GE Datex-Ohmeda S/5 Product manual

GE Healthcare
Datex-Ohmeda S/5TM Anesthesia Monitor
Datex-Ohmeda S/5TM Critical Care Monitor
Technical Reference Manual
Conformity according to the Council Directive 93/42/EEC concerning Medical Devices
CAUTION: U.S. Federal law restricts this device to sale by or on the order of a licensed medical practitioner.
Outside the USA, check local laws for any restriction that may apply.
All specifications subject to change without notice.
Order code M1162897
1st edition
June 25, 2009
GE Healthcare Finland Oy
Helsinki, Finland
P.O. Box 900
FI-00031 GE, FINLAND
Tel: [phone]
Fax: [phone]
www.gehealthcare.com
Copyright © 2009 General Electric Company. All rights reserved.
Datex-Ohmeda Inc.
P.O. Box 7550
Madison, WI 53707-7550, USA
Tel: [phone]
Fax: [phone]

Intended purpose (Indications for use)
The Datex-Ohmeda S/5 Anesthesia Monitor with L-ANE07 or L-ANE07A software is intended for
multiparameter patient monitoring with optional patient care documentation.
The S/5 Anesthesia Monitor with L-ANE07 and L-ANE07A software is indicated for monitoring of
hemodynamic (including arrhythmia and ST-segment analysis), respiratory, ventilatory,
gastrointestinal/regional perfusion, Entropy (State Entropy and Response Entropy) and neurophysiological
status of all hospital patients.
When the BIS module is used with the S/5 Anesthesia Monitor with L-ANE07 and L-ANE07A, it is intended
for use by personnel trained in its proper use. It is intended for use on adult and pediatric patients within a
hospital or medical facility providing patient care to monitor the state of the brain by data acquisition of
EEG signals. The Bispectral index (BIS), a processed EEG variable, and one component of the BIS module,
may be used in adults as an aid in monitoring the effects of certain anesthetic agents. The Bispectral
index is a complex technology, intended for use only as an adjunct to clinical judgement and training. In
addition, the clinical utility, risk/benefit, and application of BIS have not undergone full evaluation in the
pediatric population.
The S/5 Anesthesia Monitor with L-ANE07 and L-ANE07A software is also indicated for documenting
patient care related information.
The S/5 Anesthesia Monitor with L-ANE07 and L-ANE07A software is indicated for use by qualified
medical personnel only.
The Datex-Ohmeda S/5 Critical Care Monitor with L-ICU07 or L-ICU07A software is intended for
multiparameter patient monitoring.
The S/5 Critical Care Monitor with L-ICU07 and L-ICU07A software is indicated for monitoring of
hemodynamic (including arrhythmia and ST-segment analysis), respiratory, ventilatory,
gastrointestinal/regional perfusion and neurophysiological status of all hospital patients.
When the BIS module is used with the S/5 Critical Care Monitor with L-ICU07 and L-ICU07A, it is intended
for use by personnel trained in its proper use. It is intended for use on adult and pediatric patients within
a hospital or medical facility providing patient care to monitor the state of the brain by data acquisition of
EEG signals. The Bispectral index (BIS), a processed EEG variable, and one component of the BIS module,
may be used in adults as an aid in monitoring the effects of certain anesthetic agents. The Bispectral
index is a complex technology, intended for use only as an adjunct to clinical judgement and training. In
addition, the clinical utility, risk/benefit, and application of BIS have not undergone full evaluation in the
pediatric population.
The S/5 Critical Care Monitor with L-ICU07 and L-ICU07A software is indicated for use by qualified medical
personnel only.
Classifications
In accordance with IEC 60601-1
Class I and internally powered equipment – the type of protection against electric shock.
Type BF or CF equipment. The degree of protection against electric shock is indicated by a symbol on
each parameter module.
Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen
or nitrous oxide.
Continuous operation according to the mode of operation.
In accordance with IEC 60529
With F-CU8 Central Unit: IPX0 - the degree of protection against harmful ingress of water.
With F-CU5(P) Central Unit: IPX1 - the degree of protection against harmful ingress of water.
In accordance with EU Medical Device Directive
The Datex-Ohmeda S/5 Anesthesia Monitor is classified as IIb.
The Datex-Ohmeda S/5 Critical Care Monitor is classified as IIb.
In accordance with CISPR 11:
Group 1, Class A
• Group 1 contains all ISM (industrial, scientific and medical) equipment in which there is intentionally
generated and/or used conductively coupled radio-frequency energy which is necessary for the
internal functioning of the equipment itself.
• Class A equipment is suitable for use in all establishments other than domestic and those directly
connected the public low voltage power supply network which supplies buildings used for domestic
purposes.

