CARESCAPE Central Station Model MAI700 and MAS700 Technical Manual Sw ver 2 Nov 2018

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.

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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 Trademarks ... 20 Related manuals ... 21 Additional resources ... 21 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 ... 37 Safely shutting down ... 38

3

About this system ...39 Intended use... 39 CE marking information... 39 Manufacturer responsibility ... 39 Service requirements... 40 System components ... 40 Processing unit ... 40 Stand-alone display ... 42 Primary display... 42 Secondary display ... 43 Mirrored central displays ... 43

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Remote display... 43 Cloned (replica) display ... 44 Keyboard and mouse... 44 External speakers... 45 Writer ... 45 Stable power source ... 45 Laser printer ... 45 Controls, indicators, and connections ... 46 Device symbols ... 46 Device identification ... 50 Unique Device Identifier (UDI) ... 50 Serial Number (SN) ... 51 4

About this software ...53 Configuration levels ... 53 Multi-Viewer overview ... 54 Patient Multi-Viewer window overview ... 55 Multi-Viewer Flashing ... 57 Single Viewer overview... 57 User interface symbols ... 58 Networking ... 62 Time management on the CARESCAPE Network ... 62 IP address allocation... 63 Patient monitoring network description ... 63 Intranet access and Citrix... 64 Data types ... 65 Patient data ... 65 Network data... 65 Data review tools ... 66 Time focus ... 66 Full Disclosure overview ... 66 Trends overview ... 68 Calipers overview ... 69 ST Monitoring Status indicator overview ... 70 ST Review overview... 70

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PDF printer... 71 EMR ... 73 5

Service interfaces ...75 Service interfaces overview ... 75 Central station service interfaces access... 75 Switching to Field Service windows account ... 75 Logging on to the clinical application (User windows) ... 76 Logging on to the service mode ... 76 Logging off of the service mode ... 76 Logging on to the alarm service mode... 77 Logging off of the alarm service mode ... 77 Webmin access... 77 Logging on to Webmin ... 78 Logging on to Webmin remotely... 78 Logging on to TightVNC... 78 Logging off of TightVNC... 79 Changing passwords ... 79 Changing the service mode password ... 79 Changing the alarm service mode password ... 79 Changing the Webmin passwords ... 80 Resetting the Webmin passwords ... 80 Changing the TightVNC password ... 80 Configuring service computer's network properties ... 81

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Hardware installation ...83 Installation safety precautions... 83 Installation requirements ... 84 Site requirements ... 84 Electrical requirements ... 85 Visually inspecting equipment ... 85 Mounting options ... 86 Installation and configuration procedures... 86 Installing the processing unit stand ... 86 Installing the processing unit ... 87 Installing a primary display ... 87

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Installing a secondary display ... 87 Installing and configuring a remote display (video splitter)... 88 Installing and configuring a remote display (video extender) ... 89 Installing a keyboard and mouse... 92 Installing external speakers... 92 Installing a writer... 92 Installing a local laser printer ... 93 Installing a network laser printer ... 93 Powering up the processing unit for the first time... 93 7

Configuration ...95 Configuration levels ... 95 Getting started ... 96 Configuration requirements ... 97 Time management on the CARESCAPE Network ... 97 IP address allocation... 98 Examining the central stations on the network ... 98 Configuring touchscreen displays... 99 Calibrating GE touchscreen display ... 99 Calibrating DIVA touchscreen display (optional) ... 100 Configuring cursor movement ... 100 Changing keyboard layout ... 100 Configuring Webmin-related settings ... 101 Configuring Set Flags ... 101 Configuring language ... 104 Configuring time zone... 104 Configuring time and date... 106 Configuring network IP address ... 107 Configuring network laser printers ... 108 Deleting network laser printers ... 109 Configuring USB laser printers ... 109 Configuring laser printer paper size... 109 Configuring PDF printer ... 110 Configuring print locations for stored patient data ... 111 Print configuration ... 113

