CARESCAPE Central Station

Technical Manual
Software version 1
Hardware series MP100

CARESCAPE Central Station

English
2048003-002 (CD)
2048002-029E (paper)
© 2014 General Electric Company.
All rights reserved.
The information in this manual applies to the software and hardware version listed on the first page of the manual. Due to continuing
innovation, specifications in this manual are subject to change without notice.
For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE Medical Systems Information Technologies,
Inc., and GE Healthcare Finland Oy.
GE, GE Monogram, APEX, APEXPRO, and CARESCAPE are trademarks of General Electric Company.
12RL, Aware, CIC Pro, DASH, DINAMAP, MARS, MUSE, SOLAR, TRAM, and UNITY NETWORK are trademarks of GE Medical Systems Information
Technologies, Inc.
Mobile Viewer is a trademark of GE Healthcare Finland Oy.
Java Powered. Java and all Java based trademarks and logos are trademarks or registered trademarks of Oracle America, Inc. in the U.S.
and other countries.
All third party trademarks are the property of their respective owners.

2 CARESCAPE Central Station 2048001-057E

11 July 2014
 Contents
1 About this manual .......................................................................................17
Manual intended audience........................................................................... 17
Manual intended use .................................................................................... 17
Manual conventions ..................................................................................... 17
Illustrations and names ................................................................................ 17
Common terms ............................................................................................. 18
Ordering manuals ......................................................................................... 18
Additional resources ..................................................................................... 18
Related manuals ........................................................................................... 18
Revision history ............................................................................................. 18
2 Safety precautions.......................................................................................21
Safety message signal words....................................................................... 21
Danger safety messages.............................................................................. 21
Warning safety messages............................................................................ 21
Caution safety messages ............................................................................. 31
Notice safety messages ............................................................................... 34
Safety symbols .............................................................................................. 34
3 About this system ........................................................................................35
Intended use.................................................................................................. 35
CE marking information................................................................................ 35
Manufacturer responsibility ......................................................................... 35
Service requirements.................................................................................... 36
System components ..................................................................................... 36
Processing unit ............................................................................................ 36
Displays........................................................................................................ 37
Keyboard and mouse.................................................................................. 38
External speakers........................................................................................ 39
Laser printer ................................................................................................ 39
Writer ........................................................................................................... 39
Un-interruptible power supply ................................................................... 39
Device symbols ............................................................................................. 40

2048001-057E CARESCAPE Central Station 3

 Device identification ..................................................................................... 44
Multi-Viewer overview .................................................................................. 45
Single Viewer overview................................................................................. 45
User interface symbols ................................................................................. 46
PDF Printer..................................................................................................... 50
Networking .................................................................................................... 52
Patient monitoring network description .................................................... 52
Intranet access............................................................................................ 52
Data types ..................................................................................................... 53
Patient data ................................................................................................. 53
Network data............................................................................................... 54
Data review tools .......................................................................................... 54
Time focus ................................................................................................... 54
Full Disclosure overview ............................................................................. 54
Events overview .......................................................................................... 56
Trends overview .......................................................................................... 56
Calipers overview ........................................................................................ 58
ST Monitoring Status indicator overview ................................................... 58
ST Review overview..................................................................................... 59
4 Hardware installation .................................................................................61
Hardware installation overview ................................................................... 61
Installation safety precautions..................................................................... 61
Installation requirements ............................................................................. 63
Site requirements ........................................................................................ 64
Electrical requirements ............................................................................... 65
Visually inspecting equipment ..................................................................... 65
Installation procedures................................................................................. 67
Installing processing unit............................................................................ 67
Installing displays ........................................................................................ 67
Installing keyboard and mouse .................................................................. 68
Installing external speakers........................................................................ 69
Installing writer............................................................................................ 69
Installing laser printer ................................................................................. 69
Installing Mirrored Central display(s) .......................................................... 70

4 CARESCAPE Central Station 2048001-057E

 Connecting processing unit power source.................................................. 70
5 Service interfaces ........................................................................................73
Service interfaces overview ......................................................................... 73
Central station access .................................................................................. 73
Logging on admin mode .............................................................................. 73
Logging off admin mode .............................................................................. 74
Logging on alarm service mode .................................................................. 74
Logging off alarm service mode .................................................................. 74
Logging on service mode ............................................................................. 74
Logging off service mode ............................................................................. 74
Logging on command-line interface ........................................................... 75
Accessing the command-line interface from admin mode ....................... 75
Logging off command-line interface ........................................................... 75
Webmin access............................................................................................. 75
Logging on Webmin.................................................................................... 75
Logging on Webmin remotely .................................................................... 76
Logging on UltraVNC .................................................................................... 76
Logging off UltraVNC .................................................................................... 77
Changing passwords .................................................................................... 77
Changing the Webmin password............................................................... 77
Changing the alarm service mode password ........................................... 77
Configuring service computer's network properties .................................. 78
Safely restarting ............................................................................................ 79
Safely shutting down .................................................................................... 79
Safely removing USB memory stick ............................................................. 79
6 Licenses.........................................................................................................81
License codes ................................................................................................ 81
License packages.......................................................................................... 84
Changing licenses (transfers and expansions)............................................ 84
Deactivating licenses for license changes (transfers and
expansions).................................................................................................. 85
Activating licenses....................................................................................... 85
Completing license changes ...................................................................... 89
Deactivating/Reactivating licenses.............................................................. 89

2048001-057E CARESCAPE Central Station 5

 Temporarily deactivating licenses.............................................................. 89
Reactivating a deactivated license ............................................................ 89
7 Configuration ...............................................................................................91
Configuration levels ...................................................................................... 91
Getting started .............................................................................................. 92
Configuration requirements ......................................................................... 93
Time management on the CARESCAPE Network ...................................... 93
IP address allocation................................................................................... 94
Examining the central stations on the network ....................................... 95
Configuring secondary displays................................................................... 95
Calibrating touchscreen displays................................................................. 97
Touchscreen display video drivers ............................................................. 97
Calibrating touchscreen displays using Elo ............................................... 98
Calibrating touchscreen displays using Touchware ................................. 98
Configuring Webmin-related settings ......................................................... 99
Configuring Set Flags .................................................................................. 99
Configuring language ............................................................................... 101
Configuring time zone............................................................................... 102
Configuring time and date........................................................................ 103
Configuring network IP address ............................................................... 105
Configuring network laser printers .......................................................... 107
Configuring print locations for stored patient data ................................ 108
Configuring PDF Printer ............................................................................ 110
Configuring Remote Service ..................................................................... 112
Configuring Browser Favorites ................................................................. 114
Configuring Citrix....................................................................................... 115
Configuring Clinician Review Workstations ............................................. 117
Configuring Asset Setting ......................................................................... 117
Configuring clinical application service-level defaults ............................. 117
Configuring Central and Unit Name service-level defaults .................... 117
Configuring Printer/Writer service-level defaults.................................... 119
Configuring mirror central displays overview ......................................... 121
Configuring Waveforms, Real-time Trend Graph, and Color Set
service-level defaults ................................................................................ 124

