S5 iCentral User Reference Manual June 2004

GE Datex-Ohmeda S/5 iCentral and iCentral Client User’s Reference Manual

0537

Conformity according to the Council Directive 93/42/EEC concerning Medical Devices CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner. Outside the USA, check local laws for any restriction that may apply. All specifications are subject to change without notice.

Document no. M1022236-01 June, 2004

Datex-Ohmeda Inc. P.O. Box 7550 Madison, WI 53707-7550, USA Tel: +1-608-221 1551 Fax: +1-608-222 9147 www.us.datex-ohmeda.com

Datex-Ohmeda Division, Instrumentarium Corporation P.O. Box 900 FI-00031 DATEX-OHMEDA, FINLAND Tel: +358 10 39411 Fax: +358 9 1463310 www.datex-ohmeda.com

© Instrumentarium Corp. All rights reserved.

Intended purpose (Indications for use) The GE Datex-Ohmeda S/5TM Network and iCentral transfers information between networked GE Datex-Ohmeda devices in the GE Datex-Ohmeda Monitor Network. It also allows information transfer between several iCentrals. Within one GE Datex-Ohmeda Monitor Network it allows a networked device to display, store, print and otherwise process information received from other networked devices. The GE Datex-Ohmeda S/5TM iCentral maintains the network connections between the GE DatexOhmeda bedside monitors and other networked devices in GE Datex-Ohmeda Monitor Network. Network connections consist of hardwired network cables and/or Wireless LAN (WLAN) connections. Furthermore, it coordinates the transfer of information between devices in the GE Datex-Ohmeda S/ 5 Network as well as between the GE Datex-Ohmeda S/5 Network and Hospital Information Systems (HIS). The GE Datex-Ohmeda S/5 iCentral can be used for remote monitor management, storing, printing, viewing, reviewing or otherwise processing of information from several bedside monitors or other networked devices. The GE Datex-Ohmeda S/5TM iCentral Client can be used for remote monitor management, printing, viewing or otherwise processing of information from several bedside monitors or other networked devices. The GE Datex-Ohmeda S/5 Network will be used for patients in the hospital and it is meant for continuous use. The device is for use by qualified personnel only.

CE marking •

•

The following iCentral software licenses are CE marked in accordance with the EU Medical Device Directive: − L-NET03: iCentral License for Basic Level of Software − L-NETC03: iCentral Client License for Basic Level of Software − L-NETKEYxx (xx=4/8/.../32): iCentral License for 4, 8, ..., 32 monitor connections − L-NETM: iCentral & Client License for trends and alarm management − L-NETSS: iCentral & Client License for snapshots and 1h of full disclosure − L-NET28Fxx (xx=4/8/.../32): iCentral License for 28 h of full disclosure (4/8/.../32 beds) − L-NET72Fxx (xx=4/8/.../32): iCentral License for 72 h of full disclosure (4/8/.../32 beds) The GE Datex-Ohmeda S/5 iCentral Patient Screen display units, computer and keyboard are CE marked in accordance with the EU directives for Electromagnetic Compatibility and for Low Voltage equipment.

Responsibility of the manufacturer Datex-Ohmeda Division, Instrumentarium Corp. is responsible for the safety, reliability and performance of the Datex-Ohmeda manufactured products only if: • modifications, service and repairs are carried out by personnel authorized by Datex-Ohmeda. • the electrical installation of the room complies with appropriate requirements. • the equipment is used in accordance with this manual.

Trademarks Datex®, Ohmeda®, and other trademarks S/5, AS/3, CS/3, D-lite, D-lite+, Pedi-lite, Pedi-lite+, Mini D-fend, D-fend, D-fend+, Entropy, OxyTip+, TruTrak®+, MemCard, ComBar, ComWheel, PatientO2, Patient Spirometry and Tonometrics are property of Instrumentarium Corp. or its subsidiaries. All other product and company names are property of their respective owners.

