CIC Pro Clinical Information Center Service Manual Sw Ver 4.1 Rev C April 2005

NOTE: Due to continuing product innovation, specifications in this manual are subject to change without notice. NOTE: This manual supports CIC Pro information centers with the product code JA1. The CIC Pro information centers with the JA1 product code use the Bedrock hardware platform and are only compatible with software versions 4.1 and later.

Listed below are GE Medical Systems Information Technologies trademarks used in this manual. All other trademarks contained herein are the property of their respective owners. UNITY NETWORK, ApexPro, CD TELEMETRY, and RSVP are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office. CD TELEMETRY®–LAN, CENTRALSCOPE, CIC Pro, ICMMS, Prism, Octacomm, and Octanet are trademarks of GE Medical Systems Information Technologies. © 2004 General Electric Company. All rights reserved.

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Contents

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Introduction... 1-1 License Agreement... 1-3 Manual Information... 1-6 Revision History... 1-6 Conventions... 1-6 Manual Purpose... 1-6 Intended Audience... 1-7 Safety Information... 1-8 General... 1-8 Hazard Definitions... 1-8 CIC Pro Specific Hazards... 1-9 Equipment Symbols... 1-11 Service Requirements... 1-13 Equipment Identification... 1-13

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Equipment Overview... 2-1 CIC Pro Description... 2-3 Basic Components... 2-3 Back Panel/Connections... 2-3 Back Panel/Label... 2-3 CIC Pro System Block Diagram... 2-4 Unity Network Description/Connection... 2-5 Unity Network MC Network... 2-5 Unity Network IX Network... 2-5 Network Connections... 2-5 Theory of Operation... 2-6 CIC Pro Functional Description... 2-6 How Trends are Calculated... 2-6 File/Data Handling... 2-7 Full Disclosure... 2-8 CIC Pro Service Logons... 2-15 System Logons... 2-15 Service Utilities... 2-17 Webmin Overview... 2-17 Integrated Internet Explorer Browser Interface... 2-22

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CIC Service Tool... 2-24 Miscellaneous Service Utilities... 2-29 CIC Pro Command-line Utilities... 2-29 Run CIC Cmd (Webmin)... 2-29 Feedback Indicators... 2-31 Error/Warning Messages... 2-31 Audible Alarms... 2-31 System Environment Monitor Alert Messages... 2-31

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Installation... 3-1 Pre-Installation Requirements... 3-3 Site Requirements... 3-3 Power Requirements... 3-5 Un-Interruptible Power Supplies... 3-6 Pre-Installation Check... 3-8 Installation... 3-8 Physical Installation... 3-10 Connect Keyboard and Mouse... 3-10 Install the Speakers... 3-11 Install the Power Cord... 3-12 Connect/Configure the Video Display... 3-12 CIC Pro System Configuration... 3-19 Enhanced Write Filter... 3-19 IP Address Configuration... 3-19 Connect to Unity Networks... 3-22 Computer Name Configuration... 3-23 Printer Installation... 3-25 CIC Pro Application Configuration... 3-31 Access Service Mode... 3-31 Calibrate the Screen... 3-32 Set the CIC Pro Defaults... 3-33 Set the Telemetry Unit Defaults... 3-43 Set the Full Disclosure Defaults... 3-47 Set the Display Format... 3-50 Set the Current Telemetry Listings... 3-52 Lock or Unlock Beds... 3-54 Change CIC Pro Language... 3-54 Install Optional Licenses... 3-56 Commit Changes to the Write Filter... 3-57 Time and Date Configuration... 3-58 Completion... 3-60 Backup CIC Pro Configuration... 3-60 Exit Service Mode and Proceed to Checkout Procedures... 3-60

