CARESCAPE Central Station Model MAI750 , MAI800 and MAS800 Technical Manual sw ver 3

The information in this manual applies to the software version and product models on the first page of the manual. Due to continuing innovation, specifications in this manual are subject to change without notice. For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE Medical Systems Information Technologies, Inc., and GE Healthcare Finland Oy.

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Contents 1

About this manual ...19 Manual intended audience... 19 Manual intended use ... 19 Manual conventions ... 19 Illustrations and names ... 19 Common terms ... 20 Ordering manuals ... 20 Trademarks ... 20 Related manuals ... 20 Additional resources ... 21 Revision history ... 21

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Safety precautions...23 Safety message signal words... 23 Danger safety messages... 23 Warning safety messages... 23 Caution safety messages ... 34 Notice safety messages ... 38 Safety symbols ... 38 Safely restart ... 39 Safely shutting down ... 39

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About this system ...41 Intended use... 41 Manufacturer responsibility ... 41 Service requirements... 41 System components ... 42 Processing unit ... 42 Stand-alone display ... 44 Primary display... 45 Secondary display ... 45 Mirrored central displays ... 45 Remote display... 46

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Cloned (replica) display ... 46 Keyboard and mouse... 46 External speakers... 47 Writer ... 47 Stable power source ... 47 Laser printer ... 47 Controls, indicators, and connections ... 48 Device symbols ... 49 Device identification ... 53 Unique Device Identifier (UDI) ... 53 Serial Number (SN) ... 54 4

About this software ...55 Configuration levels ... 55 Multi-Viewer overview ... 56 Patient Multi-Viewer window overview ... 57 Multi-Viewer Flashing ... 59 Single Viewer overview... 59 User interface symbols ... 60 Networking ... 64 Time management on the CARESCAPE Network ... 64 IP address allocation... 65 Patient monitoring network description ... 65 Intranet access and Citrix... 66 Data types ... 67 Patient data ... 67 Network data... 67 Data review tools ... 68 Time focus ... 68 Full Disclosure overview ... 68 Trends overview ... 70 Calipers overview ... 71 ST Monitoring Status indicator overview ... 72 ST Review overview... 72 PDF printer... 73

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EMR ... 75 Allow List... 76 802.1X ... 76 Password Management... 77 5

Hardware installation ...81 Installation safety precautions... 81 Installation requirements ... 82 Site requirements ... 82 Electrical requirements ... 83 Visually inspecting equipment ... 83 Mounting options ... 84 Installation and configuration procedures... 84 Installing the processing unit stand ... 84 Installing the processing unit ... 84 Installing a primary display ... 85 Installing a secondary display ... 85 Installing and configuring a remote display (video splitter)... 85 Installing and configuring a remote display (video extender) ... 86 Installing a keyboard and mouse... 89 Installing external speakers... 90 Installing a writer... 90 Installing a local printer ... 90 Installing a network laser printer ... 91 Powering up the processing unit for the first time... 92

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Configuration ...95 Getting started ... 95 Password Management... 95 Password change Pre-Requisites... 96 Changing passwords using a language keyboard... 96 Password Policy... 98 Password Change (Initial Login) ... 99 Password Expiry ... 103 Account Lockout ... 105 Configuration requirements ... 106

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Time management on the CARESCAPE Network ... 107 IP address allocation... 108 Examining the central stations on the network ... 108 Configuring touchscreen displays... 109 Map Touch Screens ... 109 Calibrating GE touchscreen display ... 110 Configuring cursor movement ... 111 Changing keyboard layout ... 111 Configuring Webmin-related settings ... 112 Configuring Set Flags ... 112 Configuring language ... 115 Configuring time zone... 116 Configuring time and date... 117 Configuring network IP address and 802.1x authentication ... 118 Configuring network laser printers ... 119 Configuring local printers ... 120 Deleting laser printers... 121 Configuring laser printer paper size... 121 Configuring PDF printer ... 121 Configuring print locations for stored patient data ... 123 Print configuration ... 125 Configuring Allow List ... 125 Configuring Remote Service ... 127 Configuring encryption ... 128 Configuring MultiKM... 129 Configuring Browser Favorites ... 135 Citrix Configurations ... 136 Configuring EMR... 136 Configuring Label Customization ... 138 Configuring Asset Settings... 138 Configuring speaker setup ... 139 Certificate management ... 139 Calibrating displays ... 140 Configuring service-level defaults ... 141