6 CARESCAPE Central Station 2048001-057E

 Configuring Multi-Viewer Display Configuration service-level
defaults ...................................................................................................... 126
Configuring Auto Display Button service-level defaults ......................... 128
Configuring Real-time BP UOM service-level default.............................. 129
Configuring Graph Setup service-level defaults...................................... 130
Configuring ECG service-level defaults.................................................... 132
Configuring Event Marker service-level defaults..................................... 135
Configuring beds and transmitters .......................................................... 136
Configuring Full Disclosure service-level defaults................................... 137
Configuring FD Session Search criteria.................................................... 140
Configuring locked patient Multi-Viewer windows ................................. 141
Configuring Graphic Trends Groups......................................................... 141
Configuring Numeric Trends Groups ....................................................... 142
Configuring Save As Favorite buttons...................................................... 143
Configuring internet properties ................................................................ 144
Calibrating displays................................................................................... 145
Configuring clinical application alarm-level defaults ............................... 147
Configuring alarm-level defaults.............................................................. 147
Configuring Patient Age service-level default ......................................... 150
Configuring Transmitter Audio Pause service-level defaults ................. 151
Configuring Telemetry Alarm Setup service-level defaults .................... 152
Resetting Telemetry Unit Defaults to factory presets ............................. 154
Configuring printers .................................................................................... 155
Configuring USB laser printers ................................................................. 155
Configuring laser printer paper size......................................................... 156
Configuring MultiKM overview ................................................................... 156
Setting up central stations to use MultiKM .............................................. 157
Configuring a keyboard and mouse group.............................................. 158
Adding a central station to existing keyboard and mouse group ........... 161
Dividing keyboard and mouse groups ..................................................... 161
Combining keyboard and mouse groups ................................................ 164
Backing up system settings........................................................................ 165
Restoring system settings .......................................................................... 165
Restoring system settings overview ........................................................ 165

2048001-057E CARESCAPE Central Station 7

 Performing a full restore ........................................................................... 166
Performing a partial restore ..................................................................... 166
8 Preventative maintenance .......................................................................169
Maintenance schedule ............................................................................... 169
Visually inspecting equipment ................................................................... 170
Cleaning....................................................................................................... 171
Cleaning safety precautions..................................................................... 171
Permitted cleaning agents ....................................................................... 172
Harmful cleaning agents .......................................................................... 172
Results of improper cleaning.................................................................... 172
Cleaning external surfaces....................................................................... 173
Cleaning displays and touchscreens ....................................................... 173
Disinfecting external surfaces.................................................................. 174
Cleaning internal components ................................................................. 174
Touchscreen display guidelines ................................................................. 175
Writer maintenance.................................................................................... 175
Changing writer paper.............................................................................. 175
Storing writer paper .................................................................................. 175
Power source tests...................................................................................... 176
Power outlet test ....................................................................................... 176
Power cord and plug test.......................................................................... 176
Electrical safety tests .................................................................................. 177
Testing ground continuity......................................................................... 177
Testing ground wire leakage current ....................................................... 177
Testing enclosure leakage current........................................................... 178
9 Field replaceable units ..............................................................................181
FRU replacement safety precautions ........................................................ 181
Electrostatic discharge (ESD) guidelines .................................................... 182
Supported FRUs ......................................................................................... 182
MP100D assembly..................................................................................... 183
Interconnect diagram ............................................................................... 184
FRU replacement procedures .................................................................... 184
Removing processing unit cover .............................................................. 184
Replacing PCB (motherboard) .................................................................. 185

8 CARESCAPE Central Station 2048001-057E

 Replacing processing unit battery ........................................................... 186
Replacing hard drive ................................................................................. 186
Replacing flash drive................................................................................. 187
Replacing SATA cables .............................................................................. 187
Replacing power supply............................................................................ 188
Replacing fan............................................................................................. 188
Replacing dual (internal) speakers ........................................................... 189
Replacing fuse(s)........................................................................................ 189
Replacing front bezel ................................................................................ 190
Replacing processing unit cover .............................................................. 190
10 Checkout .....................................................................................................191
Checkout overview ..................................................................................... 191
Installation checkout procedures .............................................................. 191
Connecting processing unit power source checkout
procedures................................................................................................. 191
Installing processing unit checkout procedures ..................................... 192
Installing remote displays checkout procedures .................................... 192
Installing primary display checkout procedures ..................................... 192
Installing secondary displays checkout procedures ............................... 192
Installing keyboard and mouse checkout procedures ........................... 193
Installing external speakers checkout procedures ................................. 193
Installing writer checkout procedures ..................................................... 193
Software checkout procedures .................................................................. 194
Checking status of installed licenses ....................................................... 194
Reloading software checkout procedure................................................. 194
Updating central station software checkout procedures....................... 194
Configuration checkout procedures .......................................................... 195
Configuring secondary display checkout procedures ............................ 195
Checking unit defaults .............................................................................. 195
Checking access to all other units ........................................................... 195
Checking operation of audio alarm tones ............................................... 195
Webmin-related configuration checkout ................................................ 195
Clinical application service-level defaults................................................ 199
Checking speaker volume......................................................................... 200

2048001-057E CARESCAPE Central Station 9

 Configuring alarm-level defaults checkout procedures ......................... 200
Configuring MultiKM checkout procedures ............................................. 200
Restoring system settings checkout procedures .................................... 201
Running Check Centrals utility.................................................................. 201
FRU checkout procedures .......................................................................... 202
Replacing PCB (motherboard) checkout procedures .............................. 202
Replacing processing unit battery checkout procedures ....................... 204
Replacing hard drive checkout procedures............................................. 204
Replacing flash drive checkout procedures ............................................ 205
Testing hard drive and flash drive integrity ............................................. 205
Replacing SATA cables checkout procedures.......................................... 206
Replacing power supply checkout procedures ....................................... 207
Replacing fan checkout procedures ........................................................ 207
Replacing dual (internal) speakers checkout procedures....................... 208
Replacing fuse(s) checkout procedures ................................................... 208
Replacing front bezel checkout procedures ............................................ 208
11 Troubleshooting.........................................................................................209
Troubleshooting overview .......................................................................... 209
Boot failure .................................................................................................. 210
Error messages ........................................................................................... 212
Correcting boot order ................................................................................. 213
Software image on USB stick does not match hardware......................... 213
Out-of-unit audio alarms paused .............................................................. 214
Audio alarms sound when removing the patient Multi-Viewer
windows....................................................................................................... 214
Unable to access PDF file ........................................................................... 214
Central station continually reboots during reload procedure.................. 214
Blank screen with blinking cursor during central station reboot ............. 214
Browser connectivity issues ....................................................................... 214
Display issues .............................................................................................. 215
Blank screen .............................................................................................. 215
Blue screen ................................................................................................ 216
Red screen ................................................................................................. 216
Incorrect display colors............................................................................. 217

10 CARESCAPE Central Station 2048001-057E

 Primary image appears on secondary display (MP100 platform) ........... 217
MultiKM issues............................................................................................. 217
Unable to use MultiKM feature ................................................................. 217
MultiKM only works for one hour.............................................................. 217
Unable to locate MultiKM control/focus .................................................. 218
Unable to access central station within keyboard and mouse
group.......................................................................................................... 218
Intermittent access to one or more displays via MultiKM....................... 218
Time issues .................................................................................................. 219
Viewing time zone settings....................................................................... 219
Time does not advance or alternates frequently .................................... 219
Time change request ignored by central station .................................... 220
Printer issues ............................................................................................... 221
Printer button is dimmed when viewing stored patient data................. 221
Unable to print to printer on enterprise network .................................... 221
Unable to print to writer............................................................................ 221
Report sent to PDF Printer not printing.................................................... 221
Central station configuration issues .......................................................... 222
Unable to communicate with a device .................................................... 222
Unable to access ADT information........................................................... 222
Experiencing waveform dropout.............................................................. 222
Improper age selection criteria ................................................................ 223
Unable to activate licenses....................................................................... 223
Unable to correctly restore settings......................................................... 223
Unable to establish Remote Service connection..................................... 223
IEC Technical Alarms repeating at set interval........................................ 224
Full Disclosure issues .................................................................................. 224
Unable to access Full Disclosure features ............................................... 224
Unable to start ST Review......................................................................... 224
Care note is not accessible immediately after admit ............................. 225
Push to MUSE button disabled ................................................................. 225
Log files........................................................................................................ 225
Downloading log files................................................................................ 225
Accessing log files ..................................................................................... 225