Table of contents

Table of contents About this manual

1

Conventions used in this manual... 1 Illustrations and names... 1 Related documents... 2

1

Safety precautions

3

Warnings... 3 Cautions... 4 Points to note... 4 Disposal... 4

2

Overview

5

Main components... 5 Two Patient Screens... 6 Recorder... 6 Software licenses... 7 Temporary licenses... 7 Applicable bedside monitors... 8 Controls... 10 Mouse... 10 Keyboard... 10 Keyboard function keys... 10 Main functions... 11 Displayed information... 12 Patient Screen display modes and pages... 12 Groups, pages and view configurations... 13 General Patient Screen layout... 14 Waveforms and numerical parameter values... 16 Trends... 16 Event history... 16 Full disclosure... 17 Alarms and messages... 17 Patient information... 17 ToolTips... 17 Pdf files... 17 Web pages... 18 Status Screen... 18

i

GE Datex-Ohmeda S/5 iCentral and iCentral Client Networking... 19 GE Datex-Ohmeda Monitor Network... 19 GE Datex-Ohmeda S/5 Network... 20 iCentral Client... 20 Arrhythmia Workstation... 21 Web Viewer and Pocket Viewer... 21 Wireless local area network... 21 Centralized printing... 22 Installing and configuring the Central... 22 Setup and configuration... 22 Time and date... 22 Cable connections... 23 Starting and exiting the Central... 24 Starting... 24 Exiting the program... 24 Symbols and icons... 25

3

Short instructions

29

Moving between Multi View and Patient View... 29 From Multi View to Patient View... 29 From Patient View to Multi View... 29 Viewing real-time waveforms and numerical parameter values for a single patient... 29 Admitting patients... 29 Silencing alarms from the Central... 30 Alarms for a specific monitor location at the Central for 2 minutes... 30 Alarms for all locations at the Central for 2 minutes... 30 Alarms from one monitor location at the Central permanently... 30 Alarms at a bedside monitor from the Central permanently... 30 Acknowledging alarms... 30 Viewing trends... 31 Viewing event history... 31 Viewing full disclosure... 31 Recording... 31 Printing... 32 Printing patient information... 32 Printing real-time ECG waveforms... 32 Printing trends... 32 Printing event history data and related waveforms... 32 Printing full disclosure... 32 Printing bedside monitor snapshots... 33 Printing anesthesia reports and care reports... 33 Viewing .pdf files... 33 Viewing Web pages... 33

ii

Table of contents Returning to Multi View... 33 Displaying other monitors... 34 Moving focus from one Patient Screen to another... 34

4

Patient data management

35

Admitting patients... 35 Entering and changing patient information... 36 Saving waveforms for full disclosure... 37 Printing patient information... 38 Saving patient data to network... 38 Loading patient data... 39 Loading patient data from network... 39 Loading patient data from network at an anesthesia monitor... 39 Loading patient data from network at a critical care monitor... 39 Loading a closed anesthesia record keeping case at an anesthesia monitor... 40 Loading most recent patient trends at a critical care monitor... 40 Moving patient data between monitors with Data Card... 40 Loading patient data from a transport monitor... 41 Data continuity between monitors and between iCentrals... 41 Discharging patients... 42

5

Alarms

43

Presentation of alarms... 43 Alarm categories... 44 Alarms on the Patient Screen... 44 Alarms on the Status Screen... 45 Alarm tones... 45 Selecting the displayed alarms... 46 Adjusting audio alarm volume... 47 Increasing audio alarm volume of the D-LCC19 display... 47 Adjusting alarm settings... 48 Adjusting alarm limits... 49 Setting an alarm on/off... 49 Changing the arrhythmia alarm priority... 54 Silencing alarms... 55 Silencing an alarm at the Central for 2 minutes... 55 Silencing all alarming locations at the Central for 2 minutes... 55 Silencing a monitor location at the Central permanently... 56 Silencing a bedside monitor from the Central permanently... 56 Silencing Central alarms from the bedside monitor... 57 Silencing all Central alarms permanently... 57 Silencing all monitor group alarms permanently... 57 Acknowledging an alarm... 58 Summary of alarm silencing... 59

iii

GE Datex-Ohmeda S/5 iCentral and iCentral Client

6

Viewing patient data in Multi View

61

Overview... 61 Multi View modes... 64 Patient sectors... 66 Displayed parameters... 69 Selecting the waveforms and digit fields... 69 Displaying next page automatically... 71

