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Datex-Ohmeda
S/5™ Compact Anesthesia Monitor
S/5™ Compact Critical Care Monitor
Technical Reference Manual
All specifications are subject to change without notice.
CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical
practitioner. Outside the USA, check local laws for any restriction that may apply.
Document No. M1019004
August 2004
Datex-Ohmeda, Inc.
Datex-Ohmeda Division,
Instrumentarium Corp.
P
.O. Box 7550, Madison
P.O. Box 900, FIN-00031
WI 53707-7550, USA
DATEX-OHMEDA, FINLAND
Tel. 1-608-221-1551 Fax 1-608-222-9147
Tel. +358 10 394 11 Fax +358 9 146 3310
mailto:product.support.ussub@us.datex-ohmeda.com
www.datex-ohmeda.com
www.us.datex-ohmeda.com
 2004 General Electric Company.
All rights reserved.

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  • Page 1 CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner. Outside the USA, check local laws for any restriction that may apply. Document No. M1019004 August 2004 Datex-Ohmeda, Inc. Datex-Ohmeda Division, Instrumentarium Corp. .O. Box 7550, Madison P.O.
  • Page 3 Indications for use The S/5 Compact Anesthesia Monitor with L-CANE03 or L-CANE03A software is indicated for monitoring of hemodynamic (including arrhythmia and ST-segment analysis), respiratory, ventilatory, gastrointestinal/regional perfusion, Bispectral index (BIS), Entropy (State Entropy and Response Entropy) and neurophysiological status of all hospital patients.
  • Page 4 Responsibility of the manufacturer Datex-Ohmeda Division, Instrumentarium Corp. is responsible for the effects on safety, reliability and performance of the equipment only if: − assembly, extensions, readjustments, modifications, servicing and repairs are carried out by personnel authorized by Datex-Ohmeda. −...
  • Page 5 Master table of contents Datex-Ohmeda S/5™ Compact Anesthesia Monitor and Compact Critical Care Monitor TECHNICAL REFERENCE MANUAL, M1019004 PART I, General Service Guide Document No. Updated Updated Description Introduction, System description, Installation, Interfacing, Functional check, M1031508 General troubleshooting Planned Maintenance Instructions...
  • Page 6 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor Document No. M1031508...
  • Page 7: Table Of Contents

    Table of contents TABLE OF CONTENTS S/5 Compact Anesthesia Monitor and S/5 and Compact Critical Care Monitor TABLE OF CONTENTS TABLE OF FIGURES INTRODUCTION Notes to the reader..........................2 1.2.1 Related documentation........................ 2 1.2.2 Conventions used ........................3 Symbols .............................. 4 1.3.1...
  • Page 8 Setting interfacing parameters for the S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor............................33 Interfacing printer..........................34 4.5.1 Setting S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor interface for printers34 4.5.2 Connection to serial printers....................... 34 4.5.3 Connection to parallel printers....................
  • Page 9: Table Of Figures

    Functional Check Form Appendix B ElectroMagnetic Compatibility TABLE OF FIGURES Figure 1 S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor..........1 Figure 2 General bus structure of S/5 Compact Monitor..................10 Figure 3 Principle of UPI section operation......................11 Figure 4 General structure of parameter modules....................12...
  • Page 10 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor Document No. M1031508...
  • Page 11: Introduction

    The Datex-Ohmeda S/5 Compact Anesthesia Monitor is a modular multiparameter patient monitor. The monitor is especially designed for anesthesia monitoring. The Datex-Ohmeda S/5 Compact Critical Care Monitor is also a modular multiparameter patient monitor. The monitor is especially designed for monitoring in intensive care units.
  • Page 12: Notes To The Reader

    • Part I gives the reader an overview of the S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor and all monitor specific components. This part of the manual also contains the information needed to installing, interfacing and troubleshooting monitors.
  • Page 13: Conventions Used

    General Service Guide For more specific information about other devices closely related to the S/5 Compact Critical Care Monitor refer to: Central, User’s Reference Manual CS/3 Arrhythmia Workstation, User’s Reference Manual 1.2.2 Conventions used Throughout this manual, the following conventions are used to distinguish procedures or elements of text: Sign the check form after performing the procedure.
  • Page 14: Symbols