2048001-057E CARESCAPE Central Station 11

 Viewing application logs ........................................................................... 226
Viewing operating system event logs ...................................................... 226
Viewing operating system Dr. Watson log .............................................. 226
Viewing Webmin action log...................................................................... 226
Incorrect Webmin page displayed............................................................. 226
Webmin diagnostics ................................................................................... 227
Viewing operating system hotfixes and service pack
information ................................................................................................ 227
Viewing device driver information ........................................................... 227
Viewing network information ................................................................... 227
Viewing Unity Network device information ............................................. 227
Viewing time zone settings....................................................................... 227
Viewing time zone information ................................................................ 227
Viewing operating system runtime statistics .......................................... 227
Viewing operating system service process information......................... 227
Viewing process information.................................................................... 227
Viewing SMART drive status...................................................................... 228
Central station system status messages................................................... 228
12 Reload/Re-image software.......................................................................231
Reload software overview .......................................................................... 231
Reload software requirements................................................................... 231
Reloading software ..................................................................................... 232
13 Updating CARESCAPE Central Station software ....................................235
Updating software overview ...................................................................... 235
Updating software equipment requirements............................................ 236
Updating central station software ............................................................. 236
14 Upgrading CIC Pro Clinical Information Center v5 or later (MP100)
to CARESCAPE Central Station .................................................................239
Upgrading central station overview .......................................................... 239
Upgrading central station equipment requirements................................ 239
Upgrading memory..................................................................................... 240
Re-imaging to CARESCAPE Central Station ............................................... 240
Reverting to a CIC Pro Central Station v5 or later system ........................ 243
15 Full Disclosure ............................................................................................245

12 CARESCAPE Central Station 2048001-057E

 Full Disclosure safety precautions ............................................................. 245
Full Disclosure overview ............................................................................. 245
Discharged Data Sessions.......................................................................... 246
Full Disclosure Master................................................................................. 246
Determining Full Disclosure Master ......................................................... 247
Full Disclosure and Discharged Data licensing overview ......................... 248
Full Disclosure license ............................................................................... 248
Discharged Data license overview........................................................... 248
Full Disclosure rules .................................................................................... 250
Minute rule or Offline Storage setting ...................................................... 250
Multi-Full Disclosure rule........................................................................... 251
Twin bed rule (Combo monitoring) ........................................................... 252
Bed Number/IP address changes ............................................................ 254
Effects of time changes on Full Disclosure data ....................................... 254
Full Disclosure bed assignment ................................................................. 255
ST Review..................................................................................................... 257
Pushing 12SL reports to MUSE ................................................................... 257
Events .......................................................................................................... 258
Full Disclosure compatibility....................................................................... 258
Full Disclosure printing ............................................................................... 259
Full Disclosure procedures ......................................................................... 259
Setting Full Disclosure licensing ............................................................... 259
Setting Full Disclosure Mode..................................................................... 260
Viewing Full Disclosure Information......................................................... 260
Performing Full Disclosure Database Integrity Check ............................ 261
Clearing the Full Disclosure database ..................................................... 261
A Electromagnetic compatibility (EMC) ......................................................263
Electromagnetic compatibility safety precautions ................................... 263
Guidance and manufacturer's declaration ............................................... 264
Electromagnetic emissions....................................................................... 264
Electromagnetic immunity ....................................................................... 264
Recommended separation distances........................................................ 266
Compliant cables and accessories ............................................................ 266
B Restored modules ......................................................................................269

2048001-057E CARESCAPE Central Station 13

 Restored data overview.............................................................................. 269
Platform settings......................................................................................... 269
Local central station settings ..................................................................... 269
Central Defaults......................................................................................... 269
Display Configuration................................................................................ 270
FD Session Search ..................................................................................... 271
Patient Multi-Viewer window assignment ............................................... 271
Patient Multi-Viewer window control settings (windows 0-16) .............. 271
Citrix information....................................................................................... 271
MultiKM information.................................................................................. 272
Set Flags .................................................................................................... 272
Custom defaults .......................................................................................... 272
Unit default settings.................................................................................... 272
Telemetry Unit Defaults ............................................................................ 272
Telemetry Alarm Setup Defaults............................................................... 273
Current Telemetry Listings........................................................................ 275
Full Disclosure Defaults............................................................................. 275
C Product security.........................................................................................277
Product security overview .......................................................................... 277
Security features ......................................................................................... 277
Access controls.......................................................................................... 277
Authentication ........................................................................................... 278
Authorization ............................................................................................. 279
Audit controls ............................................................................................ 279
Malicious software protection .................................................................. 280
Antivirus programs.................................................................................... 281
Desktop security........................................................................................ 281
Data protection ......................................................................................... 281
Security operations ..................................................................................... 281
Network security ....................................................................................... 282
Media access control points..................................................................... 282
Security administration and service .......................................................... 282
Product change management ................................................................. 282
Remote service.......................................................................................... 282

14 CARESCAPE Central Station 2048001-057E

 MDS2 statement ......................................................................................... 283
D Networking disclosure to facilitate network risk management ...........285
Purpose and scope ..................................................................................... 285
Purpose of central station connection to network ................................... 285
Central station network interface technical specifications...................... 285
Network information flows......................................................................... 286
Required characteristics and configuration of network for support of
central station ............................................................................................. 299
Potential risks to safety, effectiveness or security resulting from failure
of IT network to provide the required characteristics............................... 300
E Checklists....................................................................................................303
High-level installation and commissioning process checklist.................. 303
Pre-installation checklist............................................................................. 303
Hardware installation process checklist.................................................... 304
License checklist ......................................................................................... 304
Configuration checklist ............................................................................... 304
Configuring secondary and touchscreen displays checklist .................. 304
Configuring Webmin-related settings checklist ...................................... 304
Configuring clinical application service-level defaults checklist............ 305
Configuring clinical application alarm-level defaults checklist .............. 305
Configuring printers checklist................................................................... 306
Configuring other settings checklist ........................................................ 306
Checkout checklists .................................................................................... 306
System installation and commissioning checkout.................................. 306
Software reload/ghost checkout.............................................................. 307
Software upgrade checkout ..................................................................... 307
Preventative maintenance checkout ....................................................... 307
FRU upgrades checkout............................................................................ 308
F Glossary ......................................................................................................311
Glossary ....................................................................................................... 311
G Abbreviations and symbols ......................................................................319
Abbreviations .............................................................................................. 319
Symbols ....................................................................................................... 330

2048001-057E CARESCAPE Central Station 15

16 CARESCAPE Central Station 2048001-057E
About this manual
1
Manual intended audience
This manual is intended for service representatives and technical personnel with
experience servicing medical equipment who maintain, troubleshoot, or repair the
equipment.

Manual intended use

This manual supplies technical information for service representatives and technical
personnel so they can maintain the equipment to the assembly level. This manual
assumes the reader is skilled, qualified, and has experience servicing medical
equipment. Reading this manual does not qualify an untrained person to service
the equipment.

Manual conventions
This manual uses the following styles to emphasize text or indicate action.
Item Description
bold Indicates hardware terms.
bold italic Indicates software terms.
italic Indicates terms for emphasis.
+ Indicates keyboard keys to select simultaneously.
> Indicates menu options to select consecutively.
X supported
— not supported
(7) Indicates page number.

