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CARESCAPE™ Monitor B850 - Frank`s Hospital Workshop

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1. rnanan nannan 4 10 Print a test Page riccione tt dec DH c E CY 4 11 LICENSES i or ESL t bod a uet ioni 4 11 Enable software package cece cence teen eens 4 11 Host licerisilig s eat i e non dde cac eon Na towed 4 11 Upload licerise file ccc ik e AM del Re Dee HUP ERR 4 12 CORSO Rabe tect ea dere cereos e ON LA E MAU net 4 13 M SE T2 SE inet ete e t a c a oie e DCN 4 13 Settings to send 12SL data 4 13 Settings to view 12SL data 4 13 Admit Settings sorsi pentola eta a Hida deer eds 4 14 Patient ID prefix uz irre RN alal gee ae a 4 14 Barcode settings cipria ba dp eeu ene anres Cr eb oe bart 4 14 Power ftequency ecd eb hei eder edged cds eee ga 4 21 Language cirie ie i bre ex PY ed ter ERU Ente Pan 4 21 National requirements 4 21 Host asset settings icem e Deren fi 4 22 Modules 6 beds xd ahh S RE seta S S iere Sete 4 22 ASSGLSOtlngs iesu rey PR cP vie yd doy ER LT ep der Ride en 4 22 Licerisirig Seine tpe p o redi eter Fed ede e qo 4 23 ECG filter configuration 0 0 0 cece eee eee 4 23 2040384 004D CARESCAPE Monitor B850 V 9 STP TP ST S ttingS cca ale e A 4 24 P PT PP Settings ei cutie a ehe nia nr tdi ates 4 24 PassWoIds zx fen aa A eae hea NE Tec eate ea 4 24 ROMO SEVICE eee dia eere aedes oed ies 4 25 Configuration scel ia Roi i Rab eU sued Be Rede RU 4 25 Contiol cv esr Rep Ix ERE INT DER era 4 26 up i PEL 4 27 Save settings c ir eo c eee ee eS RE eel RARE M
2. CARESCAPE Monitor B850 2040384 004D 2040384 004D The following sample shows the corresponding entries on the Admit Discharge Configuration window Admit Discharge Configuration Length Delimited Parser Item Position 1 300 Length 1 99 eM i Beet Gender Format is B ces Fixed First Name 1 10 Male M or 1 Female Other characters Last Name 21 15 Day of Birth 46 2 Om Month of Birth a8 o 2 Male M Year of Birth 5 4 Foma F Age 3 5 Age Unit Mo 5 Gender ZE o Height 5 5 Height Unit Weight Weight Unit Visit Number m E Primary Physician Referring Physician Fixed Option tem Select Fixed Option Weight Unit Non Fixed Age Unit Non Fixed Configure character delimited parser information Points to note If you configure Age you must either select the Age Unit item or one of the age units e g Years Months Weeks Days under Fixed Option If you configure Height you must either select the Height Unit item or one of the height units e g Feet Inches Meters Centimeters Millimeters under Fixed Option If you configure Weight you must either select the Weight Unit item or one of the weight units e g Kilograms Grams Micrograms Pounds Ounces under Fixed Option For an example of admit discharge configuration for a length delimited parser refer to Sample character delimited parser information entry on page 4 18 In the Positio
3. E modules and the PDM offer a wide variety of parameter acquisition capability to the patient monitoring system Refer to the Module Frames and Modules Technical Manual for detailed information on each E module and the PDM CARESCAPE Monitor B850 2 5 TRAM modules Printers and writers 2 6 TRAM modules are also compatible with the patient monitor and provide parameter acquisition for the patient monitoring system Refer to the TRAM and Tram Rac Modules Supplemental Information manual for detailed information The patient monitor can print to a configured network laser printer or digital writer PRN 50 M or PRN50 with the M port adapter The digital writer thermally records patient data on a 2 inch paper strip The digital writer can graph any parameter or trace that can be viewed on a patient monitor Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices CARESCAPE Monitor B850 2040384 004D Processing unit connections M ports RS 232 serial ports USB ports Network ports 2040384 004D M ports are used for connecting the Unity Network ID connectivity device keypad and digital writer The Unity Network ID connectivity device acquires digital data from up to eight peripheral devices not necessarily manufactured by GE then the device transmits the formatted data to the patient monitor See the appropriate connectivity device technical manu
4. NOTE Activate settings This option is available only when you log into Webmin remotely The option is not available locally at the patient monitor If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Settings On the Sub Modules for Settings menu select Load On the Load Settings window enter the file name or click on Browse to select a file from the Choose file dialog box Select Upload to load the settings When the settings are activated monitors configured for the U S will revert to the international factory default settings To reload the U S factory default settings use the U S defaults CD and follow the procedure to Load settings on page 4 28 NOTE Nw Bow nm Software Management The patient monitor needs to be in a discharged state Log on to Webmin Select the Configuration tab On the Configuration tab select Settings On the Sub Modules for Settings menu select Activate On the Activate Settings window select the settings that you want to activate Select Submit The changes will take effect after the patient monitor is restarted For information refer to the CARESCAPE Monitor B850 Software Installation Instructions 4 28 CARESCAPE Monitor B850 2040384 004D 2040384 004D o Installation checkout CARESCAPE Monitor B850 Overview Visual inspection 5 2 The purpose of this install
5. Polarity NORMAL Neutral CLOSED GND Earth CLOSED 2 Power on device under test 3 Read and record the current leakage indicated on tester NOTE Center tapped and non center tapped supply circuits produce different leakage currents and the UL and IEC limits are different 4 Change leakage tester switches to Polarity NORMAL Neutral OPEN GND Earth CLOSED 5 Read and record the current leakage indicated on the tester 6 Change leakage tester switches to Polarity NORMAL Neutral CLOSED GND Earth OPEN 7 Read and record the current leakage indicated on the tester 8 Change leakage tester switches to Polarity REVERSED Neutral CLOSED GND Earth OPEN 5 8 CARESCAPE Monitor B850 2040384 004D Acceptance criteria NC 9 Read and record the current leakage indicated on the tester 10 Change leakage tester switches to Polarity REVERSED Neutral OPEN GND Earth CLOSED 11 Read and record the current leakage indicated on the tester 12 Change leakage tester switches to Polarity REVERSED Neutral CLOSED GND Earth CLOSED 13 Read and record the current leakage indicated on the tester 14 Set the power switch of the device under test to OFF If measured reading is greater than the appropriate specification below the device under test fails Contact GE Technical Support 100 microamperes 0 1 volts on the tester and the device u
6. On the Network Configuration window screen 2 under MC Network a Enter a Static IP address b Enter a valid Netmask level c Enter a valid Gateway d Select the applicable Speed amp Duplex option If needed configure the MC Static Route a Entera Destination Address b Enter a Destination Netmask c Enteran MC Gateway Under IX Network select DHCP or Manual Configuration If Manual Configuration is selected enter the following information in the entry fields a Entera Static IP address b Enter a valid Netmask level c Entera valid Gateway d Enter valid DNS Server addresses if applicable Select the applicable Speed amp Duplex option Select Save The network configurations will be saved and become active when the system is restarted On the Network Configuration window screen 2 under S S Network enter a Virtual ID NOTE Valid values are within the range of 50000 to 55000 inclusive The Virtual ID must be unique for each patient monitor connected to the S 5 Network Under IX Network select DHCP or Manual Configuration If Manual Configuration is selected enter the applicable information in the entry fields Select the applicable Speed amp Duplex option Select Save The network configurations will be saved and become active when the system is restarted CARESCAPE Monitor B850 2040384 004D Time Unit and bed name 2040384 004D CAUTION NETWORK DEVICE TIME S
7. Ping a TCP IP network device on page 8 5 2040384 004D CARESCAPE Monitor B850 8 11 Problem Possible cause Action Graphs and alarms are not printed at the desired location m Graph location is not configured properly m Printer is not connected to the network m Printer is not configured 1 Verify paper in central station writer is correct side up 2 If the patient monitor was moved from one care unit to another reprogram the graph destinations Refer to the user s manual for instructions m Watch for misspelling or spaces in the name m Make sure that the care unit name programmed into the patient monitor and central station match exactly Typically the care unit name for a patient monitor is not shown on the central station display of a patient s data Only the bed number is shown If the care unit name for a patient monitor does not match the central station care unit name then the patient monitor identification changes The patient monitor identifier shows the care unit name followed by a vertical slash and then the bed number The solution is to modify the patient monitor care unit name to match the central station s care unit name 3 Generate a test print for laser printers only 8 Log onto Webmin Configuration Printers Print Test Page b Select the printer c Select Submit GE service unable to provide remote support through InSite with ExC The IX Network and or
8. defined CARESCAPE Monitor B850 Customer tcp 10001 Software defined transfer DHCP server tcp 67 68 DHCP Packets that are part of the communication initiated by authorized devices in the organization s network are allowed to go out of the IX network reflexive Outbound Sour S Destination Device Protocol Pastination Use device port Any icmp N A ping us1 ws service gehealthcare com tcp 443 InSite with ExC Web Services CARESCAPE US1 rd service gehealthcare com tcp 443 InSite with ExC Monitor B850 Remote Tunnel Citrix Server tcp 1494 Citrix Printer tcp 631 Printing MUSE tcp 80 MUSE Packets that are part of the communication initiated by the patient monitor are allowed into the IX Network reflexive 1 8 CARESCAPE Monitor B850 2040384 004D Maintenance After performing maintenance record the service performed by using the check form provided with the technical manuals Media Access Control Points The patient monitor will ignore all external USB storage devices Product change management Communication 2040384 004D GE has rigorous software verification and validation processes Any software update needs will be communicated by GE The patient monitoring system including all aspects of software should be used as it was intended by GE For detailed product security information go to one of the following Web addresses m http www gehealthcare com usen security m http www gehealt
9. transferred settings the origin and destination and the date and time the settings transfer occurred m Log file transfer history information including the type of log that was transferred the origin and destination and the date and time the log file transfer occurred m Webmin related error messages e g information about EPI layer issues detected by Webmin EMBC Frame logs m Date and time when the EMBC log was last updated m Modbus 0 1 2 and 3 information including the following System information e g Sysinfo packet Log information e g Loginfo packet Module node connection disconnection information e g Module Node Log Module slot information e g addresses and times in the latest modbus frame Modbus frame statistics e g total number of frames number of synchronization errors number of lost frames number of unknown frames PDM log All PDM errors and messages MPC860 Error log The errors that were logged within the code running on the 860 processor TRAM log TRAM module errors CARESCAPE Monitor B850 2040384 004D Download log files View log files 2040384 004D Log Contents System log m OS events and errors including operating system related information such as clinical application startup and recovery information power on self test results etc m InSite with ExC events and errors including InSite with ExC agent related inf
10. with the MC Network IX Network and S 5 Network m USB ports provide USB2 0 standard compliant ports CARESCAPE Monitor B850 6 3 6 4 CARESCAPE Monitor B850 2040384 004D 2040384 004D 7 Maintenance and checkout CARESCAPE Monitor B850 Maintenance schedule The manufacturer recommends that the following is performed by service personnel each time the unit is opened and every 12 months after installation Visual inspection Cleaning Calibration Electrical safety tests Functional checkout WARNING Only perform maintenance procedures specifically described in the manual WARNING Preventive maintenance should be carried out annually Failure to implement the recommended maintenance schedule may cause equipment failure and possible health hazards NOTE The manufacturer does not in any manner assume the responsibility for performing the recommended maintenance schedule unless an Equipment Maintenance Agreement exists The sole responsibility rests with the individuals hospitals or institutions utilizing the device Record test results As you perform the maintenance checkout use the Check form on page B 3 to record the results of each test and to check off each task as you complete it Perform visual inspection Inspect all components of the patient monitoring system Refer to Visual inspection on page 5 2 Cleaning Refer to the appropriate user s manual for cle
11. 2 Configure leakage tester as follows Polarity NORMAL Neutral CLOSED GND Earth CLOSED Leakage Tester i _ LINE 2 1 i Power Cord t NEUTRAL Open i i Me po T EARTH 5 ce NEUTRAL lt Se EARTH i i RVS i Device i MD i Under i i Test NOTE The MD represents the network and voltage measuring instrument and its frequency characteristics per IEC 60601 1 3 Read and record the current leakage indicated on the tester CARESCAPE Monitor B850 2040384 004D 9 Change leakage tester switches to Polarity NORMAL Neutral OPEN GND Earth CLOSED Read and record the current leakage indicated on the tester Change leakage tester switches to Polarity REVERSE Neutral OPEN GND Earth CLOSED Read and record the current leakage indicated on the tester Change leakage tester switches to Polarity REVERSE Neutral CLOSED GND Earth CLOSED Read and record the current leakage indicated on the tester If measured reading is greater than the appropriate specification below the device under test fails Contact GE Technical Support Acceptance criteria normal condition NC USA only 300 uA and the device under test is powered from 100 120 VAC 50 60 Hz USA only 300 uA and the device under test is powered from a center tapped 200 240 VAC 50 60 Hz single phase circuit UL Split Phase
12. 60 Hz with a no load voltage not exceeding 6VAC is passed for at least 5 seconds but no more than 10 seconds through the protective earth terminal or the protective earth pin CARESCAPE Monitor B850 5 5 in the mains plug and each accessible metal part which could become live in case of failure in basic insulation 2 The voltage drop between the parts described is measured and the impedance determined from the current and voltage drop It shall not exceed the values indicated When taking this measurement move the unit s power cord around There should be no fluctuations in resistance Acceptance criteria For equipment without a power supply cord the impedance between the earth terminal of the IEC 60320 AC inlet receptacle and the protective earth PE terminal or any accessible metal part which is protectively earthed shall not exceed 0 1 ohms For equipment with a power supply cord the impedance between the protective earth pin in the mains plug and any accessible metal part which is protectively earthed shall not exceed 0 2 ohms GE recommends that the qualified personnel performing the tests should record the values of this test on the Check form on page B 3 Ground earth wire leakage current tests 5 6 Perform this test to measure current leakage through the ground earth wire of the equipment during normal operation 1 Refer to the instructions contained with the safety analyzer to perform this test
13. 8 Reassemble the display in the reverse order of disassembly NOTE The torque specification for tightening the screws and encoder washer nut is 1 13 0 11 Nm 10 0 1 0 Ibf in 9 Complete the procedures in Recommended checkout on page 9 20 9 16 CARESCAPE Monitor B850 2040384 004D Replace the alarm light and alarm light enclosure 1 Open the display as described on page 9 11 2 Locate the alarm light on the display 3 Pull the alarm light to separate it from the front cover 2040384 004D CARESCAPE Monitor B850 9 17 4 Disassemble the connecting wire from the board C gt 9 18 CARESCAPE Monitor B850 2040384 004D 2040384 004D 5 Disassemble the protective cover from the alarm light to replace the alarm light board 6 Replace the alarm light board and while reassembling the display replace the alarm light enclosure 7 Reassemble the display in the reverse order of disassembly NOTE The torque specification for tightening the screws and encoder washer nut is 1 13 0 11 Nm 10 0 1 0 Ibf in 8 Complete the procedures in Recommended checkout on page 9 20 CARESCAPE Monitor B850 9 19 Recommended checkout 9 20 Perform the recommended checkout procedures for the applicable FRU FRU description Functional checkout procedures TRIM KNOB and rotary switch m Electrical safety tests on page 5 3 m Patient monitor functional tests on
14. FCC USA only Complies with applicable US government Federal Communications Commission radio frequency interference regulations Fragile Handle with care Fuse Replace with identical type and rating fuse Gas inlet Gas outlet General alarm Home Return to the main display Humidity limitations Keep dry Protect from rain Manufacturer name and address CARESCAPE Monitor B850 2040384 004D 2040384 004D Mercury This product consists of devices that may contain mercury which must be recycled or disposed of in accordance with local state or country laws Within this system the backlight lamps in the monitor display contain mercury ON Power connection to the mains Power indicator OO Power supply connector eo A x O z T c ao Power switch Prescriptive Device USA only For use by or on the order of a Physician or persons licensed by state law Press to open Protective earth ground Connectors grounded to the AC power source Recycled materials or may be recycled 2 5G m N Russia only GOST R mark Serial interface B Signal power input CARESCAPE Monitor B850 1 13 1 14 Signal power input output combined Signal power output Stacking limit by number Gm PQ Standby or power indicator o o o o Temp
15. Monitor B850 2040384 004D Barcode scanner Printer and writer Navigate to Admit Discharge window by selecting Data amp Pages gt Admit Discharge or Start End Case Verify that Scan from Barcode button is enabled Scan the barcode Verify that information is populated in the appropriate fields patient demographics height weight etc A configured laser printer will display in Webmin See Test connected devices using Webmin on page 5 18 Print a test page from Webmin or the patient monitor Make sure the software is configured to print to the PRN 50 M digital writer Press Print Waveforms on the display keypad or remote and make sure the writer prints a strip Unity Network ID connectivity device Verify that the Unity Network ID s parameters are displayed on the screen Acquisition modules Verify that all the connected parameters are displayed on the screen Network communication MC Network and S 5 Network Perform the following test for a patient monitor that is connected to an MC Network or S 5 Network l 2 2040384 004D Check that a network symbol is displayed in the upper right corner of the screen Make sure at least one other bed is on the network From the Main Menu area select Data amp Pages gt Other Patients and select a patient from the list Select Show and verify that a window with parameters from another patient displays to the left side of the screen Select Close View to
16. Physiological signal levels as low as 0 1 micro volts are measured Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the equipment is used exceeds the applicable RF compliance level above the equipment should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the equipment Over the frequency range 150 KHz to 80 MHz field strengths should be less than 2 V m A 4 CARESCAPE Monitor B850 2040384 004D Recommended separation distances The table below provides the recommended separation distances in meters between portable and mobile RF communications equipment and the CARESCAPE Monitor B850 The CARESCAPE Monitor B850 is intended for use in the electromagnetic environment on which radiated RF disturbances are controlled The customer or the user of the CARESCAPE Monitor B850 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the CARESCAPE Monitor B850 as recommended below according to th
