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GE S5 Service Manual

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                                              Document no. M1031517-02
    NOTE: * Ensure that the calibration gas and regulator are functioning properly before calibration. 
    Perform annual maintenance on the regulator as required. For more information see section 
    “Adjustments and calibrations” in Compact Airway modules slot.
    For details on recommended accessories see “Supplies and Accessories” catalog.
    5.1.1 Hemodynamic patient simulators
    The following tables present the patient simulators’ compatibility with each hemodynamic module, and the 
    accessories needed:
    Table 11 Patient simulators’ compatibility with each hemodynamic module BIS Module, E-BIS/ M-BIS BIS simulator or
    BIS Sensor simulator900509
    900508
    E-ENTROPY/ M-ENTROPY Entropy simulator N-ES
    Entropy sensor cable 8002964
    E-NMT/ M-NMT NMT simulator 871251
    M-NMT ElectroSensor 888416
    M-NMT sensor cable 888415
    MemCard option MemCard – Data or Menu 893860 (Menu, English)
    887045 (Data, English)
    Module ParameterPatient simulator
    M1010831 MedSim 874027
    E-PSM(P), E-PRESTN ECG Ok Multilink ECG acc. Not compatible
    T402015-004 402015-004 and
    M1010832
    InvBP OkM1010858
    M-PRESTN ECG Ok Multilink ECG acc. Not compatible
    TOkM1010832 M1010832
    InvBP Not compatible Ok Ok For product(s) Tool Order No.
    ECG
    NIBP
    ECGSpO
    T1
    T2P1
    P2
    2
    Auto
    On/OffStart
    CancelZero
    P1Zero
    P2 
    						
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    Document no. M1031517-02                                                                           
    Table 12 Adapter cables for hemodynamic patient simulators
    5.2 Visual inspection
    •Make sure that the monitor is switched to standby.
    Disconnect the mains power cord from the monitor. 
    If the monitor is connected to the Datex-Ohmeda Network, disconnect the Mon-Net cable from 
    the monitor. Remove any memory cards, if installed.
    1. Check all units visually
    Check that all parts are intact and that the cables and screws are connected and tightened 
    properly.  Especially check the following parts:
    −the display unit locking screw is in a locking position.
    −sampling line is connected to the Airway Module, if installed.
    Check that modules go in smoothly and lock up properly.
    
    M-NESTPR ECG Not compatible 300 series acc. Ok
    12 lead ECG Not compatible 300 series acc. Not compatible
    TOkM1010832 M1010832
    InvBP Not compatible Ok Ok
    Patient simulator Adapter cables for simulators
    Hemodynamic patient simulator - Dual temperature adapter cable 402015-004
    Hemodynamic patient simulator - Dual Inv.BP adapter cable 2005772-001
    Medsim - Temperature adapter cable M1010832
    Medsim - Inv.BP adapter cable M1010858
    Lionheart & MPS450 - Temperature adapter cable M1010846
    Lionheart & MPS450 - Inv.BP adapter cable M1010862 Module ParameterPatient simulator
    M1010831 MedSim 874027
    T2
    P1
    P2T1
    NIBP
    ECG+
    RespSpO2 
    						
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    5.3 Functional inspection
    5.3.1 General
    1. Connect the mains power cord.
    Check that the LED above the main switch is lit continuously (full charged batteries) or 
    periodically (charging batteries).
    2. Switch the monitor on.
    Check that the monitor starts up properly, i.e. a normal start-up sound is heard from the 
    loudspeaker, the alarm LEDs turn on and off, and the monitoring screen appears.
    No error messages should appear on the screen.
    3. Configure the screen for the parameters that are connected.
    4. Enter the Service Menu. 
    When applicable, check from the corresponding Parameters submenu that the Timeouts, Bad 
    checksums and Bad c-s by mod values of inserted modules are not increasing faster than by 5 
    per second. Check also that the module memories have passed the internal memory test, i.e. 
    RAM, ROM and EEPROM all state OK.
    If installed, the recorder should record two lines of start-up information.
    
    Preset the measurement settings for those parameters that are connected, for example:
    Recorder - Record Waveforms - Waveform 1 - ECG1
    - Waveform 2 - P1
    - Waveform 3 - P2
    Invasive Pressures -  P1 ‘ART’ Setup -- Label – ART
    - P2 ‘CVP’ Setup -- Label – CVP
    - P3 Setup -Label –PA
    - P4 Setup -Label -P4
    - P5 Setup -Label -P5
    - P6 Setup -Label -P6
    Pulse Oximetry -Pleth Scale –AUTO
    or
    Others -SPO2 Setup - Pleth Scale –AUTO
    Airway Gas -Spirometry View -Scaling -Indep.
    -Paw Scale –20
    -Flow Scale –15
    or
    Ventil.-Spirometry Setup -Scaling -Indep.
    -Paw Scale –20
    -Flow Scale –15
    Others -Resp Setup -Size -1.0
    - Resp Rate Source – AUTO
    - Measurement – ON
    - Detection Limit – AUTO 
    						
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    Document no. M1031517-02                                                                           
    5.3.2 Display
    1. Check that the picture on the screen is correct. 
    