Illustrations and names

This manual uses illustrations as examples only. Illustrations in this manual may not
necessarily reflect all settings, features, configurations, or displayed data.
Names of persons, institutions, and places and related information are fictitious; any
similarity to actual persons, entities, or places is purely coincidental.

2048001-057E CARESCAPE Central Station 17

About this manual

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 appear
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.
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.

Additional resources
For white papers, guides, and other instructive materials about our
clinical measurements, technologies, and applications, please visit:
http://clinicalview.gehealthcare.com

Related manuals
The supplies and accessories supplement provides information on supplies and
accessories approved for use with this system.
The compatible devices supplement provides information on compatible devices
approved for use with this system.
The technical specifications supplement provides information on the physical and
design characteristics of this system.

Revision history
The part number and revision letter for this manual are at the bottom of each page.
The revision letter changes whenever the manual is revised. The first letter shown in
this revision history table is the first customer-released version of this document.

18 CARESCAPE Central Station 2048001-057E

 About this manual

Revision Description
E Initial release.

2048001-057E CARESCAPE Central Station 19

About this manual

20 CARESCAPE Central Station 2048001-057E

Safety precautions
2
Safety message signal words
Safety message signal words designate the severity of a potential hazard. The signal
words danger, warning, caution, and notice are used throughout this manual to point
out hazards and to designate a degree or level of seriousness. A hazard is defined as a
source of potential injury to a person. Learn their definitions and significance.
DANGER Indicates a hazardous situation that, if not avoided, will result
in death or serious injury.

WARNING Indicates a hazardous situation that, if not avoided, could

result in death or serious injury.

CAUTION Indicates a hazardous situation that, if not avoided, could

result in minor or moderate injury.

NOTICE Indicates a hazardous situation not related to personal injury

that, if not avoided, could result in property damage.

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.

Danger safety messages

No danger safety messages apply to this system.

Warning safety messages

The following warning safety messages apply to this system:
WARNING ACCESSORIES (SUPPLIES) — The use of non-approved UPS may
impact the performance of the product and potentially result
in loss of monitoring.

WARNING ACCESSORIES (SUPPLIES) — To ensure patient safety, use only

parts and accessories manufactured or recommended by GE.

WARNING ACCIDENTAL SPILLS — To avoid electric shock or device

malfunction, liquids must not be allowed to enter the device. If
liquids have entered a device, take it out of service and have
it checked by authorized service personnel before it is used
again.

2048001-057E CARESCAPE Central Station 21

Safety precautions

WARNING ACCURACY — If the accuracy of any value displayed on the

screen or printed is questionable, first determine the patient's
vital signs by alternative means. Then, verify the monitoring
devices and printers are working correctly.

WARNING ALARM VOLUME — Adjustment of the minimum alarm volume

to a low level or off may allow the actual volume to be
adjusted to a low level or off during monitoring, which may
result in a hazard to patients.

WARNING AUDIBLE ADU ALARMS MAY NOT SOUND — Depending on the

configuration of your CARESCAPE Central Station, audible ADU
alarms may not sound at the CARESCAPE Central Station for
any in-unit monitoring devices.
Only on-screen ADU alarm indicators display unless the
CARESCAPE Central Station is configured to also sound
audible alarms.

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 ALARMS — Do not rely exclusively on the audio alarm

system for monitoring. Remember that the most reliable
method of monitoring combines close personal surveillance
with correct operation of monitoring devices.

WARNING AUDIO ALARMS — The functions of the alarm system must

be verified at regular intervals. Check speaker volume of
all connected speakers periodically to ensure audio alarm
functionality.

WARNING AUDIO ALARMS — Some bedside monitors (e.g., CARESCAPE

Monitor B850) provide the ability to turn off alarm notifications
at the bedside monitor (e.g., sleep mode, display off/alarm
off). In the event that a network disconnection occurs, and the
central station NO COMM AUDIO was set to Disable before
clinical use, then only a visual NO COMM notification appears
at the central station for that bedside monitor. For additional
information on turning off alarm notifications at the bedside
monitors, see the documentation accompanying the bedside
monitor.

WARNING AUDIO ALARM TONES — GE recommends using 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 BEFORE INSTALLATION — Compatibility is critical to safe and

effective use of this device. Only external devices specifically
designed to be connected to the CARESCAPE Central Station,
or approved by GE for use with the CARESCAPE Central
Station, should be connected, as specified in this manual or
as otherwise specified by the manufacturer. To avoid possible
reduced system performance, please contact your local
GE representative prior to installation to verify equipment
compatibility.

22 CARESCAPE Central Station 2048001-057E

 Safety precautions

WARNING BEFORE USE — Before putting the system into operation,

visually inspect all connecting cables for signs of damage.
Damaged cables and connections must be replaced
immediately.
Before using the system, the user must verify that it is in
correct working order and operating condition.
Periodically, and whenever the integrity of the product is in
doubt, test all functions.

WARNING DISCONNECTION FROM MAINS — When disconnecting the

system from the power line, remove the plug from the wall
outlet first. Then you may disconnect the power cord from the
device. If you do not observe this sequence, there is a risk
of coming into contact with line voltage by inserting metal
objects, such as the pins of leadwires, into the sockets of the
power cord by mistake.

WARNING ELECTRIC SHOCK — To avoid electric shock, this device and

its accessories should not be placed within the patient
environment, which is a volume related to an object (bed,
chair, table, treadmill, etc.) where a patient is intended to be
diagnosed, monitored, or treated.

WARNING EQUIPMENT DAMAGE OR DATA LOSS — Turn off the central

station power switch only when the message It is now safe to
turn off your computer displays. Equipment damage or data
loss can occur if this instruction is not followed.

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.

WARNING EXCESSIVE LEAKAGE CURRENT — Do not plug the CARESCAPE

Central Station into a power strip used by other non-medical
grade devices, such as a laser printer. Laser printers are UL
60950/IEC 60950 certified equipment, which may not meet the
leakage current requirements of patient care equipment. This
equipment must not be located in the patient environment
unless the medical system standard EN 60601-1-1 is followed.
Do not connect a laser printer to a multiple socket outlet
supplying patient care equipment. The use of multiple socket
outlet for a system will result in an enclosure leakage current
equal to the sum of all the individual earth leakage currents
of the system if there is an interruption of the multiple socket
outlet protective earth conductor. Consult authorized service
personnel before installing a laser printer.

WARNING EXPLOSION HAZARD — Do not use this device in the presence

of flammable anesthetics, vapors, or liquids, or in an
oxygen-rich environment.

WARNING INCORRECT WAVEFORM SCALING—After replacing an LCD

display, screen calibration must be performed. Otherwise,
there is a potential for incorrect waveform scaling.

2048001-057E CARESCAPE Central Station 23

Safety precautions

WARNING INTERFACING OTHER DEVICES — Devices may only be

interconnected with each other or to parts of the system when
it has been determined by authorized service personnel that
there is no danger to the patient, the user, or the environment
as a result.
In those instances where there is any element of doubt
concerning the safety of connected devices, the user must
contact the manufacturers concerned (or other informed
experts) for proper use.
In all cases, safe and proper operation should be verified with
the applicable manufacturer's instructions for use and system
standards IEC 60601-1-1/EN 60601-1-1 must be complied
with.

WARNING LOSS OF ALARMS — The CARESCAPE Central Station is in-unit

compatible with CIC Pro Clinical Information Center software
v4.0.7 or later. Sharing the Unit Name across central stations
having incompatible software versions can result in lost or
corrupted Telemetry Alarm Setup Defaults and loss of audio
alarms.

