GE S5 Service Manual

							All specifications are subject to change without notice.
CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner.
Outside the USA, check local laws for any restriction that may apply.
Order Code M1021567
March, 2006
Datex-Ohmeda Inc.
P.O. Box 7550
Madison, WI 53707-7550, USA
Tel: +1 608 221 1551
Fax: +1 608 222 9147
GE Healthcare Finland Oy
Helsinki, Finland
P.O. Box 900
FI-00031 GE, FINLAND
Tel: +358 10 39411
Fax: +358 9 1463310
 www.gehealthcare.com
Copyright  2006 General Electric Company
Datex-Ohmeda
S/5
TM Compact Anesthesia Monitor
S/5
TM Compact Critical Care Monitor
Technical Reference Manual 
						

							Intended purpose (Indications for use)
The Datex-Ohmeda S/5 Compact Anesthesia Monitor with L-CANE05 or L-CANE05A software is intended for 
multiparameter patient monitoring with optional patient care documentation.
The S/5 Compact Anesthesia Monitor with L-CANE05 or L-CANE05A software is indicated for monitoring of 
hemodynamic (including arrhythmia and ST-segment analysis), respiratory, ventilatory, 
gastrointestinal/regional perfusion, Bispectral index (BIS), Entropy (State Entropy and Response Entropy) and 
neurophysiological status of all hospital patients. 
The S/5 Compact Anesthesia Monitor with L-CANE05 and L-CANE05A software when using BIS is for 
monitoring the state of the brain by data acquisition and processing of electroencephalograph signals and may 
be used as an aid in monitoring the effects of certain anesthetic agents. 
The S/5 Compact Anesthesia Monitor with L-CANE05 or L-CANE05A software is also indicated for documenting 
patient care related information. 
The S/5 Compact Anesthesia Monitor with L-CANE05 or L-CANE05A software is indicated for use by qualified 
medical personnel only.
The Datex-Ohmeda S/5 Compact Critical Care Monitor with L-CICU05 or L-CICU05A software is intended for 
multiparameter patient monitoring. 
The S/5 Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated for monitoring of 
hemodynamic (including arrhythmia and ST-segment analysis), respiratory, ventilatory, 
gastrointestinal/regional perfusion, Bispectral index (BIS) and neurophysiological status of all hospital 
patients.
The S/5 Compact Critical Care Monitor with L-CICU05 and L-CICU05A software when using BIS is for monitoring 
the state of the brain by data acquisition and processing of electroencephalograph signals and may be used as 
an aid in monitoring the effects of certain anesthetic agents.
The S/5 Compact Critical Care Monitor with L-CICU05 and L-CICU05A software is indicated for use by qualified 
medical personnel only.
Classifications
In accordance with IEC 60601-1
Class I and internally powered equipment – the type of protection against electric shock.
Type BF or CF equipment. The degree of protection against electric shock is indicated by a symbol on each 
parameter module.
Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or 
nitrous oxide. 
Continuous operation according to the mode of operation.
In accordance with IEC 60529
IPX1- degree of protection against harmful ingress of water.
In accordance with EU Medical Device Directive
The Datex-Ohmeda S/5 Compact Anesthesia Monitor is classified as IIb.
In accordance with CISPR 11:  
Group 1, Class B 
•Group 1 contains all ISM (industrial, scientific and medical) equipment in which there is intentionally 
generated and/or used conductively coupled radio-frequency energy which is necessary for the internal 
functioning of the equipment itself.
•Class B equipment is suitable for use in domestic establishments and in establishments directly connected 
to a low voltage power supply network which supplies buildings used for domestic purposes. 
						

							Responsibility of the manufacturer
GE Healthcare Finland Oy (GE) is responsible for the safety, reliability and performance of the product only if:
•modifications, service and repairs are carried out by personnel authorized by GE.
•the electrical installation of the room complies with appropriate requirements.
•the equipment is used in accordance with the Users Guide and serviced and maintained in accordance 
with the Technical Reference Manual.
Trademarks
Datex, Ohmeda, S/5, D-lite, D-lite+, Pedi-lite, Pedi-lite+, Mini D-fend, D-fend, D-fend+, OxyTip+, MemCard, 
ComWheel, EarSat, FingerSat, FlexSat, PatientO2, Entropy, Patient Spirometry and Tonometrics are trademarks 
of GE Healthcare Finland Oy. All other product and company names are property of their respective owners.
A portion of the Entropy software is derived from the RSA Data Security, Inc. MD5 Message-Digest Algorithm.  
						

