GE S5 Service Manual
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Interfacing 39 Document no. M1031517-02 4.3 Interfacing Datex-Ohmeda Anesthesia Delivery Unit It is possible to interface the Datex-Ohmeda Anesthesia Delivery Unit to the S/5 Compact Anesthesia Monitor via the serial interface port. The data link is bi-directional. The parameters transferred to the Anesthesia Delivery Unit are summarized in Table 4 and the events transferred to the S/5 Compact Anesthesia Monitor are summarized in Table 5. The events are transferred continuously once a minute or during the system check procedure and appear in the trend pages or in the anesthesia record. The transfer of events requires record-keeping software. 4.3.1 Interconnection Use the ADU-AS/3 Monitor Cable. 4.3.2 Setting interfacing parameters on the S/5 Anesthesia Delivery Unit 1. Press the Setup key. 2. Select Install password 10. 3. Select Interfacing and choose S/5 AM. 4. Press the Normal Screen key. 4.3.3 Setting interfacing parameters on the S/5 Compact Anesthesia Monitor No settings are required on the S/5 Compact Anesthesia Monitor. Table 4 Parameters transferred from S/5 Compact Anesthesia Monitor to S/5 Anesthesia Delivery Unit Waveforms Numerics CO 2Et & Fi CO2 % Et & Fi O 2 % O 2% difference (I-E) Et & Fi N 2O% Et & Fi AA% Vol Exp MV Vol Exp TV
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 40 Document no. M1031517-02 Table 5 Events transferred from S/5 Anesthesia Delivery Unit to the S/5 Compact Anesthesia Monitor 4.4 Interfacing Dräger Cicero, Cato, Julian and Narkomed 2C (by NAD) It is possible to interface Dräger Cicero and Cato to the S/5 Compact Anesthesia Monitor or to the S/5 Compact Critical Care Monitor via the Interface Module, E-INT / M-INT. The parameters transferred to the S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor are summarized in Table 6 and Table 7. NOTE: Some of the summarized parameters (waveforms or numerics) may not be available in all device versions. WARNINGAlways make sure that the combination complies with the international safety standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities. Events transferred once a minute Ventilator settings Ventilation (mode) Tidal Volume Minute Volume Resp. Rate I:E Times: inp I:E Times: exp InspPause Ventilator measurements Ppeak Pplat Peep Pmin Fresh gas settings Agent name Agent % in fresh gas Total flow O 2 flow N 2O flow Air flow Events transferred during system check System check test results Gas Delivery: Agent Gas Delivery: N 2O Leak Tests: AUTO AUTO Leak (ml/min) Leak Test: MAN MAN Leak (ml/min) Number of confirmed checklist items Bypass Check
Interfacing 41 Document no. M1031517-02 4.4.1 Interconnection Use the INT-External Device Cable, except for Julian and Cicero EM, in which case use the INT-Julian/Cicero EM cable. 1. Make sure that the power to both monitors is turned off. 2. Connect the 9 pin D-connector to one of the connectors on the Interface Module, E-INT / M-INT. Tighten the finger screws. 3. Connect the 25 pin D-connector to a corresponding connector on the anesthesia machine. The connector is labeled RS-232-C. Tighten the finger screws. 4.4.2 Setting communication parameters Set the communication parameters for Cicero and Cato to RS-232: 9600, e, 8, 1 (MEDIBUS 3.00). In all cases please refer to the documentation provided by Dräger. 4.4.3 Setting interfacing parameters on the S/5 Compact Anesthesia or Compact Critical Care Monitor 1. Press the Monitor Setup key. 2. Select Install/Service (password 16-4-34). 3. Select Service (password 26-23-8) - Parameters - More... 4. Select Interface and combine a required parameter with the external monitor. Two letters, al, denote alarm integration. The selection will be automatically stored in permanent memory. 5. Press the Normal Screen key. Table 6 Parameters transferred from Dräger Cicero monitor to S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor Selection Waveforms Numerics States Gases / SSS CO 2 (kPa, mmHg, %) CO2 Fi & Et (kPa, %) O 2 Fi & Et (%) N 2O Fi & Et (%) RR (CO 2) (1/min) AA Fi & Et (%) Tidal Volume insp. (1) Minute Volume exp. (1) Ppeak (mbar) Pplat (mbar), PEEP (mbar)None SpO 2Pleth (% full scale) SpO2 (%) Pulse rate (1/min)Probe Off
