Technical Manual
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CARESCAPE Central Station Technical Manual Software version 1 Hardware series MP100
CARESCAPE Central Station English 2048003-002 (CD) 2048002-029E (paper) © 2014 General Electric Company. All rights reserved.
The information in this manual applies to the software and hardware version listed 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. GE, GE Monogram, APEX, APEXPRO, and CARESCAPE are trademarks of General Electric Company. 12RL, Aware, CIC Pro, DASH, DINAMAP, MARS, MUSE, SOLAR, TRAM, and UNITY NETWORK are trademarks of GE Medical Systems Information Technologies, Inc. Mobile Viewer is a trademark of GE Healthcare Finland Oy. Java Powered. Java and all Java based trademarks and logos are trademarks or registered trademarks of Oracle America, Inc. in the U.S. and other countries. All third party trademarks are the property of their respective owners.
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Contents 1
About this manual ...17 Manual intended audience... 17 Manual intended use ... 17 Manual conventions ... 17 Illustrations and names ... 17 Common terms ... 18 Ordering manuals ... 18 Additional resources ... 18 Related manuals ... 18 Revision history ... 18
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Safety precautions...21 Safety message signal words... 21 Danger safety messages... 21 Warning safety messages... 21 Caution safety messages ... 31 Notice safety messages ... 34 Safety symbols ... 34
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About this system ...35 Intended use... 35 CE marking information... 35 Manufacturer responsibility ... 35 Service requirements... 36 System components ... 36 Processing unit ... 36 Displays... 37 Keyboard and mouse... 38 External speakers... 39 Laser printer ... 39 Writer ... 39 Un-interruptible power supply ... 39 Device symbols ... 40
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Device identification ... 44 Multi-Viewer overview ... 45 Single Viewer overview... 45 User interface symbols ... 46 PDF Printer... 50 Networking ... 52 Patient monitoring network description ... 52 Intranet access... 52 Data types ... 53 Patient data ... 53 Network data... 54 Data review tools ... 54 Time focus ... 54 Full Disclosure overview ... 54 Events overview ... 56 Trends overview ... 56 Calipers overview ... 58 ST Monitoring Status indicator overview ... 58 ST Review overview... 59 4
Hardware installation ...61 Hardware installation overview ... 61 Installation safety precautions... 61 Installation requirements ... 63 Site requirements ... 64 Electrical requirements ... 65 Visually inspecting equipment ... 65 Installation procedures... 67 Installing processing unit... 67 Installing displays ... 67 Installing keyboard and mouse ... 68 Installing external speakers... 69 Installing writer... 69 Installing laser printer ... 69 Installing Mirrored Central display(s) ... 70
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Connecting processing unit power source... 70 5
Service interfaces ...73 Service interfaces overview ... 73 Central station access ... 73 Logging on admin mode ... 73 Logging off admin mode ... 74 Logging on alarm service mode ... 74 Logging off alarm service mode ... 74 Logging on service mode ... 74 Logging off service mode ... 74 Logging on command-line interface ... 75 Accessing the command-line interface from admin mode ... 75 Logging off command-line interface ... 75 Webmin access... 75 Logging on Webmin... 75 Logging on Webmin remotely ... 76 Logging on UltraVNC ... 76 Logging off UltraVNC ... 77 Changing passwords ... 77 Changing the Webmin password... 77 Changing the alarm service mode password ... 77 Configuring service computer's network properties ... 78 Safely restarting ... 79 Safely shutting down ... 79 Safely removing USB memory stick ... 79
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Licenses...81 License codes ... 81 License packages... 84 Changing licenses (transfers and expansions)... 84 Deactivating licenses for license changes (transfers and expansions)... 85 Activating licenses... 85 Completing license changes ... 89 Deactivating/Reactivating licenses... 89
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Temporarily deactivating licenses... 89 Reactivating a deactivated license ... 89 7
Configuration ...91 Configuration levels ... 91 Getting started ... 92 Configuration requirements ... 93 Time management on the CARESCAPE Network ... 93 IP address allocation... 94 Examining the central stations on the network ... 95 Configuring secondary displays... 95 Calibrating touchscreen displays... 97 Touchscreen display video drivers ... 97 Calibrating touchscreen displays using Elo ... 98 Calibrating touchscreen displays using Touchware ... 98 Configuring Webmin-related settings ... 99 Configuring Set Flags ... 99 Configuring language ... 101 Configuring time zone... 102 Configuring time and date... 103 Configuring network IP address ... 105 Configuring network laser printers ... 107 Configuring print locations for stored patient data ... 108 Configuring PDF Printer ... 110 Configuring Remote Service ... 112 Configuring Browser Favorites ... 114 Configuring Citrix... 115 Configuring Clinician Review Workstations ... 117 Configuring Asset Setting ... 117 Configuring clinical application service-level defaults ... 117 Configuring Central and Unit Name service-level defaults ... 117 Configuring Printer/Writer service-level defaults... 119 Configuring mirror central displays overview ... 121 Configuring Waveforms, Real-time Trend Graph, and Color Set service-level defaults ... 124