17. appear in the software user interface Active audio alarms paused indicator Indicates an active audio alarm is temporarily paused Alarm off indicator Indicates the alarm is disabled turned off Alarm priority indicator High red Indicates a high priority alarm Alarm priority indicator Medium yellow Indicates a medium priority alarm Alarm priority indicator Low blue Indicates a low priority alarm Alarm volume icon Adjust the minimum alarm tone volume Ed 5f s Audio alarms off indicator Indicates the specified alarm group ALL APN APN ECG or ECG audio alarms are turned off Audio alarms paused indicator Indicates all audio alarms are paused and the amount of time remaining for the alarm pause period displays as a countdown timer Beat volume icon Adjust the volume of the QRS beep tone BIS and Entropy sensor impedance check indicator Displays for each sensor as the impedance check is in progress BIS and Entropy sensor impedance check error indicator Indicates the specified sensor failed the impedance check CARESCAPE Monitor B850 1 17 1 18 BIS and Entropy sensor impedance check passed indicator Indicates the specified sensor passed the impedance check Completed NIBP volume icon Adjust the volume of the tone that sounds when an NIBP measurement result is available Home icon Close all menus
18. applications displayed on the monitor Locking setting indicator Indicates this setting is locked and cannot be adjusted Bole Manual NIBP icon Start a manual NIBP measurement Nellcor OxiMax SatSeconds indicator Indicates the amount of time the SpO2 saturation is outside the limits before alarms are generated NMT Stimulus beep volume icon Adjust the volume of the tone that sounds when a stimulus pulse is generated P Network connection indicator Indicates the monitor is connected to the Local Area Network LAN is i Pause audio alarms icon Selecting this option results in different silence alarm behaviors depending whether alarms are active and or latched or not For more information refer to the user s manual PDM battery charging indicator Indicates the battery is charging PDM battery failure indicator Indicates the battery is not available for use PDM battery gauge indicator Indicates the charge level of the battery err rmm 2 min Progress bar Indicates the amount of time remaining until the next automatic measurement Reminder volume icon Adjust the volume of the tone that sounds every two minutes when audio alarms are turned off gt ol il Respiration indicator Indicates a breath is detected by the impedance respiration algorithm CARESCAPE Monitor B850 2040384 004D Snapshot indicator Indicates the event has an ass
19. by using the Internet for secure communications between the customers and GE s firewalls InSite with ExC consists of Enterprise Server which resides at GE s support center and Remote Service Agent that resides on a system at the customer site or on a PC controlling the system s at the customer site CARESCAPE Monitor B850 2 9 2 10 CARESCAPE Monitor B850 2040384 004D 2040384 004D 3 Hardware installation CARESCAPE Monitor B850 Installation requirements Environmental Pre installation 3 2 For information about the operating environment for the patient monitor refer to Intended use on page 1 2 Check the CARESCAPE Monitor B850 Technical Specifications Supplement for power temperature and operating conditions requirements Make sure the following is in place before installing the patient monitoring system hardware m Power outlets that meet the required power specifications for each of the following 999 patient monitor each display powered Tram Rac housing Unity Network ID and each interface device PRN 50 M digital writer m Network port for CARESCAPE Network Mission Critical MC or S 5 Network m Network port for CARESCAPE Network Information Exchange IX m Mounting hardware for the monitor display s and acquisition modules CARESCAPE Monitor B850 2040384 004D Mounting Water shield 2040384 004D The patient monitor ships with a mounting plate on the bottom
20. close the window CARESCAPE Monitor B850 5 17 iPanel software Perform the following test for iPanel software 1 From the Main Menu area select Data amp Pages gt iPanel and verify that the iPanel home page is launched correctly 2 Exit the iPanel software a Select the About button on the iPanel toolbar b Select Exit iPanel Software on the About iPanel Software window Insite with ExC Contact your local online support center to find out if they can view the patient monitor Test connected devices using Webmin Make sure all parameter modules are securely installed in housings to ensure that the Tram Rac housing and E Module Frame is tested as part of the parameter tests Connected devices and network communication can be checked using Webmin as follows l Log in to Webmin 2 Select Information gt Device Information 3 Verify that all connected module racks parameter modules Unity Network ID interfaces displays writers USB input devices and network connections are identified If a connected device is not found it is not communicating Complete check form Complete the Check form on page B 3 5 18 CARESCAPE Monitor B850 2040384 004D 2040384 004D 6 Patient monitor repair overview CARESCAPE Monitor B850 Introduction This section of the manual describes the controls indicators connectors and signals of the main components of the patient monitor The patient monitor i
21. db 10 4 Appendix A Electromagnetic compatibility A 1 Electromagnetic compatibility EMC eee eee eens A 2 Guidance and manufacturer s declaration electromagnetic emissions A 2 Guidance and manufacturer s declaration electromagnetic immunity A 3 Guidance and manufacturer s declaration electromagnetic immunity A 4 Recommended separation distances cece eee eee eens A 5 Compliant cables and accessories A 6 Appendix B Check form B 1 Completing the check form eee eee eee e B 2 Check form erret xen ee e one Ree de Reed B 3 2040384 004D CARESCAPE Monitor B850 ix CARESCAPE Monitor B850 2040384 004D 2040384 004D 1 Introduction CARESCAPE Monitor B850 Manual information Revision history Intended use 1 2 Each page of the document has the document part number and revision at the bottom of the page The revision changes whenever the document is updated Revision Comment A Initial release B Updated the CARESCAPE Monitor B850 Addendum for Device Compatibility C Configure Time Zone added in Time configuration and Module voltage low case added in error messages Updated the Replace the processor board and Replaceable parts chapters D Hostname configuration chapter added Network configuration and Citrix chapters updated The CARESCAPE Monitor B85
22. enclosure This facilitates all mounting options for the monitor For details refer to the mounting instructions included with the mounting hardware For details about the available mounting solutions refer to the Mounting Reference Guide NOTE The GE logo can be rotated for vertical mounting configurations Rotating GE logo o For vertical mounting configurations a water shield is available The water shield lowers the probability of the ingress of fluids into the assembly The shield can be installed in two orientations and should be placed to ensure the top surface of the patient monitor is protected For details refer to the installation instructions included with the water shield CARESCAPE Monitor B850 3 3 Connect system components 3 4 WARNING INCOMPATIBLE DEVICES Before connecting an interfacing module to the device verify compatibility Verify the connectivity of device interfaces before using the equipment Verify the compatibility of software versions before using the equipment WARNING EXCESSIVE LEAKAGE CURRENT When interfacing the device with other equipment the devices may only be interconnected with each other or to parts of the system when it has been determined by qualified biomedical personnel that there is no danger to the patient the operator or the environment as a result WARNING POWER SUPPLY The device must be connected to a properly
23. form on page B 3 CARESCAPE Monitor B850 5 15 Installation checkout procedure Perform the following installation checkout procedures for the patient monitoring system If any peripheral devices are connected to the patient monitor perform the applicable tests Interface devices Display 1 Verify the following are working properly alarm light sounds USB hub keypad 9999 touch 2 Verify that all text on the display screen is readable 3 Verify that all images on the display screen are clear Touchscreen Verify that touching a parameter window displays the screen information for that parameter Keypad and remote 1 Press the Data amp Pages key and select the Admit Discharge or Start End Case by using the TRIM KNOB 2 Verify that the TRIM KNOB can be used to navigate and select the Admit Discharge or Start End Case button Mouse 1 Fora mouse that is connected to a USB port move the mouse cursor over to Data amp Pages and select Admit Discharge or Start End Case 2 Verify that the cursor moves and a new window is displayed Keyboard 1 Make sure that the language of the keyboard and clinical application matches 2 Navigate to Edit Name amp Number window by selecting Data amp Pages Admit Discharge or Start End Case Edit Name amp Number 3 Select the Last Name field and type all characters on the keyboard 4 Verify that typed keys are correctly displayed 5 16 CARESCAPE
24. hospital network is not configured properly m Make sure the IX Network cables are connected properly both ends of the cable are plugged into the correct ports m Make sure the IX Network is active m Make sure that the proxy server is properly configured refer to Remote service on page 4 25 and that the remote service agent is enabled refer to Control on page 4 26 Serial number is corrupted Make sure the serial number exists 1 Log onto Webmin Information Configuration Information 2 Make sure the host serial number matches the physical serial number label Unable to log onto the Webmin service interface remotely via the IX Network m The patient monitor is not connected to the IX Network m The network is not configured properly m The PC used to launch Webmin remotely is not configured properly m The wireless card is on and is conflicting with wired IX connection m The computer is too slow and does not support networking m Try to ping the patient monitor Refer to Ping a TCP IP network device on page 8 5 m Verify that the patient monitor is properly connected to the IX Network m Contact GE service 8 12 CARESCAPE Monitor B850 2040384 004D Problem Possible cause Action Unable to read from or write to the USB memory stick The patient monitor does not support USB memory sticks Barcode scanner cannot read the barcode The barcod
25. installed power outlet with protective earth contacts only If the installation does not provide for a protective earth conductor disconnect the monitor from the power line All devices of a system must be connected to the same power supply circuit Devices which are not connected to the same circuit must be electrically isolated when operated electrically isolated RS232 interface WARNING Do not under any circumstances remove the grounding conductor from the power plug Always check that power cord and plug are intact and undamaged CARESCAPE Monitor B850 2040384 004D Power cords Connect power cords to the mains power supply inlet and to a wall outlet on all system components that require AC mains power input Do not power on any devices NOTE Be sure that all power cords are securely connected and that they are routed through the retaining clips as applicable Be sure that the retaining clips are not damaged or broken and that they are securely attached to the device Rear panel connections Refer to the figure below for the patient monitor rear panel connections RS232 DVI I 3 optional Power cord Network 1 and 2 only for iPanel software NEM 0 eee asta e e soe o 2 DO i s 4 e 6 os EB e v ete etete 0 PRI I a i Hc A a Equipotential post USB 1 4 ePort Tramnet DVI D 2 connection i The following connectors are available for system components Four USB ports Two Ethe
26. login to the Webmin server on localhost Username Password Login Clear Host Serial Number SED08150123GP Host Software Version 1 0 0 IX IP Address 3 20 78 28 2 Continue to Log into Webmin on page 4 4 4 2 CARESCAPE Monitor B850 2040384 004D Using a service PC over the network 6 Verify that the patient monitor is connected to a live IX Network Record the IP and Netmask addresses of the patient monitor Static IP address Netmask Verify that the service PC is on the same network as the patient monitor by performing a network ping to the patient monitor If needed configure the service PC s IP and Netmask addresses From a computer connected to the same network as the patient monitor launch a web browser In the Address field type https IX IP address 10000 and press Enter NOTE IX IP address is the IX Network IP address of the patient monitor The Login to Webmin dialog box displays DTUPTUESDZZTULUEUUMICUTITU CENE STE Login to Webmin You must enter a username and password to login to the Webmin server on 3 20 78 28 Username Password Login Clear Host Serial Number SED08150123GP Host Software Version 1 0 0 IX IP Address 3 20 78 28 Continue to Log into Webmin on page 4 4 Using a service PC with a crossover cable 2040384 004D 1 Verify that the IX Network on the patient monitor is configured in manual configuration
27. mode Record the IP and Netmask addresses of the patient monitor Static IP address Netmask Verify that the service PC s network is configured in manual configuration mode to allow communication with the patient monitor If needed configure the service PC s IP and Netmask addresses Verify that the service PC is able to perform a network ping to the patient monitor See Ping a TCP IP network device on page 8 5 Connect a correctly configured service laptop to the CARESCAPE Network IX connection port on the patient monitor using a crossover cable CARESCAPE Monitor B850 4 3 Log into Webmin 4 4 8 Launch a web browser In the Address field type https IX IP address 10000 and press Enter NOTE IX IP address is the IX Network IP address for the host monitor The Login to Webmin dialog box displays Webmin on GE 00D0C9A912DF Windows Internet Explorer ni xl You must enter a username and password to login to the Webmin server on 3 20 78 28 Username Password Login Clear Host SerialNumber SED08150123GP Host Software Version 1 0 0 IX IP Address 3 20 78 28 Continue to Log into Webmin on page 4 4 WARNING Control of this user s password is critical to ensure that Webmin on this device is accessed by only trained and authorized personnel Failure to limit access of Webmin to trained and authorized personnel only may compromise patient sa
28. of a typical commercial IEC 61000 4 5 2 kV common mode 2 kV common mode or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 lt 5 U gt 95 dip in Uj for 0 5 cycles lt 40 U 26096 dip in U for 5 cycles lt 70 U 23096 dip in Uj for 25 cycles lt 5 U gt 95 dip in Ui for5s lt 5 U gt 95 dip in U for 0 5 cycles lt 40 U 26096 dip in Uy for 5 cycles lt 70 U gt 30 dip in Uy for 25 cycles lt 5 U gt 95 dip in Uj for5s Mains power should be that of a typical commercial or hospital environment If the user of the equipment requires continued operation during power mains interruptions it is recommended that the equipment be powered from an applicably rated uninterruptible power supply or a battery Power frequency 50 60 Hz Magnetic Field IEC 61000 4 8 3 A m 3 A m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment 2040384 004D NOTE U is the AC mains voltage prior to application of the test level CARESCAPE Monitor B850 A 3 Guidance and manufacturer s declaration electromagnetic immunity The CARESCAPE Monitor B850 is intended for use in the electromagnetic environment specified below It is the responsibility of the customer or user to assure that t
29. page 7 4 Alarm light and alarm light enclosure m Electrical safety tests on page 5 3 m Patient monitor functional tests on page 7 4 CARESCAPE Monitor B850 2040384 004D 10 Service parts 2040384 004D CARESCAPE Monitor B850 Ordering parts Patient monitor Replaceable parts 10 2 The parts listed in this section are orderable replaceable parts To order parts contact Service Parts at the address or telephone number listed on the How to Reach Us page included with this manual Part number Description And number 2021440 002 Power supply Includes power inlet module harness that A connects to CPU board and power supply bracket Order hardware kit 2021440 006 if any replacement screws are needed 2021440 003 CPU PCB assembly B 2021440 004 Enclosure kit Includes front bezel enclosure cover back C panel and back panel labels Order hardware kit 2021440 006 if any replacement screws are needed 2021440 005 Speaker assembly Includes speaker with harness D 2021440 006 Hardware kit Contains complete set of replacement screws E for all replaceable assemblies and chassis EMI gaskets 2021440 007 Label kit F 2021440 008 Lithium ion battery 10 pack G 2021440 009 M Port keypad kit Includes all language labels 2021440 011 Remote control kit Includes all language labels 2021440 013 3rd video card H CARESCAPE Monitor B850 20
30. service tasks such as configuration maintenance and troubleshooting Refer to the CARESCAPE Monitor B850 Defaults Reference Manual for care area specific software and features CARESCAPE Monitor B850 2 3 Displays Displays integrate auditory and visual alarms and are available in 15 inch non touch or 19 inch touch LCD with integrated keypads Both displays include an integrated alarm light 15 inch non touch LCD 19 inch touch LCD Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices Input devices Input devices include remote control keypad keyboard mouse and barcode reader m The remote control and keypad provide 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 at the back of the processing unit or at the bottom of the display The keypad is connected to an M port and can be mounted on the display or on a separate holster that has various mounting configurations m A standard keyboard and mouse may be connected to the patient monitor or display via one of the USB connectors on the back of the processing unit or at the bottom of the display m The barcode reader which may be connected to the patient monitor or display via one of the USB connectors on the back of the processing unit or at the bottom of the display can be used to scan patient data fr
31. 0 is a multi parameter high acuity patient monitor intended for use in multiple areas within a professional healthcare facility The CARESCAPE Monitor B850 is intended for use on adult pediatric and neonatal patients and on one patient at a time The CARESCAPE Monitor B850 system is indicated for monitoring of Hemodynamic including ECG ST Segment Arrhythmia Detection ECG Diagnostic Analysis and Measurement Invasive Pressure Noninvasive Blood Pressure Pulse Oximetry Cardiac Output Temperature Impedance Respiration and SvO2 Mixed Venous Oxygen Saturation Airway Gases Fi Et CO2 O2 N20 and Anesthetic Agent Spirometry Gas Exchange O2 Consumption VO2 CO2 production VCO2 energy expenditure EE and respiratory quotient RQ and neurophysiological including electroencephalography EEG Entropy Bispectral Index BIS and Neuromuscular Transmission NMT Monitoring status The CARESCAPE Monitor B850 provides alarms trends snapshots and events and calculations and can be connected to displays printers and recording devices The CARESCAPE Monitor B850 can be a stand alone monitor or interfaced to other devices It can also be connected to other monitors for bed to bed viewing and to data management software devices via a network The CARESCAPE Monitor B850 is intended for use under the direct supervision of a licensed healthcare practitioner or by personnel trained in proper use of the equipment in a professional healthc
32. 40384 004D Exploded view 2040384 004D CARESCAPE Monitor B850 Display Replaceable parts 10 4 Part number Description 2042901 001 FRU Display 15 inch full keypad ENG 2042901 002 FRU Display 15 inch full keypad GER 2042901 003 FRU Display 15 inch full keypad FRE 2042901 004 FRU Display 15 inch full keypad SWE 2042901 005 2042901 006 FRU Display 15 inch full keypad SPA FRU Display 15 inch full keypad ITA 2042901 007 FRU Display 15 inch full keypad DUT 2042901 008 FRU Display 15 inch full keypad DAN 2042901 009 FRU Display 15 inch full keypad NOR 2042901 011 FRU Display 15 inch full keypad POR 2042901 014 FRU Display 15 inch full keypad HUN 2042901 015 FRU Display 15 inch full keypad POL 2042901 016 FRU Display 15 inch full keypad CZE 2042901 018 2042909 001 FRU Display 15 inch full keypad FIN FRU Display 19 inch with touch screen 2042975 001 FRU Remote alarm light PCB 2042976 001 FRU Display TRIM KNOB and switch CARESCAPE Monitor B850 2040384 004D 2040384 004D A Appendix A Electromagnetic compatibility CARESCAPE Monitor B850 Electromagnetic compatibility EMC Changes or modification to this device system not expressly approved by GE Healthcare may cause EMC issues with this or other equipment This device system is designe