7

Viewing single patient data in Patient View

73

Overview... 73 Views in the Patient View... 74 Moving between Patient View views and pages... 75 Moving from Trends to Full Disclosure... 75 Moving from Event History to Full Disclosure... 75 Moving from Event History to Trends... 75 Moving from Full Disclosure to Trends... 75 Moving to Event History... 75

8

Viewing real-time waveforms and numerical data

77

Overview... 77 Waveform fields... 78 Numerical parameter data... 78 Bedside page... 79 ECG page... 80 Hemo page... 81 Vent page... 82 Neuro page... 83

9

Viewing trends

85

Overview... 85 Trended parameters... 86 Graphical trends... 87 Using the trend time cursor... 88 Default graphical trend pages... 89 Changing trend scale... 89 Changing trend length and resolution... 89 Data discontinuity marks... 90 Numerical trends... 90 Changing trend resolution... 92 Default numerical trend pages... 92 Printing trends... 94

iv

Table of contents

10 Viewing event history

95

Overview... 95 Selecting event list contents... 97 Deleting an event... 98 Automatically saved alarms... 98 Adding a comment... 100 Displaying saved waveform strips... 101 Rhythm page... 101 ECG page... 101 Hemo page... 101 Vent page... 102 Neuro page... 102 Printing from the Event History view...102

11 Viewing full disclosure

103

Overview... 103 Rhythm page... 104 Zooming a part of the Rhythm waveform... 105 Caliper measurement...106 ECG page... 107 Hemo page... 108 Vent page... 109 Neuro page... 110 Printing full disclosure... 110

12 Viewing .pdf files and web pages

111

Viewing .pdf files... 111 Viewing Web pages... 112 Controls in the Web Browser and PDF Viewer... 114

13 Viewing patient data on Status Screen

115

Status Screen view configurations... 116 Status Screen pages... 116 Message window... 117 Viewing data on the Status Screen... 117

v

GE Datex-Ohmeda S/5 iCentral and iCentral Client

14 Printing and recording

119

Printing with laser printer or to .pdf... 119 Patient information... 119 Real-time ECG waveforms... 119 Trends... 119 Printing event history data and related waveform strips... 120 Printing full disclosure... 120 Printing bedside monitor snapshots... 120 Printing anesthesia records and critical care reports... 120 Recording with strip-chart recorder... 121 Automatic recording on alarms... 122 Recording manually... 123 Recorder setup... 123 Symbols indicating recorder status... 123 Loading paper... 124

15 Cleaning and care

127

Cleaning... 127 Preventive maintenance... 128 Recorder... 128

16 Troubleshooting

129

Messages... 129 Other symptoms of trouble... 133

17 Performance

139

Technical specifications... 139 Required operating system... 139 Number of real-time waveforms on Patient Screen... 139 Number of stored full disclosure waveforms... 139 Power supplies... 139 Strip-chart recorder, N-REC4 and N-REC2... 139 Environmental conditions... 140

18 Warranty Index

vi

141 Index-1

About this manual

About this manual The purpose of this manual is to describe the intended use of the GE DatexOhmeda S/5 iCentral and GE Datex-Ohmeda S/5 iCentral Client and to help you in using them for your daily routines. NOTE: Later in this manual, the concept “Central” refers to both iCentral and iCentral Client. If a feature or a function is specific to iCentral or iCentral Client only, the longer version of the product name is used.

Conventions used in this manual To help you find and interpret information easily, the manual uses consistent text formats: −

Command buttons are written in the following way: Cancel.

− −

Keyboard key names are written in the following way: Enter, Esc. Software terms that identify window parts (pages, text boxes, list boxes, check boxes, menu commands) are written in bold italic typeface: Location. File names, file paths and text to be entered are written in the following way: comm.exe. Messages displayed on the screen are written inside single quotes: 'Audio OFF at Central'. When referring to different sections in this manual or to other manuals, manual names and section names are enclosed in double quotes: See section "Overview." Please refer to "S/5 Anesthesia Monitor User’s Reference Manual: Cleaning and care." Cautions are displayed in the following way:

− − −

−

CAUTION: This is a caution. −

Warnings are displayed in the following way:

WARNING: This is a warning. Illustrations and names All illustrations in this manual are only examples, and may not necessarily reflect your system settings or data displayed in your system. All names used in examples and illustrations are fictitious.

