GE S5 Service Manual
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Introduction 9 Document no. M1031517-02 IPX class: IPX0 IPX1 IPX2 IPX3 IPX4 IPX7 IPX8Degree of protection against harmful ingress of water as detailed in the IEC 60529: - Ordinary equipment - Protection against vertically falling water drops. - Protection against vertically falling water drops when enclosure tilted up to 15 °. - Protected against spraying water. - Protected against splashing water. - Protected against the effects of temporary immersion in water. - Protected against the effects of continuous immersion in water. This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment. Ethernet connector
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 10 Document no. M1031517-02 1.2 Safety The following list contains general warnings and cautions you should know before installing, maintaining or servicing the system. Warnings and cautions specific to the use of the system can be found in the User’s Guide and User’s Reference Manual. 1.2.1 Safety precautions Warnings WARNINGA WARNING indicates a situation in which the user or the patient may be in danger of injury or death. Power connection • Use only hospital-grade grounded power outlets and power cord. Do not remove the grounding pin from the power plug. •Use only an intact power cord. Replace the power cord if it is cracked, frayed, broken or otherwise damaged. •Do not apply tension to the power cord otherwise the cord may get damaged. •Do not use extension cords or adapters of any type. •Before starting to use the system, ensure that the whole combination complies with the international standard IEC 60601-1-1 and with the requirements of the local authorities. Do not connect any external devices to the system other than those specified. •If the integrity of the external protective earth conductor arrangement is in doubt, use the monitor with battery operation. •To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth. •Do not use an additional multiple socket outlet or extension cord. Installation • Keep the monitor horizontal when the Compact Airway Module is used. Tilting the monitor may cause erroneous results in the Compact Airway Module’s readings and damage the module. •The monitor or its components should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the monitor and its components should be observed to verify normal operation in the configuration in which it will be used. •Pins of connectors identified with the ESD warning symbol should not be touched. Connections should not be made to these connectors unless ESD precautionary procedures are used. For details, see section “1.2.2. ESD precautionary procedures” •After transferring or reinstalling the monitor, always check that it is properly connected and all par ts are securely attached. Pay special attention to this in case of stacked mounting. •Never install the monitor so that it is above the patient. •A printer or computer must be supplied from an additional transformer providing at least basic isolation (isolating or separating transformer). •If you accidentally drop the monitor, modules or frames, have them checked by authorized service personnel prior to clinical use.
Introduction 11 Document no. M1031517-02 Laser radiation • When using the ARK Barcode Reader, N-SCAN, do not stare into the beam. The N-SCAN is a Class 2 laser product. External connection • Do not connect any external devices to the monitor other than those specified. Fuse replacement • Replace a fuse only with one of the same type and rating. Explosion hazard • Do not use the monitor in the presence of flammable anesthetics. Patient safety • Do not perform any testing or maintenance on the monitor while it is being used on a patient. •PACEMAKER PATIENTS: The impedance respiration measurement may cause rate changes in Minute Ventilation Rate Responsive Pacemakers. In this case, set the pacemaker rate responsive mode off or turn the monitor impedance respiration measurement off. •Never install the monitor so that it is above the patient. •The monitor must not be used without manufacturer approved mounting attached. •Operation of the monitor outside the specified values may cause inaccurate results. Cleaning and service • Only trained personnel with proper tools and test equipment should perform the tests and repairs described in this manual. Unauthorized service may void the monitor warranty. •Turn the power off and unplug the power cord before cleaning or service. Completely remove any moisture before reconnecting the power cord to the mains outlet. •Do not touch any exposed wire or conductive surface while any cover is removed and the monitor is energized. The voltages present can cause injury or death. •Pins of connectors identified with the ESD warning symbol should not be touched. Connections should not be made to these connectors unless ESD precautionary procedures are used. For details, see section “1.2.2. ESD precautionary procedures”. •Always perform an electrical safety check and a leakage current test on the monitor after service. Accessories • Use only accessories, including mounts and batteries, and defibrillator-proof cables and invasive pressure transducers approved by GE Healthcare. For a list of approved supplies and accessories, see the “Supplies and Accessories” catalog delivered with the monitor. Other cables, batteries, transducers and accessories may cause a safety hazard, damage the equipment or the system, result in increased emissions or decreased immunity of the equipment or system or interfere with the measurement. Protection against cardiac defibrillator discharge is due in part to the accessories for pulse oximetry (SpO2), temperature (T) and invasive pressure (P) measurement.
