GE HEALTHCARE CARESCAPE Monitor B650 Technical Manual
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GE HEALTHCARE CARESCAPE Monitor B650 Technical Manual

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GE Healthcare
CARESCAPE Monitor B650
Technical Manual
Software Version 2
Hardware Version B650 VER02
All specifications subject to change without notice.
English
2081903-001 paper
19 September 2016
© 2016 General Electric Company. All rights reserved.

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Summary of Contents for GE HEALTHCARE CARESCAPE Monitor B650

  • Page 1 GE Healthcare CARESCAPE Monitor B650 Technical Manual Software Version 2 Hardware Version B650 VER02 All specifications subject to change without notice. English 2081903-001 paper 19 September 2016 © 2016 General Electric Company. All rights reserved.
  • Page 2 The information in this manual applies to the software and hardware versions listed on the first page of this manual. Due to continuing product innovation, specifications in this manual are subject to change without notice.

  • Page 3: Table Of Contents

    Table of contents Table of contents About this manual Intended use of the manual ............1 Intended audience of the manual.
  • Page 4 CARESCAPE B650 User interface symbols ............. . . 34 Using Webmin service interface Local access to Webmin using the integrated browser on the patient monitor .
  • Page 5 Table of contents 7.2.1 Configuring hostname............69 7.2.2 Selecting and configuring CARESCAPE Network .
  • Page 6 CARESCAPE B650 8.2.4 Ground (earth) integrity ............102 8.2.5 Earth leakage current test .
  • Page 7 Table of contents 10.3.15Test completion............. . 136 10.4 Monitor battery maintenance .
  • Page 8 CARESCAPE B650 12.3.2 Detaching the Interface Board ..........185 12.3.3 Detaching the Frame Side Housing Decorations .

  • Page 9: About This Manual

    − CARESCAPE Monitor B650-LI Chapters 1 to 7 provide an overview of the CARESCAPE Monitor B650 patient monitoring system and contains information needed for system installation. Chapters 8 to 13 provide information for the planned and corrective maintenance of the CARESCAPE Monitor B650 main unit.

  • Page 10: Product Naming Conventions

    CARESCAPE Monitor B650 1.3.1 Product naming conventions In this manual, the CARESCAPE Monitor B650 is referred to as the patient monitor. The following naming conventions are used to refer to different modules and module categories: − PDM: Patient Data Module −...

  • Page 11: Trademarks

    1.7 Trademarks Listed below are GE Medical Systems Information Technologies, Inc. and GE Healthcare Finland Oy trademarks. All other product and company names contained herein are the property of their respective owners.
  • Page 12 CARESCAPE Monitor B650 For your notes: 2081903-001...

  • Page 13: Safety Information

    Safety information Safety information 2.1 General safety statements 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.

  • Page 14: Safety Symbols

    CARESCAPE Monitor B650 2.3 Safety symbols NOTE: The following safety-related symbols appear on one or more of the devices. General warning. This symbol is identified by a yellow background, black triangular band, and a black symbol. General caution sign. IEC 60601-1, 2005 edition This symbol is identified by a white background, black triangular band, and a black symbol.
  • Page 15 Safety information 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. 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.
  • Page 16 CARESCAPE Monitor B650 For your notes: 2081903-001...

  • Page 17: System Overview

    System overview 3.1 System introduction The CARESCAPE Monitor B650 is a modular monitoring solution for multiple care areas and intrahospital transport within a professional healthcare facility. The patient monitor offers various hardware configurations, software options and parameter module support to expand from basic hemodynamic operations to demanding operating room applications.

  • Page 18: Software

    CARESCAPE Monitor B650 There are two different configurations of the interface board. They provide connectors for peripheral devices like USB input devices, network interfaces, a secondary clone display and other devices. Module frame The monitor has a pivoting module frame that includes standard docking for the following multiparameter hemodynamic modules: Patient Data Module (PDM) and Patient Side Module (PSM).
  • Page 19 System overview Keyboard A washable, antibacterial keyboard is specified for use with the monitor. It may be connected to the monitor or display via one of the USB connectors. The keyboard allows you to enter data without using the touchscreen display. Mouse A standard mouse may be connected to the monitor or display via one of the USB connectors.

  • Page 20: Acquisition Modules

    CARESCAPE Monitor B650 3.2.4 Acquisition modules The patient monitor includes standard docking for the following multiparameter hemodynamic modules: PSM and PDM. The optional E-module slot can occupy an E-PRESTN module. E-PRESTN The integrated E-module slots can occupy two single-width or one double-width E-modules at a time.

  • Page 21: Carescape Network Ix

    System overview Refer to the patient monitor’s supplemental information manual for a list of compatible CARESCAPE and S/5 Network devices. The MC Network establishes communication and allows patient data to be sent to an optional CIC Pro Clinical Information Center (central station). The S/5 Network establishes communication and allows patient data to be sent to an iCentral (central station).

  • Page 22: Unity Network Id Connectivity Device

    CARESCAPE Monitor B650 3.2.7 Unity Network ID connectivity device The Unity Network ID connectivity device acquires digital data from up to eight peripheral bedside devices (not necessarily manufactured by GE), processes this data and transmits the formatted data to the patient monitor.

  • Page 23: Printers And Recorders

    System overview 3.2.9 Printers and recorders The patient monitor can print to a recorder and to a laser printer. Refer to the patient monitor’s supplemental information manual for a list of compatible recorders and laser printers. Laser printers A laser printer can print for example waveforms, graphic and numeric trends, snapshots, events history, parameter specific printouts, stored laboratory data and calculation results and care reports.

  • Page 24: Service Interface

    CARESCAPE Monitor B650 3.2.10 Service Interface Webmin is a browser-based interface that provides service and diagnostic functions for the patient monitor. Using a web browser, the user can connect to Webmin to configure, diagnose and retrieve system information. The user can access Webmin either locally on the patient monitor or remotely over the IX Network.

  • Page 25: Controls And Connectors

    System overview 3.3 Controls and connectors 3.3.1 Front view Display B650 with touch screen Alarm light Power indicators Alarm light Power on/standby button Battery power/ mains power indicators Abbreviated integrated keypad Trim Knob control Ambient light detector lens Audio alarm paused/off area (blue) 2081903-001...

  • Page 26: Side Views

    CARESCAPE Monitor B650 Alarm light area (blue, yellow, or red) Mains voltage indicator - the green LED is lit when the monitor is connected to AC mains. (10) Battery use indicator - the green LED is lit when the monitor is operating on battery power.

  • Page 27: Rear Views

    System overview 3.3.3 Rear views Power LEDs for troubleshooting Cable clamp for power cord Equipotential connector Receptacle for power cord and fuse holder Device label Slide mount with connector for PDM Slide mount with connector for PSM Advanced Interface Board or Standard Interface Board 2081903-001...

  • Page 28: Service Information

    CARESCAPE Monitor B650 Interface board connectors Advanced Interface Board Standard Interface Board USB ports (2 or 4 pcs USB 2.0 Type A connectors) DVI-I connector for a secondary display ePort connector for PDM module Network connector for the MC Network & S/5 Network...

  • Page 29: Equipment Identification

    Every GE device has a unique serial number for identification. The serial number is written in a device label. A sample of the information on a device label is shown below. The product code for CARESCAPE Monitor B650-02 is SK4. 2081903-001...

  • Page 30: Product Security

    CARESCAPE Monitor B650 3.5 Product security The patient monitoring software incorporates an assortment of security features designed to allow a flexible approach to safe 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.

  • Page 31: Security Operations

    System overview 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.

  • Page 32: Product Change Management

    CARESCAPE Monitor B650 Outbound Source device Destination Device Protocol Destination port Use icmp ping Patient monitor us1-ws.service.gehealthcare. InSite with ExC (Web Services) us1-rd.service.gehealthcare. InSite with ExC (Remote Tunnel) Printer Printing MUSE MUSE Packets that are part of the communication initiated by the patient monitor are allowed into the IX Network (reflexive).