							Master table of contents
Datex-Ohmeda
 S/5
TM Compact Anesthesia Monitor
 S/5
TM Compact Critical Care Monitor
Technical Reference Manual, Order code: M1021567
Part I, General Service Guide
Part II, Product Service Guide
Document No. Updated Description
M1031517-02 Introduction, System description, Installation,
Interfacing, Functional check, General troubleshooting1
M1031518-02 Planned Maintenance Instructions2
Document No. Updated Description
M1031519-01 CAM, CCCM Service Menu1
M1031520-02  Display Unit for F-CM1, F-CMC1 rev. 00...04
F-CMREC1, F-CMCREC1 rev .00...02
Software Licenses L-CANE05(A), L-CICU05(A)2
M1044470-01 Frame Unit for  F-CM1, F-CMC1 rev. 00...04
F-CMREC1, F-CMCREC1 rev. 00...02
AC/DC Power Supply Unit3
M1031521 Spare parts4 
						

							Table of contents
i
                                                                                  Document no. M1031517-02
Table of contents
Table of contents i
Table of figures iv
List of tables vi
About this manual 1
1Introduction 3
1.1 Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.1.1 Symbols on transport packaging  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.1.2 Symbols on equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.1.3 Equipment safety symbols  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.1.4 Other symbols  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.2 Safety  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
1.2.1 Safety precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
1.2.2 ESD precautionary procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
1.2.3 Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
2 System description 14
2.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
2.2 Bus structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
2.3 Distributed processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
2.4 Module communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
2.5 Software loading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
2.6 Parameter modules  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
3 System installation 17
3.1 Unpacking instructions  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
3.2 Choosing location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
3.3 S/5 Frame for Compact Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
3.3.1 Compact Monitor connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
3.3.2 Connecting to mains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
3.3.3 Connecting to Network  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
3.3.4 Connecting to Wireless Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
3.3.5 Inserting the parameter modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
3.3.6 Downloading Monitor Software  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
3.3.7 Performing Factory Reset  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
3.3.8 Installing the Datex-Ohmeda Network and MemCard Upgrade, U-CMMEM . . . . . . . . . . . . .22
3.3.9 Installing the Datex-Ohmeda Network Upgrade, U-CMNET  . . . . . . . . . . . . . . . . . . . . . . . . . .23
3.3.10 Installing the S/5 Wireless LAN Upgrade, U-CMW  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
3.3.11 Installing the S/5 Recorder Upgrade, U-CMREC1  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
3.4 S/5 Remote Controller, K-CREMCO  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
3.5 Anesthesia Record Keeping Keyboard, K-ARKB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
3.6 ARK Barcode Reader, N-SCAN (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
3.6.1 Connection to Compact Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
3.7 S/5 Compact Airway Modules, E-xxxx / M-xxxxx  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 
						

							Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors
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Document no. M1031517-02                                                                    
3.7.1 Sample gas exhaust  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
3.7.2 Troubleshooting   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
4 Interfacing 31
4.1 Interfacing external monitors via Interface Module, E-INT / M-INT . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
4.1.1 Connection to external Datex-Ohmeda monitors  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
4.1.2 Connection to Critikon Dinamap 1846SX, Abbott Oximetrix 3 and Baxter Explorer . . . . . . .33
4.1.3 Connection to Baxter Vigilance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
4.1.4 Connection to Nellcor N-100 and N-1000  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
4.1.5 Connection to Nellcor N-200  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
4.2 Interfacing external bedside devices via S/5 Device Interfacing Solutions, N-DISxxx  . . . . . . . . . . . . .34
4.2.1 Device Interfacing Solution components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
4.2.2 Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
4.2.3 Mounting  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
4.2.4 Selecting the external device  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
4.2.5 Functional check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
4.2.6 Selecting the parameter data source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
4.3 Interfacing Datex-Ohmeda Anesthesia Delivery Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
4.3.1 Interconnection  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
4.3.2 Setting interfacing parameters on the S/5 Anesthesia Delivery Unit  . . . . . . . . . . . . . . . . . .39
4.3.3 Setting interfacing parameters on the S/5 Compact Anesthesia Monitor  . . . . . . . . . . . . . .39
4.4  Interfacing Dräger Cicero, Cato, Julian and Narkomed 2C (by NAD) . . . . . . . . . . . . . . . . . . . . . . . . . . .40
4.4.1 Interconnection  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
4.4.2 Setting communication parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
4.4.3 Setting interfacing parameters on the S/5 Compact Anesthesia or Compact Critical Care 
Monitor41
4.5 Interfacing printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
4.5.1 Setting S/5 Compact Monitor interface for printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
4.5.2 Connection to serial printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
4.5.3 Connection to parallel printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
4.5.4 Installing the Serial-to-Parallel Converter  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
4.5.5 Connection to printer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
4.6 Interfacing computer  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
4.7 Output signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
4.7.1 Digital outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
4.7.2 Analog outputs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
4.7.3 S/5 Pressure Temp Module, E-PT or M-PT, output signals . . . . . . . . . . . . . . . . . . . . . . . . . . .46
5 Functional check 47
5.1 Recommended tools  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
5.1.1 Hemodynamic patient simulators  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
5.2 Visual inspection  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
5.3 Functional inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
5.3.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
5.3.2 Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
5.3.3 Keyboard(s)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
5.3.4 Frame unit  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
5.3.5 Display unit  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
5.3.6 Compact Airway Module, E-CXXXXX/ M-CXXXXX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
5.3.7 Single width Airway Module, E-miniC/ M-miniC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 
						