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Configuring Multi-Viewer Display Configuration service-level defaults ... 126 Configuring Auto Display Button service-level defaults ... 128 Configuring Real-time BP UOM service-level default... 129 Configuring Graph Setup service-level defaults... 130 Configuring ECG service-level defaults... 132 Configuring Event Marker service-level defaults... 135 Configuring beds and transmitters ... 136 Configuring Full Disclosure service-level defaults... 137 Configuring FD Session Search criteria... 140 Configuring locked patient Multi-Viewer windows ... 141 Configuring Graphic Trends Groups... 141 Configuring Numeric Trends Groups ... 142 Configuring Save As Favorite buttons... 143 Configuring internet properties ... 144 Calibrating displays... 145 Configuring clinical application alarm-level defaults ... 147 Configuring alarm-level defaults... 147 Configuring Patient Age service-level default ... 150 Configuring Transmitter Audio Pause service-level defaults ... 151 Configuring Telemetry Alarm Setup service-level defaults ... 152 Resetting Telemetry Unit Defaults to factory presets ... 154 Configuring printers ... 155 Configuring USB laser printers ... 155 Configuring laser printer paper size... 156 Configuring MultiKM overview ... 156 Setting up central stations to use MultiKM ... 157 Configuring a keyboard and mouse group... 158 Adding a central station to existing keyboard and mouse group ... 161 Dividing keyboard and mouse groups ... 161 Combining keyboard and mouse groups ... 164 Backing up system settings... 165 Restoring system settings ... 165 Restoring system settings overview ... 165
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Performing a full restore ... 166 Performing a partial restore ... 166 8
Preventative maintenance ...169 Maintenance schedule ... 169 Visually inspecting equipment ... 170 Cleaning... 171 Cleaning safety precautions... 171 Permitted cleaning agents ... 172 Harmful cleaning agents ... 172 Results of improper cleaning... 172 Cleaning external surfaces... 173 Cleaning displays and touchscreens ... 173 Disinfecting external surfaces... 174 Cleaning internal components ... 174 Touchscreen display guidelines ... 175 Writer maintenance... 175 Changing writer paper... 175 Storing writer paper ... 175 Power source tests... 176 Power outlet test ... 176 Power cord and plug test... 176 Electrical safety tests ... 177 Testing ground continuity... 177 Testing ground wire leakage current ... 177 Testing enclosure leakage current... 178
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Field replaceable units ...181 FRU replacement safety precautions ... 181 Electrostatic discharge (ESD) guidelines ... 182 Supported FRUs ... 182 MP100D assembly... 183 Interconnect diagram ... 184 FRU replacement procedures ... 184 Removing processing unit cover ... 184 Replacing PCB (motherboard) ... 185
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Replacing processing unit battery ... 186 Replacing hard drive ... 186 Replacing flash drive... 187 Replacing SATA cables ... 187 Replacing power supply... 188 Replacing fan... 188 Replacing dual (internal) speakers ... 189 Replacing fuse(s)... 189 Replacing front bezel ... 190 Replacing processing unit cover ... 190 10 Checkout ...191 Checkout overview ... 191 Installation checkout procedures ... 191 Connecting processing unit power source checkout procedures... 191 Installing processing unit checkout procedures ... 192 Installing remote displays checkout procedures ... 192 Installing primary display checkout procedures ... 192 Installing secondary displays checkout procedures ... 192 Installing keyboard and mouse checkout procedures ... 193 Installing external speakers checkout procedures ... 193 Installing writer checkout procedures ... 193 Software checkout procedures ... 194 Checking status of installed licenses ... 194 Reloading software checkout procedure... 194 Updating central station software checkout procedures... 194 Configuration checkout procedures ... 195 Configuring secondary display checkout procedures ... 195 Checking unit defaults ... 195 Checking access to all other units ... 195 Checking operation of audio alarm tones ... 195 Webmin-related configuration checkout ... 195 Clinical application service-level defaults... 199 Checking speaker volume... 200
