CARESCAPE Monitor B850 Service Manual sw ver 2 2nd edition June 2018

The information in this manual applies to the software and hardware versions listed on the first page of this manual. Due to continuing product innovation, specifications in this manual are subject to change without notice.

Table of contents

Table of contents 1

About this manual 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9

2

3

Intended use of the manual... 1 Intended audience of the manual... 1 Conventions used in this manual... 1 1.3.1 Product naming conventions... 2 Illustrations and names... 2 Ordering manuals... 2 Related documents... 2 Trademarks... 3 1.7.1 Third party trademarks... 3 Responsibility of the manufacturer... 3 Product availability... 3

Safety information 2.1 2.2 2.3

3.3 3.4 3.5 3.6

5

General safety statements... 5 Safety message signal words... 5 Safety symbols... 6

System introduction 3.1 3.2

1

9

Short description of the equipment... 9 System components... 9 3.2.1 CPU unit... 10 3.2.2 Software... 10 3.2.3 Input devices... 11 3.2.4 Module frames... 13 3.2.5 Acquisition modules... 13 3.2.6 CARESCAPE Network MC or S/5 Network... 14 3.2.7 CARESCAPE Network IX... 14 3.2.8 Unity Network ID connectivity device... 15 3.2.9 Displays... 15 3.2.10 Printers and recorders... 16 3.2.11 Service Interface... 17 Controls and connectors... 18 3.3.1 Front view... 18 3.3.2 Rear views... 19 IEC 60601-1 classifications... 20 Service information... 21 3.5.1 Service requirements... 21 3.5.2 Equipment identification... 21 Product security... 23 3.6.1 Security features... 23 3.6.2 Security operations... 24 3.6.3 Product change management... 25 3.6.4 Communication... 25 i 2106778-001

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3.7 3.8

4

Using Webmin service interface 4.1 4.2 4.3 4.4 4.5 4.6 4.7

5

5.4 5.5 5.6

39

Local access to Webmin using the integrated browser on the patient monitor... 39 Local access to Webmin with a service PC... 40 Remote access to Webmin using a service PC over the IX Network... 41 Login to Webmin... 43 Webmin configuration modules... 44 Webmin information modules... 46 Webmin diagnostics modules... 47

Pre-installation requirements 5.1 5.2 5.3

6

Equipment symbols... 25 User interface symbols... 35

49

Unpacking... 49 Compatibility check... 49 Network infrastructure... 50 5.3.1 MC Network... 50 5.3.2 S/5 Network... 50 5.3.3 IX Network... 50 Installing the mounting hardware... 51 Unity Network ID connectivity device installation... 51 Power and environmental requirements... 51

Hardware installation

53

6.1

Installing a battery into the PDM module... 53 6.1.1 Testing the battery charge... 53 6.1.2 Installing the battery into the PDM module... 54 6.2 Mounting the patient monitor... 54 6.2.1 Installing the CPU... 54 6.3 Connecting displays... 56 6.3.1 Connecting local displays... 56 6.3.2 Connecting remote displays... 57 6.3.3 Securing the USB cable connections of the displays... 59 6.4 Installing module frames and modules... 59 6.4.1 Connecting a F5 or F7 Frame to a B850 patient monitor... 60 6.4.2 Installing a PSMP module to an F5 Frame... 61 6.4.3 Installing a PSMP module to an F7 Frame... 61 6.4.4 Installing another module to a F5 or F7 Frame... 61 6.4.5 Connecting a PDM module to an F5 Frame... 62 6.4.6 Installing a PDM module to a mounting solution... 62 6.5 Connecting to the mains power... 64 6.6 Connecting to the MC Network or the S/5 Network... 65 6.7 Connecting to the IX Network... 65 6.8 Connecting M-port devices... 66 6.9 Connecting USB devices... 66 6.10 Connecting iCollect and other data acquisition systems... 66 6.11 Connecting a local printer to the IX connector... 67