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Logging on to the clinical application (User windows)... 141 Logging on to the service mode... 141 Logging off of the service mode... 142 Logging on to the alarm service mode... 142 Logging off of the alarm service mode... 142 Configuring Clinician Review Workstations ... 142 Configuring Central and Unit Name service-level defaults ... 143 Configuring Printer/Writer service-level defaults... 144 Configuring Multi-Viewer Display Configuration service-level defaults ... 145 Configuring Auto Display Button service-level defaults ... 146 Configuring locked patient Multi-Viewer windows ... 146 Configuring mirrored central displays overview ... 146 Configuring Graph Setup service-level defaults ... 149 Configuring beds and transmitters... 150 Setting Full Disclosure licensing ... 150 Setting Full Disclosure Mode ... 150 Configuring clinical application service-level defaults ... 151 Configuring Waveforms, Real-time Trend Graph, and Color Set service-level defaults ... 151 Configuring ECG service-level defaults... 151 Configuring Full Disclosure service-level defaults... 153 Configuring FD Session Search criteria... 156 Configuring Graphic Trends Groups... 157 Configuring Numeric Trends Groups ... 158 Configuring Save As Favorite buttons... 158 Configuring Event Marker service-level defaults... 159 Configuring Real-time BP UOM service-level default (Chinese language only) ... 159 Configuring clinical application alarm-level defaults ... 160 Configuring alarm-level defaults... 160 Configuring Patient Age service-level default ... 162 Configuring Transmitter Audio Pause service-level defaults ... 162 Configuring Telemetry Alarm Setup service-level defaults ... 163 Resetting Telemetry Unit Defaults to presets ... 164

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Service interfaces ...165 Service interfaces overview ... 165 Switching to Field Service windows account ... 165 Webmin access... 166 Logging on to Webmin ... 166 Logging on to Webmin using a Service Computer ... 166 Logging on to TightVNC... 167 Logging off of TightVNC... 167 Changing passwords ... 167 Changing device passwords... 167 Biomed Password Reset via Webmin ... 168 Resetting the Webmin Biomed password ... 169 Resetting the Webmin Service password ... 169 Configuring cursor size: ... 169 Configuring service computer's network properties ... 170

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Licenses...171 License codes ... 171 License packages... 174 Changing licenses (transfers and expansions)... 174 Deactivating licenses for license changes (transfers and expansions)... 174 Activating licenses... 175 Activating licenses manually ... 177 Completing license changes ... 178 Deactivating/reactivating licenses ... 178 Temporarily deactivating licenses... 178 Reactivating a deactivated license ... 178

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Installation checkout...179 Installation checkout overview ... 179 Processing unit checkout procedure ... 179 Status of installed licenses checkout procedure... 179 Unit Defaults checkout procedure ... 179 Date and time settings checkout procedure... 180 Network connectivity and printing checkout procedure... 180

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Full Disclosure checkout procedure... 180 MultiKM checkout procedure ... 181 Access to other units checkout procedure... 181 Audio alarm tones checkout procedure ... 181 PDF printer checkout procedure ... 181 Speaker volume checkout procedure... 182 Remote Service checkout procedure... 182 Backing up system settings... 182 Writer checkout procedure ... 183 Mirrored central display checkout procedure ... 184 Password management vault checkout... 184 10 Preventative maintenance checkout ...185 Maintenance schedule ... 185 Visually inspecting equipment ... 186 Cleaning... 186 Writer maintenance... 186 Changing writer paper... 186 Storing writer paper ... 186 Power cord and plug test ... 187 Power outlet test ... 187 Electrical safety tests ... 187 Testing ground continuity... 187 Testing ground wire leakage current ... 188 Testing enclosure leakage current... 189 11 Functional checkout ...191 Functional checkout overview ... 191 Date and time settings checkout procedure... 191 Checking the Central station system status messages/proactive system monitoring ... 191 Using the Check Centrals utility... 191 Network connectivity and printing checkout procedure ... 193 Full Disclosure checkout procedure ... 193 MultiKM checkout procedure ... 194 Access to other units checkout procedure ... 194