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor 1.3 Symbols 1.3.1 Symbols on transport packaging The contents of the transport package are fragile and must be handled with care. Indicates the correct upright position of the transport package. The transport package must be kept in a dry environment.
  • Page 15 Sub menu. Selecting this symbol on a menu opens a new menu. The monitor is connected to the Datex-Ohmeda S/5 Network. The Monitor is connected to the Datex-Ohmeda S/5 Network (Wireless Local Area Network) The Data card (green) and/or the Menu card (white) is inserted.
  • Page 16: Safety

    Do not perform any testing or maintenance on the monitor while it is being used on a patient. • Use only cables and accessories approved by Datex-Ohmeda. Do not modify them. Other cables and accessories may damage the monitor or interfere with the measurement. •...
  • Page 17 General Service Guide Cleaning and service • Only trained personnel with proper tools and test equipment should perform the tests and repairs described in this manual. Unauthorized service may void the monitor warranty. • Turn the power off and unplug the power cord before cleaning or service. Completely remove any moisture before reconnecting the power cord to the mains outlet.
  • Page 18 Special components • Special components are used in these monitors that are vital to assure reliability and safety. Datex-Ohmeda assumes no responsibility for damage, if replacement components not approved by Datex-Ohmeda are used. • A lithium battery on the Central Processing Board. Dispose of the faulty IC containing the battery according to local regulations.
  • Page 19 General Service Guide Batteries The battery packages contain Ni-MH that is hazardous to the environment and therefore needs to be disposed of carefully according to local regulations. To replace the batteries safely, please refer to the instructions in this manual. •...
  • Page 20: System Description

    2.2 Bus structure The operation of Datex-Ohmeda S/5 Compact Monitor is based on two communication channels, the CPU bus and module bus. All units, including the modules, receive power from the same power supply unit, which is an integral part of the monitor frame.
  • Page 21: Distributed Processing

    General Service Guide 2.3 Distributed processing A system assembled from S/5 products is a multiprocessor system. All parameter modules have their own microprocessor, which performs low-level functions such as module key control, waveform filtering and pneumatic control, etc. At the same time the main CPU performs higher level tasks such as trending and alarm control.
  • Page 22: Software Loading

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor 2.5 Software loading The program memory on Central Processing Board is loaded with monitor software at the factory. The software is used for running all the functions that are integrated into the board. For service and upgrade procedures the Central Processing Board is fitted with a PCMCIA card drive through which new software can be loaded.
  • Page 23: System Installation

    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 Datex-Ohmeda distributor. 3.2 Choosing location Consider the following aspects: •...
  • Page 24: Compact Monitor Connections

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor 3.3.1 Compact Monitor connections Figure 5 S/5 Compact Monitor connections Dust filters Recorder unit (optional) Connector for future options Synchronization connector K-CREMCO, K-ARKB and N-SCAN connector Potential equalization connector Serial port connector...
  • Page 25: Connection To Mains

    General Service Guide 3.3.2 Connection to mains Connect the power cord to the mains power inlet on the side of the power supply unit and to the wall socket. NOTE: Before taking the monitor into use for the first time, the batteries should be fully charged. Keep the monitor connected to the mains until the Battery charging symbol disappears, or in STBY mode the Stby LED stops blinking (may take up to 10 hours if the batteries are fully discharged).
  • Page 26: Inserting The Parameter Modules

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor 3.3.5 Inserting the parameter modules Insert each plug-in parameter module into a module slot. Firmly press the module in position. NOTE: Do not use two or more modules with identical functions in the monitor.
  • Page 27: Installing The S/5 Network And Memcard Upgrade, U-Cmmem

    General Service Guide 1999. NOTE: If the DRI level is changed, the monitor will restart automatically. 10. Fill out all necessary documentation regarding the new monitor software. NOTE: The license agreement of monitor software needs to be in accordance with the monitor software serial number.
  • Page 28: Installing The S/5 Wireless Lan Upgrade, U-Cmw

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor Wait until the normal screen appears and check that a message ‘Field Upgrade OK’ is displayed as a note of successful upgrade. Remove the option software card. Enter the service menu and make sure that the option was loaded (Monitor Setup –...
  • Page 29: Installing The S/5 Recorder Upgrade, U-Cmrec1

    General Service Guide 3.3.10 Installing the S/5 Recorder Upgrade, U-CMREC1 NOTE! Only S/5 Compact Anesthesia Monitor rev 02 or later and S/5 Compact Critical Care Monitor rev. 02 or later can be upgraded with this S/5 Recorder Upgrade kit. 1. Turn the monitor off.
  • Page 30: Performing Factory Reset