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 42 Document no. M1031517-02 Table 7 Parameters transferred from Dräger Cato, Julian and Narkomed 2C (NAD) monitor to the S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor NOTE: The transference of parameters illustrated in Table 4 and Table 5 represents the maximum. Some of these parameters may not be available in all device versions. NOTE: The transference of waveforms requires the MEDIBUS real-time extension and, in Cato monitors, waveforms are available only on port 1. 4.5 Interfacing printer It is possible to interface a laser printer (serial or parallel) with the S/5 Compact Monitors via the monitors’ serial port. The printer should be PCL5 compatible and should contain at least 2 MB of memory. Parallel printers require the use of Serial-to-Parallel Converter, order code 78030, model PI 130-R2 or PI 1115A. WARNING Always make sure that the combination complies with the international safety standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities. WARNINGConnecting the power supply cord of the printer to the wall power outlet may cause the printer leakage current to exceed the limit specified for medical equipment. A printer must be supplied from an additional transformer providing at least basic isolation (isolating or separating transformer). 4.5.1 Setting S/5 Compact Monitor interface for printers 1. Press the Print/Record key. 2. Select Printer Connection. 3. Select Serial. 4. Press the Normal Screen key. 4.5.2 Connection to serial printers A serial printer is connected to the serial port connector X11 on the frame unit. Contact your authorized GE Healthcare distributor for advice on suitable serial printers. Selection Waveforms Numerics States Gases / SSS CO2 (kPa, mmHg, %) CO2 Fi & Et (kPa, %) O 2 Fi & Et(%) N 2O Fi & Et (%) RR (CO 2) (1/min) AA Fi & Et (%) Tidal Volume insp. (1) Minute Volume exp. (1) Ppeak (mbar) Pplat (mbar); not in Narkomed 2C PEEP (mbar)None SpO 2Pleth (% full scale) SpO2 (%) Pulse rate (1/min)Probe Off
Interfacing 43 Document no. M1031517-02 4.5.3 Connection to parallel printers A parallel printer is connected to the serial interface port connector X11 on the frame unit via the Serial-to-Parallel Converter, order code 78030, model PI130-R2 or PI1115A. Contact your authorized GE Healthcare distributor for advice on suitable parallel printers. 4.5.4 Installing the Serial-to-Parallel Converter Order code 78030, model PI130-R2 A common serial modem cable, gender changer and parallel printer cable are required when connecting the serial to parallel converter between the monitor and a parallel printer. The converter gets power from the connected devices. 1. Make sure that power is switched off on both devices. 2. Connect a standard PC-to-parallel-printer cable (order code 713701) to the parallel printer. 3. Check the DIP-switch settings on the converter (order code 78030, model PI130-R2): 4. Connect a DB25 female-to-female gender changer (order code 78032) between the printer cable and converter. Figure 15 Connecting S/5 Compact Monitor to printer, converter model PI130-R2 5. Connect a common RS-232 modem cable’s (order code 78031) DB9 connector to the serial port connector X4 on the monitor, and the DB25 connector to the converter. Order code 78030, model PI1115A A common serial modem cable, power adapter and parallel printer cable are required when connecting the serial to parallel converter between the monitor and a parallel printer. The converter gets power from an external power supply and requires an external power adapter. NOTE: The order code 78030 includes the new serial to parallel converter PI1115A and the European power adapter PS1002-EU (230 VAC/50 Hz). Power adapters for US, UK or Asian markets must be locally sourced from Black Box Corporation through its international distributor network, see http://www.blackbox.com - Contact us - Contacts by Country. Position Flow Control: hardware LED: Enabled Parity/D, Bits/S, Bit: None/8/1 D.Rate (kbps): 115,2 1 OFF 2 ON 3 OFF 4 OFF 5 OFF 6 OFF 7 ON 8 OFF DB9F plugs into CM1Gender changer plugs into converterDB25M end plugs into gender changerCentronics end plugs into printer Standard Async Modem CableSerial to Parallel ConverterDB25F/DB25F Gender ChangerStandard Parallel Printer Adapter CableParallel printer 1234