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Audio alarm tones checkout procedure ... 194 Speaker volume checkout procedure ... 194 Processing unit internal temperature and voltage status checkout procedure ... 194 Video function checkout procedure... 195 System files integrity checkout procedure ... 195 Remote Service checkout procedure... 195 Mirrored central display checkout procedure ... 196 Consolidated configuration information checkout procedure... 196 Institution’s responsibility checkout procedure... 197 12 Troubleshooting...199 Troubleshooting overview ... 199 Central station system status messages... 200 Monitoring device messages... 201 Error messages ... 212 Boot failure ... 221 Re-image failure... 222 Software image on USB stick does not match hardware... 222 Out-of-unit audio alarms paused ... 222 Audio alarms sound when removing patient Multi-Viewer windows... 222 Central station continually reboots during reload procedure... 223 Blank screen with blinking cursor during central station reboot ... 223 Browser connectivity issues ... 223 Display issues ... 223 Blank screen ... 223 Blue screen ... 224 Red screen ... 224 Incorrect display colors... 225 MultiKM issues... 225 Unable to use MultiKM ... 225 MultiKM only works for one hour... 225 Unable to locate the MultiKM focus ... 226 Unable to access a central station within keyboard and mouse group... 226

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Intermittent access to one or more displays via MultiKM... 226 Time issues ... 226 Viewing time zone settings... 226 Time does not advance or alternates frequently ... 226 Time change request ignored by the central station... 228 Printer issues ... 228 Printer button grayed out when viewing stored patient data... 228 Unable to print to printer on enterprise network ... 229 Unable to print to a writer ... 229 Report sent to PDF printer is not printing ... 229 Unable to Submit EMR Strip Report... 229 Report sent to EMR/Integration Engine is not printing ... 229 Central station configuration issues ... 230 Unable to communicate with a device ... 230 Unable to access ADT information... 230 Experiencing waveform dropout... 230 Improper age selection criteria ... 231 Unable to activate licenses... 231 Unable to correctly restore settings... 231 Unable to establish Remote Service connection... 232 IEC technical alarms repeating at a set interval ... 232 Allow list issue... 232 Full Disclosure issues ... 233 Unable to access Full Disclosure features ... 233 Unable to start ST Review... 233 Visit number is not accessible immediately after admit... 234 Care note is not accessible immediately after admit ... 234 Push to MUSE button disabled ... 234 Log files... 234 Downloading log files... 234 Accessing log files ... 235 Viewing application log... 235 Viewing operating system event logs ... 235 Viewing Webmin action logs ... 235

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Incorrect Webmin page displayed... 236 Webmin diagnostics ... 236 Viewing operating system hotfixes and service pack information ... 236 Viewing device driver information ... 236 Viewing network information ... 236 Viewing CARESCAPE Network device information ... 236 Viewing time zone settings... 236 Viewing time zone information ... 236 Viewing PFA Status information ... 237 Viewing operating system runtime statistics ... 237 Viewing operating system service process information... 237 Viewing process information... 237 Viewing SMART drive status... 237 Enabling duplicate TTX... 237 Disabling duplicate TTX... 237 Video extender LED indication ... 238 13 Field replaceable units (FRUs) ...239 FRU replacement safety precautions ... 239 Electrostatic discharge (ESD) guidelines ... 240 Supported FRUs ... 241 Removing the desktop CPU Front Cover... 241 Replacing the desktop CPU Front Cover... 242 Removing the integrated CPU assembly ... 242 Replacing the integrated CPU assembly or MAI750 upgrade kit ... 243 Replacing the stand-alone display controller PCB... 244 Replacing the stand-alone display controller PCB checkout procedure ... 245 Replacing the front display assembly... 246 Replacing the front display assembly checkout procedure ... 247 Replacing the desktop processing unit stand ... 247 Replacing the desktop processing unit stand checkout procedure ... 248 Replacing the integrated processing unit and stand-alone display stand ... 248