33. 5 Network USB devices and serial devices The processor board also contains the uDOM which stores all software to upgrade the patient monitor The power supply has four outputs 3 4VDC and 5 1 VDC for CPU and two separate floating 16 75VDC outputs for ePort Tramnet ports The power entry module provides an AC input connector and a power on off switch The speaker is used for audible feedback to the end user The enclosure houses the circuit boards and speaker and provides a means for mounting the patient monitor The cover provides the top portion of the enclosure as well as the aesthetics and a platform for mounting a display The rear panel protects and labels connectors on the back of the unit The front bezel provides aesthetics for the front of the unit Controls and indicators Connectors 2040384 004D A green LED illuminates on the front of the patient monitor to indicate when the unit is powered An AC mains power switch is on the rear of the unit m M Ports Multi protocol Port communications interface provide serial and ethernet communication m DVI I and DVI D video ports provide communication with analog and digital displays RS232 serial ports provide communication with a serial touchscreen ePort Tramnet ports provides communication with acquisition devices within the bedside care area Power supplied to each port is 16 75 VDC 596 m CARESCAPE Network ports are 10 100BaseT ethernet ports for communication
34. 5 P6 E PRESTN PSMP ECG SpO2 E PRETN ECG P1 P2 E RESTN PSM ECG Sp02 M BIS Test from DSC BIS connector M COP M COPSv P4 M EEG EEG M ENTROPY Entropy Test from Entropy cable M NMT NMT M NSAT SpO2 M P M PT P3 M PP P5 P6 M PRESTN ECG SpO2 M PRETN ECG P1 P2 M RESTN ECG SpO2 CARESCAPE Monitor B850 2040384 004D 2040384 004D Module Patient connector Masimo SpO2 SpO2 PDM ECG SpO2 SpO2 SpO2 TRAM 250SL ECG SpO2 TRAM 450SL ECG Sp02 TRAM 451 ECG SpO2 TRAM 451M ECG SpO2 TRAM 451N ECG Sp02 TRAM 451N5 ECG Sp02 TRAM 850SL ECG Sp02 TRAM 851 ECG Sp02 TRAM 851M ECG SpO2 TRAM 851N ECG SpO2 TRAM 851N5 ECG SpO2 CARESCAPE Monitor B850 5 11 Patient source leakage current test This procedure only applies to Class I grounded earthed equipment and measures the leakage current from the ECG RESP connector or the SPO2 connector of the device to ground This procedure applies to all parameter modules connected to the patient monitor For each module test only those patient connections that are listed in the table on page 5 9 Leakage Tester mao LINE 9 Power Cord UNE __ NEUTRAL T __ EARTH T NEUTRAL lt EARTH 3 9Rvs Device i Patient connector Under Test Body Test MD S NOTE The MD represents the network and voltage measuring instrument
35. 81 If Day of Birth is present in the barcode then Month of Birth and Year of Birth also need to be present Month of Birth 2 1 12 If Month of Birth is present in the barcode then Day of Birth and Year of Birth also need to be present Year of Birth 4 1880 to current year If Year of Birth is present in the barcode then Day of Birth and Month of Birth also need to be present Age 99 Numeric 9999 9999 Either a period or comma is accepted as a decimal symbol Age Unit 99 m A Y YR YRS years m MO MOS months m WK WKS weeks m D DAY DYS days Gender 1 If gender is configured not fixed this must be 1 character Height 99 Numeric 9999 9999 Either a period or comma is accepted as a decimal symbol Height Unit 99 m FT feet m IN inches m M meters CM centimeters m MM millimeters Weight 99 Numeric 9999 9999 Either a period or comma is accepted as a decimal symbol Weight Unit 99 m KG KGS kilograms m G GM GMS grams m MCG micrograms m OZ OZS ounces m LB LBS pounds Visit Number 99 Forbidden characters are those that are not allowed by the Primary Physician 99 Both letters and numbers monitor including the following characters I 096 amp 2 OG C V 5l Referring Physician 99 4 20 CARESCAPE Monitor B850 2040384 004D Power frequency Language National requirements WARNING Incorrect power line frequency setting could adversely affect ECG and EEG proc
36. 850 Addendum for Device Compatibility ePort 1 Tramnet 1 connected devices Tram Rac PDM Tram Rac housing F5 F7 housing AC Mains Frame Frame powered PDM X X X X Tram Rac X X housing ePort2 Tram Rac x x x x x Tramnet 2 connected nous ng AC Mains devices powered F5 Frame X X X F7 Frame X X In the table above m X supported m Shaded not supported Example If a PDM is connected to ePort 2 you cannot connect a second PDM to ePort 1 However you can connect one of the following devices to ePort 1 Tram Rac housing CARESCAPE Monitor B850 Tram Rac housing AC Mains powered F5 Frame F7 Frame 3 19 3 20 To connect the Tram Rac housing to an ePort Tramnet connector 1 Install the ferrite blocks that came with the patient monitor to both ends of the Tram Net cables a Place one end of cable in the groove of the ferrite block approximately 26 mm 1 in from the end of the cable Approximately 26 mm 1 in b Press the sides of the block together until you hear a click Make sure both snap fingers are fully engaged and they are flush against the housing E c Repeat steps a and b for the other end of the cable d Repeat steps a c for all Tram Net cables 2 Connect the Tram Rac housing to an ePort Tramnet connector with ferrite blocks on the patient monitor ferrite blocks NOTE A TRAM m
37. 870 or equivalent Instead of the test bodies in the safety test body kit other applicable test bodies with pins connected together may be used Perform electrical safety tests using an electrical safety analyzer per IEC 60601 1 UL 60601 1 EN 60601 1 or CSA C22 2 No 601 1 The schematics in this section provide a general understanding of the test equipment Actual configuration of test equipment may vary The patient monitor being tested should be placed on an insulating surface NOTE Before proceeding make sure that all test equipment is properly calibrated and functioning Ensure that all the system components are correctly connected as described in Connect system components on page 3 4 Verify that the power outlet is wired correctly per the country s electrical code standard before starting the following electrical safety tests The results of the following tests will be inaccurate unless a properly wired power outlet is used Use only non isolated power outlets when performing safety tests Verify the power cord being used with the patient monitor is good The following are a couple of things to check for in this regard m Inspect the power cord for wear or damage regularly If damage is suspected test for continuity through each conductor of the power cord connector m Verify line neutral and earth conductors are properly connected to the power cord plug and are not short circuited Replace the power c
38. DEVETEECDERFTQQUTT 5 15 Testcompletion si o LPS EE RI e er x Rue E PEE ES 5 15 Installation checkout procedure iii 5 16 Interface devices ec rece aiar S ERES Peewee ds 5 16 Bar CIS 5 16 TOUCKSCIOON cei teg tr Rr rete ERE RIP eG 5 16 Keypad and remote mm 5 16 Mouse arri ot ia T aded ten norte 5 16 Keyboard rede Lara 5 16 vi CARESCAPE Monitor B850 2040384 004D Barcode Scanner x t woe anew RO ele ol ER REN ee 5 17 Printer and WEIter mee te Rt e eL E teen EP HUP EE Cs 5 17 Unity Network ID connectivity device sisse 5 17 Acquisition modules LL 5 17 Network communication 5 17 MC Network and S 5 Network 5 17 iPariel SoftWare ioo ose endet i Eb Pee ERU 5 18 Insite With pea ara Ae GANG hah ae ee RG RE EDI Tan Rs 5 18 Test connected devices using Webmin 0 cece eee eee eee 5 18 Complete check form i 5 18 Patient monitor repair overview 6 1 Introduction 2 ov ila aei ein dees 6 2 Main components s seen Hn nne 6 2 Processor DOardc conan ci cdo ae aang Leeds MADE ET 6 3 PoWer Supply zd pepe tbc tU pea t oce ER e ER n 6 3 Speaker rois deret se bead sherds petbudss SEE sd Meth acess 6 3 EnCloSUI8 51s orte DI cepe e I rU due es 6 3 Controls and indicators sssseseee mmm 6 3 Connectors i eau euo blade M acs 6 3 Maintenance and checkout 7 1 Maintenance sche
39. Device Compatibility for a list of compatible devices To install and configure the RAB or RAB RL follow the instructions as described in the Remote Alarm Box RAB and Remote Alarm Box with Remote Light RAB RL Service Manual for the Solar monitor NOTE The RAB and RAB RL will function when the patient monitor s alarm tone is configured to either Legacy or IEC 3 22 CARESCAPE Monitor B850 2040384 004D USB devices After connecting the USB touchscreen connect other USB input devices such as keyboard mouse barcode reader and remote USB extender restrictions USB ports support passive extenders up to a total of 5 m 16 4 ft per USB 2 0 standards The standard keyboard is supplied with a 1 8 m 6 ft cable so a USB passive extender up to an additional 3 2 m 10 5 ft can be used NOTE Refer to the CARESCAPE supplies and accessories document for compatible cables and accessories Laser printer WARNING EXCESSIVE LEAKAGE CURRENT Laser printers are UL 60950 IEC 60950 certified equipment which may not meet the leakage current requirements of patient care equipment This equipment must not be located in the patient environment unless the medical system standard EN 60601 1 1 is followed Do not connect a laser printer to a multiple socket outlet supplying patient care equipment The use of multiple socket outlet for a system will result in an enclosure leakage current equal to the sum of all the individual earth lea
40. ECIERE RAE 4 27 Eoad settings oes em aa ira pb Cre ional Ueber IUS en 4 28 Activate Setlinigs toe to one het e ge e ete 4 28 Software Management 4 28 Installation checkout 5 1 OVE EW 2 ecl einIizUk ett UE eee nalts elle ARE NE EE 5 2 Visual inspectlon arcieri eo era 5 2 Electrical safety tests rei 5 3 Recommendations sceoz ker e eb puce vp Eq PEE pec 5 3 Test equipment meteoriti es b rp 54 SQUID ve esee dete ge UE TET Re EE MUI et Piers a Re eU 5 4 Power outlet test iss 8003 rE ee alal GS a lari 5 4 Power cord and plug croce p Reb SER ERE PR 54 Ground earth integrity Li 5 5 Ground continuity test 5 5 Impedance of protective earth connection 5 5 Ground earth wire leakage current tests LL 5 6 Acceptance criteria normal condition NC 5 7 Acceptance criteria single fault condition SFC ground earth line or neutral OPEN corteo Ae ater nu deh lava inst eti os Moca sut die 5 7 Enclosure touch leakage current test 5 8 Acceptance criteria NC 5 9 Acceptance criteria SFC ground earth line or neutral open 5 9 Patient leakage current tests 5 9 Patient source leakage current test 5 12 Acceptance criteria NC 5 13 Acceptance criteria SFC ground earth line or neutral open 5 18 Patient sink leakage current test mains voltage on the applied part 5 14 Acceptance criterias cae cae Ang EE DRE Y GG
41. ESCAPE Monitor B850 2040384 004D 4 Connect the Type B plug of the standard USB cable to the upstream port Type B USB port on the bottom of the display DVI I connector E I Type B USB port Type A USB ports Non medical grade displays The patient monitor with a non medical grade display which is IEC 950 rated or equivalent meets UL and IEC specifications if a medical grade isolation transformer is used If a non medical grade display is to be used the configuration must meet the IEC 60601 1 1 standard Refer to IEC 60601 1 1 for requirements if using non medical grade displays in the patient environment Interface devices 1 Connect a USB keyboard mouse remote or barcode scanner to available USB ports 2 Connect the following interface devices to an M Port on the front panel Unity Network ID connectivity device PRN 50 M keypad LED M Ports M1 M4 2040384 004D CARESCAPE Monitor B850 3 11 Networks WARNING MISSED ALARMS Do not use with iCentral software with Versions 5 0 2 and earlier or with Mobile Care Server with Version 5 2 and earlier WARNING INCORRECT CALCULATIONS Using the CARESCAPE Monitor B850 with the Aware Gateway software version 1 4 or earlier could result in incorrect patient height and weight information This could lead to incorrect drug dose calculations hemodynamic calculations or oxygenation calculations Prior to install
42. Exemption 500 uA and the device under test is powered from a non center tapped 200 240 VAC 50 60 Hz single phase circuit Acceptance criteria single fault condition SFC ground earth line or neutral open 2040384 004D m USA only 300 uA and the device under test is powered from 100 120 VAC 50 60 Hz m USA only 300 uA and the device under test is powered from a center tapped 200 240 VAC 50 60 Hz single phase circuit UL Split Phase Exemption m 1000 uA and the device under test is powered from a non center tapped 200 240 VAC 50 60 Hz single phase circuit NOTE Center tapped and non center tapped supply circuits produce different leakage currents and the UL and IEC limits are different CARESCAPE Monitor B850 5 7 Enclosure touch leakage current test Perform this test to measure current leakage through exposed conductive surfaces on the device under test during normal operation Refer to the instructions contained with the safety analyzer to perform enclosure leakage current test Leakage Tester LINE Cl SERTI T 2 NORM Power Cord TS a NEUTRAL 1 Open H i EARTH Closed g TAL Do EARTH RVS AP Open o Device Closed Under i Test Probe to exposed MD conductive chassis PE Vv NOTE The MD represents the network and voltage measuring instrument and its frequency characteristics per IEC 60601 1 1 Configure leakage tester as follows
43. GE backoffice servers These values are read only Serial Number Identifies the unit and is set at the 270 are unique time of manufacture CARESCAPE Monitor B850 4 25 Remote Service Configuration Item Description Comments Enterprise URL If required designate the address of the GE backoffice servers required to communicate with the Remote Service Agent Enterprise Tunnel URL If required designate the address of the GE backoffice servers required to communicate with the tunneling agent This address should never be changed unless explicit instructions are given to do so Protocol Identifies the protocol used to communicate with the enterprise servers This field is read only and cannot be changed 5 Select Save The changes will take effect immediately Control After the server has been configured for remote serviceability the remote service agent must be enabled for use NOTE Be sure that you have read and understood all associated InSite 2 0 documentation including Remote service on page 4 25 By enabling Remote Service you are enabling supported Remote Service features for this device 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 On the Configuration tab select Remote Service 3 On the Sub Modules for Remote Service menu select Control 4 Under Remote Service Control o
44. GE Healthcare CARESCAPE Monitor B850 Technical Manual Software Version 1 CARESCAPE Monitor B850 English 2040387 004 CD 2040386 004D paper 2009 2011 General Electric Company All rights reserved NOTE The information in this manual applies to CARESCAPE B850 monitors NOTE For technical documentation purposes the abbreviation GE is used for the legal entity name GE Medical Systems Information Technologies and GE Healthcare Finland Oy Listed below are GE Medical Systems Information Technologies and GE Healthcare Finland Oy trademarks used in this document All other product and company names contained herein are the property of their respective owners MUSE TRAM Tram Net Tram Rac TRIM KNOB and Unity Network are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademarks Office 12SL CARESCAPE and iPanel are trademarks of GE Medical Systems Information Technologies Entropy is a trademark of GE Healthcare Finland Oy NOTE The Patient Data Module PDM is described in promotional materials as the CARESCAPE Patient Data Module NOTE A portion of the Entropy software is derived from the RSA Data Security Inc MD5 Message Digest Algorithm T 2 CARESCAPE Monitor B850 2040384 004D 5 January 2012 Master table of contents Patient monitor technical manual Notes to the reader This technical manual is presented in two parts m Part I system ins
45. Network communication Patient source leakage current SFC lt 50pA uA Patient monitor functional tests Patient sink leakage current lt 50pA uA Alarm checkout Test completion Parameter checkout Parts replaced Test results Pass Fail _ Signature of tester Date 2040384 004D CARESCAPE Monitor B850 B 3 B 4 CARESCAPE Monitor B850 2040384 004D GE Medical Systems Information Technologies Inc 8200 West Tower Avenue Milwaukee WI 53223 USA Tel 1414 355 5000 1 800 558 5120 US only Fax 14145355 3790 GE Medical Systems Information Technologies GmbH Munzingerstrasse 5 79111 Freiburg Germany Tel 4976145 43 0 Fax 49 76145 43 233 Asia Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd No1 Huatuo Road Zhangjiang Hi tech Park Pudong Shanghai P R China 201203 Tel 86 215257 4650 Fax 86 215208 2008 GE Medical Systems Information Technologies a General Electric Company going to market as GE Healthcare www gehealthcare com
46. O2 invasive pressure or temperature measurements and is needed after corrective maintenance only For more information refer to the Module Frames and Modules Technical Manual 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 Onthe Configuration tab select Modules 3 Onthe Sub Modules for Modules menu select STP TP ST Settings 4 Selecta new configuration from the New Configuration drop down list 5 Select Submit The changes will take effect after the patient monitor is restarted P PT PP settings NOTE This procedure applies to the E P E PT and E PP modules which use invasive pressure or temperature measurements and is needed after corrective maintenance only For more information refer to the Module Frames and Modules Technical Manual 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Modules On the Sub Modules for Modules menu select P PT PP Settings Select a new configuration from the New Configuration drop down list vw FY N Select Submit The changes will take effect after the patient monitor is restarted Passwords WARNING Control of this user s password is critical to ensure that Webmin on this device is accessed by only trained and authorized personnel Failure to limit access of Webmin to trained and authorized personnel only may compromise patie
47. RESCAPE Monitor B850 2040384 004D Citrix Configure the Citrix connection for iPanel software NOTE MUSE 12SL Settings to send 12SL data I Settings to view 12SL data 1 2040384 004D GE is not responsible for installing or configuring the Citrix setting If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Citrix On the Citrix Configuration window enter the applicable information in the following fields Server Address Initial Program e g 4MUSE Citrix Session Timeout in Minutes Username Confirm Password Encryption Level OTE The hospital s IT Administrator or biomedical department can supply these values Password N Select Save All changes take effect immediately If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select MUSE I2SL On the MUSE I2SL window enter the applicable information in the following fields Location ID Site Number Select Save The 12SL settings take effect immediately after they are submitted If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select MUSE I2SL CARESCAPE Monitor B850 4 13 3 On the MUSE I2SL window enter the following MUSE Web Username MUSE Web Password Conf
48. RNING Due to possible high voltage present use an insulated screwdriver at all times Whenever you open the unit you need to perform the Electrical safety tests on page 7 3 1 Turn the display power off at the rear power switch and disconnect all cables USB display and AC power 2 Place the display as shown below to prevent damage to the main TRIM KNOB 3 Remove the side TRIM KNOB by gently pulling the TRIM KNOB 2040384 004D CARESCAPE Monitor B850 9 11 4 Remove all rear cover screws 5 Remove mounting bracket 6 Use a screwdriver to disassemble the alarm light cover 9 12 CARESCAPE Monitor B850 2040384 004D 7 Place the display as shown below to remove the rear cover 8 Remove the rear cover 15 inch display 19 inch display 2040384 004D CARESCAPE Monitor B850 9 13 Replace the TRIM KNOB and rotary switch 9 14 1 Open the display as described on page 9 11 2 Locate the rotary switch on the display 15 inch display 19 inch display 3 Pull the speaker to separate it from the front cover Temporarily place the speaker on top of the metal enclosure CARESCAPE Monitor B850 2040384 004D 2040384 004D 4 Disassemble the connecting wire from the board 5 Pull the main TRIM KNOB CARESCAPE Monitor B850 9 15 6 Use a wrench to disassemble the rotary switch 7 Replace the rotary switch and the main TRIM KNOB
49. YNCHRONIZATION When adding a new device to the CARESCAPE Network the existing devices on the CARESCAPE Network will synchronize to the new device s time To prevent potential time synchronization issues you should set the new device s time to be as close as possible to the time within one minute or less used by the existing GE devices on the CARESCAPE Network 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 On the Configuration tab select Time 3 Under Configure Date and Time on the Time Configuration window update the following fields as needed Date Month Year Hour Minute AM PM 12 24 Hrs 4 Under Configure Time Zone on the Time Configuration window update UTC Offset as needed NOTE The time zone configuration applies only to communication with Citrix server 5 Select Save All configuration takes effect immediately NOTE Unit and Bed Name selections are not available if network selection is S 5 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 On the Configuration tab select Unit and Bed Name 3 On the Unit and Bed Name Configuration window view or set the unit name and bed name for the device 4 Select Submit The unit and bed name configuration takes effect immediately CARESCAPE Monitor B850 4 9 Printers Install a laser printer Delete a l
