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CARESCAPE Central Station: Technical Manual
CARESCAPE Central Station: Technical Manual
CARESCAPE Central Station: Technical Manual
Technical Manual
Model number: MAI700 and MAS700
Software version 2
Manual conventions
This manual uses the following styles to emphasize text or indicate action.
Item Description
bold Indicates hardware terms.
bold italic Indicates software terms.
italic Indicates terms for emphasis.
+ Indicates keyboard keys to select simultaneously.
> Indicates menu options to select consecutively.
X supported
— not supported
(7) Indicates page number.
Names of persons, institutions, and places and related information are fictitious; any
similarity to actual persons, entities, or places is purely coincidental.
Common terms
This manual uses the following terms to simplify common terms:
Item Description
Refers to acquisition modules or other acquisition devices used to
acquisition device
acquire and process parameter data.
Refers to bedside monitors, including patient monitors, transport
bedside monitor
monitors, or wireless monitors on the network.
central station Refers to the CARESCAPE Central Station.
monitoring device Refers to bedside monitors or telemetry monitoring devices.
printer Refers to direct digital writers or laser printers.
Refers to the CARESCAPE Network. The Unity Network has been
renamed to the CARESCAPE Network. Not all references to the
Unity Network will be changed immediately; Unity may display
network
in some places and CARESCAPE in others. It is important to
understand that while the CARESCAPE Network replaces the Unity
Network name, they refer to the same GE monitoring network.
Refers to remote devices like the central station that can be used
remote device to view patient data and modify some control settings on primary
monitoring devices.
telemetry monitoring Refers to telemetry monitoring devices, including transmitters,
device transceivers, and the established telemetry system.
writer Refers to direct digital writers (DDW).
Ordering manuals
A paper copy of this manual will be provided upon request. Contact your local GE
representative and request the paper manual part number on the first page of the
manual.
Trademarks
GE, GE Monogram, APEX, APEXPRO, and CARESCAPE are trademarks of General
Electric Company.
12RL, Aware, CIC Pro, DASH, DINAMAP, MARS, MUSE, SOLAR, TRAM, and UNITY
NETWORK are trademarks of GE Medical Systems Information Technologies, Inc.
Mobile Viewer is a trademark of GE Healthcare Finland Oy.
Java Powered. Java and all Java based trademarks and logos are trademarks or
registered trademarks of Oracle America, Inc. in the U.S. and other countries.
All third party trademarks are the property of their respective owners.
Related manuals
The user’s manual provides information on the clinical workflows, features,
functionality and technical specification of the system. Additionally, the user manual
provides information on accessories and compatible devices approved for use with
this system.
Additional resources
For white papers, guides, and other instructive materials about our
clinical measurements, technologies, and applications, please visit:
http://clinicalview.gehealthcare.com
Revision history
Revision Description
2nd edition Initial release.
The order in which safety messages are presented in no way implies the order of
importance. The following safety messages apply to the system. Safety messages
specific to parts of the system are found in the relevant section of this manual.
WARNING AUDIO ALARMS — Audio alarms will not sound at the central
station when a bedside monitor is configured for use in
operating rooms.
WARNING POWER CORD ACCESSIBILITY — The plug from the wall outlet
to which the central station power cord is connected must be
accessible at all times.
WARNING SUPERVISED USE — This device is intended for use under the
direct supervision of a licensed health care practitioner.
WARNING All external cabling used with the central station must be
routed so it does not interfere with access to, or operation of,
the central station. Install cabling to guard against tripping
and accidental cable disconnection.
WARNING Check the network after an update has been completed and
before putting the system into clinical use.
WARNING If a USB memory stick other than the USB memory stick
containing the reload image is connected to the central
station, remove the USB memory stick prior to rebooting.
Otherwise, the message Operating system missing will be
displayed.
WARNING In order to remove power from the central station, turn off
power switch then disconnect the power cord from the wall
outlet. The power switch on the back panel of the processing
unit does not disconnect the central station from AC power.
Additionally, wait 40 seconds after disconnecting the central
station power cord from the wall outlet. The unit remains
energized for a period of time after shutdown.
WARNING Requesting Full Disclosure data from the same central station
by more than three MARS systems at once may impact system
performance, including sluggish behavior.
WARNING The mirrored central display and the primary central station
must be at the same software version.
WARNING When using a video splitter with the central station, calibration
may be possible with only one of the displays connected to
the video splitter. This is because changing calibration for
one display will affect the calibration of all other displays
connected to that same video splitter.
When using displays connected to a video splitter, only the
last display calibrated will have proper calibration. Manual
measurements should be made from that display only.
WARNING Without a stable power source, power line outages may result
in:
● Data loss.
● Failure of the central station and other hardware
components.
If power to the central station is lost, patient data will no
longer be displayed or stored.
CAUTION LOSS OF DISPLAY — Plug the video splitter power adapter into
a Stable Power Source to prevent loss of power. Route cords
to prevent accidental disconnection. In case of Integrated
Display configuration, loss of power to the video splitter
results in a loss of only the remote display.
CAUTION Do not change time and date except via Webmin. Otherwise,
the time for the central station and the network may become
out of sync, and data stored at the central station may be
incorrectly time-stamped (e.g., Full Disclosure data).
Safety symbols
The following symbols may display on one or more of the system devices:
Symbol Description
Safely restarting
WARNING LOSS OF MONITORING — During shutdown or while in service
mode, monitoring devices displayed by the central station
will be unmonitored if not displayed by a different central
station. Notify the institution’s biomedical department to
provide alternate bedside monitoring. After restarting verify
the correct monitoring state and alarm function.
To safely shut down the central station, complete the following procedure:
1. From the Windows Start menu, locate the Log off button and select the arrow
next to it.
2. From the displayed list, select Shut down.
3. When the message It is now safe to turn off your computer displays, turn off the
central station power switch.
If the central station is not turned off, the processing unit will automatically reboot
in two minutes.
CE marking information
The CARESCAPE Central Station bears CE mark CE-0459 indicating its conformity
with the provisions of the Council Directive 93/42/EEC concerning medical devices
and fulfills the essential requirements of Annex I of this directive. The system is in
radio-interference protection class A in accordance with EN 55011.
The system complies with the requirements of standard IEC/EN 60601-1-2
"Electromagnetic Compatibility - Medical Electrical Equipment".
CE marking application year: 2014.
Manufacturer responsibility
GE is responsible for the effects on safety, reliability, and performance of the system,
only if:
● Assembly operations, extensions, readjustments, modifications, servicing, or
repairs are carried out by authorized service personnel.
● The electrical installation of the relevant room complies with the requirements
of the appropriate regulations.
● The device is used in accordance with the instructions for use.
Service requirements
Follow the service requirements listed below:
● Refer equipment servicing to GE authorized service personnel only. For contact
information regarding authorized service personnel and acceptable repair facilities,
see the back cover of this manual.
● Any unauthorized attempt to repair equipment under warranty voids that warranty.
● It is the user’s responsibility to report the need for service to GE or to one of their
authorized agents.
● Failure on the part of the responsible individual, hospital, or institution using this
equipment to implement a satisfactory maintenance schedule may cause undue
equipment failure and possible health hazards.
● Regular maintenance, irrespective of usage, is essential to check that the
equipment is always functional when required.
System components
Processing unit
Integrated processing unit (MAI700)
The processing unit runs the central station software application.
The integrated processing unit has a primary display and processing unit that cannot
be separated.
An audio alarm sounds when a processing unit power supply failure occurs.
Desktop processing unit (MAS700)
The processing unit runs the central station software application.
The desktop processing unit has a stand-alone primary display.
An audio alarm sounds when a processing unit power supply failure occurs.
Processing unit controls, indicators, and connections
The processing unit has the following controls, indicators, and connections:
Item Description
1 Power on indicator Illuminates when processing unit is powered on.
Item Description
1 Power connection Connect the power cord.
2 Power switch Press the switch to power on/off the processing unit.
3 Fuse Access the processing unit fuse.
Network IX: Connect to the hospital enterprise network for access
4
connection/interface to printers, Citrix, and Intranet.
Item Description
Network
5 MC: Connect to the CARESCAPE Network.
connection/interface
USB
6 Connect to a mouse, keyboard, or touchscreen display.
connection/interface
7 Color video output DP 1: Connect to the primary display.
8 Color video output DP 2: Connect to a secondary display.
Stand-alone display
The stand-alone display can be used as one of the following devices:
● Primary display for a desktop processing unit.
● Secondary display for an integrated processing unit or a desktop processing unit.
● Cloned display.
● Mirrored central display.
Stand-alone display controls, indicators, and connections
The stand-alone display has the following controls, indicators, and connections:
Item Description
1 Power connection Connect the power cord.
2 Power switch Press the switch to power on/off the processing unit.
Touchscreen USB
4 Connect to the touchscreen USB cable.
connector
USB
5 Connect to a mouse or keyboard.
connection/interface
6 Color video input DP: Connect to the display.
Primary display
CAUTION DISPLAY INSTALLATION — Never connect or disconnect a
display when the central station is running. Doing so could
result in failure of the system to work properly.
Secondary display
CAUTION DISPLAY INSTALLATION — Never connect or disconnect a
display when the central station is running. Doing so could
result in failure of the system to work properly.
The secondary display can be configured to display the Single Viewer and data review
tools in a half-screen or full-screen format, allowing the primary display to show
the Multi-Viewer in full-screen format.
If configured for half-screen format, the Single Viewer and two data review tools
display in the top and bottom halves of the screen.
If configured for full-screen format, the Single Viewer or the most recently used data
review tool displays on the entire screen.
When configured to Mirror Central Display, the primary central station can have up to
two mirrored central displays. The patient Multi-Viewer windows are synchronized
between the primary central station and the mirrored central display (e.g., the
same monitoring devices are shown in each patient Multi-Viewer window). Making
changes on the mirrored central display (e.g., moving patients, admitting patients)
also applies to the primary central station. Mirrored central displays provide audio
alarm notification.
Remote display
WARNING EXCESSIVE LEAKAGE CURRENT — Do not place non-medical
grade devices (e.g., laser printers, remote displays) within
the patient environment without an additional isolating or
separating transformer providing basic isolation to avoid
unacceptable enclosure leakage current.
MultiKM indicator
Symbol Description
When enabled, MultiKM allows one mouse and keyboard to control data entry for a
configured group of up to eight displays. The MultiKM indicator displays on the top of
the Multi-Viewer when the mouse cursor is active on that central station. To change
the focus to the central station where the mouse and keyboard are connected, select
Ctrl + F1 or press both mouse buttons at the same time.
External speakers
The external speakers provide audio alarm notification.
Writer
A writer can be configured to print data for the central station.
A writer can be connected to any of the six available USB ports on the processing unit.
Although more than one writer can be connected to the same central station, users
can only print to the writer(s) detected by the system. If a writer is disconnected, print
requests will be sent to other connected writer(s).
Laser printer
WARNING EXCESSIVE LEAKAGE CURRENT — Do not place non-medical
grade devices (e.g., laser printers, remote displays) within
the patient environment without an additional isolating or
separating transformer providing basic isolation to avoid
unacceptable enclosure leakage current.
A laser printer can be configured to print data for the central station.
Power
Connect the power cord to the device.
connection/interface
Device symbols
The following symbols may display on one or more of the system devices:
Symbol Description
Symbol Description
Fuse
Symbol Description
Network connection/interface
Power indicator
Symbol Description
The following symbols (required by China law only) are
representative of what you may see on the device.
The number in the symbol indicates the EFUP period in years,
as explained below. Check the symbol on the device for its
EFUP period.
This symbol indicates the product contains hazardous materials
in excess of the limits established by the Chinese standard
GB/T 26572 Requirements for Concentration Limits for Certain
Hazardous Substances in Electronic Information Products. The
number in the symbol is the Environment-friendly User Period
(EFUP), which indicates the period during which the hazardous
substances or elements contained in electronic information
products will not leak or mutate under normal operating
conditions so that the use of such electronic information
products will not result in any severe environmental pollution,
any bodily injury or damage to any assets. The unit of the
period is "Year".
In order to maintain the declared EFUP, the product shall
be operated normally according to the instructions and
environmental conditions as defined in the product manual,
and periodic maintenance schedules specified in Product
Maintenance Procedures shall be followed strictly.
Consumables or certain parts may have their own label with
an EFUP value less than the product. Periodic replacement of
those consumables or parts to maintain the declared EFUP
shall be done in accordance with the Product Maintenance
Procedures. This product must not be disposed of as unsorted
municipal waste, and must be collected separately and
handled properly after decommissioning.
The following symbol (required by China law only) is
representative of what you may see on the device. This
symbol indicates that this electronic information product
does not contain any hazardous substance or elements
above the maximum concentration value established by the
Chinese standard GB/T 26572, and can be recycled after being
discarded, and should not be casually discarded.
This symbol indicates that the waste of electrical and electronic
device must not be disposed as unsorted municipal waste and
must be collected separately. Please contact an authorized
representative of the manufacturer for information concerning
the decommissioning of the device.
Underwriters Laboratories product certification mark. Medical
Equipment. As to electric shock, fire, and mechanical hazards
only in accordance with ANSI/AAMI ES60601-1 (2005) + AMD 1
(2012); CAN/CSA-C22.2 No. 60601-1 (2014); IEC 60601-1-6; IEC
60601-1-8; IEC 60601-2-27; IEC 60601-2-49; ISO 80601-2-61.
Symbol Description
USB connection/interface
Device identification
Unique Device Identifier (UDI)
Every medical device has a unique marking for identification. The Unique Device
Identifier (UDI) marking appears on the device labeling. The characters used in the
UDI marking represent specific identifiers.
● (10) = GS1 application identifier for the batch or lot number, followed by the
batch or lot number.
● (17) = GS1 application identifier for the expiration date of the device, followed
by the expiration date.
Item Description
1 Product code1
2 Year manufactured
3 Fiscal week manufactured
4 Production sequence number
5 Manufacturing site
6 Miscellaneous characteristic
1. CARESCAPE Central Station desktop processing unit (MAS700) product code: SNF
CARESCAPE Central Station integrated processing unit (MAI700) product code: SKN
The following configuration levels define the central station software application:
● Licenses: Licenses enable the standard and specialized features. Licenses are
installed before clinical use by authorized service personnel. Instructions for
installing licenses are provided in the technical manual. To view the licenses
installed on this central station, select Setup > Licensing.
● Presets: Presets are specified by the manufacturer and define the initial value
for the central station's custom defaults. Presets cannot be changed. For more
information, see the Presets appendix.
● Custom defaults: Custom defaults specify the initial value for monitoring
parameters controlled by the central station (e.g. Telemetry Parameter Limits and
Alarm Levels settings). They also include defaults for non-monitoring parameters
(e.g. Full Disclosure Print settings). Monitoring devices have their own custom
defaults. Custom defaults at the monitoring devices are controlled by those
monitoring devices, not the central station. Custom defaults are persistent and
apply to all patients monitored on the central station and are retained when
individual patients are discharged. For more information, see the Custom defaults
and settings appendix. There are three types of defaults:
■ Alarm-level defaults: Alarm-level defaults are password protected. They are
configured by authorized personnel before clinical use. In user mode, the
alarm-level defaults display in light, grayed out text and cannot be modified.
Instructions for setting alarm-level defaults in the alarm service mode are
provided in the technical manual.
■ Service-level defaults: Service-level defaults are password protected. They
are configured by authorized service personnel before clinical use. In user
mode, the service-level defaults display in light, grayed out text and cannot be
modified. Instructions for setting service-level defaults in the service mode
are provided in the technical manual.
■ User-level defaults: User-level defaults are not password protected. Any user
can configure them. In user mode, the user-level defaults display in dark,
selectable text. Instructions for setting user-level defaults are provided in the
user's manual.
● Control settings: Control settings are temporary and patient-specific; they apply
immediately to the monitoring device and revert to the custom default values
when the patient is discharged from the device. Instructions for adjusting control
settings are provided in the user's manual.
■ Central station specific control settings adjust functions and views specific to
the central station, such as screen layout (e.g. Graphic Trends Groups). Central
station control settings persist across patients and between patient monitoring
sessions. Control settings may be either service-level or user-level controlled.
Not all control settings have corresponding custom defaults. When there is no
custom default, the control setting initial value is the central station preset.
■ There are also control settings for the monitoring devices. Those adjust patient
monitoring parameters (e.g., ECG arrhythmia analysis). Control settings for
monitoring devices can be adjusted both from the central station and from the
monitoring device itself. Not all monitoring device control settings are remotely
adjustable by the central station.
■ The ability to adjust alarm control settings is configured before clinical use. All
clinical users of the central station can be assigned one of the following alarm
control settings access levels:
♦ Full: Parameter limits and alarm priority level control settings are password
protected.
♦ Partial: Alarm priority level control settings are password protected. The
preset is Partial.
♦ Unrestricted: No alarm control settings are password protected.
Some bedside monitors do not permit modification from remote devices like the
central station. For more information, see the documentation accompanying the
bedside monitor.
Multi-Viewer overview
The Multi-Viewer displays parameter numerics and waveforms for up to 16 patients at
a time. Up to four waveforms can be displayed per patient.
When a patient Multi-Viewer window is selected, the background is highlighted in blue.
The following elements may display on the Multi-Viewer:
Item Description
1 Alarm volume indicator
2 LOW (ADVISORY) alarm priority audio alarms off indicator
3 Title bar
4 Monitoring devices alarm buttons (i.e., alarm display units or ADUs)
5 Central station system status alarm button/drop-down menu
6 Multi-Viewer menu
7 Alarm AUDIO PAUSE button
8 Patient Multi-Viewer windows
Item Description
1 Title bar and border
2 Pacemaker detection indicator
3 ST Monitoring Status indicator
4 Real-time Trend Graph
5 Heart rate parameter alarm limits
6 Parameter window
7 Parameter numerics area
8 Admitbutton
9 Waveform message area
10 Note indicator
11 Waveform area
12 Alarm status indicator
Hovering over the patient Multi-Viewer window Note indicator will display the note for
15 seconds or until the focus is moved away from the patient Multi-Viewer window
Note indicator.
The central station automatically assigns unmonitored patients in the same care unit
as the central station to empty unlocked patient Multi-Viewer windows.
If an in-unit bedside monitor has not been assigned to a patient Multi-Viewer window,
the monitoring device message Unmonitored Beds Exist displays. When this message
displays, the unmonitored in-unit bedside monitor needs to be manually assigned to
any available patient Multi-Viewer window.
Any in-unit patient Multi-Viewer window can be permanently displayed (locked) in the
Multi-Viewer. Locked patient Multi-Viewer windows are configured before clinical use.
If a patient Multi-Viewer window is locked, a check mark displays next to the word
LOCK in light, grayed out text that cannot be modified in the patient Multi-Viewer
window's right-click menu.
Multi-Viewer Flashing
When set flag Multi-Viewer flashing during alarm AUDIO PAUSE is set as Disable in
webmin, which is the default setting, then if user selects AUDIO PAUSE, the central
station patient Multi-Viewer window stops flashing for HIGH (CRISIS) and MEDIUM
(WARNING) alarms during alarm audio pause condition until the alarm is in active
condition. Once the monitoring device is out of alarm audio pause condition, the
central station patient Multi-Viewer window starts flashing until the alarm is in active
condition.
When set flag Multi-Viewer flashing during alarm AUDIO PAUSE is set as Enable in
Webmin, then if user selects AUDIO PAUSE, the central station patient Multi-Viewer
window continues flashing for HIGH (CRISIS) and MEDIUM (WARNING) alarms during
alarm audio pause condition until the alarm is in active condition.
Item Description
1 Single Viewer menu
2 Save As Favorites buttons
3 Configuration button
4 Print button
5 Minimize/Maximize button
6 Close button
7 Patient window title bar and border
8 Parameter numerics area
9 Single Viewer control buttons
Item Description
10 Waveform message area
11 Single Viewer alarm AUDIO PAUSE indicator
The Single Viewer cannot display a monitoring device when there is a space at the
end of the Bed Number.
Ascending or up arrow
Symbol Description
Close button
Configuration button
Enter button
Error indicator
Warning indicator
Symbol Description
Maximize button
Minimize button
MultiKM indicator
Note indicator
Symbol Description
Print button/icon
Report button
Save button
Symbol Description
Networking
Time management on the CARESCAPE Network
The central station is an active participant in managing the time and date of devices
on the CARESCAPE Network. When one central station is present on the CARESCAPE
Network, it will function as the Time Master. If more than one central station are
present on the CARESCAPE Network, including CARESCAPE Central Station and any
CIC Pro Clinical Information Center software version 5.1.x or earlier, the central
station with the numerically highest IP address will function as the Time Master for
the CARESCAPE Network. If no central station is present on the CARESCAPE Network,
then a monitoring device will function as the Time Master.
The CARESCAPE Network Time Master, including the central station as the Time Master,
has the following time management responsibilities:
● Provide the current CARESCAPE Network time to any device that requests it.
● Allow devices on the CARESCAPE Network to request a change to the network time.
● Notify all devices on the CARESCAPE Network of CARESCAPE Network time changes.
● Synchronize the time on all devices on the CARESCAPE Network once per day.
The central station provides the ability via Webmin to set the CARESCAPE Network time.
The central station provides additional capabilities that help ensure the integrity of
CARESCAPE Network time. Most notably, the central station will accept a maximum
of six time change requests in a one-minute time interval. All time change requests
received beyond the first six in a one-minute time interval are ignored. In addition,
a central station functioning as the Time Master will not notify the devices on the
CARESCAPE Network of any such ignored time change requests (which would actually
be requests of the Time Master to change the CARESCAPE Network time). This behavior
prevents excessive time changes from occurring on the CARESCAPE Network.
It is highly recommended that the highest version central station function as the
Time Master for the CARESCAPE Network. (CARESCAPE Central Station is a higher
software version than any CIC Pro Clinical Information Center software version.) To
ensure that the desired central station functions as the Time Master, the IP address of
the desired central station must be set to the numerically highest value among all the
central stations on the CARESCAPE Network.
IP address allocation
In the hierarchy of multiple compatible central station hardware and software
versions that co-exist, it is critical that you make the correct IP address assignments
to the central stations running on the CARESCAPE Network MC. This ensures that the
Time Master for the CARESCAPE Network and the Full Disclosure Master are properly
defined.
For the Time Master on the CARESCAPE Network, you must assign a set of the highest
CARESCAPE Network MC IP addresses to the device running the highest software
version on the entire network.
For example, if you are installing CARESCAPE Central Station to an existing CARESCAPE
Network comprised of CIC Pro Clinical Information Center software version 5.1.x
or later, you must allocate a set of the highest MC Network IP addresses to all of
the central station’s hardware running CARESCAPE Central Station, then to CIC Pro
centers. No lower central station software version can have an IP address on the MC
Network that is greater than the IP address of a higher version central station.
In the following IP addresses, the highest IP address is determined by doing an octet
by octet number comparison. Since octet 183 is larger than the corresponding octets
of the other IP addresses, 126.3.183.4 is the highest IP address.
● 126.3.27.225
● 126.3.183.4
● 126.3.145.81
● 126.3.145.142
is then transferred to the CARESCAPE Network via a wired connection. The central
station displays this telemetry monitoring device patient data along with the patient
data acquired from other monitoring devices.
The healthcare institution is responsible for ensuring the privacy of any protected
health information that is displayed on this device.
The Browser settings are configured before clinical use, including Citrix settings and/or
Internet Explorer Favorites. The Browser and Citrix portal which runs in conjunction
with the central station are intended for hospital intranet use only. If confidential
patient information is made available from the hospital intranet, the security of the
data is the responsibility of the hospital.
When configured, Browser provides access to web applications, patient data (e.g.,
labs, images), and repositories (e.g., Hospital Information System) on the hospital
enterprise network.
Access to a Citrix server or to intranet web pages depends upon how the central
station is configured and the institution’s information technology offerings.
Browser
WARNING LOSS OF MONITORING — If Browser is inappropriately used,
loss of monitoring at the central station may result. Use
alternative monitoring devices or close patient observation
until the central station monitoring function is restored.
When using Browser, follow these restrictions:
● Do not attempt to access the file systems of the central
station.
● Do not attempt to download files of any type (e.g., audio
or video files).
● Do not play user-defined audio (e.g., Media Player or
streaming radio stations).
● Do not attempt to access web applications or web sites
outside of the protected and isolated hospital intranet
environment.
If the central station does not automatically resume operation
after 120 seconds, turn off the central station then turn it back
on using the power on/off switch. Monitoring should resume
in less than three minutes. Once monitoring at the central
station has been restored, check the monitoring state and
alarm system function. If monitoring is not restored, contact
authorized service personnel.