							Table of contents
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                                                                                  Document no. M1031517-02
5.3.8 Tonometry Module, E-TONO/ M-TONO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
5.3.9 Multiparameter Hemodynamic Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
5.3.10 Pressure/Pressure Temp Modules, E-P, E-PT, M-P, M-PT. . . . . . . . . . . . . . . . . . . . . . . . . . . .54
5.3.11 Dual pressure Module, E-PP/ M-PP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
5.3.12 Cardiac Output Modules, E-COP/ M-COP, E-COPSv/ M-COPSv  . . . . . . . . . . . . . . . . . . . . . .55
5.3.13 NIBP module, M-NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
5.3.14 Nellcor Compatible Saturation module, E-NSAT/ M-NSAT . . . . . . . . . . . . . . . . . . . . . . . . . .56
5.3.15 Datex-Ohmeda Oxygen Saturation module, M-OSAT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
5.3.16 BIS Module, E-BIS/ M-BIS  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
5.3.17 Entropy Module, E-ENTROPY/ M-ENTROPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
5.3.18 Data Card and Menu Card function  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
5.3.19 Recorder   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
5.3.20 Network connection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
5.3.21 Wireless Network Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
5.3.22 Interface Module, E-INT/ M-INT  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
5.3.23 Device Interfacing Solution, N-DISxxx  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
5.3.24 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
6 General troubleshooting    59
Appendix A: Functional check form, Datex-Ohmeda S/5 CAM, CCCM A-1
Appendix B: ElectroMagnetic Compatibility B-1 
						

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Document no. M1031517-02                                                                   
Table of figures
Figure 1 S/5 Compact Anesthesia Monitor system ............................................................................................. 3
Figure 2 General bus structure of S/5 system................................................................................................... 14
Figure 3 Principle of UPI section operation ....................................................................................................... 15
Figure 4 General structure of parameter modules with patient isolation ............................................................. 16
Figure 5 External connections of Compact Monitor frame F-CM(C)1 rev.04 ........................................................ 18
Figure 6 External connections of Compact Monitor frame F-CM(C)1 rev.00...03 ................................................. 19
Figure 7 Installation of the U-CMREC1 ............................................................................................................. 24
Figure 8 ARK Barcode Reader, N-SCAN connected to Compact Monitor ............................................................ 25
Figure 9 Compact Airway Module, E-XXXX......................................................................................................... 26
Figure 10 Scavenging through ventilator reservoir............................................................................................... 27
Figure 11 Connecting the gas module to the scavenging connector of S/5 Avance .............................................. 27
Figure 12 Sample gas returned to patient circuit in ADU ..................................................................................... 28
Figure 13 Connection cables and LED indicators ................................................................................................ 36
Figure 14 An example of interfacing external devices with Device Interfacing Solution .......................................... 37
Figure 15 Connecting S/5 Compact Monitor to printer, converter model PI130-R2 .............................................. 43
Figure 16 Connecting S/5 Compact Monitor to printer, converter model PI 1115A............................................... 44
Figure 17 S/5 Compact Monitor general troubleshooting flowchart ..................................................................... 59