50. age 9 4 Disconnect the speaker and power supply cables Remove 4 screws holding the power supply to the chassis Remove the power supply Replace the power supply Reassemble the patient monitor in the reverse order of disassembly Replace the cover on the unit on page 9 10 Complete the procedures in Recommended checkout on page 9 10 CARESCAPE Monitor B850 2040384 004D Replace the speaker oS ons 2040384 004D Open the unit as described in steps 1 and 2 on page 9 4 Disconnect the speaker and power supply cables Remove 4 screws holding the power supply to the chassis Remove the power supply PCB to access the speaker screws Remove 2 screws and washers holding the speaker to the front bezel Remove the speaker Replace the speaker Reassemble the power supply PCB Reassemble the patient monitor in the reverse order of disassembly Replace the cover on the unit on page 9 10 Complete the procedures in Recommended checkout on page 9 10 CARESCAPE Monitor B850 9 7 Replace the CPU battery Replace the labels 9 8 Once the battery is replaced the system loses its time and the time must be configured before connecting the patient monitor to the network For instructions on configuring the time see Time on page 4 9 l 2 oO n Bo Open the unit as described in steps 1 and 2 on page 9 4 Remove the lithium ion battery from the bracket on the processor board Lithium i
51. al for additional information Fos 29 a9 For installation instructions refer to Interface devices on page 3 11 The RS 232 serial ports are used with a touchscreen display USB ports are used to connect devices such as keyboard mouse remote barcode scanner and touchscreen display Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices The patient monitor supports CARESCAPE Network and S 5 Network communication m The CARESCAPE Network consists of CARESCAPE Network Mission Critical MC and CARESCAPE Network Information Exchange IX Networks The MC Network is used to communicate patient data such as waveforms and parameters The IX Network is used to communicate non critical information such as iPanel printer and Webmin Refer to the CARESCAPE Network Configuration Guide for details m The S 5 Network is used to communicate patient data The IX Network can also be used when the S 5 Network is configured to communicate patient data CARESCAPE Monitor B850 2 7 Dedicated networks for the MC Network IX Network and S 5 Network must be tested before use ePorts Tram Net ePorts are used to power devices such as the PDM TRAM Tram Rac housing F5 and F7 Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of supported devices Video connectors The patient monitor can support up to three independent di
52. and its frequency characteristics per IEC 60601 1 The patient connector test body shorts all signals in the connector together Refer to the instructions contained with the safety analyzer to perform this test 1 Connect the ECG RESP test body to the green connector of the device under test 2 Configure leakage tester as follows Polarity NORMAL Neutral CLOSED GND Earth CLOSED 3 Power on device under test 4 Read and record the current leakage indicated on the tester 5 Change leakage tester switches to Polarity NORMAL Neutral OPEN GND Earth CLOSED 6 Read and record the current leakage indicated on the tester 7 Change leakage tester switches to Polarity NORMAL Neutral CLOSED GND Earth OPEN 8 Read and record the current leakage indicated on the tester 5 12 CARESCAPE Monitor B850 2040384 004D Acceptance criteria NC Change leakage tester switches to Polarity REVERSED Neutral CLOSED GND Earth OPEN Read and record the current leakage indicated on the tester Change leakage tester switches to Polarity REVERSED Neutral OPEN GND Earth CLOSED Read and record the current leakage indicated on the tester Change leakage tester switches to Polarity REVERSED Neutral CLOSED GND Earth CLOSED Read and record the current leakage indicated on the tester Set the power switch of the device to OFF Repeat the step
53. and secure implementation focusing on the principles of confidentiality integrity and availability These features assist you in using the system in a manner that protects patient privacy and security in your setting and also addresses expectations for the environment where the system will be used Access control Access control is the overall mechanism used to determine and enforce the following m Who has access m How individuals gain access m When access is permitted n What information may be accessed Other than clinical and Webmin applications access to other sub systems e g BIOS are restricted The clinical and Webmin application interfaces have a role based access control e g biomed and clinical A user may log into these interfaces e g Webmin to perform operations that are limited to the generic user See the user and technical manuals for detailed information on available features Authentication Authentication is the process of proving individual identity and is a key element in an access control system In the clinical and Webmin applications there are certain features that requires user authentication To access these features the user must log into the clinical and Webmin applications with a valid username and password See Passwords on page 4 24 for detailed information on managing passwords Authorization Authorization is the process of granting and revoking access to information and is anoth
54. aning precautions requirements procedures and recommended cleaning solutions Calibration For calibration instructions refer to the technical manual for the acquisition module 7 2 CARESCAPE Monitor B850 2040384 004D Electrical safety tests Perform the Electrical safety tests on page 5 3 2040384 004D CARESCAPE Monitor B850 7 3 Patient monitor functional tests Perform the applicable tests for the devices and features configured for your system 1 2 Displays Power on the patient monitor Check that the patient monitor starts up properly and that the display screen appears without errors Configure the patient monitor for the parameters that are connected and check that they display correctly Leave the patient monitor powered on Verify that the picture quality is good for all connected displays Adjust brightness and contrast if needed Verify that the touchscreen is operating properly Recalibrate if needed following the procedure on page 3 7 Connected devices and configuration information l 2 IX Network Log into Webmin on page 4 4 Select Information gt Device Information and verify that all connected devices are displayed Select Information gt Configuration Information and verify that all configuration information is displayed If the patient monitor is connected to the IX Network follow these steps to verify the connection l MC Network If a laser prin
55. are facility In addition to the healthcare practitioner the CARESCAPE Monitor B850 is designed to provide configuration and troubleshooting capabilities to qualified service personnel The CARESCAPE Monitor B850 is not intended for use during MRI CARESCAPE Monitor B850 2040384 004D Manual purpose Intended audience Ordering manuals Related documents 2040384 004D This manual supplies technical information for service representatives and technical personnel so they can install and maintain the equipment to the assembly level Use it as a guide for installation maintenance and electrical repairs considered field repairable Where necessary the manual identifies additional sources of relevant information and technical assistance See the user s manual for the instructions necessary to operate the equipment safely in accordance with its function and intended use This manual is intended for service representatives and technical personnel who install maintain troubleshoot or repair this equipment 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 CARESCAPE Monitor B850 Addendum for Device Compatibility CARESCAPE Monitor B850 Defaults Reference Manual CARESCAPE Monitor B850 Software Installation Instructions CARESCAPE Monitor B850 Supplies and Accessories document CARESCAPE Monitor B850 Technical Specifications Supplem
56. aser printer 4 10 NOTE 9o cb oe Printer configuration is for printers connected on the IX Network Laser printers that are installed on central stations do not need to be installed from the patient monitor Refer to the user s manual for details on configuring the printer Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of supported printers If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Printers On the Sub Modules for Printers menu select Install Laser Printer Under Printer Configuration Information on the Install Laser Printer window provide the following information a Select either the Hostname or IP Address radio button as applicable b Inthe Hostname or IP Address field enter the printer Hostname or IP Address c Inthe Printer Name field enter the Printer Name d Select Yes from the drop down list next to Test Page Select Save From the patient monitor select Monitor Setup gt Printing Select the Devices tab From the Printout menu select what to print out for example Waveforms Alarm Waveforms Numeric Trends Reports Under Location select the radio button next to Network From the drop down list next to Network Device select the desired printer The change will take effect immediately NOTE wa FY N Before deleting any printer check if there is an
57. ation checkout procedure is to ensure that the system is properly installed and configured for use Record all checkouts performed using the Check form on page B 3 or equivalent The patient monitor and its components should be carefully inspected every 12 months and each time the equipment is serviced Carefully inspect the device for any damage Carefully inspect any devices connected to the following ports M ports RS232 DVI USB and e Port Tramnet Carefully inspect all cables connected to all ports including the MC Network and IX Network ports Verify that the power cord and USB cables are properly secured with the supplied retaining clips Verify that ferrite blocks are installed on all Tram Net cables See page 3 20 for details CARESCAPE Monitor B850 2040384 004D Electrical safety tests Recommendations 2040384 004D Electrical safety tests provide a method of determining if potential electrical health hazards to the patient or operator of the device exist Qualified personnel must perform all safety tests presented in this section Upon receipt of the device patient monitor and its associated equipment Refer to Installation checkout procedure on page 5 16 for more information Every 12 months thereafter planned maintenance Refer to Maintenance schedule on page 7 2 for more information Each time the main enclosure is disassembled or a circuit board is removed tested repaired or rep
58. cal measurement modules or modules that map a measurement to the same channel or parameter window If such modules have been connected remove the module that has been most recently connected You can also remove both modules and re connect the new module after five seconds Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices 1 With the module properly oriented align the module insertion guide slot with the insertion guide 2 Push the module into the frame until it clicks NOTE An error message displays if an incompatible module is connected Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for details 3 16 CARESCAPE Monitor B850 2040384 004D 2040384 004D 3 To remove a parameter module grasp it firmly press the release lever on bottom of module and pull out of the guides To install a PDM module WARNING Do not use identical measurement modules or modules that map a measurement to the same channel or parameter window If such modules have been connected remove the module that has been most recently connected You can also remove both modules and re connect the new module after five seconds The PDM module can be connected directly to the patient monitor or it can be mounted to F5 Frame insertion guides NOTE PDM software v1 2 is required for use with CARESCAPE Monitor B850 software The PDM can not be i
59. commended checkout on page 9 10 CARESCAPE Monitor B850 Replace the cover on the unit 1 Fasten the rear panel to the back of the unit with the 7 screws modo LS m Recommended checkout 9 10 Fasten the two power cord retainers to the unit with 2 screws Slide the top cover onto the top of the unit Replace the 8 screws that connect the cover to the sides of the unit Perform the Electrical safety tests on page 7 3 Perform the recommended checkout procedures for the applicable FRU FRU description Processor board Functional checkout procedures m Electrical safety tests on page 5 3 m Patient monitor functional tests on page 7 4 Power supply m Electrical safety tests on page 5 3 m Patient monitor functional tests on page 7 4 Speaker m Electrical safety tests on page 5 3 m Patient monitor functional tests on page 7 4 CPU battery m Electrical safety tests on page 5 3 m Patient monitor functional tests on page 7 4 Enclosure m Visual inspection on page 5 2 m Electrical safety tests on page 5 3 m Patient monitor functional tests on page 7 4 Third video card m Electrical safety tests on page 5 3 m Patient monitor functional tests on page 7 4 CARESCAPE Monitor B850 2040384 004D Display Disassembly and reassembly procedures Open the unit WARNING PATIENT MONITORING INTERRUPTION Make sure a patient is not being monitored WA
60. d and tested to comply with applicable standards and regulations regarding EMC and needs to be installed and put into service according to the EMC information stated as follows CAUTION Use of known RF sources such as cell portable phones or other radio frequency RF emitting equipment near the system may cause unexpected or adverse operation of this device system Consult qualified personnel regarding device system configuration CAUTION The monitor or its components should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the monitor or its components should be observed to verify normal operation in the configuration in which it will be used Guidance and manufacturer s declaration electromagnetic emissions The CARESCAPE Monitor B850 is intended for use in the electromagnetic environment specified below It is the responsibility of the customer or user to assure that the CARESCAPE Monitor B850 is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF Emissions radiated Group 1 The equipment uses RF energy only for its internal function Therefore its RF CISPR 11 Class A emissions are very low and are not likely to cause any interference in nearby electronic equipment RF Emissions conducted Group 1 CAUTION CISPR 11 Class A The equipment is suitable for use in all establishments other than domestic and thos
61. dule iii 7 2 Record test results ors eR ERI ab gall bbe naam EA 7 2 Perform visual INSpection LL 7 2 Cleaning i eor Rer A REL ei eli eda da 7 2 Galibrationi isc area int aa eter san sca en err eg Pd cs oe oa nic pd Tod 7 2 Electrical safety tests 6 0 0 0 cece cece eee eee eas 7 3 Patient monitor functional tests eee eee eee eens 7 4 Displays tees bep DOR UA eee A eee eR ROE Ew ees 7 4 Connected devices and configuration information eae 7 4 IXiNetWOIK d descubre x bx ane Dus bs Nod 2 occ ed 7 4 e UD MT 7 4 PRN 50 M digital Writer 7 5 Remote and keypad moree i 0 Ee ete ET ALE mne 7 5 Alarms inten ale atch gue pleri poda benda ie tule earn tie op bent 7 5 Parameters uc socer Eo epe better Pd tere e to eed 7 5 Auxiliary devices cec epee eph RU ri 7 5 2040384 004D CARESCAPE Monitor B850 vii Troubleshooting 8 1 Troubleshooting guidelines lessen 8 2 Before you begin E e ie E EITE a A O eE 8 2 Visual inspection corp IRR piles aus nee LELLA 8 2 Webmin diagnostics iii 8 3 Configuration information 8 3 Device information 8 4 Ping a TCP IP network device LL 8 5 Logfile information 8 6 Download log files 8 7 View log files scri pei 8 7 Error messages and codes iii 8 8 Problems and solutions troubleshooting tables 8 10 Disassembly and
62. e MC Network and IX Network 1 Log onto Webmin 2 Select Diagnostics gt Ping 3 In the Address to Ping field on the Ping Command window type the IP address of a known device on the network and select ping If you receive a reply then you are able to connect to the device If you do not receive a reply make sure that the patient monitor is connected to an active network CARESCAPE Monitor B850 8 5 Log file information 8 6 Messages and errors in log files provide useful information to a trained technician The following types of log files can be downloaded and viewed Log Contents Webmin Action log m Webmin user authentication and access related information e g who accessed Webmin and when m Webmin module settings changes e g what was changed and when m Software transfer history information including the type and version of the transferred software the origin and destination and the date and time the software transfer occurred m Host software activation information including the host type and serial number the type and version of the activated host software and the date and time the host software activation occurred m Module software activation information including the module type and serial number the type and version of the activated module software and the date and time the module software activation occurred m Settings transfer history information including the type of the
63. e directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic Emissions Class A The equipment is suitable for use in all establishments including domestic IEC 61000 3 2 establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Voltage fluctuations Complies Flicker emissions IEC 61000 3 3 A 2 CARESCAPE Monitor B850 2040384 004D Guidance and manufacturer s declaration electromagnetic immunity The CARESCAPE Monitor B850 is intended for use in the electromagnetic environment specified below It is the responsibility of the customer or user to assure that the CARESCAPE Monitor B850 is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete or ceramic tile If Discharge ESD floors are covered with synthetic material the relative IEC 61000 4 2 8 kV air 8 kV air humidity should be at least 30 Electrical Fast 2 kV for power supply lines 2 kV for power supply en Burst lines Mains power should be that of a typical commercial IEC 61000 4 4 1 kV for input output lines 1 kV for input output 9 hospital environment lines Surge 1 kV differential mode 1 kV differential mode Mains power should be that
64. e is a boot code error Contact GE service The software or hardware is corrupt 1 Identify after which startup screen the computer reboots 2 Call technical support for service Acquisition module patient data does not display Module is faulty m The display screen of the patient monitor is not configured to display the parameter m The patient leadwires are not connected properly m The module is not installed correctly or is not powered on m The Frame or Tram Rac housing is not powered on m There is a loose or faulty cable m An incompatible device is connected to the patient monitor 1 Verify patient or simulator leadwires are connected properly to the module 2 Verify that the module is installed correctly and powered on 3 Log into Webmin Information Device Information and verify that all modules are listed 4 Verify that the Frame or Tram Rac housing is powered on 5 Go to Monitor Setup gt Screen Setup to verify that the parameter is selected to display on the screen 6 Power on the Frame Tram Rac housing or acquisition device 7 View error logs for the patient monitor and acquisition device using Webmin Go to the Diagnostics tab to view or download log files 8 Test the acquisition device according to procedures in the Module Frames and Modules Technical Manual or TRAM and Tram Rac Modules Supplemental Information manual 8 10 CARESCAPE Monito
65. e is located on the outside of the patient monitor CARESCAPE Monitor B850 2040384 004D 2040384 004D 2 System overview CARESCAPE Monitor B850 System introduction 2 2 The patient monitor is a complete high acuity patient monitoring system generally composed of these main parts Monitor Software 38 1 cm 15 inches or 48 3 cm 19 inches display Input devices Module Frames for E series modules or Tram Rac housing for TRAM and Tram Rac modules m Acquisition modules E series modules such as PSM E PRESTN PDM TRAM or Tram Rac modules Printers and writers Accessories and supplies for example ECG leadwires cable sets mounts CARESCAPE Monitor B850 2040384 004D System components Monitor 2040384 004D 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 patient monitor is the central processing unit for the patient monitoring system and provides a link between parameter acquisition and I O 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 E In addition to the primary function to display patient data the patient monitor software has a service interface for performing device level