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Configuring Remote Service ... 113 Configuring MultiKM... 114 Configuring Browser Favorites ... 117 Configuring Citrix... 118 Configuring EMR... 119 Configuring Label Customization ... 121 Configuring Clinician Review Workstations ... 121 Configuring Asset Settings... 122 Certificate management ... 122 Calibrating standard displays ... 123 Configuring service-level defaults ... 124 Configuring Central and Unit Name service-level defaults ... 124 Configuring Printer/Writer service-level defaults... 125 Configuring Multi-Viewer Display Configuration service-level defaults ... 125 Configuring Auto Display Button service-level defaults ... 126 Configuring locked patient Multi-Viewer windows ... 127 Configuring mirrored central displays overview ... 127 Configuring Graph Setup service-level defaults ... 129 Configuring beds and transmitters... 130 Setting Full Disclosure licensing ... 131 Setting Full Disclosure Mode ... 131 Configuring clinical application service-level defaults ... 131 Configuring Waveforms, Real-time Trend Graph, and Color Set service-level defaults ... 131 Configuring ECG service-level defaults... 132 Configuring Full Disclosure service-level defaults... 133 Configuring FD Session Search criteria... 136 Configuring Graphic Trends Groups... 137 Configuring Numeric Trends Groups ... 138 Configuring Save As Favorite buttons... 138 Configuring Event Marker service-level defaults... 139 Configuring Real-time BP UOM service-level default (Chinese language only) ... 139 Configuring clinical application alarm-level... 140

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Configuring alarm-level defaults... 140 Configuring Patient Age service-level default ... 142 Configuring Transmitter Audio Pause service-level defaults ... 142 Configuring Telemetry Alarm Setup service-level defaults ... 143 Resetting Telemetry Unit Defaults to presets ... 144 8

Licenses...145 License codes ... 145 License packages... 148 Changing licenses (transfers and expansions)... 148 Deactivating licenses for license changes (transfers and expansions)... 149 Activating licenses... 150 Activating licenses manually ... 151 Completing license changes ... 152 Deactivating/reactivating licenses ... 152 Temporarily deactivating licenses... 152 Reactivating a deactivated license ... 152

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Installation checkout...153 Installation checkout overview ... 153 Processing unit checkout procedure ... 153 Status of installed licenses checkout procedure... 153 Unit Defaults checkout procedure ... 153 Date and time settings checkout procedure... 154 Network connectivity and printing checkout procedure... 154 Full Disclosure checkout procedure... 154 MultiKM checkout procedure ... 155 Access to other units checkout procedure... 155 Audio alarm tones checkout procedure ... 155 Speaker volume checkout procedure... 155 Remote Service checkout procedure... 156 Backing up system settings... 156 Writer checkout procedure ... 157 Mirrored central display checkout procedure ... 157

10 Preventative maintenance checkout ...159

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Maintenance schedule ... 159 Visually inspecting equipment ... 160 Cleaning... 160 Writer maintenance... 160 Changing writer paper... 160 Storing writer paper ... 160 Power cord and plug test ... 161 Power outlet test ... 161 Electrical safety tests ... 161 Testing ground continuity... 161 Testing ground wire leakage current ... 162 Testing enclosure leakage current... 163 11 Functional checkout ...165 Functional checkout overview ... 165 Date and time settings checkout procedure... 165 Checking the Central station system status messages/proactive system monitoring ... 165 Using the Check Centrals utility... 165 Network connectivity and printing checkout procedure ... 167 Full Disclosure checkout procedure ... 168 MultiKM checkout procedure ... 168 Access to other units checkout procedure ... 168 Audio alarm tones checkout procedure ... 169 Speaker volume checkout procedure ... 169 Processing unit internal temperature and voltage status checkout procedure ... 169 Video function checkout procedure... 169 System files integrity checkout procedure ... 170 Remote Service checkout procedure... 170 Mirrored central display checkout procedure ... 170 Consolidated configuration information checkout procedure... 171 Institution’s responsibility checkout procedure... 171 12 Troubleshooting...173 Troubleshooting overview ... 173

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Central station system status messages... 174 Monitoring device messages... 175 Error messages ... 186 Boot failure ... 187 Re-image failure... 188 Software image on USB stick does not match hardware... 188 Out-of-unit audio alarms paused ... 189 Audio alarms sound when removing patient Multi-Viewer windows... 189 Central station continually reboots during reload procedure... 189 Blank screen with blinking cursor during central station reboot ... 189 Browser connectivity issues ... 189 Display issues ... 190 Blank screen ... 190 Blue screen ... 190 Red screen ... 191 Incorrect display colors... 191 MultiKM issues... 191 Unable to use MultiKM ... 191 MultiKM only works for one hour... 191 Unable to locate the MultiKM focus ... 192 Unable to access a central station within keyboard and mouse group... 192 Intermittent access to one or more displays via MultiKM... 192 Time issues ... 193 Viewing time zone settings... 193 Time does not advance or alternates frequently ... 193 Time change request ignored by the central station... 194 Printer issues ... 195 Printer button grayed out when viewing stored patient data... 195 Unable to print to printer on enterprise network ... 195 Unable to print to a writer ... 195 Report sent to PDF printer is not printing ... 195 Report sent to EMR/Integration Engine is not printing ... 196