The Browser settings are configured before clinical use, including Citrix settings and/or
Internet Explorer Favorites. The Browser and Citrix portal which runs in conjunction
with the central station are intended for hospital intranet use only. If confidential
patient information is made available from the hospital intranet, the security of the
data is the responsibility of the hospital.
When configured, Browser provides access to web applications, patient data (e.g.,
labs, images), and repositories (e.g., Hospital Information System) on the hospital
enterprise network.
Data types
Patient data
There are two types of physiological patient stored data:
Parameter numerics are retrieved, cached, and displayed at one-minute resolution.
Data is sent to the central station after the full minute of data is measured, therefore
the data displayed on the central station is for the prior minute (one minute after the
timestamp). Since the central station collects data every minute, and the most recent
data is always for the previous minute, the most recent data that displays on the
central station is typically two minutes old.
Some episodic data (i.e., Cardiac Calculations) require the user to save the value.
Extended time between starting and saving the calculation may cause the central
station to miss the episodic trend numerics during the one minute retrieval. The
central station performs an additional retrieval every ten minutes for data that was
missed during the one minute retrieval. Therefore, some episodic data may take up to
ten minutes to display on the central station.
Trends displayed on the central station can differ from the units of measurement
used to display numerics. The trends units of measurement are configured at the
monitoring device. For more information, see the documentation accompanying
the bedside monitor.
For each parameter, four waveform packets per second are stored at the central
station; one parameter numeric data packet is stored at the central station every
two seconds.
Network data
All monitoring devices on the network periodically broadcast RWHAT packets that
contain the device IP address, port number, name, and services offered (e.g., stored
data). All monitoring devices listen for RWHAT packets and maintain a database of
information about other devices on the network. When devices need to communicate,
the appropriate information is obtained from the RWHAT database, network-protocol
messages are created, and operating system services are used to transmit the
message.
In order for remote devices (e.g., central station) to view the parameter and waveform
data of a monitoring device (e.g., a Dash monitor), the remote device must first
establish a remote view connection with that monitoring device. This is a network
connection established automatically between the two devices. Monitoring devices
allow a maximum number of these connections. Some central stations (e.g., CIC Pro
Clinical Information Center) consumed multiple of these connections. The CARESCAPE
Central Station consumes only a single connection. The fewer connections consumed
by remote devices, the more remote devices that can view the monitoring device.
Visible gap
Prior Full
Current in Full
Time offline (discharge) Disclosure
session(s) Disclosure
session(s) data loss
data
Equal to the
≤ Offline
One None Yes amount of
Storage time
Monitoring time offline.
device Equal to the
> Offline
One One No amount of
Storage time
time offline.
No more
≤ Offline
One One Yes than five
Storage time
minutes.
Central station
No more
> Offline
One One No than five
Storage time
minutes.
FD Strip overview
It is possible that waveform gaps could display. Waveform gaps can be caused by
events (e.g., time changes, NO COMM, OFF NETWORK). Waveform gaps are indicated
with a vertical bar.
FD Page overview
FD Page displays the Full Disclosure data for the selected time focus, including ECG,
SPO2, Respiration, and invasive blood pressure waveforms. Up to five waveforms can
display per row of data.
Waveform gaps display when Full Disclosure is missing data. Waveform gaps can be
caused by events (e.g., time changes, NO COMM, OFF NETWORK). Waveform gaps
are indicated with a vertical bar.
Data Sessions overview
Data Sessions provides access to historical data as patients change monitoring
devices, move across care units, and after patients are discharged. Users can
search and display the patient data on the central station, even if the patient moves
from patient Multi-Viewer window to patient Multi-Viewer window, unit to unit, or
is discharged from the central station.
During a Combo monitoring mode transition, if both monitoring devices have
pre-existing Full Disclosure data, the monitoring device which has the oldest data
will be maintained in the active session for the Combo monitoring mode bedside
monitor. The opposite session will become inactive if the stored session data is greater
than five minutes. The inactive session may have the name of either the telemetry
monitoring device or hard-wired bedside monitor. If the stored session data is less
than five minutes, the data may not be retained.
Events overview
Some monitoring devices (e.g., B40 patient monitor) do not provide waveform data
or numerics for events. Only the event type and time of occurrence will be available
from these monitoring devices. For more information, see the documentation
accompanying the monitoring device.
The Event Source determines what event processing can be done at the central
station. The following table shows what actions each Event Source allows:
Request Include
View events Review Delete Annotate
event events in
at the events at events at events at
Event Source printouts at reports by
central the central the central the central
the central the central
station station station station
station station
Bedside Yes No Yes No Yes No
PDS (Patient
Yes No No No Yes No
Data Server)
Full Disclosure Yes Yes Yes Yes Yes Yes
Trends overview
WARNING ACCURACY — If the accuracy of any value displayed or printed
is questionable, first determine the patient's vital signs by
alternative means. Then, verify the monitoring devices and
printers are working correctly.
Trends are configured with preset Groups to display organized trend views. For more
information, see the user’s manual. Up to 12 Numeric Trends Groups and 12 Graphic
Trends Groups can be customized. For more information, see the user’s manual.
Some monitoring devices (e.g., CARESCAPE Monitor B850) may provide time stamps on
alarm histories (i.e., arrhythmia events, ST limit violation events) that could be several
seconds offset from the time the event actually occurred.
When enabled, the ST vector magnitude (ST-VM) data trend displays in Graphic Trends,
Numeric Trends, and ST Review. The ST-VM value is automatically calculated with 12SL
data if all 12 ST deviations are measured or augmented. The means to compute ST-VM
was developed on an adult patient population. The twelve ST deviations are: I, II, III,
V1-V6, aVF, aVL, and aVR. The ST-VM value will not be calculated if any ST deviation is
omitted or was computed from a derived waveform (i.e., from the 12RL algorithm).
The following formula is used for this calculation:
ST-VM = √((STx)2 + (STy)2 + (STz)2); with a loss of precision of 0.1 mm.
Where STx is the ST value in lead X, STy is the ST value in lead Y, and STz is the ST value
in lead Z and the transform coefficients X, Y, Z are:
X = (0.3872*I) - (0.1993*II) - (0.1106*V1) + (0.045*V2) - (0.040*V3) + (0.2146*V4) -
(0.067*V5) + (0.6868*V6)
Y = (-0.0695*I) + (1.145*II) + (0.1855*V1) - (0.0728*V2) + (0.0186*V3) + (0.0154*V4) -
(0.1148*V5) + (0.0682*V6)
Z = (0.0587*I) + (0.0815*II) + (0.3665*V1) - (0.0363*V2) + (0.165*V3) + (0.2041*V4) +
(0.1395*V5) - (0.4688*V6)
Any other uncertainties of calculation are based on the precision and accuracy
of inputs.
Graphic Trends overview
Graphic Trends displays parameter numerics over a period of time in graph format,
including AFIB trending with select monitoring devices. Up to six parameters display in
half-screen format; up to 12 parameters in full-screen format.
If more than one episodic event occurs during the same minute, the more recent
episodic event overwrites the older episodic event. When viewing episodic data, any
data reading collected after the minute mark will display in the next trended minute.
Numeric Trends overview
Numeric Trends displays parameter numerics in a tabular format.
When reviewing data, be aware that when the V lead changes at a monitoring device,
both the current and previous V lead data is trended and both V lead labels will display.
In addition, the V lead numeric data displays at the time the V lead data was collected.
Calipers overview
WARNING ACCURACY — If the accuracy of any value displayed or printed
is questionable, first determine the patient's vital signs by
alternative means. Then, verify the monitoring devices and
printers are working correctly.
Calipers are used to measure the horizontal (time) and vertical (voltage) distances
along waveforms. When Full Disclosure data is collected and stored at the central
station, Calipers can be used to measure the PR, QRS, QT, and R-R waveform intervals
and the ST waveform. After manually measuring the QT and the R-R intervals, the QTc
value is automatically calculated and displayed.
The following formula is used for this calculation:
QTc = QT/√(R-R); with a loss of precision of 0.1 mm.
Any other uncertainties of calculation are based on the precision and accuracy
of inputs.
Calipers measurement can be saved as an event for an in-unit monitoring device full
disclosed at the central station running software version 2.1 or later. If not saved,
after closing the Calipers window, all measurements are cleared. To keep a record of
measurements, print a copy of the measurement results before closing the Calipers
window.
Calipers uses the same display calibration as the Multi-Viewer and Single Viewer. The
displays must be calibrated before clinical use for accurate waveform amplitude
and time display on the central station.
ST Review overview
CAUTION Some monitoring devices perform 12SL analysis despite
missing leads and those ST records do not indicate within the
statement codes that leads were missing.
The central station will not request ST records from some bedside monitors (e.g.,
CARESCAPE Monitor B850 software version 1). For more information, see the
documentation accompanying the bedside monitor.
It may take a couple minutes after starting Full Disclosure at a monitoring device
before the first ST record appears in ST Review.
ST records are generated by the monitoring device via the 12SL ECG Analysis Program.
The 12SL ECG Analysis Program will accept derived ECG waveforms and still produce
a ST record. The central station cannot display derived ECG waveforms except as
part of an ST record.
Derived lead values obtained from a bedside monitor using 12RL display on the
central station with a d prefix (e.g., ST-dV2). When ST records generated using derived
data are printed, the message Leads V2, V3, V4, and V6 are interpolated is included in
the printout.
12SL records based on 12RL can also be displayed and printed at the central station,
with select monitoring devices. If a 6-leadwire ECG cable is used (V2, V3, V4 and V6
leads are not present) a 12RL algorithm can compute those missing waveforms.
ST records generated with 12RL based data display on the central station with the
d prefix for the applicable waveforms and complexes.
Not all monitoring devices are capable of creating the derived ECG waveforms via
the 12RL algorithm.
ST segment deviation values obtained from a bedside that uses the 12RL algorithm
can also be displayed in Numeric Trends, Graphic Trends, in the Multi-Viewer and
in the Single Viewer without ST records and the 12SL Analysis Program. For more
information on 12RL, see the documentation accompanying the monitoring device.
The diagnostic ECG capabilities vary by monitoring device, including the following:
● The performance accuracy of the automated measurements.
● The way amplitude values for P-, QRS-, ST-, and T- waves are determined.
● The way isoelectric segments within QRS complex are treated.
● The intended use of the analyzing electrocardiograph.
● The accuracy measures for the interpretative statements.
● The accuracy measures for rhythm categories.
For more information, see the documentation accompanying the monitoring device.
PDF printer
The central station can print the Event Review Strip Report to a PDF file which is then
automatically sent to an institution’s secure file transfer protocol (SFTP) server for
storage and later review.
Web pages from Browser may also be printed to PDF with the file similarly transferred
to the SFTP server. PDF files printed from Browser may not have unique filenames,
resulting in overwrite on the SFTP server. The layout and scaling of Browser PDF
printouts are web page dependent and may not appear as expected.
The following are prerequisites for configuring a PDF printer:
● A server must be running the SFTP service on the CARESCAPE Network IX or
hospital enterprise network.
● The SFTP service password request prompt must be lower case and read exactly
password:
● The remote directory must have write permission for the SFTP service.
● The central station must be configured with the SFTP information.
Central stations can each have numerous unsent PDF files accumulate while waiting
for an offline SFTP server to return online. Once the SFTP server returns online, the
central stations will attempt to send the PDF files all at once to the SFTP server.
If the SFTP server is off the network or otherwise unavailable, users will still be able to
generate PDF reports. Up to 100 reports will be queued in the central station for up
to 10 days until the SFTP server is available. Each central station has its own queue
for reports generated at that central station. Once the maximum number of PDF
reports is queued at a central station, older reports will be deleted to make room for
the newer reports. PDF reports that are not sent to the SFTP server and remain in the
pending queue will be deleted after 10 days.
If there is too much incoming network data to the SFTP server from many central
stations sending PDF files simultaneously, the SFTP server could impose bandwidth
throttling or limit the number of SFTP network connections.
Some SFTP servers may be configured with limited connections and may not be able
to support multiple simultaneous connections.
For Event Review Strip Report PDF filenames, the central station uses the following
format (only for SFTP Server):
<YYYY-MM-DD>_<HHMM>~[orgCode]~<PID>~[LAST,
FNAME]~<TYPE>~[BEDUNIT]~[BEDNAME]~[Visit Number]~[DOB]~[GEN-
DER]~[HEIGHT]~[WEIGHT]~[RACE]~[OPTTEXT].pdf
Item Description
<YYYY-MM-DD> The print date as a series of numeric digits
<HHMM> The print time as a series of numeric digits
A central station customer specific code
<orgCode> It is optional and omitted from the filename if blank, but
the delimiter is always present.
<PID> The patient identification number
<LAST, FNAME> The patient name as defined by the monitor
The report type
<TYPE> Only Event Review Strip Report is supported for this
version.
The bedside monitor Unit Name corresponding to the
<BEDUNIT>
patient data in the report
The bedside monitor Bed Number corresponding to the
<BEDNAME>
patient data in the report
The Encounter ID corresponding to the patient data
[Visit Number]
retrieved through ADT picklist
The Date of Birth corresponding to the patient data
[DOB]
retrieved through the ADT picklist
Item Description
The gender corresponding to the patient data retrieved
[GENDER]
through the ADT picklist
[HEIGHT] The height of the patient retrieved though the ADT picklist
The weight of the patient retrieved through the ADT
[WEIGHT]
picklist
[RACE] The race of the patient retrieved through the ADT picklist
The fields provided by the user in admit/discharge tab of
[OPTTEXT]
the bed separated by ~ character
~ A tilde character used to delimit most fields
_ An underscore used to delimit time and date fields
- A hyphen character used to delimit inside fields
<..> Angle brackets implies a required field
For example:
With <orgCode>: 2010-03-23_2104~ABC~283748344~SMITH,
GEORGE~ERS~ICU~BED12.pdf
Without <orgCode>: 2010-03-23_2104~~283748344~SMITH,
GEORGE~ERS~ICU~ROOM3.pdf
The appropriate language support packages should be installed on the SFTP server,
otherwise PDF files that contain international characters (e.g., in patient name, patient
identification number) may not transfer correctly.
PDF printing is not supported for Chinese language and the PDF printer should not be
configured for a central station configured for the Chinese language.
The SFTP server is only required for Event Review Strip Report PDF printing. GE does
not provide nor support the SFTP server.
EMR
The central station can generate HL7 message with embedded PDF containing the
Event Review Strip Report which is then automatically sent to the configured EMR for
storage and later review.
The following are prerequisites for configuring a EMR feature:
● Central station must have a valid license for the PDF Report — EMR feature.
● An EMR or Integration engine must be running the HL7 service on the CARESCAPE
Network IX or hospital enterprise network.
● The central station must be configured with the EMR information, see Configuring
EMR (119).
Central stations can each have numerous unsent HL7 message accumulate while
waiting for an offline EMR server to return online. Once the EMR returns online, the
central stations will attempt to send the HL7 message all at once to the EMR.
If the EMR is off the network or otherwise unavailable, users will still be able to
generate HL7 messages. Up to 100 messages will be queued in the central station
for up to 10 days until the EMR is available. Each central station has its own queue
for messages generated at that central station. Once the maximum number of HL7
message are queued at a central station; older messages will be deleted to make
room for the newer messages. HL7 message that are not sent to the EMR and remain
in the pending queue will be deleted after 10 days.
If there is too much incoming network data to the EMR from many central stations
sending HL7 message simultaneously, the EMR could impose bandwidth throttling
or limit the number of EMR connections.
Some EMR’s may be configured with limited connections and may not be able to
support multiple simultaneous connections.
The appropriate language support packages should be installed on the EMR,
otherwise HL7 files that contain international characters (e.g., in patient name, patient
identification number) may not transfer correctly.
EMR server is not supported for Chinese language and the EMR should not be
configured for a central station configured for the Chinese language.
The EMR is only required for Event Review Strip Report. GE does not provide nor
support EMR.
Anytime the central station is restarted, it will automatically log on to the User
windows account and launch the clinical application. The User windows account does
not allow access to the central station operating system or file systems.
To switch to the Field Service windows account, complete the following procedure:
1. From the Start menu, select Log off.
2. Press and hold down the Shift keyboard key.
3. Continue to hold Shift until the log in screen displays.
4. From the login screen, select Field Service.
The Field Service windows account automatically launches a Webmin interface
instead of the clinical application.
To log off from the Field Service windows account, select Close or press Alt + F4. The
central station will automatically log off from the Field Service windows account.
Then, log on to the User windows account and launch the clinical application.
Webmin access
WARNING UNAUTHORIZED ACCESS — Users must log off of Webmin
to prevent unauthorized access. Closing Webmin is not
equivalent to logging off. The user must select Logout.
Logging on to Webmin
To log on to Webmin locally at the central station using Browser, complete the
following procedure:
1. From the Multi-Viewer menu, select Browser.
2. From Favorites, select LocalWebmin.
3. In Username, enter biomed.
4. In Password, enter Change Me or your site’s password and press Enter.
Logging on to TightVNC
To log on to the TightVNC screen sharing interface using a service computer on the
network, complete the following procedure:
1. Set up the service computer network properties. For more information, see
Configuring service computer’s network properties.
2. Check that the TightVNC client is installed on the service computer. If not, install
using the software distributed with the central station software USB memory stick.
3. Navigate to the location where the TightVNC Viewer was installed on the service
computer.
Changing passwords
Changing the service mode password
Make sure all customized passwords are recorded and safeguarded. If the user forgets
the password, contact GE Technical Support to obtain the password reset code.
To change the service mode password, complete the following procedure:
1. Log onto Webmin.
2. Select Configuration > Passwords.
3. Select Switch CIC Mode.
4. Under Change Service Mode Password:
a. In Password, enter the new password.
b. In Confirm Password, enter the new password again.
5. Select Save.
Installation requirements
The following requirements must be met before installation:
● Product training
● Site survey
Site requirements
The following requirements must be met before installation:
● Check that all devices on the CARESCAPE Network MC and CARESCAPE Network IX
are compatible with the central station. For more information, see the compatible
devices section in the user manual.
● Check that the installation site meets the following environmental criteria:
■ Clean, dry and relatively free of dust.
● Check that the central station will be isolated from strong electromagnetic fields
and electrical noise produced by electrical devices, such as:
■ Elevators
■ Copy machines
Electrical requirements
WARNING ACCESSORIES — Any deviation from the recommended
specifications may impact performance and potentially result
in loss of monitoring.
WARNING Without a stable power source, power line outages may result
in:
● Data loss.
● Failure of the central station and other hardware
components.
If power to the central station is lost, patient data will no
longer be displayed or stored.
It is the responsibility of the hospital to assure that local electrical grounding code(s)
are met to ensure proper grounding of the device and that one properly grounded,
hospital-grade duplex power outlet is available for each central station. Additional
outlets may be required to accommodate peripheral equipment.
Mounting options
The desktop processing unit, integrated processing unit, and the stand-alone display
can be mounted to walls.
The following are the supported mounts:
Description Part number
Fixed flush mount kit 2079698–001
Tilt and swivel flush mount kit 2079698–002
There are eight (8) different length M4 screws in the GCX #FLP-0002-17C “75 to 100
mm VESA adapter” kit which is included within each of the two GCX mounts.
Installer must use the 16 mm screw when installing the GCX #FLP-0002-17C “75 to
100 mm VESA adapter” plate at the back of the integrated processing unit and 12 mm
screw when installing the GCX #FLP-0002-17C “75 to 100 mm VESA adapter” plate at
the back of the DIVA displays.
Torque force
● Without Torque wrench: Tighten the screw until the screws are adequately tight.
● With Torque wrench: Tighten the screw with force of 1.2 +/- 0.1 Nm.
2. For integrated/desktop processing unit, connect the display cable from the
DisplayPort video output connection/interface (DP-2) of the processing unit to the
stand-alone display port (DP).
3. Connect the touchscreen data display cable from USB (Type A) interface of the
processing unit to USB (Type B) interface of stand-alone display.
4. Connect the display power cable to a stable power source.
Route all the cables through the cable clamp(s) using cable tie and tighten.
■ Output: DC 5V, 2A
● Pigtail module:
■ Input: AC 100-240V 50-60Hz
■ Output: DC 5V 3A
Item Description
1 MODE switch Switches the mode for the RS-232 port:
● NORMAL: Selects the RS-232 HDBaseT
pass-through.
● UPDATE: Selects the RS-232 firmware update.
2 POWER LED LED is illuminated when the transmitter unit power
is on.
3 STATUS LED LED blinks when the transmitter unit is working
properly.
4 HDCP LED LED is illuminated when HDCP video is being
received.
5 LINK LED LED is illuminated when HDBT link is normal.
6 DC 12V Connects to 12 VDC power input.
connection/interface
7 HDBT IN Connects to HDBT OUT connection/interface of
connection/interface extended video transmitter unit.
8 RS232 Connects RS-232 input to video extender receiver
connector/interface unit for pass-through or firmware update.
9 DP OUT Connects to the display port of the remote display.
connection/interface
Item Description
10 AUDIO IN Not used.
connection/interface
11 AUDIO OUT Connects to audio input port of the remote display.
connection/interface
Item Description
1 MODE switch Switches the mode for the RS-232 port:
● NORMAL: Selects the RS-232 HDBaseT
passthrough.
● UPDATE: Selects the RS-232 firmware update.
2 POWER LED LED is illuminated when the transmitter unit power
is on.
3 STATUS LED LED blinks when the transmitter unit is working
properly.
4 HDCP LED LED is illuminated when HDCP video is being
transmitted.
5 LINK LED LED is illuminated when HDBT link is normal.
6 DC 12V Connects to 12 VDC power input.
connection/interface
7 HDBT OUT Connects to HDBT IN connection/interface of the
connection/interface video extender receiver unit.
8 RS232 Connects video extender transmitter unit to RS-232
connection/interface output for pass-through or firmware update.
9 DP IN Connects to central station DisplayPort
connection/interface connection/interface.
10 AUDIO IN Connects to central station USB sound card.
connection/interface
4. Connect the USB sound card to an available central station processing unit USB
(Type A) connection/interface.
5. Connect the USB sound card audio out connection/interface to the video extender
transmitter unit AUDIO IN connection/interface with an audio jack cable.
6. Connect the video extender receiver unit AUDIO OUT connection/interface to the
remote display AUDIO INPUT with 3.5 mm audio jack cable.
7. Connect the 12 VDC power supply to the video extender transmitter unit DC 12V
connection/interface and power it on.
8. Secure the video extender transmitter unit 12 VDC power supply with a screw-in
connector to prevent the power from being accidentally disconnected. POWER
LEDs on both the video extender receiver unit and video extender transmitter
unit illuminate when power is applied.
Installing a writer
Check that the writer to be installed is a compatible device. For more information, see
the compatible devices section in the user manual.
Using earlier versions may result in the omission of characters from the patient
identification number and/or patient name on printouts.
To install, complete the following procedure:
1. Place the writer in the permanent installation location.
2. Connect the USB to serial cable to the writer adapter.
3. Connect the writer adapter to the serial input of the converter.
4. Insert the USB end of the converter to the USB connection/interface of the
processing unit.
5. Connect the cat 5 cable to the writer adapter.
6. Connect the writer adapter to the M-port connector on the writer.
The following configuration levels define the central station software application:
● Licenses: Licenses enable the standard and specialized features. Licenses are
installed before clinical use by authorized service personnel. Instructions for
installing licenses are provided in the technical manual. To view the licenses
installed on this central station, select Setup > Licensing.
● Presets: Presets are specified by the manufacturer and define the initial value
for the central station's custom defaults. Presets cannot be changed. For more
information, see the Presets appendix.
● Custom defaults: Custom defaults specify the initial value for monitoring
parameters controlled by the central station (e.g. Telemetry Parameter Limits and
Alarm Levels settings). They also include defaults for non-monitoring parameters
(e.g. Full Disclosure Print settings). Monitoring devices have their own custom
defaults. Custom defaults at the monitoring devices are controlled by those
monitoring devices, not the central station. Custom defaults are persistent and
apply to all patients monitored on the central station and are retained when
individual patients are discharged. For more information, see the Custom defaults
and settings appendix. There are three types of defaults:
■ Alarm-level defaults: Alarm-level defaults are password protected. They are
configured by authorized personnel before clinical use. In user mode, the
alarm-level defaults display in light, grayed out text and cannot be modified.
Instructions for setting alarm-level defaults in the alarm service mode are
provided in the technical manual.