WARNING LOSS OF ALARMS/LOSS OF MONITORING — To avoid reduced

system performance that may include loss of monitoring and
loss of alarm notification, only use GE supplied or GE approved
parts and FRUs.

WARNING LOSS OF MONITORING — During shutdown or while in admin

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.

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.

24 CARESCAPE Central Station 2048001-057E

 Safety precautions

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.

WARNING LOSS OF MONITORING — If power to the central station is lost,

patient monitoring information will no longer be displayed
or stored.

WARNING LOSS OF MONITORING — Leave space for circulation of air to

prevent the equipment from overheating. The manufacturer
is not responsible for damage to equipment caused by
improperly vented cabinets, improper or faulty power, or
insufficient wall strength to support equipment mounted on
such walls. The environmental operating conditions specified
in the technical specifications must be ensured at all times.

WARNING LOSS OF MONITORING — Safely turning off this device and/or

removal of the device from mains power should be done by
authorized service personnel.

WARNING LOSS OF MONITORING — Secure the power cord to the

processing unit using the strain relief (cable clamp) to avoid
loss of power and a potential result in loss of monitoring.

WARNING LOST OR INTERMITTENT COMMUNICATION — Do not exceed a

maximum of 15 central stations in a single logical unit.
Attempting simultaneous displays of a monitoring device
(bedside or telemetry) at too many central stations may cause
lost or intermittent communication between central stations
and the monitoring device. This is evidenced by NO COMM or
intermittent communication conditions for the beds.
The maximum number of central stations viewing a
monitoring device can vary depending on bedside monitor
capabilities and network design.
Monitoring devices are limited in the number of remote view
connections that can be supported.

2048001-057E CARESCAPE Central Station 25

Safety precautions

There are limitations for the device quantity supported by

the CARESCAPE Network. For more information, contact GE
Technical Support.

WARNING MAINTENANCE — Regular preventative maintenance

should be carried out annually. Following any applicable
country-specific requirements is the responsibility of the
hospital.

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, you should 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.

WARNING NETWORK INTEGRITY — The central station should not be

installed directly on the Hospital Enterprise network. Ensure
that the CARESCAPE Network IX and CARESCAPE Network
MC are isolated either physically, or on non-routable VLANs
or via router.
If the central station is configured to reside on the hospital’s
enterprise network, it is possible that inadvertent or malicious
network activity could adversely affect patient monitoring.
The integrity of the computer network is the responsibility of
the hospital.

WARNING NETWORK INTEGRITY/MALWARE INFECTION— When using a

service computer to install software onto the central station,
do not connect the Ethernet cable from the service computer
to the central station’s CARESCAPE Network MC port. You
must use the CARESCAPE Network IX to install or reload
software.

WARNING OUT-OF-UNIT ALARMS — Depending on the central station

configuration, audio alarms may not sound at the central
station for any viewed out-of-unit patients. Only visual alarm
indicators display unless the central station is configured
to also sound audio alarms. For more information, contact
authorized service personnel.

WARNING OUT-OF-UNIT ALARMS — If the central station is configured to

sound audio out-of-unit alarms, any patient displayed on the
out-of-unit central station can have the active audio alarms
paused at the out-of-unit central station.

WARNING PERFORMANCE ISSUES — In order to ensure proper

performance of the central station, do not exceed two central
stations configured as mirrors per a single primary central
station.

26 CARESCAPE Central Station 2048001-057E

 Safety precautions

WARNING PERFORMANCE ISSUES/DATA LOSS — Failure to adhere to the

following restrictions may cause central station performance
issues and data loss.
● USB connections/interfaces support passive extenders
up to a total of 15 feet (per USB 2.0 standards) and do
not support active extenders. The standard keyboard
is supplied with a six-foot cable, so only an additional
nine-foot USB passive extender can be used.
● GE does not provide or support any USB extenders.
● No extenders are supported for the speaker.
● The part numbers for the supported digital video cables
are listed in the supplies and accessories supplement.
● Do not use unapproved equipment, such as active USB
extenders.

WARNING PERMANENT INSTALLATION — Do not move the central station

or any system device while the central station is running.
Doing so could result in failure of the system to work properly.
Refer all installation modifications to authorized service
personnel.

WARNING PERSONAL INJURY OR EQUIPMENT DAMAGE — Follow these

precautions whenever performing disassembly. Failure
to follow this instruction could result in serious injury or
product/property damage.

WARNING POWER SUPPLY — This device must be connected to a properly

installed power outlet with protective earth contacts only.
If the installation does not provide for a protective earth
conductor, disconnect the device from the power line and
operate it on battery power, if possible. GE recommends the
use of an Uninterrupted Power Supply (UPS) with the central
station, including displays. If a UPS is not used, improper
shutdowns of the system could result from power outages
and cause a lengthy disk scan delays when the device
reboots. Data could be lost in the event of a power outage. All
system devices must be connected to the same power supply
circuit. Devices that are not connected to the same power
supply circuit must be electrically isolated when operated.

WARNING POWER REQUIREMENTS — Before connecting the device to the

power line, check that the voltage and frequency ratings of
the power line are the same as those indicated on the device's
label. If this is not the case, do not connect the system to the
power line until authorized service personnel adjust the device
to match the power source. In the US, if the installation of this
device will use 240 V rather than 120 V, the source must be
a center-tapped, 240 V, single-phase circuit. This device is
suitable for connection to public mains as defined in CISPR 11.

WARNING QUALIFIED PERSONNEL — The service mode and alarm service

mode are intended for use only by qualified personnel with
training and experience in their use. The consequences of
misuse include loss of alarm configuration, loss of patient
data, corruption of the operating system software, or
disruption of the network.

2048001-057E CARESCAPE Central Station 27

Safety precautions

WARNING REPAIR TO THE FRU LEVEL — Field repairs are recommended

to the FRU only. Attempting a field repair on a PCB or a
factory-sealed component or assembly could jeopardize the
safe and effective operation of the device.

WARNING RESTRICTED SALE — US federal law restricts this device to sale

by or on order of a physician.

WARNING SHOCK HAZARD — Disconnect AC-powered devices from the

power line before cleaning or disinfecting its surface. Turn
off the power to battery-powered devices before cleaning or
disinfecting its surface.

WARNING SHOCK HAZARD — Do not pour or spray any liquid directly on

cables or leadwires or permit fluid to seep into connections
or openings.

WARNING SHOCK HAZARD — Never immerse devices, cables, or

leadwires in any liquid or allow liquid to enter the interior.

WARNING SHOCK HAZARD — Never touch components inside the power

supply. There are no field-serviceable components in the
power supply. Capacitors in the power supply present a shock
hazard even when the power is off.

WARNING SHOCK HAZARD — The central station and all peripheral

equipment must be adequately grounded or a shock hazard
may exist. Do not use plug adapters that defeat the grounding
capability of the power plug. An ungrounded electrical device
presents a potentially severe and dangerous shock hazard.

WARNING SHOCK HAZARD — Whenever the cover is removed, you can

disrupt internal components and potentially disrupt proper
power or ground connections. The potential for electric shock
exists. When the cover is replaced, perform electrical safety
tests and FRU checkout procedures.

WARNING SITE REQUIREMENTS — Do not route cables in a way that they

may present a stumbling hazard. For devices installed above
the user or patient, adequate precautions must be taken to
prevent them from dropping on the user or patient.

WARNING SUPERVISED USE — This device is intended for use under the
direct supervision of a licensed health care practitioner.

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.

WARNING UNMONITORED BEDS — Failure to have enough Multi-Viewer

slot 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.

