CARESCAPE Central Station MAI700 and MAS700 Technical Manual Rev D Oct 2016

The information in this manual applies to the software version and product models on the first page of the manual. Due to continuing innovation, specifications in this manual are subject to change without notice. For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE Medical Systems Information Technologies, Inc., and GE Healthcare Finland Oy. GE, GE Monogram, APEX, APEXPRO, and CARESCAPE are trademarks of General Electric Company. 12RL, Aware, CIC Pro, DASH, DINAMAP, MARS, MUSE, SOLAR, TRAM, and UNITY NETWORK are trademarks of GE Medical Systems Information Technologies, Inc. Mobile Viewer is a trademark of GE Healthcare Finland Oy. Java Powered. Java and all Java based trademarks and logos are trademarks or registered trademarks of Oracle America, Inc. in the U.S. and other countries. All third party trademarks are the property of their respective owners.

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Contents 1

About this manual ...19 Manual intended audience... 19 Manual intended use ... 19 Manual conventions ... 19 Illustrations and names ... 19 Common terms ... 20 Ordering manuals ... 20 Additional resources ... 20 Related manuals ... 20 Revision history ... 21

2

Safety precautions...23 Safety message signal words... 23 Danger safety messages... 23 Warning safety messages... 23 Caution safety messages ... 34 Notice safety messages ... 37 Safety symbols ... 37 Safely restarting ... 38 Safely shutting down ... 38

3

About this system ...41 Intended use... 41 CE marking information... 41 Manufacturer responsibility ... 41 Service requirements... 42 System components ... 42 Processing unit ... 42 Stand-alone display ... 44 Primary display... 44 Secondary display ... 45 Mirrored central displays ... 45 Remote display... 45

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Cloned (replica) display ... 46 Keyboard and mouse... 46 External speakers... 47 Writer ... 47 Stable power source ... 47 Laser printer ... 47 Controls, indicators, and connections ... 48 Device symbols ... 48 Device identification ... 52 4

About this software ...53 Configuration levels ... 53 Multi-Viewer overview ... 54 Patient Multi-Viewer window overview ... 55 Single Viewer overview... 57 User interface symbols ... 57 Networking ... 62 Time management on the CARESCAPE Network ... 62 IP address allocation... 62 Patient monitoring network description ... 63 Intranet access... 63 Data types ... 64 Patient data ... 64 Network data... 65 Data review tools ... 65 Time focus ... 65 Full Disclosure overview ... 66 Trends overview ... 68 Calipers overview ... 69 ST Monitoring Status indicator overview ... 69 ST Review overview... 70 PDF printer... 71

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Service interfaces ...73 Service interfaces overview ... 73 Central station service interfaces access... 73

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Switching to Field Service windows account ... 73 Logging on to the clinical application (User windows) ... 74 Logging on to the service mode ... 74 Logging off of the service mode ... 74 Logging on to the alarm service mode... 75 Logging off of the alarm service mode ... 75 Webmin access... 75 Logging on to Webmin ... 76 Logging on to Webmin remotely... 76 Logging on to TightVNC... 76 Logging off of TightVNC... 77 Changing passwords ... 77 Changing the service mode password ... 77 Changing the alarm service mode password ... 77 Changing the Webmin passwords ... 78 Resetting the Webmin passwords ... 78 Changing the TightVNC password ... 78 Configuring service computer's network properties ... 79 6

Hardware installation ...81 Installation safety precautions... 81 Installation requirements ... 82 Site requirements ... 82 Electrical requirements ... 83 Visually inspecting equipment ... 84 Mounting options ... 84 Installation and configuration procedures... 85 Installing the processing unit stand ... 85 Installing the processing unit ... 85 Installing a primary display ... 85 Installing a secondary display ... 86 Installing and configuring a remote display (video splitter)... 86 Installing a keyboard and mouse... 87 Installing external speakers... 87 Installing a writer... 87

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Installing a local laser printer ... 88 Installing a network laser printer ... 88 Powering up the processing unit for the first time... 88 7