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Maintenance... 4-1 Schedule... 4-3 Manufacturer Recommendation... 4-3 PM Form... 4-3 Safe Shutdown/Restart Procedure... 4-4 Controlling Electrostatic Discharge Damage... 4-5 Visual Inspection... 4-6 Cleaning... 4-7 Before Cleaning... 4-7 External Surfaces... 4-7 Internal Components... 4-8 Display Screen... 4-9 Electrical Safety Tests... 4-10 General... 4-10 Recommendations... 4-10 Wall Receptacle Test... 4-11 Ground (Earth) Integrity... 4-11 Ground (Earth) Wire Leakage Current Tests... 4-13 Enclosure (Chassis) Leakage Current Test... 4-14 Test Completion... 4-15 Backup-Restore CIC Configuration... 4-16 Planning Backup/Restore Strategy... 4-16 Backup... 4-18 Restore... 4-20 Data Module Detail... 4-24 Checkout Procedures... 4-28 About the Checkout Procedures... 4-28 General... 4-28 Disk Check... 4-29 Audio Verification Test... 4-29 Verify Access to All Other Care Units... 4-30 Verify Full Disclosure... 4-30 Verify Each CIC Pro Can Print a Full Disclosure Report... 4-31 CIC Service Tool... 4-31 Maintenance Checklist... 4-32 “Visual Inspection” on page 4-6... 4-32 “Cleaning” on page 4-7... 4-32 “Electrical Safety Tests” on page 4-10... 4-32 “Backup-Restore CIC Configuration” on page 4-16... 4-32 “Checkout Procedures” on page 4-28... 4-32 Repair Log... 4-33

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Troubleshooting... 5-1 Blank Display, Unit Doesn’t Boot... 5-3 Hardware Component Troubleshooting... 5-3 Webmin Hardware Monitoring Utilities... 5-3 Software Component Troubleshooting... 5-9 Webmin Software Monitoring Utilities... 5-9 Incorrect CIC Pro Application Colors... 5-12 Browser Troubleshooting... 5-12 CIC Service Tool... 5-13 List Network... 5-13 Duplicate TTX... 5-15 Open RTERM Session... 5-16 Event Logs... 5-17 CIC Pro Log File Description... 5-17 Log File Command Prompt Procedures/Functions... 5-18 Canceling CIC Pro Print Jobs... 5-21

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Parts Lists, Drawings and Replacement... 6-1 Ordering Parts... 6-3 Field Replaceable Units... 6-3 FRU Installation/Field Replacement Procedures... 6-4 Orientation... 6-5 Field Replacement Preparation... 6-5 Fuses... 6-6 Cover... 6-8 Battery... 6-9 Hard Drive... 6-10 Fans... 6-12 CPU Board... 6-13 Power Supply... 6-16 Internal Speaker... 6-19 CIC Pro Parts List... 6-20 Optional Components... 6-25 Keyboard Kits... 6-26

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Technical Specifications...A-1 Technical Specifications–CIC Pro... A-3

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Performance Specifications...A-3 Recorder (optional)...A-4 General...A-4 Environmental Specifications...A-4 Physical Specifications...A-4 Display Specifications...A-5 Monitor (Display) Connections...A-5 Certification...A-5

B

Supported CIC Pro Parameters...B-1 Arterial Blood Gas (POC)...B-3 Arterial Pressure...B-3 BIS Data...B-4 Cardiac Calculations (Cardiac Calcs)...B-4 Cardiac Output (CO)...B-4 Central Venous Pressure (CVP)...B-5 Cerebral Perfusion Pressure (CPP)...B-5 Continuous Cardiac Output (CCO)...B-5 CO2 Parameter...B-5 ECG Parameters...B-6 Episodic Temperature...B-7 Femoral Pressure...B-7 Inter-Cranial Pressure...B-7 Left-Arterial Pressure...B-7 Mass Spec...B-7 Non-Invasive Pressure...B-8 Non-Invasive Cardiac Output...B-8 Other Cardiac Parameters...B-9 Pulmonary Artery Pressure...B-9 Pulmonary Calculations...B-9 Right Arterial Pressure...B-10 Respiration Data...B-10 Respiration Mechanics...B-11 SPO2...B-11 Special Pressure...B-11 ST Parameter...B-12 SvO2...B-12 Transcutaneous CO2...B-12 TramModule Transcutaneous CO2...B-13 Temperature...B-13 Umbilical Pressure (UAC)...B-13 Umbilical (UV, UVC)...B-13 Ventilator Data...B-14

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Webmin Runtime Diagnostics Utilities...C-1 Runtime Diagnostics... C-3 Closed-loop Audio Info...C-4 Ping Command...C-5 Hard Drive Integrity Info...C-6 Instruction Store Integrity Info...C-7 Temp/Voltage Info...C-8 Network Info...C-9 OS Hotfix Info...C-10 Process Info...C-11 OS Service Process Info...C-12 Device Driver Info...C-13 Timezone Info...C-14 OS Event Log...C-15 OS System Log...C-16 OS Application Log...C-17 OS Security Log...C-18 System Information...C-19