28 CARESCAPE Central Station 2048001-057E

 Safety precautions

WARNING A shock hazard may exist if external devices are connected

differently from described in this manual, or as directed by
the manufacturer.
External equipment must be connected to the central station
only by authorized service personnel.

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 Ample access for AC power cord disconnect (from the

wall outlet, or from the back of the unit) is vital to provide
positive AC power disconnection for service or in the event
of emergency.

WARNING Check the network after an upgrade has been completed and
before the start of bedside or telemetry monitoring.

WARNING Connect the UPS to the central station(s) and display monitor(s)
only. Do not connect printers or other devices to a UPS, as
such devices may shorten estimated run-times. If AC line
power is not restored before UPS run-time is exceeded, the
central station improperly shuts down and patients will not
be monitored.

WARNING Duplicate IP addresses will cause erratic system

communication and data loss. Be extremely careful not to
assign the same IP address to two different devices.

WARNING During the timeframe that GE monitoring devices are

connected to a non-validated network, clinical users must
be aware that they are operating this system with increased
risk, especially for devices that rely specifically on the network
for transmission of alarms and other monitoring data. This
increased risk comes about because GE has not been able
to review/approve the proposed network design and/or
commission the implemented network to ensure it meets
required performance specifications.
The devices at increased risk include, but are not exclusive to,
telemetry monitoring and all patient monitoring done from
the central station.
Since monitoring data flows to and from central stations,
telemetry servers, and other medical devices, the lack of a
commissioned network can affect the performance of the
overall system. Further, the lack of a validated network may
result in limited technical support for troubleshooting product
issues on products that rely on the CARESCAPE Network.

WARNING If a USB memory stick other than the stick containing the
reload image is plugged into the central station, you need
to remove it prior to rebooting. Otherwise, the message
Operating system missing will be displayed.

2048001-057E CARESCAPE Central Station 29

Safety precautions

WARNING In addition to the hazardous situations identified above,

connection of the central station to a shared network that
was not built by or as specified by GE could result in other
unidentified risks to patients, operators or third parties. The
responsible organization should identify, analyze, evaluate
and control these risks on an ongoing basis including after
changes to the network such as those listed below, which
could introduce new risks and require additional analysis.
● Changes in network configuration
● Connection of additional items to the network
● Disconnecting items from the network
● Update of equipment connected to the network
● Upgrade of equipment connected to the network

WARNING In order to avoid erratic system communication and data

loss, it is extremely important for the hospital and installer to
follow the instructions for Configuring network IP address and
Checking network connectivity sections within this manual
before putting the system into clinical use.

WARNING In order to remove power from the central station, disconnect

the power cord from the wall outlet. The power switch on
the back panel of the processor box 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 Prior to restarting, remove any USB memory sticks (blank

or otherwise) connected to USB connections/interfaces of
the central station. Otherwise, the system software may not
restart.

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 Take necessary electrostatic discharge (ESD) precautions

while servicing the product.

WARNING Telemetry alarm audio off remains off until manually turned
back on.

WARNING The installer should not connect the MC and IX network cables
until instructed to do so as part of configuration procedure
as doing so before network configuration is complete could
cause interference with other devices on the network.

WARNING The mirror central display and the primary central station
must be at the same software version.

WARNING This assembly is static sensitive and should be handled using

precautions to prevent electrostatic discharge damage.

30 CARESCAPE Central Station 2048001-057E

 Safety precautions

WARNING When using a video splitter with the central station, screen
calibration may be possible with only one of the monitors
connected to the splitter. This is because changing calibration
for one monitor will affect the calibration of all other monitors
connected to that same splitter.
When using monitors connected to a splitter, only the last
monitor calibrated will have proper calibration. Manual
measurements should be made from that monitor only.

WARNING Without a UPS, power line outages may result in:

● Improper shutdown of the central station, causing lengthy
disk scan procedures on reboot.
● Data loss.
● Failure of the central station and other hardware
components.

Caution safety messages

The following caution safety messages apply to this system:
CAUTION BURNS — During operation, the power supply can become
hot enough to cause severe burns. Allow the power supply to
thoroughly cool before disassembly.

CAUTION DEVICE DAMAGE — Do not autoclave any part of the system

with steam (including cables).

CAUTION DEVICE DAMAGE — Never use conductive solutions, solutions

that contain chlorides, wax, or wax compounds to clean
devices, cables or leadwires.

CAUTION DEVICE DAMAGE — Never use solutions or products that

contain the following:
● Any type of Ammonium Chloride such as, but not limited to:
￭ Dimethyl Benzyl Ammonium Chloride
￭ Quaternary Ammonium Chloride solutions
● Abrasive cleaners or solvents of any kind
● Acetone
● Ketone
● Betadine
● Alcohol-based cleaning agents
● Sodium salts

CAUTION DISPOSAL — Dispose of the packaging material, observing

the applicable waste control regulations, and keep it out of
children’s reach.

2048001-057E CARESCAPE Central Station 31

Safety precautions

CAUTION EMC INTERFERENCE — Magnetic and electrical fields are

capable of interfering with the proper performance of the
device. For this reason make sure that all external devices
operated in the vicinity of the device comply with the relevant
EMC requirements. X-ray or MRI devices are a possible
source of interference as they may emit higher levels of
electromagnetic radiation.

CAUTION ELECTROMAGNETIC COMPATIBILITY (EMC) — Changes or

modifications to this device/system not expressly approved
by GE may cause EMC issues with this or other devices.
This device/system is designed and tested to comply with
applicable standards and regulations regarding EMC and
needs to be installed and put into service according to the
EMC information stated as follows:
Use of known RF sources, such as cell/portable phones,
or other radio frequency (RF) emitting devices near the
system may cause unexpected or adverse operation of
this device/system. Consult qualified personnel regarding
device/system configuration.
The device/system should not be used adjacent to, or stacked
with, other devices. If adjacent or stacked use is necessary,
the device/system should be tested to verify normal operation
in the configuration in which it is being used. Consult qualified
personnel regarding device/system configuration.
The use of accessories, transducers, and cables other
than those specified may result in increased emissions or
decreased immunity performance of the device/system.
This device/system is suitable for use in all establishments
other than domestic and those directly connected to the
public low-voltage power supply network that supplies
buildings used for domestic purposes. Mains power should be
that of a typical commercial or hospital environment.

CAUTION INCORRECT HISTORICAL DATA — The 12SL ECG Analysis

Program installed in bedside monitors expects 12 ECG leads
to perform a complete analysis. The bedside monitor can get
12 ECG leads by using a 10-leadwire ECG cable or by using a
6-leadwire ECG cable. If a 6-leadwire ECG cable is used, the
bedside monitor must also have the 12RL program installed
so it can compute the other ECG waveforms, after which it
then indicates interpolated leads on the 12SL reports.
Some bedside monitors still compute 12SL analysis even
though they do not have 12 ECG leads and don't have the 12RL
program installed. These bedside monitors do not include
the interpolated leads statement on the reports. Missing lead
data appears as a zero-level (flat-line) in the corresponding
waveform channel and the 12SL report includes a statement
that data quality is poor. 12SL reports based on less than 12
ECG leads may not provide a complete analytic interpretation.
The central station retrieves 12SL analysis reports in all the
above cases. If the accuracy of the displayed 12SL data is
questionable or data is missing, first confirm patient status,
then review the data at the primary monitoring device.

32 CARESCAPE Central Station 2048001-057E

 Safety precautions

CAUTION INSPECTION — Failure on the part of the responsible hospital

or institution employing use of this device to implement
a satisfactory maintenance schedule may cause undue
device failure and possible health hazards. The manufacturer
does not in any manner assume the responsibility for
performing the recommended maintenance schedule, unless
an Equipment Maintenance Agreement exists. GE Service
personnel may, at their discretion, follow the procedures
provided in this manual as a guide during visits to the
equipment site.