■ Service-level defaults: Service-level defaults are password protected. They
are configured by authorized service personnel before clinical use. In user
mode, the service-level defaults display in light, grayed out text and cannot be
modified. Instructions for setting service-level defaults in the service mode
are provided in the technical manual.
■ User-level defaults: User-level defaults are not password protected. Any user
can configure them. In user mode, the user-level defaults display in dark,
selectable text. Instructions for setting user-level defaults are provided in the
user's manual.
● Control settings: Control settings are temporary and patient-specific; they apply
immediately to the monitoring device and revert to the custom default values
when the patient is discharged from the device. Instructions for adjusting control
settings are provided in the user's manual.
■ Central station specific control settings adjust functions and views specific to
the central station, such as screen layout (e.g. Graphic Trends Groups). Central
station control settings persist across patients and between patient monitoring
sessions. Control settings may be either service-level or user-level controlled.
Not all control settings have corresponding custom defaults. When there is no
custom default, the control setting initial value is the central station preset.
■ There are also control settings for the monitoring devices. Those adjust patient
monitoring parameters (e.g., ECG arrhythmia analysis). Control settings for
monitoring devices can be adjusted both from the central station and from the
monitoring device itself. Not all monitoring device control settings are remotely
adjustable by the central station.
■ The ability to adjust alarm control settings is configured before clinical use. All
clinical users of the central station can be assigned one of the following alarm
control settings access levels:
♦ Full: Parameter limits and alarm priority level control settings are password
protected.
♦ Partial: Alarm priority level control settings are password protected. The
preset is Partial.
♦ Unrestricted: No alarm control settings are password protected.
Some bedside monitors do not permit modification from remote devices like the
central station. For more information, see the documentation accompanying the
bedside monitor.
Getting started
The procedure for configuring the central station varies, depending on if you are
configuring the central station from start to finish, or if you are using settings from a
central station that was previously configured. Perform the appropriate procedure:
If you want to Follow these steps
Configure the central station 1. Follow the instructions in this chapter, beginning with
from start to finish Configuration requirements (97).
2. Perform the required checkout procedures.
Use previously archived 1. Perform a partial restore of the system settings. For more
system settings from one information, see Performing a partial restore (236).
configured central station
2. Make updates to the configuration as needed, following
to configure another central
the applicable procedures in this chapter.
station
3. Perform the following checkout procedures:
● Run Check Central utility (165).
● Examine the central stations on the network (98).
Configuration requirements
WARNING NETWORK DEVICE TIME SYNCHRONIZATION/DATA LOSS —
When adding a new device (e.g., central station) to the
CARESCAPE Network, the existing devices on the CARESCAPE
Network will synchronize to the new device’s time. To prevent
potential time synchronization issues, set the new device’s
time to be as close as possible to the time used by the existing
devices on the CARESCAPE Network. Otherwise, abrupt data
loss may occur and central station performance may be
corrupted.
If there are existing central stations connected to the CARESCAPE Network IX and
CARESCAPE Network MC, these central stations must comply with the following
configuration requirements:
● When adding a central station to an existing network, Check Centrals should be run
to check that all devices have the same time zone settings.
● All CARESCAPE Network MC IP addresses must be in the same IP scheme with
the same subnet mask.
● All CARESCAPE Network IX IP addresses must be in the same IP scheme with the
same subnet mask.
● Allow devices on the CARESCAPE Network to request a change to the network time.
● Notify all devices on the CARESCAPE Network of CARESCAPE Network time changes.
● Synchronize the time on all devices on the CARESCAPE Network once per day.
The central station provides the ability via Webmin to set the CARESCAPE Network time.
The central station provides additional capabilities that help ensure the integrity of
CARESCAPE Network time. Most notably, the central station will accept a maximum
of six time change requests in a one-minute time interval. All time change requests
received beyond the first six in a one-minute time interval are ignored. In addition,
a central station functioning as the Time Master will not notify the devices on the
CARESCAPE Network of any such ignored time change requests (which would actually
be requests of the Time Master to change the CARESCAPE Network time). This behavior
prevents excessive time changes from occurring on the CARESCAPE Network.
It is highly recommended that the highest version central station function as the
Time Master for the CARESCAPE Network. (CARESCAPE Central Station is a higher
software version than any CIC Pro Clinical Information Center software version.) To
ensure that the desired central station functions as the Time Master, the IP address of
the desired central station must be set to the numerically highest value among all the
central stations on the CARESCAPE Network.
IP address allocation
In the hierarchy of multiple compatible central station hardware and software
versions that co-exist, it is critical that you make the correct IP address assignments
to the central stations running on the CARESCAPE Network MC. This ensures that the
Time Master for the CARESCAPE Network and the Full Disclosure Master are properly
defined.
For the Time Master on the CARESCAPE Network, you must assign a set of the highest
CARESCAPE Network MC IP addresses to the device running the highest software
version on the entire network.
For example, if you are installing CARESCAPE Central Station to an existing CARESCAPE
Network comprised of CIC Pro Clinical Information Center software version 5.1.x
or later, you must allocate a set of the highest MC Network IP addresses to all of
the central station’s hardware running CARESCAPE Central Station, then to CIC Pro
centers. No lower central station software version can have an IP address on the MC
Network that is greater than the IP address of a higher version central station.
In the following IP addresses, the highest IP address is determined by doing an octet
by octet number comparison. Since octet 183 is larger than the corresponding octets
of the other IP addresses, 126.3.183.4 is the highest IP address.
● 126.3.27.225
● 126.3.183.4
● 126.3.145.81
● 126.3.145.142
1. Check that only compatible central station versions co-exist in a given unit. For
more information, see the compatible devices section in the user manual.
2. If there is one or more CARESCAPE Gateway on the network, configure the Time
Master settings at the CARESCAPE Gateway. For more information, see the
documentation accompanying the CARESCAPE Gateway.
3. Investigate if there is any unauthorized, non-GE medical equipment connected to
the CARESCAPE Network.
4. Investigate if there are any spare (unconnected) central stations and if there are
any central stations in the unit that are designed to work on customer demand
(e.g., connected to the network, currently switched off, and used only when
needed). Before introducing such central stations to the existing network, make
sure that those central station hardware and software versions are compatible:
● The time zone settings are the same.
● All CARESCAPE Network MC IP addresses must be in the same IP scheme with
the same subnet mask.
● All CARESCAPE Network IX IP addresses must be in the same IP scheme with
the same subnet mask.
5. Make the highest central station software version the Time Master.
NOTE The clinical application must be running to identify the
time master.
All clinical application custom defaults, including alarm-level defaults and service-level
defaults, must be received from the GE Clinical Application Specialist (CAS) or from
the nursing director of the unit.
To configure the Set Flags, complete the following procedure:
1. Switch to the Field Service windows account.
2. Log onto Webmin.
3. Select Configuration > Set Flags.
4. In NO COMM alarm, select the appropriate option:
● Status Message Only: Only the visual notification will display in the
Multi-Viewer. The audio notification will not sound.
● Enable Audio Breakthrough during AUDIO OFF: The central station receives
a HIGH (CRISIS) audio notification in addition to a visual notification in the
Multi-Viewer. When enabled, the central station shall provide an audio
notification in no more than 188 seconds from a loss of network communication
with a monitoring device. If the central station is in AUDIO OFF condition, the
audio notification for NO COMM alarm shall sound with previously set alarm
volume. Enable Audio Breakthrough during AUDIO OFF is the preset.
● Disable Audio Breakthrough during AUDIO OFF: The central station
receives a HIGH (CRISIS) audio notification in addition to a visual notification
in the Multi-Viewer. When disabled, the central station shall provide an
audio notification in no more than 188 seconds from a loss of network
communication with a monitoring device. If the central station is in AUDIO OFF
condition, only the visual notification will display in the Multi-Viewer.
11. In Allow separate settings for low priority alarm audio, select the appropriate
option:
● Enable: Allows clinician to turn LOW (ADVISORY) priority level audio alarms off.
Enable is the preset.
● Disable: Prevents clinician from turning LOW (ADVISORY) priority level audio
alarms off.
12. In Alarm configuration settings (priority and limits), select the appropriate
option:
● IEC: Allows clinician to adjust the HR alarm priority level to HIGH (CRISIS) or
MEDIUM (WARNING) and VTACH alarm priority level to HIGH (CRISIS). IEC
is the preset.
● Legacy: Allows clinician to adjust HR and VTACH alarm priority to any alarm
priority level.
The central station provides a mechanism for the user to adjust the monitoring
device’s HR and VTACH alarm priority to HIGH (CRISIS), MEDIUM (WARNING),
LOW (ADVISORY), and INFORMATIONAL (MESSAGE). The use of alarm priority
terminology is dependent on the IEC Priority Nomenclature setting on Setup >
Central Defaults.
13. In Multi-Viewer flashing during alarm AUDIO PAUSE, select the appropriate
option:
● Enable: The central station patient Multi-Viewer window continues flashing
for HIGH (CRISIS) and MEDIUM (WARNING) alarms during alarm audio pause
condition until the alarm is in active condition.
● Disable: The central station patient Multi-Viewer window stops flashing for
HIGH (CRISIS) and MEDIUM (WARNING) alarms during alarm audio pause
condition until the alarm is in active condition. Once the monitoring device is
out of alarm audio pause condition, the central station patient Multi-Viewer
window starts flashing until the alarm is in active condition.
14. In Password protection for restricting alarm limits and priority changes, select
the appropriate option:
● Unrestricted: Allows clinician to adjust parameter limits and alarm priority
level control settings.
● Partial: Allows clinician to adjust parameter limits. Partial is the preset.
● Full: Prevents clinician from adjusting parameter limits and alarm priority level
control settings.
The clinician must have the alarm service mode password to adjust the parameter
limits and alarm priority level control settings. Some bedside monitors (e.g.,
CARESCAPE Monitor B850) do not permit modification from remote devices like
the central station. For more information, see the documentation accompanying
the bedside monitor.
15. In Frequency of alarm settings review reminders, select the appropriate option:
● 2 hrs: Prompts clinician to review the alarm settings every two hours.
● 4 hrs: Prompts clinician to review the alarm settings every four hours. 4 hrs
is the preset.
● 6 hrs: Prompts clinician to review the alarm settings every six hours.
● 8 hrs: Prompts clinician to review the alarm settings every eight hours.
The message Review alarm settings displays in the Multi-Viewer central station
system status alarm button/drop-down menu to prompt the clinician to review
the current alarm control settings.
16. Select Submit.
You cannot change Set Flags options while the central station application
is running and patients are being monitored. To change these options, you
need to stop the central station clinical application and change the options via
Webmin. Whenever you make changes to a Set Flags option, the central station
clinical application has to be restarted. It is recommended that you change the
appropriate Set Flags options once and then restart the central station clinical
application to reflect the new options.
17. Safely restart the central station.
Configuring language
Changing to a new language other than English should only be done if the current
central station application language is set to English. For example, do not set the
language to Chinese unless the central station is currently set to English. If the central
station is not currently running in English, then re-image the system, which will default
to English and allow you to set the central station to the required language.
The Webmin interface is always in English.
To set the language of the central station clinical application, complete the following
procedure:
1. Switch to the Field Service windows account.
2. Log onto Webmin.
3. Select Configuration > Language.
4. From the drop-down menu, select the appropriate language and select Submit.
5. Select Click here to Reboot Now.
CAUTION Do not change time and date except via Webmin. Otherwise,
the time for the central station and the network may become
out of sync, and data stored at the central station may be
incorrectly time-stamped (e.g., Full Disclosure data).
Sri Jayawardenapura time is listed as GMT + 5:30 for CIC Pro Clinical Information
Center software version 5.1 or later and GMT + 6.00 for earlier versions of CIC Pro
Clinical Information Center software.
The following restrictions apply to configuring the time zone:
● You cannot change the time zone while the clinical application is running.
● The controls to enable automatic adjustment for daylight saving time have been
disabled. You must manually adjust the clock using Webmin to make daylight
saving time changes, or use Aware Gateway, iCentral, or CARESCAPE Gateway to
automate it.
To configure the time zone of the central station, complete the following procedure:
1. Disconnect the central station from the CARESCAPE Network IX and CARESCAPE
Network MC.
2. Switch to the Field Service windows account.
3. Log onto Webmin locally.
4. Select Configuration > Time Date > Time Zone.
5. From Time Zone Settings, select the appropriate time zone.
If CARESCAPE Central Station software version 1 or earlier version and CARESCAPE
Central Station software version 2 or later are used in the network, same or
equivalent time zone setting options must be used on all central stations. The
following table lists the time zone settings in CARESCAPE Central Station software
version 1 or earlier version along with the equivalent time zone settings that must
be set in CARESCAPE Central Station software version 2 or later.
CARESCAPE Central Station software CARESCAPE Central Station software
version 1 or earlier version time zone version 2 or later or later time zone
GMT + 3: Kaliningrad, Minsk (UTC+3:00) Minsk
GMT + 4: Moscow, St Petersburg, (UTC+04:00) Abu Dhabi, Muscat
Volgograd
GMT + 6: Ekaterinburg (UTC+06:00) Dhaka
GMT + 7: Novosibirsk (UTC+07:00) Bangkok, Honai, Jakarta
GMT + 8: Krasnoyarsk (UTC+08:00) Perth
GMT + 9: Irkutsk (UTC+09:00) Seoul
GMT + 10: Yakutsk (UTC+10:00) Hobart
GMT + 12: Magadan (UTC+12:00) Fiji
GMT + 11: Vladivostok (UTC+11:00) Solomon Is., New Caledonia
GMT – 4: Santiago (UTC-04) Cuiaba
GMT+1: Windhoek (UTC+02) Amman
All the central stations connected to the CARESCAPE Network MC and CARESCAPE
Network IX must all use the same time zone setting. Before making any changes
to the time zone, time-of-day, or the date settings, you must make sure the time
zone and daylight saving time (DST) settings match for all of the central stations on
the CARESCAPE Network.
When configuring the time and date for a central station, consider the following:
● To change the time zone, daylight saving time, time-of-day, or the date on a CIC
Pro Clinical Information Center software version 4 or later, see the documentation
accompanying the device. Use the Check Centrals utility to check the time zone
and daylight saving time status.
● The controls to enable automatic adjustment for daylight saving time have been
disabled. You must manually adjust the clock using Webmin to make daylight
saving time changes, or use Aware Gateway, iCentral, or CARESCAPE Gateway to
automate it.
● Before changing the time on the CARESCAPE Network MC, review the Full Disclosure
information for all patients in the unit. If there are events which should be archived,
record this information before changing the time.
● If you change the time at a bedside monitor or at any one central station, the
change will be reflected at all central stations and bedside monitors on the
CARESCAPE Network.
● For installation and return to service after repair or preventive maintenance, set
Time Zone and Date/time before connecting to the Carescape Network MC. Do not
disconnect the CARESCAPE Network MC and CARESCAPE Network IX connections to
the central station while using the Time Date functionality on the central station.
● Evaluate and adhere to the pre-configuration requirements for proper configuration
and patient monitoring at the central station.
To configure the time and date, complete the following procedure:
1. Log onto Webmin.
2. If necessary, configure the time zone or daylight saving time (DST) settings.
3. Select Configuration > Time Date > Set Time Date.
4. From Date, select the appropriate date.
5. From Month, select the appropriate month.
6. From Year, select the appropriate year.
7. From Time, select the appropriate time-of-day (hours:minutes:seconds).
To configure the network IP address, check the IP address usage on the CARESCAPE
Network MC before assigning the IP addresses to this device and complete the
following procedure:
1. Obtain the completed Site Survey Workbook for this unit.
2. Log onto Webmin.
3. Select Configuration > Network.
4. Under MC Network, enter the appropriate values.
a. In IP Address, if the site uses a custom CARESCAPE Network MC addressing
scheme, change the CARESCAPE Network MC IP address so that it is unique
on the network.
The default IP address settings are recommended. For the IP address values,
see the Site Survey Workbook.
b. In Subnet Mask, if the value is different from the default setting (255.255.0.0),
enter the appropriate value.
Typically, the CARESCAPE Network MC > Subnet Mask setting could remain at
the default setting 255.255.0.0. For more information, see the Site Survey
Workbook.
c. In Speed & Duplex, select the appropriate option.
Typically, this will be set to auto negotiate speed and duplex.
d. If the CARESCAPE Network MC is supporting Static Route, enter the Destination
Address, Destination Netmask, and MC Gateway. When configuring static
routes, do not configure with a CARESCAPE Network IX IP address.
To configure the laser printer paper size, complete the following procedure:
1. From the Start menu, select All Programs > Service.
2. Select Service Utility.exe.
3. Select Configure printer settings.
4. In Paper Size, select the appropriate option.
5. Select Close to save the settings.
6. Close the Service Utility.
● Printing CRG printouts from bedside monitors to the central station’s laser printer
is not supported.
● Consult with your GE Clinical Application Specialist (CAS) or nursing director of the
unit about the use of this function and if it should be used with your configuration.
To configure print locations for stored patient data, complete the following procedure:
1. Check that the print settings are configured for the laser printer and bedside
monitor’s default printer.
2. Log onto Webmin.
3. Select Configuration > Printers > Config Func Location.
4. In Alarm Control, select the appropriate option:
● Bedside Determined:
■ Disables the Single Viewer menu Print button for bedside monitors.
■ Enables the Single Viewer menu Print button for telemetry monitoring
devices.
■ Prints to the Print Window location configured in Setup > Telemetry Unit
Defaults.
Depending on the central station’s network configuration and the patient data
category selected to print, some bedside monitors will ignore the Print Window
settings in Setup > Telemetry Unit Defaults. As a result, the requested patient
data will not print.
● Disable: Disables the Single Viewer menu Print button.
5. In Calipers, select the appropriate option:
● Local Laser:
■ Enables the Single Viewer menu Print button.
■ Prints to the Full Disclosure printer location configured in Setup > Central
Defaults.
● Disable: Disables the Single Viewer menu Print button.
6. In Events & Review, select the appropriate option:
● Local Laser:
■ Enables the Single Viewer menu Print button.
■ Prints to the Full Disclosure printer location configured in Setup > Central
Defaults.
● Disable: Disables the Single Viewer menu Print button.
7. In FD Report, select the appropriate option:
● Local Laser:
■ Enables the Single Viewer menu Print button.
■ Prints to the Full Disclosure printer location configured in Setup > Central
Defaults.
● Disable: Disables the Single Viewer menu Print button.
Print configuration
This setting allows the user to customize the PDF print report.
1. Log onto Webmin.
2. Select Configuration > Print Configuration.
3. Select/unselect the items in the Configuration based on the user requirements.
4. Select Save.
Configuring MultiKM
Setting up central stations to use MultiKM
You need to identify the computer name and CARESCAPE Network IX IP address and
activate the MultiKM license on each central station that will use MultiKM.
To set up central stations to use MultiKM, complete the following procedure:
1. Connect a mouse and keyboard to every central station in the group.
All Central Stations in the MultiKM group must be running on the same software
version.
2. From the central station where the mouse and keyboard will remain connected,
log onto Webmin.
3. Select Configuration > Licensing.
4. Write the Computer Name and IX IP address on a label and apply the label on
the central station.
5. Check that the MultiKM license is activated on each central station you want in
the keyboard and mouse group.
Configuring a keyboard and mouse group
After you have identified the computer name and CARESCAPE Network IX IP address
and activated the MultiKM license on each central station that will be in the keyboard
and mouse group, complete the following procedure:
1. Start the MultiKM application on each central station to add to the keyboard
and mouse group:
a. Log onto Webmin locally.
b. Select Configuration > MultiKM.
c. On the MultiKM Configuration window, select Enable.
d. Repeat for each central station keyboard and mouse group.
2. On the central station that will retain the keyboard and mouse attached, on the
Multimouse application, select Configure.
3. Select Add, and enter the computer name and IX IP address in the format
Cic_Name (IX IP ), for each central station to be added to the keyboard and mouse
group.
4. Select Next.
5. Arrange the computer names to match the physical layout of the central station
in this group.
6. Select Finish.
7. On the Multimouse application, select Hide.
8. Remove any extra keyboards, but leave the mouse devices connected.
Adding a central station to existing keyboard and mouse group
To add a central station to an existing keyboard and mouse group, complete the
following procedure:
1. At each central station to add to the keyboard and mouse group:
a. Log onto Webmin locally.
b. Select Configuration > Licensing and do the following:
● Identify the computer name and IX IP address of the central station.
● Check that the MultiKM license is activated on the central station.
c. Select Configuration > MultiKM > Enable and start the MultiKM application
on the central station.
2. At any one of the central stations that is already in this keyboard and mouse group:
a. Log onto Webmin locally.
b. Select Configuration > MultiKM > Configure and start the MultiKM application.
3. Under Other computers, check that the computer names of the central stations
to be added or removed from the keyboard and mouse are displayed in the list.
4. Select Add, and enter the computer name and IX IP address in the format
Cic_Name (IX IP ), for each central station to be added to the keyboard and mouse
group.
5. Select Next.
6. Arrange the computer names to match the physical layout of the central station
in this group.
7. Select Finish.
8. On the Multimouse application, select Hide.
9. Remove any extra keyboards, but leave the mouse devices connected.
Dividing keyboard and mouse groups
To divide a keyboard and mouse group into two groups (e.g., Group 1 and Group 2),
complete the following procedure:
1. Note the computer names along with CARESCAPE Network IX IP address of each
central station located in the group (e.g., A, B, C, D, E, and F).
2. Determine how you want to divide the group (e.g., Group 1: A, B and C and Group
2: D, E and F).
3. Go to central station A.
a. Log onto Webmin locally.
b. Select Configuration > MultiKM > Configure and start the MultiKM application.
c. On the Multimouse applicaton, select Configure.
4. Create Group 1.
a. On the Change Configuration window, remove the names of the central
stations not included in Group 1:
Because the primary central station is the device that has the mouse and
keyboard connected to it, the computer name and IX IP address of this device
will not be displayed in the Other computers list. This prevents you from
accidentally removing the only device with the mouse and keyboard from a
keyboard and mouse group.
i. Under Other Computers, select the computer name and IX IP address of
the central station to remove from the group (e.g., D) and select Remove.
ii. Repeat to remove additional central stations from this group (e.g., E and F).
If any central station is taken off an existing MultiKM group for any reason,
you must remove that central station from the existing group.
b. On the Change Configuration window, select Next.
c. Arrange computer names to match the physical layout of the central station
in this group.
● Check that there are no gaps between the virtual displays.
If there are gaps between the virtual displays, intermittent display access
may occur.
● Check that the X and Y axis are aligned correctly.
If the X and Y axis are not aligned correctly, intermittent screen access
may occur.
d. Select Finish.
e. On the Multimouse application, select Hide.
f. Check that the MultiKM application is running on each central station in the
keyboard and mouse group.
5. Create Group 2.
a. Determine which central station in Group 2 will be the primary device and
connect a mouse and keyboard to it.
b. From any one of the central stations that will be in Group 2 (e.g., D, E, or F) log
onto Webmin locally.
c. Select Configuration > MultiKM and start the MultiKM application.
d. Under Other computers, check that the computer names of the central
stations to be added or removed from the keyboard and mouse are displayed
in the list.
e. Select Add, and enter the computer name and IX IP address in the format
Cic_Name (IX IP ), for each central station to be added to the keyboard and
mouse group.
f. Select Next.
g. Arrange the computer names to match the physical layout of the central
station in this group.
h. Select Finish.
i. On the Multimouse application, select Hide.
j. Remove any extra keyboards, but leave the mouse devices connected.
The central station can provide an intranet browser for viewing other applications
(e.g., the Hospital Information System) or other sources of patient data (e.g., labs,
images, or MUSE Cardiology Information System data).
To configure Browser Favorites, complete the following procedure:
1. Log onto Webmin.
2. Select Configuration > Browser.
3. In Please enter a name for this favorite, enter the name that will identify this
website in the Browser Favorites menu.
4. In IP Please enter an IP address or URL (webpage address), enter the internet
address (IP address) of this website.
5. In Please select a favorite type, select the appropriate option.
● MUSE with frames.
● MUSE without frames.
● Standard webpage.
6. Select Create Favorite.
Deleting Browser Favorites
You cannot delete the pre-configured LocalConfig or LocalWebmin favorites from the
list of Browser Favorites.
To delete Browser Favorites, complete the following procedure:
1. Log onto Webmin.
2. Select Configuration > Browser.
3. Under Delete Favorite, select the appropriate option and select Delete Favorite.
Configuring Citrix
The central station can provide a Citrix client for viewing other applications (e.g., the
Hospital Information System) or other sources of patient data (e.g., labs, images,
or MUSE Cardiology Information System data). Access to a Citrix server depends
upon how your central station is configured and your on-site information technology
offerings.