  • Page 33: Equipment Symbols

    System overview http://www.gehealthcare.com/usen/security http://www.gehealthcare.com/usen/security/mds2.html 3.6 Equipment symbols The following symbols appear on one or more of the devices. Bell cancel. Audio off. Audio pause. Temporary audio off. General alarm. Fuse. Replace with identical type and rating fuse. Do not reuse. Battery (monitor): The flashing orange symbol indicates that there is a battery failure/missing battery.
  • Page 34 CARESCAPE Monitor B650 The following symbols appear on one or more of the devices. Battery (monitor). Located on the battery slot cover. Battery (PDM). Communication. (PDM) Power indicator. (PDM) On/standby button. Standby or power indicator. Signal/power input. Signal/power output. Signal/power input/output (combined).
  • Page 35 System overview The following symbols appear on one or more of the devices. Display brightness controls. Display speaker volume controls. DVI connector. Video output connector for digital or analog source. Color display connector port. Color video input. Video input connector for digital or analog source. Color video output, digital.
  • Page 36 CARESCAPE Monitor B650 The following symbols appear on one or more of the devices. Serial interface. Tram-Net and ePort connector for PDM module, E-module frame Tram-Rac housing, and TRAM modules Gas inlet. Gas outlet. Press to open. Zero all. (PDM) Degree of ingress protection.
  • Page 37 System overview The following symbols appear on one or more of the devices. Equipotentiality. Connect device to a potential equalization conductor. Protective earth ground. Connectors grounded to the AC power source. Defibrillator synchronization connectors. (WLAN) Class 2 Identifier Stacking limit by number. Date of manufacture.
  • Page 38 CARESCAPE Monitor B650 The following symbols appear on one or more of the devices. Date of manufacture. This symbol indicates the date of manufacture of this device. The first four digits identify the year, the following two digits identify the month, and, if indicated, the last two digits identify the day.
  • Page 39 System overview The following symbols appear on one or more of the devices. Keep dry. Protect from rain. Fragile. Handle with care. This way up. This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately.
  • Page 40 CARESCAPE Monitor B650 The following symbols appear on one or more of the devices. CAUTION U.S. federal law restricts this device to sale by or on the order of a physician. Russia only. GOST-R mark. Eurasian Economic Union countries only. Eurasian Conformity mark.
  • Page 41 System overview The following symbols appear on one or more of the devices. This symbol indicates that this electronic information product does not contain any toxic or hazardous substance or elements above the maximum concentration value established by the Chinese standard SJ/T11363-2006, and can be recycled after being discarded, and should not be casually discarded.

  • Page 42: User Interface Symbols

    CARESCAPE Monitor B650 3.7 User interface symbols The following symbols appear in the software user interface Alarm off indicator. Displays in the upper right corner of the parameter window and in the Alarms Setup menu when physiological alarms for this parameter are turned off.
  • Page 43 System overview The following symbols appear in the software user interface With software version 2 host build 2.0.7 or earlier: General warning sign. Displays when the priority setting for HR/PR high/low, or SpO2 low has been set to low. Displays in the: •...
  • Page 44 CARESCAPE Monitor B650 The following symbols appear in the software user interface Monitor battery is full. Monitor battery (green). The higher the charge, the bigger the green bar within the symbol. Numbers indicate the remaining run time. Monitor battery (yellow). This symbol and a message indicating low battery charge appear when there is less than 20 minutes of run time left.
  • Page 45 System overview The following symbols appear in the software user interface Respiration indicator. Indicates a breath is detected by the impedance respiration algorithm. BIS and Entropy sensor impedance check indicator (gray). Displays for each sensor as the impedance check is in progress. BIS and Entropy sensor impedance check error indicator (red).
  • Page 46 CARESCAPE Monitor B650 For your notes: 2081903-001...

  • Page 47: Using Webmin Service Interface

    Using Webmin service interface Using Webmin service interface Webmin is a browser-based service interface that is used to configure the platform settings of the patient monitor and to diagnose and retrieve system information for maintenance and troubleshooting. Local access to Webmin You can access Webmin locally through the integrated browser on the patient monitor or from a configured service PC that is connected to the patient monitor with an Ethernet crossover cable.

  • Page 48: Local Access To Webmin With A Service Pc Connected To The Ix Connector

    CARESCAPE Monitor B650 Continue to 4.5. Login to Webmin. Closing Webmin Select to close Webmin and return to the main display. 4.2 Local access to Webmin with a service PC connected to the IX connector You can access Webmin locally by connecting an Ethernet crossover cable between the service PC and the IX connector of the patient monitor.
  • Page 49 Using Webmin service interface NOTE: If the IX IP address field is shown as 0.0.0.0., you need to configure the patient monitor’s IX Network address first. Access Webmin using the integrated browser and configure a static IP address for the IX Network. Configure the service PC’s IP address and subnet mask to the same network segment with the patient monitor’s IX Network setting.

  • Page 50: Local Access To Webmin With A Service Pc Connected To The Mc Connector

    CARESCAPE Monitor B650 4.3 Local access to Webmin with a service PC connected to the MC connector You can access Webmin locally by connecting an Ethernet crossover cable between the service PC and the MC connector of the patient monitor.

  • Page 51: Remote Access To Webmin Using A Service Pc Over The Ix Network

    Using Webmin service interface The Login to Webmin dialog box displays. Continue to 4.5. Login to Webmin. Closing Webmin You can exit the monitor’s maintenance mode any time by pressing any keypad or keyboard key, using the Trim Knob, using the touchscreen or clicking a mouse button. The monitor will automatically restore the original network configuration to the S/5 or MC Network and return to the normal monitoring mode.

  • Page 52: Login To Webmin

    CARESCAPE Monitor B650 IX Netmask: ______________________ Configure the service PC’s IP address and subnet mask to the same network segment with the patient monitor’s IX Network. NOTE: For more information on how to configure the IP address, refer to the PC’s documentation.
  • Page 53 Using Webmin service interface NOTE: Username and password are case sensitive. NOTE: “Change Me” is the factory default password for the username “biomed”. Refer to section 7.13. Changing passwords for details on how to change the default password. The Webmin application opens and defaults to the Information tab. Figure 1 Webmin user interface when accessed using the integrated browser Figure 2...

  • Page 54: Webmin Configuration Modules

    CARESCAPE Monitor B650 4.6 Webmin configuration modules The Webmin service interface includes the following configuration modules. Select Help for additional information related to each Webmin module. Webmin module Use the module Admit Settings to configure Patient ID Prefix and barcode settings.
  • Page 55 Using Webmin service interface Webmin module Use the module National Requirements to activate France specific defaults for the ECG HR adjustment range and the reminder beep behavior. Network to select and configure the real-time network as the MC Network (CARESCAPE Network) or S/5 Network. It also allows the user to configure the IX Network settings.

  • Page 56: Webmin Information Modules

    CARESCAPE Monitor B650 4.7 Webmin information modules The Webmin information modules provide useful information about the patient monitor setup especially for troubleshooting. The Configuration Information module shows the current platform configuration of the patient monitor and the connected peripheral devices.
  • Page 57 Using Webmin service interface Ping a TCP/IP network device- Use this Webmin feature to verify connectivity with a network device on the MC Network and IX Network. Log files - The patient monitor collects information about different system events and errors to log files.
  • Page 58 CARESCAPE Monitor B650 For your notes: 2081903-001...

  • Page 59: Pre-Installation Requirements

    Confirm that all components are undamaged. If any of the components is damaged, contact the shipper. Confirm that all components are included. If any of the components is missing, contact your GE Healthcare distributor. WARNING EXCESSIVE LEAKAGE CURRENT - If the device has been transported or stored outside operating temperature range allow it to stabilize back to operating temperature range before removing it from the plastic bag.

  • Page 60: Network Infrastructure

    CARESCAPE Monitor B650 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. WARNING For detailed instructions and information regarding supplies and accessories, always refer to their own instructions for use.

  • Page 61: Ix Network

    Pre-installation requirements • Refer to the sections 7.2.3. Selecting and configuring S/5 Network 7.2.4. Configuring WLAN to see the configuration information you need to have available to configure the patient monitor to the S/5 Wireless Network. 5.3.5 IX Network • The IX Network infrastructure shall be installed according to the CARESCAPE Network Configuration Guide.

  • Page 62: Power And Environmental Requirements

    CARESCAPE Monitor B650 5.6 Power and environmental requirements Check the patient monitor’s supplemental information manual for power and environmental requirements. WARNING Operation of the monitor outside the specified performance range may cause inaccurate results. CAUTION Do not use or store equipment outside the specified temperature, humidity, or altitude ranges.
  • Page 63 Pre-installation requirements 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. • The patient monitor should be isolated from sources of strong electromagnetic and radio frequency interference.
  • Page 64 CARESCAPE Monitor B650 For your notes: 2081903-001...