Licenses...91 License codes ... 91 License packages... 94 Changing licenses (transfers and expansions)... 94 Deactivating licenses for license changes (transfers and expansions)... 95 Activating licenses... 96 Activating licenses manually ... 97 Completing license changes ... 98 Deactivating/reactivating licenses ... 98 Temporarily deactivating licenses... 98 Reactivating a deactivated license ... 98

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Configuration ...99 Configuration levels ... 99 Getting started ... 100 Configuration requirements ... 101 Time management on the CARESCAPE Network ... 101 IP address allocation... 102 Examining the central stations on the network ... 102 Configuring touchscreen displays... 103 Calibrating GE touchscreen display ... 103 Calibrating DIVA touchscreen display (optional) ... 104 Configuring Webmin-related settings ... 104 Configuring Set Flags ... 104 Configuring language ... 107 Configuring time zone... 107 Configuring time and date... 108 Configuring network IP address ... 110 Configuring network laser printers ... 111 Deleting network laser printers ... 112 Configuring USB laser printers ... 112

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Configuring laser printer paper size... 112 Configuring PDF printer ... 113 Configuring print locations for stored patient data ... 114 Configuring Remote Service ... 116 Configuring MultiKM... 117 Configuring Browser Favorites ... 120 Configuring Citrix... 121 Configuring Clinician Review Workstations ... 122 Configuring Asset Settings... 123 Certificate management ... 123 Calibrating standard displays ... 124 Configuring service-level defaults ... 125 Configuring Central and Unit Name service-level defaults ... 125 Configuring Printer/Writer service-level defaults... 126 Configuring Multi-Viewer Display Configuration service-level defaults ... 127 Configuring Auto Display Button service-level defaults ... 128 Configuring locked patient Multi-Viewer windows ... 128 Configuring mirrored central displays overview ... 128 Configuring Graph Setup service-level defaults ... 131 Configuring beds and transmitters... 132 Setting Full Disclosure licensing ... 132 Setting Full Disclosure Mode ... 132 Configuring clinical application service-level defaults ... 133 Configuring Waveforms, Real-time Trend Graph, and Color Set service-level defaults ... 133 Configuring ECG service-level defaults... 133 Configuring Full Disclosure service-level defaults... 135 Configuring FD Session Search criteria... 138 Configuring Graphic Trends Groups... 138 Configuring Numeric Trends Groups ... 139 Configuring Save As Favorite buttons... 140 Configuring Event Marker service-level defaults... 141 Configuring Real-time BP UOM service-level default (Chinese language only) ... 141

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Configuring clinical application alarm-level... 141 Configuring alarm-level defaults... 141 Configuring Patient Age service-level default ... 144 Configuring Transmitter Audio Pause service-level defaults ... 144 Configuring Telemetry Alarm Setup service-level defaults ... 145 Resetting Telemetry Unit Defaults to presets ... 146 9

Installation checkout...147 Installation checkout overview ... 147 Processing unit checkout procedure ... 147 Status of installed licenses checkout procedure... 147 Unit Defaults checkout procedure ... 147 Date and time settings checkout procedure... 148 Network connectivity and printing checkout procedure... 148 Full Disclosure checkout procedure... 148 MultiKM checkout procedure ... 149 Access to other units checkout procedure... 149 Audio alarm tones checkout procedure ... 149 Speaker volume checkout procedure... 149 Remote Service checkout procedure... 150 Backing up system settings... 150 Writer checkout procedure ... 150 Mirrored central display checkout procedure ... 151

10 Preventative maintenance checkout ...153 Maintenance schedule ... 153 Visually inspecting equipment ... 154 Cleaning... 154 Cleaning safety precautions... 154 Permitted cleaning agents ... 155 Harmful cleaning agents ... 155 Results of improper cleaning... 156 Cleaning external surfaces... 156 Cleaning displays and touchscreens ... 156 Disinfecting external surfaces... 157 Cleaning internal components ... 158