Responsibility of the manufacturer
GE Healthcare Finland Oy (GE) 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 GE.
• the electrical installation of the monitor room complies with appropriate requirements.
• the equipment is used in accordance with the "User's Guide" and serviced and maintained in
accordance with the “Technical Reference Manual”.
Trademarks
Datex, Ohmeda, S/5, D-lite, D-lite+, Pedi-lite, Pedi-lite+, D-fend, D-fend+, Mini D-fend, OxyTip+, MemCard,
ComWheel, ComBar, EarSat, FingerSat, FlexSat, PatientO2, Patient Spirometry, Entropy and Tonometrics
are trademarks of GE Healthcare Finland Oy. All other product and company names are property of their
respective owners.
A portion of the Entropy software is derived from the RSA Data Security, Inc. MD5 Message-Digest
Algorithm.
Masimo SET
Masimo SET is a licensed trademark of Masimo Corporation.
Product availability
Some of the products mentioned in this manual may not be available in all countries.
Please, consult your local representative for the availability.

1
Document no. M1137263-04
Datex-Ohmeda S/5TM Anesthesia and Critical Care Monitors
Technical Reference Manual, Order code: M1162897
1st edition
Part I, General Service Guide
Part II, Product Service Guide
Document No. Updated Description
M1137263-004 Introduction, System description, Installation,
Interfacing, Functional check, General
troubleshooting
1
M1125633-006 Planned Maintenance Instructions 2
Document No. Updated Description
M1137266 - 002 Service Menu, L-ANE07(A), L-ICU07(A) 1
M1125635 - 005 8-Module Frame, F-CU8 2
M1125636 - 005 5-Module Frame, F-CU5(P) 3
M1125637 - 004 CPU Board, B-CPU6 4
M1137269 - 002 UPINET Board, B-UPI4NET 5
M1137272 - 002 Displays and Display Controller Boards 6
M1125639 - 003 Command Bars 7
M1125641 - 003 Extension Frame, F-EXT, Extension Module, E-EXT 8
M1137274 - 001 AM, CCM Spare Parts 9

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors
2
Document no. M1137263-04