CAUTION INTERNET EXPLORER FAVORITES — Saving Internet Explorer

Favorites (bookmarks) for web pages containing patient
data is not recommended. Doing so may result in patient
data displayed in Internet Explorer not matching the patient
identification number.

CAUTION LOSS OF DISPLAY — The CARESCAPE Central Station does not

support and should not be used with a KV/KVM switch as it
may lead to loss of display. Since KVMs share the display, only
one central station would have a display at any time. Each
central station must have a persistent display to avoid the loss
of visual monitoring hazardous situations.

CAUTION LOSS OF DISPLAY — Plug the video splitter power adapter

into a UPS to prevent loss of power. Route cords to prevent
accidental disconnection. Loss of power to the video splitter
will result in a loss of both the remote and the local display.
After resolving the power loss, a reboot of the central station
is required to reset the video splitter and restore the displays.

CAUTION LOSS OF FULL DISCLOSURE DATA — Failure to reboot the

central station after changing the time zone results in the
following:
● The loss of stored Full Disclosure data.
● The discontinuance of Full Disclosure data collection.
● The inability to access the Full Disclosure function.

CAUTION Avoid getting chemicals leaked from a ruptured battery into

eyes or on the skin. In the event that battery ruptures and
battery chemicals get into eyes, flush with copious quantities
of flowing lukewarm water for a minimum of 15 minutes. Get
immediate medical attention for eyes. Wash skin with soap
and water.

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, plus there is a potential that data stored at the
central station may be incorrectly time-stamped (e.g., Full
Disclosure data).

CAUTION Do not exceed the limitations of the mounting system during

equipment installation or modification.

2048001-057E CARESCAPE Central Station 33

Safety precautions

CAUTION Primary and secondary displays used with the central

station must have a 1280x1024 native resolution. Otherwise,
pixel interpolation performed by the display could distort
waveforms leading to possible stretching and/or loss of ECG
morphological information.

CAUTION The central station uses an internal forced-air cooling system,

but most displays do not. The user must determine the heat
dissipation requirements of the selected display and provide
for any required cooling ventilation.

CAUTION While installing touchscreen monitors, check that a mouse is

also installed and operational.

Notice safety messages

No notice safety messages apply to this system.

Safety symbols
The following symbols appear on one or more of the system devices:
Symbol Description

Caution, consult accompanying documents.

Electrostatic discharge. Connections should not be made to this

system unless ESD precautionary procedures are followed.

Potential equalization conductor (IEC 60601-1). Use this conductor

to bring the processing unit to the same potential as other devices
in the care unit by connecting a green and yellow potential
equalization cable to the pin labeled with the equipotential symbol,
and connecting the other end of the cable to the equalization bus
bar for the care unit.
Type B (IEC 60601-1) protection against electric shock.
Non-isolated applied part suitable for intentional external and
internal application to the patient, excluding direct cardiac
application.
Type BF (IEC 60601-1) protection against electric shock. Isolated
(floating) applied part suitable for intentional external and internal
application to the patient, excluding direct cardiac application.
Type CF (IEC 60601-1) protection against electric shock. Isolated
(floating) applied part suitable for intentional external and internal
application to the patient, including direct cardiac application.

34 CARESCAPE Central Station 2048001-057E

About this system
3
Intended use
The CARESCAPE Central Station is intended for use under the direct supervision of a
licensed healthcare practitioner. The intended use is to provide clinicians with adult,
pediatric and neonatal patient data within a hospital or clinical environment.
The CARESCAPE Central Station is intended to collect, display and print information
from a network, including patient demographics, physiological parameters and
waveforms, alarm annunciation and/or other non-medical information from
monitors and telemetry systems. Physiological parameters and waveforms include
electrocardiograph (ECG), pulse oximetry (SPO2), invasive blood pressures (IBP),
non-invasive blood pressure (NIBP), respiration (RR), ventilator (VNT), carbon dioxide
(CO2), oxygen (O2), mass spectrometry (Gas), temperature (Temp) and bispectral
index (BIS). Beat to beat patient information for parameters and waveforms from the
bedside and telemetry systems can be displayed. Patient monitor and telemetry
system settings can be adjusted. Parameter values derived from patient data can be
calculated, displayed, and printed.
The CARESCAPE Central Station supports the ability to access information from GE
products and hospital intranet in a web browser format. Additionally, CARESCAPE
Central Station supports the ability to access patient information collected from the
CARESCAPE network and stored on a network server.

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".

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.

2048001-057E CARESCAPE Central Station 35

About this system

● 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 GE contact
information regarding authorized service personnel and acceptable repair facilities,
see the How to reach us information.
● 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
The processing unit runs the central station software application.
The processing unit has the following controls, indicators, and connections.

Item Description
1 Power on indicator Illuminates when processing unit is powered on.

36 CARESCAPE Central Station 2048001-057E

 About this system

Item Description
Connect the green and yellow potential equalization cable
Potential equalization to the pin labeled with the equipotential symbol, and
1
conductor connect the other end of the cable to the equalization bus
bar for the care unit.
● S/5: Do not connect any device (reserved for potential
future use).
Network
2 ● MC: Connect to the CARESCAPE Network.
connection/interface
● IX: Connect to the hospital enterprise network for
access to printers, Citrix, and Intranet.

Serial ● RS232 1: Connect to a touchscreen display.

3
connection/interface ● RS232 2: Connect to a writer.
4 Cable clamps Clamp the power cable and speaker wire.
● DVI-I 1: Connect to the primary display.
5 Color video output
● DVI-D 2: Connect to a secondary display.
USB
6 Connect to a mouse, keyboard, or touchscreen display.
connection/interface
7 Speaker output Connect to the external speakers.
8 Power switch Press the switch to power on the processing unit.
9 Power connection Connect the power cord.

Displays
Primary display
Primary displays can be a standard or touchscreen display used to display the
Multi-Viewer.
If a secondary display is not used, the 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.
Secondary display
Secondary displays can be a standard or touchscreen display used to show 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.
Mirrored central displays
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

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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.

Remote displays provide non-interactive access to the same monitoring devices

displayed on the primary central station by replicating the video output on up to four
additional displays. Remote displays do not provide audio alarm notification.

Keyboard and mouse

The keyboard is used to enter text and has a special alarm AUDIO PAUSE key.
Keyboards for the CARESCAPE Central Station have an alarm AUDIO PAUSE key
marked with a dotted cross-out over a bell. Keyboards for previous versions of the
central station, including the CIC Pro Clinical Information Center, have an alarm AUDIO
PAUSE key marked with a solid cross-out over a bell. There is no change in function for
the alarm AUDIO PAUSE key, both function identically. The dotted cross-out symbol
conforms to the IEC 60601-1-8 standard.
The mouse is used to select items. The cursor changes to indicate the current
operation mode:
● When in the user mode, the arrow cursor displays. This cursor changes to an
I-beam when the user can enter text.
● When in the service mode, the cross cursor displays.
● When in the alarm service mode, the alarm cursor displays.
Symbol Description

Alarm service mode cursor

Alarm AUDIO PAUSE keyboard key (CARESCAPE Central Station)

Alarm AUDIO PAUSE keyboard key (CIC Pro Clinical Information

Center)

MultiKM indicator

Service mode cross cursor

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Symbol Description

User mode arrow cursor

User mode I-beam cursor

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.

External speakers
The external speakers provide audio alarm notification.