7

Configuration 7.1

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69

Adjusting display... 69

Table of contents

7.2

7.3 7.4 7.5

7.6 7.7 7.8

7.9 7.10 7.11 7.12 7.13 7.14

7.15 7.16

7.17

7.18

7.19

7.1.1 Adjusting the display brightness... 69 7.1.2 Calibrating a touchscreen... 69 Configuring the network... 69 7.2.1 Configuring hostname... 69 7.2.2 Selecting and configuring CARESCAPE Network... 70 7.2.3 Selecting and configuring S/5 Network... 71 7.2.4 Configuring ADT server settings... 72 Setting time and date... 72 Setting unit and bed name... 72 Configuring printers... 73 7.5.1 Installing a printer... 73 7.5.2 Deleting a printer... 74 7.5.3 Printing a test page... 74 Configuring Citrix... 74 7.6.1 Troubleshooting... 75 7.6.2 Glossary... 75 Configuring MUSE/12SL... 76 Admit settings... 77 7.8.1 Patient ID prefix... 77 7.8.2 Barcode settings... 77 7.8.3 Configuring length delimited parser information... 78 7.8.4 Configure character delimited parser information... 80 7.8.5 Barcode data specifications... 82 Setting power frequency... 84 Selecting language and locale... 84 Selecting national requirements... 84 Configuring modules... 84 7.12.1 Module asset settings... 85 Setting the host asset number... 85 Password management... 86 7.14.1 User accounts and passwords... 86 7.14.2 Changing passwords... 86 7.14.3 Resetting the password... 87 Restarting the patient monitor... 87 Setting up the remote service... 87 7.16.1 Configuring the remote service... 87 7.16.2 Enabling remote service agent/ connection... 88 7.16.3 Testing the connectivity... 89 Transferring settings from one patient monitor to other patient monitors... 89 7.17.1 Saving settings... 89 7.17.2 Loading settings... 90 7.17.3 Activating settings... 90 7.17.4 Canceling pending settings activation... 92 License management... 93 7.18.1 Enabling and activating host software package... 93 7.18.2 Enabling and activating host software feature licenses... 93 7.18.3 Uploading license file... 94 Certificate management... 94 7.19.1 Generating a certificate and a private key... 94

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7.19.2 Generating a certificate signing request (CSR)... 95 7.19.3 Importing the certificate and the private key... 95 7.19.4 Managing the current certificate or private key... 96 7.19.5 Managing the Webmin certificate or key... 96 7.20 Software management... 96 7.20.1 Transferring the software... 96 7.20.2 Activating the installed software... 97 7.20.3 Canceling pending host software activation... 102 7.20.4 Erasing an inactive software version... 103

8

Installation checkout 8.1 8.2

8.3

9

Visual inspection... 105 Electrical safety tests... 106 8.2.1 Test setup... 106 8.2.2 Power outlet... 106 8.2.3 Power cord and plug... 106 8.2.4 Ground integrity check... 107 8.2.5 Ground leakage current test... 108 8.2.6 Testing touch current... 109 8.2.7 Patient leakage current tests – overview... 111 8.2.8 Patient (source) leakage current tests... 112 8.2.9 Patient (sink) leakage current tests... 114 8.2.10 Test completion... 115 Functional check... 115 8.3.1 Start-up... 115 8.3.2 Display... 115 8.3.3 Device Information... 115 8.3.4 Configuration Information... 116 8.3.5 Trim knob, keypad, and remote... 116 8.3.6 Mouse... 116 8.3.7 Alphanumeric keyboard... 117 8.3.8 Barcode reader... 117 8.3.9 MC Network and S/5 Network... 117 8.3.10 IX printers... 118 8.3.11 iPanel connection... 118 8.3.12 InSite RSvP... 118 8.3.13 Test completion... 119

Theory of operation 9.1 9.2

105

121

System block diagram... 121 Main components... 122 9.2.1 Power supply... 122 9.2.2 CPU processor board... 122 9.2.3 Speaker Assembly... 123 9.2.4 Bottom Chassis, Top and Back Cover... 123 9.2.5 User interface... 123 9.2.6 External interfaces... 124

10 Maintenance and checkout

125

10.1 Visual inspection... 126 iv 2106778-001

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10.2 Electrical safety checks... 126 10.3 Functional check... 126 10.3.1 Start-up... 126 10.3.2 Display... 126 10.3.3 PSM / PDM identification... 126 10.3.4 E-module identification... 126 10.3.5 Keypad and remote... 127 10.3.6 Mouse... 127 10.3.7 Alphanumeric keyboard... 127 10.3.8 Barcode reader... 127 10.3.9 MC Network and S/5 Network... 127 10.3.10 IX printers... 127 10.3.11InSite RSvP... 127 10.3.12Recorder... 127 10.3.13Test completion... 128