66. e maximum output power of the communications equipment Separation distance in meters m according to frequency of transmitter Rated radi output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz Ep ai d i2 VP d i2 VP d 23VP 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 12 12 2 3 10 3 8 3 8 7 3 100 12 12 23 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies 2040384 004D For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equitation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE These guidelines may not apply in all instances Electromagnetic propagation is affected by absorption and reflection from structures objects and people CARESCAPE Monitor B850 A 5 Compliant cables and accessories WARNING The use of accessories transducers and cables other than those specified may result in increased emissions or decreased immunity performance of the equipment or system Refer to the CARESCAPE supplies and accessories document for compatible cables and accessories A 6 CARESCAPE Monitor B850 2040384 004D 2040384 004D B Appendix B Check form CARESCAPE Monitor B850 Completing the check form 1 Complete on
67. e scanner is bad The barcode is not configured properly e g length vs character delimited Log onto Webmin gt Configuration gt Admit Settings gt Barcode Settings Refer to Barcode settings on page 4 14 Unable to launch iPanel software m iPanel software is not licensed m X Network is not connected to the patient monitor m The network connection is bad m The Citrix server is down m The patient monitor is not configured properly Log onto Webmin gt Configuration gt Citrix Refer to Citrix on page 4 13 The wrong character is displayed when a key is pressed on the keyboard The keyboard is bad Replace the keyboard The keyboard locale is not configured properly Log onto Webmin gt Configuration gt Language Refer to Language on page 4 21 The wrong software application is displayed on the patient monitor The wrong software application is activated for the device 1 To view the software package that is currently activated log onto Webmin gt Configuration gt Licenses gt Host Licensing 2 Make sure that the desired software application is displayed under Currently Active Software Package 3 If you need to activate a different software package access Configuration gt Licenses gt Software Package 4 Select the correct option and select Activate Unable to perform a function or a feature is not available m A license has not been purc
68. e sheet per unit 2 Indicate the type of checkout being performed Installation Planned maintenance Corrective maintenance 3 Prior to testing verify all equipment is calibrated via calibration labeling and record calibration due date B 2 CARESCAPE Monitor B850 2040384 004D Check form Test configuration conditions and test equipment for unit under test Product Model Customer asset tag Serial number Comments Installation Planned maintenance Corrective maintenance Measuring equipment test gases used ID number Manufacturer Model number Description Serial number Cal due date OK Test passed N A z Test not applicable Fail z Test failed Electrical safety tests Limits Results Results v Ground continuity with power cord 0 2 ohms ohms Or Functional tests OK N A Fail Impedance of protective earth connection with power cord Earth wire leakage current NC USA only X 3001 A uA Visual inspection Outside USA 500p A Earth wire leakage current SFC USA only 300A uA Cleaning Outside USA lt 1000p A Enclosure leakage current NC lt 1000A pA Calibration checks Enclosure leakage current SFC USA only 300A uA Function of interface devices Outside USA lt 500p A Patient source leakage current NC X 10pA uA
69. eated at least every 3 minutes and also inhibitable m Heart Rate high alarm limit maximum 230 instead of 250 m Reminder beep will sound every 2 minutes when alarms have been silenced permanently 4 Select Submit The national requirements changes take effect after the next system restart NOTE The Host Serial Number field is view only and cannot be changed To set the host asset number 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 Onthe Configuration tab select Host Asset Settings 3 Onthe Host Asset Settings window enter the user assigned host asset number in the Change Value to column 4 Select Submit The host asset changes take effect immediately NOTE This configuration applies only to the PDM The Device Serial Number field is view only and cannot be changed To set the device asset number of a PDM 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Modules On the Sub Modules for Modules menu select Assets Settings On the Assets Settings window enter the user assigned asset number for the device in the Change Value to column CARESCAPE Monitor B850 2040384 004D Licensing ECG filter configuration 2040384 004D 5 Select Submit The change will take effect immediately NOTE This configuration applies only to the PDM To acti
70. ee Cete m d opted p banal a ae dea pagis 2 3 Displays s rete ER t e tee edt Apt d e eee paa 2 4 Input devices errors prr xs beth ree LO 2 4 Module Frames and Tram Rac housing LL 2 5 Acquisition modules x eese tee bee ab e aer e ve 2 5 E Modules and PDM 2 5 TRAM modules 2 om Cep ul Cy mot EXPO EPOR A EX a 2 6 Piinters and WEIS sid dea eee Re od Dn aue ve a e uda 2 6 Processing unit connections 2 7 MEDOTIS nr one eoe dt oe ER EE OQ cd 2 7 RS 232 serial ports 2 7 USB POMS seas shot coda ce eee veut eda aera ava TR RC RR ce 2 7 Network ports nie ertet ht e eee ete Re ie chee hans 2 7 ePorts TrameNel s sa rr te ei 2 8 Video Connectors iss ncn e p A 2 8 Supported devices 0cccc cece eect ie ee nnn 2 8 Service interface 2 8 Local Webmin cus eoe t pe et eer Can aber e bb ae 2 9 Remote Webmin eicere elia EROR eds da 2 9 INSite Wi EXC 2 ciue eet m e erre Pcr Ha e Cope elg ped 2 9 3 Hardware installation Lees Ol Installation requirements iii 3 2 Environmental ara Lia dipen 3 2 Pre iNstallationi i e ei 3 2 Mounting oorr RR RENE aa 3 3 Water shield o orER TREO IRADRETTRGGIR ge DR tesa aaron 3 3 Connect system components eee eee eee eee eens 3 4 POWE CONUS our teer rp bay Ta ee EU PEIUS et UE er ER ed Ad 3 5 Rear panel connections LL 3 5 USB and serial port management 0 cece e cece eee 3 6 Displays aici aoa UR
71. ent CARESCAPE Monitor B850 User s Manual CARESCAPE Monitors Clinical Reference Manual CARESCAPE Network Configuration Guide Module Frames and Modules Technical Manual Mounting Reference Guide TRAM and Tram Rac Modules Supplemental Information manual CARESCAPE Monitor B850 1 3 Conventions used in this manual Product references 1 4 Within this manual special styles and formats are used to distinguish among 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 and GE Healthcare Finland Oy Names of hardware keys on the equipment keypad remote control and modules are written in bold typeface Zero All Menu items are written in bold italic typeface ECG Setup Emphasized text is in italic typeface Menu options or control settings selected consecutively are separated by the gt symbol ECG Setup gt AFIB When referring to different sections in this manual section names are enclosed in double quotes Cleaning and care The word select means choosing and confirming Messages alarm messages informative messages displayed on the screen are written inside single quotes Learning Note statements provide application tips or other useful information In this manual the CARESCAPE Monitor B850 is referred to as the pat
72. er key element in an access control system Although primarily an CARESCAPE Monitor B850 2040384 004D 2040384 004D administrative process that is driven by an organization s policies and procedures the patient monitor contains features that will help implement and enforce an organization s method Both clinical and Webmin applications have an authorization mechanism to provide information to the user Audit The ability to record and examine system activity is crucial to a successful information security program as well as a regulatory requirement in most environments The patient monitor stores system and Webmin access logs Malicious software protection Vigilant defense on many levels is required to keep systems free from compromise by malicious software Effective protection requires cooperation and partnership between GE and our customers Based on the Linux Operating System the patient monitor has a built in firewall to allow external communication to occur on a limited number of ports on the IX Network See Network security on page 1 8 for details The following product features contribute to defense against malicious software m System integrity checking The patient monitor performs integrity checking on the root file system to detect any changes to the file system contents Any modification to the root file system contents will generate an error to the patient monitoring software application The patient mon
73. erature limitations This way up Tram Net and ePort connector for PDM module E module frame Tram Rac housing and TRAM modules Underwriters Laboratories product certification mark USB connector port Zero all xi PO This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment CARESCAPE Monitor B850 2040384 004D NOTE The following symbols required by China law only are representative of what you may see on your equipment The number in the symbol indicates the EFUP period in years as explained below Check the symbol on your equipment for its EFUP period This symbol indicates the product contains hazardous materials in excess of the limits established by the Chinese standard SJ T11363 2006 Requirements for Concentration Limits for Certain Hazardous Substances in Electronic Information Products The number in the symbol is the Environment friendly User Period EFUP which indicates the period during which the toxic or hazardous substances or elements contained in electronic information products will not leak or mutate under normal operating conditions so that the use of such electronic information products will not result in any severe en
74. es and re connect the new module after five seconds Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices To ensure proper grounding of the Frame secure the cable connections by using a screwdriver to fully seat all thumbscrews CARESCAPE Monitor B850 2040384 004D 2040384 004D 1 Connect a PSM module by aligning it with the insertion guides on the outside of the frame Push the module into the frame until it stops NOTE An error message displays if an incompatible module is connected Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for details 2 To remove the PSM module pull the pull tab out and slide the module out of the guides To install a PSM module to an F7 Frame WARNING Do not use identical measurement modules or modules that map a measurement to the same channel or parameter window If such modules have been connected remove the module that has been most recently connected You can also remove both modules and re connect the new module after five seconds Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices CARESCAPE Monitor B850 3 15 1 Connect the PSM pole mount or frame mount cable to the back of the F7 Frame 2 Connect the PSM module to the mount To install another E series parameter module WARNING Do not use identi
75. essing If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Power Frequency On the Power Frequency window select the applicable power line frequency Select Submit The power frequency changes take effect after the next system restart If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Language On the Language window select the patient monitor language and keyboard language a Select the monitor language from the drop down list and select Submit b Select the keyboard locale from the drop down list and select Submit Select Submit The language takes effect after the patient monitor is restarted Select the national requirements for the system 1 2 2040384 004D If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select National Requirements CARESCAPE Monitor B850 4 21 Host asset settings Modules Asset settings 4 22 3 On the National Requirement window select the applicable option Value Description None Select the normal defaults France Enable the following country specific monitoring m Atleast 1 audible and visual occurrence must remind either as an un inhibitable audible and visual alarm or as an audible and recurring recall rep
76. fety and or system performance On the Login to Webmin dialog box type the username and password and select Login or press Enter Username biomed Password Change lt space gt Me NOTE The default password is Change lt space gt Me The password may have been changed NOTE Username and password are case sensitive CARESCAPE Monitor B850 2040384 004D The Webmin application opens and defaults to the Information tab Medical Information Configuration System Information Information T Hostname GE 00D0C9A912DF Device Information Tue Nov 25 11 02 23 2008 Logout System Information Hostname GE_00D0C9A912DF Tue Nov 25 11 07 03 2008 E Local intranet 1005 gt 7 Webmin accessed remotely 2 Select the Configuration tab NOTE The following is an example of the Configuration tab when Webmin is accessed remotely 2040384 004D CARESCAPE Monitor B850 4 5 Webmin on GE 00D0C9A912DF Windows Internet Explorer Configuration System Information Hostname GE 00D0C9A912DF Tue Nov 25 11 13 11 2008 III e oo CARESCAPE Monitor B850 2040384 004D Configuration procedures and options Network Hostname configuration Network configuration 2040384 004D NOTE A path must exist from the IX Network to other devices such as Citrix servers browser services and network printers In addition a path must exist to the Internet for InSite with ExC DNS addres
77. formation refer to the Electrical safety tests on page 7 3 1 Turn the unit off at the rear power switch and disconnect the AC power cord and all communication cables 2 Remove 4 screws on each side of the top cover Remove the top cover 3 Remove the power cord retainer and screw 9 4 CARESCAPE Monitor B850 2040384 004D 4 Remove 7 screws on the rear panel Remove the rear panel Replace the processor board 1 Open the unit as described in steps 1 and 2 on page 9 4 2 Disconnect the speaker cable connection light pipe pull gently from the receptacle on the PCB and power supply harness 3 I installed remove the optional third DVI I board a Remove 4 screws and 4 standoffs b Remove 2 jackscrews from the third DVI I board Optional DVI I board screws and standoffs Jackscrews 2040384 004D CARESCAPE Monitor B850 9 5 Replace the power supply 9 6 LB 0 WW A Remove 7 screws holding the processor board to the chassis Remove the processor board Replace the processor board Remove the screw holding the uDOM to the old processor board Remove the uDOM from the old processor board and reassemble it to the new processor board uDOM Reassemble the patient monitor in the reverse order of disassembly Replace the cover on the unit on page 9 10 Complete the procedures in Recommended checkout on page 9 10 Open the unit as described in steps 1 and 2 on p
78. ge measuring instrument and its frequency characteristics per IEC 60601 1 Per IEC 60601 1 the resistance to protect the circuitry and the person performing the test The resistance must be low enough to accept currents higher than the allowable values of the leakage current to be measured 1 Configure leakage tester as follows Polarity NORMAL Neutral CLOSED GND Earth CLOSED WARNING Shock hazard The following step causes high voltage at the test body Do not touch the test body 2 Power on device under test 3 Read and record leakage current indicated on the tester CARESCAPE Monitor B850 2040384 004D Acceptance criteria Test completion 2040384 004D 4 Change leakage tester switches to Polarity REVERSED Neutral CLOSED GND Earth CLOSED 5 Read and record the current leakage indicated on the tester 6 Set the power switch on the device to OFF 7 Repeat the steps in this procedure using the appropriate SPO2 Test Body Connect the SPO2 Test Body to the blue SPO2 connector of the device under test If measured reading is greater than the appropriate specification below the device under test fails Contact GE Technical Support m 50 uA at 120 240 VAC 1 Disconnect the leakage tester from the power outlet Disconnect all test equipment from the device Disconnect the device power cord from the leakage tester FY N Mark this task as complete on the Check
79. hased for the feature m The trial license has expired for the feature m The license is not installed properly Refer to Licenses on page 4 11 The user interface is displayed in the wrong language The language is not configured properly Log onto Webmin Configuration Language and select the correct language Refer to Language on page 4 21 Unable to view a certain feature although the license is enabled m A software package is active that does not have that feature e g OR has fewer features than ICU m The active mode does not have that feature 1 Log onto Webmin Configuration Licenses Software Package 2 Select the correct option and select Activate Unable to upload a license file m The license file is corrupted m The license file is for a patient monitor with a different serial number Log onto Webmin Configuration Licenses m f you have printed license information select Software Package and Host Licensing m f you have a license file select Upload License 2040384 004D CARESCAPE Monitor B850 8 13 Problem Possible cause Action Unable to view historical 12SL data m 12SL is not figured correctly m The MC Network is down between CARESCAPE Monitor B850 and MUSE m The MUSE server is not working m Refer to MUSE 12SL on page 4 13 m Check for MC Network connection Unable to view and set reminder volu
80. hcare com usen security mds2 html CARESCAPE Monitor B850 1 9 Equipment symbols 1 10 NOTE The following symbols appear on one or more of the devices Ibl p n Abbreviation for label part number Alternating current Atmospheric pressure limitations Batch or lot number Battery Bell cancel Audio off Bell cancel Temporary audio off Color display connector port Color video input Video input connector for digital or analog source Color video output digital Video output for digital source Color video output Video output for analog source Communication Date of manufacture This symbol indicates the date of manufacture of this device The first four digits identify the year and the last two digits identify the month CARESCAPE Monitor B850 2040384 004D 2040384 004D Q He Defibrillator synchronization connector port 5 x lt IP Degree of ingress protection Catalog or orderable part number Device serial number m m LI C LI Direct current Display brightness controls Q0 c FX LN Display speaker volume controls Equipotentiality Connect device to a potential equalization conductor Ethernet connector port El 2e Mae European authorized representative CARESCAPE Monitor B850 1 11 European Union Declaration of Conformity
81. he CARESCAPE Monitor B850 is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Portable and mobile RF communications equipment should not be used closer to any part of the equipment including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms 3 V rms system JP IEC 61000 4 6 150 KHz to 80 MHz 0 8 V ms EEG module d 1 2 Radiated RF 3 V m 3 V m system JP IEC 61000 4 3 80 MHz to 2 5 GHz 2 V m BIS module d 1 2 80 MHz to 800 MHz d 2 33 VP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol ry Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by reflection from structures objects and people The measurement of EEG signals as provided in both the EEG and BIS measurement modules is inherently a very sensitive measurement
82. he barcode contains 12 items and uses the pound sign as a delimiter Item Sequence number of the item in the barcode MRN 4 First Name 5 Last Name 6 Day of Birth 1 Month of Birth 2 Year of Birth 3 Age 11 Age Unit 12 Gender 7 Height 8 CARESCAPE Monitor B850 2040384 004D Item Sequence number of the item in the barcode Height Unit 9 Weight 10 The following sample shows the corresponding entries on the Admit Discharge Configuration window Admit Discharge Configuration Character Delimited Parser am 5 b NN t 8 9 mu mmu Fixed Option Non Fixed kilograms J Barcode data specifications Points to note m The maximum length of the entire barcode is 300 m Ifthe field value is longer than the maximum length indicated the right most characters will be truncated when the value is displayed on the Admit Discharge menu m Ifa field contains a forbidden character that character will be replaced with a space when it is displayed on the Admit Discharge menu 2040384 004D CARESCAPE Monitor B850 4 19 Maximum Item Valid entries Comments length MRN 99 Forbidden characters are those that are not allowed by the First Name 99 Both letters and numbers monitor including the following characters I 095 amp 2 A_ l lt gt Last Name 99 Day of Birth 2 1