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 44 Document no. M1031517-02 To connect the S/5 Compact Monitor to printer: 1. Make sure that power is switched off on both devices. 2. Connect a standard PC-to-parallel-printer cable (order code 713701) to the parallel printer. 3. Check the DIP-switch settings on the converter (order code 78030, model PI1115A). 4. Connect a common RS-232 modem cable’s (order code 78031) DB9 connector to the serial port connector X4 on the monitor, and the DB25 connector to the converter. 5. Connect the converter to external power supply using the power adapter PS1002-xx. Figure 16 Connecting S/5 Compact Monitor to printer, converter model PI 1115A 4.5.5 Connection to printer Setting the printing parameters Refer to the documentation provided with the printer. 4.6 Interfacing computer A computer is connected to the serial port connector X11 on the frame unit. Contact your authorized GE Healthcare distributor for further advice on computer interface. WARNINGAlways make sure that the combination complies with the international safety standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities. WARNINGConnecting the power supply cord of the computer to the wall power outlet may cause the computer leakage current to exceed the limit specified for medical equipment. A computer must be supplied from an additional transformer providing at least basic isolation (isolating or separating transformer). Setting Position 12345678 115.2K Baud ON ON ON XON/XOFF OFF 8 Data bits OFF No parity OFF Even parity OFF Serial to Par. OFF DB9F plugs into CM1Centronics end plugs into printer Standard Async Modem CableSerial to Parallel ConverterStandard Parallel Printer Adapter CableParallel printer cam p1 inst serial parallel conv p1115A a PS1002-EU, Power Adapter, 230 VAC Europe, for PI1115A (included in p/n 78030), plugs to power supply p/n 78030 (PI1115A) p/n 713701 p/n 78031
Interfacing45 Document no. M1031517-02 4.7 Output signals Analog/ digital output signals on the connectors X4 and X8 can be used for interfacing with other devices. The pin assignments are il lustrated in tables/pictures below. Table 8 Coding element connector, X4 Table 9 Synchronization connector, X8 4.7.1 Digital outputs The digital output signals are as follows: Defibrillation Sync (X8 pin 2) The defibrillation sync signal is generated by the ECG. When acti vated, the signal is set to a high level and then set back to a low level after 10 ms. The sig nal is regenerated only after returning to the low level. The high level ranges from 2. 8 to 5 V, while the low level ranges from 0 to 0.8 V. The delay from the R wave peak to the start of the signal is 35 ms maximum. Nurse Call(X4 pin 8) The Nurse Call signal is generated by red and yellow alarms. When activated, the signal is set to the high state and remains at the high state until the alarm situation is over or the SILENCE ALARM key is pressed. The high state range is from 2.8 to 5 V, while the low state range is from 0 to 0.8 V. 9 pin female D-connector Pin Signal 1 2 3 4 5 6 7 8 9IDCS1 (chip select) IDCL (clock) IDDI (data in) IDDO (data out) IDPE (protect enable) +5Vdc Direct ECG Nurse call GND 4 pin female connector Pin Signal 1 2 3 4GND Def_Sync Direct ECG Pressure Out 5 9 1 6
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 46 Document no. M1031517-02 4.7.2 Analog outputs Direct ECG (X4 pin 7 and X8 pin 3) Delay (max.): 15 ms Gain ECG (out)/ECG (in): 1 V/1 mV Pacer: 5 V and 2 ms pulse The signal requires input impedance of 100 kΩ. NOTE: The ECG signal is based on the ECG measurement of the Hemodynamic Modules, M-ESTPR (all variations), M-NES(12)TPR (all variations), E-PRESTN/ M-PRESTN (all variations). The ECG signal from the modules is channel 1 (ECG1). The channels 2 and 3 (ECG2, ECG3) are not transmitted. Make sure that the signal in channel 1 (ECG1) is good enough (extensive QRS for IABP synchronization). For further information, please contact your authorized GE Healthcare distributor. Pressure out (X8 pin 4) −P1 from Hemodynamic Module NOTE: With monitor software version 03 or earlier, the Invasive pressure