  • Page 65: Hardware Installation

    Hardware installation Hardware installation CAUTION LOSS OF MONITORING - Leave space for circulation of air to prevent the monitor from overheating. The manufacturer is not responsible for damage to equipment caused by improperly vented cabinets, improper or faulty power, or insufficient wall strength to support equipment mounted on such walls.

  • Page 66: Installing The Battery Into The Patient Monitor

    CARESCAPE Monitor B650 − Three LEDs illuminated: 50% – 74.9% of full-charge capacity. − Two LEDs illuminated: 25% – 49.9% of full-charge capacity. − One LED illuminated: 10% – 24.9% of full-charge capacity. − One LED flashing: < 10% of full-charge capacity remaining.

  • Page 67: Mounting The Patient Monitor

    Hardware installation Press the battery door closed until it seals the battery compartment. 6.2 Mounting the patient monitor The patient monitor has an integrated GCX mounting plate. This facilitates all mounting options for the patient monitor. Refer to the CARESCAPE Modular Monitors Mounting Solutions to identify the compatible mounting hardware for the patient monitor.

  • Page 68: Connecting A Secondary Display

    CARESCAPE Monitor B650 6.3 Connecting a secondary display The patient monitor supports one secondary, clone display. WARNING Do not connect a monochrome display to the monitor. Visual alarm indicators may not appear properly. WARNING The secondary display will not sound the audible alarms.
  • Page 69 Hardware installation Secure the USB cables connections to the displays according to the instruction included in the display package. NOTE: A USB hub should not be used to connect the USB touchscreen to the patient monitor. B) Cable length is 5 to 15 meters If complete isolation is not required, this method will provide the most cost effective means of extending your USB installation.

  • Page 70: Installing Parameter Modules

    CARESCAPE Monitor B650 Secure the USB cables connections to the displays according to the instruction included in the display package. Video cable: Connect one end of the 15-meter DVI-I to DVI-I video cable to the DVI-I connector on the bottom of the display and the other end to the DVI-I connector on the back of the patient monitor.

  • Page 71: Connecting To The Mains Power

    Hardware installation Installing a PDM module to a mounting solution: Ensure that the selected PDM mount is properly installed according to the installation instructions included with the mounting hardware. Connect the PDM module to installed mounting hardware as instructed in the accompanying installation instructions.
  • Page 72 CARESCAPE Monitor B650 devices, the user must contact the manufacturers concerned (or other informed experts) for proper use. In all cases, safe and proper operation should be verified with the applicable manufacturer's instructions for use, and system standards IEC60601-1-1 must be complied with.

  • Page 73: Connecting To The Mc Network Or The S/5 Network

    This could lead to incorrect drug dose calculations, hemodynamic calculations, or oxygenation calculations. Prior to installing the System, 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.

  • Page 74: Connecting Usb Devices

    CARESCAPE Monitor B650 • Connect a Unity Network ID connectivity device to the network connector labelled “ID” in the rear panel of the patient monitor. NOTE: Connection to the Unity Network ID connectivity device is possible only if the monitor is equipped with the Advanced Interface Board.

  • Page 75: Connecting A Remote-On Cable

    Hardware installation NOTE: Refer to the iCollect User's Manual for more information about the iCollect. NOTE: Contact GE Healthcare Service to get more information about interfacing other data acquisition systems to the patient monitor. 6.11 Connecting a remote-on cable Remote-on connection allows you to power-up the patient monitor from the power switch of a GE Healthcare anesthesia machine.
  • Page 76 CARESCAPE Monitor B650 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 IEC 60601-1-1 is followed.

  • Page 77: Configuration

    Configuration Configuration The configuration of the patient monitor consists of platform configuration and clinical configuration. This chapter describes how to perform the platform configuration tasks needed to take the patient monitor into use for the first time and the configuration tasks needed for administration and maintenance thereafter.

  • Page 78: Selecting And Configuring Carescape Network

    CARESCAPE Monitor B650 Enter the new hostname in the Change Value to column. NOTE: The hostname is a unique, 4 to 32 character long identifier of a patient monitor in the network. Use alphanumeric characters A-Z, a-z, 0-9. The hostname may include also characters “-”...

  • Page 79: Selecting And Configuring S/5 Network

    Configuration The network configurations will be saved and become active when the patient monitor is restarted. 7.2.3 Selecting and configuring S/5 Network To select S/5 Network for the real-time network infrastructure: Log in to Webmin. Select Configuration > Network > Wired Interfaces. The current network configuration is shown in the Present Configuration table.
  • Page 80 CARESCAPE Monitor B650 NOTE: Antenna diversity is a method used to assist in compensating for multipath interference. When set to Enabled, Antenna Diversity monitors the signal from each antenna and automatically switches to the one with the better signal. Configure the appropriate WLAN settings. Note that the configurable attributes and available values are different for MC Network and S/5 Network.
  • Page 81 Configuration WLAN Client Configuration Item Description Comments Frequency Band Select the frequency band to be The WLAN radio is capable to communicate on used with the WLAN radio: the following frequency bands, protocols and data rates: 2.4 GHzPass 2.4 GHz, IEEE 802.11b, up to 11 Mbps. 5.1 GHz 2.4 GHz, IEEE 802.11g, up to 54 Mbps.
  • Page 82 CARESCAPE Monitor B650 WLAN Client Configuration Item Description Comments WMM AC Parameters Configure the WMM AC Parameters WLAN Multimedia (WMM) provide basic Quality (CWmin, CWmax, AIFS, TXOP) for of Service (QoS) features to IEEE802.11 networks each access category (voice, video,...
  • Page 83 Configuration WLAN Client Configuration Item Description Comments SSID Enter the Service Set Identifier (SSID), The SSID of the wireless client must match the also known as network name. SSID of the wireless infrastructure. A valid SSID includes up to 32 case-sensitive ASCII characters, including space (ASCII decimal 32 to 126).

  • Page 84: Setting Time And Date

    CARESCAPE Monitor B650 WLAN Client Configuration Item Description Comments Pass Phrase / Key Enter the Pass Phrase / Key for the The Pass Phrase / Key of the wireless client must used confidentiality method as an match the Pass Phrase / Key of the wireless ASCII or HEX string as selected infrastructure.

  • Page 85: Setting Unit And Bed Name

    Configuration In the Time Configuration window, in Configure Date and Time, update the following fields as needed: • Date • Month • Year • Hour:Minute • AM/PM • 12/24 Hrs Select Save. The manual time configuration takes effect immediately. 7.4 Setting unit and bed name Configure the care unit name and bed name for patient monitors that are configured to connect to the MC Network.

  • Page 86: Deleting A Printer

    CARESCAPE Monitor B650 Below Printer Configuration Information in the Install Printer window, provide the following information: Select either the Hostname or IP Address radio button, as applicable. In the Hostname or IP Address field, enter the printer Hostname or IP Address.

  • Page 87: Admit Settings

    Configuration Location ID Identifies the location ID number (within the range 0 to 599) associated with the patient monitor for searching the MUSE system. Site Number Identifies the site number (within the range 1 to 254) associated with the patient monitor for searching the MUSE system. Select Save.

  • Page 88: Barcode Settings

    CARESCAPE Monitor B650 7.7.2 Barcode settings Barcode settings must be configured if a barcode reader is used to input patient data to the Admit/Discharge menu. NOTE: Acquire detailed specification of the character-delimited or the length-delimited, multi-field barcode that the hospital uses. This will configure the barcode parser correctly.
  • Page 89 Configuration In the Position column, type the beginning position of the field in the data string (from 1 to 300). In the 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: Type the character that identifies Male.

  • Page 90: Configure Character Delimited Parser Information

    CARESCAPE Monitor B650 7.7.4 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) below Fixed Option. −...
  • Page 91 Configuration In the Position 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. Below Field Delimiter, in the Delimiter field, enter the special character that separates the fields on the barcode.

  • Page 92: Barcode Data Specifications

    CARESCAPE Monitor B650 Item Sequence number of the item in the barcode Height Height Unit Weight The following sample shows the corresponding entries in the Admit/Discharge Configuration window. 7.7.5 Barcode data specifications Points to note − The maximum length of the entire barcode is 300.
  • Page 93 Configuration − If the field value is longer than the maximum length indicated, the right-most characters will be truncated when the value is displayed in the Admit/Discharge menu. If a field contains a forbidden character, that character will be replaced with a space when it is displayed in the Admit/Discharge menu.