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor 3.3.11 Performing Factory Reset NOTE: The factory reset is necessary after replacing monitor software. NOTE: The factory reset will restore all customized defaults, including language selection, to factory defaults. Monitor Setup Press the key.
  • Page 31: Ark Barcode Reader, N-Scan (Optional)

    Connect the N-SCAN with an appropriate cable to the 5-pin DIN connector X9 that is located on the right side of the Compact Monitor display unit. Figure 7 ARK Barcode Reader, N-SCAN connected to Compact Monitor 3.7 Compact Airway Modules, M-xxxxxx Figure 8 Datex-Ohmeda Compact Airway Module Document No. M1031508...
  • Page 32: Sample Gas Exhaust

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor Compact Airway Modules (M-series) are installed as any plug-in modules. 3.7.1 Sample gas exhaust When N O and/or volatile anesthetics are used, pollution of the operating room by these gases should be prevented. Connect the sample gas outlet of the Compact Airway Module (at the front panel) to the scavenging system according to one of the following procedures.
  • Page 33: Returning Sample Gas To Patient Circuit

    3.7.2 Returning sample gas to patient circuit Take special care when returning sample gas to the patient circuit. For further information, please refer to the “User’s Guide” and/ or contact your Datex-Ohmeda distributor. 3.8 Troubleshooting If a problem occurs during the functional examination, check the components of the monitor according to the following troubleshooting chart.
  • Page 34: Interfacing

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor INTERFACING External devices can be interfaced with the S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor via the Compact Monitor's serial port, via the S/5 Interface Module, M-INT and via the Device Interfacing Solution, N-DISxxx.
  • Page 35: Connection To External Datex-Ohmeda Monitors

    N-100 N-200 N-1000 4.1.1 Connection to external Datex-Ohmeda monitors Use the INT-External Device Cable. Make sure that the power on both monitors is switched off. Connect the 9 pin D-connector to one of the connectors on the Interface Module, M-INT.
  • Page 36: Connection To Baxter Vigilance

    Connect the other connector to the corresponding connector on the interfaced monitor. Tighten the finger screws. Connect the mono connectors to the corresponding connectors on the interfaced monitor. 4.1.6 Setting S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor interfacing parameters Press the Monitor Setup key.
  • Page 37: Interfacing External Bedside Devices Via S/5 Device Interfacing Solutions, N-Disxxx

    The Device Interfacing Solution,N-DISxxx, provides means for transferring physiological, waveform and event data from various bedside patient care devices to the Datex-Ohmeda monitoring system. The real-time and trended data can be displayed on the monitor screen and used for record keeping purposes.
  • Page 38 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor Monitor interfaces Device Numeric values Abbott Qvue/Q2 CO, CCO, Tblood, and SvO 2 (Q2 only) N-DISQVUE Abbott Oximetrix 3 CO, SvO N-DISOXIM3 Aspect A-2000 BIS Monitor BIS, SQI, EMG N-DISA2000 Baxter Vigilance...
  • Page 39: Device Interfacing Solution Components

    General Service Guide 4.2.2 Device Interfacing Solution components The Device Interfacing Solution consists of: • a device specific interfacing module • a device specific cable • a bus cable • a connector for another bus cable • label specifying the external device 4.2.3 Connections Connect the device specific cable to the external device and the bus cable to the monitor's DIS connector, or to another interfacing module.
  • Page 40: Figure 12 An Example Of Interfacing External Devices With Device Interfacing Solution

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor Figure 12 An example of interfacing external devices with Device Interfacing Solution Datex-Ohmeda S/5 Compact Monitor (with the L-CANE03(A) or L-CICU03(A) software) Interfacing module (max. 10 pcs) Monitor Monitor Blood gas analyzer NOTE: You can connect up to ten (10) interfacing modules to one system simultaneously.
  • Page 41: Selecting The External Device

    NOTE: The name of the device is visible on the list only if the device is correctly connected. 4.3 Interfacing Datex-Ohmeda S/5 Anesthesia Delivery Unit It is possible to interface the Datex-Ohmeda S/5 Anesthesia Delivery Unit with the S/5 Compact Anesthesia Monitor via the serial interface port. The data link is bi-directional. The parameters transferred to the Anesthesia Delivery Unit are summarized in table 3 and the events transferred to the S/5 Compact Anesthesia Monitor are summarized in table 4.
  • Page 42: Setting Interfacing Parameters For The S/5 Compact Anesthesia Monitor

