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GE S5 Owners Manual

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    							 Planned maintenance instructions3
    Document no. M1187318-003
    1.2.1 Hemodynamic patient simulators
    The following tables present  the patient simulators’ compat ibility with each hemodynamic 
    module, and the accessories needed:
    Table 1 Patient simulators’ compatibility with each hemodynamic module 
    Table 2 Adapter cables for hemodynamic patient simulators
    1.3 Recommended parts
    Module Parameter Patient simulator
    M1010831 MedSimLionheart & 
    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
    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
    For product(s) PartOrder No.
    N-F(C)REC Recorder paper74205-HEL 
    						
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    1.4 Planned maintenance parts
    1.4.1 PM parts for Airway Module, N-FC(REC)
    1.4.2 PM parts for S/5 FM frame, F-FM
    For details on recommended accessories s ee the “Supplies and Accessories” catalog.
    Part Order No. For product(s)
    Special tube (Nafion 2 pcs) 733382-HEL All Airway modules 
    Mini D-fend O-ring (2 pcs) 656565 N-FC(REC)
    Mini D-fend 8002174 (pkg of 10 pcs) N-FC(REC)
    Zero valve air filter M1011471 N-FC(REC), every 3 years
    CO
    2 Sampling line 3.0 m
    733163  N-FC(REC)
    PM sticker 893108All Airway modules 
    Part Order No.For product(s)
    SRAM/Timekeeper battery 197230-HEL-S F-FM, every 8 years 
    						
    							 Planned maintenance check list5
    Document no. M1187318-003
    2 Planned maintenance check list
    2.1 Visual inspection/preparation
    2.1.1 General
    WARNINGWear a grounded antistatic wristband when handling PC boards. 
    Electrostatic discharge may damage components on the board. 
    Make sure that the monitor is turned off.
    Disconnect the mains power cord. If the monitor is connected to the Datex-Ohmeda 
    Network, disconnect the Mon-Net cable from  the monitor. Remove any memory cards.
    1. Check all the units visually. Check that all parts are intact and that the cables and screws  are connected and tightened properly.
    2. Replace the batteries, if necessary. The manufacturer recommendations are:  
    −Replace the SRAM/Timekeeper battery on the CPU board every 8 years. 
    NOTE: The Factory Reset must be performed if the SRAM/Timekeeper battery is replaced.
    3. Check that the fuses are of the correct rating.
    4. Check the ventilation holes of the mo nitor and clean of dust if necessary.
    5. Check the battery status from  Battery setup menu: If “failed”, renew the battery. If 
    “condition”, perform the condition cycle. 
    NOTE: Batteries are recommended to be conditioned every six months.
    
    2.1.2 Extension module, N-F(C)(REC)
    MiniC unit
    1. Remove the module cover. 
    2. Check that all cables and tubes are connected properly and that there are no loose  objects inside the module.
    3. Install the PM Kit: −Replace the special tube (Nafion™).
    − Replace the  Zero valve air filter  every three years.
    − Check the D-fend body connector O-rings and replace them, if necessary.
    − Replace the  Mini D-fend and the sampling line.
    NOTE: Use only approved sampling lines to ensure proper functioning.
    4. Check that the tubing inside the module is not contaminated. Any contamination inside  the tubing may indicate that the valves or sensors are contaminated, too.
    This can increase the risk of faulty operation in  the valves or sensors. It is not possible to 
    clean valves or gas sensors in the field. Ther efore, if you notice any contamination in the 
    module tubing, send the module to GE Healthcare for factory service.
    5. Reattach the module cover and connect the module to the monitor frame.
     
    						
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    Document no. M1187318-003
    2.1.3 Recorder unit
    1. Clean the recorder.−Open the paper compartment hatch and remove 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, if necessary.
    NOTE: Avoid contact with the rubber paper roller. Be careful to limit the application of alcohol to 
    the thermal printhead and the window.
    −Reinstall the paper roll.
    
    2.1.4 E-PSM(P) Module
    1. Check the NIBP pump filter. Replace the filter, if necessary.
    Plug the module back into the frame.
    
    2.2 Functional inspection
    2.2.1 General
    1. Connect the mains power cord. Check that the Mains power LED is lit.
    2. Switch the monitor on.Check that the monitor starts up properly, i. e. the alarm LEDs turn on shortly, normal 
    start-up sound is heard from the loudspeaker and the monitoring screen appears.
    No error messages should appear on the screen.
    3. Configure the screen for the parameters that are connected. Check that all the connected modules are  recognized, i.e. the required parameter 
    information is show n on the screen.
    If connected, the recorder should reco rd two lines of start-up information.
    Preset the measurement settings for those parameters that are connected, for example:
    Print/Recorder - Record Waveforms - Waveform 1 - ECG1  - Waveform 2 - P1
     - Waveform 3 - P2
    Invasive Pressures - P1 ‘ART’ Setup - Label - ART- P2 ‘CVP’ Setup - Label - CVP
    Others  - SPO2 Setup - Pleth Scale - AUTO
    Others - Resp Setup  - Size - 1.0
    -  Resp Rate Source - AUTO
    - Measurement - ON
    - Detection Limit - AUTO 
    						
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    Document no. M1187318-003
    4. Check that the monitor goes to battery  use if the main cord is disconnected.
    