All audio notification, including alarm is disabled for Citrix applications.
To configure a Citrix client, complete the following procedure:
1. Obtain the Citrix configuration (.ica file) for the Citrix server from the institution’s IT
administrator or biomedical department.
2. Log onto Webmin.
3. Select Configuration > Citrix.
4. In User Name, enter the appropriate user name as dictated by the Citrix
application.
5. In Password, enter the password as dictated by the Citrix application.
6. In Server Type, select Single Server or Farm Server.
7. From Select Encryption, select None or Basic.
Configuring EMR
The central station can print the Event Review Strip Report to a PDF file which is then
automatically sent to an institution’s EMR in HL7 format for storage and later review.
NOTE Only EMR/Integration Engines that have a capability to handle
base64 encoded embedded PDF shall have this feature
usable.
6. In Sending Facility, capture the facility used for sending the data to
EMR/Integration Engine. This field has been defaulted to GE Healthcare and
can be modified during configuration.
7. In Receiving Application, enter the name of the application receiving data from
central station.
8. In Receiving Facility, enter the name of the facility housing the device receiving
the data from central station.
9. In Require HL7 Acknowledgement, there are two options:
‒ Yes: Central station will wait for an acknowledgement for the sent HL7
message.
‒ No: Central station will not wait for an acknowledgement and consider all the
sent HL7 messages are successfully transferred to EMR/Integration Engine.
10. In HL7 Version: Select the version of HL7 message the EMR/Integration Engine
is equipped to handle.
Central station supports the HL7 versions: 2.3, 2.4, and 2.6 only.
11. In Override HL7 Version: Sub versions of the central station compatible HL7
version can be entered manually, which will override the HL7 version selected
in the drop down. For example, 2.3.1.
12. In HL7 Result Status, select either of the two options:
‒ F: Final Results
‒ R: Results entered – not verified
13. In HL7 Patient Class, select the appropriate patient class as applicable to the HL7
version selected. The following patient class options are available:
‒ I: Inpatient
‒ O: Outpatient
‒ R: Recurring patient
‒ P: Preadmit
‒ B: Obstetrics
‒ E: Emergency
14. Use Visit Number as Account Number in HL7, there are two options:
‒ Yes: Use central station visit number as account number in HL7 message.
‒ No: Account number field (PID-18) will be left blank in HL7 message.
Disabling EMR functionality
To disable EMR functionality, complete the following procedure:
1. Log onto Webmin.
2. Select Configuration > EMR.
3. In EMR/Integration Engine Configuration, select Remove Settings. This will
remove all the server configuration.
4. Select Save.
Certificate management
Certificate Management is used to configure Webmin with an X.509 certificate from
a trusted certificate authority. The institution typically performs this function. To
create a secure socket layer (SSL) key and certificate signing request (CSR), complete
the following procedure:
Generating a certificate
To generate a certificate, complete the following procedure:
1. Log onto Webmin.
2. Select Configuration > Certificate Management > Certificate Signing Request.
3. From Server name, select the appropriate option: Server name. Any hostname or
User specified hostname
4. In Email address: Enter the email address of the institution requesting the SSL
key and CSR.
5. In Department: Enter the name of the department requesting the SSL key and
CSR.
6. In Organization: Enter the name of the hospital, as stated in the official
documentation.
7. In City or locality: Enter the city in which the hospital is located, as stated in the
official documentation.
8. In State: Enter the state in which the hospital is located, as stated in the official
documentation.
9. In Country code: Enter the two-digit ISO country code.
10. From RSA key size, select the appropriate option: RSA key size:. Default (2048)
or User specified RSA key size.
11. In Days before expiry: Enter the number of days before the SSL expires.
12. Select Create Now.
Uploading a certificate
To upload a certificate, complete the following procedure:
1. Request an authenticated certificate from a Certificate Authority (CA).
2. Once the authenticated certificate is received, log onto Webmin.
3. Select Configuration > Certificate Management > Upload Certificate.
WARNING When using a video splitter with the central station, calibration
may be possible with only one of the displays connected to
the video splitter. This is because changing calibration for
one display will affect the calibration of all other displays
connected to that same video splitter.
When using displays connected to a video splitter, only the
last display calibrated will have proper calibration. Manual
measurements should be made from that display only.
The Central and Unit Name are used to identify this central station and unit on the
network.
Once the Unit Name is set, and the central station is in clinical use, avoid changing
the Unit Name. Changing the Unit Name deletes all Full Disclosure data and the list of
telemetry monitoring devices stored on the central station. You must re-enter that
data after you change the Unit Name.
To configure the Central and Unit Name, complete the following procedure:
1. Log onto the central station service mode.
2. From the Multi-Viewer menu, select Setup > Central Defaults.
3. In Central, enter up to four characters for this central station’s name. The
following rules apply:
● Allowed characters are 0-9, A-Z, and hyphen (-).
● The central station name must be unique and relevant to its location (e.g., CS1).
4. Check that you have the correct Unit Name for the central station.
Once a unit is selected in Setup, the central station immediately obtains default
settings from that unit. Selecting Cancel within Setup will not undo these changes.
5. In Unit, enter up to seven characters for the Unit Name and select Enter or select
the appropriate option from the displayed list. The following rules apply:
● Allowed characters are 0-9, A-Z, and hyphen (-).
● The Unit Name must be unique and relevant to its location (e.g., ICU1). The Unit
Name is used to identify this unit on the network.
● The Unit Name must be entered correctly.
● If any other central stations are intended to have the same Unit Name, make
sure the Unit Names match exactly. If the Unit Names do not match, the
central station will be considered to be out-of-unit.
6. Select the appropriate option:
● Apply: Save the changes without closing the window.
● Cancel: Disregard the changes and close the window.
● OK: Save the changes and close the window.
7. On the Multi-Viewer title bar, check that the Central and Unit Name are:
● Correct and spelled correctly.
● Relevant to the location.
6. From Show Patient Name for Admitted Patients, select the appropriate option:
● Yes: Display the name of the patient in the patient window title bar.
● No: Do not display the name of the patient in the patient window title bar.
The display of patient names on the mirror and remote central stations will be the
same as the configuration of the primary central station.
7. Under Parameter Font Setup, select Apply Color Set to Parameter to use the
parameter waveform color for the parameter numerics. White is the preset.
8. Under Parameter Font Setup, select the appropriate option:
● Standard Font: Use the smaller font for the parameter numerics.
● Large Font: Use the larger font for the parameter numerics.
This option may reduce the number of parameters that display on the patient
Multi-Viewer window. To view all monitored parameters, select the Single
Viewer.
9. Select the appropriate option:
● Apply: Save the changes without closing the window.
● Cancel: Disregard the changes and close the window.
● OK: Save the changes and close the window.
10. On the Multi-Viewer, check that the following are configured correctly:
● Number of columns and rows of patient windows
● The Unit Names are displayed or hidden, as appropriate
● The patient names are displayed or hidden, as appropriate
● Color and font size of the parameters
When a mirrored central display is configured, the following behavioral rules apply:
● It is recommended that the mirrored central display license set quantity is equal
to the number of bed/view licenses on the primary central station. If there is a
quantity mismatch on the mirror central display, an error message is displayed
stating that there are not enough display licenses.
● The title bar of the mirrored central display displays mirror of [CIC SELECTED].
● The user cannot change the display configuration on the mirrored central display.
● Auto Display is disabled at the mirrored central display. However, it is still active
on the primary central station. You must select Setup > Display Configuration >
Disable Auto Display Button at the primary central station.
● If the user selects new parameters or colors to view on one display, that view is not
mirrored on the other display.
● For central stations belonging to a mirror group (i.e., either a central station that
is being mirrored (primary) or a central station that is a mirror of another), certain
operations performed on one central station in this group apply to all central
stations within the group. These operations include locking and unlocking patient
Multi-Viewer windows, assigning or removing monitoring devices from patient
Multi-Viewer windows, and moving or swapping monitoring devices from one
patient Multi-Viewer window to another.
● Each mirrored central display must be configured to mirror the primary central
station. The system does not support daisy chained mirrors, mirroring a mirrored
central display.
The following mirror configuration is allowed:
3. Under Default Print Location, select the printer where the following print requests
will print:
These default locations are used for telemetry monitoring device patient
Multi-Viewer windows only and determine where patient data prints for either
manual or alarm conditions.
● Manual: Printer for all manual patient data printing.
● Alarm: Printer for all automatic alarm printing.
● Print Window: Printer for all manual historical data printing.
Some bedside monitors do not support this option.
4. Under Waveforms, select the order in which waveforms will print:
● ECG 1: ECG lead for the first waveform to be printed.
● Waveform 2: ECG lead or parameter for the second waveform to be printed.
● Waveform 3: ECG lead or parameter for the third waveform to be printed.
● Waveform 4: ECG lead or parameter for the fourth waveform to be printed.
5. From Transmitter Graph, select the appropriate option from the displayed list for
manual telemetry monitoring device printing.
6. From Alarm Graph, select the appropriate option from the displayed list for
telemetry monitoring device alarm printing.
7. From Event Marker Graph, select the appropriate option from the displayed list
for telemetry monitoring device event marker printing.
8. Select the appropriate option:
● Apply: Save the changes without closing the window.
● Cancel: Disregard the changes and close the window.
● OK: Save the changes and close the window.
4. Under Lead Analysis, select the leads for ECG and arrhythmia data processing:
● Single Lead: Processes the Display Lead.
● Multi-Lead: Processes leads I, II, III, V, AVR, AVL, and AVF.
5. From Va Lead, select the appropriate option to label the lead position.
6. From Vb Lead, select the appropriate option to label the lead position.
Vb Lead is only supported for telemetry monitoring devices when a 6-leadwire
ECG cable is used.
7. Select the appropriate option:
● Apply: Save the changes without closing the window.
● Cancel: Disregard the changes and close the window.
● OK: Save the changes and close the window.
8. Log onto the central station alarm service mode.
9. From the Multi-Viewer menu, select Setup > Telemetry Unit Defaults.
10. Under Arrhythmia, select the arrhythmia detection level:
● Full: Enable all arrhythmia detections at the bedside monitor. For ECG
supported parameters, see the user’s manual.
● Lethal: Enable only lethal arrhythmia detections at the bedside monitor.
Selecting this option also changes PVC Limit to Off.
● Off: Disable all arrhythmia detections at the bedside monitor.
This setting is only available if Allow Arrhythmia Off on this Central is set to Yes.
11. From ST Analysis, select the appropriate option to determine if ST displays in
the parameter window.
12. Under Detect Pace, select the pacemaker detection mode:
● Pace 1 or Pace 2: Enable the pace algorithm.
● Off: If the monitoring device only supports a single pace detection algorithm
and allows the pacemaker detection mode to be remotely enabled and
disabled from the central station, selecting Off disables the pace algorithm at
the central station and the bedside monitor.
Some acquisition devices (e.g., PSM) do not support Pace 1. If Pace 1 is selected at
the central station, the settings will automatically be changed to Pace 2.
13. Select the appropriate option:
● Apply: Save the changes without closing the window.
● Cancel: Disregard the changes and close the window.
● OK: Save the changes and close the window.
5. Under Unit License Default, view the Full Disclosure License Type enabled on
this central station.
When viewing an earlier version of the central station, the license duration
maximum displays as 72 hours, even if the unit maximum is 96 hours or 144 hours.
If the Unit License Default does not match the actual license, Full Disclosure will
not work.
6. Under Strip Printing, select the appropriate options:
● Hole Location: Select the appropriate option to include space for binding the
printed report:
■ none: Leave no space for binding.
■ top: Leave space for binding on the top of the page.
■ bottom: Leave space for binding on the bottom of the page.
■ left: Leave space for binding on the left side of the page.
■ right: Leave space for binding on the right side of the page.
● Report Number: Enter up to 50 characters of information (e.g., report type,
hospital name and address) to display in the footer of an FD Strip Report PDF
files.
These settings apply to the central station being configured only; they do not
apply to all central stations in the unit.
7. Under Offline Storage, select the number of minutes a monitoring device can be
removed from the network before the stored Full Disclosure data is converted
into an inactive session, and select Yes to confirm that you want to change the
time period.
8. Under Start Data Storage, select the appropriate option to determine when Full
Disclosure data storage begins.
● Automatically for all beds: Automatically detects admitted beds that are
not currently storing Full Disclosure data anywhere and attempts to start
Full Disclosure on one of the in-unit central stations. This works whether the
bed was admitted directly at the bedside monitor or the central station. Full
Disclosure cannot be stopped on a particular bed until the bed is discharged.
● Automatically if listed: Same as Automatically for all beds, but only if the
bed in question is entered under Bed List. All other beds are not storing Full
Disclosure data.
● Manual: Beds are not automatically storing Full Disclosure data upon
admission. Clinicians can manually start and stop Full Disclosure for a
particular bed by using a button located on the FD Strip page in the Single
Viewer. All Full Disclosure data is deleted when Full Disclosure is stopped for a
bed.
9. Under Bed List, select the beds that will collect and store Full Disclosure data on
this central station when Start Data Storage is set to Automatically if listed.
10. Under Non-ECG events, select the Disable option if the storing of Non-ECG events
in the central station needs to be disabled.
6. To add a new Graphic Trends Group custom default, complete the following
procedure:
a. From Customize Graphic Trends, select the keyboard button to add a new
Graphic Trends Group.
b. Enter up to 10 characters for the Graphic Trends Group name.
c. Under Groups, select the Graphic Trends Group name.
d. Under 1 Select parameter, select the appropriate parameter.
e. Under 2 Choose action, select the appropriate option:
● Change: Remove the parameter and replace it with a parameter from the
displayed list.
● Remove: Delete the parameter from the Graphic Trends Groups.
7. To delete a Graphic Trends Group, complete the following procedure:
a. Under Groups, select the appropriate Graphic Trends Group name.
b. Select Delete Group.
NOTE The CRG group can not be deleted.
8. Select Close.
9. In the Single Viewer window, select the Graphic Trends Groups custom default
button you created.
10. Check that the Graphic Trends Groups custom default displays properly.
5. On the Multi-Viewer, check that the pressure value displays in the following unit
of measurement:
● mmHg if the language of the central station is set to any language other than
Chinese.
● kPa if the language of the central station is set to Chinese.
WARNING AUDIO ALARMS — Audio alarms will not sound at the central
station when a bedside monitor is configured for use in
operating rooms.
WARNING AUDIO ALARM TONES — Use the same audio alarm tones for
all monitoring devices within the same unit to reduce the
chance of difficulty differentiating between alarm priority
levels based on audio alarm tones which could result in
missed higher priority alarm.
WARNING Telemetry alarm audio off remains off until manually turned
back on.
Audio alarm tones can be configured for IEC or Legacy alarm tones. IEC alarm tones
are 60601-1-8 compliant. Legacy alarm tones match the tones used on legacy GE
monitoring devices. The following tables describe the alarm tones by alarm priority
level:
IEC audio alarm tones
HIGH priority MEDIUM LOW priority INFORMATIONAL
Alarm condition
level priority level level priority level
Physiological Repeats pattern
Repeats pattern Repeats pattern
and technical of two * 5-beep None
of 3-beep tones of 1-beep tone
alarms tones
Physiological
Repeats pattern Repeats pattern
(patient status) 1-beep tone None
of 3-beep tones of 2-beep tones
alarms
Technical
Repeating
(system status) Not applicable Single foghorn None
foghorn
alarms
When more than one alarm occurs at the same time, the central station will sound an
alarm tone for the highest priority alarm. Any lower priority alarms are suppressed by
the higher priority alarm.
All clinical application custom defaults, including alarm-level defaults and service-level
defaults, must be received from the GE Clinical Application Specialist (CAS) or from
the nursing director of the unit.
As a protective measure against inadvertent or incorrect changes to alarm priority
levels or parameter limits. The following options are available:
● Central stations configured for the same Unit Name can be changed to prevent
individual clinicians from changing alarm-level defaults. For more information, see
the Configuring Central and Unit Name service-level defaults.
● Licenses that allow changing alarm-level defaults can be deactivated as needed for
each central station individually. For more information, see the Licenses chapter.
To configure the alarm-level defaults, complete the following procedure:
1. Log onto the central station alarm service mode.
2. From the Multi-Viewer menu, select Setup > Central Defaults.
3. In Volume Current, select the alarm volume percent from the list.
This current alarm volume setting determines the actual alarm volume.
4. In Volume Minimum, select the alarm volume percent from the list.
The minimum alarm volume in user mode cannot be adjusted below this set value.
5. From Low Priority Alarm Audio OFF, select the appropriate option:
● Yes: Sound an audio alarm tone.
● No: Do not sound an audio alarm tone.
6. From Alarm Audio Off Reminder, select the appropriate option:
● Yes: Sound an audio reminder when audio alarms are turned off.
● No: Do not sound an audio reminder when audio alarms are turned off.
If the Alarm Audio Off Reminder option is enabled in the Set Flags Module, you
cannot change this setting.
7. From IEC Alarm Tones, select the appropriate option:
● Yes: Use the IEC alarm tones.
● No: Use the Unity alarm tones.
For information about the clinical application functions of the central station, see
the user’s manual.
License packages
The following license packages are available:
Package License codes
Patient management ADTF, LVAS, and MNSU
Review EVDR, EVRW, EVPD, TDGR, TDPD, TDVS, FDST, and FDCL
FD Page and Real-time trends FDPR and TDRT
View LVSL, LVMV, and LVEN
Mirror LVSM, LVMV, and LVEN
Full Disclosure FD24, FD48, FD72, FD96, and FD6D
For information regarding the listed packages, contact your local GE representative.
Activating licenses
Using the Activation Code Summary Sheet, activate the license(s) as appropriate by
performing the following.
Uploading license file
WARNING UNMONITORED BEDS — Failure to have enough patient
Multi-Viewer window licenses for the total of both hard-wired
beds and telemetry beds in a unit may result in unmonitored
beds and a potential to miss audio and visual alarm
notification for those unmonitored beds.
To upload the license file to the central station from the service computer, complete
the following procedure:
1. Insert a USB memory stick into the service computer's USB connection/interface.
2. Locate the license file on the service computer.
3. Check that the license file name matches the central station serial number.
For example, a central station with serial number SNF15109396PA should have a
license file name of SNF15109396PA.txt.
The central station serial number can be found in the following locations:
● Multi-Viewer title bar
● The serial number label on the processing unit
4. Save the license file to the USB memory stick.
5. Safely remove the USB memory stick.
6. Check that the licenses identified on the Activation Code Summary Sheet were
activated on the central station.
A license is installed when an activation code displays and the activation icon
appears green in color.
7. Safely remove the USB memory stick.
8. Store the USB memory stick and the Activation Code Summary Sheet in a safe and
accessible location. The option activation codes are required for disaster recovery.
9. Safely restart the central station.
The central station must restart before the user can use any of the newly
activated features.
Activating licenses via a service computer
License activation codes can be retrieved from a service computer via a USB memory
stick or the service computer hard drive.
To activate licenses automatically using the service computer, complete the following
procedure:
1. Set up the service computer network properties and connect a cross over cable
from the service computer Ethernet interface/connection to the central station IX
Network interface/connection.
2. Log onto Webmin from the service computer. For more information, see Logging
on Webmin remotely (78).
3. Select Configuration > Licensing.
4. In the Add/Remove Feature Activation Codes window, select Browse and
navigate to the location of the stored <Serial number of central station>.txt
license activation file on the service computer.
5. Select Open.
6. Select Upload to load the licenses onto the central station.
7. Store the media containing the <serial number of central station>.txt license
activation file and the Activation Code Summary Sheet in a safe and accessible
location. The option activation codes are required for disaster recovery.
8. Safely restart the central station.
The central station must restart before the user can use any of the newly
activated features.
3. Next to the license to be activated, enter the activation code in the Activation
Code text box. If the license is deactivated, select Activate before entering the
activation code.
4. Select Activate.
5. Repeat steps 3 and 4 for each of the purchased licenses to be activated.
6. Store the USB memory stick and the Activation Code Summary Sheet in a safe and
accessible location. The option activation codes are required for disaster recovery.
7. Safely restart the central station.
The central station must restart before the user can use any of the newly
activated features.
Deactivating/reactivating licenses
Temporarily deactivating licenses
To temporarily disable a license, complete the following procedure:
1. Log onto Webmin.
2. Select Configuration > Licensing.
3. Select Deactivate for the appropriate license.
4. Check that the Activation Code text box is grayed out for the deactivated license.
5. Safely restart the central station.
To make sure the central station hardware remains in proper operational and
functional order, a proper maintenance schedule must be observed. GE recommends
that maintenance be performed by service personnel, every 12 months after original
installation, and the FRU replacement checkout procedures be performed each time
the unit is serviced.
The following is the recommended maintenance schedule:
Task Schedule
Visual inspection of the equipment. Every 12 months
Cleaning Every 12 months
Power source tests. Every 12 months
Electrical safety tests. Every 12 months
Check the operation of the input devices and
Every 12 months
displays.
Every 12 months or whenever the
Perform the Functional checkout procedures.
performance of the system is in question.
Perform maintenance of the keyboard, Periodic.
mouse, display, processing unit enclosure, See the documentation accompanying the
and associated cabling. device for schedule information.
After completing all hardware installation and configuration steps, perform the
installation checkout procedures to confirm proper operation before clinical use.
Cleaning
For information on cleaning, see the user’s manual.
Writer maintenance
Changing writer paper
To change the writer paper, complete the following procedure:
1. Press the button on the front of the writer to open the writer door.
2. Remove the old spool and install a new paper roll. For more information, see
the writer technical manual.
If using paper with the thermal coating (printable surface) on the inside of the roll,
such as those sold by GE, install the paper roll so that it unrolls from the bottom.
Reverse this (have the paper unroll from the top), if the printable surface is on the
outside of the roll. The paper must be oriented so that the printable surface side
(the shiny side) of the paper must be in contact with the print head assembly,
not the roller assembly.
3. Close the door. Make sure the paper protrudes from the opening.
4. Test the writer by initiating a test strip.
5. Remove the test strip by tearing downward.
To assure maximum trace image life, thermal paper should be stored separately in
manila folders or polyester or polymide protectors. Plastic document protectors,
envelopes, or sheet protectors made of polystyrene, polypropylene, or polyethylene
will not degrade thermal traces in themselves. However, these materials afford
no protection against fading from other sources. Use only mounting forms and
pressure-sensitive tapes made with starch or water-based adhesives.
To avoid deterioration or fading of traces, follow these precautions for unused paper
and printed graph strips:
● Store in a cool, dark location. Temperature must be below 27°C (80°F). Relative
humidity must be between 40 and 65%.
● Avoid exposure to bright light or ultraviolet sources (e.g., sunlight, florescent
lighting).
● Do not store thermal paper with any of the following:
■ Carbon or carbon-less forms.
2. Connect the power cord of the device under test to the power receptacle on the
leakage tester.
3. Set the power switch of the device under test to ON.
4. Read the current leakage indicated on DMM. If either reading is greater than the
appropriate specification below, the device under test fails. Contact GE.
5. Set the polarity switch on the leakage tester to RVS (reverse).
6. Read the current leakage indicated on DMM. If either reading is greater than the
appropriate specification below, the device under test fails. Contact GE.
● 300 μA (0.3 volts on the DMM), and the device under test is powered from
100-120 V/50-60 Hz.
● 300 μA (0.3 volts on the DMM), and the device under test is powered from a
centered-tapped 200-240 V/50-60 Hz, single-phase circuit.
● 500 μA (0.5 volts on the DMM), and the device under test is powered from a
non-center-tapped, 200-240 V/50-60 Hz, single-phase circuit.
7. Set the power switch of the device under test to OFF.
Use the Check Centrals utility to check that the central station’s time zone, IP
addresses, and subnet mask are configured correctly. The utility provides the following
information on all the central stations on the network:
● Time zone settings
● Daylight saving time (DST) status
2. If the monitoring device is connected to the CARESCAPE Network IX, follow these
steps to verify the connection:
a. If a laser printer is not configured, configure a network laser printer.
b. Check that a test page is successfully printed.
c. If Citrix access is configured, launch any available application.
d. Check that the application is available through Citrix.
3. At the top of the Multi-Viewer, confirm that the name of the mirrored central
display is displayed as MIRROR of XXXX (XXXX is the name of the intended primary
central station).
Before starting any detailed troubleshooting, check for the following conditions:
● Check that all cable connections are secure and properly seated.