    5.3.3 Keyboard(s)
    1. Tests with all the connected keyboards:
    −Press the 
    Monitor Setup key. Turn the ComWheel in both directions and check that the 
    cursor in the menu moves correspondingly. Select Normal Screen and check that the 
    menu disappears from the screen.
    Tests with the Command Board:
    −Press the 
    Help key. Turn the ComWheel in both 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 ARK Keyboard:
    −Enter the Keyboard service menu
    −Check functioning of the ComWheel.
    −Press all keys, except 
    Modify and Print. Check that each key produces a sound from the 
    loudspeaker, or the Message count value in the service menu increases.
    −Press the 
    Modify and Print keys and check that the corresponding menus appear on the 
    monitor screen.
    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.
    
    5.3.4 Frame unit
    1. Check that the frame fan is running.
    
    5.3.5 Display unit
    2. Check that the clock on the screen shows correct time. Readjust the time and date, if necessary.
     
    						
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    5.3.6 Compact Airway Module, E-CXXXXX/ M-CXXXXX
    Wait until the message ‘Calibrating gas sensor’ disappears from the screen.
    1. Check that the fan is running.
    2. If the module contains membrane keys on the front panel, press each of the keys for at least 
    one second and check that they are identified.
    
    Compact Airway Modules with the Patient Spirometry option
    3. Connect a clean spirometry tube and D-lite to the module. Connect the sampling line. 
    Breathe through the wider side of the D-lite. 
    Check that the flow waveform moves downwards when you breathe in and upwards when you 
    breathe out.
    
    For all Compact Airway Modules
    4. Block the tip of the sampling line with your finger and check that the message ‘Sample line 
    blocked’ appears on the monitor screen within 30 seconds.
    5. Detach the D-fend and check that the message ‘Check D-fend’ appears on the monitor screen 
    within 30 seconds.
    6. Breathe to the sampling line briefly. Check that the CO2 information is updated on the screen.
    
    5.3.7 Single width Airway Module, E-miniC/ M-miniC
    Wait until the message ‘Calibrating gas sensor’ disappears from the screen.
    1. Block the tip of the sampling line with your finger and check that the message ‘Sample line 
    blocked’ appears on the monitor screen within 30 seconds.
    2. Detach the Mini D-fend and check that the message ‘Check D-fend’ appears on the monitor 
    screen within 30 seconds.
    Breathe to the sampling line briefly. Check that the CO2 information is updated on the screen.
    
    5.3.8 Tonometry Module, E-TONO/ M-TONO
    1. Press each of the front panel membrane keys for at least one second and check that they are 
    identified.
     
    						
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    Document no. M1031517-02                                                                           
    5.3.9 Multiparameter Hemodynamic Modules
    ECG and RESP measurements
    1. Check the function of the front panel membrane key ECG, Lead, if available.
    2. Connect an ECG cable to the module. Connect the cable leads to a patient simulator. Check 
    that all ECG and impedance respiration information is shown on the monitor screen as 
    configured on the simulator.
    Turn the simulator off. Check that the ‘Asystole’ and ‘Apnea’ messages are displayed.
    
    Temperature measurement
    3. Check the temperature channels with a patient simulator.
    Check that temperature measurement information is shown on the monitor screen as 
    configured on the simulator.
    
    Invasive blood pressure measurement
    4. Check the function of the front panel membrane keys.
    5. Check the InvBP channels with a patient simulator.
    6. Zero the InvBP channels and check that the values and waveforms correspond to the simulator 
    settings.
    
    SpO2 measurement
    7. Connect an SpO2 finger probe to the module. Check that the message ‘Probe off’ is shown when 
    the probe is not connected to a finger.
    8. Attach the SpO2 probe to your finger. Check that a reading of 95-99 and a pleth waveform 
    appear on the screen
    
    Non invasive blood pressure measurement
    9. Check the function of the front panel membrane keys.
    10. Attach an adult NIBP 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 measured result.
    
    5.3.10 Pressure/Pressure Temp Modules, E-P, E-PT, M-P, M-PT
    Invasive blood pressure measurement
    1. Check the function of the front panel Zero P3 key. 
    						
