state 0 is from 0 to 0.5 V, and the range of state 1 is 3.5 to 5 V.
    If the output signals are used simultaneously wi th the coding element, the B-UPINET Y-cable, 
    order number 889308, should be used. 
    Analog outputs
    S/5 FM produces two analog real-time signals. 
    NOTE: When the source of the selected analog output is invalid (e.g. invasive pressure channel 
    is not zeroed), or becomes invalid (e.g. ECG lead  is disconnected), the signal on the output is 
    shown as flat line (0 VDC).
    Direct ECG (X5, pin 8):   Delay (max.):  15 ms
    Gain ECG (out)/ECG  (in):  1 V/1 mV ±20%
    Pacer: 5 V and 2 ms pulse
    The signal requires in put impedance of 100 kW.
    Invasive pressure signal (X5, pin 7): From pressure channel P1
    Delay (max.):                                    35 ms
    Gain Signal (out) / Pressure (in):   10 mV/1 mmHg ±20%
    Output range: -0.4 V to +3.2 V
    The signal requires input impedance of 100 k
    2.2.3 Printer connection
    For connecting a printer to the S/5 FM, the serial  data interface is used. When parallel printing 
    is desired, a serial to parallel converter (ref. 78030) is needed.
    For further information see Part I, Interfacing. 8 -pin female connector Pin Signal
    1
    2
    3
    4
    5
    6
    7
    8Data +
    Data -
    13.8 -16 VMOD
    GND
    N/C
    GND
    N/C
    N/C 
    						
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    For your notes: 
    						
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    3 Service procedures
    3.1 General service information
    The field service of S/5 FM is limited to replacin g faulty PC boards and mechanical parts. Return 
    the faulty PC boards to GE Healthcare for repair.
    GE Healthcare is always available for service  advice. Provide the unit serial number, full type 
    designation and a detailed fault description. 
    WARNING Only trained personnel with appropri ate tools and equipment should 
    perform the tests and repair s outlined in this section. Unauthorized service 
    may void the warranty of the unit. 
    3.2 Service check
    3.2.1 S/5 FM
    These instructions include complete procedures for a service check. The service check is 
    mandatory after any service repair. However, th e service check procedures can also be used 
    for determining possible failures.
    The procedures should be performed in ascending order.
    The instructions include a check form ( APPENDIX A:) which may be used when performing the 
    procedures. 
    The symbol 
    in the instructions indicate s that the check form contains space to record the 
    results of the particular procedure.
    3.2.2 Recommended tools
    Table 1 Recommended tools
    Tool Notes
    Power cord
    Screwdrivers Torx T8, T10 and T15
    MemCard - Menu for MemCard Option
    MemCard - Data for MemCard Option
    E-PSM(P)
    N-F(C)REC 
    						
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    Table 2 Patient simulators’ compatibility with each hemodynamic module 
    Table 3 Adapter cables for hemodynamic patient simulators
    3.2.3 Recommended parts
    Table 4 Recommended parts
    3.2.4 Before beginning •
    Make sure that the monitor is switched to standby.
    •If the monitor is connected to Datex-Ohm eda Network, disconnect the Mon-Net cable 
    from the monitor. Take out th e memory card, if installed.
    •Disconnect the power cord and detach the batteries.
    •Detach the fuse holder and the rear cover.
    WARNINGWear a grounded antistatic wristband when handling PC boards. 
    Electrostatic discharge may damage components on the board.
    Module Parameter Patient simulator
    M1010831 MedSim Lionheart & 
    MPS450
    E-PSM(P) ECG Cable included Mult ilink ECG acc. Multilink ECG acc.
    T 2016998-001 2016998-001  and
    M1010832 2016998-001
     
    and M1010846
    InvBP Cable included M1010858 and 
    2005772-001 M1010862 and 
    2005772-001
    Patient simulator Adapter cables for simulators
    Hemodynamic patient simulator Dual temperature adapter cable 2016998-001
    Hemodynamic patient simulator Dual Inv.BP adapter cable 2005772-001
    Medsim Temperature adapter cable M1010832
    Medsim Inv.BP adapter cableM1010858
    Lionheart & MPS450 Temperature adapter cable M1010846
    Lionheart & MPS450 Inv.BP adapter cableM1010862
    Part Order No. Notes
    Recorder paper 74205-HEL for recorder unit 
    						
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    3.2.5 General
    1. Internal partsCheck that:
    the screws are tightened properly
     the cables are connected properly
     the connector pins are intact
     there are no loose objects inside the monitor
    Reassemble the monitor.
    