● Check that all components are connected properly.
● Check that all devices are properly powered.
● Check that the electrical wall outlet is operating properly.
● Check that the stable power source, if connected, is working properly.
● Check that there are no errors reported after running the Check Centrals utility.
Item Issue
● Fraying or other damage.
● Bent prongs or pins.
Item Issue
● Moisture, dust, or debris (top and bottom).
● Loose or missing components.
● Burn damage or smell of over-heated components.
Circuit boards ● Socketed components not firmly seated.
● PCB not seated properly in edge connectors.
● Solder problems: cracks, splashes on board,
incomplete feedthrough, prior modifications, or repairs.
● Loose wires or ground strap connections.
Ground wires/wiring ● Faulty wiring.
● Wires pinched or in vulnerable position.
Loose or missing screws or other hardware, especially
Mounting hardware
fasteners used as connections to ground planes on PCBs.
● Faulty wiring, especially AC outlet.
The Environment Monitor dialog box will display Please contact your Biomedical or
Service department immediately.The following Parameter(s) are out of the normal
Range message and then list the specific device failures:
● Power supply - 1.8V out of range (X - X). Currently: X V.
● Power supply - 3.3V out of range (X - X). Currently: X V.
● Power supply - 5V out of range (X - X). Currently: X V.
● Power supply - 12V out of range (X - X). Currently: X V.
● Power supply - VCCP out of range (X - X). Currently: X V.
● System environment monitor driver is not available.
● The Automatic Daylight Savings Time Checkbox is enabled.
● Warning! Available system resources are running low. System restart is
required to correct the problem. Patients will not be monitored at this Central
while the System is restarting. If the system is not restarted now, it will restart
automatically in approximately X minutes. When this message displays, a
countdown timer shows the amount of time remaining until the central station will
automatically initiate a complete system reboot to attempt to repair the system. A
complete system reboot will cause a temporary loss of all functionality.
When any System Resource Monitor or Environment Monitor message displays, select
OK to acknowledge the message and close the dialog box. Then contact authorized
service personnel as soon as possible.
Some bedside monitor (e.g., CARESCAPE Monitor B850) technical messages will not
display at the central station, including:
● Lead change
● Faulty Cable
● All CO technical messages
● Some NBP technical messages
● Resp Curve information message
● APNEA deactivated information message
The following messages display on the central station. An asterisk (*) indicates that
a message may display throughout the Single Viewer. Under all circumstances, the
message, description, and action are the same.
Messages that originate from the network or monitoring devices are not listed in this
manual. For more information, see the documentation accompanying the monitoring
device.
Message Location Description Action
The monitoring device
The indicated arrhythmia alarm configuration
Patient Multi-Viewer alarm condition was dictates whether this
ACC VENT
window/Single Viewer* detected by the message requires user
monitoring device. action to resolve (remove
from the display).
Attempting to admit
Are you sure you want to a new patient to a
Select one of the
assign a NEW PATIENT Admit / Discharge telemetry monitoring
displayed options.
to this slot? device admitted on the
central station.
Attempting to discharge a
Are you sure you want to patient from a monitoring Select one of the
Admit / Discharge
DISCHARGE this patient? device admitted on the displayed options.
central station.
Attempting to move
a patient from one
Are you sure you want monitoring device Select one of the
Admit / Discharge
to MOVE this patient? admitted to the central displayed options.
station to another
monitoring device.
Attempting to manually
Are you sure you want Select one of the
FD Strip stop Full Disclosure data
to stop Full Disclosure? displayed options.
collection.
Indicates that arrhythmia
Check the monitoring
Patient Multi-Viewer detection at the
ARR OFF device’s arrhythmia
window/Single Viewer* monitoring device is
detection settings.
disabled.
Automatic or manual
print request was Verify the writer is turned
initiated, but the writer is on and the paper is
Patient Multi-Viewer installed correctly.
SAVING in use or not functioning.
window/Live View
The most recent print If the problem persists,
request is saved until the contact authorized
writer is available to print. service personnel.
The monitoring device
The indicated arrhythmia alarm configuration
Patient Multi-Viewer alarm condition was dictates whether this
TACHY
window/Single Viewer* detected by the message requires user
monitoring device. action to resolve (remove
from the display).
Attempt to admit a
patient by manually
Searching for patient
entering the patient
There is no ADT server information on a Hospital
Admit / Discharge information. If the
present. Information System (HIS)
problem persists, contact
was unsuccessful.
authorized service
personnel
Error messages
Message/symptom/issue Possible cause Recommended action
A Printer Name must be
The printer name was not
specified. Please go back and Enter a valid printer name.
specified.
re-enter a printer name.
Wait a few seconds and retry
the search request. If this
Error response returned from The information from the server
does not resolve the problem,
picklist server is not valid and cannot be used.
try entering different search
criteria.
Try entering different search
Invalid picklist query The search request is not valid.
criteria.
Monitoring device has The Patient Age has not been Set the Patient Age at the
incomplete data set at the monitoring device. monitoring device.
The 12SL auto mode is on at the Turn 12SL auto mode off at the
Monitoring device in auto mode
monitoring device. monitoring device.
12SL analysis is not available
Monitoring device in combo The monitoring device is in
when the monitoring device is
mode Combo monitoring mode.
in combo mode.
One or more leads are
Monitoring device in LEADS FAIL Check for disconnected leads.
disconnected.
No matches found for the There are no valid matches for Try entering different search
picklist request the search request. criteria.
1. Remove the USB memory
A USB memory stick other than stick.
the stick containing the reload
Operating system missing 2. Reboot the central station.
image is connected to the
central station. The central station software
should come back normally.
The correct boot order is:
An incorrect boot order in the ● First Boot Device — USB
Operating system does not boot
system BIOS is the most likely ● Second Boot Device — SSD
from the USB memory stick
cause.
● Third Boot Device — IBA GE
Slot 010
● The server is not present on
the network. Contact the institution’s
Picklist server is not available ● There are network problems information technology
and the search cannot be department.
performed now.
Communication to the server
Request time out, cancelling Wait a few seconds and retry
has failed and the search
request the search request.
request is cancelled.
There are network problems
The Hospital Information Server and the search cannot be
Server off network is either not available or not performed now. Wait a few
present. seconds and retry the search
request.
Boot failure
WARNING If a USB memory stick other than the USB memory stick
containing the reload image is connected to the central
station, remove the USB memory stick prior to rebooting.
Otherwise, the message Operating system missing will be
displayed.
Re-image failure
Re-image failure may be caused due to the following 2 scenarios:
1. Cyclic redundancy check (CRC) verification check fails
2. Ghosting fails
When either of the above failure occurs, the system will display the below
corresponding error message, along with the instructions to copy the error log to a
USB memory stick:
● CRC verification failed, system may not be usable.
***Note: Copy the error file before reboot.
To copy, follow the below procedure:
Insert a writable USB memory stick to CSCS.
Click on Copy Error File Button.
GHOSTERR.TXT file will be copied to the writable USB memory stick.
● Ghost restore failed, system may not be usable.
***Note: Copy the error file before reboot.
To copy, follow the below procedure:
Insert a writable USB memory stick to CSCS.
Click on Copy Error File Button.
GHOSTERR.TXT file will be copied to the writable USB memory stick.
Display issues
Blank screen
If the central station displays a blank screen, it could have been caused by one of
the following issues:
● Abrupt power failure
● No stable power source
● Loose cables, connectors, or connections
● Internal component is loose
To resolve this issue, complete the following procedure:
1. Check that all the displays and the central station are plugged into a no stable
power source.
2. Check that all cables are properly seated.
3. Check that all components are connected correctly.
4. Check that the electrical wall outlet is operating properly.
5. Check that the power cords are operating properly.
6. Shut down and unplug the central station from the electrical wall outlet.
7. Follow the ESD guidelines.
8. If necessary, connect the display(s). For more information, see the documentation
accompanying the display.
Blue screen
WARNING LOSS OF MONITORING — If monitoring at the central station
is temporarily interrupted, alternative monitoring devices
or close observation of the patients must be used until the
monitoring function at the central station is restored.
Indications of a loss of monitoring at the central station are
as follows:
● A red screen indicates the central station is restarting itself
and monitoring at the central station is not occurring.
Monitoring at the central station will automatically resume
in less than 30 seconds. No user action is required.
● A blue screen indicates the Windows operating system has
a functional error and monitoring at the central station
is not occurring.
If the central station does not automatically restart after 120
seconds, monitoring at the central station will not resume
until you turn off the central station then turn it back on using
the power on/off switch. Monitoring should resume in less
than three minutes.
Once monitoring at the central station has been restored,
check the monitoring state and alarm system function.
If monitoring is not restored, contact authorized service
personnel.
If the central station displays a blue screen, it could have been caused by the Windows
operating system encountering a functional error.
Red screen
WARNING LOSS OF MONITORING — If monitoring at the central station
is temporarily interrupted, alternative monitoring devices
or close observation of the patients must be used until the
monitoring function at the central station is restored.
Indications of a loss of monitoring at the central station are
as follows:
● A red screen indicates the central station is restarting itself
and monitoring at the central station is not occurring.
Monitoring at the central station will automatically resume
in less than 30 seconds. No user action is required.
● A blue screen indicates the Windows operating system has
a functional error and monitoring at the central station
is not occurring.
If the central station does not automatically restart after 120
seconds, monitoring at the central station will not resume
until you turn off the central station then turn it back on using
the power on/off switch. Monitoring should resume in less
than three minutes.
Once monitoring at the central station has been restored,
check the monitoring state and alarm system function.
If monitoring is not restored, contact authorized service
personnel.
MultiKM issues
Unable to use MultiKM
If the user is unable to use the MultiKM application, the MultiKM license may be
missing or the MultiKM feature may not be configured.
To correct this issue, activate the MultiKM license and perform the required
configuration. For more information, see the instructions provided in this manual to
configure MultiKM.
Time issues
Viewing time zone settings
To view the settings, complete the following procedure:
1. Log onto Webmin.
2. Select Information > Configuration Information.
3. Scroll down to Timezone Settings.
Printer issues
Printer button grayed out when viewing stored patient data
If the printer button is grayed out and cannot be selected when displaying stored
patient data, the laser printer may not be configured correctly or there may be
restricted support from the monitoring device.
To resolve this issue, check the following:
● Check the printer settings for the laser and Full Disclosure printers. From the
Multi-Viewer menu, select Setup > Central Defaults > Printer/Writer.
● Check that the bedside monitor supports this type of print.
● Try printing a test page on the printer.
1. Check that the monitoring device is listed as a compatible bedside monitor for
ST record acquisition and storage into Full Disclosure. For more information, see
the compatible devices section in the user manual.
2. Check that the monitoring device is capable of 12SL analysis.
3. Check that the monitoring device is being full disclosed.
4. Check that the central station has the ST Review license enabled.
5. Check that the central station is set up in secondary display configuration.
6. Check that the monitoring device is using a 6- or 10- lead ECG cable. Note that a
6-lead cable can only be used if the bedside monitor is capable of 12RL.
7. Check that enough time (approximately one to three minutes) has elapsed after
12SL acquisition has started.
8. If a compatible CARESCAPE monitoring device is being used:
a. Select Procedures > 12 Lead Analysis > Settings.
b. If ACI-TIPI is ON, check that a value is entered in all fields marked with a red
asterisk.
9. Check if certain arrhythmias (e.g., VTACH, ASYSTOLE) are occurring at the
monitoring device for long periods of time. If so, ST records may not be available
during those times.
10. Check that the patient demographic information has been entered as necessary
for the monitoring device to perform 12 lead analysis (e.g., age, gender).
Log files
Downloading log files
If contacting GE, the following log file information may be required.
To download log files, complete the following procedure:
1. Log onto Field Service windows account.
2. Log onto Webmin.
Webmin diagnostics
Viewing operating system hotfixes and service pack
information
To view this diagnostic information, complete the following procedure:
1. Log onto Webmin.
2. Select Information > OS Hotfix Information.
Transmitter Receiver
LED Meaning Unit Unit Result Resolution
Link Transmitter Green - Solid Green - Solid Good Operation
Unit:
Established Off Green - Solid Transmitter not Recycle Power to
link with linking to DP MP200 Unit
the Display Source - MP200
Port Source Green - Solid Off Receiver not Recycle Power to
(MP200) linking to Remote Display
Receiver Unit: Display Port
Established Sink - Remote
link with the Display
Display Port
Sink (Remote
Display)
WARNING In order to remove power from the central station, turn off
power switch then disconnect the power cord from the wall
outlet. The power switch on the back panel of the processing
unit does not disconnect the central station from AC power.
Additionally, wait 40 seconds after disconnecting the central
station power cord from the wall outlet. The unit remains
energized for a period of time after shutdown.
All external connector inputs and outputs of the device are protected from
electrostatic discharge (ESD) damage. However, if the interior of the device needs to
be accessed for any reason, internal components and assemblies are susceptible
to ESD damage. This includes human hands, non-ESD protected workstations, and
improperly grounded test equipment.
The following guidelines help make a service workstation more resistant to ESD
damage:
● Discharge any static charge you may have built up before handling semiconductors
or assemblies containing semiconductors. This can be done by touching any bare
metal on the chassis, the cable connector jacks or the ground post on the back of
the unit. Do this frequently and repeatedly while working on the unit.
● Wear a grounded, antistatic wristband (3M part number 2046 or equivalent) or heel
strap at all times while handling or repairing assemblies containing semiconductors.
● Use properly grounded test equipment.
● Use a static-free work surface (3M part number 8210 or equivalent) while handling
or working on assemblies containing semiconductors.
● Keep the work surface free of nonconducting materials such as ordinary plastic
assembly aids and foam packing.
● Do not remove assemblies containing semiconductors from antistatic containers
(Velo-stat bags) until absolutely necessary.
● Make sure power to an assembly is turned off before removing or inserting a
semiconductor.
● Do not slide electrical/electronic assemblies across any surface.
● Semiconductors and electrical/electronic assemblies should be stored only in
antistatic bags or boxes.
These guidelines cannot guaranty a 100% static-free workstation, but greatly reduce
the potential for failure of any electrical/electronic assemblies due to electrostatic
discharge.
The user should use STRAP DISPOSABLE ESD WRIST for FRU replacement.
Supported FRUs
Part number Description
2082290-001 FRU MP200 DISPLAY FRONT ASSEMBLY
2082292-001 FRU MP200 DESKTOP CPU FRONT COVER
2082293-002 FRU MP200 CPU ASSEMBLY
2082294-001 FRU MP200 POWER SUPPLY WITH CABLES
2082295-002 FRU MP200 SSD, MSATA, 256GB
2082296-001 FRU MP200 DUAL SPEAKERS WITH HARNESS
2082300-001 FRU MP200 STAND ALONE DISPLAY PCB
2082301-001 FRU MP200 DESKTOP CPU STAND
2082302-001 FRU MP200 COMM EXPRESS MODULE
2082303-001 FRU MP200 CARRIER PCB
2082304-001 FRU MP200 4GB RAM
2082322-001 FRU MP200 AC INLET MODULE
2082323-001 FRU MP200 2A SB FUSES
5. Slide and lift the processing unit cover off the chassis.
Number Description
1 Screws
2 Processing unit cover
6. Slide and then lift the display cover carefully off the chassis.The multi-purpose
cable and the LVDS cable will be fixed to the stand-alone display controller PCB.
Lift the stand-alone display cover to avoid causing damage to those cables and
connectivity.
7. Carefully disconnect the Multi-purpose and LVDS cable from the processing
unit carrier PCB.
8. Remove the M4x6 screw holding the ground cable and then remove the M4x8
screw holding the cable clamp on the LVDS cable.
9. Place the display to the side.
Number Description
1 Multi-purpose cable
2 LVDS cable
3 Ground cable
22. Complete the Replacing the stand-alone display controller PCB checkout
procedure.
Number Description
1 Multi-purpose cable
2 LVDS cable
3 Four M4 shoulder screws
4 Seven M2x4 screws
14. Complete the Replacing the integrated processing unit and stand-alone display
front display assembly checkout procedure.
Number Description
1 Front display assembly
2 Multi-purpose cable
3 LVDS cable
4 M4x6 screw
26. Connect the speaker cable to the processing unit carrier PCB.
27. Connect the power supply cable to the processing unit carrier PCB.
28. Replace the processing unit cover.
29. Complete the Replacing the processing unit COMM express module checkout
procedure.
Number Description
1 Seven M2x4 screws
2 Four screws
3 J5 latch
5. Check that the temperature/voltage values fall within the following specifications.
● System Voltage (5V): 4850 - 5250 mV.
● System Voltage (12V): 11400 - 12600 mV.
● CPU Temperature: 5 to 90°C.
● Enclosure Temperature: 5 to 70°C.
6. Log onto the Field Service windows account.
7. Log onto the Webmin.
8. Select Webmin > Diagnostics > Preventative Maintenance > COMM Port Test to
check that the COMM ports have been configured.
21. Remove the SSD from the failed Processing unit and add the SSD to the new
processing unit.
22. Replace the processing unit cover.
23. Complete the Replacing the processing unit carrier PCB checkout procedure.
Number Description
1 Seven M2x4 screws
2 Four M4 shoulder screws
3 J5 latch
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity.
● Testing ground wire leakage current.
● Testing enclosure leakage current.
3. Check that the time-of-day and date settings are correct.
4. Check that all purchased licenses have been activated:
a. From the Multi-Viewer menu, select Setup > Licensing.
b. Check that the enabled licenses match the Activation Code Summary Sheet
for this central station.
5. Check that all applicable units have been added to this central station's network:
a. From the Multi-Viewer menu, select Other Patients.
b. Check that the displayed list shows all units that should be networked.
6. Check that the pressures values displays in mmHg for all language configurations
except Chinese. Chinese language configurations should display in kPa.
7. Log onto Webmin as Field Service account.
8. Select Configuration > Remote Services > Control to check that the Remote
Services have been enabled.
9. Select Information > Printer Information to check that the printers have been
configured.
10. Select Diagnostics > Preventative Maintenance > Store Integrity Test to check
the integrity of system files. Check that there are not any extra, invalid, or missing
files.
11. Select Diagnostics > Preventative Maintenance > Audio Test to check the audio
alarm function.
12. Select Diagnostics > Preventative Maintenance > Video Test to check that the
video card and driver(s) are functioning.
13. Select Diagnostics > Runtime Diagnostics > Temp/Voltage Info to check that the
temperature/voltage values fall within the following specifications.
● System Voltage (5V): 4850 - 5250 mV.
● System Voltage (12V): 11400 - 12600 mV.
● CPU Temperature: 5 to 90°C.
● Enclosure Temperature: 5 to 70°C.
14. Log onto Field Service windows account.
15. Select Diagnostics > Preventative Maintenance > COMM Port Test to check that
the COMM ports have been configured.
16. Select Diagnostics > Preventative Maintenance > BIOS Information to check
that the BIOS Version is ALASKA - 1072009 Ver 04.06.04.
17. Select Diagnostics > Preventative Maintenance > Drive Test to check that the
flash drive operating information is correct.
18. Select Diagnostics > Preventative Maintenance > Watchdog Test to check that
the Watchdog countdown test reboots the central station.
19. Check the central station system status messages/proactive system monitoring
is not displaying any messages that need attention.
20. Check that the MultiKM application is running on each central station in the
configured keyboard and mouse group.
21. Check the FD Page print settings.
22. Check the Flash Drive integrity.
The central station application must be stopped before you can check for disk
errors on a disk drive. To test the read/write integrity of the flash drive, complete
the following procedure:
1. Log onto the Field Service windows account.
2. Log onto Webmin.
3. Select Diagnostics > Runtime Diagnostics > Disk Status Info.
4. From Disk Information, select the C: drive and then select Show. This will test the
C drive partition.
5. Check for errors. If errors are found, see the Troubleshooting chapter.
6. From Disk Information, select the D: drive and then select Show. This will test the
D drive partition.
7. Check for errors. If errors are found, see the Troubleshooting chapter.
8. From Disk Information, select the F: drive and then select Show. This will test the
F drive partition.
9. Check for errors. If errors are found, see the Troubleshooting chapter.
10. From Disk Information, select the G: drive and then select Show. This will test the
G drive partition.
11. Check for errors. If errors are found, see the Troubleshooting chapter.
Replacing RAM
To replace the processing unit RAM, complete the following procedure:
1. To remove the desktop processing unit cover (MAS700), see Removing the desktop
processing unit cover (207).
To remove the integrated processing unit cover (MAI700), Removing the integrated
processing unit cover (208).
2. For desktop processing unit (MAS700): Remove the seven M4x6 screws that
mounts the processing unit carrier PCB to the chassis.
For integrated processing unit (MAI700): Remove the remaining five M4x6 screws
around the processor board.
3. Remove the four M4 shoulder screws that connect the processing unit.
The threads on the shoulder screws have Loctite applied. Do not apply too much
torque when removing as the standoffs that these screws go in to may break.
4. Remove the two screws that connect the desktop ports (located underneath
the two DP ports).
5. Remove the power supply cable from the processing unit.
6. Remove the speaker cable from the processing unit.
7. Rotate the processing unit up and locate the RAM slot that holds the processing
unit RAM.
8. Slide the RAM latch and remove the RAM from the COMe-cOH6 T56N slots.
9. Insert the new X-DDR3 RAM into the lower slot of COMe-cOH6 T56N.
10. Clean off thermal grease with an Isopropyl Alcohol (IPA) wipe.
11. Remove the existing thermal pad and replace with new pad from kit.
12. Apply the new thermal grease as supplied in the kit.
13. Rotate the processing unit down and align it to the chassis.
14. Connect the speaker cable to the processing unit carrier PCB.
15. Connect the power supply cable to the processing unit carrier PCB.
16. Continue to re-assemble in reverse order.
17. Complete the Replacing the processing unit RAM checkout procedure.
Number Description
1 Seven M4x6 screws (Desktop processing unit (MAS700))
1 Six M4x6 screws (Integrated processing unit (MAI700))
2 One M4x8 screws (Integrated processing unit (MAI700))
3 Four M4 shoulder screws
4 One 4 GB RAM
5 COMe-cOH6 T56N slots
4. Select Diagnostics > Runtime Diagnostics > Temp/Voltage Info to check that the
temperature/voltage values fall within the following specifications.
● System Voltage (5V): 4850 - 5250 mV.
● System Voltage (12V): 11400 - 12600 mV.
● CPU Temperature: 5 to 90°C.
● Enclosure Temperature: 5 to 70°C.
5. Select Diagnostics > Preventative Maintenance > Drive Test to check that the
flash drive operating information is appropriate
6. Select Webmin > Diagnostics > Preventative Maintenance > Store Integrity
Test to check the integrity of system files. Check that there are not any extra,
invalid, or missing files.
7. Check the central station system status messages/proactive system monitoring
is not displaying any messages that need attention.
Number Description
1 Two M3X8 screws
2 AC inlet slot
3. Open the fuse nob and remove the fuse(s) from the processing unit / standalone
display fuse holder.
4. Insert the new fuse(s) into the fuse holder and close the processing unit /
standalone display fuse nob.
5. Insert the fuse holder into the power supply module.
6. Complete the Replacing the fuses checkout procedure.
12. For integrated processing units, insert the LVDS cable carefully on the specified
slot and fasten the M4x6 screw that connects the ground lug.
13. For integrated processing units, slide the J5 latch and reconnect the multi-purpose
cable.
14. Fasten the two screws that connect the desktop ports.
15. Connect the speaker cable to the processing unit.
16. Connect the power supply cable to the processing unit.
17. Replace the processing unit cover.
18. Complete the Replacing the processing unit assembly checkout procedure.
14. Select Diagnostics > Preventative Maintenance > Store Integrity Test to check
the integrity of system files. Check that there are not any extra, invalid, or missing
files.
15. Select Diagnostics > Preventative Maintenance > Audio Test to check the audio
alarm function.
16. Select Diagnostics > Preventative Maintenance > Video Test to check that the
video card and driver(s) are functioning.
17. Select Diagnostics > Runtime Diagnostics > Temp/Voltage Info to check that the
temperature/voltage values fall within the following specifications.
● System Voltage (5V): 4850 - 5250 mV.
● System Voltage (12V): 11400 - 12600 mV.
● CPU Temperature: 5 to 90°C.
● Enclosure Temperature: 5 to 70°C.
18. Log onto the Field Service windows account.
19. Log onto Webmin.
20. Select Diagnostics > Preventative Maintenance > COMM Port Test to check that
the COMM ports have been configured.
