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    							S/5 Extension Module for FM, N-FC, N-FCREC, N-FREC
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    Document no. M1187338-003
    3 Service procedures
    3.1 General service information
    The field service of the Extension Modules for FM  is limited to replacing faulty circuit boards or 
    mechanical parts. The circuit boards should be returned to GE Healthcare for repair.
    GE Healthcare is always available for service ad vice. Please provide the unit serial number, full 
    type designation and a detailed fault description. 
    WARNING Only trained personnel with appropriate equipment should perform the 
    tests and repairs outlined  in this section. Unauthorized se rvice may void 
    warranty of the unit.
    CAUTION The module electronics can only be  repaired and calibrated at the factory.
    3.1.1 MiniC measuring unit
    WARNINGThe miniC measuring unit  can only be repaired and calibrated at the 
    factory. Attempts to repair/calibrate  the unit elsewhere will adversely 
    affect operation of the unit. In case  of failure, the complete miniC unit 
    should be sent to GE Heal thcare for factory exchange.
    WARNING Handle the water trap and its conten ts as you would any body fluid. 
    Infectious hazard may be present.
    Serviceable parts
    •Mini D-fend
    •Mini D-fend O-rings
    •Nafion tube
    •Air filter
    •Pump
    NOTE: After any component replacement, see chapter  “Adjustments and calibrations”.
    Calibration interval six months. Preventive maintenance once a year including the change of 
    Nafion tube and the O-rings of water separator, pump check and calibration, leak test and 
    absolute pressure sensor check. 
    3.1.2 Recorder unit
    Serviceable or exchangeable parts
    •Recorder board
    •Thermal plotter
    3.2 Service check
    These instructions include complete procedures for a service check. The service should be 
    performed after any service repair. Additionally, the service check procedures can also be used 
    for determining possible failures.
    The procedures should be performed in ascending order. 
    						
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    Document no. M1187338-003
    The instructions include a check form (“APPENDIX A:”) which should be filled in when performing 
    the procedures.
    The symbol 
    in the instructions means that the check form should be signed after 
    performing the procedure.
    3.2.1 Recommended tools
    3.2.2 Recommended parts
    Detach the module box cover by removing the  five screws from the locking side of the 
    module. Be careful with the flex cable, when  opening the cover. Remove the grey plastic 
    shield over the miniC unit.
    3.2.3 Inspection
    General
    1. Check internal parts
    •all screws are tightened properly
    •all cables are connected properly
    •tubes are not pinched and there are no sharp bends on them
    •all tubes are connected properly
    •EMC covers are attached properly
    •there are no loose objects inside the module
    N-F(C)REC: Open the paper compartment hatch and take out the paper roll, if installed.
    Remove any paper chaff from the paper compartment.
    Clean the thermal printhead and the small glass window in front of the static brush with a 
    cotton swab dipped in isopropyl alcohol. Avoid contact with the rubber paper roller.
    Tool Order No. Notes
    Screwdriver Pozi-drive, Torx T10
    Ambient pressure manometer Amb. Press. can be checked 
    from local meteorological 
    station
    Flowmeter TSI mode l 4140 recommended
    Flow cassette 50/1.1 873812-HEL
    Calibration gas 755580* (gas) Contains 5 CO
    2 and air
    Regulator 755534-HEL
    E-PSM / E-PSMP
    Patient simulator
    Recorder paper 74205-HEL 
    						
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    Document no. M1187338-003
    NOTE: Be careful to limit the application of al cohol to the thermal printhead and the window.
    Leave the paper compartment empty and close the hatch.
    
    2. Check external parts
    •all connectors are intact and attached properly
    •the module box and the locking system are intact
    
    Reattach the module and check that the locking system moves properly. 
    CO2 measurement
    3. Check Mini D-Fend Detach the Mini D-fend. Che ck the condition of the rubber  O-rings on the metal Mini D-
    fend connectors, located in the module front cover.
    If necessary, detach the connectors by first disconnecting the tubes, then removing the 
    locking rings from the back of the front cover.
    