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Replacing the integrated processing unit and stand-alone display stand checkout procedure ... 248 Replacing the processing unit COMM express module ... 249 Replacing the processing unit COMM express module checkout procedure ... 250 Replacing the processing unit carrier PCB ... 251 Replacing the processing unit carrier PCB checkout procedure ... 252 Testing flash drive integrity... 253 Replacing RAM ... 254 Replacing the RAM checkout procedure ... 255 Replacing the AC inlet ... 256 Replacing the AC inlet checkout procedure ... 257 Replacing the fuses... 257 Replacing the fuses checkout procedure ... 258 Replacing the processing unit assembly ... 258 Replacing the processing unit assembly checkout procedure ... 259 Replacing the processing unit m.2 SATA SSD ... 260 Replacing the m.2 SATA SSD checkout procedure ... 261 Testing flash drive integrity... 261 Replacing the power supply assembly ... 262 Replacing the power supply assembly checkout procedure ... 263 Replacing the processing unit speaker assembly... 264 Replacing the processing unit speaker assembly checkout procedure ... 265 14 Reloading/re-imaging software...267 Reload software requirements... 267 Creating a Bootable USB ... 267 Reloading software ... 267 Restoring system settings ... 269 Restoring system settings overview ... 269 Performing a full restore ... 269 Performing a partial restore ... 271 15 Updating software...275 Updating software overview ... 275 Updating software equipment requirements... 276

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Updating Central Station software via STU Method ... 276 Updating software via remote method ... 278 Software checkout procedures ... 280 Status of installed licenses checkout procedure... 280 Updating central station software checkout procedures... 280 16 HL7 interface ...281 HL7 standard background ... 281 Overview ... 281 Multiple segments ... 281 Data elements ... 281 HL7 communication... 282 Observation results interfaces ... 282 Observation result interface... 282 General Description ... 282 Low level communications ... 283 Client/Server connections... 284 HL7 standard and sample messages ... 284 HL7 minimal lower layer protocol (MLLP)... 284 Interface data content... 284 Result reporting message (ORU)... 285 Fields list ... 285 Sample HL7 message ... 293 17 Product security...295 Product security overview ... 295 Security features ... 295 Access controls... 295 Authentication ... 296 Authorization ... 297 Audit controls ... 297 Malicious software protection ... 297 Antivirus programs... 299 Desktop security... 299 Data protection ... 299 Security operations ... 299

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Network security ... 300 Media access control points... 300 Security administration and service ... 300 Product change management ... 300 Remote service... 300 A

Full Disclosure ...301 Full Disclosure safety precautions ... 301 Full Disclosure overview ... 301 Discharged Data Sessions... 302 Full Disclosure Manager ... 302 Determining Full Disclosure Manager... 303 Full Disclosure and Discharged Data licensing overview ... 304 Full Disclosure license ... 304 Discharged Data license overview... 304 Full Disclosure rules ... 306 Mirroring rules and behavior ... 306 Multi-Full Disclosure rule... 307 Twin bed rule (Combo monitoring) ... 308 Bed Number/IP address changes ... 310 Effects of time changes on Full Disclosure data ... 310 Full Disclosure bed assignment ... 311 ST Review... 313 Pushing 12SL reports to MUSE ... 313 Events ... 314 Full Disclosure printing ... 314 Full Disclosure procedures ... 315 Setting Full Disclosure licensing ... 315 Setting Full Disclosure Mode... 315 Viewing Full Disclosure Information... 315 Performing Full Disclosure Database Integrity Check ... 316 Clearing the Full Disclosure database ... 316

B

Electromagnetic compatibility...317 Electromagnetic compatibility safety precautions ... 317 Guidance and manufacturer's declaration ... 318

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Electromagnetic emissions... 318 Electromagnetic immunity ... 318 Essential performance ... 320 Recommended separation distances... 320 Compliant cables and accessories ... 321 C

Restored modules ...323 Restored data overview... 323 Platform settings... 323 Local central station settings ... 323 Central Defaults... 323 Display Configuration... 324 FD Session Search ... 324 Licenses ... 324 Patient Multi-Viewer window assignment ... 324 Patient Multi-Viewer window control settings (windows 0-16) ... 324 Citrix information... 325 PDF Printer Information ... 325 EMR/Integration Engine Information ... 325 Printing Attributes ... 325 Caliper Settings ... 325 Set Flags ... 326 Custom defaults ... 326 Unit default settings... 326 Telemetry Unit Defaults ... 326 Telemetry Alarm Setup Defaults... 327 Current Telemetry Listings... 329 Full Disclosure Defaults... 329

D

Networking disclosure ...331 Purpose and scope ... 331 Purpose of central station connection to network ... 331 Central station network interface technical specifications... 331 Network information flows... 332 Required characteristics and configuration of network for support of central station ... 344

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Potential risks to safety, effectiveness or security resulting from failure of IT network to provide the required characteristics... 344 E