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    2. Check the InvBP channel with a patient simulator. 
    Zero the InvBP channel. Then check that the values and waveforms correspond to the simulator 
    settings.
    
    Temperature measurement
    3. Check the temperature channels with a patient simulator.
    Check that the temperature measurement information is shown on the monitor screen as 
    configured on the simulator.
    
    5.3.11 Dual pressure Module, E-PP/ M-PP
    1. Check the function of the front panel Zero P5 and Zero P6 keys.
    2. Check the InvBP channels with a patient simulator.
    Zero the InvBP channels. Then check that the values and waveforms correspond to the 
    simulator settings.
    
    5.3.12 Cardiac Output Modules, E-COP/ M-COP, E-COPSv/ M-COPSv
    Invasive blood pressure measurement
    1. Check the function of the front panel  Zero P4 key.
    2. Check the InvBP channel with a patient simulator.
    Zero the InvBP channel. Then check that the values and waveforms correspond to the simulator 
    settings.
    
    Cardiac Output measurement
    3. Check the function of the front panel Start C.O. key.
     
    5.3.13 NIBP module, M-NIBP
    1. Check the function of the front panel membrane keys.
    2. Attach an adult NIBP cuff onto your arm and perform one NIBP measurement.
    Check that the module identifies the cuff, i.e. the text ‘Adult ’ appears on the NIBP digit field for 
    a short time.
    Check that the module gives a reasonable measured result.
     
    						
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    Document no. M1031517-02                                                                           
    5.3.14 Nellcor Compatible Saturation module, E-NSAT/ M-NSAT
    1. Connect a Nellcor SpO2 finger probe to the module. Check that the message ‘Pulse search ’ is 
    shown. Check also that the shown message changes to ‘Check probe ’ within 30 seconds.
    2. Attach the SpO2 probe on your finger. Check that a reading of 95-100 and a proper SpO2 
    waveform appear.
    
    5.3.15 Datex-Ohmeda Oxygen Saturation module, M-OSAT
    1. Connect an OxyTip ® + Reusable Finger Sensor such as Integrated Finger Sensor OXY-F4-N to 
    the module. Check that the message ‘No Probe’ in the screen changes to ‘Check probe’.
    2. Attach the SpO2 probe on your finger. Check that a reading of 95-100 and a proper SpO2 
    waveform appear.
    
    5.3.16 BIS Module, E-BIS/ M-BIS
    1. Connect the BIS module to the monitor frame.
    Check that ‘Cable off’ is displayed in the BIS waveform field.
    2. Connect the DSC to the module.
    Check that the ‘No sensor’ message appears in the waveform field.
    3. Check the function of the front panel membrane keys.
    Open the BIS Setup menu: 
    BIS - BIS Setup and check that Test DSC shows PASS.
    NOTE: If the sensor is not connected, the 
    Check Sensor key is inoperative.
    
    5.3.17 Entropy Module, E-ENTROPY/ M-ENTROPY
    1. Check the function of the front panel membrane keys. 
    2. Connect the Entropy sensor cable and Entropy simulator to the module. Check that ‘Checking 
    sensor’ text and an image appear in the waveform numeric field. Wait for a while and check that 
    all sensors show PASS. 
    3. Check that the EntrEEG waveform and RE and SE values appear on the monitor screen. 
    
    5.3.18 Data Card and Menu Card function
    1. Insert a Data card or a Menu card to the slot.
    Check that the corresponding symbol appears on the monitor screen.
     
    						
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    5.3.19 Recorder 
    1. Press the Record Wave module key and check that the module starts recording the selected 
    waveforms. Press the 
    Stop module key to stop recording.
    2. Check that the quality of the recordings is acceptable.
    
    5.3.20 Network connection
    1. Check that the Mon-Net cable connector and the Identification plug are clean and intact, then 
    connect them to the frame unit.
    Check that the monitor connects to the 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.
    
    5.3.21 Wireless Network Option
    1. Check that the green LED on the wireless antenna card blinks and the WLAN signal strenght 
    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 connects 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.
    
    5.3.22 Interface Module, E-INT/ M-INT
    1. Make sure that the monitor receives all necessary parameter data from the connected devices. 
    Check the screen configuration and the related interfacing settings, if necessary.
    Monitor Setup – Interfacing  
    
    5.3.23 Device Interfacing Solution, N-DISxxx
    1. Make sure that the monitor receives all necessary parameter data from the connected devices. 
    Check the screen configuration and the related interfacing settings, if necessary.
    Monitor Setup - Interfacing - Status Page
     
    						
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    Document no. M1031517-02                                                                           
    5.3.24 General
    •
    Switch the monitor to standby
    •Perform final cleaning
    •Fill in all necessary documents
     
    						
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