21. Select Diagnostics > Preventative Maintenance > BIOS Information to check
that the BIOS Version is ALASKA -1072009 Ver 04.06.04.
22. Select Diagnostics > Preventative Maintenance > Drive Test to check that the
flash drive operating information is appropriate.
23. Select Diagnostics > Preventative Maintenance > Watchdog Test to check that
the Watchdog countdown test reboots the central station.
24. Check the central station system status messages/proactive system monitoring
is not displaying any messages that need attention.
25. Check the flash drive integrity.
26. Check that the power LED is on after the processing unit is powered up.
7. Complete the Replacing the processing unit mSATA SSD checkout procedure.
The central station must be re-imaged when the processing unit mSATA SSD is
replaced.
Number Description
1 Two M2x4 screws
2 mSATA SDD
6. Select Diagnostics > Runtime Diagnostics > Temp/Voltage Info to check that the
temperature/voltage values fall within the following specifications.
● System Voltage (5V): 4850 - 5250 mV.
● System Voltage (12V): 11400 - 12600 mV.
● CPU Temperature: 5 to 90°C.
● Enclosure Temperature: 5 to 70°C.
7. Check the central station system status messages/proactive system monitoring
is not displaying any messages that need attention.
The central station application must be stopped before you can check for disk
errors on a disk drive. To test the read/write integrity of the flash drive, complete
the following procedure:
1. Log onto the Field Service windows account.
2. Log onto Webmin.
3. Select Diagnostics > Runtime Diagnostics > Disk Status Info.
4. From Disk Information, select the C: drive and then select Show. This will test the
C drive partition.
5. Check for errors. If errors are found, see the Troubleshooting chapter.
6. From Disk Information, select the D: drive and then select Show. This will test the
D drive partition.
7. Check for errors. If errors are found, see the Troubleshooting chapter.
8. From Disk Information, select the F: drive and then select Show. This will test the
F drive partition.
9. Check for errors. If errors are found, see the Troubleshooting chapter.
10. From Disk Information, select the G: drive and then select Show. This will test the
G drive partition.
11. Check for errors. If errors are found, see the Troubleshooting chapter.
4. Remove the connector pins that are connected to the power supply assembly.
5. Replace the new power supply assembly.
6. Reconnect the connector pins that are connected to the power supply assembly.
7. Fasten the four M3x30 standoff screws that connect the power supply assembly.
8. Replace the power supply cover and fasten the four screws that connect the
power supply assembly to the chassis.
9. Replace the processing unit / standalone display cover.
10. Complete the Replacing the power supply assembly checkout procedure.
Number Description
1 Pan head screws
2 Four M3x30 standoff screws
10. Complete the Replacing the processing unit speaker assembly checkout
procedure.
Number Description
1 Screws
2 Speaker assembly connector
3 Left side speaker
4 Right side speaker
Reloading software
CARESCAPE Central Station software version 2.1 is designed to operate on the
processing unit hardware platforms and cannot be installed on earlier versions of
central station hardware.
If possible, perform the following tasks prior to reloading the software:
● Print out the configuration information for the central station. In Webmin, select
Information > Configuration Information.
● Record bed lists and transmitter numbers. From the Multi-Viewer menu, select
Setup > Current Telemetry Listings.
● Create a backup file of the system settings. For more information, see Backing
up system settings.
To reload the central station software, complete the following procedure:
1. Safely shut down the central station.
2. Disconnect the central station from IX and MC Network.
3. Insert the USB memory stick containing the central station software image into
a USB connection/interface on the central station.
NOTE Do not insert the USB memory stick in the USB ports
located near the display ports.
6. When the message Existing data will be erased, are you sure you want to
continue? displays, select Ok.
● A check for platform type, determined by the product code, will be performed.
If the platform check is successful, the image restore will proceed. Otherwise,
the image restore process is cancelled.
● The image restore/reload process runs once for the flash (solid-state) drive. In
addition, the system screen flashes two more times to perform internal image
checks.
● The following messages are displayed upon a successful restore:
■ Remove the USB stick then reboot the system
7. Remove the USB memory stick.
8. Power down and power up the central station using the power switch.
Upon first boot, the screen will be blank for a few minutes, and then the following
warning messages will be displayed:
● Warning: SETUP IS IN PROGRESS, DO NOT CLOSE THIS WINDOW.
● Warning: IGNORE System Setting Change RESTART MESSAGE BOX, DO NOT
CLICK ‘Restart Now or Restart later’ BUTTON.
● Info: SYSTEM WILL REBOOT AUTOMATICALLY IN APPROXIMATELY 2 MINUTES.
9. If a System Settings Change dialog box prompts you to restart the machine, do
not select Yes, No, or close the dialog box at this time. The software will address
this automatically.
If you manually restart the system at this time, the system may not boot up
normally or it may boot up in an unstable condition and will not be suitable for
patient monitoring.
10. Delete the manufacturing user.
To delete manufacturing user, complete the following procedure:
a. Switch to the Field Service windows account.
b. Log onto Webmin.
c. Select Diagnostics > Manufacturing > Delete User.
d. Select Delete User.
2. To perform a full restore using a USB memory stick, complete the following
procedure:
a. Switch to the Field Service windows account.
b. Disconnect the central station from the CARESCAPE Network IX and
CARESCAPE Network MC.
c. Connect the USB memory stick containing the backup file to the central
station USB interface.
d. Log onto Webmin.
e. Select Configuration > Settings > Restore.
f. Select Browse to select a backup file from the USB memory stick.
g. On the Choose file window, navigate to the directory where the backup file is
located.
h. Select the backup file with the serial number that matches the central station
to be restored, and select Open.
i. Select Upload.
j. Reconnect the central station to the CARESCAPE Network IX and CARESCAPE
Network MC and select Restore and the system automatically reboots.
k. Remove the USB before system reboots.
NOTE Do not disturb the process until clinical application
starts.
2. To perform a partial restore using a USB memory stick, complete the following
procedure:
a. Switch to the Field Service windows account.
b. Disconnect the central station from the CARESCAPE Network IX and
CARESCAPE Network MC.
c. Connect the USB memory stick containing the backup file to the central
station USB interface.
d. Log onto Webmin.
e. Select Configuration > Settings > Restore.
f. Select Browse to select a backup file from the USB memory stick.
g. On the Choose file window, navigate to the directory where the backup file is
located.
h. Select the backup file with the serial number that matches the central station
to be restored, and select Open.
i. Select Upload.
j. Select the settings (any or all) to be restored.
k. Reconnect the central station to the CARESCAPE Network IX and CARESCAPE
Network MC and select Restore and the system automatically reboots.
l. Remove the USB before system reboots.
NOTE Do not disturb the process until clinical application
starts.
a. If the unit has only one working central station, establish alternate monitoring.
b. Log onto Webmin.
c. Select Configuration > Software Management.
d. Select the radio button next to the software packages (clinical application or
service application) you need to activate.
e. Select Activate Software.
f. From the Legal Statement window, select appropriate option.
The central station activates the selected software and automatically reboots.
This process takes approximately five minutes to complete.
If the activation process fails, you must re-image the central station using
the USB memory stick containing the image included in the software kit you
purchased.
g. Re-configure MultiKM on the central station and complete the checkout
procedures.
9. Complete the software checkout procedures.
Multiple segments
A message is comprised of multiple segments. Segments are identified as either
required or optional, and some may be repeated. Each segment within the HL7
message is separated by special segment separator characters.
Data elements
Each segment contains various data elements. The data elements may be of varying
lengths. Like the segments, they are separated from each other by special separator
characters. Certain data elements and their separators are logically grouped
together to create a data segment such as the message header segment or the
patient identification segment. Except for the segment separator characters, the
data contained in HL7 messages typically consists of displayable ASCII characters.
Each data segment begins with a three-character value, for example “MSH” for the
message header segment. These three characters uniquely identify the segment
within a given message. Based on the HL7 encoding rules, each message within the
HL7 protocol has a known structure. The data segments and data fields that comprise
a given message are always the same. As a result, an individual data field can be
found within a message simply by knowing its configured position in a segment.
HL7 communication
HL7 messages are passed between computer systems whenever the user initiates
the HL7 outbound transaction in event review workflow. After a message is sent, the
receiving system processes the message. When processing is complete, the receiving
system is designed to generate an application level acknowledgment that is returned
to the sending system. Since the HL7 standard provides flexibility in message content
and format, and in communication protocol options, its implementation requires
agreement between the sending and receiving computer systems on the following
items:
● Message Formats
● Acknowledgment Protocol
● Communication Protocol
● Data Handling
This document is intended to provide instructions only for implementing and using
the HL7 standard for CSCS V2.1 or later.
Client/Server connections
HL7 Outbound
The central station transfers the HL7 message to the HIS server through TCP/IP socket
connection. Any HIS that communicates with central station must act as a server. The
central station tries to open a connection on a pre-configured IP address and port and
the connection is established then it will transfer the HL7 message.
HIS disconnection or network outage
If the central station or the HIS server connection is interrupted from the network (e.g.,
cable disconnected, etc.), the message transfer will fail. If the connection fails, the
central station will retry to connect after 5 seconds for three times. If this also fails,
then it will retry between 4 to 6 minutes for 10 times. Even then if the connection fails,
central station will stop trying to connect.
GE recommends that the HL7 acknowledgment option in central station’s Webmin
configuration must be enabled.
Where:
MSH
PID
PV1
{
OBR
OBX
[NTE]
}
All message segments are terminated using a segment separator character, which
defaults to a carriage return.
The open and closed braces { } represent segments and segment groups.
Segments enclosed in square brackets [ ] are optional.
Trailing data fields for a segment are truncated if empty.
Fields list
The following are the field list for each segment in ORU^R01 message.
MSH segment
The MSH segment defines the intent, source, destination, and some specifics of the
syntax of a message.
Sequence Length HL7 data type Optionality Used in CSCS Element Name
1 1 ST R Yes Field Separator
2 4 ST R Yes Encoding Characters
3 227 HD O Yes Sending Application
4 227 HD O Yes Sending Facility
5 227 HD O Yes Receiving Application
Sequence Length HL7 data type Optionality Used in CSCS Element Name
6 227 HD O Yes Receiving Facility
PID segment
The PID segment is used by all applications as the primary means of communicating
patient identification information. This segment contains permanent patient
identifying and demographic information that, for the most part, is not likely to
change frequently.
Sequence Length HL7 data type Optionality Used in CSCS Element Name
1 4 ST O Yes Set ID - PID
2 20 CX B No Patient ID
3 250 CX R Yes Patient Identifier List
Sequence Length HL7 data type Optionality Used in CSCS Element Name
4 20 CX B No Alternate Patient ID – PID
5 250 XPN R Yes Patient Name
6 250 XPN O No Mother's Maiden Name
Sequence Length HL7 data type Optionality Used in CSCS Element Name
35 705 CWE C No Species Code
36 705 CWE C No Breed Code
37 80 ST O No Strain
38 705 CWE O No Production Class Code
39 705 CWE O No Tribal Citizenship
PV1 segment
The PV1 segment is used by Registration/Patient Administration applications to
communicate information on an account or visit-specific basis.
Sequence Length HL7 data type Optionality Used in CSCS Element Name
1 4 SI O Yes Set ID – PV1
Patient Class (Value
can be configured from
2 1 IS R Yes
Webmin. The default
value is “I”)
Assigned Patient
3 80 PL O Yes
Location
4 2 IS O No Admission Type
5 250 CX O No Pre-admit Number
6 80 PL O No Prior Patient Location
7 250 XCN O No Attending Doctor
8 250 XCN O No Referring Doctor
9 250 XCN B No Consulting Doctor
10 3 IS O No Hospital Service
11 80 PL O No Temporary Location
12 2 IS O No Pre-admit Test Indicator
13 2 IS O No Re-admission Indicator
14 6 IS O No Admit Source
15 2 IS O No Ambulatory Status
16 2 IS O No VIP Indicator
17 250 XCN O No Admitting Doctor
18 2 IS O No Patient Type
19 250 CX O Yes Visit number
20 50 FC O No Financial Class
21 2 IS O No Charge Price Indicator
22 2 IS O No Courtesy Code
23 2 IS O No Credit Rating
24 2 IS O No Contract Code
Sequence Length HL7 data type Optionality Used in CSCS Element Name
25 8 DT O No Contract Effective Date
26 12 NM O No Contract Amount
27 3 NM O No Contract Period
28 2 IS O No Interest Code
Transfer to Bad Debt
29 4 IS O No
Code
Transfer to Bad Debt
30 8 DT O No
Date
31 10 IS O No Bad Debt Agency Code
Bad Debt Transfer
32 12 NM O No
Amount
Bad Debt Recovery
33 12 NM O No
Amount
34 1 IS O No Delete Account Indicator
35 8 DT O No Delete Account Date
36 3 IS O No Discharge Description
37 47 DLD O No Discharged to Location
38 705 CWE O No Diet Type
39 2 IS O No Servicing Facility
40 1 IS B No Bed Status
41 2 IS O No Account Status
42 80 PL O No Pending Location
43 80 PL O No Prior Temporary Location
44 24 DTM O No Admit Date/Time
45 24 DTM O No Discharge Date/Time
46 12 NM O No Current Patient Balance
47 12 NM O No Total Charges
48 1212 NM O No Total Adjustments
49 12 NM O No Total Payments
50 250 CX O No Alternate Visit ID
51 1 IS O No Visit Indicator
Other Healthcare
52 250 XCN B No
Provider
OBR segment
In the reporting of clinical data, the OBR serves as the report header. It identifies the
observation set represented by the following atomic observations. It includes the
relevant ordering information when that applies. It contains many of the attributes
that usually apply to all included observations.
Sequence Length HL7 data type Optionality Used in CSCS Element Name
1 4 SI O Yes Set ID – OBR
2 427 EI C No Placer Order Number
3 427 EI C Yes Filler Order number
Universal Service
4 705 CWE R Yes
Identifier
5 2 ID B No Priority
6 24 DTM B No Requested Date/Time
Observation Date/Time
7 24 DTM C Yes (will have the time of the
message)
Observation End
8 24 DTM O No
Date/Time
9 722 CQ O No Collection Volume
10 3220 XCN O No Collector Identifier
11 1 ID O No Specimen Action Code
12 705 CWE O No Danger Code
Relevant Clinical
13 300 ST O No
Information
Specimen Received
14 24 DTM B No
Date/Time
15 300 SPS B No Specimen Source
16 3220 XCN O No Ordering Provider
Order Call-back Phone
17 2743 XTN O No
Number
18 199 ST O No Placer Field 1
19 199 ST O Yes Placer Field 2
20 199 ST O No Filler Field 1
21 199 ST O No Filler Field 2
Sequence Length HL7 data type Optionality Used in CSCS Element Name
30 20 ID O No Transportation Mode
31 705 CWE O No Reason for Study
Principal Result
32 831 NDL B No
Interpreter
Assistant Result
33 831 NDL B No
Interpreter
34 831 NDL B No Technician
35 831 NDL B No Transcriptionist
36 24 DTM O No Scheduled Date/Time
Number of Sample
37 16 NM O No
Containers
Transport Logistics of
38 705 CWE O No
Collected Sample
39 705 CWE O No Collector's Comment
Transport Arrangement
40 705 CWE O No
Responsibility
41 30 ID O No Transport Arranged
42 1 ID O No Escort Required
Planned Patient
43 705 CWE O No
Transport Comment
44 705 CNE O No Procedure Code
45 705 CNE O No Procedure Code Modifier
Placer Supplemental
46 705 CWE O No
Service Information
Filler Supplemental
47 705 CWE O No
Service Information
Medically Necessary
48 705 CWE C No Duplicate Procedure
Reason
49 2 IS O No Result Handling
Parent Universal Service
50 705 CWE O No
Identifier
OBX segment
The OBX segment is used to transmit a single observation or observation fragment. It
represents the smallest indivisible unit of a report. The OBX segment can also contain
encapsulated data, e.g., a PDF ECG Report, a CDA document or a DICOM image.
Sequence Length 7HL data type Optionality Used in CSCS Element Name
1 4 SI O Yes Set ID – OBX
2 3 ID C Yes Value Type
3 705 CWE R Yes Observation Identifier
4 20 ST C No Observation Sub-ID
Observation Value
5 99999 Varies C Yes
(Base-64 encoded PDF)
6 705 CWE O No Units
7 60 ST O No References Range
8 5 IS O No Abnormal Flags
9 5 NM O No Probability
10 2 ID O No Nature of Abnormal Test
Observation Result
Status (Based on the
11 1 ID R Yes
Webmin configuration.
The default value is “F”)
Effective Date of
12 24 DTM O No
Reference Range
User Defined Access
13 20 ST O No
Checks
NTE segment
The NTE segment is used to transmit the additional information like optional text
from central station.
Sequence Length HL7 data type Optionality Used in CSCS Element Name
1 4 SI O Yes Set ID – NTE
2 8 ID O Yes Source of Comment
Comment (Option
Text data which can
3 65536 FT O Yes be entered in Admit
Discharge screen of
central station)
4 60 CE O No Comment Type
Security features
Access controls
Access control is the overall mechanism used to determine and enforce:
● Who has access
● How access is gained
● When access is permitted
● What information may be accessed
Access and use of most medical devices must be restricted only to those persons who
are authorized to use, configure, or service the device. Otherwise, the device may
not be safe and effective, or patient privacy may be compromised. Access controls
can have both physical and electronic aspects, and include authentication and the
authorization process, which are discussed in the following sections.
When the central station boots up, it will automatically log into the fixed user context
that runs the central station application. No login is required to access the main
clinical features of this medical device due to the fact that this equipment is intended
to be operational at all times without interruption and without intervention to start
Authentication
Authentication is the process of proving individual identity, and is a key element in an
access control system. Normal clinical operation of the central station does not require
user authentication, as described earlier. Changes to the clinical configuration or to
view the central station user interface via remote desktop require user authentication.
The central station relies on user names and passwords for interfaces which require
user authentication. As mentioned previously, typical clinical usage does not require
user authentication. However, for configuration and servicing the device, multiple
login types are required depending on what is required to be viewed or changed. The
table below lists the four different authentication types present on the central station.
Interface Clinical use Installation and Authentication Password Password
servicing use type encrypted? modifiable?
Changeable
Clinical password
application required to
alarm–level n/a access the Password No Yes
configuration application
tool configuration
menus.
Fixed user name
and changeable
password.
Accessible both
at the device
and across the
Webmin service Username and
n/a CARESCAPE Yes Yes
tool password
Network IX.
GE Service
user also has
a fixed user
name and a
fixed password.
Authorization
Authorization is the process of granting and revoking an individual’s rights to access
information, functionality, or services, and is another key element in an access
control system. Although primarily an administrative process that is driven by an
organization’s policies and procedures, the central station contains features that will
help implement and enforce an organization’s method.
The central station clinical application user has been finely tuned using Group Policies
to provide only limited access to the operating system. For example, the clinical
application user does not have access to the control panel, or any sub-menu options
of the control panel. The clinical application user also cannot open an Explorer window
or directly gain access to the file system.
Audit controls
The ability to record and examine system activity is crucial to a successful information
security program, as well as compliance with regulatory requirements in many
environments.
The central station logs and stores the following events:
● Boot-up and application startup events
● System messages
● Webmin actions
The logs can be viewed using the Webmin tool.
of service attacks, and other malware. 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 the site.
The central station uses several techniques to prevent malicious software from
gaining access to the device and to minimize the potential harm:
● Only necessary services are active
● Unnecessary Windows software removed
● Built-in firewall
● Only authorized applications can be installed and executed
● Auto-run is disabled
The central station has only necessary software installed and only necessary services
running. Only approved software and services are available on the network; all other
ports and services are blocked by the built-in firewall.
Multi-purpose computers typically run several different kinds of applications, such as
E-mail, network browsers, and file sharing, which increase security risks. The central
station only includes the software needed for its intended use, thus it is less exposed
to such threats.
The operating system auto-run feature has been disabled on the central station.
Therefore, USB media infected with malware will not be automatically launched by
Windows, which further protects the central station from malware.
Malicious software protection customer responsibilities
In addition to the threat mitigations built into the central station, the customer plays a
significant role in ensuring the safe and effective operation of the device. A holistic
security defense includes the following components:
● CARESCAPE Network MC isolation
● CARESCAPE Network IX router/firewall
● Physical access controls
● User training
The customer is responsible to ensure that only approved devices are installed on
the CARESCAPE Network MC and CARESCAPE Network IX. The CARESCAPE Network
MC shall be isolated from the customer’s enterprise network, via physical or virtual
isolation (VLANs). The CARESCAPE Network IX may be connected to the hospital
enterprise network; however, the CARESCAPE Network IX router/firewall, or an
equivalent firewall, must bridge the CARESCAPE Network IX and hospital enterprise
network to only allow known network traffic from the hospital enterprise network
into the CARESCAPE Network IX.
The customer is also responsible to ensure that the central station is installed in a
location where unauthorized users are prevented from physical access to the device.
Care should also be taken to ensure that any physical displays are only visible to the
intended users so that protected healthcare information is not seen by unauthorized
users.
Lastly, the customer is responsible to ensure that any users of the central station are
trained on the use of the product, including acceptable use.
Antivirus programs
Antivirus programs are designed to detect known malicious programs that might have
infected a computer. They perform this by periodically scanning files stored on the
computer and sometimes by monitoring read and write activities, including starting
of programs, and by comparing the data against known patterns which must be
updated regularly in order to detect the latest threats.
When used with general-purpose computers, antivirus programs work well in most
cases and offer a reasonable level of protection. However, when used with medical
devices, the antivirus programs pose several problems. CPU or memory consumption
can change in unpredictable and harmful ways due to many antivirus program factors.
These factors include that antivirus programs are additional programs regarding the
intended use, they consume additional processor time and memory space, and the
antivirus program updates. Due to the updates, the function of the antivirus program
itself may change in unpredictable ways. The updates may cause the medical device
to fail in its primary function. This means that the updates must be validated before
use and continuous automatic updates from network cannot be used.
Special purpose medical devices may be based on a standard operating system,
but if properly designed and configured, they are reasonably safe against malware
threats without extra antivirus programs. An antivirus program would not increase
the security noticeably; instead, it would increase probability of problems.
Desktop security
The central station contains additional features to improve local operational security.
Session timeouts are enabled for both the Webmin service tool and the remote desktop
tool. A Webmin session will automatically timeout after 15 minutes of inactivity. The
remote desktop tool will automatically log out after 30 minutes of inactivity.
Data protection
Data protection and privacy are often driven by administrative policies and procedures
of the customer. The central station contains functionality that may help implement
data protection initiatives.
The central station persistently stores physiological data from bedside monitors and
telemetry monitoring devices for retrospective viewing via clinicians. Also, this data is
automatically deleted after a period of time based on the licenses the customer has
purchased. See the central station user manual for more information. Lastly, this data
cannot be exported via media such as USB devices, further protecting the patient’s
privacy and confidentiality.
Security operations
Security operations are best implemented as part of an overall defense in depth
information assurance strategy and are used throughout an Information Technology
system that addresses personnel, physical security and technology. The layered
approach of defense in depth limits the risk that the failure of a single security
safeguard will allow compromise of the system. Defense in depth resources can be
found at: http://www.globelearn.com/disa/resources.htm.
Network security
GE strongly recommends that medical devices are operated in a network environment
that is separate from a site’s general purpose computing network. There are many
effective techniques for isolating medical devices on a secure sub network, including
implementing firewall protection, demilitarized zones (DMZs), Virtual Local Area
Networks (VLANs) and network enclaves.
To assist in secure network design, the following network profile outlines the required
network services for the telemetry server. See the Networking disclosure to facilitate
network risk management appendix.
Remote service
Often the most efficient and cost effective manner for GE to provide service is to
connect to the central station remotely. Every effort is made to check that this
connection is as secure as possible.
Typical service and administration of the central stations is performed using Webmin,
either via the central station built-in browser or via a remote browser. Webmin users
must be authenticated prior to gaining access.
The central station initiates all InSite ExC connectivity via HTTPS to port 443 of the GE
InSite ExC enterprise servers listed below. Since HTTPS over port 443 is a standard
communication method over the Internet, most institution firewalls require no
configuration changes to support InSite ExC. The institution may enable or disable
InSite ExC connectivity at their discretion.
● https://us1-ws.service.gehealthcare.com
● https://us1-rd.service.gehealthcare.com
MDS2 statement
Additional information regarding the telemetry server cyber security features can
be found in the telemetry server Manufacturer Disclosure Statement for Medical
Device Security, which can be found on the GE Security web site at the following URL:
http://www.gehealthcare.com/usen/security/index.html. Once on the page, select the
MDS2 search link on left or at the bottom of the page.