    2.2.2 Display
    1. Check that the picture on the screen is correct. 
    
    2.2.3 Keyboard(s)
    1. Tests with the Command Board:
    −Press the 
    Monitor Setup key. Turn the ComWheel in bo th directions and check that 
    the cursor in the menu moves correspondingly. Select  Normal Screen and check 
    that the menu disappears from the screen.
    Check the rest of the menu keys by pressing them one by one.
    Tests with the Remote Controller:
    − Enter the  Keyboard  service menu.
    − Check the function of the Comwheel. 
    − Press all keys. Check that each key produces a sound from the loudspeaker, or the 
    Message count value in the  service menu increases.
    2. Check that the clock on th e screen shows correct time.
    Readjust the time and date, if necessary. 
    3. Enter the  Service Log service menu.
    Check the content of the Service Log for possible problems.
    
    2.2.4 N-FC(REC)
    1. Enter the  Gas Unit service menu.
    2. Enter the  General service menu: Check that the Time-outs, Bad checksums and Bad c-s 
    by mod values are not increasing faster than by 5 per second.
    3. Enter the  Gases service menu: Check that the ‘Ambient’ value displayed corresponds with 
    the current ambient pressure (±20 mmHg).
    4. Check that the flow measurement offset, i.e. the sample ‘Zero’ value displayed is within  ±10 ml/min.
    5. Perform a sampling system leak test. 
    6. Check the flow rates. Adjust the sampling flow, if necessary.
    7. 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 30 seconds.
    Remove the Mini D-fend and check that the message ‘Check D-fend’ appears on the 
    screen within 30 seconds .
    8. Perform a gas calibration:
    NOTE: For maximum accuracy, a warm-up time of 30 minutes is recommended. 
    						
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    Document no. M1187318-003
    NOTE: Noisy sampling pump might indicate possible problems with motor bearing. Replace the 
    noisy sampling pump by a new one if needed. 
    
    2.2.5 Multiparameter Hemodynamic Modules
    ECG and RESP measurements
    1. Enter the  ECG service menu.
    Check that the Time-outs, Bad checksums and Bad c-s by mod values are not increasing 
    faster than by 5 per second. Check that the ECG/RESP board memories have passed the 
    internal memory test, i.e. RAM, ROM and EEPROM all state OK.
    2. Check that the ‘Power Freq’ value is set according to the mains power frequency. Correct  the setting, if necessary.
    Connect a 12-lead ECG trunk cable without a lead set to the module. Check that the 
    message Leads off is displayed on the screen.
    3. Connect both 5-leadwire sets to the trunk  cable. Connect the cable leads to a patient 
    simulator. Check that the ‘Cable type’ shows 10 lead.
    4. Disconnect one of the leads and check that  the corresponding electrode in the service 
    menu shows OFF within 10 se conds from the disconnection, then reconnect the lead.
    Check the rest of the leads using the same method.
    NOTE: With E-PSM module: when any of the limb leads is disc onnected, the measurement will 
    automatically change to 3 electrode ECG measurement. 
    NOTE: The asystole and different leads off me ssages are shown using certain priority. Even 
    though one of the leads is disconnected, the related leads off message may not appear on the 
    screen.
    NOTE: When RA, LA, LL or RL electrode is  disconnected, all V electrodes show OFF.
    5. Check that all ECG and impedance respirat ion information is shown on the monitor 
    screen as configured on the simulator.
    Check that the pacer count value in the serv ice menu is shown according to the simulator 
    configuration.
    Change baseline impedance on the simulator and check that appropriate RESP waveform 
    and RR values are shown again within 30 seconds.
    Turn the simulator off. Check that the ‘Asystole’ and ‘Apnea’ messages are displayed.
    
    Temperature measurement 
    6. Enter the  STP service menu.
    Check that the Time-outs, Bad checksums and Bad c-s by mod values are not increasing 
    faster than by 5 per second. Check that the STP board memories have passed the internal 
    memory test, i.e. RAM, ROM and EEPROM all show OK.
    7. Check the temperature measurement calibration using temperature test plugs.
    NOTE: Make sure that the protection for temper ature calibration is set on, if calibration is 
    needed.
     
    						
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    Invasive blood pressure measurement 
    8. Check the function of the module front panel membrane keys.
    9. Check the InvBP channels with a patient simulator.Zero the InvBP channels, then check that the values and waveforms correspond to the 
    simulator settings.
    
    SpO2 measurement 
    10. Check that the message ‘No probe’ is shown, when no SpO2 sensor is connected.
    Connect an SpO
    2 finger probe to the module. Check that the message ‘Probe off’ is shown, 
    when the probe is not connected to a finger.
    11. Attach the SpO
    2 probe to your finger. Check that a reading of 95-99 and a pleth waveform 
    appear on the screen.
    