1

GE Datex-Ohmeda S/5 iCentral and iCentral Client

Related documents

2

For more information on...

See...

GE Datex-Ohmeda S/5 Network configuration and setup

S/5 iCentral Technical Reference Manual

Central installation and configuration

S/5 iCentral Technical Reference Manual

GE Datex-Ohmeda S/5 Network, iCentral and iCentral Client service

S/5 iCentral Technical Reference Manual

Monitored parameters and alarms on the screen

User documentation for bedside monitors connected to the network

GE Datex-Ohmeda S/5 Web Viewer

S/5 Web Viewer User’s Reference Manual (delivered as a .pdf file together with the Web Viewer)

GE Datex-Ohmeda S/5 Pocket Viewer

S/5 Pocket Viewer User’s Guide

GE Datex-Ohmeda S/5 Network Interface Software Development Kit

S/5 Network Interface Software Development Kit User’s Reference Manual (delivered as a .pdf file together with the S/5 Network Interface Software Development Kit)

Datex-Ohmeda S/5 Arrhythmia Workstation

S/5 Arrhythmia Workstation User’s Reference Manual

GE Datex-Ohmeda S/5 Wireless Network Option

Installation guide for the option

GE Datex-Ohmeda S/5 Network Computer

User documentation delivered with the computer

Printer and recorder

User documentation delivered with the printer and recorder

Safety precautions

1 Safety precautions The following list contains all the general warnings and cautions you should know before starting to use the system. Warnings and cautions specific to parts of the system or to a specific function can be found in the relevant section.

Warnings WARNING: A WARNING indicates a situation in which the user or the patient may be in danger of injury or death. • •

• • • • •

• • •

Do not use the Central or strip-chart recorder in the presence of flammable anesthetics. Before starting to use the system, make sure that the whole combination complies with the international safety standard IEC 60601-1-1 for the medical electrical systems and with the requirements of the local authorities. The Central and the printer shall be supplied from an additional transformer providing at least basic isolation (isolating or separating transformer) when placed in a medically used room. Without an appropriate transformer the leakage current in the system may exceed the value allowed for the medical electrical equipment. Do not connect any external devices to the system other than those specified. Use only hospital-grade grounded power outlets and power cord. Dangerous voltage. The interior components of the strip-chart recorder and other devices carry high voltage. Do not remove the cover. Some equipment malfunctions may not generate a monitor alarm. Always keep the patient under close surveillance. If liquid has accidentally entered the equipment, disconnect the power cord from the power supply and have the equipment serviced by authorized service personnel. If the system or its components fail to respond as described, do not use the monitor until tested and repaired by authorized service personnel. Always make sure that audio cables are properly connected. Never turn the volume off from the alarm loudspeakers on the display. If the volume is silenced from the display, all patient alarms will be silenced and there will be no visible indication of the silenced state. The volume should only be adjusted through the Alarm Options page.

3

GE Datex-Ohmeda S/5 iCentral and iCentral Client •

•

• •

Silencing audible alarms on the patient monitor and/or Central may compromise patient safety. When the alarms are silenced, observe the patient frequently. Alarms are shown at the Central only from the monitors within the view configuration that is being used. Make sure when changing the view configuration that you view the patients you really want to monitor. Do not use the GE Datex-Ohmeda S/5 Network Computer for running any programs other than those approved. The Central is intended to be used by qualified medical personnel only.

