GE S5 Service Manual
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Service Menu 31 Document no. M1031519-01 4.6 COP SvO2 Meas. state: Measurement status shows: No optical module (No OM) connected, initializing the optical module (Init OM), normal measurement state (Normal) and failed module (OM fail). Value is a measured SvO 2 value. Gain is the gain of the remote red and infrared signals (0, 1, 2 or 3) Red int: Reflected red intensity Ired int: Reflected infrared intensity Loc red: Local red intensity Loc ired: Local infrared intensity OM fail: Reason why initialization OK (OK), cannot read EEPROM of the optical module correctly (EEPROM), cannot adjust LED current to get required local signal (Transmit). OM temp: Temperature of the optical module OK (OK), temp under 43 °C (Under), temp over 47 °C (Over). Pulse SQI: Signal quality index for pulsing (low pulse/high pulse). 0 indicates a normal signal, 1 indicates an intermediate signal, 2 indicates a poor signal, and 3 indicates an unacceptable signal. Clipp. SQI: Signal quality index for wall artifact. 0 indicates a normal signal, 1 indicates an intermediate signal, 2 indicates a poor signal, and 3 indicates an unacceptable signal. Int. SQI: Signal quality index for intensity shift from previous calibration or Hgb update (intensity decreased/increased) 0 indicates a normal signal, 1 indicates an intermediate signal, 2 indicates a poor signal, and 3 indicates an unacceptable signal. Service menu for Cardiac Output Module, M-COP or E-COP, and Cardiac Output and Mixed Venous Oxygen saturation (SvO2) Module, M-COPSv or E-COPSv. Record Data prints out the service data and module information (id. serial number and software id.) on the recorder. Service Data P4 Gain is a coefficient to compensate for gain error. Typically the value is between 17000 and 25000. Calibrate if the zero and/or gain value is outside the ranges. Zero indicates the offset compensation value of each parameter in the A/D converter. Usually the value is within ±1000. Cable shows ON when the corresponding cable is connected to the front panel and Probe shows ON when the corresponding probe is connected to the cable. Value shows the measured numeric values simultaneously. The pressure value is a real time value and shown in mmHg. Probe items Catheter (ON/OFF) and Inj. (FT, BATH, or OFF) indicate connections and Value indicates the measured temperatures in 0.01 °C increments.
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 32 Document no. M1031519-01 Button: The front panel Zero P4 and Start C.O. key functions can be confirmed by pressing the key and checking that the relevant OFF message turns to ON. 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 the monitor has failed. 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 continuous 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 external RAM memory. ROM indicates whether the checksum at the EPROM is in accordance with the software calculated value. 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). 4.6.1 COP Calibrations How to calibrate The calibration requires a pressure transducer (with an appropriate cable) and a pressure manometer. 1. Connect the pressure transducer with the pressure manometer to the P4 connector. Select Calibrate P4. Leave the transducer at 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. Calibrate P4 This function is for calibrating the invasive blood pressure channel P4.
Service Menu 33 Document no. M1031519-01 4.7 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 cannot 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 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 PRESTN series modules and E-PSM(P). AD0 to AD7 show the values of each eight channels of the A/D converter. AD7 is not used in PRESTN series modules, M-NIBP module and 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 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 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 continuous 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 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).
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 34 Document no. M1031519-01 4.7.1 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. 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.
Service Menu 35 Document no. M1031519-01 4.7.2 NIBP Calibration How 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. 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: For M-NE(12)STPR series modules: If Protection is ON, change it to OFF by first turning the toggle switch to the right at the bottom of the module, which enables the Protection selection. Then turn the toggle switch to the left to enable Calibration. When the switch is at the right, 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 the hose from the front panel connector. Select Calibration and push the ComWheel. Messages ‘Zeroing’ and ‘Zeroed’ will appear in the NIBP 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 should be the same as the manometer readings. Protection: Software calibration protection (ON/OFF). Select OFF when calibrating. Protection selection become s available in the menu after pressing the NIBP module buttons Auto ON/OFF and Start/Cancel simultaneously for 3 seconds. For M-NE(12)STPR series modules: Protection can be set ON or OFF only when the toggle switch at the bottom module is set to the right.
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 36 Document no. M1031519-01 message field. After this, a pressure bar will appear beside 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. 4. When the values are equal, push the ComWheel to confirm the calibration. After a few seconds the ‘Calibrated’ message will appear in the NIBP digit field, which means that the calibration data has now been saved. NOTE: When calibrating NIBP, always change the displayed pressure value slightly with the ComWheel, even in cases where the value would be correct. For example, change the value one step higher and then back one step lower. The ‘Calibrated’ text should appear in the display. This ensures that the calibration procedure is correctly registered and stored by the module. 5. Use the module buttons again to enable Protection setting and set it ON, and finally disable Protection setting. 4.7.3 NIBP Safety Valve Test: Start test is for starting and Stop test is for stopping the Safety Valve test. Safety Valve Data: For information on general items Pressure, Zero, Protect handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc., see service data descriptions in section “4.7 NIBP Module”. Max. press and 2 s after stop show the measured values at Safety Valve test. Safety Valve Test Adult/Infant Wrap an adult cuff around a pipe and connect the cuff to the module. Highlight Start test and give the ComWheel a push. The test ends automatically or when Stop test (appears in place of Start test) is pushed. Max. press indicates the pressure at which the safety valve opens and is normally 300 ±15 mmHg for adult and 150 mmHg ±15 mmHg for infant. 2 s after stop indicates the pressure at 2 seconds after the pump has stopped and is normally > 270 mmHg for adult and > 130 mmHg for infant. If the value is less, check leakage by the active leak test.