D

CIC Pro Service Tools...D-1 Service Tools... D-3 Audio Test...D-4 Drive Integrity Test...D-6 User Asset Management...D-8 Environment Monitoring...D-9 Network Integrity Test...D-11 Printing Test...D-13 Video Test...D-15 Watchdog Test...D-18

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Electromagnetic Compatibility... 1-1 Electromagnetic Compatibility (EMC)... 1-3 Guidance and Manufacturer’s Declaration – Electromagnetic Emissions... 1-3 Guidance and Manufacturer’s Declaration – Electromagnetic Immunity... 1-4 Recommended Separation Distances... 1-6 Compliant Cables and Accessories... 1-7

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Introduction

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For your notes

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Introduction: License Agreement

License Agreement IT IS IMPORTANT THAT YOU CAREFULLY READ THE TERMS AND CONDITIONS OF THIS LICENSE AGREEMENT BEFORE COMMENCING THE USE OF THE CLINICAL INFORMATION CENTER WORKSTATION (THE “WORKSTATION”) AND THE CLINICAL INFORMATION CENTER PROGRAM RECORDED THEREIN AND ANY ACCOMPANYING USER DOCUMENTATION (“PROGRAM”). THIS LICENSE REPRESENTS THE ENTIRE LICENSE AGREEMENT CONCERNING THE PROGRAM BETWEEN YOU AND GE MEDICAL SYSTEMS INFORMATION TECHNOLOGIES (“INFORMATION TECHNOLOGIES”) AND SUPERSEDES ALL OTHER COMMUNICATIONS OR ADVERTISING RELATED TO THE PROGRAM EXCEPT ANY TERMS AND CONDITIONS OF SALE OR WARRANTIES OR WARRANTY LIMITATIONS RELATIVE TO THE PROGRAM AND/OR THE WORKSTATION AS MAY BE EMBODIED IN ANY DOCUMENTATION SUPPLIED WITH THE WORKSTATION. BY COMMENCING THE USE OF THE WORKSTATION AND THE PROGRAM CONTAINED THEREIN, YOU ARE ACCEPTING AND AGREEING TO BE BOUND BY ALL THE TERMS AND CONDITIONS OF THIS LICENSE AGREEMENT. IF YOU ARE NOT WILLING TO BE BOUND BY THE TERMS AND CONDITIONS OF THIS LICENSE AGREEMENT, YOU SHOULD PROMPTLY RETURN THE WORKSTATION TO GE Medical Systems Information Technologies AND YOU WILL RECEIVE A REFUND OF THE PURCHASE PRICE.

I.

GRANT The Program is capable of coupling one to sixteen patient monitoring units to the Workstation. GE Medical Systems Information Technologies hereby grants you a non-exclusive, non-transferable right and license to use the Program for coupling the number of patient monitoring units to the Workstation for which a per-unit royalty has been paid pursuant to Article II hereof.

II. ROYALTY You have paid GE Medical Systems Information Technologies a one-time, perunit royalty equal to GE Medical Systems Information Technologies’ current published price for the use of the Program. The per-unit royalty is based on the actual number of patient monitors intended to be coupled by the Program to the Workstation as stated in the Purchase Order for the Workstation and the Program. If you use the Program to couple any patient monitoring units to the Workstation in addition to the number for which a per unit royalty was previously paid, you agree to pay GE Medical Systems Information Technologies an additional per-unit royalty equal to GE Medical Systems Information Technologies' then current published royalty for the Program for each such additional patient monitoring unit so coupled. The additional per-unit royalty shall be paid to GE Medical Systems Information Technologies within 30 days of the use of the Program to couple any such additional patient monitoring units to the Workstation.

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Introduction: License Agreement

III. LIMITATIONS You hereby agree not to: (1) use the Program in any network or system other than to couple patient monitoring units to the Workstation; (2) make any copy of the Program for any reason, or allow or assist others to do so; (3) modify, reverse engineer, de compile or disassemble the Program or merge any part of the Program into any other program; (4) rent, sell, sublease, assign, transfer or otherwise share the Program or any of your rights in the Program under this Agreement with any third party; or, (5) remove or alter any copyright notice, labels or trademarks from the Program or the Workstation.