11 Troubleshooting

129

11.1 11.2

Visual inspection... 129 Webmin - Information tab... 129 11.2.1 Configuration information... 130 11.2.2 Device information... 131 11.3 Webmin - Diagnostics tab... 133 11.3.1 Hardware statistics... 133 11.3.2 Ping a TCP/IP network device... 134 11.3.3 Log files... 134 11.4 Error messages and codes... 137 11.5 Problems and solutions... 140 11.5.1 Start-up failures... 140 11.5.2 User interface issues... 141 11.5.3 Incorrect system time... 145 11.5.4 License issues... 145 11.5.5 Acquisition module problems... 146 11.5.6 CARESCAPE Network communication issues... 147 11.5.7 S/5 Network communication issues... 150

12 Disassembly and reassembly

153

12.1 Disassembly guidelines... 153 12.1.1 ESD precautions... 153 12.1.2 Reassembly precautions... 153 12.1.3 Required tools... 154 12.1.4 Before disassembly... 154 12.2 Unit disassembly... 156 12.2.1 Opening the enclosure cover... 156 12.2.2 Replacing the CPU timekeeper battery... 156 12.2.3 Detaching the uDOM... 157 12.2.4 Replacing the front bezel... 157 12.2.5 Replacing the third video card... 159 12.2.6 Removing the rear panel... 160 12.2.7 Replacing the processor board... 161

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12.2.8 Replacing the power supply... 163 12.2.9 Replacing the speaker... 164 12.2.10 Replacing the rear panel labels... 166

13 Service parts

167

13.1 Ordering parts... 167 13.2 List of FRUs... 167 13.3 Exploded view... 169

Appendix A:

Installation check form

A-1

Appendix B:

Maintenance check form

B-1

Appendix C:

Display D19KT VER01

C-1

C.1 C.2

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Disassembly and reassembly procedures... 1 Service parts... 3

About this manual

1

About this manual

1.1 Intended use of the manual This manual contains instructions necessary to install, maintain and service the device to the assembly level. Use it as a guide for installation, maintenance and repairs considered field repairable. The list below indicates the products (brands, models and descriptions as applicable) with which this manual is to be used: 

CARESCAPE Monitor B850 B1



CARESCAPE Monitor B850-LI B1



CARESCAPE 19 inch Display D19KT VER01



CARESCAPE Monitor B850-RM B1

Chapters 1 to 7 provide an overview of the CARESCAPE Monitor B850 patient monitoring system and contains information needed for system installation. Chapters 8 to 13 provide information for the planned and corrective maintenance of the CARESCAPE Monitor B850 main unit. Where necessary the manual identifies additional sources of relevant information and technical assistance. See the Module Frames and Modules Service Manual for the planned and corrective maintenance information about the parameter modules. See the supplemental information manual for the technical specifications, default settings and compatibility information, including electromagnetic compatibility. See the user’s manual for the instructions necessary to operate the device safely in accordance with its function and intended use.

1.2 Intended audience of the manual This manual is intended for service representatives and technical personnel who install, maintain, troubleshoot, or repair this device.

1.3 Conventions used in this manual Within this manual, special styles and formats are used to distinguish between terms viewed on screen, a button you must press, or a list of menu commands you must select: •

For technical documentation purposes, the abbreviation GE is used for the legal entity names, GE Medical Systems Information Technologies Inc. and GE Healthcare Finland Oy.

•

Names of hardware keys on the equipment, keypad, remote control, and modules are written in bold typeface: Start Cancel.

•

Menu items are written in bold italic typeface: Monitor Setup.

•

Emphasized text is in italic typeface.

•

Menu options or control settings selected consecutively are separated by the > symbol: Procedures > Cardiac Output.

•

The word “select” means choosing and confirming.

•

Messages (alarm messages, informative messages) displayed on the screen are written in bold italic typeface: Learning.

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•

Note statements provide application tips or other useful information.

1.3.1 Product naming conventions In this manual, the CARESCAPE Monitor B850 is referred to as the patient monitor. The following naming conventions are used to refer to different modules and module categories: 

PDM: Patient Data Module



PSM: Patient Side Module: E-PSMP.



Cardiac output and SvO2 E-modules: E-COP and E-COPSv.



Pressure and Temperature E-modules: E-PP and E-PT.



Continuous Cardiac Output Module: E-PiCCO.



CARESCAPE respiratory modules: E-sCO, E-sCOV, E-sCOVX, E-sCAiO, E-sCAiOV, and EsCAiOVX.