Checklists...347 High-level installation and commissioning process overview ... 347 Checkout checklists ... 347 System installation checklist ... 347 Software upgrade checklist... 348 Software reload checklist ... 348 Preventative maintenance checklist... 348 FRU replacement checklist ... 349

F

Presets...351 Presets overview ... 351 Central Defaults presets ... 351 Telemetry presets... 352 Telemetry Unit Defaults presets ... 352 Telemetry Parameter Limits and Alarm Levels presets ... 353 Telemetry Arrhythmia Alarm Levels presets... 354 Telemetry Technical Alarm Priorities presets... 354 Display Configuration presets ... 355 Full Disclosure Defaults presets ... 355 FD Page presets ... 356 Graphic Trends Groups presets... 356 Numeric Trends Groups presets... 358 ST Review presets ... 360

G

Custom defaults and settings ...361 Custom defaults and settings overview ... 361 Central Defaults settings ... 361 Telemetry custom defaults overview... 362 Telemetry Unit Defaults custom defaults ... 362 Telemetry Parameter Limits and Alarm Levels custom defaults... 363 Telemetry Arrhythmia Alarm Levels custom defaults... 364 Telemetry Technical Alarm Priorities custom defaults... 365 Display Configuration settings ... 366 Full Disclosure Defaults settings ... 366

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FD Page settings ... 367 Graphic Trends Groups settings... 368 Numeric Trends Groups settings... 370 ST Review settings ... 373 Save As Favorites settings... 374 H

Glossary ...377 Glossary ... 377

I

Abbreviation and symbols ...385 Abbreviations ... 385 Symbols ... 398

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About this manual

1

Manual intended audience This manual is intended for service representatives and technical personnel with experience servicing medical equipment who maintain, troubleshoot, or repair the equipment.

Manual intended use This manual supplies technical information for service representatives and technical personnel to maintain the equipment to the assembly level. This manual assumes the reader is skilled, qualified, and has experience servicing medical equipment. Reading this manual does not qualify an untrained person to service the equipment. CARESCAPE Central Station product version format is <major version>.<minor version>.<patch version> (e.g., 2.0.0, 3.1.5, 4.0.12, etc.). This manual is applicable to all the minor and patch releases of version 3 of CARESCAPE Central Station. The manuals for the older versions of the CARESCAPE Central Station are delivered with those products. Refer to those manuals for proper performance and correct operation to ensure patient and user safety.

Manual conventions This manual uses the following styles to emphasize text or indicate action. Item

Description

bold

Indicates hardware terms.

bold italic

Indicates software terms.

italic

Indicates terms for emphasis.

+

Indicates keyboard keys to select simultaneously.

>

Indicates menu options to select consecutively.

X

supported

-

not supported

(7)

Indicates page number.

Illustrations and names This manual uses illustrations as examples only. Illustrations in this manual may not necessarily reflect all settings, features, configurations, or displayed data.

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About this manual

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

Common terms This manual uses the following terms to simplify common terms: Item

Description

acquisition device

Refers to acquisition modules or other acquisition devices used to acquire and process parameter data.

bedside monitor

Refers to bedside monitors, including patient monitors, transport monitors, or wireless monitors on the network.

central station

Refers to the CARESCAPE Central Station.

monitoring device

Refers to bedside monitors or telemetry monitoring devices.

printer

Refers to direct digital writers or laser printers.

network

Refers to the GE monitoring network. Also referred as CARESCAPE or Unity Network.

remote device

Refers to remote devices like the central station that can be used to view patient data and modify some control settings on primary monitoring devices.

telemetry monitoring device

Refers to telemetry monitoring devices, including transmitters, transceivers, and the established telemetry system.

writer

Refers to direct digital writers (DDW).

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

Trademarks GE, GE Monogram, APEX, APEXPRO, and CARESCAPE are trademarks of General Electric Company. 12RL, DASH, MARS, MUSE, CARESCAPE Network and UNITY Network are trademarks of GE Medical Systems Information Technologies, Inc. Mobile Viewer is a trademark of GE Healthcare Finland Oy. Java Powered. Java and all Java based trademarks and logos are trademarks or registered trademarks of Oracle America, Inc. in the U.S. and other countries. All third party trademarks are the property of their respective owners.

Related manuals The user’s manual provides information on the clinical workflows, features, functionality and technical specification of the system. Additionally, the user manual provides information on accessories and compatible devices approved for use with this system.

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