83. iate position Gently push the module into the housing You will hear a click when the module is fully inserted To remove a module 1 Push the module into the Tram Rac housing This releases the module and makes it easier to remove Press and hold the release levers found on each side of the front of the module Pull the module out about 15 cm 6 inches Grasp the module firmly with both hands and remove it Do not try to hold the module by the release levers The release levers for TRAM modules are recessed in the side of the protruding front of the module CARESCAPE Monitor B850 3 21 Tram Rac housing N Release levers NN 511A Unity Network ID connectivity device Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices 1 Make sure that the Unity Network ID is configured as follows IP address is 192 168 253 x where x is a number between 2 and 254 Netmask is 255 255 255 0 The location of the Unity Network ID is set to a value other than the default XXXX XXX For example BAY3IUNID3 NOTE Refer to the Unity Network Interface Device ID Service Manual for instructions on changing the IP address 2 Connect the ethernet port of the Unity Network ID to one of the M Ports on the patient monitor Remote Alarm Box RAB and Remote Alarm Box with Remote Light RAB RL Refer to the CARESCAPE Monitor B850 Addendum for
84. iau lana 3 6 Remote displays essc mee ere phan Ren ba deed yates 3 9 Non medical grade displays 0 cece cece eee eee eae 3 11 Interface devices LL 3 11 NetWorkS rudera ok te tutela a ned oko avt etel talons 3 12 Frame and E Modules cece eee eee eae 3 13 CARESCAPE Monitor B850 2040384 004D Tram Rac housing and Modules 3 18 Unity Network ID connectivity device 2 eee cece eee 3 22 Remote Alarm Box RAB and Remote Alarm Box with Remote Light RAB RL 3 22 USB devices i head enr A Dat eni ORE eee es 3 23 USB extender restrictions LL 3 23 laser printer uiae ten tnr Een CEU E Re E Re ERU Ana 3 23 Configuration scia lC Re Tm 4 2 Access to Webmin cece eee e eee nnn 4 2 Local access to Webmin using the patient monitor 4 2 Using a service PC over the NetWork LL 4 3 Using a service PC with a crossover cable ccc cece cence eae 4 3 Log into WEDMIN uk REX ed Rae ee al 4 4 Configuration procedures and options eee eeeeeees 4 7 NetWOIIC x sone vts enin pees Pe CEPS ee Ve dee FOR et 4 7 Hostname configuration 4 7 Network configuration 4 7 CARESCAPE Network settings cece cece eee eee eee 4 8 S 5 Network settings Li 4 8 WE ETTI 4 9 Unit and Ded name siii a barbe e ri 4 9 Printers esce od dre ath cM etude d Sou i setis 4 10 instal a l ser Printers lt coca one eer he rt wales een e ent 4 10 Delete a laser printer
85. ient monitor CARESCAPE Monitor B850 2040384 004D Safety information Responsibility of the manufacturer Product availability GE is responsible for the effects of safety reliability and performance only if m Assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by GE m 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 technical manuals Some of the products mentioned in this manual may not be available in all countries Please consult your local representative for the availability General safety statements 2040384 004D 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 1 medical electrical systems standard Refer to the CARESCAPE supplies and accessories document for compatible parts and accessories Periodica
86. ing the CARESCAPE Monitor B850 please contact the GE Healthcare Aware Gateway HL7 Integration Engineering Team or your GE Healthcare service representative to verify or update your Aware Gateway configuration WARNING EXCESSIVE LEAKAGE CURRENT Connect only certified UL 60950 IEC 60950 equipment to the Ethernet MC or IX network RJ 45 connections This equipment may need to be used with a separating device isolation module or redundant grounding in accordance with the medical system standard IEC EN 60601 1 1 in order to meet system leakage current requirements NOTE Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for compatible CARESCAPE Network and S 5 Network devices 1 Connect the MC Network or S 5 Network cable to the CARESCAPE Network MC port on the device IX Network port MC or S 5 Network port 2 Connect an IX Network cable to the CARESCAPE Network IX port on the device 3 12 CARESCAPE Monitor B850 2040384 004D Frame and E Modules The patient monitor provides support to connect multiple parameter modules at a time The ePort and Tramnet ports allow connection of E Module Frame Tram Rac housing and PDM Configuration options See the following table for possible configuration options For detailed information on compatibility refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility ePort 1 Tramnet 1 connected devices Tram Rac PDM T
87. ion timeout in minutes and user name Unit and bed name unit name and bed name Acquisition Information E module serial number EMBC serial number EMBC software number EMBC software version EMBC IP address S5 Printers name IX Printers name host name or IP address Printer Location Information printout type alarm waveforms manual waveforms reports and parameters and location Remote Service proxy URL proxy port proxy username remote service status system ID serial number enterprise s URL enterprise s tunnel URL and protocol Language the user interface language National Requirement national requirement option none or France Network active configuration information including MAC address MC Network Type IP address netmask gateway and PHY configuration and IX Network Type IP address netmask gateway DNS server 1 DNS server 2 and PHY configuration Power Line Frequency power frequency MUSE I2SL location ID site number MUSE web username and MUSE web URL On the Information tab select Device Information The following sections display if the corresponding devices are connected Host Information inactive and active software version host serial number asset number MC Network IP address IX Network IP address MAC address S5 Network virtual ID and hardware version Active Software Package The software package OR ICU etc that is c
88. irm Password MUSE Web URL 4 Select Save The MUSE settings take effect immediately after they are submitted Admit settings Patient ID prefix The patient ID prefix is used as the first two characters when generating temporary patient IDs to ensure that the patient ID is unique 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 Onthe Configuration tab select Admit Settings 3 Onthe Sub Modules for Admit Settings menu select Patient ID 4 Onthe Patient ID Prefix window enter a 2 character prefix NOTE Valid values are uppercase letters and numbers 5 Select Submit All changes take effect immediately Barcode settings Barcode settings must be configured if a barcode reader is used to input patient data to the Admit Discharge menu NOTE For details on barcode data requirements and restrictions see Barcode data specifications on page 4 19 1 Select the parser type a If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab b Onthe Configuration tab select Admit Settings c Onthe Sub Modules for Admit Settings menu select Barcode Settings d Under Barcode Setup on the Barcode Settings window select the applicable 4 14 CARESCAPE Monitor B850 2040384 004D 2040384 004D parser type Parser type Used with this type of barcode No Parser Simple barcode that contains one piece of i
89. ith the information you want to view CARESCAPE Monitor B850 8 7 Error messages and codes The following error messages display at the patient monitor if there is a problem with the monitor Error message Possible cause Action License expired Trial license expired 1 Remove trial license or enter new activation code Configuration changes Restart required Changes to patient monitor settings 1 Power cycle the patient monitor Network down No other network device observed on the MC Network 1 Verify that the patient monitor is connected to an active network Identical unit amp bed name noticed A patient monitor with the identical unit and bed name is on the network Disconnect the patient monitor that has the identical unit and bed name or Change the unit and bed name of the duplicate patient monitor unit and bed name Identical IP address noticed A patient monitor with the identical IP address is on the network Disconnect the patient monitor that has the identical IP address or Change the IP address of the patient monitor that has the duplicate IP address Incompatible gas module The module is not compatible Replace the module See the CARESCAPE Monitor B850 Addendum for Device Compatibility Service Monitor Error Code 0xHOST1001 The temperature is exceeding limits 1 Turn off the patient monitor 2 Move the patient monitor t
90. itoring software will then display a technical alarm to the user m Device design and configuration hardening The patient monitor has been hardened through the restriction and removal of user access to core operating system functionality In addition unneeded functionality has been removed or restricted W Antivirus software To provide seamless real time patient monitoring the patient monitor does not have antivirus software m Security updates and patching processes Security updates and patches cannot be applied to the CARESCAPE product without going through GE s vigorous software verification and validation process Any software update needs will be communicated by GE CARESCAPE Monitor B850 1 7 Security operations Network security GE requires that the MC port of the patient monitor be connected to a physically or virtually dedicated CARESCAPE Network MC Network isolated from all other networks GE requires that the IX port of the patient monitor be connected to a physically or virtually dedicated CARESCAPE Network IX Network with controlled connection to the organization s general purpose computing network Traffic between the organization s network and IX port of the patient monitor must be limited to the following packet flows listed below Inbound Soun z Destination device Protocol Destination Use device port Any icmp N A ping Customer tcp 10000 Webmin
91. kage currents of the system if there is an interruption of the multiple socket outlet protective earth conductor The patient monitor supports printers configured on the CARESCAPE Network MC and IX ports To add a laser printer that is on the hospital enterprise network or IX Network see Printers on page 4 10 Printers that are configured on the MC Network port do not need to be added to the patient monitor See the user s manual for assigning printouts to a print location Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices 2040384 004D CARESCAPE Monitor B850 3 23 3 24 CARESCAPE Monitor B850 2040384 004D 2040384 004D 4 Configuration CARESCAPE Monitor B850 Overview This section describes configuration modules under the Configuration tab of the service interface browser and how to perform service configuration tasks NOTE For PDM configuration see the Module Frames and Modules Technical Manual Ifyou need to configure saturation temperature and pressure STP settings see the Module Frames and Modules Technical Manual Access to Webmin Local access to Webmin using the patient monitor NOTE A USB keyboard and mouse are needed to access Webmin at the patient monitor 1 Select Monitor Setup gt Service The local browser opens and displays the Login to Webmin dialog box Medical You must enter a username and password to
92. laced corrective maintenance Refer to Recommended checkout on page 9 10 and 9 20 Record the values of each required electrical safety test in the Check form on page B 3 or equivalent These instructions are intended for every component in the system If the Tram Rac housing does not have its own power supply it should remain connected to the patient monitor throughout the safety tests WARNING Only perform maintenance procedures specifically described in the manual WARNING Preventive maintenance should be carried out annually Failure to implement the recommended maintenance schedule may cause equipment failure and possible health hazards NOTE The manufacturer does not in any manner assume the responsibility for performing the recommended maintenance schedule unless an Equipment Maintenance Agreement exists The sole responsibility rests with the individuals hospitals or institutions utilizing the device CARESCAPE Monitor B850 5 3 Test equipment Setup Power outlet test Power cord and plug 5 4 The recommended test equipment required to perform electrical safety tests is listed below Item Specification Leakage Current Tester Equivalent to the circuits shown Digital Multimeter DMM optional based on leakage AC volts ohms tester used and locality Ground Bond Tester if required by local regulations 0 1 ohm Safety Test Body Kit P N M1155
93. lly 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 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 and or IEC 60601 1 1 harmonized national standard If the installation of the equipment in the USA will use 240VAC rather than 120VAC the source must be a center tapped 240VAC single phase circuit CARESCAPE Monitor B850 1 5 Safety message signal words Product security Security features 1 6 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 No danger messages apply to this system 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 The patient monitoring software incorporates an assortment of security features designed to allow a flexible approach to safe
94. me The national requirement is set to France 1 Log onto Webmin Configuration National Requirements 2 Select None Unable to upload the software See CARESCAPE Monitor B850 Software Installation Instructions 8 14 CARESCAPE Monitor B850 2040384 004D 2040384 004D 9 Disassembly and reassembly CARESCAPE Monitor B850 Electrostatic discharge ESD precautions Tools required 9 2 All external connectors of the patient monitor are designed with protection from ESD damage However if the module requires service exposed components and assemblies inside are susceptible to ESD damage This includes human hands non ESD protected work stations or improperly grounded test equipment The following guidelines may not guarantee a 100 static free workstation but can greatly reduce the potential for failure of any electronic assemblies being serviced Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors A grounded antistatic wristband 3M part number 2046 or equivalent or heel strap should be worn at all times while handling or repairing assemblies containing semiconductors Use properly grounded soldering and test equipment Use a static free work surface 3M part number 8210 or equivalent while handling or working on assemblies containing semiconductors Do not remove semiconductors or assemblies containing se
95. miconductors from antistatic containers Velo stat bags until absolutely necessary Make sure power to an assembly is turned off before removing or inserting a semiconductor Do not slide semiconductors or electrical electronic assemblies across any surface Do not touch semiconductor leads unless absolutely necessary Semiconductors and electronic assemblies should be stored only in antistatic bags or boxes Handle all PCB assemblies by their edges Do not flex or twist a circuit board Standard set of hand tools Insulated T10 TORX style screwdriver CARESCAPE Monitor B850 2040384 004D Patient monitor Disassembly and reassembly procedures 2040384 004D WARNING PATIENT MONITORING INTERRUPTION Make sure a patient is not being monitored WARNING Due to possible high voltage present use an insulated screwdriver at all times WARNING DISCONNECTION FROM MAINS When disconnecting the system from the power line remove the plug from the wall outlet first Then you may disconnect the power cord from the device If you do not observe this sequence there is a risk of coming into contact with line voltage by inserting metal objects such as the pins of leadwires into the sockets of the power cord by mistake CARESCAPE Monitor B850 9 3 Open the unit If the monitor is opened electrical safety tests must always be performed after the monitor is reassembled For more in
96. n column of the Admit Discharge Configuration window enter the sequence number of each item included in the barcode Use incremental numbers from 1 the left most field up to 16 the right most field If an item is not included in the barcode leave the Position field blank for the item CARESCAPE Monitor B850 4 17 4 18 2 Under Field Delimiter in the Delimiter field enter the special character that separates the fields on the barcode NOTE Allowed characters are ASCII characters 33 126 Forbidden characters are control characters ASCII characters 0 31 the space character ASCII character 32 and ASCII characters 127 and above Ifthe character selected exists in any field in the barcode it will be misinterpreted as a field delimiter 3 Under Gender Code enter the codes that identify Male and Female 4 Under Fixed Option select the applicable value Item ram saloon on ihe lo pani Fixed Option selection of the screen Both Height and Height Unit Non Fixed Height Unit Height only Select value from drop down list Both Weight and Weight Unit Non Fixed Weight Unit Weight only Select value from drop down list Both Age and Age Unit Non Fixed Age Unit Age only Select value from drop down list 5 Scroll to the bottom of the window and select Submit All changes take effect immediately Sample character delimited parser information entry In the following example t
97. n the Remote Service Control window enable or disable the Service Agent by selecting Enable or Disable 5 Select Save The changes will take effect immediately 4 26 CARESCAPE Monitor B850 2040384 004D Settings Save settings 2040384 004D The patient monitor allows the end user to archive the clinical and platform settings to external media By logging in remotely from a computer to the patient monitor through Webmin the end user can save or load the archived settings See the following table for detailed settings information Type of setting Configuration information that can be saved or loaded Platform settings m Admit settings m Citrix m Host asset numbers m Host license m Language m MUSE 12SL m National requirement m Network m Password m Power frequency m Printers m Remote service m Time m Unit and bed name Clinical settings m Care unit settings m Profile settings NOTE This option is available only when you log into Webmin remotely The option is not available locally at the patient monitor If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 Onthe Configuration tab select Settings 3 Onthe Sub Modules for Settings menu select Save 4 Onthe Save Settings window select the radio button next to the type of settings you want to save 5 Select Save CARESCAPE Monitor B850 4 27 Load settings
98. n the barcode type 0 in the item s Position and Length fields or leave the Position and Length fields blank a In the Position column type the beginning position of the field in the data string from 1 to 300 b Inthe Length column type the number of characters from 1 to 99 that the field contains For Gender Format select Fixed or Configured If you select Configured a Type the character that identifies Male CARESCAPE Monitor B850 4 15 4 16 b Type the character that identifies Female 3 Under Fixed Option select the applicable value Item Tim selaetion on the dup pant Fixed Option selection of the screen Both Height and Height Unit Non Fixed Height Unit Height only Select value from drop down list Both Weight and Weight Unit Non Fixed Weight Unit Weight only Select value from drop down list Both Age and Age Unit Non Fixed Age Unit Age only Select value from drop down list 4 Scroll to the bottom of the window and select Submit All changes take effect immediately Sample length delimited parser information In this example the barcode contains 10 items The following table lists the starting position and length of each item Item Starting Position Length MRN 1 10 First Name 11 10 Last Name 21 15 Day of Birth 46 2 Month of Birth 48 2 Year of Birth 50 4 Age 36 5 Age Unit 41 5 Gender 54 1 Height 55 5
99. name and password and press Enter b Username biomed Password Change lt space gt Me NOTE Username and password are case sensitive 2040384 004D CARESCAPE Monitor B850 3 7 3 8 Service Calibrations c On the Service Calibrations menu select Touch Screen The Touch screen calibration menu displays d Touch the cross hair in each corner of the screen NOTE Repeat steps 4 and 6 whenever a new touchscreen display is connected 5 If the third video card is licensed configure it Follow these steps a Goto Monitor Setup gt Default Setup gt Care Unit Settings gt Screens b Under Show Applications click on Screen 3 6 Restart the patient monitor CARESCAPE Monitor B850 2040384 004D Remote displays 2040384 004D NOTE All installations should be compliant with IEC 60601 1 1 and local electrical codes Non isolated communication lines If complete isolation is not required this method will provide the most cost effective means of extending your USB installation This type of installation should not be used for connections to non medically used rooms per IEC 60601 1 1 Displays may be extended up to 15 meters from the patient monitor using the following cables m 15 meter DVI I cable p n 2042766 001 The connections for the DVI I cable are the same as any other video cable m 5 meter USB extender p n 2042768 001 Type A receptacle mm Iype A plug In the foll