Single-width airway module: E-miniC



E-LoFlo module: E-LoFlo



Specialty E-modules: E-NMT, E-EEG, E-BIS and E-ENTROPY



SpO2 E-modules: E-NSATX, E-MASIMO

The CARESCAPE Network MC is referred as MC network and the CARESCAPE Network IX as IX network. Menu naming varies within software packages: 

Admit/ Discharge is also used in this manual for Start/End case menu (in OR and PACU software).

1.4 Illustrations and names This manual uses illustrations as examples only. Illustrations in this manual may not necessarily reflect all system 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.

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

1.6 Related documents

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

CARESCAPE Monitor B850, B650, B450 User’s Manual



CARESCAPE Monitor B850, B650, B450 Supplemental Information Manual



Module Frames and Modules Service Manual



CARESCAPE Modular Monitors Software Installation Instructions



CARESCAPE Network Configuration Guide



CARESCAPE Modular Monitors Mounting Solutions



Unity Network Interface Device (ID) Operator's Manual

About this manual



iCentral and iCentral Client Technical Reference Manual



S/5 Network Installation Guide



iCollect user’s manual



Patient Monitoring Network Configuration Guide



User documentation for displays

NOTE: The referred documents above are subject to change without notice. Please contact your local sales or service representative for possible updates.

1.7 Trademarks Listed below are GE Medical Systems Information Technologies, Inc. and GE Healthcare Finland Oy trademarks. All other product and company names contained herein are the property of their respective owners. GE, GE Monogram, and CARESCAPE are trademarks of General Electric Company. iPanel is a trademark of General Electric Company or one of its subsidiaries. MUSE, Trim Knob, and UNITY NETWORK are trademarks of GE Medical Systems, Information Technologies, Inc. Entropy is a trademark of GE Healthcare Finland Oy.

1.7.1 Third party trademarks Masimo SET is a trademark of Masimo Corporation. PiCCO is a trademark of Pulsion Medical Systems.

1.8 Responsibility of the manufacturer GE is responsible for the effects on safety, reliability, and performance of the equipment only if: •

Assembly operations, extensions, readjustments, modifications, servicing, or repairs are carried out by authorized service personnel.

•

The electrical installation of the relevant room complies with the requirements of the appropriate regulations.

•

The equipment is used in accordance with the instructions for use.

•

The equipment is installed, maintained and serviced in accordance with the instructions provided in the related service manuals.

1.9 Product availability Some of the products mentioned in this manual may not be available in all countries. Please consult your local representative for the availability.

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For your notes:

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Safety information

2

Safety information

2.1 General safety statements See the user’s manual for a list of general safety statements. This device is intended for use under the direct supervision of a licensed health care practitioner. Contact GE for information before connecting any devices to the equipment that are not recommended in this manual. Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards, and/or the system configuration must meet the requirements of the IEC 60601-1 medical electrical systems standard. Refer to the patient monitor’s supplemental information manual for compatible parts and accessories. Periodically, and whenever the integrity of the product is in doubt, test all functions. The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include: •

use of the accessory in the patient vicinity; and

•

evidence that the safety certification of the accessory has been performed in accordance to the appropriate IEC 60601-1 harmonized national standard.

2.2 Safety message signal words Safety message signal words designate the severity of a potential hazard. Danger

Indicates a hazardous situation that, if not avoided, will result in death or serious injury.

Warning

Indicates a hazardous situation that, if not avoided, could result in death or serious injury.

Caution

Indicates a hazardous situation that, if not avoided, could result in minor or moderate injury.

Notice

Indicates a hazardous situation not related to personal injury that, if not avoided, could result in property damage.

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2.3 Safety symbols NOTE: The following safety-related symbols appear on one or more of the devices. General warning sign. ISO 7010. This symbol is identified by a yellow background, black triangular band, and a black symbol. In this manual this symbol is used only in connection with those warning statements that the labels on the equipment refer to. Caution. ISO 7000. This symbol is identified by a white background, black triangular band, and a black symbol. Follow instructions for use. ISO 7010. This symbol is identified by a blue background and a white symbol.

Consult operating instructions. / Operating instructions. DANGER - Shock hazard. Dangerous voltage. To reduce the risk of electric shock, do not remove cover. Refer servicing to qualified service personnel. ISO 7010. This symbol is identified by a yellow background, black triangular band, and a black symbol. Electrostatic sensitive device. Connections should not be made to this device unless ESD precautionary procedures are followed.