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Configuring alarm-level defaults checkout procedures ... 200 Configuring MultiKM checkout procedures ... 200 Restoring system settings checkout procedures ... 201 Running Check Centrals utility... 201 FRU checkout procedures ... 202 Replacing PCB (motherboard) checkout procedures ... 202 Replacing processing unit battery checkout procedures ... 204 Replacing hard drive checkout procedures... 204 Replacing flash drive checkout procedures ... 205 Testing hard drive and flash drive integrity ... 205 Replacing SATA cables checkout procedures... 206 Replacing power supply checkout procedures ... 207 Replacing fan checkout procedures ... 207 Replacing dual (internal) speakers checkout procedures... 208 Replacing fuse(s) checkout procedures ... 208 Replacing front bezel checkout procedures ... 208 11 Troubleshooting...209 Troubleshooting overview ... 209 Boot failure ... 210 Error messages ... 212 Correcting boot order ... 213 Software image on USB stick does not match hardware... 213 Out-of-unit audio alarms paused ... 214 Audio alarms sound when removing the patient Multi-Viewer windows... 214 Unable to access PDF file ... 214 Central station continually reboots during reload procedure... 214 Blank screen with blinking cursor during central station reboot ... 214 Browser connectivity issues ... 214 Display issues ... 215 Blank screen ... 215 Blue screen ... 216 Red screen ... 216 Incorrect display colors... 217
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Primary image appears on secondary display (MP100 platform) ... 217 MultiKM issues... 217 Unable to use MultiKM feature ... 217 MultiKM only works for one hour... 217 Unable to locate MultiKM control/focus ... 218 Unable to access central station within keyboard and mouse group... 218 Intermittent access to one or more displays via MultiKM... 218 Time issues ... 219 Viewing time zone settings... 219 Time does not advance or alternates frequently ... 219 Time change request ignored by central station ... 220 Printer issues ... 221 Printer button is dimmed when viewing stored patient data... 221 Unable to print to printer on enterprise network ... 221 Unable to print to writer... 221 Report sent to PDF Printer not printing... 221 Central station configuration issues ... 222 Unable to communicate with a device ... 222 Unable to access ADT information... 222 Experiencing waveform dropout... 222 Improper age selection criteria ... 223 Unable to activate licenses... 223 Unable to correctly restore settings... 223 Unable to establish Remote Service connection... 223 IEC Technical Alarms repeating at set interval... 224 Full Disclosure issues ... 224 Unable to access Full Disclosure features ... 224 Unable to start ST Review... 224 Care note is not accessible immediately after admit ... 225 Push to MUSE button disabled ... 225 Log files... 225 Downloading log files... 225 Accessing log files ... 225
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Viewing application logs ... 226 Viewing operating system event logs ... 226 Viewing operating system Dr. Watson log ... 226 Viewing Webmin action log... 226 Incorrect Webmin page displayed... 226 Webmin diagnostics ... 227 Viewing operating system hotfixes and service pack information ... 227 Viewing device driver information ... 227 Viewing network information ... 227 Viewing Unity Network device information ... 227 Viewing time zone settings... 227 Viewing time zone information ... 227 Viewing operating system runtime statistics ... 227 Viewing operating system service process information... 227 Viewing process information... 227 Viewing SMART drive status... 228 Central station system status messages... 228 12 Reload/Re-image software...231 Reload software overview ... 231 Reload software requirements... 231 Reloading software ... 232 13 Updating CARESCAPE Central Station software ...235 Updating software overview ... 235 Updating software equipment requirements... 236 Updating central station software ... 236 14 Upgrading CIC Pro Clinical Information Center v5 or later (MP100) to CARESCAPE Central Station ...239 Upgrading central station overview ... 239 Upgrading central station equipment requirements... 239 Upgrading memory... 240 Re-imaging to CARESCAPE Central Station ... 240 Reverting to a CIC Pro Central Station v5 or later system ... 243 15 Full Disclosure ...245
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Full Disclosure safety precautions ... 245 Full Disclosure overview ... 245 Discharged Data Sessions... 246 Full Disclosure Master... 246 Determining Full Disclosure Master ... 247 Full Disclosure and Discharged Data licensing overview ... 248 Full Disclosure license ... 248 Discharged Data license overview... 248 Full Disclosure rules ... 250 Minute rule or Offline Storage setting ... 250 Multi-Full Disclosure rule... 251 Twin bed rule (Combo monitoring) ... 252 Bed Number/IP address changes ... 254 Effects of time changes on Full Disclosure data ... 254 Full Disclosure bed assignment ... 255 ST Review... 257 Pushing 12SL reports to MUSE ... 257 Events ... 258 Full Disclosure compatibility... 258 Full Disclosure printing ... 259 Full Disclosure procedures ... 259 Setting Full Disclosure licensing ... 259 Setting Full Disclosure Mode... 260 Viewing Full Disclosure Information... 260 Performing Full Disclosure Database Integrity Check ... 261 Clearing the Full Disclosure database ... 261 A
Electromagnetic compatibility (EMC) ...263 Electromagnetic compatibility safety precautions ... 263 Guidance and manufacturer's declaration ... 264 Electromagnetic emissions... 264 Electromagnetic immunity ... 264 Recommended separation distances... 266 Compliant cables and accessories ... 266
B
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Restored modules ...269