  • Page 94: Setting Power Frequency

    CARESCAPE Monitor B650 7.8 Setting power frequency WARNING Incorrect power line frequency setting could adversely affect ECG and EEG processing. Log in to Webmin. Select Configuration > Power Frequency. In the Power Frequency window, select the applicable power line frequency.

  • Page 95: Module Asset Settings

    Configuration Refer to the Module Frames and Modules Technical Manual for detailed information on how to change these settings. Webmin Module Description sub-module Assets Settings This setting allows you to view the customer assigned asset number of the PDM. Licensing This setting allows you to manage the PDM feature licenses.

  • Page 96: Restarting The Patient Monitor

    CARESCAPE Monitor B650 WARNING Control of this user’s password is critical to ensure that Webmin on this device is accessed only by trained and authorized personnel. Failure to limit access of Webmin to trained and authorized personnel only may compromise patient safety and/or system performance.

  • Page 97: Enabling Remote Service Agent/ Connection

    Configuration In the Remote Service Configuration window, enter the applicable data: HTTP Proxy Server Configuration Item Description Comments Address If this site uses an HTTP proxy server, a These values are specific site proxy server IP Address and determined by the Port Port number are required for the customer.

  • Page 98: Transferring Settings From One Patient Monitor To Other Patient Monitors

    CARESCAPE Monitor B650 7.16 Transferring settings from one patient monitor to other patient monitors You can transfer platform and/or clinical settings from one patient monitor to another, take backup copies of the settings to an external device and restore the settings from an external device.

  • Page 99: Loading Settings

    Configuration − The Save As window will show you the name of the created settings file. − Select Save to save the settings file to the USB flash drive. NOTE: You may change the default filename, but do not change the file extension. NOTE: Do not disconnect the USB storage device until saving is complete.
  • Page 100 CARESCAPE Monitor B650 • Select Cloned settings (clinical and platform) to activate both the clinical and platform settings. • Select Cloned clinical settings to activate only loaded clinical settings. • Select Cloned platform settings to activate only loaded platform settings.

  • Page 101: Canceling Pending Settings Activation

    Configuration Select NOTE Immediately Activate the new settings The patient monitor must be in a Immediately. case reset / patient discharged state. After next case end / Take the new settings in use This option allows you to initiate the with a delay, after the next setting activation process with a discharge...

  • Page 102: License Management

    Alternatively, you can enable and activate individual software packages and host software feature licenses by entering the required activation code manually. NOTE: Contact GE Healthcare to acquire activation codes for licenses. 7.17.1 Enabling and activating host software package NOTE: As a factory default, the ICU software package is always activated.

  • Page 103: Uploading License File

    Refer to the latest version of the CARESCAPE Modular Monitors Supplemental Information Manual for a list of compatible network and bedside devices. • Contact GE Healthcare to get the latest version of the user and service documentation 2081903-001...
  • Page 104 For more information, refer to the latest version of the CARESCAPE Modular Monitors Supplemental Information Manual. Contact GE Healthcare for any inquiries regarding the software CD and/or activation code for the new host software version.
  • Page 105 Configuration Activating host software immediately Before you start: • Make sure the patient monitor is in a case reset / patient discharged state. In the Host Software window, verify that the software you are activating is listed as Inactive in Current Software State. In Software License, if applicable, enter the Activation Code for the new software version.
  • Page 106 CARESCAPE Monitor B650 Software activation in progress. Do not disconnect any measurement modules or other peripheral devices, or shut down the monitor until the software activation is complete. Activation may take up to 10 minutes. The device will automatically restart once the software activation is complete.
  • Page 107 Configuration In Erase Inactive Software After Activation, select: to keep the currently active software version as inactive software after the new software version is activated successfully. This option lets you restore the patient monitor to the previous software version later. to erase the currently active software version permanently after the new software version is successfully activated.

  • Page 108: Canceling Pending Host Software Activation

    CARESCAPE Monitor B650 activation is completed and the parameter module has restarted. This may take up to 15 minutes. Do not shut down the patient monitor or disconnect the parameter modules. The parameter module restarts automatically after the software activation is complete.

  • Page 109: Installation Checkout

    Installation checkout Installation checkout The purpose of the installation checkout procedure is to ensure that the system is properly installed and configured for use. Service personnel shall perform the following checkout procedure for the monitoring system after the hardware installation and platform configuration is completed: •...

  • Page 110: Power Outlet

    CARESCAPE Monitor B650 Tool Part Number / Requirement Safety Analyzer / Leakage Current Tester Equivalent to the circuits shown. Safety Test Body Kit P/N M1155870 or equivalent Instead of the test bodies included in the safety test body kit, other applicable test bodies with all pins connected together may be used.
  • Page 111 Installation checkout Acceptance criteria: • For equipment without a power supply cord, the impedance between the protective earth terminal and 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.

  • Page 112: Earth Leakage Current Test

    CARESCAPE Monitor B650 8.2.5 Earth leakage current test This test measures the current leakage flowing from the mains part through or across the insulation into the protective earth conductor of the device under test. Perform this test both in Normal Condition (NC) and in a Single Fault Condition (SFC), where one of the supply conductors is open at a time.

  • Page 113: Enclosure Leakage Current (Touch Current) Test

    Installation checkout Read and record the current leakage indicated on the safety tester. 10. Power off the device under test. Acceptance criteria in Normal Condition (NC): • All readings shall be less than or equal to 300 μA for installations that require compliance to UL 60601-1 requirements.
  • Page 114 CARESCAPE Monitor B650 Read and record the current leakage indicated on the safety tester. Configure the safety analyzer as follows (SFC): − Polarity: NORMAL − Neutral: OPEN − Earth (GND): CLOSED Read and record the current leakage indicated on the safety tester.

  • Page 115: Patient Leakage Current Tests – Overview

    Installation checkout All readings shall be less than or equal to 300 μA for installations that require compliance • to UL 60601-1 requirements. All readings shall be less than or equal to 500 μA for installations that require compliance • to EN 60601-1 / IEC 60601-1 requirements.

  • Page 116: Patient (Source) Leakage Current Tests

    CARESCAPE Monitor B650 8.2.8 Patient (source) leakage current tests This procedure measures the leakage current from an applied part connector of the device to ground. Perform the test in Normal Condition (NC) and in two different Single Fault Conditions (SFC): 1) earth open and 2) one of the supply conductors open at a time.

  • Page 117: Patient (Sink) Leakage Current Tests

    Installation checkout − Polarity: REVERSED − Neutral: CLOSED − Earth (GND): OPEN Read and record the current leakage indicated on the safety tester. 10. Configure the safety analyzer as follows (SFC): − Polarity: REVERSED − Neutral: OPEN − Earth (GND): CLOSED 11.

  • Page 118: Test Completion

    CARESCAPE Monitor B650 NOTE: *The measuring device (MD) represents the network and voltage measuring instrument and its frequency characters according to IEC 60601-1. NOTE: **According to IEC-60601, the impedance to protect the circuitry and the person performing the test, but low enough to accept currents higher than the allowable values of the leakage current to be measured.

  • Page 119: Display

    Installation checkout monitor battery and disconnecting the power cord from the wall outlet for a moment before turning the monitor on. Verify that the patient monitor starts up normally: − The yellow, red and blue alarm lights are lit momentarily. −...

  • Page 120: Keypad And Remote

    CARESCAPE Monitor B650 − S/5 printers are correctly configured. − IX printers and printer locations are correctly configured. − Remote service is correctly configured. − National requirements are correctly configured. − Network is correctly configured. − Power Line Frequency is correctly configured.

  • Page 121: Mc Network And S/5 Network

    Installation checkout Parser Type Test Procedure Length Delimited or Character 4. Select Scan from Barcode. Delimited Parser 5. Scan a known test barcode obtained from the hospital. NOTE: The barcode data content must be known and in compliance with the completed parser configuration. 6.

  • Page 122: Ix Printers

    CARESCAPE Monitor B650 NOTE: Make sure that at least one other patient monitor is on the network. The other patient monitor must be in an admitted state and have an active ECG measurement with a simulator signal. Checkout procedure for wireless patient monitors Check each wireless patient monitor according to the following procedure.