IV. TITLE This License is not a sale. Title and all copyrights to the Program and any copy made by you remains the sole property of GE Medical Systems Information Technologies.

V. TERM This Agreement shall continue in force until terminated. This Agreement shall terminate automatically when you cease using the Workstation and the Program for their intended purpose. GE Medical Systems Information Technologies may terminate this Agreement on 30 days written notice if you make any unauthorized copies of the Program or fail to comply with any of the restrictions on use of the Program as set forth herein.

VI. LIMITED WARRANTY, DISCLAIMER AND LIMITATION OF LIABILITY A. Licensor warrants that on the acceptance date the Program shall be free from significant programming errors and shall operate and conform to the published functional specifications applicable thereto, and that the Program shall conform to the standards generally observed in the industry for similar software. B. This warranty shall be invalidated by your modification of the Program if such modification or the interaction between such modification and the Program as supplied by Information Technologies is the cause of the defect, error or non-conformity. C. Except as stated above, the warranty covering the Program and the Workstation shall be either Information Technologies Standard Warranty or Limited Extended Parts Warranty as published by Information Technologies and hereby made a part hereof. D. EXCEPT FOR THE EXPRESS WARRANTIES STATED HEREIN, GE Medical Systems Information Technologies DISCLAIMS ALL WARRANTIES WITH REGARD TO THE PROGRAM INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

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Introduction: License Agreement

E. GE Medical Systems Information Technologies entire liability to you arising out of or in connection with this Agreement shall not exceed the per-unit royalty paid to GE Medical Systems Information Technologies for use of the Program. You acknowledge that the amount paid to Information Technologies for use of the Program is insufficient for Information Technologies to undertake any greater risk. IN NO EVENT SHALL INFORMATION TECHNOLOGIES BE LIABLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL OR EXEMPLARY DAMAGES (INCLUDING WITHOUT LIMITATION, LOST PROFITS, BUSINESS INTERRUPTION, LOSS OF BUSINESS INFORMATION, PERSONAL INJURY OR ANY OTHER PECUNIARY LOSS) ARISING FROM THE USE OF THE PROGRAM, EVEN IF INFORMATION TECHNOLOGIES HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

VII. GOVERNING LAW This Agreement shall be governed by the laws of the State of Wisconsin.

VIII.PARTIAL INVALIDITY If any provision of this Agreement is held invalid or unenforceable, the remaining portions of the Agreement shall continue in full force and effect.

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Introduction: Manual Information

Manual Information Revision History The document part number and revision letter are listed at the bottom of each page in this manual. The revision letter identifies the document’s update level. The revision history of this document is summarized below. Revision History Revision

Comment

A

Initial Release

B

Various edits supporting additional features/feedback/clarifications obtained after previous release.

C

Enhancements to the Write Filter procedure.

Conventions Bold text

Indicates keys on the keyboard, text to be entered, or hardware items such as buttons or switches on the equipment.

Italicized text

Indicates software terms that identify menu items, buttons, or options in various windows.

Ctrl+Esc

Indicates a keyboard operation. A plus (+) sign between the names of two keys indicates that you must press and hold the first key while pressing the second key once. For example, “Press Ctrl+Esc” means to press and hold down the Ctrl key while pressing the Esc key.

<Space>

Indicates you must press the spacebar. When instructions are given for typing a precise text string with one or more spaces, the point where the spacebar must be pressed is indicated as <Space>.

Enter

Indicates you must press the Enter or Return key on the keyboard. Do not type “enter”.

Manual Purpose This manual contains technical information supporting equipment maintenance and repair, considered field repeatable down to the assembly level. Where necessary, this manual identifies additional sources of relevant information and technical assistance. See the operator’s manual for instructions necessary for safe equipment operation, in accordance with proper function and intended use.

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Introduction: Manual Information

Intended Audience This manual is intended for use by service representatives and technical personnel who maintain, troubleshoot, or repair the equipment.

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Introduction: Safety Information

Safety Information General Responsibility of the Manufacturer GE Medical Systems Information Technologies is responsible for the effects of safety, reliability, and performance only if: „

assembly operations, extensions, readjustments, modifications, or repairs are carried out by persons authorized by GE Medical Systems Information Technologies;

„

the electrical installation of the relevant room complies with the requirements of the appropriate regulations; and

„

the device is used in accordance with the instructions for use.