    Replace the Mini D-fend and sampling line with new ones.
    NOTE: Use only Datex-Ohmeda sampling lines in order to ensure proper functioning.
    Connect the Extension Module, N- FC or N-FCREC to the monitor.
    Turn on the monitor.
    Configure the monitor screen so that the CO
    2 curve is shown, for example as follows:
    Monitor Setup  - Screen 1 Setup - Waveform fields -
    Field 6 - CO2
    Digit Fields Lower Field 1 - Gases
    4. Module software Wait until the message ‘Calibrating gas sensor’ disappears from the screen, then enter 
    the service menu.
    Monitor Setup - Install/Service  (password 16-4-34)  - Service (password 26-23-8).
    Write down the information regarding the ExtensionModule software.
    5. Module bus communication Enter the service menu  General: Parameters - Gas Unit - General 
    Check that the Timeouts, Bad checksums and Bad c-s by mod values are not increasing 
    faster than by 5 per second. 
    						
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    Document no. M1187338-003
    If one of the values is increasing faster, it indicates a failure in module bus 
    communication.
    
    6. Flow measurement offset
    Enter the service menu  Gases:
    Gas Unit - Gases
    Check that the flow measurement offset, i.e.  the shown sample Zero value is within ±10 
    ml/min.
    
    7. Ambient pressure
    Check that the shown Ambient value corresponds with the current ambient pressure (±20 
    mmHg).
    
    8. Zero valve checkFeed calibration gas and check that the gas readings in the service menu correspond 
    with the values on the gas bottle sticker. Keep feeding gas, then activate the zero valve 
    from the menu. The CO
    2 reading should drop back to near 0%. Set back the Zero valve to 
    state MEAS.
    
    9. Nafion tube
    Replace the Nafion tube, if necessary .
    NOTE: The Nafion tube should be replaced annually. 
     
    
    10. Leak testPerform the sampling system leak test.
    Connect a flow cassette with high flow re sistance value (50/1.1) to the end of the 
    sampling line and start following the Amb-Work value in the service menu. When the 
    value exceeds 130 mmHg, connect the other port  of the flow cassette to the sample gas 
    out connector and switch off the pump.
    Wait until the pressure insi de the sampling system is stab ilized, then observe the shown 
    Amb-Work value. The value, i.e. the pressure inside the sampling system should not drop 
    more than 6 mmHg in 20 seconds.
    If the pressure drops more, first check the connections and repeat the test.
     
    						
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    11. Check the flow ratesWait until the Sample Flow valu e returns close to 150 ml/min.
    Connect a flow meter to the 3 meter sampling line and check that the flow (the flow meter 
    reading) is within  the following range:
    Sampling flow (ml/min)  135...165
    If necessary, readjust the sampling flow:
    Select  Sample gain adj  from the menu. 
    To increase the sampling flow, turn the Co mWheel counterclockwise. To decrease the 
    flow, turn the ComWheel clockwise.
    A change of 0.050 in the Gain value ch anges the flow approximately 7.5 ml/min.
    After you have changed the gain, wait until the Sample Flow value on the screen returns 
    near to the original, then check the flow meter reading again.
      
    12. Working pressure
    Check that the Amb-Work value in the serv ice menu is within the following range:
    Amb-Work (mmHg) 20...50
    
    13. Gas calibration
    Airway Gas - Gas Calibration
    NOTE: The calibration should not be performed before 30 minutes warm-up time. 
    Use calibration gas 755580 (5% CO
    2, about 20% O2) for calibrating the module with CO2 
    measurement.
      
     
    14. Occlusion detection
    Block the tip of the sampling line with your finger and check that the message ‘Sample 
    line blocked’ appears on the moni tor screen within 60 seconds.
    
    15. Check D-fend
    Detach the mini D-fend and check that the message ‘Check D-fend’ appears on the 
    monitor screen within 30 seconds.
    
    16.    Apnea detectionReattach the mini D-fend. Simulate at least 5 breaths by feeding calibration gas into the 
    sampling line. Check that the shown gas information is correct. 
    						
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    Document no. M1187338-003
    Check that the monitor shows the message ‘Apnea’ within 30 seconds after you have 
    stopped feeding the gas.
    
    Recorder
    17. Paper compartment cleaning
    Open the paper compartment hatch and take out the paper roll, if installed.
    Remove any paper chaff from the compartment.
    Clean the thermal printhead and the small glass window in front of the static brush with a 
    cotton swab dipped in isopropyl alcohol. Avoid contact with the rubber paper roller. 
    NOTE: Be careful to limit the application of al cohol to the thermal printhead and the window. 
    Leave the paper compartment empty and close the hatch.
    