  • Page 123: Insite With Exc

    Installation checkout 8.3.12 Insite with EXC Perform the following test only if the remote service is configured and enabled. • Contact your local online support center to find out if they can view the patient monitor. 8.3.13 Test completion Discharge Patient or Reset Case to discard any changes made to the patient monitor configuration during checkout.
  • Page 124 CARESCAPE Monitor B650 For your notes: 2081903-001...

  • Page 125: Theory Of Operation

    Theory of operation Theory of operation Figure 3 System block diagram The system block diagram describes the functional units of the CARESCAPE Monitor B650. 2081903-001...

  • Page 126: Main Components

    CARESCAPE Monitor B650 The following sections describe the operation and interaction of the different subsystems. 9.1 Main components 9.1.1 Power management subsystem AC/DC Power Supply Unit The AC/DC power supply unit is a compact, medical, switched-mode power supply with a universal AC input.
  • Page 127 Theory of operation DC/DC Board There are two versions of the DC/DC board: one for models with the optional battery and one for models without battery. The non-battery version excludes the electronics needed for battery charging and power path management. The DC/DC board converts the output voltage of the AC/DC power supply, or the battery voltage, to the following supply voltages: •...

  • Page 128: Cpu Subsystem

    CARESCAPE Monitor B650 9.1.2 CPU subsystem Figure 4 CPU board block diagram 2081903-001...
  • Page 129 Theory of operation Main processor and memory: • The main processor manages the data processing of the patient monitor. • It has non-volatile flash memory for the bootloader software and Linux kernel and volatile SDRAM memory for run time code execution and temporary data storage. •...

  • Page 130: Display Subsystem

    CARESCAPE Monitor B650 Support for interfaces: • A USB host controller (root hub) provides a high speed USB interface for the external USB ports in the interface boards and for the internal system components (user interface board, tone generator and for the USB Disk On Module).
  • Page 131 Theory of operation Figure 5 User interface board block diagram Touchscreen sensor The patient monitor has a resistive touchscreen sensor in the front of the LCD panel. The touchscreen sensor detects the presence and location of a touch within the display area and communicates the information to the touchscreen controller.

  • Page 132: External Interfaces

    CARESCAPE Monitor B650 Speaker The main speaker is used to provide audible alarms. The speaker cable is connected directly to the CPU board. The audio signal for the speaker is generated in the CPU board using a tone generator and an audio amplifier. Audio feedback controls the operation of the speaker.
  • Page 133 Theory of operation The Standard and Advanced Interface Boards receive +3.3 V and + 5V supply voltages from the DC/DC board via the CPU board. In addition the Advanced Interface Board receives the VSYS supply voltage. The VSYS OPTION voltage is provided for a PDM through the DB9 ePort connector. Once the PDM is detected and if the VSYS ePort voltage is not enabled, the VSYS OPTION's circuit breaker is enabled by a control signal from the PMC.

  • Page 134: Pivoting Module Frame

    CARESCAPE Monitor B650 WLAN connection is activated when the monitor is not connected to a wired network through the MC port. 9.1.6 Pivoting module frame Hinge flex board The hinge flex board interfaces the E-module interface board and the module frame flex board to the CPU board.
  • Page 135 Theory of operation • Overvoltage of the generated supply voltages will disable the VSYS and +15VMod circuit breakers. • An I2C A/D converter and I2C temperature sensor measure the supply voltages generated for the E-modules and the board temperature. The information is communicated to the PMC CPU in the DC/DC board over the I2C -bus.
  • Page 136 CARESCAPE Monitor B650 For your notes: 2081903-001...

  • Page 137: Maintenance And Checkout

    Maintenance and checkout 10 Maintenance and checkout This chapter specifies the checkout procedure and the maintenance activities to be performed to the patient monitor after corrective maintenance and during annual planned maintenance. WARNING Only perform maintenance procedures specifically described in the manual. WARNING Planned maintenance should be carried out annually.

  • Page 138: Visual Inspection

    CARESCAPE Monitor B650 Required checkout procedure Visual Electrical Functional check Performed service activity inspections safety test (section 10.3) (section 10.1) (section 10.2) After detaching or replacing: 10.3.1 Start-up Front Unit Assembly FRU 10.3.5 Keypad and remote User Interface Board FRU...

  • Page 139: Electrical Safety Checks

    Maintenance and checkout 10.2 Electrical safety checks Electrical safety tests provide a method of determining if potential electrical health hazards to the patient or operator of the device exist. Perform the following electrical safety tests described in detail in chapter 8.

  • Page 140: Alphanumeric Keyboard

    CARESCAPE Monitor B650 10.3.7 Alphanumeric keyboard Follow the procedure in section 8.3.7. Alphanumeric keyboard. 10.3.8 Barcode reader Follow the procedure in section 8.3.8. Barcode reader. 10.3.9 MC Network and S/5 Network Follow the procedure in section 8.3.9. MC Network and S/5 Network.
  • Page 141 Maintenance and checkout Required Tools − E-PSM(P)(W) or E-(P)RE(S)TN module − A multiparameter patient simulator with invasive pressure adapter cable to GE invasive pressure connector. − 5 lead ECG trunk cable, IEC or AHA − 5 leadwire set, IEC or AHA −...
  • Page 142 CARESCAPE Monitor B650 Configuring the monitor Configure ECG: Select ECG1 to the screen with waveform and adequate priority. In the Parameter Setup > ECG > Setup, select ECG1 Lead: II. Configure invasive pressure: Select P1 to the screen with waveform and adequate priority.
  • Page 143 Maintenance and checkout Press the Zero P1 module key. Check that a Zeroing message changes to a Zeroed message in the P1 parameter window. Configure the simulator's InvBP output channel to Arterial 120/80. Connect the oscilloscope probe to the InvBP output signal (yellow wire) and analog ground (blue or white wire).

  • Page 144: Test Completion

    CARESCAPE Monitor B650 10.3.15 Test completion Select Discharge Patient or Reset Case to discard any changes made to the patient monitor configuration during checkout. • Complete the Appendix B. Maintenance check form 10.4 Monitor battery maintenance The lithium-ion (Li-Ion) battery is a rechargeable battery containing lithium-ion cells. Each battery contains an integrated electronic fuel gauge and a safety protection circuit.

  • Page 145: Charging A Battery

    Maintenance and checkout 10.4.4 Charging a battery The battery is charged whenever it is installed into the patient monitor and the patient monitor is connected to an AC power source. The battery is charging both when the patient monitor is turned on and when it is in the standby mode.

  • Page 146: Battery Recycling

    CARESCAPE Monitor B650 10.4.7 Battery recycling This product contains Lithium-Ion batteries. At the end of their service life, batteries in this product must be recycled or disposed in accordance with local or national regulations. Do not dispose of batteries as trash or unsorted municipal waste.

  • Page 147: Troubleshooting

    Troubleshooting 11 Troubleshooting 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. This chapter focuses on troubleshooting technical problems. See the patient monitor’s user’s manual for troubleshooting monitoring problems and clinical configuration issues.

  • Page 148: Webmin - Information Tab

    CARESCAPE Monitor B650 11.2 Webmin - Information tab Access Webmin service interface to view configuration information and device information. 11.2.1 Configuration information The Configuration Information module shows the current platform configuration of the patient monitor and the connected peripheral devices.
  • Page 149 Troubleshooting Scroll down the page to view the configuration information: Configuration information • Host Information Active software part number and version, Inactive software part number and version, Host serial number, Host asset number, MC Network IP address, IX Network IP address, MAC address, S/5 Network virtual ID, CPU hardware version, PMC hardware version, UIC hardware version, PMC software version, UIC software version and...

  • Page 150: Device Information

    CARESCAPE Monitor B650 Configuration information • Power Line Frequency Current power line frequency setting in use. • MUSE/12SL Location ID, Site number, MUSE web username, and MUSE web URL. • WLAN Wireless LAN configuration information, including WLAN radio status, Antenna Diversity, Frequency Band, RTS...

  • Page 151: Webmin - Diagnostics Tab

    Troubleshooting Device information • Acquisition Information - E- Label, Software version, Control number, and Serial Module number. • Installed S/5 Printers Printer name. • Installed IX Printers Printer name, hostname or IP address. • Printer Location Information Printout type (Alarm Waveforms, Numeric Trends, Reports, and Waveforms) and Printer location.
  • Page 152 CARESCAPE Monitor B650 The Hardware Statistics module displays several internal voltages, temperatures and power consumption. A value is displayed in red, if the current reading exceeds a pre-determined lower or upper limit, A value is displayed either as “0” or as “--”, if it cannot be measured.