Table of contents
i
Document no. M1137263-04
Table of contents
Table of contents i
Table of figures iv
List of tables v
About this manual 1
1Introduction 3
1.1 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
1.1.1 Symbols on transport packaging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
1.1.2 Symbols on equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.1.3 Equipment safety symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.1.4 Other symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.2 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.2.1 Safety precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.2.2 ESD precautionary procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
1.2.3 Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2 System description 17
2.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
2.2 Bus structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
2.3 Distributed processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
2.4 Module communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
2.5 Software loading. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
2.6 Parameter modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
3 System installation 21
3.1 Unpacking instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
3.2 Choosing location. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
3.3 Central Unit; S/5 8-Module Frame, F-CU8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
3.3.1 Connecting to mains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
3.3.2 Connecting to the Datex-Ohmeda Network. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
3.3.3 Inserting the parameter modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3.3.4 E-PSM(P) Mounting Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
3.3.5 Positioning PC boards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
3.3.6 Replacing PC boards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
3.3.7 Performing Factory Reset. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
3.4 Central Unit; S/5 5-Module Frame, F-CU5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
3.4.1 Mounting the Frame. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
3.4.2 Connecting to mains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
3.4.3 Connecting to the Datex-Ohmeda Network. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
3.4.4 Inserting the parameter modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
3.4.5 Positioning PC boards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
3.4.6 Replacing PC boards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors
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Document no. M1137263-04
3.4.7 Performing Factory Reset. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
3.5 Displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
3.5.1 Main displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
3.5.2 Secondary displays. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
3.5.3 3rd display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
3.5.4 Display installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
3.5.5 15” Flat Panel Display, D-FPD15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
3.5.6 12” LCD Display, D-LCC12A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
3.5.7 19” medical grade display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
3.6 Display controller boards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
3.6.1 Jumper settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
3.6.2 Resolution selection for optional B-DISPX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
3.6.3 Resolution selection for primary display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
3.7 S/5 Remote Controller, K-REMCO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
3.8 S/5 Airway Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
3.8.1 S/5 Compact Airway Modules, E-xxxx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
3.8.2 Sample gas exhaust. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
3.9 Record Keeping Keyboard for Anesthesia, K-ARKB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
3.9.1 Connection to Central Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
3.9.2 Connection to LCD Display, D-LCC12A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
3.10 ARK Barcode Reader, N-SCAN (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
3.10.1 Connection to Central Unit/LCD Display or D-LCC12A . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
3.11 S/5 Extension Frame, F-EXT4, with F-CU8 only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
3.11.1 Mounting of Extension Frame, F-EXT4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
3.11.2 Connection to Central Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
3.11.3 Inserting the parameter modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
3.11.4 Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
4Interfacing 47
4.1 Interfacing external monitors via Interface Module, E-INT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
4.1.1 Connection to external Datex-Ohmeda monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
4.1.2 Connection to Critikon Dinamap 1846SX, Abbott Oximetrix 3 and
Baxter Explorer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
4.1.3 Connection to Baxter Vigilance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
4.1.4 Connection to Nellcor N-100 and N-1000. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
4.1.5 Connection to Nellcor N-200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
4.2 Interfacing external bedside devices via Device Interfacing Solutions, N-DISxxx. . . . . . . . 51
4.2.1 Device Interfacing Solution components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
4.2.2 Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
4.2.3 Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
4.2.4 Selecting the external device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
4.2.5 Functional check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
4.2.6 Selecting the parameter data source. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
4.3 Interfacing Datex-Ohmeda Anesthesia Delivery Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
4.3.1 Interconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
4.3.2 Setting interfacing parameters on the S/5 Anesthesia Delivery Unit. . . . . . . . . . . . . . 56
4.3.3 Setting interfacing parameters on the S/5 Anesthesia Monitor. . . . . . . . . . . . . . . . . . . 56
4.4 Interfacing Dräger Cicero, Cato, Julian and Narkomed 2C (by NAD) . . . . . . . . . . . . . . . . . . . . 57
4.4.1 Interconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