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 12 Document no. M1031517-02 •Single use accessories are not designed to be reused. Reuse may cause a risk of contamination and/or affect the measurement accuracy. Cautions CAUTION A CAUTION indicates a condition that may lead to equipment damage or malfunction. Installation • Leave space for air circulation to prevent the monitor from overheating. •Before connecting the power cord to the power supply, check that the local voltage and frequency correspond with the rating stated on the device plate. Before use • Allow two minutes for warm-up and note any error messages or deviations from normal operation. •Do not connect a sampling line to the female Patient Spirometry connector while the other end of the sampling line is connected to the D-fend water trap. The pressure in the gas sampling system may cause damage to the PVX unit pressure transducers. Autoclaving and sterilizing • Do not autoclave any part of the monitor. •Do not gas sterilize the modules. Cleaning and service • Do not use hypoclorite, ammonia-, phenol-, or acetone based cleaners. These cleaners may damage the monitor surface. •Do not immerse any part of the device in any liquid, or allow liquid to enter the monitor or modules. •Do not apply pressurized air to any outlet or tubing connected to the monitor. •Electrostatic discharge through the PC boards may damage the components. Before handling PC boards, wear a static control wrist strap. Handle all PC boards by their non-conductive edges and use anti-static containers when transporting them. •Do not break or bypass the patient isolation barrier when testing PC boards. •Do not clean the spirometry tubes with high pressure air or O2 flushing while the spirometry tubes are connected to Patient Spirometry connector. High differential pressure may damage PVX unit pressure transducers. Special components • Special components are used in these monitors that are vital to assure reliability and safety. GE Healthcare assumes no responsibility for damage, if replacement components not approved by GE Healthcare are used. Batteries To replace the batteries safely, please refer to the service instructions in this manual. •A lithium battery on the CPU Board. Dispose of the faulty IC containing the battery according to local regulations.
Introduction 13 Document no. M1031517-02 •Do not short-circuit the battery terminals, this may produce a very high current, which will damage the battery. •Do not dispose of the battery into open flame, nor put the battery near fire, as it may explode. •Do not dismantle the battery. See also section “Symbols”. Storage and transport Do not store or transport the monitor outside the specified temperature, pressure and humidity ranges: Temperature -10...+50 °C/14...122 °F Atmospheric pressure 660...1060 hPa/500...800 mmHg/660...1060 mbar Relative humidity 10...90% noncondensing For display specific environmental requirements see specifications in the “Display” slot. 1.2.2 ESD precautionary procedures • To avoid electrostatic charges building up, it is recommended to store, maintain and use the equipment at a relative humidity of 30% or greater. Floors should be covered by ESD dissipative carpets or similar. Non-synthetic clothing should be used when working with the component. •To prevent applying a possible electrostatic discharge to the ESD sensitive parts of the equipment, one should touch the metallic frame of the component or a large metal object located close to the equipment. When working with the equipment and specifically when the ESD sensitive parts of the equipment may be touched, a grounded wrist strap intended for use with ESD sensitive equipment should be worn. Refer to the documentation provided with the wrist straps for details of proper use. ESD precautionary procedure training It is recommended that all potential users receive an explanation of the ESD warning symbol and training in ESD precautionary procedures. The minimum contents of an ESD precautionary procedure training should include an introduction to the physics of electrostatic charge, the voltage levels that can occur in normal practice and the damage that can be done to electronic components if they are touched by an operator who is electrostatically charged. Further, an explanation should be giv e n o f m e t h o d s t o p r e v e n t b u i l d - u p o f electrostatic charge and how and why to discharge one’s body to earth or to the frame of the equipment or bond oneself by means of a wrist strap to the equipment or the earth prior to making a connection. 1.2.3 Disposal Dispose of the whole device, parts of it and its packing material in accordance with local environmental and waste disposal regulations.