  • Page 153: Ping A Tcp/Ip Network Device

    Troubleshooting Measurement Description VSYS ePort voltage (mV) VSYS voltage is measured from the following locations:· VSYS RACK voltage (mV) • The VSYS ePort voltage is supplied for a PDM module that is VSYS EMOD (mV) connected to the PDM docking station. It is measured from VSYS OPTION voltage (mV) the module frame flex board after the VSYS ePort circuit breaker.

  • Page 154: Wlan Diagnostics

    CARESCAPE Monitor B650 11.3.3 WLAN diagnostics Use this Webmin feature for troubleshooting WLAN related problems. This Webmin module provides information about the WLAN driver, WLAN status and the detected access points. Log in to Webmin. Select Diagnostics > WLAN. Scroll down the page to view the following WLAN diagnostics information.
  • Page 155 Troubleshooting Contents • WLAN Status WLAN radio • WLAN client IP Address • Antenna diversity mode • Center frequency (i.e., the current actual center frequency, which is associated with the operating channel number used, e.g in the 2.4 GHz band on channel 6, the displayed frequency should be 2.437 GHz.) •...
  • Page 156 CARESCAPE Monitor B650 Contents • WLAN status The current Association/Authentication status of the WLAN Radio: Association/ Description of the state Authentication state Disconnected The WLAN client radio is not authenticated or associated to any network infrastructure. Authenticating The network infrastructure is authenticating the WLAN client radio.

  • Page 157: Log Files

    Troubleshooting 11.3.4 Log files The patient monitor collects information about different system events and errors to log files. These log files help troubleshooting problems in the patient monitor and the connected peripheral devices. The following table describes the available log files and the type of information that they collect.
  • Page 158 CARESCAPE Monitor B650 Log file name Contents PDM log All PDM errors and messages. • System log OS events and errors, including operating system related information, such as clinical application startup and recovery information, power on self-test results, etc. •...

  • Page 159: Power Management Leds

    Troubleshooting Select the log file 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 with the information you want to view.

  • Page 160: Network Status Leds

    CARESCAPE Monitor B650 Description ACDC (green) The green ACDC LED should be lit when the patient monitor is connected to the AC mains, even if the patient monitor is in standby mode. A lit LED indicates that the DC/DC board receives the 15.3-16 VDC from the AC/DC power supply unit.

  • Page 161: Battery Diagnostics

    Troubleshooting • The LED is flashing to indicate Activity, i.e., the patient monitor is either transmitting or receiving data packets over the network. 11.6 Battery diagnostics You can check the monitor battery status from the Battery Status menu. Select Monitor Setup > Battery Status The Monitor Battery Status menu will open.

  • Page 162: Error Messages And Codes

    CARESCAPE Monitor B650 Field Status Description Battery Quality "OK" The full capacity of the battery is more than 50% compared to the full capacity of a new battery. "Condition" Battery requires conditioning. "Replace" The full capacity of the battery is less than or equal to 50% compared to the full capacity of a new battery.
  • Page 163 Troubleshooting Message Possible causes Possible solutions Identical unit & bed A patient monitor with the Disconnect the patient monitor that name noticed identical unit and bed name is has the identical unit and bed name. on the network. Change the unit and bed name of the duplicate patient monitor unit and bed name.
  • Page 164 CARESCAPE Monitor B650 Message Possible causes Possible solutions Service Monitor The CPU timekeeper battery is Replace the CPU timekeeper battery. Error Code empty. 0xHOST1100 External alarm 1. The USB cable between the 1. Reconnect the USB cable. light disconnect. patient monitor and the...
  • Page 165 Troubleshooting Message Possible causes Possible solutions Service Monitor Software activation failed. Reactivate software. If that does not Activation Failed help, reinstall the software and then reactivate it. Setting activation failed. Reactivate settings. • Module Log in to Webmin and select One of the supply voltages voltage low Diagnostics >...

  • Page 166: Problems And Solutions

    CARESCAPE Monitor B650 11.8 Problems and solutions Start-up failures 11.8.1 Problem Possible causes Recommended actions Failure to turn on the patient Power cord is loose. Ensure that the power cord is connected properly monitor, when the following to the wall outlet and to the patient monitor.
  • Page 167 Troubleshooting Problem Possible causes Recommended actions Unable to turn on the patient Battery Empty Check the battery charge status, see section “6.1.1”. monitor when it is powered Charge or replace the battery. from the monitor battery. Battery Failure or missing Check the status of the battery charge/failure The patient monitor is not battery.

  • Page 168: User Interface Issues

    CARESCAPE Monitor B650 Problem Possible causes Recommended actions The backlight cable Check that the backlight cable is intact and between the LCD display properly connected both to the LCD display and to and the DC/DC board is the DC/DC board.
  • Page 169 Troubleshooting Problem Possible cause Recommended actions Touchscreen operation Touchscreen not calibrated. Calibrate touchscreen, see section “7.1.2”. inaccurate. Touchscreen inoperative. Touchscreen cable loose Connect touchscreen cable to the user interface board. Faulty touchscreen sensor. Replace the front unit assembly. Keypad, Trim Knob, on/standby button and alarm Light issues Problem Possible cause Recommended action...

  • Page 170: Incorrect System Time

    CARESCAPE Monitor B650 Wrong character is displayed The keyboard locale is not Configure the keyboard locale correctly, when a barcode is read. configured correctly. see “7.9”. The barcode reader’s language Refer to the barcode reader manual. configuration is incorrect. Barcode reader does not read a...

  • Page 171: License Issues

    Troubleshooting 11.8.4 License issues Problem Possible cause Recommended action Unable to perform a function or A license has not been See License management chapter. a feature is not available. purchased for the feature. The trial license has expired for the feature. The license is not installed properly.

  • Page 172: Recorder Issues

    CARESCAPE Monitor B650 11.8.5 Recorder issues Problem Possible cause Recommended action Recorder does not work. Graph location is not configured Check the configuration: Monitor Setup > correctly. Printing > Devices > Setup. Recorder board failure. Check the status of the +5 V REC and +12 V REC voltages, see section “11.3.1”...
  • Page 173 Troubleshooting E-module issues Possible cause Recommended action Incompatible module Refer to the patient monitor’s supplemental information manual document to see the list of compatible modules. DC/DC board failure The supply voltages for the E-module interface board are generated in the DC/DC board.
  • Page 174 CARESCAPE Monitor B650 Possible cause Recommended action CPU board failure The RS-485 communication for the E-modules is managed by the EMBC section of the CPU board. Check EMBC Frame logs for possible EMBC failures, see section “11.3.4”. If the cause is none of the above, the problem is most likely in the CPU board.

  • Page 175: Carescape Network Communication Issues

    Troubleshooting Possible cause Recommended action Hinge flex board is loose or faulty. Check that the hinge flex board is intact and properly mounted to the CPU board and to the module frame flex board. (PDM is connected to the PDM docking station) Module frame flex board faulty.
  • Page 176 CARESCAPE Monitor B650 2081903-001...
  • Page 177 Troubleshooting Problem: No waveforms or parameters are displayed at the CIC Pro center 2081903-001...
  • Page 178 CARESCAPE Monitor B650 2081903-001...

  • Page 179: S/5 Network Communication Issues

    Troubleshooting 11.8.8 S/5 Network communication issues Check the following things before proceeding with any detailed network troubleshooting: • Check status of the wired and wireless network connection indicators and the WLAN signal strength indicator, for reference see “3.7”. • Check status of network status LEDs. Check network compatibility. Refer to the patient monitor’s supplemental information manual.
  • Page 180 CARESCAPE Monitor B650 Wireless S/5 network Problem Possible cause Recommended action • Contact the hospital IT No wireless connection - the Patient monitor is out of wireless department to check the patient monitor does not coverage area. wireless coverage area.

  • Page 181: Disassembly And Reassembly

    Disassembly and reassembly 12 Disassembly and reassembly 12.1 Disassembly guidelines Field repair of the patient monitor is limited to replacing Field Replaceable Units (FRUs). See chapter 13. Service parts for a detailed list of available FRUs. Attempting a field repair on a printed circuit board, or a factory sealed component or assembly could jeopardize the safe and effective operation of the monitor.