Service Menu 37 Document no. M1031519-01 4.7.4 NIBP Pulse Valve How to check Pulse Valve Wrap an adult cuff around a pipe and connect the cuff to the module. Select Start test and push the ComWheel. The pressure rises beyond 240 mmHg and stops. The pulse valve opens. The module counts the time it takes for the pressure to go down from 240 mmHg to 50 mmHg and displays it on the screen. The test can be manually stopped by selecting Stop test. The valve can be adjusted between 0 and 255 (0 for fully closed and 255 for fully open). First select Set Valve and push the ComWheel. See the pulse valve value and adjust it by turning the ComWheel. Then push the ComWheel to confirm the value. The Interval 240 mmHg -> 50 mmHg time should be less than 60 seconds when the valve is 150 and less than 10 when fully opened (255). When fully closed (0), the system should be airtight and the pressure does not drop. Depending on an individual, the pulse valve may remain closed up to approx. value 100. If the measured time deviates much from those above, then the pulse valve or its tubes are faulty. Start test is for starting and Stop test is for stopping the test. Set Valve lets you adjust the opening of the pulse valve. Pulse Valve Data For information on general items Pressure, Zero, Protect handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc., see section “4.7 NIBP Module”.
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 38 Document no. M1031519-01 4.7.5 NIBP Buttons/Leds The selections Auto ON/OFF, Manual ON/OFF, STAT ON/OFF, and Measur. ON/OFF have effect only on the NIBP module, M-NIBP. Buttons/Leds Data For information on general items Pressure, Zero, Protect handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc., see section “4.7 NIBP Module”. Buttons Checking The front panel keys function is confirmed by pressing and releasing the key and observing that OFF turns to ON at Auto On/Off, and Start Cancel. Set Cycle Time and STAT On/Off are not in use with E-PSM(P).
Service Menu 39 Document no. M1031519-01 4.7.6 NIBP Pneumatics How to check Interval 20 mmHg -> 185 mmHg Select Start pump at different combinations of the valves open/closed and push the ComWheel. The module counts the time it takes for the pressure to go up from 20 mmHg to 185 mmHg and displays it. When all the valves are closed, the pump should be able to pump the pressure in about 1 to 4 seconds into an adult cuff wrapped around a pipe. The pump does not stop without selecting Stop Pump by pushing the ComWheel. Start Pump/Stop Pump: A manual control for the pump. The selection changes to Stop Pump when the pump turns on. Open Exh1/Close Exh1: A manual control for the exhaust valve 1. The selection changes to Close Exh1 when the valve is opened. This function is not in use with E-/ M-PRESTN and E-PSM(P) modules. Open Exh2/Close Exh2: A manual control for the exhaust valve 2. The selection changes to Close Exh2 when the valve is opened. Open Zero valve: A manual control for the zero valve. This function is not in use with E-/ M-PRESTN and E-PSM(P) modules. Set Valve: The opening of the pulse valve is adjusted between 0 and 255 (0 for fully closed and 255 for fully open). First push the ComWheel, then turn it to adjust the value on the screen and finally push to set the value. Reset Clock will zero the time on the display. This function is not in use with E-/ M-PRESTN and E-PSM(P) modules. Pneumatics Data field For information on general items Pressure, Zero, Protect handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc., see section “4.7 NIBP Module”. Pump, Exh1 Valve, and Exh2 Valve show their states. NOTE: Exh1 Valve has no effect on the module. Pulse Valve shows how much the valve is opened (0 to 255) during Valve Setting.
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 40 Document no. M1031519-01 4.7.7 NIBP Watchdog How to test Adult watchdog time Select Test ADULT and press the ComWheel. Watchdog interval starts counting up seconds and keeps on counting as long as the +15 Vdirty is on. The time should be 120 to 140 seconds. How to test Infant watchdog time Select Test INFANT and press the ComWheel. Watchdog interval starts counting up seconds and keeps on counting as long as the +15 Vdirty is on. The time should be 60 to 70 seconds. These menu items have only effect on the M-NIBP modules. They do not effect other NIBP modules. Test ADULT: is to test watchdog timer in adult mode (120 to 140 seconds). Test INFANT: is to test watchdog timer in infant mode (about 60 to 70 seconds). Stop Test: is for stopping the test. Watchdog Data field For information on general items Pressure, Zero, Protect handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc., see section “4.7 NIBP Module”. Watchdog Interval: shows the time the +15 Vdirty stays on during the test.