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 14 Document no. M1031517-02 2 System description 2.1 Introduction Datex-Ohmeda monitors build up a freely configurable modular system. The architecture is designed to enable different module combinations so that the user is able to get the desirable parameter and feature set. This modular approach makes it possible to add new features when they are needed. 2.2 Bus structure Figure 2 General bus structure of S/5 system The CPU bus is a communication channel used only for internal data transfer. It is based on the ISA bus used in IBM PC computers. Data is transferred on this 16 bit wide bus using the CPU clock frequency. The module bus is for the parameter modules. The bus is based on the industry standard RS-485, which uses a differential serial method to transfer data. This type of bus is robust and it allows parameter modules to be inserted or removed while the power is on. The module bus uses a 500 kbps data transfer rate. The RS-485 type of serial communication supports so-called multidrop or party line connections. This means that all parameter modules connected to the module bus use exactly the same lines for communication. The advantage of this is that all bus connectors are identical and the modules can be connected in any order and position. 486 Processor PCMCIASerialEthernetSoundUPI Chipset Display Controller486 LOCAL BUS ISA-BUS DRAM Reset Logic Non- Volatile MemoryBoot MemoryCode Memory Patient ModulePatient ModulePatient Modules MODULE-BUS cam_p1_gnrl_bus_strctr_cm.vsd
System description 15 Document no. M1031517-02 2.3 Distributed processing A system assembled from S/5 products is a multiprocessor system. All parameter modules have their own microprocessor, which performs functions such as module key control, waveform filtering, parameter related computing and pneumatic control, etc. At the same time the main CPU performs higher level tasks such as trending and alarm control. While the parameter modules and CPU are performing their tasks, the UPI (Universal Peripheral Interface) microprocessor handles all functions needed to transfer data between the parameter modules and the CPU. This kind of parallel processing gives one major advantage to centralized processing. When new parameter modules are added to the system, the processing power is increased. As a result, the system does not slow down when new features are added. 2.4 Module communication The communication master controlling data transfers between the CPU and parameter modules is called UPI processor. It sends data to each connected module 100 times a second. Modules respond to each data request immediately by sending a data package, whose length depends on the type of the module. This communication protocol ensures that each module receives and sends data every 10 ms. If a module does not respond to data requests, the UPI processor presumes that the module is disconnected. Parameter modules may hold a static (fixed) or dynamic address, which the UPI processor uses when sending out data. Two parameter modules of the same type must not be fitted onto the same monitor since they might reply to a data request simultaneously, thus causing communication errors. Figure 3 Principle of UPI section operation The UPI processor collects and stores all data that is received from the parameter modules into a shared SRAM, which is mapped directly to the address space of the main CPU. The main CPU reads data from the memory while the UPI processor guarantees that the data is up to date. This operation also works in the other direction. In this the main CPU fills the shared SRAM with data and the UPI processor distributes it to the parameter modules. UPI Processor Shared SRAM Control Logic ISA-BUS Voltage MeasTemp Meas Keypad Interface ComW heel Interf ace Module Bus Analog & Digital outputs cam_p1_prncpl_UPI_operation.vsd
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 16 Document no. M1031517-02 2.5 Software loading The program memory on the CPU board is loaded with monitor software at the factory. The software is used for running all the functions that are integrated into the PC board. For service and upgrade procedures, the CPU board is fitted with a PCMCIA card drive through which new software can be loaded. 2.6 Parameter modules Figure 4 General structure of parameter modules with patient isolation The detailed structure of a parameter module depends on the specific needs for each individual parameter. However, some common parts are used in the parameter modules. The electronics inside the module is usually divided into isolated (floating) and non-isolated sections. Typically, the non-isolated section consists of buffers to interface the parameter module to the module bus while the rest of the electronics is located in the isolated section. The isolated section includes the microcontroller together with memory components, the front-end analog electronics (amplifiers, etc.) and sensor drivers. Module Bus Isolation transformer RS485 drivers Peripheral drivers A/D converterCPUAnalog electronics Opto isolationRAM EEPROM Patient isolation PATIENT Module keys Data +13...16 V VMOD+5 V +12 V general_struct_of_parm_mod.vsd
System installation 17 Document no. M1031517-02 3 System installation 3.1 Unpacking instructions 1. Confirm that the packing box is undamaged. If the box is damaged, contact the shipper. 2. Open the top of the box and carefully unpack all components. 3. Confirm that all components are undamaged. If any of the components are damaged, contact the shipper. 4. Confirm that all components are included. If any of the components are missing, contact your GE Healthcare distributor. 3.2 Choosing location Consider the following aspects: •lighting •space •connections •electromagnetic and radio frequency interference, see Appendix B. ElectroMagnetic Compatibility •environment WARNINGThe monitor or its components should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the monitor and its components should be observed to verify normal operation in the configuration in which it will be used. WARNINGNever install the monitor so that it is above the patient. CAUTION The monitor display is fragile. Ensure that it is not placed near a heat source or exposed to mechanical shocks, pressure, moisture or direct sunlight. 3.3 S/5 Frame for Compact Monitor Mounting of S/5 Compact Monitor to the Bed Mount, Wall Mount or Roll Stand is described in a separate instruction sheet delivered with each mount. WARNINGAfter transferring or reinstalling the monitor, always check that it is properly connected and all parts are securely attached. Pay special attention to this in case of stacked mounting.
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 18 Document no. M1031517-02 3.3.1 Compact Monitor connections Figure 5 External connections of Compact Monitor frame F-CM(C)1 rev.04 (1) Air filter (2) NET connector (3) NET ID connector (not used with N-CMW) (4) Recorder (optional) (5) SYNC connector (6) Connector for external keyboard (anesthesia record keeping solution keyboard), K-CREMCO or Barcode Reader (7) Potential equalization (8) Serial port (9) Receptacle for power cord (10) WLAN PC card LED (11) WLAN PC card (12) Slot for Memory Cards (PCMCIA) and WLAN PC card (13) Connector for Device Interfacing Solution (14) Modules NOTE: Insert the WLAN PC card in the first PC card slot from the front. 1 7 8 9 2 4 3 5 6 14 12 13 11 10