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Touchscreen display guidelines ... 158 Writer maintenance... 158 Changing writer paper... 158 Storing writer paper ... 159 Power cord and plug test ... 159 Power outlet test ... 159 Electrical safety tests ... 160 Testing ground continuity... 160 Testing ground wire leakage current ... 160 Testing enclosure leakage current... 161 11 Functional checkout ...163 Functional checkout overview ... 163 Date and time settings checkout procedure... 163 Checking the Central station system status messages/proactive system monitoring ... 163 Using the Check Centrals utility... 163 Network connectivity and printing checkout procedure ... 165 Full Disclosure checkout procedure ... 166 MultiKM checkout procedure ... 166 Access to other units checkout procedure ... 166 Audio alarm tones checkout procedure ... 167 Speaker volume checkout procedure ... 167 Processing unit internal temperature and voltage status checkout procedure ... 167 Video function checkout procedure... 167 System files integrity checkout procedure ... 168 Remote Service checkout procedure... 168 Mirrored central display checkout procedure ... 168 Consolidated configuration information checkout procedure... 169 Institution’s responsibility checkout procedure... 169 12 Troubleshooting...171 Troubleshooting overview ... 171 Central station system status messages... 172 Monitoring device messages... 173

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Error messages ... 183 Boot failure ... 185 Software image on USB stick does not match hardware... 185 Out-of-unit audio alarms paused ... 186 Audio alarms sound when removing patient Multi-Viewer windows... 186 Central station continually reboots during reload procedure... 186 Blank screen with blinking cursor during central station reboot ... 186 Browser connectivity issues ... 186 Display issues ... 187 Blank screen ... 187 Blue screen ... 187 Red screen ... 188 Incorrect display colors... 188 MultiKM issues... 188 Unable to use MultiKM ... 188 MultiKM only works for one hour... 188 Unable to locate the MultiKM focus ... 189 Unable to access a central station within keyboard and mouse group... 189 Intermittent access to one or more displays via MultiKM... 189 Time issues ... 190 Viewing time zone settings... 190 Time does not advance or alternates frequently ... 190 Time change request ignored by the central station... 191 Printer issues ... 192 Printer button dimmed when viewing stored patient data ... 192 Unable to print to printer on enterprise network ... 192 Unable to print to a writer ... 192 Report sent to PDF printer is not printing ... 192 Central station configuration issues ... 193 Unable to communicate with a device ... 193 Unable to access ADT information... 193 Experiencing waveform dropout... 193

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Improper age selection criteria ... 194 Unable to activate licenses... 194 Unable to correctly restore settings... 194 Unable to establish Remote Service connection... 195 IEC technical alarms repeating at a set interval ... 195 Full Disclosure issues ... 195 Unable to access Full Disclosure features ... 195 Unable to start ST Review... 195 Care note is not accessible immediately after admit ... 196 Push to MUSE button disabled ... 196 Log files... 196 Downloading log files... 196 Accessing log files ... 197 Viewing application log... 197 Viewing operating system event logs ... 197 Viewing Webmin action logs ... 197 Incorrect Webmin page displayed... 198 Webmin diagnostics ... 198 Viewing operating system hotfixes and service pack information ... 198 Viewing device driver information ... 198 Viewing network information ... 198 Viewing Unity Network device information ... 198 Viewing time zone settings... 198 Viewing time zone information ... 198 Viewing operating system runtime statistics ... 199 Viewing operating system service process information... 199 Viewing process information... 199 Viewing SMART drive status... 199 Enabling duplicate TTX... 199 Disabling duplicate TTX... 199 13 Field replaceable units (FRUs) ...201 FRU replacement safety precautions ... 201 Electrostatic discharge (ESD) guidelines ... 202

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Supported FRUs ... 203 Removing the processing unit cover ... 203 Replacing the processing unit cover... 204 Replacing the stand-alone display controller PCB... 204 Replacing the stand-alone display controller PCB checkout procedure ... 206 Replacing the integrated processing unit and stand-alone display front display assembly... 207 Replacing the front display assembly checkout procedure ... 208 Replacing the desktop processing unit stand ... 208 Replacing the desktop processing unit stand checkout procedure ... 209 Replacing the integrated processing unit and stand-alone display stand ... 209 Replacing the integrated processing unit and stand-alone display stand checkout procedure ... 209 Replacing the processing unit COMM express module ... 210 Replacing the processing unit COMM express module checkout procedure ... 211 Replacing the processing unit carrier PCB ... 212 Replacing the processing unit carrier PCB checkout procedure ... 213 Testing flash drive integrity... 215 Replacing the processing unit SDRAM... 215 Replacing the SDRAM checkout procedure... 217 Replacing the processing unit AC inlet ... 217 Replacing the processing unit AC inlet checkout procedure... 218 Replacing the processing unit fuses ... 218 Replacing the processing unit fuses checkout procedure ... 219 Replacing the processing unit assembly ... 219 Replacing the processing unit assembly checkout procedure ... 220 Replacing the processing unit mSATA SSD ... 221 Replacing the mSATA SSD checkout procedure ... 222 Testing flash drive integrity... 223 Replacing the processing unit power supply assembly ... 223 Replacing the processing unit power supply assembly checkout procedure ... 224