    Bypass Check 4.4 Interfacing Dräger Cicero, Cato, Julian and Narkomed 2C (by NAD) It is possible to interface Dräger Cicero or Cato to the S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor via the Interface Module, M-INT. The parameters transferred to the S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor are summarized in tables 5 and 6.
  • Page 43: Interconnection

    4.4.3 Setting interfacing parameters for the S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor Set the interfacing parameters for the S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor according the instructions given in the section 4.1.6 Table 5 Parameters transferred from Dräger Cicero monitor to S/5 Compact...
  • Page 44: Interfacing Printer

    Always connect the printer to an appropriate separating transformer. 4.5.1 Setting S/5 Compact Anesthesia Monitor or S/5 Compact Critical Care Monitor interface for printers Press the Record/Print key.
  • Page 45: Connection To Parallel Printers

    A parallel printer is connected to the serial interface port connector X11 on the frame unit via the Serial-to-Parallel Converter. The converter gets power from the connected devices. Contact your authorized Datex-Ohmeda distributor for advice on suitable parallel printers. NOTE: The Serial-to-Parallel Converter, order code 78030 should not be connected to the AS/3 or CS/3 family monitors.
  • Page 46: Connection To Epson Epl-5200 Printer

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor 4.5.4 Connection to Epson EPL-5200 printer Setting the printing parameters Set the printing parameters for the EPL-5200 printer according to tables 8 and 9. Table 8 Printing parameter settings - EPL-5200, SelecType Level 1...
  • Page 47: Connection To Epson Epl-5500 Printer

    Load paper into the paper tray and open the top paper support. 4.6 Interfacing computer A computer is connected to the serial port connector X11 on the frame unit. Contact your authorized Datex-Ohmeda distributor for further advice on computer interface. Document No. M1031508...
  • Page 48: Output Signals

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor WARNING Always make sure that the combination complies with the international safety standard IEC 60601-1-1 for medical electrical systems and with the requirements of local authorities. WARNING Connecting the power supply cord of the computer to the wall socket may cause the computer leakage current to exceed the limit specified for medical equipment.
  • Page 49: Analog Outputs

    The signal output connector on the Pressure Temp Module, M-PT, can be used to interface some models of IABPs to the S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor. The pin assignments are illustrated in table 10. Please contact your local distributor for more information.
  • Page 50 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor please contact your authorized Datex-Ohmeda distributor. Invasive Pressure (P3) The Invasive pressure output signal is 1 V/100 mmHg, originally ranging from 0 to 300 mmHg, and with a delay of approximately 25 ms. The signal requires input impedance of 100 kΩ.
  • Page 51: Functional Check

    General Service Guide FUNCTIONAL CHECK These instructions include procedures for a functional check for Datex-Ohmeda S/5 Compact Anesthesia Monitor and S/5 Compact Critical Care Monitor. The functional check is recommend to be performed after monitor installation. These instructions include a Check Form (APPENDIX A) to be filled in when performing the corresponding procedures.
  • Page 52: Visual Inspection

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor 5.2 Visual inspection Make sure that the monitor is switched to standby. Disconnect the mains power cord from the frame unit. If the monitor is connected onto S/5 Network with a Mon-Net cable, disconnect the cable from the frame unit.
  • Page 53: Display

    General Service Guide Others -SPO2 Setup -Pleth Scale –AUTO Airway Gas -Spirometry View -Scaling -Indep. -Paw Scale –20 -Flow Scale –15 Ventil.-Spirometry Setup -Scaling -Indep . -Paw Scale –20 -Flow Scale –15 Others -Resp Setup -Size -1.0 -Resp Rate Source –AUTO -Measurement –ON -Detection Limit –AUTO 5.3.2 Display...
  • Page 54: Network Option

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor Check that the corresponding icon appears onto the monitor screen. 5.3.8 Network Option Check that the Mon-Net cable connector and the Identification plug are clean and intact, then connect them to the frame unit.
  • Page 55: Tonometry Module, M-Tono

    General Service Guide Block the tip of the sampling line with your finger and check that the message 'Sample line blocked' appears on the monitor screen within 30 seconds. Detach the Mini-D-fend and check that the message 'Check D-fend' appears on the monitor screen within 30 seconds.
  • Page 56: Pressure/Pressure Temp Modules, M-P/-Pt