Cautions CAUTION: A CAUTION indicates a situation in which the unit or devices connected to it may be damaged. • • •

•

• • •

Turn off the power before making any rear panel connections. Always exit the program before you disconnect the device from the power supply. The LCD display is fragile. Ensure that the display is not placed near a heat source or exposed to mechanical shocks, pressure, moisture or direct sunlight. Do not store or use the equipment outside the temperature and humidity ranges specified in the user documentation delivered with the respective equipment. Do not turn on the strip-chart recorder before turning on the GE DatexOhmeda S/5 Network Computer it is connected to. Using the recorder without the thermal paper may destroy the thermal elements. Other transmitting radio devices using the same radio frequency band (Industrial Scientific and Medical 2.45 GHz band) may degrade or disturb the wireless network communication.

Points to note •

Installation, service and reparations are allowed for authorized service personnel only.

Disposal Dispose of the whole device, or parts of it, in accordance with local environmental and waste disposal regulations. 4

Overview

2 Overview Main components

+

1

2

3

-

4

5

2-1 (1) (2) (3) (4) (5)

Central components Patient Screen, Flat LCD model GE Datex-Ohmeda S/5 Network Computer Patient Screen, CRT model Software, software licenses and license agreement PC keyboard and mouse for controlling the user interface

You can connect a laser printer and a strip-chart recorder to the system. NOTE: If the power is turned off from the GE Datex-Ohmeda S/5 Network Computer, all network communication running under the specific iCentral ceases. Do not turn off the mains power unless network configuration is going to be changed.

CAUTION: The LCD display is fragile. Ensure that the display is not placed near a heat source or exposed to mechanical shocks, pressure, moisture or direct sunlight. WARNING: Do not use the GE Datex-Ohmeda S/5 Network Computer for running any programs other than those approved. WARNING: Do not connect any external devices to the system other than those specified. 5

GE Datex-Ohmeda S/5 iCentral and iCentral Client

WARNING: When you connect other equipment to the Central, ensure that the whole combination complies with the international safety standard IEC 60601-1-1 and with the requirements of the local authorities. The Central and the printer shall be supplied from an additional transformer providing at least basic isolation (isolating or separating transformer) when placed in a medically used room. Without an appropriate transformer the leakage current in the system may exceed the value allowed for the medical electrical equipment. WARNING: Ensure that any additional display is properly grounded before connecting it to the Central. WARNING: Do not use the Central in the presence of flammable anesthetics. Two Patient Screens The Patient Screen displays waveforms, numeric fields, alarms, and other patient data and allows access to various system level operations. The Central supports the use of two independently configured Patient Screen displays. These two Patient Screen displays can be placed next to each other to display all monitor locations simultaneously. Additional displays can be connected to the display board of the PC with video splitters. The information displayed is identical to the respective Patient Screen. Both Patient Screens have their own screen setup (Screen 1 and Screen 2) that you can access from the Configuration view on either one of the two screens.

Switching from Patient Screen to another If your Central has two independent Patient Screens, you can move the focus from one screen to the other by moving the cursor to the desired screen. When entering a screen, the focus is in the same location as it was before the screen was left the previous time.

Recorder The Central can be equipped with a 2-inch or 4-inch strip-chart recorder that prints alarm-triggered strips and continuous waveforms, as defined in the configuration.

6

Overview

Software licenses License

Description

L-NET03

iCentral License for Basic Level of Software

L-NETC03

iCentral Client License for Basic Level of Software

L-NETKEYxx (xx=4/8/.../32)

iCentral License for 4, 8, ..., 32 monitor connections

L-NETM

iCentral & Client License for trends and alarm management. Allows saving and showing trend data. The Central is able to show the same trend length as the bedside monitor, up to 72 hours. Also allows changing the alarm settings at the Central.

L-NETSS

iCentral & Client License for snapshots and 1-hour full disclosure. Allows saving and showing events (alarms and manual snapshots). With this license, 1-hour full disclosure is also available.

L-NET28Fxx (xx=4/8/.../32)

iCentral License for 28 hours of full disclosure (4/8/.../32 beds). Allows continuous saving of waveform signals for up to 28 hours.

L-NET72Fxx (xx=4/8/.../32)

iCentral License for 72 hours of full disclosure (4/8/.../32 beds). Allows continuous saving of waveform signals for up to 72 hours.

L-NETI1, L-NETI2

S/5 Network Interface License enabling 1 or 2 network interface applications to connect to the S/5 iCentral. A network interface application is a software developed with the GE Datex-Ohmeda S/5 Network Interface Software Development Kit.