Visible gap
Prior Full
Current in Full
Time offline (discharge) Disclosure
session(s) Disclosure
session(s) data loss
data
Equal to the
≤ Offline
One None Yes amount of
Storage time
Monitoring time offline.
device Equal to the
> Offline
One One No amount of
Storage time
time offline.
No more
≤ Offline
One One Yes than five
Storage time
minutes.
Central station
No more
> Offline
One One No than five
Storage time
minutes.
● In the ICU unit, CIC1 is set up with the latest CARESCAPE Central Station software,
144 hours of Full Disclosure license is activated, and it is collecting Full Disclosure
data for BED1, SERVER.
● In the ICU unit, another central station, CIC2, is set up with the latest CARESCAPE
Central Station software, 144 hours of Discharged Data license is activated, and it
is set up to view inactive session, CLIENT A.
For CIC1 when data is fully disclosed for 144 hours and BED1 is discharged, the
following table summarizes inactive Full Disclosure data viewable from CLIENT A at
different time intervals.
Discharge Time (DC) in hours
DC + 0 hours DC + 23 hours DC + 24 hours DC + 120 hours
Full Disclosure
144 121 120 24
Stored/Available
CLIENT A
144 121 120 24
Viewable
Case 2: CARESCAPE Central Station as Full Disclosure Server: Minimum available Full
Disclosure data (FD24 license) and CARESCAPE Central Station Full Disclosure clients
ICU|CIC1 ICU|CIC2
License: FD24 License: DC6D
Full Disclosure for ICU|BED1
Server Client A
● In the ICU unit, CIC1 is set up with the latest CARESCAPE Central Station software,
24 hours of Full Disclosure license is activated, and it is collecting Full Disclosure
data for BED1, SERVER.
● In the ICU unit, another central station, CIC2, is set up with the latest CARESCAPE
Central Station software, 144 hours of Discharged Data license is activated, and it
is set up to view inactive session, CLIENT A.
For CIC1 when data is fully disclosed for 24 hours and BED1 is discharged, the
following table summarizes inactive Full Disclosure data viewable from CLIENT A at
different time intervals.
When a mirrored central display is configured, the following behavioral rules apply:
● It is recommended that the mirrored central display license set quantity is equal
to the number of bed/view licenses on the primary central station. If there is a
quantity mismatch on the mirror central display, an error message is displayed
stating that there are not enough display licenses.
● The title bar of the mirrored central display displays mirror of [CIC SELECTED].
● The user cannot change the display configuration on the mirrored central display.
● Auto Display is disabled at the mirrored central display. However, it is still active
on the primary central station. You must select Setup > Display Configuration >
Disable Auto Display Button at the primary central station.
● If the user selects new parameters or colors to view on one display, that view is not
mirrored on the other display.
● For central stations belonging to a mirror group (i.e., either a central station that
is being mirrored (primary) or a central station that is a mirror of another), certain
operations performed on one central station in this group apply to all central
stations within the group. These operations include locking and unlocking patient
Multi-Viewer windows, assigning or removing monitoring devices from patient
Multi-Viewer windows, and moving or swapping monitoring devices from one
patient Multi-Viewer window to another.
● Each mirrored central display must be configured to mirror the primary central
station. The system does not support daisy chained mirrors, mirroring a mirrored
central display.
The following mirror configuration is allowed:
1. CICA goes offline and stops Full Disclosure data collection on BED1. This causes
CICB to begin Full Disclosure data collection on BED1. The Full Disclosure Master
central station detects CICA going offline, and switches Full Disclosure data
collection over to CICB, within one minute of the offline event occurring.
2. CICA comes back online within the Offline Storage setting time frame, and
continues Full Disclosure data collection on BED1 again. At this point, CICA and
CICB are both collecting Full Disclosure data on BED1.
3. The multi-Full Disclosure rule does not allow more than one central station to
collect Full Disclosure data from the same bed at the same time. Only the data
that goes the farthest back in time (CICA) is kept. Because of this, CICA continues
collecting Full Disclosure data on BED1, and CICB stops. The already collected Full
Disclosure data in CICB is stored as an inactive session, provided the amount of
data collected is more than five minutes.
Example 2:
1. CICA goes offline and stops collecting Full Disclosure data on BED1. This causes
CICB to begin collecting Full Disclosure data on BED1. The Full Disclosure Master
central station detects CICA going offline, and switches Full Disclosure data
collection over to CICB, within one minute of the offline event.
2. CICA comes back online after exceeding the Offline Storage setting time frame.
Because of this, existing BED1 data on CICA is stored in an inactive session, and
the new BED1 data collection begins on CICA. At this point, CICA and CICB are
both collecting Full Disclosure data on BED1.
3. The multi-Full Disclosure rule does not allow more than one central station to
collect Full Disclosure data from the same bed at the same time. Only the data
that goes the farthest back in time (CICB) is kept. Because of this, CICB continues
collecting Full Disclosure data from BED1, and CICA stops.
At every wake-up cycle (one-minute interval), the Full Disclosure Master central
station scans all in-unit central stations to determine if more than one central
station is collecting Full Disclosure data from the same bed. (This can happen as
part of normal operation.) If the Full Disclosure Master central station detects this
condition, all central stations are instructed to stop collecting Full Disclosure data
from the bed except for the one central station with the oldest data for the bed.
2. A bedside monitor BED is admitted and Full Disclosure data is collected. Two
separate Full Disclosure data sessions exist, one for each monitoring device
(possibly on different central stations).
3. The two monitoring devices are put into Combo monitoring mode. When this
happens, BED* data is kept because it is older than BED data, and BED data is
stored in inactive session. Full Disclosure data collection continues, and the data
is stored as BED.
4. Combo monitoring mode is broken by discharging BED*. Full Disclosure data
collection continues, and the data is still stored as BED.
Case 4:
will span from the original time before the adjustment to the newly set time, plus
up to one additional minute.
● When the central station system time is moved backward, the Full Disclosure data
will continue to collect at the new time. However, data that had previously been
collected during the overlapping period will be deleted. A time gap of up to one
minute may appear in the data at the newly set time.
If the time happens to be set back to a point inside an existing time gap, then
the portion of the existing gap prior to the new set time will still be present.
Alarm history/event data during overlapping time is preserved. Only waveform,
parameter, and 12SL data gets purged.
Before changing the time on the CARESCAPE Network MC, review the Full Disclosure
information for all patients in the unit. If there are events which should be archived,
record this information before changing the time.
5.1 central station. To extend this example, if there were a software version 7 central
station (this version does not exist and is used here for example purposes only) in the
unit, CIC4, and if no assignment could be made to CIC1, CIC2 or CIC3, then the Full
Disclosure Master will attempt to assign the bed to CIC4.
The following provides a flowchart representation of the algorithm that the Full
Disclosure Master uses to perform bed assignments.
The following are failure conditions that would prevent a bed from being assigned
for Full Disclosure.
ST Review
The CARESCAPE Central Station software can store 12SL data for bedside monitors
with data originating in either Hilltop or Segment 50/51 format. Certain bedside
monitors have requirements before proper 12SL acquisition can begin to be gathered.
For example, some bedside monitors require that the Patient Age be set at the bedside
monitor before 12SL data can be acquired. For more information on proper setup for
12SL data generation, see the documentation accompanying the monitoring device.
● 12SL records will be stored for each bed being full disclosed, assuming the bedside
monitor is set up to transfer 12SL records. Enabling or disabling the heart icon in
the ST Review page will only allow the ability to display the icon in the Multi-Viewer,
Single Viewer, and ST Review page and display error conditions in the ST Review
page.
● ST Review requires a secondary display and an enabled license.
● 12SL data will only be stored/available for a bedside monitor if that bedside monitor
is being full disclosed at CARESCAPE Central Station software version 1 or later.
● If display of the heart icon is enabled and the central station is collecting 12SL data
for a bedside monitor, an ST Monitoring Status button/indicator will be displayed in
the Single Viewer, Multi-Viewer, and ST Review page.
● Error conditions for collecting 12SL record will be displayed as an ST Monitoring
error button/indicator in the Single Viewer, Multi-Viewer, and ST Review page.
Additional information for error conditions can be viewed by hovering over the
icon in the ST Review page only.
● If no Full Disclosure session exists for the bedside monitor on a CARESCAPE Central
Station software version 1 or later, no 12SL data will be available.
● 12SL records will be available for the same duration as that of the Full Disclosure
waveform data.
● Within or across a unit, earlier versions of the CIC Pro Clinical Information Center
software are not compatible with ST Review. For more information regarding ST
Review compatibility, contact your local GE representative.
Events
CARESCAPE Central Station can store up to 2000 events per associated Full Disclosure
session (active and inactive).
● When a Full Disclosure License Type other than None is installed and selected in
Setup > Full Disclosure Defaults , the central station will have the ability to store
up to 2000 events per session.
● If the Full Disclosure License Type of None is selected in Setup > Full Disclosure
Defaults, 500 events will be available.
● Events for active sessions are stored regardless of when the event was generated.
For example, if the event was generated 200 hours ago and the license is only 24
hours, the event will be available for viewing as long as 2000 other events have not
been generated since.
● Upon discharge or a session becoming inactive, events older than the Full
Disclosure license will be deleted.
● For an inactive session, events are deleted as the event time exceeds 144 hours.
● For sessions which do not have Full Disclosure storage, events will be displayed
from the bedside monitor. Associated Full Disclosure features, such as Annotations
and Markers, will be unavailable.
in a unit, make sure the default settings from the latest version of the central
station are applied.
Full Disclosure sessions stored at previous versions of the central station (e.g.,
Software) will only be able to provide Full Disclosure waveforms to the CARESCAPE
Central Station client.
● Previous versions of the central station (e.g., CIC Pro Clincal Information Center v4)
do not allow a Full Disclosure license to be set to greater than 72 hours. Setting a
CARESCAPE Central Station to anything greater than 72 hours will result in other
central stations in the unit to be set to 72 hours or their maximum available,
regardless of installed licenses.
● If a previous version of the central station (e.g., CIC Pro Clincal Information Center
v4) modifies Full Disclosure Defaults, it will cause a Full Disclosure Defaults update
to be sent to all other central stations in the unit. For example, a CARESCAPE
Central Station is set to 144 hours. If any configuration change is made at a
previous version of the central station (e.g., CIC Pro Clincal Information Center
v4), the CARESCAPE Central Station will revert to a 72-hour license. It is always
recommended to make unit default changes at the central station with the highest
version in the unit.
● Accessing Setup on central stations v5 or earlier and selected OK to close the
window without making changes may also cause a Full Disclosure Defaults update
to be sent to all other central stations in the unit. The user does not need to be
logged in as a service user.
● Central stations with software v5.1 or later will provide access to Full Disclosure
data for inactive sessions stored on the software version 5.1 or later for waveform
data only.
2. From the Multi-Viewer menu, select Setup > Full Disclosure Defaults.
3. Under Unit License Default, select the Full Disclosure License Type.
4. Select Apply.
5. Safely restart the central station.
4. Check that the system indicates that the Database Integrity test passed.
If the test fails:
a. Restart the central station clinical application.
Restarting the clinical application will rebuild the database.
b. Repeat the steps above for performing the Database Integrity Check.
c. If the test still fails, clear the Full Disclosure database. For more information,
see Clearing the Full Disclosure database.
Electromagnetic immunity
This device is intended for use in the electromagnetic environment specified below.
It is the responsibility of the hospital to assure that the device is used in such an
environment.
NOTE At 80 MHz and 800 MHz, the higher frequency range applies.
Essential performance
Proper operation of the CARESCAPE Central Station primary display is essential for
the safety of the user and patient. Following a transient event, the primary display
operation may be disrupted. However, it shall self-recover within 10 seconds without
user intervention.
For transmitters rated at a maximum output power not listed above, the recommended
separation distance [d] in meters (m) can be estimated using the equation applicable
1. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radio, AM and FM
radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to
fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the
equipment is used exceeds the applicable RF compliance level above, the equipment should be observed to verify normal operation. If
abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the equipment.
2. Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.
3. At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
to the frequency of the transmitter, where P is the maximum output power rating of
the transmitter in watts (W) according to the transmitter manufacturer.
NOTE These guidelines may not apply in all instances.
Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
Platform settings
● Device Asset Number
● Browser
■ Save-As-Favorite shortcuts
■ Browser bookmarks
● Citrix configuration
● EMR configuration
● Language
● Network settings
■ Primary DNS
■ Secondary DNS
● Passwords
● Printer settings
● Remote Service
■ Remote Service Configuration
Central Defaults
● Central Name
● Unit Name
● Mirror Central Display
● ECG Waveform 2
● ECG Waveform 3
● ECG Waveform 4
● Laser Printer/Writer
● DDW Printer/Writer
● Full Disclosure Printer/Writer
● Volume Current Alarm Setting
● Volume Minimum Alarm Setting
● Alarm Audio Off Reminder Alarm Setting
● IEC Alarm Tones Alarm Setting
● IEC Priority Nomenclature Alarm Setting
● Allow Telemetry Alarm Audio OFF on this Central Alarm Setting
● Allow Arrhythmia OFF on this Central Alarm Setting
● Display Real-time Trend Graph Configuration
● Color Set (Clinical, Transducer, or Custom)
Display Configuration
● Number of Multi-Viewer Columns
● Number of Multi-Viewer Rows
● Show Unit Names for in Unit Monitors
● Show Patient Name for Admitted Patients
● Function of Auto Display (Maximize Waveform Length or Maximize Number of
Waveforms)
● Disable Auto Display Button
● Apply Color Set to Parameter
● Parameter Font Setup (Standard Font or Large Font)
● Real-time BP UOM configuration (mmHg or kPa)
FD Session Search
● Session Search Mode (Normal, Partially Restricted, or Restricted)
● Session selection mode (Allow selection of multiple sessions with non-matching
PIDs)
● Session display mode (Include Active Sessions by default)
Licenses
● Installed Licenses
Citrix information
● User Name
● Password
● Server Address
● Startup Time
● Connection Timeout
● Initial Program
● Width
● Height
● Citrix encryption level
● Server address 2
● Server address 3
● Server address 4
● Citrix Server Version
Printing Attributes
● PDF print header
● PDF filename
Caliper Settings
● Customized setting under wrench icon
Set Flags
● NO COMM alarm
● Force Age Selection on Admit
● Force PID/MRN on Admit
● OUT-OF-UNIT MULTI-VIEWER ALARM AUDIO/AUDIO PAUSE
● ALL ADUs (IN-UNIT) REDUNDANTLY ALARM AUDIO
● Allow user to change “Alarm Audio Off Reminder”
● NO MULTIPLE PATIENT VIEWER SLOT ALARM SILENCING
● Allow separate settings for low priority alarm audio
● Alarm configuration settings (priority and limits)
● Password protection for restricting alarm limits and priority changes
● Frequency of alarm settings review reminders
● Multi-Viewer flashing during alarm AUDIO PAUSE
Custom defaults
Custom defaults are part of a central station’s local settings, and correspond to the
settings made using the Configuration button on the Single Viewer.
● FD Page Display Setup Time Per Line
● FD Page Display Setup Zoom
● FD Page Configure Waveforms Selected
● Graphic Trends Groups custom defaults
● Numeric Trends Groups custom defaults
■ ECG1 Waveform*
■ Waveform 2*
■ Waveform 3*
■ Waveform 4*
■ Transmitter Graph*
■ Alarm Graph*
● ECG:
■ Display Lead*
■ Arrhythmia*
■ Lead Analysis*
■ ST Analysis*
■ Va Lead*
■ Vb Lead*
■ Detect Pace*
● Patient Age*
● Transmitter Alarm Pause*
● Alarm Pause Breakthrough*
● Event Marker*
Physical network connection type 1 Gb/s IEEE 802.3 802. 3u 802.3ab specifications
10 Mbps half and full duplex, 100 Mbps half and full
Speeds and duplex modes supported
duplex, 1000 Mbps full duplex, Autonegotiate (default)
IP address — 172.X.X.X
Default IP address (from factory) Subnet mask — 255.255.0.0
Gateway — 172.18.254.254
IP addressing IPv4 static
QoS support No markings
InSite ExC
InSite ExC Value
Usage type Device servicing
GE Remote Service, Device health status
Function
Functional need notification
Licensed/optional/required Optional
Network IX Network
InSite ExC server
Communication Device/IP address
https://us1-ws.service.gehealthcare.com
partner
Network Internet
Layer 3/4 TCP
Protocols
Application protocol HTTPS
Ports 443
Direction (relative to the device) Outgoing
HTTPS proxies
HTTPS proxies Value
Usage type Network services
Function Clinical web browsing and InSite ExC
Functional need
Licensed/optional/required Optional
Network IX Network
Proxy server
Device/IP address Proxy for clinical web browsing should
Communication partner only be used for hospital-approved web
sites.
Network Hospital enterprise network
Layer 3/4 TCP
Protocols
Application protocol HTTPS
Ports Customer defined (e.g., 3128)
Direction (relative to the device) Outgoing
Reflexive Yes
Webmin: IX Network
Webmin: IX Network Value
Usage type Device servicing
Function Hospital biomed service
Functional need
Licensed/optional/required Required
Network IX Network
Device/IP address PC
Communication partner
Network IX Network
Layer 3/4 TCP
Protocols
Application protocol HTTPS
Ports 10000
Direction (relative to the device) Incoming
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization n/a
Ping: IX Network
Ping: IX Network Value
Usage type Device servicing
Network troubleshooting and Check
Function
Functional need Centrals (IX Network only)
Licensed/optional/required Required
Network IX Network
PC and other central stations for Check
Device/IP address
Communication partner Centrals
Network IX Network
Layer 3/4 ICMP
Protocols
Application protocol n/a
Ports n/a
Direction (relative to the device) Incoming and Outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization n/a
Ping: MC Network
Ping: MC Network Value
Usage type Device servicing
Function Network troubleshooting
Functional need
Licensed/optional/required Required
Network MC Network
Device/IP address Central Stations for Check Centrals
Communication partner
Network MC Network
Layer 3/4 ICMP
Protocols
Application protocol n/a
Ports n/a
Direction (relative to the device) Incoming and Outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization n/a
Web browsing
Web browsing Value
Usage type Clinical
Function Clinical web browsing
Functional need
Licensed/optional/required Optional
Printing
Printing Value
Usage type Clinical
Function Printing
Functional need
Licensed/optional/required Required
Network IX Network
Device/IP address Printer
Communication partner
Network IX Network, hospital enterprise network
Printing Value
Layer 3/4 TCP
Protocols
Application protocol RAW print protocol
Ports 9100
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization n/a
Printer status
Printer status Value
Usage type Clinical
Function Printing setup
Functional need
Licensed/optional/required Required
Network IX Network
Device/IP address Printer
Communication partner
Network IX Network, hospital enterprise network
Layer 3/4 UDP
Protocols
Application protocol SNMP
Ports 161
Direction (relative to the device) Outgoing
Reflexive Yes
Upon installation of printer on central
Transmission characterization
station
Data characterization n/a
Citrix ICA
Citrix ICA Value
Usage type Clinical
Function Connection to Citrix server
Functional need
Licensed/optional/required Licensed
Network IX Network
Device/IP address Citrix server
Communication partner
Network Hospital enterprise network
DNS
DNS Value
Usage type Network services
Function Named network address discovery
Functional need
Licensed/optional/required Optional
Network IX Network
Device/IP address DNS server
Communication partner
Network Hospital enterprise network
Layer 3/4 UDP
Protocols
Application protocol DNS
Ports 53
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization Sporadic
Data characterization n/a
MultiKM
MultiKM Value
Usage type Clinical
Function MultiKM functionality
Functional need
Licensed/optional/required Licensed
Network IX Network
Device/IP address Central stations
Communication partner
Network IX Network
Layer 3/4 TCP
Protocols
Application protocol MultiKM
Ports 5225
Direction (relative to the device) Bidirectional
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization n/a
ADT Picklist
ADT Picklist Value
Usage type Clinical
Function Cached ADT lookups
Functional need
Licensed/optional/required Licensed
Network MC Network
Device/IP address Aware Gateway, CARESCAPE Gateway
Communication partner
Network MC Network
Layer 3/4 TCP
Protocols
Application protocol Picklist XML
Ports 11111
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization n/a
Push to MUSE
Push to MUSE Value
Usage type Clinical
Function ST Reviews
Functional need
Licensed/optional/required Optional
● Loss of monitoring user inputs: Caregiver unable to interact with the system using
Touch Screen, Keypad, Remote Control, Keyboard, Mouse, or Barcode Scanner.
● Information affecting reversible but non-life-threatening clinical decisions is
incorrectly displayed or outputted.
● Stored patient monitoring waveform or parameter data is incorrectly displayed
or outputted.
● Complete loss of overall monitoring capability for more than 90 seconds and
caregiver is not normally present at patient or monitor.
Product mitigations:
● Real-time data is refreshed periodically and is cleared from display when
communication times-out with patient monitoring devices. User is notified after
continuous loss of communication with patient monitors.
● System automatically displays patient monitors not assigned to a central station
in the same care area until all open Multi-Viewer patient windows are filled. If
all unlocked Multi-Viewer patient windows are filled, user is notified when a
non-displayed patient monitor condition exists in the care area. System prevents
users from accidentally creating a non-displayed patient monitor condition.
● Audio alarms sound for non-displayed patient monitors in the care area.
● Textual alarms are displayed for all patient monitors in the care area.
● The system has both software and hardware-based self-monitoring features to
prevent software from being unresponsive for an extended period of time. When
the self-monitoring feature is disabled, the system displays an indicator on screen.
● The system automatically starts patient monitoring upon boot up or restart
including complete OS faults.
● The user is notified when preventative maintenance is recommended and when
system resources are low.
● The system uses network communication protocols that enable it to differentiate
data from patient monitoring devices and detect when data is missing or invalid.
● The system is designed so that loss of remotely connected system (i.e. MultiKM)
will not affect local user inputs, and loss of local user inputs will not affect patient
monitoring.
● The system renders laser prints as postscript files and only contains printer drivers
for supported printers.
● The system is hardened against introduction of non-validated software including
use of a firewall to limit network communications to only necessary services.
Checkout checklists
System installation checklist
Before using the central station to monitor patients, perform the following procedures
to test the system for proper function and operation in the patient care and
networking environments.
□ Visual Inspection
□ Electrical Safety tests (If it is within 12 months of manufacture you do not need to
perform Electrical Safety tests)
□ Installing the processing unit checkout
□ Status of installed licenses checkout
□ Date and time settings checkout
□ Network connectivity and printing checkout
□ Full Disclosure checkout
□ MultiKM checkout
□ Access to all other units checkout
□ Audio alarm tones checkout
□ Speaker volume checkout
□ Remote Service checkout
□ Writer checkout
□ Mirrored central display checkout
Item Presets
Volume Current 100 %
Volume Minimum 100 %
Allow Telemetry Alarm Audio OFF on this Central and Allow Arrhythmia OFF on this
Central must be set to the same value. Some central stations (e.g., CIC Pro Clinical
Information Center) only support one option (Allow Alarms OFF on this CIC).
Telemetry presets
Telemetry Unit Defaults presets
From the Multi-Viewer menu, select Setup > Telemetry Unit Defaults to display the
following presets:
Item Presets
Manual —
Default Print Location Alarm —
Print Window —
ECG 1 II
Waveform 2 V
Waveforms
Waveform 3 OFF
Waveform 4 OFF
Transmitter Graph On
Alarm Graph Always on
Event Marker Graph ON*
Item Presets
Display Lead II
Arrhythmia Full
Lead Analysis Multi-Lead
ECG ST-Analysis On*
Va Lead V1
Vb Lead V5*
Detect Pace Off
Patient Age Adult
Transmitter Audio Pause Enabled
Alarm Pause Breakthrough Always on
Event Marker ON*
Unit of
Low alarm High alarm Alarm priority level
Parameter measurement
limit presets limit presets presets
presets
RR-APNEA seconds — 20* HIGH (CRISIS) *
PVC #/min — 6 LOW (ADVISORY)
Some bedside monitors (e.g., CARESCAPE Monitor B850) may be configured to disable
SPO2 PROBE OFF alarm determination. This could result in some bedside monitors
determining the alarm condition and sending it for display at the central station while
the bedside monitor would not.