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Replacing the processing unit speaker assembly... 225 Replacing the processing unit speaker assembly checkout procedure ... 226 14 Reloading/re-imaging software...227 Reload software requirements... 227 Reloading software ... 227 Restoring system settings ... 229 Restoring system settings overview ... 229 Performing a full restore ... 229 Performing a partial restore ... 230 15 Updating software...231 Updating software overview ... 231 Updating software equipment requirements... 232 Updating central station software ... 232 Software checkout procedures ... 234 Status of installed licenses checkout procedure... 234 Updating central station software checkout procedures... 235 A

Full Disclosure ...237 Full Disclosure safety precautions ... 237 Full Disclosure overview ... 237 Discharged Data Sessions... 238 Full Disclosure Master... 238 Determining Full Disclosure Master ... 239 Full Disclosure and Discharged Data licensing overview ... 240 Full Disclosure license ... 240 Discharged Data license overview... 240 Full Disclosure rules ... 242 Minute rule or Offline Storage setting ... 242 Multi-Full Disclosure rule... 243 Twin bed rule (Combo monitoring) ... 244 Bed Number/IP address changes ... 246 Effects of time changes on Full Disclosure data ... 246 Full Disclosure bed assignment ... 246 ST Review... 249

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Pushing 12SL reports to MUSE ... 249 Events ... 250 Full Disclosure compatibility... 250 Full Disclosure printing ... 251 Full Disclosure procedures ... 251 Setting Full Disclosure licensing ... 251 Setting Full Disclosure Mode... 251 Viewing Full Disclosure Information... 252 Performing Full Disclosure Database Integrity Check ... 252 Clearing the Full Disclosure database ... 253 B

Citrix farm information ...255 Citrix farm configuration ... 255

C

Electromagnetic compatibility...257 Electromagnetic compatibility safety precautions ... 257 Guidance and manufacturer's declaration ... 258 Electromagnetic emissions... 258 Electromagnetic immunity ... 258 Essential performance ... 260 Recommended separation distances... 260 Compliant cables and accessories ... 261

D

Restored modules ...263 Restored data overview... 263 Platform settings... 263 Local central station settings ... 263 Central Defaults... 263 Display Configuration... 264 FD Session Search ... 265 Patient Multi-Viewer window assignment ... 265 Patient Multi-Viewer window control settings (windows 0-16) ... 265 Citrix information... 265 MultiKM information... 266 Set Flags ... 266 Custom defaults ... 266 Unit default settings... 266

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Telemetry Unit Defaults ... 266 Telemetry Alarm Setup Defaults... 267 Current Telemetry Listings... 269 Full Disclosure Defaults... 269 E

Product security...271 Product security overview ... 271 Security features ... 271 Access controls... 271 Authentication ... 272 Authorization ... 273 Audit controls ... 273 Malicious software protection ... 274 Antivirus programs... 275 Desktop security... 275 Data protection ... 275 Security operations ... 275 Network security ... 276 Media access control points... 276 Security administration and service ... 276 Product change management ... 276 Remote service... 276 MDS2 statement ... 277

F

Networking disclosure ...279 Purpose and scope ... 279 Purpose of central station connection to network ... 279 Central station network interface technical specifications... 279 Network information flows... 280 Required characteristics and configuration of network for support of central station ... 292 Potential risks to safety, effectiveness or security resulting from failure of IT network to provide the required characteristics... 292

G

Checklists...295 High-level installation and commissioning process overview ... 295 Checkout checklists ... 295