Temporary licenses A temporary license is valid 30 days. When there are 4 days left to the expiration, Central starts displaying the expiration notifications in the header area of the Patient Screen as follows: ‘Temporary license expires in xx days. Contact system administrator.’ ‘Temporary license expires in xx hours. Contact system administrator.’ ‘Temporary license expires within an hour. Contact system administrator.’ ‘Temporary license expired. Contact system administrator.’ Once the license has expired, the Shut Down Central window is displayed. Alarms are displayed but any interaction with Central is disabled. When you click OK, the Central shuts down. 7

GE Datex-Ohmeda S/5 iCentral and iCentral Client

Applicable bedside monitors The Central can accept data from the S/5 Anesthesia Monitors, S/5 Critical Care Monitors, S/5 Compact Anesthesia Monitors, S/5 Compact Critical Care Monitors, S/5 FM, AS/3 monitors, CS/3 monitors, S/5 Light Monitors and Cardiocap/5 monitors with the following options: Anesthesia Monitor, Compact Anesthesia S/5 FM Critical Care Monitor Monitor, Compact Critical Care Monitor

S/5 Light Monitor, CC/5

Option required

B-UPINET, monitor N-CMNET software -97 or newer

LM: N-LNET or N-LDNET CC/5: N-XNET or N-XDNET

Remote alarm management

L-ANE01(A) and L-CANE01(A) and L-FICU03(A) N/A S-ICU01(A) software S-CICU01(A) software software license or license or newer. license or newer. DRI newer. DRI level ‘01 DRI level ‘01 or newer. level ‘01 or newer. or newer.

Viewing Entropy

Rev. 3 of L-ANE03(A) L-CANE03(A) software license or software license or newer. DRI level ‘03 or newer. DRI level ‘03 newer. or newer.

N/A

N/A

Viewing EEG

N/A Rev. 3 of L-ANE03(A) L-CANE03(A) and L-CICU03(A) software and L-ICU03(A) software license or license or newer. DRI newer. DRI level ‘03 or level ‘03 or newer. newer.

N/A

N-FMNET (always included)

Viewing 12-lead Rev. 3 of L-ANE03(A) L-CANE03(A) and ECG and L-ICU03(A) L-CICU03(A) software software license or license or newer. DRI newer. DRI level ‘03 or level ‘03 or newer. newer.

L-FICU03(A) N/A software license or newer. DRI level ‘03 or newer.

Starting the L-ANE01(A) and network recorder S-ICU01(A) software printing from the license or newer. DRI bedside level '01 or newer.

L-FICU03(A) N/A software license or newer. DRI level ‘01 or newer.

8

L-CANE01(A) and S-CICU01(A) software license or newer. DRI level ‘01 or newer.

Overview Anesthesia Monitor, Compact Anesthesia S/5 FM Critical Care Monitor Monitor, Compact Critical Care Monitor

S/5 Light Monitor, CC/5

Bedside Rev. 3 of L-ANE03(A) snapshots saved and L-ICU03(A) at iCentral software license or newer. DRI level ‘03 or newer.

L-CANE03(A) and L-CICU03(A) software license or newer. DRI level ‘03 or newer.

L-FICU03(A) N/A software license or newer. DRI level ‘03 or newer.

Entering birth date, age, middle name, gender, weight, height and BSA at Central

L-CANE03(A) and L-CICU03(A) software license or newer. DRI level ‘03 or newer.

L-FICU03(A) N/A software license or newer. DRI level ‘03 or newer.

Rev. 3 of L-ANE03(A) and L-ICU03(A) software license or newer. DRI level ‘03 or newer.