Non-ionizing electromagnetic radiation. Interference may occur in the vicinity of this device. Type BF (IEC 60601-1) protection against electric shock. Isolated (floating) applied part suitable for intentional external and internal application to the patient, excluding direct cardiac application. Type BF (IEC 60601-1) defibrillator-proof protection against electric shock. Isolated (floating) applied part suitable for intentional external and internal application to the patient excluding direct cardiac application.

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Safety information

Type CF (IEC 60601-1) protection against electric shock. Isolated (floating) applied part suitable for intentional external and internal application to the patient, including direct cardiac application. Type CF (IEC 60601-1) defibrillator-proof protection against electric shock. Isolated (floating) applied part suitable for intentional external and internal application to the patient including direct cardiac application.

Safety ground. Remove power cord from the mains source by grasping the plug. Do not pull on the cable.

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For your notes:

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System introduction

3

System introduction

3.1 Short description of the equipment The CARESCAPE Monitor B850 is a modular multi-parameter patient monitor that is meant for high-acuity applications. The monitor can be used with most patient populations within a professional healthcare facility, but acquisition modules may have limitations for use based on the patient’s age, weight, or clinical condition, or on the type of the care unit (for example, OR or ICU only). There are several types of acquisition modules to choose from based on care requirements and patient needs. The modular system design is inherent in electronics and algorithms: some processing of the measurement signals is done by the acquisition modules and further processing happens on the monitor. Measurement values are displayed as graphic or numeric values, like waveforms and numbers, and when applicable, also as alarm messages. The monitor supports three independent displays, and the screen contents shown on each is user-configurable. The D19KT VER01 display has an integrated alarm light. The user interface can be used as a touchscreen, or with a Trim Knob or a mouse and a keyboard. The most important and commonly used functions have main keys either on the main menu (soft keys) or on the monitor front panel (hard keys). The menu structure design allows access to all functions needed by the clinical user with just a few clicks. The monitor transfers the measurement data to central stations and to the hospital patient data depositories. It communicates with a variety of other bedside medical devices and monitoring systems. For all physical and performance specifications, refer to the supplemental information provided.

3.2 System components The patient monitoring system is typically composed of these main parts: •

CPU unit

•

Software

•

Display

•

Input devices

•

Module frames

•

Acquisition modules: Patient Data Module (PDM), Patient Side Module (E-PSMP) and other E-modules

•

Network

•

Printers and writers

•

Accessories and supplies (for example, ECG leadwires/cable sets, mounts)

The CARESCAPE Monitor B850 monitoring system components are introduced below.

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3.2.1 CPU unit The primary function of the patient monitor is to render a clinically meaningful display of acquired patient data and allow the caregiver control (alarms, configuration, etc.) of the system through the user interface. The CPU unit is the central processing unit for the patient monitoring system and provides a link between parameter acquisition and input/output devices. It also facilitates network communication and interface to several ancillary devices (for example, printers, displays). The patient monitor works with multi parameter acquisition devices.

In addition to the primary function to display patient data, the patient monitor software has a service interface for performing device level service tasks such as configuration, maintenance and troubleshooting. Refer to the the patient monitor’s supplemental information manual for care area specific software and features.

3.2.2 Software The patient monitor is highly configurable and provides many monitoring possibilities with a flexible software licensing model. The monitor supports care area specific software packages for OR, PACU, ICU, ED and NICU. Each dedicated software package provides a comprehensive feature set for the different monitoring needs and can be further extended with the optional feature licenses. Software license model supports trial licensing and easy field upgrades with license key activation.

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System introduction

3.2.3 Input devices You can connect several USB input devices to the patient monitor, including alphanumeric keyboard, mouse, remote control and barcode reader. Refer to the patient monitor’s supplemental information manual for a list of compatible USB input devices. Keyboard A washable, antibacterial keyboard is specified for use with the monitor. It may be connected to the monitor or display via one of the USB connectors. The keyboard allows you to enter data without using the touchscreen display. Mouse A standard mouse may be connected to the monitor or display via one of the USB connectors. The mouse allows you to select any on-screen items without a Trim Knob control or a touchscreen display. Remote control The remote control provides all patient monitor controls on a portable component with a Trim Knob control. The remote control is connected to the patient monitor via one of the USB connectors.

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Barcode reader The barcode reader can be used to scan a Technician ID and Patient Information from barcodes when admitting patients.

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