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Document no. M1137263-04
4.4.2 Setting communication parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
4.4.3 Setting interfacing parameters on the S/5 Anesthesia Monitor or
S/5 Critical Care Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
4.5 Interfacing printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
4.5.1 Interconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
4.5.2 Setting interfacing parameters on the printer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
4.5.3 Setting interfacing parameters on the S/5 Anesthesia Monitor or
S/5 Critical Care Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
4.6 Interfacing computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
4.7 Output signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
4.7.1 UPI4NET Board output signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
4.7.2 Digital outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
4.7.3 Analog outputs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
4.7.4 S/5 Pressure Temp Module, E-PT, output signals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
5 Functional check 63
5.1 Recommended tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
5.1.1 Hemodynamic patient simulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
5.2 Visual inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
5.3 Functional inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
5.3.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
5.3.2 Display(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
5.3.3 Keyboard(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
5.3.4 5-Module Central Unit, F-CU5/ 8-Module Central Unit, F-CU8 . . . . . . . . . . . . . . . . . . . . 68
5.3.5 Extension Frame, F-EXT4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
5.3.6 Compact Airway Module, E-CXXXXX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
5.3.7 Single width Airway Module, E-miniC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
5.3.8 Multiparameter Hemodynamic Modules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
5.3.9 Pressure/Pressure Temp Modules, E-P, E-PT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
5.3.10 Dual pressure Module, E-PP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
5.3.11 Cardiac Output Modules, E-COP, E-COPSv. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
5.3.12 Masimo Compatible Saturation module, E-MASIMO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
5.3.13 Nellcor Compatible Saturation module, E-NSATX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
5.3.14 BIS Module, E-BIS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
5.3.15 Entropy Module, E-ENTROPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
5.3.16 Memory Module, E-MEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
5.3.17 Recorder module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
5.3.18 Network connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
5.3.19 Interface Module, E-INT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
5.3.20 Interface module for PSM, E-INTPSM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
5.3.21 Device Interfacing Solution, N-DISxxx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
5.3.22 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
6 General troubleshooting 75
6.1 Software troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Appendix A: Functional check form, Datex-Ohmeda S/5 AM, CCM A-1
Appendix B: ElectroMagnetic Compatibility B-1

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Table of figures
Figure 1 Datex-Ohmeda S/5 Anesthesia Monitor system........................................................................................................... 3
Figure 2 General bus structure of S/5 system ................................................................................................................................17
Figure 3 Distributed processing in S/5 system ...............................................................................................................................18
Figure 4 Principle of UPI section operation ......................................................................................................................................19
Figure 5 Software loading ........................................................................................................................................................................19
Figure 6 General structure of parameter modules with patient isolation.........................................................................20
Figure 7 Central Unit: S/5 8-Module Frame, F-CU8 ......................................................................................................................22
Figure 8 Module insert................................................................................................................................................................................23
Figure 9 E-PSM(P) mounting accessories ..........................................................................................................................................24
Figure 10 Rear view and positioning, F-CU8 (-12 shown).............................................................................................................26
Figure 11 Service reset button..................................................................................................................................................................27
Figure 12 F-CU5 parts connected with cables..................................................................................................................................29
Figure 13 Two F-CU5s connected to one F-CPU ..............................................................................................................................29
Figure 14 PC boards.......................................................................................................................................................................................32
Figure 15 Service reset button..................................................................................................................................................................33
Figure 16 Display options............................................................................................................................................................................34
Figure 17 Address dip switch settings, B-DISPX ...............................................................................................................................38
Figure 18 Resolution dip switch settings, B-DISPX ..........................................................................................................................39
Figure 19 Compact Airway Module, E-XXXX.......................................................................................................................................40
Figure 20 Scavenging through ventilator reservoir ........................................................................................................................41
Figure 21 Connecting the gas module to the scavenging connector of S/5 Avance .....................................................41
Figure 22 Sample gas returned to patient circuit in ADU.............................................................................................................42
Figure 23 Barcode Reader connected to LCD Display...................................................................................................................43
Figure 24 N-SCAN Barcode Reader connection directly to the keyboard...........................................................................44
Figure 25 S/5 Extension Frame, F-EXT4................................................................................................................................................44
Figure 26 Connection cables and LED indicators ............................................................................................................................53
Figure 27 An example of interfacing external devices with Device Interfacing Solution..............................................54
Figure 28 S/5 AM, CCM general troubleshooting flowchart........................................................................................................75