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These devices are intended for use under the direct supervision of a licensed health care practitioner.

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These devices are not intended for home use.

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Federal law restricts these devices to be sold by or on the order of a physician.

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Contact GE Medical Systems Information Technologies for information before connecting any devices to the equipment that are not recommended in this manual.

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Parts and accessories used must meet the requirements of the applicable UL/ IEC/UL 60601 series safety standards.

„

Parts and accessories used must meet all local building and safety requirements.

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Periodically, and whenever the integrity of the device is in doubt, test all functions.

„

The use of ACCESSORY equipment not complying with the equivalent safety requirements of the device may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include:

Intended Use

„

‹

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 UL/IEC/UL 60601 national standards.

If the installation of the equipment, in the USA, will use 240V rather than 120V, the source must be a center-tapped, 240V, single-phase circuit.

Hazard Definitions NOTE A NOTE provides application tips or other useful information. Warnings and Cautions are used throughout this manual and designate a degree or level of hazardous situations. A hazard is defined as a source of potential injury to a person.

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Introduction: Safety Information

WARNING A WARNING indicates a potential hazard or unsafe practice which, if not avoided, could result in death or serious injury.

CAUTION A CAUTION indicates a potential hazard or unsafe practice which, if not avoided, could result in minor personal injury or product/property damage.

CIC Pro Specific Hazards WARNINGS LOSS OF MONITORING - If monitoring at the CIC Pro is temporarily interrupted, alternate monitoring devices or close observation should be used until the monitoring function at the CIC Pro is restored. "Loss of monitoring function" indicators: ‹

RED SCREEN (RED/GRAY screen for second monitor in dual-display configured systems) indicates the CIC Pro application is restarting itself and patient monitoring at the CIC Pro is NOT occurring. The monitoring function at the CIC Pro will automatically resume. No user action is required.

‹

BLUE SCREEN indicates the Windows operating system has a functional error and patient monitoring at the CIC Pro is NOT occurring. If the CIC Pro does not automatically restart after 60 seconds, the monitoring function at the CIC Pro will not resume until you turn off the power to the CIC Pro and then turn the power back on. The monitoring function should resume in approximately 3 to 4 minutes.

Once the monitoring function at the CIC Pro has been restored, verify the correct monitoring state and alarm function.

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Introduction: Safety Information

WARNINGS CIC Pro V4.1.x IS in-unit compatible with CIC Pro V4.0.x, but IS NOT with versions of CIC Pro V3.1 or earlier. Sharing of the same care unit name across CIC Pros having incompatible software versions can result in lost or corrupted telemetry alarm defaults data and loss of audible alarms. Both hardwire and telemetry beds are limited in the number of remote view connections that can be supported. Do not exceed a maximum of 15 CIC Pros in a single logical care unit. Attempting simultaneous displays of a patient monitor (bedside or telemetry) at too many CIC Pros may cause lost or intermittent communication between CIC Pros and the patient monitor. This is evidenced by NO COMM or intermittent communication conditions for the beds. The maximum CIC Pros viewing a patient monitor can vary depending on patient monitor capabilities and network design. Do not load any software other than that specified by GE Medical Systems Information Technologies onto the CIC Pro. Installation of software not specified by GE Medical Systems Information Technologies may cause damage to the CIC Pro or loss or corruption of data.

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Introduction: Equipment Symbols

Equipment Symbols The following symbols appear on the CIC Pro.

ATTENTION: Consult accompanying documents before using the equipment.

Provide electrostatic discharge damage Protection.

USB PORT ICON: USB port. Used primarily for mouse and keyboard connections

UNITY NETWORK MC NETWORK CONNECTION ICON: Ethernet port used for the Unity Network MC network connection.

UNITY NETWORK IX NETWORK CONNECTION ICON: Ethernet port used for the Unity Network IX network connection.

SPEAKER OUT ICON: Speaker/audio port.

VIDEO 1 ICON: Primary video port.

VIDEO 2 ICON: Secondary video port.

COM 1 ICON: Primary communication port.

COM 2 ICON: Secondary communication port.

Power On: Indicates power switch ON position.

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Introduction: Equipment Symbols

Power Off: Indicates power switch OFF position.

Chassis ground connection.

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