  • Page 182: Required Tools

    CARESCAPE Monitor B650 • GE recommends using the new fasteners (screws, washers, etc.) in the FRU kits rather than reusing the old fasteners. Some fasteners are not intended to be re-used more than three times. • Use only new screws when attaching parts into light metal parts. Before fastening a screw, turn it counterclockwise until it drops into an existing thread pattern.
  • Page 183 Disassembly and reassembly WARNING ELECTRIC SHOCK - Always unplug the grounded cables when not in use. Leaving them connected could result in an electric shock from the ground contact in the other end. On/standby Turn the monitor off from the button.

  • Page 184: Module Frame Disassembly

    CARESCAPE Monitor B650 12.2 Module frame disassembly 12.2.1 Detaching the module frame front cover A) Monitors with the E-module option 1. Press down the Module Frame release knob and turn the Module Frame to a 90° angle, so that the Module Frame faces to the front.
  • Page 185 Disassembly and reassembly B) Monitors without the E-module option 1. Press down the Module Frame release knob and turn the Module Frame to a 90° angle, so that the Module Frame faces to the front. 2. Release the two snaps on the top of the cover unit: press (strongly) with your thumb on the middle of the Module Frame cover unit's...
  • Page 186 CARESCAPE Monitor B650 4. Shift the front cover slightly down and to the left by pulling the hole in the bottom plate to release the two snaps on left side and one on the right side of the front cover.

  • Page 187: Detaching The Recorder Unit

    Disassembly and reassembly 12.2.2 Detaching the Recorder Unit Disassemble first: 12.2.1. Detaching the module frame front cover 1. Open the recorder door and remove the paper roll if installed. 2. Unscrew the two crosshead screws inside the recorder. Note that the screws cannot be removed.

  • Page 188: Detaching The Pdm Docking Mechanism

    CARESCAPE Monitor B650 When reassembling, the recorder unit can be installed into the Module Frame as a whole. NOTE: Ensure that the recorder unit is firmly installed to the recorder connector and both snaps in the EMC cover lock properly.

  • Page 189: Detaching The Module Frame Cover Unit

    Disassembly and reassembly 12.2.4 Detaching the Module Frame cover unit Disassemble first: 12.2.1. Detaching the module frame front cover 12.2.3. Detaching the PDM docking mechanism, if installed. 1. Release the two snaps inside the holes of the frame cover using a flat blade screwdriver. 2.

  • Page 190: Detaching The E-Module Interface Board

    CARESCAPE Monitor B650 12.2.5 Detaching the E-module Interface Board Disassemble first: 12.2.1. Detaching the module frame front cover 12.2.3. Detaching the PDM docking mechanism 12.2.4. Detaching the Module Frame cover unit 1. Detach the Module Frame back plate. Release the snaps with a flat blade screwdriver and detach the plate.

  • Page 191: Detaching The Module Frame Assembly

    Disassembly and reassembly 12.2.6 Detaching the Module Frame assembly Disassemble first: 12.2.1. Detaching the module frame front cover 12.2.3. Detaching the PDM docking mechanism 12.2.4. Detaching the Module Frame cover unit 12.2.5. Detaching the E-module Interface Board: steps 1 and 2 only. 1.

  • Page 192: Main Unit Disassembly

    CARESCAPE Monitor B650 12.3 Main unit disassembly 12.3.1 Replacing the mains fuses The mains fuses are situated on the back of the monitor, below the mains connector. 1. Lever the screwdriver against the cable holder to release the fuse holder and pull it out of the frame.

  • Page 193: Detaching The Interface Board

    Disassembly and reassembly 12.3.2 Detaching the Interface Board 1. Detach the Interface Board cover plate from the frame by releasing the snaps with a flat blade screwdriver. 2. Remove the six T10 screws that hold the Interface Board to the main unit. [Torque 0.8 Nm] NOTE: At first reassemble the screws in the middle.

  • Page 194: Detaching The Frame Side Housing Decorations

    CARESCAPE Monitor B650 12.3.3 Detaching the Frame Side Housing Decorations NOTE: Be careful not to damage the decoration while disassembling. 1. To detach the Right Frame Housing Decoration: Release the snaps at the bottom part of the decoration with a flat blade screwdriver.

  • Page 195: Detaching The Top Cover

    Disassembly and reassembly 12.3.4 Detaching the Top Cover 1. Press down the Module Frame release knob and turn the Module Frame to a 90° angle, so that the Module Frame slot faces to the front. 2. Remove the T10 screw located behind the Module Frame.

  • Page 196: Disassembling The Main Unit Into Rear And Front Units

    CARESCAPE Monitor B650 12.3.5 Disassembling the main unit into Rear and Front units Disassemble first: 12.3.2. Detaching the Interface Board 12.3.3. Detaching the Frame Side Housing Decorations 12.3.4. Detaching the Top Cover 1. Set the monitor lying on its back and remove the two screws (T10) from the bottom.
  • Page 197 Disassembly and reassembly 7. Pull the Front Unit away from the rear unit just enough so that you can detach the DC/DC cable from the DC/DC Board. NOTE: When reassembling, check that the cable is connected properly. 8. Detach the rear unit from the Front Unit. Reassemble in reverse order.

  • Page 198: Detaching The Udom

    CARESCAPE Monitor B650 12.3.6 Detaching the uDOM Disassemble first: 12.3.2. Detaching the Interface Board 12.3.3. Detaching the Frame Side Housing Decorations 12.3.4. Detaching the Top Cover 12.3.5. Disassembling the main unit into Rear and Front units 1. Detach the uDOM from the CPU connector.

  • Page 199: Replacing The Cpu Timekeeper Battery

    Disassembly and reassembly 12.3.7 Replacing the CPU timekeeper battery Disassemble first: 12.3.2. Detaching the Interface Board 12.3.3. Detaching the Frame Side Housing Decorations 12.3.4. Detaching the Top Cover 12.3.5. Disassembling the main unit into Rear and Front units 1. Detach the CPU timekeeper battery from the CPU board with a flat blade screwdriver.

  • Page 200: Detaching The Dc/Dc Board

    CARESCAPE Monitor B650 12.3.8 Detaching the DC/DC board Disassemble first: 12.3.2. Detaching the Interface Board 12.3.3. Detaching the Frame Side Housing Decorations 12.3.4. Detaching the Top Cover 12.3.5. Disassembling the main unit into Rear and Front units 1. Disconnect the Battery cable and the Backlight cable from the DC/DC Board.
  • Page 201 Disassembly and reassembly 1. Detach the WLAN card from the CPU if installed. NOTE: Be careful not to damage the antenna cables. 2. Detach the uDOM. IMPORTANT: Detach the original uDOM and Display Hinge attach it to the new CPU Board. cable Flex The software, licenses and clinical and service...

  • Page 202: Detaching The Ac/Dc Board And Rear Unit Assembly

    CARESCAPE Monitor B650 12.3.10 Detaching the AC/DC board and rear unit assembly Disassemble first: 12.3.2. Detaching the Interface Board 12.3.3. Detaching the Frame Side Housing Decorations 12.3.4. Detaching the Top Cover 12.3.5. Disassembling the main unit into Rear and Front units 1.

  • Page 203: Detaching The Base Unit

    Disassembly and reassembly 6. Remove the four T10 screws mounting the AC/DC board to the back plate. [Torque 1.6 Nm] Hold the AC/DC board to prevent it from falling. Reassemble in reverse order. Attach the 4 screws that mount the AC/DC board [Torque 1.6 Nm]. Ensure the cable clamp and the spring are in place.
  • Page 204 CARESCAPE Monitor B650 1. Disconnect from the CPU board: the Sync cable the Loudspeaker cable 2. Disconnect from the DC/DC Board: the Battery cable DCDC 3. Remove the five T10 screws with washer insulators mounting the Base Unit to the mid-frame.
  • Page 205 Disassembly and reassembly Reassemble in reverse order. NOTE: Pay attention to the cables when reassembling. Check that they go through the right holes in the mid-frame when attaching the Base Unit. Be especially careful to check the loudspeaker cable (see the figure). 6.