List of tables
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List of tables
Table 1 Transference of parameters, Datex-Ohmeda monitors ...................................................................... 48
Table 2 Transference of parameters, external monitors...................................................................................... 48
Table 3 DIS modules and interfaced devices............................................................................................................. 51
Table 4 Parameters transferred from S/5 Anesthesia Monitor to S/5 Anesthesia Delivery Unit....... 56
Table 5 Events transferred from S/5 Anesthesia Delivery Unit to the S/5 Anesthesia Monitor.......... 57
Table 6 Parameters transferred from Dräger Cicero monitor to S/5 Anesthesia Monitor or
S/5 Critical Care Monitor ..................................................................................................................................... 58
Table 7 Parameters transferred from Dräger Cato, Julian and Narkomed 2C (NAD) monitor to
the S/5Anesthesia Monitor or S/5Critical Care Monitor........................................................................ 59
Table 8 Coding element connector, X4......................................................................................................................... 61
Table 9 Defib & IABP sync connector, X7 (B-UPI4NET -02) and on the front of F-CPU ........................... 61
Table 10 Signal output connector pin assignments.................................................................................................. 62
Table 11 Patient simulators’ compatibility with each hemodynamic module.............................................. 65
Table 12 Adapter cables for hemodynamic patient simulators .......................................................................... 65
Table 13 Guidance and manufacturer’s declaration – electromagnetic emissions................................ B-1
Table 14 Guidance and manufacturer’s declaration – electromagnetic immunity................................. B-2
Table 15 Guidance and manufacturer’s declaration – electromagnetic immunity................................. B-3
Table 16 Recommended separation distances between portable and
mobile RF communications equipment and the S/5™ AM or CCM.............................................. B-5

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1
Document no. M1137263-04
About this manual
Intended audience
This Technical reference manual is meant for service representatives and technical personnel
who install, configure, maintain, administer, troubleshoot or repair Datex-Ohmeda S/5
Anesthesia and Critical Care Monitors.
Notes to the reader
As the monitor setup may vary, some functions described may not be available in the monitor
you are using.
•The order code for the printed manual is M1162897. The manual includes Technical
Reference Manual Slots and every slot has an individual document number. M1137263 is
the document number of this first slot.
•Part I gives the reader an overview of the S/5 Anesthesia Monitor and S/5 Critical Care
Monitor. It contains the information needed to install, interface and troubleshoot the
monitors. Instructions for functional check and planned maintenance are also included.
Read the manual through and make sure that you understand the procedures described
before the installation of the monitor. To avoid risks concerning safety or health, strictly
observe the warning indications. If you need any assistance concerning the installation,
please do not hesitate to contact your authorized distributor.
•Part II contains detailed descriptions of each component of the S/5 AM, CCM Monitor,
such as frame unit, parameter modules Remote Controller and Device Interfacing
Solution. Service check for each product, service menus and all the spare parts
information for the Monitor is included.
For information of parameter modules, Remote Controller and Device Interfacing Solution refer
to the “S/5 E-Modules, Technical Reference Manual”. Service check for each of these products
is included in these slots.
The manufacturer reserves the right to change product specifications without prior notice.
Although the information in this manual is believed to be accurate and reliable, the
manufacturer assumes no responsibility for its use.
Installation and service are allowed by authorized service personnel only.
GE Healthcare Finland Oy (GE) assumes no responsibility for the use or reliability of its software
in equipment that is not furnished by GE.
Related documentation
S/5 Modules
S/5 E-Modules, Technical Reference Manual
S/5 Anesthesia Monitor
For instructions for daily use including cleaning and daily maintenance, clinical aspects and
basic methods of measurement see:
S/5 Anesthesia Monitor, User’s Guide
S/5 Anesthesia Monitor, User’s Reference Manual