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor Modules w/non invasive blood pressure measurement Check functioning the front panel membrane keys. Attach an adult NIBP cuff onto your arm and perform one NIBP measurement. Check the module identifies the cuff, i.e. the text ‘Adult ’ appears in the NIBP digit field for a short time.
  • Page 57: Nellcor Compatible Saturation Module, M-Nsat

    5.3.19 Datex-Ohmeda Oxygen Saturation module, M-OSAT Connect a Datex-Ohmeda OxyLead Cable compatible sensor ot Integrated sensor to the module. Check that the message ‘Pulse search ’ is shown. Check also that the shown message changes to ‘Check probe ’ within 30 seconds.
  • Page 58: Entropy Module, M-Entropy

    Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor 5.3.22 Entropy Module, M-ENTROPY Check the function of the front panel membrane keys. Connect the Entropy sensor cable and Entropy simulator to the module. See that “Checking sensor” text and image appear to the waveform numeric field. Wait for a while and check that all sensors show “PASS”...
  • Page 59: General Troubleshooting

    General Service Guide GENERAL TROUBLESHOOTING Monitor not functioning Power cord connected? Connect power cord Monitor can be Batteries were started now? empty Possible AC/DC On/Standby LED unit failure. Monitor can be is ON or blinks? Replace AC/DC started now? unit. Frame Unit fan is Display Unit AC/DC Unit...
  • Page 60 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care Monitor Document No. M1031508...
  • Page 61 General Service Guide APPENDICES A, B Document No. M1031508...
  • Page 62 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care monitor Document No. M1031508...
  • Page 63: Functional Check Form

    APPENDIX A, Functional check form, S/5 Compact Monitors FUNCTIONAL CHECK FORM S/5 Compact Anesthesia Monitor S/5 Compact Critical Care Monitor Customer Monitor type Service Service engineer Date Monitor Installation OK = Test OK N.A. = Test not applicable Fail = Test Failed Visual inspection N.A.
  • Page 64 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care monitor N.A. Fail 5.3.10. Compact Airway Module Compact Airway modules w/ Spirometry option For all Compact Airway modules 5.3.11. Single width Airway Module, M-miniC Notes 5.3.12. Tonometry Module, M-TONO Notes 5.3.13. Hemodynamic Modules, M-NE12STPR etc.
  • Page 65 5.3.19. Cardiac Output Modules, M-COP/-COPSv. InvBP measurement C.O. measurement Notes 5.3.20. NIBP module, M-NIBP 5.3.21. Nellcor Compatible Saturation module, M-NSAT 5.3.22. Datex-Ohmeda Oxygen Saturation module, M- OSAT Notes 5.3.23. EEG Module, M-EEG 5.3.24 Interface Board/Module, B-INT/M-INT 5.3.25. BIS-Module, M-BIS 5.3.26. Entropy Module, M-ENTROPY Notes 5.3.23.
  • Page 66 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care monitor Notes N.A. Fail 5.3.25. General Electrical safety test and leakage current test Notes Used Spare Parts Signature A-4(4) Document No. M1031508...
  • Page 67: Electromagnetic Compatibility

    APPENDIX B, EMC tables, S/5 Compact Monitors APPENDIX B ELECTROMAGNETIC COMPATIBILITY Table 1 Guidance and manufacturer’s declaration – electromagnetic emissions Guidance and manufacturer’s declaration – electromagnetic emissions The S/5™ CM (1 is intended for use in the electromagnetic environment specified below. The customer or the user of the S/5™...
  • Page 68 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care monitor Table 2 Guidance and manufacturer’s declaration – electromagnetic immunity Guidance and manufacturer’s declaration – electromagnetic immunity The S/5™ CM is intended for use in the electromagnetic environment specified below. The customer or the user of the S/5™...
  • Page 69 APPENDIX B, EMC tables, S/5 Compact Monitors Table 3 Guidance and manufacturer’s declaration – electromagnetic immunity Guidance and manufacturer’s declaration – electromagnetic immunity The S/5™ CM is intended for use in the electromagnetic environment specified below. The customer or the user of the S/5™...
  • Page 70 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care monitor Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicated theoretically with accuracy.
  • Page 71 APPENDIX B, EMC tables, S/5 Compact Monitors Table 4 Recommended separation distances between portable and mobile RF communications equipment and the S/5™ CM (1 Recommended separation distances between portable and mobile RF communications equipment and the S/5™ CM (1 . The S/5™...
  • Page 72 Datex-Ohmeda S/5 Compact Anesthesia and Critical Care monitor B-6(6) Document No. M1031508...

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