    Configure the monitor screen so that all  required parameters are shown, for example:
    Monitor Setup - Screen 1 Setup - Waveform Fields -Field 1 - ECG1
    Field 2 - ECG2
    Field 3 - P1
    Field 4 - P2
    Field 5 - PLETH
    Field 6 - OFF
    Plug in the Hemodynamic Module. Connect a  patient simulator to the module and check 
    that all connected parameters are shown on the screen.
    Preset recording settings:
    Record/Print - Record Waveforms  - Waveform 1 - ECG1
    Waveform 2 - P1
    Waveform 3 - P2
    Delay - Off
    Paper Speed - 6.25 Mm/S
    Length --> 30 S
    Record Trends -  Graphic Trend 1 - Hr Graphic Trend 2 - P1
    Monitor Setup - Install/Service  (password 16-4-34)  - Trends & Snapshot - Default 
    Trend - Graph.
    Pt.Data&Trends - Trends - T ime Scale - 2 h
    18. Cover state recognition Open the paper compartment cover. Check that the message ‘Recorder: Cover open’ 
    appears on the screen.
    
    19. Paper recognitionClose the paper compartment cover. Check that the previous message changes to 
    Recorder: Out of paper’. 
    						
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    Document no. M1187338-003
    Install a paper roll and close the cover. Check that the message ‘Recorder: Cover open’ 
    disappears from the screen.
    
    20. Quality of recordingPress the 
    Start/ Stop  key again and check that the quality of the recordings is 
    acceptable.
    
    21. Recording speed
    Press the 
    RECORD WAVE  key 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:
    Record/Print  - Record Waveforms - Paper Speed - 1 mm/s
    Press the 
    RECORD WAVE key and wait until the recording stops. Check that the length 
    of the scale is now 3.0 cm ( ±0.5 cm).
    
    General
    22. Electrical safety check
    Perform an electrical safety check and a leakage current test.
    
    23. Functioning after electrical safety checkCheck that the module functions normally af ter performing the electrical safety check.
    
    24. Final cleaning
    Turn off the monitor, disconnect and clean the module.
    
    •Fill in all necessary documents. 
    						
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    Document no. M1187338-003
    3.3 S/5 N-FCREC disassembly and reassembly
    CAUTION When reassembling the module, make sure that the tubes and cables are not 
    pinched between the bo ards and the cover. 
    To reassemble the module, reverse the order of the disassembly steps.
    3.3.1 Instructions after replacing MiniC unit 
    After replacing the MiniC unit:
    •perform the sampling system leak test
    •perform the occlusion test
    •perform the gas calibration
    3.3.2 Before disassembly
    WARNINGWear a grounded, antistatic wristband when handling PC boards. 
    Electrostatic discharge may damage components on the board.
    Disconnect the Extension Module from the monitor.
    Tools needed
    - screwdrivers, TORX; T8, T10, T15
    - crosshead screwdriver; M15
    - flat blade screwdriver
    - pinchers
    - antistatic wristband
    Disassemble the Extension Module
    1. Remove the Mini D-fend.
    2. Open the recorder unit paper cover and remove 
    the paper roll, if installed. 
    						
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    Document no. M1187338-003
    3. Unscrew the two pozidrive screws inside the recorder unit completely (the screws cannot be 
    removed) and remove the recorder unit.
    4. Remove the five screws (T8) on the side where the  device plate is located.
    5. Place the N-F(C)(REC) on a table the device plate  side down.
    6. Remove the two screws (T8) near the module bus  connector.
    7. Remove the module cover carefully.
    8. Remove the EMC-cover and CO
    2 unit insulator 
    plate. 
    						
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    NOTE: The finger of the insulator plate secures the 
    interconnection flex connector. While reassembling  
    the insulator plate ensure that the finger supports the 
    connector correctly.  
    9. Disconnect the Nafion an d silicon tubes from the 
    mini D-fend connectors.
    NOTE: While reassembling the nafion tube ensure the  correct routing for both modules. If the nafion tube is 
    not correctly routed it may get bent or jammed when 
    reassembling the cover.  Bent or pinched tube can 
    get permanently blocked. The block may appear later 
    when the tube warms up.
    Correct nafion tube routing in  N-FCREC module, arrow  
    pointing at the mini D-fend connectors.
    Correct nafion tube routing in  N-FC module, arrow 
    pointing at the mini D-fend connectors.
    10. Disconnect the gas out tube from the pump unit  and remove the front panel unit. 
    						
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