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System installation checklist ... 295 Software upgrade checklist... 296 Software reload/ghost checklist... 296 Preventative maintenance checklist... 296 FRU replacement checklist ... 296 H

Discharge sesssion ...299 Discharge data license overview ... 299

I

Presets...301 Presets overview ... 301 Central Defaults presets ... 301 Telemetry presets... 302 Telemetry Unit Defaults presets ... 302 Telemetry Parameter Limits and Alarm Levels presets ... 303 Telemetry Arrhythmia Alarm Levels presets... 304 Telemetry Technical Alarm Priorities presets... 304 Display Configuration presets ... 305 Full Disclosure Defaults presets ... 305 FD Page presets ... 306 Graphic Trends Groups presets... 306 Numeric Trends Groups presets... 308 ST Review presets ... 310

J

Custom defaults and settings ...311 Custom defaults and settings overview ... 311 Central Defaults settings ... 311 Telemetry custom defaults overview... 312 Telemetry Unit Defaults custom defaults ... 312 Telemetry Parameter Limits and Alarm Levels custom defaults... 313 Telemetry Arrhythmia Alarm Levels custom defaults... 314 Telemetry Technical Alarm Priorities custom defaults... 315 Display Configuration settings ... 316 Full Disclosure Defaults settings ... 317 FD Page settings ... 318 Graphic Trends Groups settings... 318 Numeric Trends Groups settings... 320

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ST Review settings ... 323 Save As Favorites settings... 324 K

Glossary ...327 Glossary ... 327

L

Abbreviation and symbols ...335 Abbreviations ... 335 Symbols ... 347

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About this manual

1

Manual intended audience This manual is intended for service representatives and technical personnel with experience servicing medical equipment who maintain, troubleshoot, or repair the equipment.

Manual intended use This manual supplies technical information for service representatives and technical personnel so they can maintain the equipment to the assembly level. This manual assumes the reader is skilled, qualified, and has experience servicing medical equipment. Reading this manual does not qualify an untrained person to service the equipment.

Manual conventions This manual uses the following styles to emphasize text or indicate action. Item

Description

bold

Indicates hardware terms.

bold italic

Indicates software terms.

italic

Indicates terms for emphasis.

+

Indicates keyboard keys to select simultaneously.

>

Indicates menu options to select consecutively.

X

supported

-

not supported

(7)

Indicates page number.

Illustrations and names This manual uses illustrations as examples only. Illustrations in this manual may not necessarily reflect all settings, features, configurations, or displayed data. Names of persons, institutions, and places and related information are fictitious; any similarity to actual persons, entities, or places is purely coincidental.

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About this manual

Common terms This manual uses the following terms to simplify common terms: Item

Description

acquisition device

Refers to acquisition modules or other acquisition devices used to acquire and process parameter data.

bedside monitor

Refers to bedside monitors, including patient monitors, transport monitors, or wireless monitors on the network.

central station

Refers to the CARESCAPE Central Station.

monitoring device

Refers to bedside monitors or telemetry monitoring devices.

printer

Refers to direct digital writers or laser printers.

network

Refers to the CARESCAPE Network. The Unity Network has been renamed to the CARESCAPE Network. Not all references to the Unity Network will be changed immediately; Unity may display in some places and CARESCAPE in others. It is important to understand that while the CARESCAPE Network replaces the Unity Network name, they refer to the same GE monitoring network.

remote device

Refers to remote devices like the central station that can be used to view patient data and modify some control settings on primary monitoring devices.

telemetry monitoring device

Refers to telemetry monitoring devices, including transmitters, transceivers, and the established telemetry system.

writer

Refers to direct digital writers (DDW).

Ordering manuals A paper copy of this manual will be provided upon request. Contact your local GE representative and request the paper manual part number on the first page of the manual.

Additional resources For white papers, guides, and other instructive materials about our clinical measurements, technologies, and applications, please visit: http://clinicalview.gehealthcare.com

Related manuals The user’s manual provides information on the clinical workflows, features, and functionality of the system. The supplies and accessories supplement provides information on supplies and accessories approved for use with this system. The compatible devices supplement provides information on compatible devices approved for use with this system. The technical specifications supplement provides information on the physical and design characteristics of this system.

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