    2. External parts Check that:
     all stickers are intact
      the LCD display screen is intact
      the ComWheel cover is intact and is attached properly
      all mechanical parts are functioning properly
    
    3. Module installation
    Check that the modules go in smoothly and lock up properly.
    Leave the modules connected. 
    
    4. Command Board LEDsConnect the power cord and check the Command Board LEDs:
    the green mains power LED is on
     the green battery LED is off
     the orange battery LED is on or  off continuously (not blinking)
    
    5. Start-up
    Switch the monitor on.
    Check that the monitor starts up properly, i. e. the alarm LEDs turn blank, the start-up 
    sound is heard from the loudspeaker and the normal monitoring screen appears.
    No error messages should appear on the screen. 
    If the monitor contains the recorder unit, two lines of start-up information should be 
    recorded.
     
    						
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    6. Module recognitionConfigure the monitor screen so that a ll needed parameter information is shown:
    Monitor Setup
    Screen 1 Setup
    Waveform Fields
    Digit Fields
    Check that the selected parameter information is shown on the screen.
    NOTE: InvBP waveforms are not shown without a patient simulator.
    Do no connect the simulator to the monitor at this stage.
    
    7. LCD display picture
    Check that the picture on the LCD display screen is straight, clear and stable.
    
    8. Time and dateCheck that the time and date are correct, adjust them if necessary.
    Monitor Setup
    Set Time and Date
    NOTE: The selection SET TIME AND DATE cannot be accessed if a case is started, or a 
    patient has been admitted.
    NOTE: If the clock shows time 0:00 continuo usly (at successive start-ups), the SRAM/
    TIMEKEEPER battery on the CPU board needs to be replaced.
    The FACTORY RESET should be performed after the battery replacement.
    
    9. Loudspeaker
    Check the loudspeaker by setting the alarm volume:
    Alarms Setup
    Alarm Volume
    Test the whole volume scale from 1 to 10 by turning the ComWheel and check that the 
    alarm volume changes correspondingly. The alarm sound should be clear and audible 
    with all the settings.
    
    10. Display brightnessSelect 
    Monitor Setup
    Display Brightness
    Push the ComWheel and check that the display brightness follows the selected 
    brightness.
     
    						
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    11. Monitor softwareEnter the service menu:
    Monitor Setup
    Install Service  (Password 16-4-34)
    Service  (Password 26-23-8)
    Take down the information regarding Monitor software.
    
    12. Content of the service log Select  Service Log from the menu. 
    Check the contents of the Service Log for possible problems. If the monitor contains the 
    recorder unit, record the Service Log onto the recorder by selecting  Record Log.
    
    13. Voltages
    Check the power supply output voltages through the service menu:
    Monitor Setup
    Install Service  (Password 16-4-34)
    Service  (Password 26-23-8)
    Frame
    Power Supply
    Check that all the displayed values are within reasonable limits.
    
    14. Watchdog circuitry Select:
    Monitor Setup
    Install Service  (Password 16-4-34)
    Service  (Password 26-23-8)
    Set/Test
    Perform the tests WATCHDOG and  WD BY OVERLOAD. Check that the monitor restarts in 
    each case.
    NOTE: When selecting WD BY OVERLOAD, restarting should take place approximately 
    after 15 seconds.
      