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Central station configuration issues ... 196 Unable to communicate with a device ... 196 Unable to access ADT information... 196 Experiencing waveform dropout... 196 Improper age selection criteria ... 197 Unable to activate licenses... 197 Unable to correctly restore settings... 197 Unable to establish Remote Service connection... 198 IEC technical alarms repeating at a set interval ... 198 Full Disclosure issues ... 198 Unable to access Full Disclosure features ... 198 Unable to start ST Review... 198 Care note is not accessible immediately after admit ... 199 Push to MUSE button disabled ... 199 Log files... 199 Downloading log files... 199 Accessing log files ... 200 Viewing application log... 200 Viewing operating system event logs ... 200 Viewing Webmin action logs ... 201 Incorrect Webmin page displayed... 201 Webmin diagnostics ... 201 Viewing operating system hotfixes and service pack information ... 201 Viewing device driver information ... 201 Viewing network information ... 201 Viewing Unity Network device information ... 201 Viewing time zone settings... 201 Viewing time zone information ... 202 Viewing PFA Status information ... 202 Viewing operating system runtime statistics ... 202 Viewing operating system service process information... 202 Viewing process information... 202 Viewing SMART drive status... 202

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Enabling duplicate TTX... 202 Disabling duplicate TTX... 203 Video extender LED indication ... 203 13 Field replaceable units (FRUs) ...205 FRU replacement safety precautions ... 205 Electrostatic discharge (ESD) guidelines ... 206 Supported FRUs ... 207 Removing the desktop processing unit cover ... 207 Replacing the desktop processing unit cover ... 208 Removing the integrated processing unit cover ... 208 Replacing the integrated processing unit cover ... 209 Replacing the stand-alone display controller PCB... 210 Replacing the stand-alone display controller PCB checkout procedure ... 211 Replacing the integrated processing unit and stand-alone display front display assembly... 212 Replacing the front display assembly checkout procedure ... 213 Replacing the desktop processing unit stand ... 213 Replacing the desktop processing unit stand checkout procedure ... 214 Replacing the integrated processing unit and stand-alone display stand ... 214 Replacing the integrated processing unit and stand-alone display stand checkout procedure ... 214 Replacing the processing unit COMM express module ... 215 Replacing the processing unit COMM express module checkout procedure ... 216 Replacing the processing unit carrier PCB ... 217 Replacing the processing unit carrier PCB checkout procedure ... 218 Testing flash drive integrity... 220 Replacing RAM ... 220 Replacing the RAM checkout procedure ... 222 Replacing the AC inlet ... 223 Replacing the AC inlet checkout procedure ... 224 Replacing the fuses... 224 Replacing the fuses checkout procedure ... 225

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Replacing the processing unit assembly ... 225 Replacing the processing unit assembly checkout procedure ... 226 Replacing the processing unit mSATA SSD ... 227 Replacing the mSATA SSD checkout procedure ... 228 Testing flash drive integrity... 229 Replacing the power supply assembly ... 229 Replacing the power supply assembly checkout procedure ... 230 Replacing the processing unit speaker assembly... 231 Replacing the processing unit speaker assembly checkout procedure ... 232 14 Reloading/re-imaging software...233 Reload software requirements... 233 Reloading software ... 233 Restoring system settings ... 234 Restoring system settings overview ... 234 Performing a full restore ... 235 Performing a partial restore ... 236 15 Updating software...239 Updating software overview ... 239 Updating software equipment requirements... 240 Updating central station software ... 240 Software checkout procedures ... 242 Status of installed licenses checkout procedure... 242 Updating central station software checkout procedures... 242 16 HL7 interface ...245 HL7 standard background ... 245 Overview ... 245 Multiple segments ... 245 Data elements ... 245 HL7 communication... 246 Observation results interfaces ... 246 Observation result interface... 246 General Description ... 246 Low level communications ... 247

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Client/Server connections... 248 HL7 standard and sample messages ... 248 HL7 minimal lower layer protocol (MLLP)... 248 Interface data content... 248 Result reporting message (ORU)... 249 Fields list ... 249 Sample HL7 message ... 257 17 Product security...259 Product security overview ... 259 Security features ... 259 Access controls... 259 Authentication ... 260 Authorization ... 261 Audit controls ... 261 Malicious software protection ... 261 Antivirus programs... 263 Desktop security... 263 Data protection ... 263 Security operations ... 263 Network security ... 264 Media access control points... 264 Security administration and service ... 264 Product change management ... 264 Remote service... 264 MDS2 statement ... 265 A