Datex-Ohmeda S/5 Anesthesia and Critical Care Monitors
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Document no. M1137263-04
S/5 Critical Care Monitor
For instructions for daily use including cleaning and daily maintenance, clinical aspects and
basic methods of measurement:
S/5 Critical Care Monitor, User’s Guide
S/5 Critical Care Monitor, User’s Reference Manual
For more information about the iCentral, S/5 Arrhythmia Workstation and anesthesia record
keeping solution, see the “Technical Reference Manuals” and “User’s Reference Manuals” for
these products.”
Software options and default settings are described in the “Default Configuration Worksheet”
delivered with each monitor.
Available accessories are described in the “Supplies and Accessories” catalog delivered with
each monitor.
Conventions used
To help you find and interpret information easily, the manual uses consistent text formats:
Hard Keys Names of the hard keys on the Remote Controller, Command Bar and modules are written in
the following way: Others.
Menu Items Software terms that identify window parts or menu items are written in bold italic: ECG Setup.
Menu access is described from top to bottom. For example, the selection of the Monitor
Setup hard key, the Screen 1 Setup menu item and the Waveform Fields menu item would be
shown as Monitor Setup - Screen 1 Setup - Waveform Fields.
‘Messages’ Messages (alarm messages, informative messages) displayed on the screen are written inside
single quotes: ‘Please wait’.
“Sections” When referring to different sections in this manual or to other manuals, manual names and
section names are enclosed in double quotes:
See section "Cleaning and care."
Please refer to "User's Reference Manual: Alarms."
Hypertext links Hypertext links on PDF versions are written in blue color.
WARNING Warnings are written in the following way:
WARNING This is a WARNING.
CAUTION Cautions are written in the following way:
CAUTION This is a CAUTION.
NOTE Notes are written in the following way:
NOTE: This is a NOTE.
In this manual, the word “select” means choosing and confirming.
Illustrations and names
All illustrations in this manual are only examples, and may not necessarily reflect your system
settings or data displayed in your system. If a particular selection is not available in your
system, the selection is shown grayed.
"Sign the check form after performing the procedure.

Introduction
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Document no. M1137263-04
1 Introduction
The Datex-Ohmeda S/5 Anesthesia Monitor is a modular multiparameter patient monitor
primarily used during anesthesia in operating rooms.
The Datex-Ohmeda S/5 Critical Care Monitor provides full patient profile throughout the care
period.
The modular design makes the system flexible and easy to upgrade. In addition to parameter
changes, the modularity includes an easy upgrade to anesthesia record keeping, monitor
networking and interfacing with other external devices.
NOTE: Your system may not include all these components. Consult your local representative for
the available components.
Figure 1 Datex-Ohmeda S/5 Anesthesia Monitor system
(1) 12" LCD display, D-LCC12A
(2) 15” LCD display, D-FPD15
(3) 19" medical grade display
(4) F-CU5P, 5-module frame unit with E-PSM(P) support, and measurement modules
(5) Patient Side Module, E-PSM(P)
(6) F-CPU, central processor unit for F-CU5(P), and N-AC, power unit
(7) F-CU5, 5-module frame unit, and measurement modules
(8) Extension Frame, F-EXT4
(9) Extension Module, E-EXT
(10) F-CU8, 8-module Central Unit, and measurement modules
(11) Detachable Command Bar to be used with displays not having an integrated Command
Bar
(12) Anesthesia record keeping keyboard for automated record keeping
(13) Remote Controller, K-REMCO
(14) Printer

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1.1 Symbols
1.1.1 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.
Indicates the temperature limitations within which the transport package
should be stored.
This package can be recycled.

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Document no. M1137263-04
1.1.2 Symbols on equipment
The battery contains lead acid, and in the event of disposal must be separated from
other waste according to local regulations.
The separate collection symbol is affixed to a battery, or its packaging, to advise
you that the battery must be recycled or disposed of in accordance with local or
country laws. The letters below the separate collection symbol indicate whether
certain elements (Pb=Lead, Cd=Cadmium, Hg=Mercury) are contained in the
battery. To minimize potential effects on the environment and human health, it is
important that all marked batteries that you remove from the product are properly
recycled or disposed. For information on how the battery may be safely removed
from the device, please consult the technical or service manual, or equipment
instructions. Information on the potential effects on the environment and human
health of the substances used in batteries is available at this url:
http://www.gehealthcare.com/euen/weee-recycling/index.html
This battery contains lead and can be recycled.
Dangerous voltage.
When using the ARK Barcode Reader, N-SCAN, do not stare into beam. The N-SCAN
Barcode Reader is a Class 2 laser product.
Pb
Pb/Cd/Hg
Pb