NOTES: − The GE Datex-Ohmeda S/5 Compact Anesthesia Monitor and GE DatexOhmeda S/5 Compact Critical Care Monitor can be connected to the iCentral also with the wireless network option, N-CMW. − The GE Datex-Ohmeda S/5 FM can be connected to the iCentral also with the wireless network option, N-FMW. − No trend and event data nor full disclosure waveforms available from the Light Monitor. − Manual snapshots from the monitor available only with DRI level ‘03 or newer. − Displaying 12-lead ECG requires − selecting DRI level '03 or newer on the monitor. − monitor software license L-FICU03(A), L-CANE03(A), L-CICU03(A) or newer or Rev. 3 of L-ANE03(A) or L-ICU03(A) or newer. − Rev. 02 of M-NE(12)STPR, M-NE(12)TPR or M-NE(12)STR or newer. − Rev. 01 of M-PRESTN, M-PRETN or M-RESTN or newer. − Rev. 00 of E-PSM(P) or newer. With modules Rev. 00 or 01 of M-NE(12)STPR, M-NE(12)TPR or M-NE(12)STR, up to 3 ECG waveforms are shown on the Central. This is the case also with a combination of older modules, monitor software license 03 or older and DRI level 03 or older. The three waveforms shown are the ones selected as user leads in the monitor’s ECG menu. With older modules, monitor software license 04 or newer and DRI level ‘03 or newer, up to 7 ECG waveforms can be seen on the Central.

9

GE Datex-Ohmeda S/5 iCentral and iCentral Client

Controls The Central is controlled with a PC keyboard and mouse.

Mouse • • •

Clicking refers to positioning the mouse pointer on a selection and pressing the left mouse button. Double-clicking refers to positioning the mouse pointer on a selection and double-clicking the left mouse button. Right-clicking refers to positioning the mouse pointer on a selection and clicking the right mouse button. This opens a pop-up menu for making further selections.

Keyboard Use the keyboard to enter data in the various Central views. •

To enter data in a text box, position the mouse pointer in the text box and activate the text box by clicking it once with the left mouse button.

Keyboard function keys The Central keyboard function keys are assigned to the following functions: F2 Silence Central - silences all audible alarms for 2 minutes at Central. F3 Status Screen - opens the Status Screen. F5 Start Recorder - starts manual waveform recording from the selected location to the network recorder according to the active settings. F6 Stop Recorder- stops the automatic or manual waveform recording of the selected location. F7 Take Snapshot - takes a snapshot from the selected location’s real-time waveforms at Central from the moment the function key is pressed. F9 Admit Patient - opens the Admit view of the selected location. F10 Alarms Setup - opens the Alarms Setup view of the selected location F11 Location Setup - opens the Location Setup view of the selected location. F12 Normal Screen - returns you to the Multi View page that was open last. 10

Overview

Main functions The S/5 iCentral (equipped with L-NET03 and other appropriate software options): − collects, displays and prints measured or interfaced patient data including real time waveforms, trends, alarms, events and full disclosure from the monitors connected to the GE Datex-Ohmeda Monitor Network. − supports remote alarm management. − collects events and other data from the anesthesia record keeping solution. − stores the configuration files for the iCentral and anesthesia record keeping solution and the user modes for the bedside monitors in the network. The data is stored on the GE Datex-Ohmeda S/5 Network Computer’s hard disk. − enables monitor-to-monitor communication in the S/5 Network with up to 16 simultaneous links. − enables real-time communication with up to three other iCentrals and data continuity with up to seven other iCentrals within the S/5 Network. − can optionally access laboratory and hospital information systems through a hospital network. − saves .pdf printouts on the hard disk as defined in the setup. These features ensure the continuity of the data between the various care areas within the S/5 Network. The iCentral Client (equipped with L-NETC03 and other appropriate software options): − connects to up 4 iCentrals for data viewing − displays and prints measured or interfaced patient data including real-time waveforms, alarms, trends, events and full disclosure from the monitors connected to the iCentral/Monitor Network. − supports remote alarm management. − can optionally access laboratory and hospital information systems through a hospital network. − saves .pdf printouts on the hard disk as defined in the setup. NOTES: − iCentral Client cannot store patient trend, full disclosure or event history data. − iCentral Client has no network server responsibilities. The iCentral can be configured with up to 32 GE Datex-Ohmeda monitors. One Patient Screen is able to show up to 16 patient sectors at a time. For details about configuring the Central, see "S/5 iCentral Technical Reference Manual."

11