Full Disclosure ...267 Full Disclosure safety precautions ... 267 Full Disclosure overview ... 267 Discharged Data Sessions... 268 Full Disclosure Master... 268 Determining Full Disclosure Master ... 270 Full Disclosure and Discharged Data licensing overview ... 271 Full Disclosure license ... 271 Discharged Data license overview... 271

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Full Disclosure rules ... 273 Mirroring rules and behavior ... 273 Multi-Full Disclosure rule... 274 Twin bed rule (Combo monitoring) ... 275 Bed Number/IP address changes ... 277 Effects of time changes on Full Disclosure data ... 277 Full Disclosure bed assignment ... 278 ST Review... 280 Pushing 12SL reports to MUSE ... 281 Events ... 281 Full Disclosure compatibility... 281 Full Disclosure printing ... 282 Full Disclosure procedures ... 282 Setting Full Disclosure licensing ... 282 Setting Full Disclosure Mode... 283 Viewing Full Disclosure Information... 283 Performing Full Disclosure Database Integrity Check ... 283 Clearing the Full Disclosure database ... 284 B

Citrix farm information ...285 Citrix farm configuration ... 285

C

Electromagnetic compatibility...287 Electromagnetic compatibility safety precautions ... 287 Guidance and manufacturer's declaration ... 288 Electromagnetic emissions... 288 Electromagnetic immunity ... 288 Essential performance ... 290 Recommended separation distances... 290 Compliant cables and accessories ... 291

D

Restored modules ...293 Restored data overview... 293 Platform settings... 293 Local central station settings ... 293 Central Defaults... 293 Display Configuration... 294

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FD Session Search ... 294 Licenses ... 294 Patient Multi-Viewer window assignment ... 294 Patient Multi-Viewer window control settings (windows 0-16) ... 294 Citrix information... 295 PDF Printer Information ... 295 EMR/Integration Engine Information ... 295 Printing Attributes ... 296 Caliper Settings ... 296 Set Flags ... 296 Custom defaults ... 296 Unit default settings... 296 Telemetry Unit Defaults ... 296 Telemetry Alarm Setup Defaults... 297 Current Telemetry Listings... 299 Full Disclosure Defaults... 299 E

Networking disclosure ...301 Purpose and scope ... 301 Purpose of central station connection to network ... 301 Central station network interface technical specifications... 301 Network information flows... 302 Required characteristics and configuration of network for support of central station ... 314 Potential risks to safety, effectiveness or security resulting from failure of IT network to provide the required characteristics... 314

F

Checklists...317 High-level installation and commissioning process overview ... 317 Checkout checklists ... 317 System installation checklist ... 317 Software upgrade checklist... 318 Software reload checklist ... 318 Preventative maintenance checklist... 318 FRU replacement checklist ... 318

G

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Presets overview ... 321 Central Defaults presets ... 321 Telemetry presets... 322 Telemetry Unit Defaults presets ... 322 Telemetry Parameter Limits and Alarm Levels presets ... 323 Telemetry Arrhythmia Alarm Levels presets... 324 Telemetry Technical Alarm Priorities presets... 324 Display Configuration presets ... 325 Full Disclosure Defaults presets ... 325 FD Page presets ... 326 Graphic Trends Groups presets... 326 Numeric Trends Groups presets... 328 ST Review presets ... 330 H

Custom defaults and settings ...331 Custom defaults and settings overview ... 331 Central Defaults settings ... 331 Telemetry custom defaults overview... 332 Telemetry Unit Defaults custom defaults ... 332 Telemetry Parameter Limits and Alarm Levels custom defaults... 333 Telemetry Arrhythmia Alarm Levels custom defaults... 334 Telemetry Technical Alarm Priorities custom defaults... 335 Display Configuration settings ... 336 Full Disclosure Defaults settings ... 337 FD Page settings ... 338 Graphic Trends Groups settings... 338 Numeric Trends Groups settings... 340 ST Review settings ... 343 Save As Favorites settings... 344

I

Glossary ...347 Glossary ... 347

J

Abbreviation and symbols ...355 Abbreviations ... 355 Symbols ... 368

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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 to 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. The list below indicates the compatible products (brands, models and descriptions as applicable) with which this manual is to be used. Other products are covered by the manuals that were delivered with those products or with the CARESCAPE Central Station with software versions earlier than version 2.1. Refer to those manuals for proper performance and correct operation to ensure patient and user safety. ●

CARESCAPE Central Station running software version 2.1

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.

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About this manual

Names of persons, institutions, and places and related information are fictitious; any similarity to actual persons, entities, or places is purely coincidental.

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.

Trademarks 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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