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1.1.3 Equipment safety symbols
- Attention, consult accompanying documents.
- When displayed next to the O2value, indicates that the FiO2low alarm limit
is set below 21%.
- When displayed next to the HR value, indicates that the pacer is set on R.
- On the modules or frames indicates the following warning:
WARNING Do not use modules with identical measurements in
the same monitor. If such modules have been inserted,
remove the module that has been most recently
connected. You can also remove both modules and
re-connect the new module after five seconds.
- On the 15” Flat Panel Display, D-FPD15-00, indicates the following warning:
WARNING The display must only be used together with the
original type of D-FPD15 power adapter. The display
should be supplied from the mains outlet.
- On the 19” display, D-LCC19, indicates the following warning:
WARNING The display must only be supplied from the mains
outlet via an appropriate additional separating
transformer and the original D-LCC19 power adapter,
not from the Central Unit, F-CU8.
- On the E-PRESTN, E-PRETN, E-RESTN, E-PSM, E-PSMP, E-P, E-PP, E-PT, E-COP
and E-COPSv module indicates the following warning:
WARNING Protection against cardiac defibrillator discharge is
due in part to the accessories for pulse oximetry
(SpO2), temperature (T) and invasive pressure (P)
measurement.
- On the E-NMT module indicates the following warnings:
WARNING Do not place the NMT stimulating electrodes on the
patient’s chest.
WARNING Always stop the NMT measurement before handling
the stimulating electrodes.
WARNING Never subject a patient with an implanted electronic
device to electrical stimulation without consulting a
medical specialist first.
- On the rear or bottom panel this symbol indicates the following warnings
and caution:
WARNING Electric shock hazard. Do not open the cover or the
back. Refer servicing to qualified service personnel.
WARNING Disconnect from the power supply before servicing.
WARNING Do not use the monitor without manufacturer
approved mounting attached.
CAUTION For continued protection against fire hazard, replace the
fuse only with one of the same type and rating.

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1.1.4 Other symbols
- BIS: On the Aspect DSC indicates the following caution:
CAUTION The converter must not be opened for any reason or
autoclaved.
- On the Interface Module E-INT indicates that it is for connecting external
devices. Do not connect patient cables to the module.
Type BF (IEC 60601-1) protection against electric shock.
Type BF (IEC 60601-1) defibrillator-proof protection against electric shock.
Type CF (IEC 60601-1) protection against electric shock.
Type CF (IEC 60601-1) defibrillator-proof protection against electric shock.
When displayed in the upper left corner of the screen, indicates that the alarms
are silenced. When displayed in the menu or digit fields, indicates that the alarm
source has been turned off or alarm does not meet the alarm-specific activation
criteria.
ESD warning symbol for electrostatic sensitive devices. Pins of connectors
identified with the ESD warning symbol should not be touched. Connections
should not be made to these connectors unless ESD precautionary procedures
are used. For details, see section “1.2.2. ESD precautionary procedures”.
Symbol for non-ionizing electromagnetic radiation. Interference may occur in
the vicinity of equipment marked with this symbol.
Equipotentiality. Monitor can be connected to potential equalization
conductor.
Alternating current
Fuse. Replace the fuse only with one of the same type and rating.
SN, S/N Serial Number
Connector for color display

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Signal/power output
Signal/power input
Signal/power input/output
Connector for defibrillator synchronization
Connector for the S/5 Device Interfacing Solution, DIS
Power input
Signal input
Power input
Submenu. Selecting an alternative marked with this symbol in a menu opens a
new menu.
The monitor is connected to the Datex-Ohmeda Network (LAN).
Data Card (green) and/or Menu Card (white) is inserted.
Ethernet connector
A blinking heart next to the heart rate or pulse rate value indicates the beats
detected.
A lung next to the respiration rate value indicates that respiration rate is
calculated from the impedance respiration measurement.
Gas inlet