    Preset monitor settings:
    Record/Print
    Record Waveforms
    Waveform 1 --> ECG1
    Waveform 2 --> P1
    Waveform 3 --> P2 
    						
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    Delay --> Off
    Paper Speed --> 6.25 mm/s
    Length --> 30 s
    15. Alarm LEDs Enter the  Keyboard  service menu:
    Monitor Setup
    Install Service  (Password 16-4-34)
    Service  (Password 26-23-8)
    Keyboard
    Select the text  Upper Led. Check that the red alarm LED turns on and off when pressing 
    the ComWheel. Check also the yellow alarm LED by selecting  Lower Led from the menu.
    
    16. Membrane keys
    Press the keys on the monitor command board one by one. Check that each key 
    generates a sound from the loudspeaker. Also,  the corresponding text in the menu should 
    change from yellow to red.
    Check also the functioning of the side panel keys.
    
    17. ComWheel
    Turn the ComWheel clockwise and counterclo ckwise and check that each step generates 
    a sound from the loudspeaker and the corresponding values at the bottom of the menu 
    increase.
    Select  Dummy Press . Push the ComWheel and check that the press generates a sound 
    and the corresponding value in the menu increases.
    
    18. Module communication
    Connect a patient simulator to the module.
    Enter the parameter service menus one by one:
    Monitor Setup
    Install Service  (Password 16-4-34)
    Service  (Password 26-23-8)
    Parameters
    ECG, STP and NIBP
    Check that the ‘Timeouts’, ‘Bad checksums’ and ‘Bad c-s by mod’ values do not increase 
    faster than by 5 per second.
     
    						
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    19. BatteriesEnter the  BATTERY service menu:
    Monitor Setup
    Install Service  (Password 16-4-34)
    Service  (Password 26-23-8)
    Frame
    Power Supply
    WPM Battery
    Smart Batt1
    Smart Batt2
    Check that all values are within reasonable limits.
    NOTE: In order to update values for a desired battery, disconnect the other battery 
    shortly. 
    
    20. Battery operation Disconnect the power cord (without switching the monitor to standby).
    Check that the monitoring continues norm ally. Check also the Command board LEDs:
    - the green mains power LED is off
    - the green battery LED is on
    - the orange battery LED is off
    
    21. Battery charging Reconnect the power cord.
    Check that the monitoring continues withou t problems. Check also the Command board 
    LEDs:
    - the green mains power LED is on
    - the green battery LED is off
    - the orange battery LED is on or off continuously (not blinking)
    
    3.2.6 Recorder Unit
    22. Recorder messages
    Open the recorder unit cover. Check that th e message ‘Recorder: Cover open’ appears on 
    the screen, then close the cover.
    
    23. Recording
    Press the key 
    Start/Stop and check that the module starts recording the selected 
    waveforms. Press the key again on the module to stop recording. 
    						
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    NOTE: InvBP waveforms are not recorded without a patient simulator.
    NOTE: If no recording appears, check that the paper roll is installed in a correct way. Only 
    one side of the paper is printable.
    
    24. Paper speed
    Press the key 
    Start/Stop again and this time wait until the recording stops. Check that 
    the length of the recorded waveform scale is 18.7 cm (  1.5 cm).
    Change the paper speed setting to 1 mm/s:
    Print/Record
    Record Waveforms
    Paper Speed --> 1 mm/s
    Press the key 
    Start/Stop and wait until the recording stop s. Check that the length of the 
    scale is now 3.0 cm (  0.5 cm).
    
    25. Quality of recording
    Check that the quality of the recordings is acceptable.
    
    3.2.7 MemCard option 
    26. Module recognitionEnter the Memory Card service menu:
    Monitor Setup
    Install Service  (Password 16-4-34)
    Service  (Password 26-23-8)
    Frame
    MemCards
    Check that the memory option is recognized properly, i.e. ‘Present’ and ‘Active’ state YES.
    
    27. Memories and PCMCIA controller Check that the Memory board memories and the PCMCIA controller have passed their 
    tests. The status for each should be OK.
    
    28. CommunicationSelect  Communication . Check that ‘Interface status’ states ‘ACTIVE’ continuously and the 
    error counter values on the bottom part of the menu are stable.
     
    						
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