From the Single Viewer menu, select Monitor Setup > Alarm Setup to display the
following Technical Alarm Priorities presets:
Alarm condition Presets
OFF NETWORK HIGH (CRISIS)*
ARR SUSPEND HIGH (CRISIS)*
LEADS FAIL HIGH (CRISIS)*
CHANGE BATTERY MEDIUM (SYSTEM WARNING)
PROBE OFF MEDIUM (SYSTEM WARNING)
Since the telemetry monitoring device alarm priority level preset for ARR SUSPEND
is HIGH (CRISIS), if used to admit a telemetry monitoring device that latches HIGH
(CRISIS) priority alarm level, ARR SUSPEND will latch once the alarm condition has
passed. Whenever an alarm priority level is latched, alarms of lower priority will be
suppressed.
Item Presets
FD Page presets
From the Single Viewer menu, select Patient Data > FD Page , select the Configuration
button to display the following Customize FD Page presets:
Item Presets
PA ccCO
Parameter windows displayed LA-Mean ICP
in full-screen format
RA SpO2
Event
ST Review presets
From the Single Viewer menu, select Patient Data > ST Review, select the
Configuration button to display the following Customize ST Review presets:
Item Presets
Parameter Name HR
Parameter 1
Scale 50 - 150
Follow ST Median Disabled
Parameter 2 Parameter Name ST-II
Scale -2.0 - 2.0
Standard Format (I, II, III, aVR, aVL, aVF,
Waveform Format
V1-V6)
Low alarm limit High alarm limit Alarm limit range Alarm priority level
Parameters
options options custom defaults custom defaults
HR -1 to 300
ST-I -12.0 to 12.0
ST-II -12.0 to 12.0
ST-III -12.0 to 12.0
ST-V -12.0 to 12.0
ST-V2 -12.0 to 12.0
ST-V3 -12.0 to 12.0
ST-V4 -12.0 to 12.0
ST-V5 -12.0 to 12.0
ST-V6 -12.0 to 12.0
ST-aVR -12.0 to 12.0
ST-aVL -12.0 to 12.0
ST-aVF -12.0 to 12.0
NBP-S -99 to 350
NBP-D -99 to 350
NBP-M -99 to 350
SPO2 0 to 105
SPO2-R -1 to 300
RR 1 to 200
RR-APNEA — 3 to 30
PVC — 1 to 100
The CARESCAPE Central Station software ensures that the low limit alarm setting will
always be less than the high limit alarm setting.
ASYSTOLE and VFIB/VTAC alarm priority levels cannot be adjusted. They are always
set to HIGH (CRISIS).
From the Single Viewer menu, select Monitor Setup > Alarm Setup to display the
following Arrhythmia Alarm Levels custom defaults:
Alarm conditions Custom defaults
ASYSTOLE
VFIB/VTAC
The CARESCAPE Central Station alarm priority level options for the following telemetry
technical alarm conditions includes HIGH (CRISIS) and restricts the use of SYSTEM
MESSAGE (INFORMATIONAL). Some central stations (e.g., CIC Pro Clinical Information
Center) support different options as shown in the following table.
Technical Alarm Priorities
Technical Alarm Priorities
Alarm conditions options (CARESCAPE
options (CIC Pro center)
Central Station)
● HIGH (CRISIS)
● SYSTEM WARNING
● SYSTEM WARNING (MEDIUM)
CHANGE BATTERY (MEDIUM)
● SYSTEM ADVISORY
● SYSTEM ADVISORY (LOW)
(LOW)
● SYSTEM MESSAGE
● SYSTEM MESSAGE (INFORMATIONAL)
(INFORMATIONAL)
OFF NETWORK ● HIGH (CRISIS)
ARR SUSPEND ● SYSTEM WARNING
(MEDIUM)
From the Single Viewer menu, select Monitor Setup > Alarm Setup to display the
following Technical Alarm Priorities custom defaults:
Alarm conditions Custom defaults
CHANGE BATTERY
OFF NETWORK
ARR SUSPEND
LEADS FAIL
PROBE OFF
FD Page settings
From the Single Viewer menu, select Patient Data > FD Page , select the Configuration
button to display the following Customize FD Page settings:
Item Options Settings
30 seconds , 1 minute , or
Time Per Line
Display Setup 1.5 minute .
Zoom Window Show or Hide .
I , II , III , V, V1 , V2 , V3 , V4
, V5 , V6 , aVR , aVR , aVF
Configure Waveforms Available
, BP1 , BP2 , BP3 , RESP ,
or SPO2 .
ST Review settings
From the Single Viewer menu, select Patient Data > ST Review, select the
Configuration button to display the following Customize ST Review settings:
Item Options Settings
HR, ST-aVF, ST-aVL,
ST-aVR, ST-I, ST-II, ST-III,
Parameter Name ST-V1, ST-V2, ST-V3,
ST-V4, ST-V5, ST-V6 or
ST-VM.
● Any other ST
parameter: -2.0 -
2.0, -4.0 - 4.0, -6.0 -
6.0, or -10.0 - 10.0.
Follow ST Median Enabled or disabled.
HR, ST-aVF, ST-aVL,
ST-aVR, ST-I, ST-II, ST-III,
ST-V1, ST-V2, ST-V3,
Parameter Name
ST-V4, ST-V5, ST-V6.
ST-VM, NONE, or Follow
ST Median.
Options depend on the
Parameter 2 parameter selected.
● HR: 0 - 100, 50 - 150,
60 - 220, or 0 - 300.
Scale ● ST-VM: 0 - 2, 0 - 4, 0 -
6, or 0 - 10.
● Any other ST
parameter: -2.0 -
2.0, -4.0 - 4.0, -6.0 -
6.0, or -10.0 - 10.0.
Standard Format (I, II, III,
aVR, aVL, aVF, V1-V6) or
Waveform Format
Cabrera Format (aVL, I,
-aVR, II, aVF, III, V1-V6).
Alarm Audio Off Reminder ● The telemetry monitoring device Alarm Audio On/Off
is set to OFF.
● The telemetry monitoring device Alarm Audio On/Off
is set to Alarm Audio Pause - Smart Alarm.
● The bedside monitoring device is configured for use
in operating rooms.
● The monitoring device Alarm Audio Off Reminder is
set to No.
The monitoring device has determined that a potential or
Alarm condition
actual hazard exists.
Term Definition
The monitoring device increases the priority of an alarm
Alarm escalation condition or increases the sense of urgency of an alarm
signal.
An alarm signal continues to be generated after its
Alarm latching
triggering event no longer exists until stopped by the user.
Parameter high and low alarm values that result in alarm
Alarm limits conditions when the measured physiological value is
above or below the defined range.
Audio alarm tones and visual indicators display when an
Alarm notification
alarm condition is present.
The urgency of the required user response or awareness
Alarm priority levels
of the situation that triggered the alarm condition.
Retrieve admit, discharge, and transfer data from a
ADT picklist
Hospital Information System.
Audio alarm notification Audio alarm tones that correspond to alarm priority levels.
A state of limited duration in which the alarm system or
Audio alarm pause
part of the alarm system does not generate alarm signals.
Alarm pause breakthrough allows alarm conditions to
Audio alarm pause break through or interrupt an audio alarm pause when
breakthrough an alarm condition of the configured alarm priority level
occurs.
Auto Display Automatically adjust the patient Multi-Viewer windows.
Monitoring with beside monitors connected directly to
the patient. Parameter data is processed by the bedside
Bedside monitoring monitor itself. Patients can be admitted at either the
bedside monitor or the central station, as dictated by the
institution's policies.
Provides access to web applications, patient data, and
Browser
repositories on the network.
Measures the horizontal (time) and vertical (voltage)
Calipers
distances along waveforms.
A hazardous situation that, if not avoided, could result in
Caution
minor or moderate injury.
A utility that checks the central station time zone, IP
Check Centrals
address, and subnet mask configuration.
A utility that provides access to Clinical Information
Citrix
System applications via a Citrix server.
Both a telemetry monitoring device (i.e. a transmitter)
and a bedside monitor acting together to both provide
parameter data for a single patient. Combo monitoring
mode telemetry monitoring devices should always be
Combo monitoring mode
admitted at the central station. Combo monitoring
mode bedside monitors can be admitted at either the
bedside monitor or the central station as dictated by the
institution's policies.
Term Definition
Non-password protected temporary and patient-specific
setting; they apply immediately to the monitoring device
and are erased when the patient is discharged. Not all
Control settings
control settings have corresponding custom defaults.
When there is no custom default, the control setting initial
value is the central station preset.
Patient data is being collected, the monitoring device is
Current session
on the network, and in the admit state.
Specify the initial value for monitoring parameters
controlled by the central station. They also include
defaults for non-monitoring parameters (e.g. Full
Custom defaults
Disclosure Print settings). They are persistent and apply
to all patients monitored on the central station and are
retained when individual patients are discharged.
CRC Cyclic redundancy check
A hazardous situation that, if not avoided, will result in
Danger
death or serious injury.
Any tool used to display and review stored patient data
Data review tool on the central station, including Graphic Trends, Numeric
Trends, Calipers, etc.
Provides access to historical data as patients move from
Data Sessions
monitoring devices, across units, and/or post-discharge.
Discharged No patient admitted to a monitoring device.
Displays messages when device failures have been
Environment Monitor
detected.
Parameter data that is user or monitoring device
Episodic parameters generated (e.g., Non-Invasive Blood Pressure) with a
timestamp.
Displays text only event data retrieved from the
Event Directory monitoring device, including event, time and date, alarm
priority level, and review state.
Identifies an event manually recorded at a telemetry
monitoring device by pressing the Event Marker button.
Event Marker When enabled, audio and visual notification occurs at
the central station and automatic printouts occur at the
configured printer.
Waveform event data selected from the Event Directory
Event Review
to display, review, delete, print, or generate a report.
Displays Full Disclosure data for the selected time focus
FD Page
(up to five waveforms per row of data).
Allows review of multiple fifteen second waveforms of Full
FD Strip
Disclosure data on one page.
Only one component (e.g., Multi-Viewer) displays across
Full-screen format
the entire screen.
Full Disclosure collects patient data from the bedside
Full Disclosure monitor. The amount of data available per patient is
determined by licensing.
Term Definition
The central station with the latest software version and
lowest MC IP address that monitors and controls the Full
Full Disclosure Master
Disclosure data collection, and monitoring device admit,
discharge, and transfer data and rules for the unit.
Displays parameter numerics and compressed waveforms
Graphic Trends over a period of time in graph format, including AFIB
trending with select monitoring devices.
The display is split into two; one component displays on
the top half of the screen (e.g., Single Viewer), another
Half-screen format
component displays on the bottom half of the screen (e.g.,
Graphic Trends).
Hazard A source of potential injury to a person.
Monitoring devices that have been assigned the same
In-unit
Unit Name as this central station.
Alarm notification nomenclature used by monitoring
devices that comply with 60601-1-8, an international
IEC alarm nomenclature
standard for alarm systems in medical electrical devices
and systems.
Inactive session Patient no longer monitored at the central station.
The network for non-real-time information exchange
IX network
data, including Full Disclosure data.
Alarm notification nomenclature used by legacy
Legacy alarm nomenclature
monitoring devices.
Enable the standard and specialized features. Installed
Licenses
before clinical use by authorized service personnel.
Audio alarms will not sound for more than two minutes
at a time, unless alarm pause breakthrough condition(s)
Long audio pause occur or the user cancels or reinstates the audio alarm
pause at the monitoring device. Visual alarm indicators
continue to display.
MC network The network for real-time mission critical data.
When configured to Mirrored Central Display before
clinical use, a primary central station can have up to
two mirrored central displays. The patient Multi-Viewer
windows are synchronized between the primary central
station and the mirrored central display (e.g., the
Mirrored central display
same monitoring devices are shown in each patient
Multi-Viewer window). Making changes on the mirrored
central display (e.g., moving patients, admitting patients)
also applies to the primary central station. Mirrored
central displays provide audio alarm notification.
Allows one mouse and keyboard to control data entry for
MultiKM
a configured group of up to eight central stations.
Allows an abbreviated view of all monitoring devices
Multi-Viewer
admitted to the central station.
Mutually exclusive Cannot use more than one option at a time.
Non-episodic parameters Periodic data updated every two seconds (e.g., SPO2).
Term Definition
Numeric Trends Displays parameter numerics in a tabular format.
Monitoring devices that have been assigned a different
Out-of-unit
unit name than this central station.
The amount of time after which a monitoring device is
Offline storage no longer accessible via the network, causing the Full
Disclosure sessions to be moved from active to inactive.
The unique number assigned to a patient, sometimes
Patient identification number referred to as medical record number (MRN) or patient
ID (PID).
Alarm conditions are triggered by a patient measurement
Physiological alarm conditions exceeding the parameter alarm limits or by an arrhythmia
condition.
Presets are specified by the manufacturer and define the
Presets initial value for the central station's custom defaults. They
cannot be changed.
Standard or touchscreen display used to display the
Multi-Viewer. If a secondary display is not used, the
Primary display Multi-Viewer displays on the top half of the screen and the
Single Viewer or one of the data review tools displays on
the bottom half of the screen.
A session for which patient data is no longer being
collected. This occurs when the monitoring device goes
Prior session
offline for longer than the offline storage setting or when
the monitoring device goes into a discharged state.
Displays up to one hour of Graphic Trends for two
Real-time Trend Graph parameters in the patient Multi-Viewer window, including
AFIB trending with select monitoring devices.
Provide non-interactive access to the same monitoring
devices displayed on the primary central station by
Remote display
replicating the video output on up to four additional
displays. They do not provide audio alarm notification.
Back office service that communicates with the Remote
Remote Services
Service agent.
The patient and an ambulatory bedside monitor rove
(move from room to room). Rover monitoring mode
Rover monitoring mode patients should be admitted at the bedside monitor, not
the central station. However, Rover monitoring mode
patients can be viewed at the central station.
The patient and a stationary or ambulatory bedside
monitor or telemetry monitoring device rove. Rover
Combo monitoring mode bedside monitor patients should
be admitted at the bedside monitor, not the central
Rover Combo monitoring mode
station. However, Rover Combo monitoring mode bedside
monitor patients can be viewed at the central station.
Rover Combo monitoring mode telemetry monitoring
device should always be admitted at the central station.
Network directory lookup service used to discover devices
RWHAT
and their available services.
Term Definition
The network for real-time unprocessed telemetry
RX network
monitoring device data.
Shortcut buttons on the Single Viewer used to quickly
Save As Favorites
access frequently used screen formats.
Standard or touchscreen display used to show the
Single Viewer and data review tools in a half-screen or
Secondary display
full-screen format, allowing the primary display to show
the Multi-Viewer in full-screen format.
Password protected custom defaults configured by
authorized service personnel before clinical use. In user
Service-level defaults
mode, the service-level defaults display in light, grayed
out text and cannot be modified.
Audio alarms will not sound for up to two minutes at a
time, unless alarm pause breakthrough condition(s) occur
Short audio pause or the user cancels or reinstates the audio alarm pause at
the monitoring device. Visual alarm indicators continue
to display.
This comprises of all the devices connected in a single
Single logical unit
subnet mask.
Single Viewer Displays a detailed view of a single monitoring device.
Selecting an alarms off reason establishes an audio alarm
Smart Alarm pause for up to five minutes in the presence of a valid
waveform.
Monitoring system for computer hard disks to detect and
SMART drive
report reliability indicators.
ST Review Displays ST records stored in Full Disclosure.
The patient and a stationary bedside monitor stay in
one room. Standard monitoring mode patients can be
Standard monitoring mode
admitted at either the bedside monitor or the central
station as dictated by the institution's policies.
Displays messages when the central station is
System Resource Monitor
experiencing limited or compromised system resources.
Alarm conditions triggered by an electrical, mechanical,
or other failures of the system or system component.
Technical alarm conditions
Technical alarm conditions may also be caused when an
algorithm cannot classify or interpret the available data.
Monitoring with telemetry monitoring devices connected
Telemetry monitoring directly to the patient. Parameter data is processed by
the telemetry system.
When parameter data is collected and stored, the
historical data is linked to a specific time focus. When
Time focus viewing an area of interest for one type of patient data,
choosing another type of patient data will display for that
same time focus.
Time and date an episodic parameter value was recorded
Timestamp
by the monitoring device.
Term Definition
Screen sharing interface used to remotely service the
Tight VNC Viewer
central station.
A monitoring device in the same unit as the central station
Unmonitored
but not admitted to any central station.
Non-password protected settings any user can configure
User-level defaults them. In user mode, the user-level defaults display in
dark, selectable text.
Alarm conditions display on the central station in varying
Visual alarm notification colors and locations with or without symbols and/or text
messages.
A hazardous situation that, if not avoided, could result
Warning
in death or serious injury.
An internet based application used to configure,
Webmin
troubleshoot, and verify central station functionality.
A automatic
CD compact disc
CDYN dynamic compliance
CE Coded element
CE European Conformity
CFM cooling fan mechanical
CI cardiac index
CIcalc cardiac index calculated by Fick equation
CIC CIC Pro Clinical Information Center
CISPR Special International Committee on Radio Interference
CK composite ID w/check digit
Cl chloride
cm centimeter
pressure exerted by water in a graduated column against the pull of
cm H2O
gravity (graduation in cm)
CMV controlled mandatory ventilation
CO cardiac output
CO2 carbon dioxide
CO2-EXP expired carbon dioxide
CO2-INSP inspired carbon dioxide
COMM communication
COMP compliance
CONT continuous
CPAP continuous positive airway pressure
CPP cerebral perfusion pressure
CPPV continuous positive pressure ventilation
CPU central processing unit
CQ composite quantity w/units
CREA creatinine
CRG cardiorespirogram
CRT cathode ray tube
CSA Canadian Standards Association
CSCS Carescape Central Station (V2.0 or later)
CTRL control
CV central venous pressure
CvO2 mixed venous oxygen content
CVP central venous pressure
CX extended composite ID w/check digit
D
d derived
D diastolic
D dynamic
dB decibel
DB9F serial interface connector (female)
DDR2 double data rate
DDW direct digital writer
DES desflurane
dias/Dias diastolic
DISCON disconnect
dL deciliter
DLN driver's license number
DO2 oxygen delivery
DO2I oxygen delivery index
DS dead space ventilation
DP display port
DP-1 display port connection / interface on the primary display
DP-2 display port connection / interface on the secondary display
DT date
E
e episodic
E expired
e.g., for example
EC European Commission
ECF BE base excess extracellular fluid
ECG electrocardiograph
EE Energy Expenditure
EEC European Economic Community
EEG electroencephalograph
eFUP environment-friendly user period
ELWI extravascular lung water index
EMC electromagnetic compatibility
EMG electromyograph
EMI electromagnetic interference
EMMV extended mandatory minute ventilation
EN European Standards
ENF enflurane
ENT entropy
ESD electrostatic discharge
est estimated
ET CO2 end-tidal carbon dioxide
etc. et cetera
EU European Union
exp/EXP expired
EXT extension
F
F Fahrenheit
FD Full Disclosure
FEM femoral
FEMV femoral venous
FICKCO Fick cardiac output
FiO2 fractional inspired oxygen
FLW flow
FRSH fresh
ft feet
G
g gram
GB gigabyte
GE General Electric
GEDI global end-diastolic volume index
GHz gigahertz
GOST State Standard of Russia
H
HAL halothane
Hb hemoglobin
HCO3 bicarbonate
HCT hematacrit
HD hierarchic designator name for persons
HDD hard disk drive
HE helium
HF high frequency
HFV high frequency ventilation
HI high
HIS Hospital Information System
HL7 Data Type the data type of the element
HLD hold
hr hour
HR heart rate
Hz hertz
I
I inspired
I intrinsic
IABP intra-aortic balloon pump
iCa ionized calcium
IND induction
ICG impedance cardiography
ICP intracranial pressure
ICU intensive care unit
ID coded value
ID identification
i.e., that is
IEC International Electrotechnical Commission
IMV intermittent mechanical ventilation
in inches
in/insp/INSP inspired
IN inspiration
INF inferior
IP internet protocol
IP invasive pressure
IPPV intermittent positive pressure ventilation
IPX water ingression protection rating
IS sequence ID number for organizations
ISO isoflurane
ISTA International Safe Transit Association
IX information exchange
J
J joules
J ST measurement point
K
K potassium
kg kilogram
kOhm kiloohm
kPa kilopascals
L
L, LD lead
L left
l/L liter
LA left arm
LA left atrial
LAN local area network
LAT lateral
lb(s) pound(s)
LCD liquid crystal display
LCWI left cardiac work index
LL left leg
Length the length of the element
LO low
LVET left ventricular ejection time
LVSWI left ventricular stroke work index
M
m mean
m mechanical
m meter
m module
M/MEAS measured
MAC Minimum Alveolar Concentration
minimum alveolar concentration compensated with patient age, patient
MACage
temperature, and atmospheric pressure
MAN manual
MAP mean arterial pressure
MAS master
MAWP mean airway pressure
max maximum
MB megabyte
MC mission critical
meq milliequivalents
mg milligrams
min minimum
min minute
mL milliliter
mm millimeters
mmHg millimeters of mercury
mmol millimoles
MMV mandatory minute ventilation
MPSO multiple portable socket outlet
MRI magnetic resonance image
MRN medical record number
ms milliseconds
mV millivolt
MV minute volume
MVexp expired minute volume
mW milliwatts
N
n/a not applicable
Na Sodium
N2 nitrogen
N2O nitrous oxide
NBP non-invasive blood pressure
NICO non-invasive cardiac output
NM numeric
NMT neuromuscular transmission
No. number
O
O optional
O2 oxygen
O2CI oxygen consumption index
O2DI oxygen delivery index
O2R; O2ER oxygen extraction ratio
Optionality whether the field is required, optional, or conditional in a segment
OR operating room
OS operating system
P
P pace
PA pulmonary artery
PaCO2 partial pressure carbon dioxide
PaCO2 arterial carbon dioxide
PAD pulmonary artery diastolic
PaFiO2 oxygenation ratio
RF radio-frequency
RGB red green blue
RJ-45 registered jack connector
RL right leg
RM respiratory mechanics
RQ respiratory quotient
RR respiration rate
RS-232 serial connection/interface
RT rate
RVSWI right ventricular stroke work index
RVEDV right ventricular end-diastolic volume
RVEDVI right ventricular end-diastolic volume index
RVESV right ventricular end-systolic volume
RVESVI right ventricular end-systolic volume index
Rx prescription
RX receiver exchange
S
s second(s)
s spontaneous
S static
S systolic
SATA serial advanced technology attachment
SaO2 arterial oxygen saturation
SaO2 oxygen saturation
SB spontaneous breathing
ScvO2 central venous oxygen saturation
RAM random access memory
SE state entropy
sec second
SENS sensitivity
SEV sevoflurane
SET setting
Sequence the sequence of the elements as they are numbered in the segment
SFTP secure file transfer protocol
SI International System of Units
SI sequence ID
SIMV synchronized intermittent mechanical ventilation
TQ timing quantity
TS time stamp
TFC thoracic fluid content
tHb total hemoglobin
TRG trigger
TTX telemetry monitoring device identification number
TV tidal volume
TV television
TVexp expired tidal volume
TX text data
U
UA umbilical artery
UAC umbilical artery catheter
UK United Kingdom
UL Underwriter’s Laboratories, Inc.
UOM unit of measurement
US United States of America
USB universal serial bus
UV umbilical venous
UVC umbilical venous catheter
V
v/VNT/VENT ventilator
VENTIL/VENTILN ventilator
V ventrical lead
V version
V volt
VA alveolar ventilation
VA volt-ampere
VAC voltage in an alternating current
VACI ventilation assistée contrôlée intermittente (French)
VC vital capacity
VC ventilator calculations
Vd dead space
Vd/Vt dead space ventilation
VGA video graphics array
VFIB ventricular fibrillation
VI velocity index
VM vector magnitude
VNC virtual network computing
VO2 oxygen consumption
VO2calc oxygen consumption calculated
VO2I oxygen consumption index
VO2Icalc oxygen consumption index calculated
VOL volume
V TACH ventricular tachycardia
X
XAD extended composite ID number
XON extended composite name and ID
XPN extended person name
XTN extended telecommunications number
W
w watts
WOB work of breathing
Symbols
& and
@ at
° degree(s)
> greater than
≥ greater than or equal to
° hour(s)
" inches
+ interface device Bed Number
+ keyboard keys to select simultaneously
< less than
≤ less than or equal to
> menu options to select consecutively
μ micro
- minus
* multiply
- negative
# number
/ per
% percent
+ plus
± plus or minus
+ positive
√ square root
* telemetry monitoring device Bed Number
* times
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Healthcare.
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