100. nder test is powered from 100 240 VAC 50 60 Hz Acceptance criteria SFC ground earth line or neutral open m USA only 300 uA and the device under test is powered from 100 120 VAC 50 60 Hz m USA only 300 uA and the device under test is powered from a center tapped 200 240 VAC 50 60 Hz single phase circuit UL Split Phase Exemption m 500 uA and the device under test is powered from a non center tapped 200 240 VAC 50 60 Hz single phase circuit NOTE If any reading is outside the indicated acceptance criteria contact GE Technical Support for service Patient leakage current tests 2040384 004D The following table lists all the modules and module connections to be tested in the patient source and patient sink leakage tests Use the safety test body kit P N M1155870 or equivalent for all modules This kit contains various safety test bodies for use with different parameters NOTE Alternatively you may use a corresponding test body with pins connected together CARESCAPE Monitor B850 5 9 For information on which test body to use for each parameter refer to the instructions for use included in the safety test body kit Module Patient connector E BIS Test from DSC BIS connector E COP E COPSv P4 P8 E EEG EEG E ENTROPY Entropy Test from Entropy cable E MASIMO SpO2 E NMT NMT E NSAT SpO2 E NSATX SpO2 E P E PT P3 P7 E PP P
101. nformation but no data control so there is no need for a parser Length Delimited Parser Barcode that specifies the beginning position and length of each field on the barcode Character Delimited Parser Barcode that specifies a special character that separates each field on the barcode Select Submit If you selected No Parser the barcode setting configuration is complete For a Length or Character Delimited Parser follow the applicable instructions Configure length delimited parser information on page 4 15 or Configure character delimited parser information on page 4 17 Configure length delimited parser information Points to note If you configure Age you must either select the Age Unit item or one of the age units e g Years Months Weeks Days under Fixed Option If you configure Height you must either select the Height Unit item or one of the height units e g Feet Inches Meters Centimeters Millimeters under Fixed Option If you configure Weight you must either select the Weight Unit item or one of the weight units e g Kilograms Grams Micrograms Pounds Ounces under Fixed Option For an example of admit discharge configuration for a length delimited parser refer to Sample length delimited parser information on page 4 16 On the Admit Discharge Configuration window enter the location and length information for each data item If an item is not included i
102. nstalled to an F7 Frame Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices When the PDM is used without a battery it is necessary to allow additional time to power up Do not interrupt the startup sequence by unplugging the PDM To connect the PDM module to the patient monitor Connect one end of the ePort cable to the PDM and the other end of the ePort cable to the ePort Tramnet connector on the patient monitor I WSO stage eT teet tnt sE o eee 202000 De HO RES X WEN o 3 C SEMINE UJ CARESCAPE Monitor B850 3 17 To connect the PDM module to an F5 Frame Align the PDM with the insertion guides on the outside of the frame Push the module into the frame until it stops NOTE An error message displays if an incompatible module is connected Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for details Tram Rac housing and modules The patient monitor provides support to connect multiple parameter modules at a time The ePort and Tramnet ports allow connection of E Module Frame Tram Rac housing and PDM NOTE A Tram Net hub is not supported 3 18 CARESCAPE Monitor B850 2040384 004D 2040384 004D Configuration options See the following table for possible configuration options For detailed information on compatibility refer to the CARESCAPE Monitor B
103. nt safety and or system performance 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 On the Configuration tab select Passwords 4 24 CARESCAPE Monitor B850 2040384 004D Remote service Configuration 2040384 004D On the Edit User Password window change the biomed or clinical user s password as required Select Save The change will take effect immediately If the site uses an http proxy server its address and port must be specified for remote service communication to work I If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Remote Service On the Sub Modules for Remote Service menu select Configuration On the Remote Service Configuration window enter the applicable data HTTP Proxy Server Configuration Item Description Comments Address m f this site uses an HTTP proxy server a specific site proxy Port server IP Address and Port Username and number are required for the Password Remote Service communication to work Otherwise select None m f the HTTP proxy server requires user authorization a specific Username and Password is required Otherwise select None These values are determined by the customer Remote Service Configuration Item Description Comments System ID Identifies the system to the
104. ntify the defective device by connecting the module frames one at a time 2040384 004D CARESCAPE Monitor B850 8 9 Problems and solutions troubleshooting tables Problem Possible cause Action The display is blank The video display has no power Verify that the display s power indicator is illuminated The patient monitor has no power Verify that the power indicator on the patient monitor is illuminated The video display is not properly connected to the patient monitor Verify that the correct cable connects the video display to one of the two or three video ports on the patient monitor The display was turned off via the Display On Off button on the keypad remote control Press the Display On Off button on the keypad remote control The quality of the display is not good m The cable is not connected properly m The video display is bad 1 Check the connection between the video display and the patient monitor If necessary replace the video display with a known good one 2 If the problem is not corrected replace the processor PCB Refer to Replace the processor board on page 9 5 The power switch button on the patient monitor does not illuminate when it is toggled The power supply is bad Replace the power supply For instructions refer to Replace the power supply on page 9 6 The display does not advance beyond the GE logo screen Ther
105. o a location with better air flow 3 If you need further assistance call service Service Monitor Error Code 0xHOST1002 CPU voltage is exceeding limits 1 Disconnect the patient monitor from monitoring patients 2 Back up the clinical and platform settings 3 Print the licensing information page via Webmin 4 Call service or your local sales representative for a replacement board 8 8 CARESCAPE Monitor B850 2040384 004D Error message Possible cause Action Service Monitor Error Code 0xHOST1004 Disk usage exceeds 90 1 Back up the clinical and platform settings 2 Print the licensing information page via Webmin 3 Re install software 4 If you need further assistance call service Service Monitor Replace System Battery The battery needs to be replaced See Replace the CPU battery on page 9 8 Service Monitor Activation Failed An error occurred in the process of activating the software or license 1 Repeat the steps to activate the software or license 2 Re configure settings for software See Licenses on page 4 11 3 If you need further assistance contact service Module voltage low Parameter module supply voltage is exceeding the low limit Failure in a module frame for E series modules 1 Turn off the patient monitor 2 Replace the module frame If multiple module frames for E modules are used ide
106. ociated snapshot SpO2 signal strength indicator Indicates the signal strength with three asterisks indicating the strongest signal N Touch volume icon Adjust the volume of the tone that sounds when a user touches a touchscreen display Service information Service requirements 2040384 004D Follow the service requirements listed below Refer equipment servicing to GE authorized service personnel only Any unauthorized attempt to repair equipment under warranty voids that warranty It is the user s responsibility to report the need for service to GE or to one of their authorized agents Failure on the part of the responsible individual hospital or institution using this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards Regular maintenance irrespective of usage is essential to ensure that the equipment will always be functional when required CARESCAPE Monitor B850 1 19 Equipment identification Device plate location 1 20 Every GE device has a unique serial number for identification A sample of the information found on a serial number label is shown below THE HH HHHH HE H Cb rr rd Description product code year manufactured fiscal week manufactured production sequence number manufacturing site n mo ou gt miscellaneous characteristic The device plat
107. odule must always occupy the top position in the Tram Rac housing Other modules are installed below it When using more than one Tram Rac housing one of the Tram Racs must have a power supply Make sure the Tram Net cable has ferrite blocks on both ends CARESCAPE Monitor B850 2040384 004D 2040384 004D To install a module CAUTION SIMULTANEOUS CONNECTION OF TRAM AND PDM The patient monitor only supports patient monitoring from one primary ECG acquisition device at a time A Patient Data Module PDM and a TRAM module cannot be used to monitor a patient at the same time If a PDM is connected to the patient monitor when monitoring from a TRAM module has already been established a CONNECTING message is displayed on the monitor If a TRAM module is connected to the patient monitor when monitoring from a PDM has already been established no parameter or waveform data from the TRAM module is displayed NOTE When switching between primary acquisition devices e g TRAM module to PDM or PDM to TRAM module the patient monitor will perform a reconnection cycle that can last up to two minutes During this cycle there is a loss of displayed parameters and waveform data NOTE An error message displays if an incompatible module is connected Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for details Face the Tram Rac housing and guide the back of the module into the appropr
108. om barcodes when admitting patients 2 4 CARESCAPE Monitor B850 2040384 004D Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices Module Frames and Tram Rac housing Acquisition modules E Modules and PDM 2040384 004D F5 and F7 Module Frames provide an interface between the patient monitor and E Modules The F5 Module Frame has 5 module slots that support a series of E module acquisition devices It supports both PDM and PSM with a slide mount The F7 Module Frame has 7 module slots x 4 z saa 3 i D LER x Mw WE sro q PDM with F5 Frame PSM with F5 Frame The Tram Rac housing provides an interface between the patient monitor and a TRAM module or a single parameter Tram Rac module Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices and parameters monitored by PDM each E module TRAM module and single parameter Tram Rac module Hemodynamic multi parameter acquisition modules are the Patient Data Module PDM Patient Side Modules PSM E PRESTN and TRAM modules They provide connection to the patient process patient data signals and send patient data signals to the patient monitor Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices and parameters monitored by PDM each E module TRAM module and single parameter Tram Rac module
109. on battery Replace the battery Reassemble the patient monitor in the reverse order of disassembly Replace the cover on the unit on page 9 10 Complete the procedures in Recommended checkout on page 9 10 The device labels are affixed permanently Do not try to remove them by using solutions that might cause damage Affix new labels on top of the existing ones NOTE Take care not to obstruct connector or screw openings when affixing labels CARESCAPE Monitor B850 2040384 004D Replace or install the third video card 1 Open the unit as described in steps 1 and 2 on page 9 4 2 Remove the third DVI I board a Remove 4 screws and 4 standoffs b Remove 2 jackscrews from the third DVI I board ag Optional DVI I board screws sli and standoffs Power supply connector 3 Replace the DVI I board 4 Reassemble the patient monitor in the reverse order of disassembly 5 Replace the cover on the unit on page 9 10 6 Complete the procedures in Recommended checkout on page 9 10 Replace the enclosure cover back panel and front bezel 2040384 004D 1 Open the unit as described in steps 1 and 2 on page 9 4 Remove 2 screws on front of bezel Disconnect light pipe from receptacle on PCB Release 3 snap fingers to free bezel from front of chassis Remove the bezel Replace the bezel Replace the cover on the unit on page 9 10 oN nw Bow m Complete the procedures in Re
110. ons Electrostatic sensitive device Connections should not be made to this device unless ESD precautionary procedures are followed LASER RADIATION Do not stare into beam Class 2 laser product Non ionizing electromagnetic radiation Interference may occur in the vicinity of this device Shock Hazard Dangerous voltage To reduce the risk of electric shock do not remove cover Refer servicing to qualified service personnel 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 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 CARESCAPE Monitor B850 2040384 004D 9 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 O 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 User interface symbols 2040384 004D NOTE The following symbols
111. oo teh etse hc e bx eoe bel Manual information lesen 1 2 REVISION NISTOrY iui Does bien teal Reb Rat ok eae sds 1 2 Intended use cese stay ete ae a e e ame ER n e 1 2 Manual Purposes x uet imc rta cg oC ERI OR e en 1 3 Intended audience 0 cece cece eee In 1 3 Ordering m ri als as fia ith eec 1 3 Related documents 0 c cece cece eee ete ene 1 3 Conventions used in this Manual 1 4 Prod ct references eere ai 1 4 Safety information e EEEo eee nnn 1 5 Responsibility of the manufacturer 1 5 Product availabilty ssc sof tret tee Latin od iet i dedere 1 5 General safety statements LL 1 5 Safety message signal words LL 1 6 Product security i eet eet b ert bci Eee t o t ee 1 6 Security features 2 eee eh 1 6 Security operations 1 8 Product change management 00 cece eee eee eee 1 9 Communication sais papiro breue i DE doen eee Ve pr 1 9 Equipment Symbols eee eee nn 1 10 Safety symbols 2 cler vr rre t e II e 1 16 User interface symbols sees nn 1 17 Service information teeter eee ne 1 19 Service requirements LL 1 19 Equipment identification 1 20 Device plate location 1 20 2040384 004D CARESCAPE Monitor B850 iii 2 System overview ccc cece eee eee eee eee 21 System introduction sess nnn 2 2 System components 0cccce cece eee eee mnn 2 3 MONITOT is t epa eod te wage al
112. or Setup gt Service The local browser opens and displays the Webmin login dialog box 2 Loginto Webmin with your username and password The Webmin tool opens and defaults to the Information tab Medical seeeeee912DF Discharged S N SEDOSISOI2IGP SW Version 1 00 guration Diagnostics Configuration System Information Information p Hostname GE_00DOC9A912DF Device Information Tue Nov 25 11 02 23 2008 Logout NOTE The text that displays on the top of each Webmin screen marked as 1 in the screen sample above indicates the bed name patient status host serial number and software version part number 2040384 004D CARESCAPE Monitor B850 8 3 Device information On the Information tab select Configuration Information The following sections display if the corresponding devices are connected Host Information inactive and active software version host serial number asset number MC Network IP address IX Network IP address MAC address S 5 Network virtual ID and hardware version Active Software Package The software package OR ICU etc that is currently running on the host PDM License Information license option status and number of licenses Host License Information each host license name its current status enabled disabled or trial feature code and the expiration date for a trial license Admit Settings patient ID prefix Citrix server address initial program sess
113. ord as necessary with CARESCAPE Monitor B850 2040384 004D a regulatory approved cord for the country of use WARNING Use only AC power cords recommended or manufactured by GE Ground earth integrity Ground continuity test Listed below are two methods for checking the ground earth integrity Ground continuity test and Impedance of protective earth connection These tests determine whether the device s exposed metal and power inlet s earth ground connection has a power ground fault condition Perform the test in accordance with your local regulations Refer to the instructions contained with the safety analyzer to perform each test The measuring device MD in the diagram below may be a DMM or part of a safety analyzer j Power Cord LINE NEUTRAL EARTH Device Under Test MD Impedance of protective earth connection 2040384 004D This test unlike a ground continuity test will also stress the ground system by using special ground bond testers This test normally is only required as a manufacturing production test to receive safety agency compliance Some country agencies do require this test after field equipment repairs i e Germany s DIN VDE 0751 standards Consult your country local safety agency if in question Compliance is checked by the following steps 1 A current of 25A from a current source with a frequency of 50 or
114. ormation Clinical log m Clinical related application events including module parameter connections disconnections case starts ends cold starts warm starts etc m Technical notes and errors displayed for clinical users including all host and module related technical errors e g Failure in Agent ID m Clinical alarms including clinical application related patient alarms and their level e g FiO2 Low Clinical user interactions such as the host keystrokes and touchscreen selections menu setting changes etc m EPI layer related errors including information about EPI layer issues detected by the clinical application NOTE Qe uo UE iB This option is available only when you log into Webmin remotely The option is not available locally at the patient monitor In Webmin select the Diagnostics tab Select Download Logfiles Select the log s you want to download Click Download Browse to the file location where you would like to download the log file s and select Save Target As to save the log file Send this log file to GE Service for further investigation In Webmin select the Diagnostics tab Select View Logfiles On the Sub Modules for View Logfiles menu select the type of log you want to view Select the information you want to view For the Webmin Action Log select the user module and timeframe and select Search For the other types of logs select the link associated w
115. owing example two 5 meter USB extenders plus a standard 5 meter USB cable extend the remote display up to 15 meters from the patient monitor See Setup instructions on page 3 10 for instructions on setting up the remote display as shown in the example NOTE Only the display interface connections video and USB connections are shown Not all other connections are shown CARESCAPE Monitor B850 3 9 Local display Remote display standard USB cable up to 5 m CARESCAPE Monitor B850 D MEO standard USB cable up to 5 m DVI D cable up to 5 m 1 USB extender 2 USB extender cable 5 m cable 5 m single port USB hub single port USB hub DVI I cable 15 m AtoH DVI I connection BtoG USB remote 2 USB extenders required CtoF DVI D connection DtoE USB standard cable Setup instructions NOTE Be sure that all cables are securely connected 1 Connect the Type A plug of the first USB extender to one of the downstream ports Type A USB port on the back of the patient monitor NOTE If you are connecting a touchscreen display see the display port table on page 3 6 for details on which port to use Type A USB ports 2 Connect the Type A plug of the second USB extender to the Type A receptacle on the first USB extender 3 Connect the Type A plug of the standard USB cable to the Type A receptacle on the second USB extender 3 10 CAR
116. plitter and must support analog video Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of compatible devices WARNING Do not use the monitor without manufacturer approved mounting attached CARESCAPE Monitor B850 2040384 004D 1 Connect either an analog or digital display to DVI I 1 NOTE Additional displays can be connected to DVI D 2 or DVI I 3 DVI D 2 only supports digital displays If only one display is connected it must be connected to DVI I 1 2 Ifthe display supports a serial touchscreen connect the serial port of the display to RS232 1 or RS232 2 For more information on which port to use refer to the display port table on page 3 6 3 Ifthe display isa DISK or DI9KT connect the upstream USB port of the display to USB 1 USB 2 or USB 3 For more information on which port to use refer to the display port table on page 3 6 NOTE A USB hub should not be used to connect the USB touchscreen to the patient monitor NOTE To prevent accidental disconnection and loss of display screen information firmly tighten the DVI connector screws into the DVI connector port 4 Ifthe displays contain a touchscreen calibrate as follows a Select Monitor Setup gt Service Calibrations Log in with your service user