output signal is 1 V/100 mmHg, originally ranging from 0 to 300 mmHgand with a delay of approximately 25ms. The signal requires an input impedance of 100k. 4.7.3 S/5 Pressure Temp Module, E-PT or M-PT, output signals The signal output connector on the Pressure Temp Module, E-PT or M-PT, can be used to interface some models of IABPs to the S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor. The pin assignments are illustrated in Table 10. Please contact your local distributor for more information. WARNINGAlways make sure that the combination complies with the international safety standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities. Table 10 Signal output connector pin assignments Output signals ECG out, ECG1 1V / 1mV Pressure out, P3 1V / 100mmHg ECG out, ECG1 1V / 1mVPin Signal 1 2 3 4ECG out, ECG1 Pressure out, P3 ECG out, ECG1 Ground
Functional check 47 Document no. M1031517-02 5 Functional check These instructions include procedures for a functional check for Datex-Ohmeda S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor. The functional check is recommended to be performed after monitor installation. These instructions include a “Functional check form, Datex-Ohmeda S/5 CAM, CCCM” to be filled in when performing the procedures. The symbol in the instructions means that the performed procedure should be signed in the check form. The procedures should be performed in ascending order, bypassing those that are not applicable for a particular monitor. All menu selections related to Datex-Ohmeda products are written in following typeface: e.g. Parameters - Gas Unit. As you enter the service menus, you need the following passwords: Monitor Setup - Install/Service (password 16-4-34) - Service (password 26-23-8) In case you evaluate the measurement accuracy with a patient simulator, add simulator’s accuracy specification to the one of the monitor. An electrical safety check and a leakage current test are recommended to be performed prior to the monitor installation. 5.1 Recommended tools For product(s) Tool Order No. Airway modules Compact Airway Module, E-CAiO(VX)/ M-CAiO(VX)Calibration gas and regulator 755583/755534* Compact Airway Module, E-COVX/ M-COVXCalibration gas and regulator 755587/755534* Compact Airway Module, E-CO(V), M-C, M-CO(V)Calibration gas and regulator 755581/755534* E-miniC/ M-miniC Calibration gas and regulator 755580/755534* Compact Airway Module, E-COVX, E-CAiOVX, M-COVX, M-CAiOVXSampling line, 2 m 73318 All Airway modules w/ (V) Spirometry tube, 2 m 890031 D-lite 733950 Hemodynamic modules Hemodynamic modules w/ (P), M-NIBPNIBP cuff and hose 2753E (cuff) 877235 (hose) Hemodynamic modules w/ (P) InvBP transducer 70077-001
Datex-Ohmeda S/5 Compact Anesthesia and Compact Critical Care Monitors 48 Document no. M1031517-02 E-PSM(P)/ E-PRESTN/ M-PRESTNMulti-Link ECG accessories, IEC - Multi-link 3-leadwire set 412682-003 - Multi-link 5-leadwire set 412681-003 - Multi-link 5-leadwire set, C2-C6 416467-004 E-PRESTN/ M-PRESTN w/ (E12) - Multi-link 12-lead ECG trunk cable 416035-002 or Multi-Link ECG accessories, AHA E-PSM(P)/ E-PRESTN/ M-PRESTN - Multi-link 3-leadwire set 412682-001 - Multi-link 5-leadwire set 4162681-001 - Multi-link 5-leadwire set, V2-V6 416467-003 E-PRESTN/ M-PRESTN w/ (E12) - Multi-link 12-lead ECG trunk cable 416035-001 M-NESTPR 3-lead ECG trunk cable 545302 5-lead ECG cable 545303 M-NESTPR w/ (E12) 10-leadwire ECG cable 545324 E-PSM(P)/ E-PRESTN SpO 2 finger probe OXY-F-UN SpO 2 Interconnect Cable OXY-ES3 M-PRESTN SpO 2 finger probe OXY-F4-N or SAS-F4 E-NSAT/ M-NSAT Nellcor SpO 2 probe Hemodynamic modules w/ (T) Temperature test set 884515 Hemodynamic E-Modules w/ (NIBP) Adult NIBP cuff hose with cuff ID 2021285-001 Infant cuff hose without cuff ID 414874-001 Hemodynamic M-Modules w/ (NIBP) Adult NIBP cuff 572435 Adult NIBP cuff hose 877235 E-COP/ E-COPSv/ M-COP/ M-COPSv C.O. Catheter cable 16590 E-COPSv/ M-COPSv SvO 2 simulator 890121 Tonometry Module, E-TONO/ M-TONO Calibration gas and regulator 755580/755534* Sampling line 733251 Tonometrics TM catheterTONO-14F or another suitable TONO-_F catheter Luer plug Pressure manometer EEG Module, E-EEG/ M-EEG Earphones EEG simulator 90502 For product(s) Tool Order No.