    Non invasive blood pressure measurement 
    12. Enter the NIBP  module service menu.
    Check that the Time-outs, Bad checksums and Bad c-s by mod values are not increasing 
    faster than by 5 per second. Check that the NIBP board memories have passed the 
    internal memory test, i.e. RAM, ROM and EEPROM all show  OK.
    13. Check the function of the front panel membrane keys.
    14. Check the NIBP tubing system for leakages by performing  Calibrations - Active leak test.
    15. Perform NIBP calibration by selecting  Calibration.
    16. Check the safety valve by performing  Safety Valve – Adult and Infant.
    17. Attach an adult NIBP hose and cuff onto your arm and perform one NIBP measurement.  Check that the module identifies the cuff, i.e. the text ‘Adult’ appears in the NIBP digit field 
    for a short time.
    Check that the module gives a reasonable measurement result.
    
    E-PSM(P):
    18. Attach a NIBP cuff hose with out cuff identification and check that the module identifies 
    the hose: 
    − The message ‘Select inflation limits’ appears in the NIBP digit field.
    − When you try to start the measurement, the monitor automatically opens the 
    selections  NIBP Setup - Inflation Limits .
    
    2.2.6 Memory 
    1. Enter the MemCards service menu:
    Check that the memory unit is recognized pr operly, i.e. Present and Active state YES.
    2. Check that the memories and the PCMCIA controller have passed the tests. The status for  each should be OK. 
    						
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    Document no. M1187318-003
    3. Select Communication .
    Check that the Interface status states Active  continuously and the error counter values on 
    the bottom part of the menu are stable.
    4. Select  Status.
    Insert Data card into the slot.
    Wait until the info rmation is fully updated in the service menu, then check that the Card 
    types are correct and the ‘File system’ states ATA.
    Check that the rest of the information is reliable and no errors have been detected.
    
    2.2.7 Recorder 
    1. Open the paper compartment cover. Check that the message ‘Recorder: Cover open’  appears on the screen, then close the cover.
    2. Press the 
    Start/Stop sidepanel key and check that the module starts recording the 
    selected waveforms. Press the 
    Start/Stop sidepanel key again to stop recording. 
    3. Check that the quality of the recordings is acceptable.
    
    2.2.8 Network 
    1. Check that the Mon-Net cable connector and the Identification plug are clean and intact,  then connect them  to the monitor via the Multi I/O adapter. Check that the monitor 
    connects to the Datex-Ohmeda Network, i.e. the network symbol appears on the upper 
    right-hand corner of the screen. Also a message regarding the connected Central should 
    appear in the message field on the screen.
    NOTE: If necessary, reselect the monitor’s  network communication according to the used 
    network software in the  Network service menu.
    2. Enter the  Network - Ethernet  service menu:
    Check that the counters for data errors (CRC, Frame, Transm.) are stable.
    Check that the counters for hardware errors (Intern., Missed, FIFO, Overrun) all show 0.
    
    2.2.9 Wireless Network Option
    1. Check that the WLAN signal strength symbol  scrolls between zero and full or stays fixed 
    on the monitor screen.
    2. Check that the wireless LAN network symbol appears on the upper right-hand corner of  the screen when the monitor conne cts to the Datex-Ohmeda Network.
    NOTE: If the monitor does not connect to  the Datex-Ohmeda Network, check the WLAN 
    configuration on the monitor and on the network.
     
    						
    							 Planned maintenance check list11
    Document no. M1187318-003
    2.2.10 Device Interfacing Solution, N-DISxxx
    1. Enter the DIS Interfacing  service menu:
    Check that the DIS module ‘tout’ and ‘cse’ values do not increase faster than by 5 per 
    second. Check also that the DIS module memories have passed the internal memory test, 
    i.e. Ram, Rom and EEPROM state all OK.
    Perform the same check for  all connected DIS modules.
    
    2.2.11 General
    1. Storing trend data
    Check that the monitor is capable of storing the trend information and temporary 
    settings in a short (max. 15 minutes) standby situation with no power cord.
    
    2. Service resetCheck the Service Reset.  Switch off the monitor. Disconne ct the power cord and remove 
    the batteries to reset the monitor. Wait at l east for 30 seconds, insert the batteries back, 
    switch the monitor back on and check that the mo nitor performs a Cold Start, i.e. all trend 
    information is cleared.
    
    3. Watchdog
    Enter the  Set/Test service menu and perform  Watchdog
    Check that the monitor restarts.
    
    4. Service Log reset
    Enter the  Service Log  service menu.
    Clear the content of the Service Log by selecting  Reset Log from the menu.
    
    5. Electrical safety check
    Perform an Electrical safety check and a l eakage current test. Check that the monitor and 
    all connected units function no rmally after the performed test.
    
    6. Save information about the performed planned maintenance into the  Maintenance 
    service menu by performing  Plan. Maint - 1 year PM - Save . 
    
    7. Final cleaning
    Switch the monitor to standby and perform final cleaning. 
    Fill in all necessary documents.
     
    						
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    Document no. M1187318-003
    For your notes: 
    						
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