117. r B850 2040384 004D Problem Possible cause Action sounding Patient alarms are not The speakers are disconnected Make sure the speakers are connected The speakers are not functioning Test if the speaker is functioning using Monitor Setup gt Sound Volumes The alarm limits are not set correctly Make sure the alarms are enabled Consult the user s manual for correct alarm settings The speaker volume is very low Verify that the alarm volume is not turned off Look in Alarms Setup gt Audible amp Visual The patient is not being monitored The alarm function remains disabled until the patient is correctly admitted into the system If a patient s waveform and the DISCHARGED message both display consult the user s manual for correct patient admitting instructions The patient monitor is off the network Verify network connectivity USB cable from display is not connected to the patient monitor Connect the USB cable to the patient monitor Patient data from the patient monitor does not display at the other monitor s A patch cable is not plugged in all the way Verify that the Ethernet cable is securely connected to the patient monitor The MC Network is not configured properly Try to ping the device from the patient monitor Refer to Ping a TCP IP network device on page 8 5 There is a general networking issue Refer to
118. ram Rac housing F5 F7 housing ACMains Frame Frame powered PDM X X X X Tram Rac X X housing ePort 2 Tramnet 2 Tram Rac X X X X X connected housing AC Mains devices powered F5 Frame X X X F7 Frame X X In the table above m X supported m Shaded not supported WARNING ELECTRIC SHOCK Do not use the F7 Frame for standalone use Ventilation holes on the F7 E module Frame will be covered only if installed within an Aisys Avance or Aespire anesthesia machine Example If a PDM is connected to ePort 2 you cannot connect a second PDM to ePort 1 However you can connect one of the following devices to ePort 1 Tram Rac housing Tram Rac housing AC Mains powered F5 Frame F7 Frame 2040384 004D CARESCAPE Monitor B850 3 13 3 14 Procedure Connect an F5 or F7 frame to ePort Tramnet e ESP cepe 2 Connect the module Refer to the following instructions To install a PSM module to an F5 Frame on page 3 14 To install a PSM module to an F7 Frame on page 3 15 To install another E series parameter module on page 3 16 To install a PSM module to an F5 Frame WARNING Do not use identical measurement modules or modules that map a measurement to the same channel or parameter window If such modules have been connected remove the module that has been most recently connected You can also remove both modul
119. rameter planned maintenance checkout refer to the technical manual for the acquisition module For planned maintenance for all other devices connected to USB serial and M ports refer to the respective technical manual CARESCAPE Monitor B850 7 5 7 6 CARESCAPE Monitor B850 2040384 004D 2040384 004D 8 Troubleshooting CARESCAPE Monitor B850 Troubleshooting guidelines Before you begin Visual inspection 8 2 The problems and solutions in this section represent only a few of the faults that you may encounter and are not intended to cover every possible problem that may occur Before beginning any detailed troubleshooting complete a thorough visual inspection to be sure m All I O cable connections are secured m All patient devices are properly powered Inspect the equipment for physical damage to the case or external connections Check for loose connectors or frayed cables Replace if necessary CARESCAPE Monitor B850 2040384 004D Webmin diagnostics Webmin provides information such as software versions connected devices licensing and configuration that is helpful for troubleshooting Configuration information For instructions on logging into Webmin from a service PC follow refer to the applicable instructions m Using a service PC over the network on page 4 3 m Using a service PC with a crossover cable on page 4 3 To log into Webmin from the patient monitor 1 Select Monit
120. reassembly 9 1 Electrostatic discharge ESD precautions sees 9 2 Tools required iui IR rh re E rx needa a 9 2 Patient Monitor S cereri I la pec lp wena Rx ERE EE ER 9 3 Disassembly and reassembly procedures ccc eee eee eee 9 3 Opensthesunit x aurea eode ees e niche ieee 9 4 Replace the processor board 9 5 Replace the power Supply i 9 6 Replace the speaker eee eee eee tenet neee 9 7 Replace the CPU battery 9 8 Replace the labels lues 9 8 Replace or install the third video card 9 9 Replace the enclosure cover back panel and front bezel 9 9 Replace the cover on the UNIt LL 9 10 Recommended checkout i 9 10 PRI Meet Seder eens PI LUI 9 11 Disassembly and reassembly procedures 0 cece eee eee eee eee 9 14 Open the Unit oh eri dies 4 eth assi 9 11 Replace the TRIM KNOB and rotary switch 9 14 Replace the alarm light and alarm light enclosure 9 17 Recommended Checkout 9 20 viii CARESCAPE Monitor B850 2040384 004D 1 0 Service paris isro ia liana 10 1 Ordering parts oaeen mr a ae eit E EE ar E aE E EE REM EE 10 2 Patient Monitor 0 cece cece cece tenet nnne 10 2 Replaceable parts sos cic on rer be da pee E e ppt 10 2 Exploded View ic once te a ned bed Td d beer 93 10 3 Display Lira ER ERRARE Bees deg ERES EYE EE 10 4 Replaceable parts ereenn ei rrt pee dias E e c
121. rnet network ports Two serial RS232 ports Two video display ports a third optional port may also be available Two ePort Tramnet ports 2040384 004D CARESCAPE Monitor B850 3 5 USB and serial port management Proper function of serial or USB touchscreen displays is dependent on the usage of the correct RS232 and USB ports on the patient monitor NOTE The patient monitoring system only supports the DIOKT and D15K displays with respect to USB Refer to the following table when connecting your displays containing either USB or serial touchscreens Displays 3 6 Display port Number of displays Touch interface ports Display 1 USB 1 or RS232 1 DVI I 1 Display 1 cloned USB 1 or RS232 1 DVI D 2 Display 2 USB 2 or RS232 2 Display 3 USB 3 DVI I 3 ee Display 3 cloned No touch interface available Unused USB ports may be connected to other accessories such as keyboard mouse barcode reader or remote control If the D15K or D19KT displays are not used If you are not using the DISK or D19KT displays there are no restrictions on connecting devices to USB ports The patient monitor can support up to three independent displays when equipped with an optional third video card The optional third video can only be used to support the iPanel application The patient monitor also supports two additional cloned displays on the DVI I 1 and DVI I 3 ports Cloned displays must be connected using a DVI I to DVI D and VGA s
122. s in this procedure using the appropriate SPO2 Test Body Connect the SPO2 Test Body to the blue SPO2 connector of the device under test With Ground and Neutral CLOSED If reading is greater than 10 uA the device under test fails Contact GE Technical Support Acceptance criteria SFC ground earth line or neutral open 2040384 004D If any reading is greater than 50 uA the device under test fails Contact GE Technical Support CARESCAPE Monitor B850 5 13 Patient sink leakage current test mains voltage on the applied part 5 14 This procedure only applies to Class I grounded earthed equipment and measures the leakage current from a mains voltage source into the ECG RESP connector or the SpO2 connector The patient connector test body shorts all signals in the connector together Refer to the instructions contained with the safety analyzer to perform this test Connect the ECG RESP Test Body to the green connector of the device under test Refer to the instructions contained with the safety analyzer to perform each test Leakage Tester i E t LINE t 9 NORM Power Cord DNE Q NEUTRAL o o 3 EARTH T E NEUTRAL a e EARTH i RVS 9 Closed i Device Patient connector Under Test Body Test Keep cable length as i MD short as possible NOTE The MD represents the network and volta
123. s the central processing unit for a stand alone physiological monitor when connected to acquisition module s user interface device s touchscreen mouse remote control or keyboard and a display The patient monitor features include four M Ports two or three DVI video ports two serial ports two ePort Tramnet ports two Ethernet ports and four USB ports Main components The block diagram below represents the main components and the interface connectors The main components of the patient monitor are CPU processor board with uDOM Power supply Speaker Enclosure cover back panel and front bezel The interface connectors of the patient monitor are TRAM N 6 2 4 M Ports 2 DVI I video ports a third DVI port is optional 2 RS232 ports 2 ePort Tramnet ports 2 network ports 4 USB ports PERSI gt Power Supply ower harness eaker harnes Speaker Ethernet x USB T ET 2 ePort ME Processor Board Serial RN Rd DVI Ton CARESCAPE Monitor B850 arid M Port 2040384 004D Processor board Power supply Speaker Enclosure The processor board provides the processing for acquired data generation of audible alarms generation of the displayed information for analog and digital displays and support for the communication channels to support M Port peripherals ePort Tramnet connected acquisition systems the CARESCAPE Network the S
124. ses can be used for browser sources and for InSite with ExC configuration only 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 On the Configuration tab select Network 3 On the Sub Modules for Network menu select Hostname 4 Inthe Hostname Configuration window the current hostname is shown in the Current Value column To change the hostname enter a new hostname to the Change Value to column NOTE Hostname is a unique 4 to 32 character long identifier of a patient monitor in the network It is mainly used in Citrix sessions Use alphanumeric characters A Z a z 0 9 The hostname may include also characters but it can t start or end with these characters and 5 Select Save Hostname configuration will take effect immediately To view the current network configuration see the Present Configuration table on the Network Configuration window in Webmin Configure another network as follows 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 Onthe Configuration tab select Network 3 Onthe Sub Modules for Network menu select Wired Interfaces 4 Under Select Network Type on the Network Configuration window screen 1 select the applicable network type CARESCAPE Network or S 5 Network 5 Select Next CARESCAPE Monitor B850 4 7 CARESCAPE Network settings S 5 Network settings 4 8 i
125. splays DVI I 1 Supports both analog and digital video signals DVI D 2 Supports only digital video signals DVI I 3 optional only for iPanel software Supports both analog and digital video signals Supported devices Refer to the CARESCAPE Monitor B850 Addendum for Device Compatibility for a list of all supported devices Service interface Webmin is a browser based interface that provides service and diagnostic functions for the patient monitor Using a simple web browser the user can connect to Webmin to configure diagnose and retrieve system information The user can access Webmin either locally at the device or remotely over the network Local Webmin Remote Webmin Patient monitor Biomed workstation asse 3 db 2 8 CARESCAPE Monitor B850 2040384 004D Local Webmin Remote Webmin InSite with ExC 2040384 004D Refer to the CARESCAPE Network Configuration Guide for details on configuring the CARESCAPE Network The user can access Webmin locally through the patient monitor For instructions refer to Local access to Webmin using the patient monitor on page 4 2 The user can access Webmin remotely from a configured service laptop connected to the patient monitor For login instructions refer to Using a service PC with a crossover cable on page 4 3 InSite with ExC provides a set of software applications to manage diagnose and track systems at customer sites
126. t system restart Enable a software feature as follows 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Licenses On the Sub Modules for Licenses menu select Host Licensing CARESCAPE Monitor B850 4 11 Upload license file 4 12 On the Host License window select Enabled in the Status column of the appropriate host license feature 5 Select Submit NOTE To activate the OPTIONAL TRIAL license enter the expiration date and the activation code All license changes take effect after the next system restart NOTE This option is available only when you log into Webmin remotely The option is not available locally at the patient monitor Upload a license file as follows 1 9o n nN A Unzip the license file NOTE If the software license is for only one patient monitor the file will not be zipped Verify that the serial number on the license file matches the serial number of the device If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Licenses On the Sub Modules for Licenses menu select Upload License Click on Browse to select a file Select Upload and Activate Verify that the information populated in the Software Package and Host License tables is accurate All license changes take effect after the next system restart CA
127. tallation provides an overview of the patient monitoring system and contains information needed to initially install configure check out and troubleshoot the system Make sure you understand the procedures before installing the patient monitor Observe all safety hazard statements m Part II repair and maintenance contains detailed descriptions of the patient monitor components such as processor board and power supply and the display Instructions for calibration planned maintenance troubleshooting disassembly and field replaceable units are also included Part I System installation Tab Description 1 Introduction 2 System overview 3 Hardware installation 4 Configuration 5 Installation checkout Part Il Repair and maintenance Tab Description 6 Patient monitor repair overview 7 Maintenance and checkout 8 Troubleshooting 9 Disassembly and reassembly 10 Service parts 2040384 004D CARESCAPE Monitor B850 Appendices Tab Description Appendix A Electromagnetic compatibility Appendix B Check form CARESCAPE Monitor B850 2040384 004D Contents Master table of contents Patient monitor technical manual i 1 1 Notes to the reader ete e 1 i Part System installation LL 1 i Part Il Repair and maintenance 1 i Apperdices 2 doo esee tr toe et dm Dude e do ot a AR Odo me 1 ii 1 INGOGUCHION oo o
128. ter is configured generate a test page in Webmin In Webmin select Configuration gt Printers gt Print Test Page If Citrix access is configured launch iPanel From the patient monitor s main menu select Data amp Pages gt iPanel If the patient monitor is connected to the MC Network follow these steps to verify the connection 7 4 Check that a network symbol D0 is displayed in the upper right corner of the screen Verify that another bed can be viewed From the patient monitor s main menu select Data amp Pages gt Other Patients CARESCAPE Monitor B850 2040384 004D PRN 50 M digital writer Remote and keypad Alarms Parameters Auxiliary devices 2040384 004D If present verify that the PRN 50 digital writer is able to print clearly and all characters are uniform in size and contrast Verify that all keys are functioning properly Verify that the audio and visual alarm signals are working properly 1 Seta parameter alarm limit outside of the current measured patient values 2 Confirm that the following alarm notification events occur The audible alarm sounds the correct tone The alarm light illuminates if present The value flashes in the parameter block with the correct color Analarm graph prints if enabled NOTE See the Alarms section in the user s manual for a description of alarm behavior 3 Return the parameter alarm limit to the original value For pa
129. urrently running on the host Host License Information each host license name its current status enabled disabled or trial feature code and the expiration date for a trial license Acquisition Information PDM software part number active software version main board revision DAS board revision serial number asset number MAC CARESCAPE Monitor B850 2040384 004D address IP address power frequency ECG filter Acquisition Information E Module Frame serial number EMBC serial number EMBC software number EMBC software version EMBC IP address Acquisition Information Tram Rac software part number and version Installed S5 Printers name Installed IX Printers name host name or IP address Printer Location Information printout type alarm waveforms manual waveforms reports and parameters and location M Port Information device name software number and version serial number port number active state for each serial device connected to the patient monitor connection type PDM License Information license option status number of license UNITY ID Information product ID Unity Network ID software number and version date time device name and software version of each device connected USB Port Information product name manufacturer vendor code product ID serial number Ping a TCP IP network device 2040384 004D Use this Webmin feature to verify connectivity with a network device on th
130. vate the license for a PDM 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab 2 On the Configuration tab select Modules 3 On the Sub Modules for Modules menu select Licensing 4 On the Licensing window enter the activation code by the appropriate feature 5 Select Activate NOTE To remove the license select Remove next to the feature you want to remove 6 After adding and activating the license s perform the appropriate parameter checkout The changes will take effect after the PDM is power cycled NOTE This configuration applies only to the PDM The ECG Filter is always enabled It can be disabled temporarily but it will always default to an enabled state after a power cycle or reboot of the PDM CAUTION Do not disable the ECG Filter during clinical use To set the acquisition ECG filter for the PDM 1 If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Modules On the Sub Modules for Modules menu select ECG Filter Configuration On the ECG Filter Configuration window select the applicable radio button to Enable or Disable the line frequency filter Select Submit The change will take effect immediately CARESCAPE Monitor B850 4 23 STP TP ST settings NOTE This procedure applies to the E PRESTN E PRETN E RESTN E PSM and E PSMP modules which use Sp
131. vironmental pollution any bodily injury or damage to any assets The unit of the period is Year OOOO In order to maintain the declared EFUP the product shall be operated normally according to the instructions and environmental conditions as defined in the product manual and periodic maintenance schedules specified in Product Maintenance Procedures shall be followed strictly Consumables or certain parts may have their own label with an EFUP value less than the product Periodic replacement of those consumables or parts to maintain the declared EFUP shall be done in accordance with the Product Maintenance Procedures This product must not be disposed of as unsorted municipal waste and must be collected separately and handled properly after decommissioning This symbol indicates that this electronic information product does not contain any toxic or hazardous substance or elements above the maximum O concentration value established by the Chinese standard SJ T 11363 2006 and can be recycled after being discarded and should not be casually discarded 2040384 004D CARESCAPE Monitor B850 1 15 Safety symbols 1 16 NOTE The following safety related symbols appear on one or more of the devices ATTENTION Consult accompanying documents CAUTION Safety ground precaution Remove power cord from the mains source by grasping the plug Do not pull on the cable Consult operating instructi
132. y printer assigned for printing If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Printers On the Sub Modules for Printers menu select Delete Laser Printer On the Delete Printer window select the printer to delete Select Submit CARESCAPE Monitor B850 2040384 004D Print a test page Licenses Enable software package Host licensing 2040384 004D vw a YN The change will take effect immediately If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Printers On the Sub Modules for Printers menu select Print Test Page On the Print Test Page window select the printer Select Submit WARNING If the software package is changed all clinical settings will reset to factory defaults Enter the activation code to enable a software package T If you have not already done so Log into Webmin on page 4 4 and select the Configuration tab On the Configuration tab select Licenses On the Sub Modules for Licenses menu select Software Package On the Software Package window enter the activation code by the appropriate software package To activate a software package select the desired radio button in the Active column From the Status drop down list select ENABLED Select Activate All license changes take effect after the nex

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