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Restored data overview... 269 Platform settings... 269 Local central station settings ... 269 Central Defaults... 269 Display Configuration... 270 FD Session Search ... 271 Patient Multi-Viewer window assignment ... 271 Patient Multi-Viewer window control settings (windows 0-16) ... 271 Citrix information... 271 MultiKM information... 272 Set Flags ... 272 Custom defaults ... 272 Unit default settings... 272 Telemetry Unit Defaults ... 272 Telemetry Alarm Setup Defaults... 273 Current Telemetry Listings... 275 Full Disclosure Defaults... 275 C
Product security...277 Product security overview ... 277 Security features ... 277 Access controls... 277 Authentication ... 278 Authorization ... 279 Audit controls ... 279 Malicious software protection ... 280 Antivirus programs... 281 Desktop security... 281 Data protection ... 281 Security operations ... 281 Network security ... 282 Media access control points... 282 Security administration and service ... 282 Product change management ... 282 Remote service... 282
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MDS2 statement ... 283 D
Networking disclosure to facilitate network risk management ...285 Purpose and scope ... 285 Purpose of central station connection to network ... 285 Central station network interface technical specifications... 285 Network information flows... 286 Required characteristics and configuration of network for support of central station ... 299 Potential risks to safety, effectiveness or security resulting from failure of IT network to provide the required characteristics... 300
E
Checklists...303 High-level installation and commissioning process checklist... 303 Pre-installation checklist... 303 Hardware installation process checklist... 304 License checklist ... 304 Configuration checklist ... 304 Configuring secondary and touchscreen displays checklist ... 304 Configuring Webmin-related settings checklist ... 304 Configuring clinical application service-level defaults checklist... 305 Configuring clinical application alarm-level defaults checklist ... 305 Configuring printers checklist... 306 Configuring other settings checklist ... 306 Checkout checklists ... 306 System installation and commissioning checkout... 306 Software reload/ghost checkout... 307 Software upgrade checkout ... 307 Preventative maintenance checkout ... 307 FRU upgrades checkout... 308
F
Glossary ...311 Glossary ... 311
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Abbreviations and symbols ...319 Abbreviations ... 319 Symbols ... 330
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About this manual
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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 so they can 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.
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. Names of persons, institutions, and places and related information are fictitious; any similarity to actual persons, entities, or places is purely coincidental.
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About this manual
Common terms This manual uses the following terms to simplify common terms: Item
Description
acquisition device
Refers to acquisition modules or other acquisition devices used to acquire and process parameter data.
bedside monitor
Refers to bedside monitors, including patient monitors, transport monitors, or wireless monitors on the network.
central station
Refers to the CARESCAPE Central Station.
monitoring device
Refers to bedside monitors or telemetry monitoring devices.
printer
Refers to direct digital writers or laser printers.
network
Refers to the CARESCAPE Network. The Unity Network has been renamed to the CARESCAPE Network. Not all references to the Unity Network will be changed immediately; Unity may appear in some places and CARESCAPE in others. It is important to understand that while the CARESCAPE Network replaces the Unity Network name, they refer to the same GE monitoring network.
telemetry monitoring device
Refers to telemetry monitoring devices, including transmitters, transceivers, and the established telemetry system.
writer
Refers to direct digital writers (DDW).
Ordering manuals A paper copy of this manual will be provided upon request. Contact your local GE representative and request the paper manual part number on the first page of the manual.
Additional resources For white papers, guides, and other instructive materials about our clinical measurements, technologies, and applications, please visit: http://clinicalview.gehealthcare.com
Related manuals The supplies and accessories supplement provides information on supplies and accessories approved for use with this system. The compatible devices supplement provides information on compatible devices approved for use with this system. The technical specifications supplement provides information on the physical and design characteristics of this system.
Revision history The part number and revision letter for this manual are at the bottom of each page. The revision letter changes whenever the manual is revised. The first letter shown in this revision history table is the first customer-released version of this document.
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About this manual
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Revision
Description
E
Initial release.
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About this manual
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