  • Page 206: Front Unit Assembly

    CARESCAPE Monitor B650 12.4 Front Unit Assembly 12.4.1 Detaching the Front Unit Assembly Disassemble first: 12.3.3. Detaching the Frame Side Housing Decorations 12.3.4. Detaching the Top Cover 1. Remove the T10 screw at the bottom of the frame. [Torque 0.6 Nm]...
  • Page 207 Disassembly and reassembly 2. Remove the four T10 screws in the top and bottom corners behind the Display Unit. [Torque 0.6 Nm] 3. Release the two snaps, one on each side of the monitor. The snaps are located in the middle behind the Right and Left Housing snaps Decorations.

  • Page 208: Detaching The Lcd Display Unit

    CARESCAPE Monitor B650 12.4.2 Detaching the LCD Display Unit Disassemble first: 12.3.3. Detaching the Frame Side Housing Decorations 12.3.4. Detaching the Top Cover 12.4.1. Detaching the Front Unit Assembly 1. Remove the four T10 screws with washers, two on both sides of the LCD Display and detach the display from the frame.

  • Page 209: Replacing The User Interface Board

    Disassembly and reassembly • Reassemble in reverse order. NOTE: Do not leave any dust or dirt between the LCD Display and the plastic display cover, or the picture quality might deteriorate. NOTE: Dispose of the display according to local, state or country laws. 12.4.3 Replacing the User Interface Board Disassemble first: 12.3.3.

  • Page 210: Replacing The Trim Knob And Trim Knob Encoder

    CARESCAPE Monitor B650 12.4.4 Replacing the Trim Knob and Trim Knob Encoder Disassemble first: 12.3.3. Detaching the Frame Side Housing Decorations 12.3.4. Detaching the Top Cover 12.4.1. Detaching the Front Unit Assembly To replace the Trim Knob: 1. Pull the Trim Knob off from the front side.

  • Page 211: Replacing The Front Unit Assembly Fru

    Disassembly and reassembly 12.4.6 Replacing the Front Unit Assembly FRU Disassemble first: 12.3.3. Detaching the Frame Side Housing Decorations 12.3.4. Detaching the Top Cover 12.4.1. Detaching the Front Unit Assembly 12.4.3. Replacing the User Interface Board 12.4.4. Replacing the Trim Knob and Trim Knob Encoder 12.4.5.

  • Page 212: Replacing The Wlan Assembly Fru

    CARESCAPE Monitor B650 12.4.7 Replacing the WLAN Assembly FRU Disassemble first: 12.3.4. Detaching the Top Cover 1. Attach the WLAN card to the CPU board card slot as shown in the picture. NOTE: Be careful not to bend the antenna boards or damage the antenna cables.
  • Page 213 Disassembly and reassembly NOTE: Place the antenna cables carefully as shown in the pictures. Reassemble the Top Cover. Grease the rubber gasket of Top Cover to reassemble it smoothly. 2081903-001...
  • Page 214 CARESCAPE Monitor B650 For your notes: 2081903-001...

  • Page 215: Service Parts

    Service parts 13 Service parts NOTE: Perform the checkout procedure steps described in chapter 10. Maintenance and checkout after you have replaced any service parts. 13.1 Ordering parts To order parts, contact GE. Contact information is available at www.gehealthcare.com. Make sure you have all necessary information at hand.
  • Page 216 CARESCAPE Monitor B650 FRU/Item part FRU/Item description FRU content number 2067857-001 FRU, Front Unit Assy for Touchscreen Includes front unit assembly with touchscreen sensor, alarm light lens, board & cable, buzzer Model, B650 VER02 unit and 7 mounting screws. Includes also 2 WLAN mounting tapes to re-mount antenna boards.
  • Page 217 Service parts FRU/Item part FRU/Item description FRU content number 2067859-001 FRU, Cable Kit, B650 VER02 Includes the following parts: Hinge flex board with ferrites Display (LVDS) cable with ferrites Backlight cable User interface cable DC/DC cable Speaker unit Sync board unit battery board &...
  • Page 218 CARESCAPE Monitor B650 For your notes: 2081903-001...
  • Page 219 Installation check form APPENDIX A: Installation check form CARESCAPE Monitor B650 Customer Monitor type B650- Service record # Software version Service engineer Prior to testing verify all equipment is calibrated via “Cal” labeling and record Cal Due Dates Measuring equipment / test gases used:...
  • Page 220 CARESCAPE Monitor B650 b.) Impedance of protective earth without power cord ≤ 0.1 ohms connection ≤ 0.2 ohms with power cord Earth leakage current test EN /IEC Normal Condition (NC) Polarity: Normal ≤ 500 µA ≤ 300 µA Single Fault Condition (SFC) Polarity: Normal ≤...
  • Page 221 Installation check form Module type Observed result Acceptance PASS N.A. FAIL criteria Patient (source) leakage current tests, using a test body Normal Condition (NC) Polarity: NORMAL ≤ 10 µA ≤ 50 µA Single Fault Condition (SFC) Ground closed (normal) Ground open (normal) ≤...
  • Page 222 CARESCAPE Monitor B650 Functional check Observed result Acceptance criteria PASS N.A. FAIL IX printers Test page is printed to the selected printer. Insite with EXC The patient monitor is active on Insite with EXC back office. Test completion Notes Used service parts...
  • Page 223 Maintenance check form APPENDIX B: Maintenance check form CARESCAPE Monitor B650 Customer Monitor type B650- Service record # Software version Service engineer Module type Start date Planned maintenance Corrective maintenance Prior to testing verify all equipment is calibrated via “Cal” labeling and record Cal Due Dates...
  • Page 224 CARESCAPE Monitor B650 Single Fault Condition (SFC) Polarity: Normal ≤ 1 mA ≤ 1 mA Polarity: Reversed Normal Condition (NC) Polarity: Reversed EN /IEC ≤ 500 µA ≤ 300 µA Enclosure leakage current (touch current) test Normal Condition (NC) Polarity: Normal ≤...
  • Page 225 Maintenance check form Functional check Observed result Acceptance criteria PASS N.A. FAIL IX printers Test page is printed to the selected printer. Insite with EXC The patient monitor is active on Insite with EXC back office. Recorder The header line contains the correct information.
  • Page 226 CARESCAPE Monitor B650 For your notes: B - 4 (4) 2081903-001...
  • Page 227 Verification procedure for wireless MC Network infrastructure APPENDIX C: Verification procedure for wireless MC Network infrastructure Purpose and scope The purpose of this verification procedure is to test the operation of the wireless network infrastructure with a wireless CARESCAPE monitor, the transport monitor. To verify the operation, you move the transport monitor throughout the predetermined wireless coverage area and observe that a constant ECG waveform from a stationary wired patient monitor is displayed in the bed-to-bed view of the wireless CARESCAPE monitor during...
  • Page 228 CARESCAPE Monitor B650 Documentation about the Wireless LAN infrastructure: • GE WLAN pre-quote questionnaire with all applicable attachments. • Wireless LAN design documentation, including site survey results. Test plan Each wireless installation is unique. As it is often impractical and uneconomical to verify the...
  • Page 229 Verification procedure for wireless MC Network infrastructure Test setup The patient monitors and the CIC Pro shall be installed, configured and tested to operate in the same MC Network. CIC Pro: • Configure the CIC to capture full disclosure data from the wireless CARESCAPE monitor. Refer to CIC Pro Clinical Information Center Service Manual and CIC Pro Clinical Information Center Operator's Manual for detailed instructions.
  • Page 230 CARESCAPE Monitor B650 Configuring the patient simulator: Refer to the simulator documentation for details on how to use and configure the simulator. Configure the patient simulator to output ECG waveform with: − ECG rhythm: a normal sinus rhythm − Heart rate: 80 bpm −...
  • Page 231 Verification procedure for wireless MC Network infrastructure • Take a snapshot of the refreshed WLAN Diagnostics screen, for example, by printing it to a file. Move the roll cart to the following test point along the walking path and repeat the step 2 at each test point until you have completed the test plan.
  • Page 232 CARESCAPE Monitor B650 Test Form Observations Test point # Time (hh:mm:ss) RSSI (dBm) Transmit rate (Mbps) Observations Test summary and recommended actions Date & time of testing Signature C - 6 (6) 2081903-001...
  • Page 234 Headquarters Asia Headquarters GE Medical Systems GE Medical Systems GE Healthcare Finland Oy Information Technologies, Inc. Information Technologies Asia; GE (China) Co., Ltd. Kuortaneenkatu 2 8200 West Tower Avenue No1 Huatuo Road, FI-00510 Helsinki Milwaukee, WI 53223 USA Zhangjiang Hi-tech Park Pudong...

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