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.

WARNING EXCESSIVE LEAKAGE CURRENT — Do not plug the CARESCAPE

Central Station into a power strip used by other non-medical
grade devices, such as a laser printer. Laser printers are UL
60950/IEC 60950 certified equipment, which may not meet the
leakage current requirements of patient care equipment. This
equipment must not be located in the patient environment
unless the medical system standard EN 60601-1-1 is followed.
Do not connect a laser printer to a multiple socket outlet
supplying patient care equipment. The use of multiple socket
outlet for a system will result in an enclosure leakage current
equal to the sum of all the individual earth leakage currents
of the system if there is an interruption of the multiple socket
outlet protective earth conductor. Consult authorized service
personnel before installing a laser printer.

A laser printer can be configured to print data for the central station.

Writer
A writer can be connected to the central station to print data.

Un-interruptible power supply

WARNING ACCESSORIES (SUPPLIES) — The use of non-approved UPS may
impact the performance of the product and potentially result
in loss of monitoring.

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WARNING LOSS OF MONITORING — If power to the central station is lost,

patient monitoring information will no longer be displayed
or stored.

WARNING Without a UPS, power line outages may result in:

● Improper shutdown of the central station, causing lengthy
disk scan procedures on reboot.
● Data loss.
● Failure of the central station and other hardware
components.

GE recommends using an un-interruptible power supply (UPS) with the central station.
The actual UPS run times are variable, and are affected by the following conditions:
● Battery age
● Ambient temperature
● Site specific UPS usage patterns
● Load characteristics
The following table lists the estimated UPS runtimes:
UPS part Voltage VA rating Devices Approximate
number supported
number of
minutes
2022038–001 120V 600VA Central station with 30 mins
two 19 inch displays minimum
and a writer
2022038–002 220V 600VA Central station with 30 mins
two 19 inch displays minimum
and a writer
2022038–003 120V 2000VA Three central stations, 30 mins
six 19 inch displays minimum
and three writers

Device symbols
The following symbols may appear on one or more of the system devices:
Symbol Description

Alarm AUDIO PAUSE keyboard key (CARESCAPE Central Station)

Alarm AUDIO PAUSE keyboard key (CIC Pro Clinical Information

Center)

Analog color video output

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Symbol Description

Atmospheric pressure limitations

Catalogue or orderable part number

Caution, consult accompanying documents.

Date of manufacture. This symbol indicates the date of

manufacture of this device. The first four digits identify the year
and the last two digits identify the month.

Digital color video output

Electrostatic discharge. Connections should not be made to this

device unless ESD precautionary procedures are followed.

European authorized representative

European Union declaration of conformity

Fragile. Handle with care.

Fuse

Humidity limitations

International Safe Transit Association Shipper Member

Keep dry. Protect from rain.

Manufacturer name and address

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Symbol Description

Menu keyboard key

Network connection/interface

Potential equalization conductor (IEC 60601-1). Use this conductor

to bring the processing unit to the same potential as other devices
in the care unit by connecting a green and yellow potential
equalization cable to the pin labeled with the equipotential symbol,
and connecting the other end of the cable to the equalization bus
bar for the care unit.
Power on

Power off

Power on

WARNING RESTRICTED SALE — US federal law

restricts this device to sale by or on order
of a physician.

Press to open writer door.

Recycled materials or may be recycled

Russian GOST-R certification

Serial connection/interface

Serial number

Speaker output

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Symbol Description

Temperature limitations

This side up.

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
SJ/T11363-2006 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 toxic
or 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
toxic or hazardous substance or elements above the maximum
concentration value established by the Chinese standard
SJ/T11363-2006, and can be recycled after being discarded, and
should not be casually discarded.
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.
Type B (IEC 60601-1) protection against electric shock.
Non-isolated applied part suitable for intentional external and
internal application to the patient, excluding direct cardiac
application.

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Symbol Description
Type BF (IEC 60601-1) protection against electric shock. Isolated
(floating) applied part suitable for intentional external and internal
application to the patient, excluding direct cardiac application.
Type CF (IEC 60601-1) protection against electric shock. Isolated
(floating) applied part suitable for intentional external and internal
application to the patient, including direct cardiac application.
Underwriters Laboratories product certification mark. Medical
Equipment. With respect to electric shock, fire, and mechanical
hazards only in accordance with IEC 60601-1; EN60601-1; UL
60601-1; CAN/CSA C22.2 NO.601.1.

USB connection/interface

Windows keyboard key

Device identification
Every GE device has a unique serial number for identification.
The serial number label is located on the side of the CPU.

Item Description
1 Product name1
2 Year manufactured
3 Fiscal week manufactured
4 Production sequence number
5 Manufacturing site
6 Miscellaneous characteristic

1. CARESCAPE Central Station v1 on MP100 platform product code: SGJ;

CARESCAPE Central Station v1 software upgrade product code: SGL

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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.
The following elements display on the Multi-Viewer:

Item Description
1 Multi-Viewer alarm volume indicator
2 Multi-Viewer title bar
3 Multi-Viewer monitoring devices alarm buttons (i.e., alarm display units or ADUs)
4 Multi-Viewer central station system status alarm button/drop-down menu
5 Multi-Viewer menu
6 Multi-Viewer alarm AUDIO PAUSE button
7 Patient Multi-Viewer windows
8 Selected patient Multi-Viewer window (blue background)

Single Viewer overview

The Single Viewer displays parameter numerics and waveforms, as well as historical
data, for one patient at a time, including temporarily displaying an additional (17th)
patient. Up to nine waveforms can be displayed per patient.
The following elements display on the Single Viewer:

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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 Single Viewer control buttons
8 Single Viewer alarm AUDIO PAUSE button

The Single Viewer cannot display a monitoring device when there is a space at the
end of the bed number.

User interface symbols

The following symbols appear on one or more of the system devices:
Symbol Description

Alarm AUDIO PAUSE button

Alarm AUDIO PAUSE indicator

Alarm AUDIO PAUSE button

Audio alarm signal indicator
Alarm volume indicator

Alarm service mode cursor

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Symbol Description

Alarms off indicator

All audio alarms off indicator

Ascending or up arrow

Bedside Event Source icon

Browser Back button

Browser Favorites button

Browser Forward button

Browser History button

Browser Home button

Browser Internet Options button

Browser Printer button

Browser Refresh button

Browser Stop button

Close button

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Symbol Description

Configuration button

Deleted event button/indicator

Descending or down arrow

Enter button

Error indicator
Warning indicator

Full Disclosure or PDS (Patient Data Server) Event Source icon

HIGH (CRISIS) alarm priority level indicator

Left, previous, or backward arrow

LOW (ADVISORY) alarm priority level indicator

Maximize button

MEDIUM (WARNING) alarm priority level indicator

Minimize button

MultiKM indicator

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Symbol Description

New event indicator

No alert event indicator

Note indicator

On-screen keyboard button

Pacemaker detection indicator

Print button/icon

Refresh Event Source button

Report button

Reviewed event button/indicator

Right, next, or forward arrow

Scan newer event button

Scan newer data button

Scan newer event fast button

Scan newer data fast button

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Symbol Description

Scan older event button

Scan older data button

Scan older event fast button

Scan older data fast button

Service mode cross cursor

ST Monitoring error button/indicator

ST Monitoring Status button/indicator

ST Monitoring stop button/indicator

Stop event scan button

Stop data scan button

User mode arrow cursor

User mode I-beam cursor

PDF Printer
The central station can print Event Strip reports 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.
Use Webmin > Configuration > PDF Printer to configure central station to send files
to the SFTP server.

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The following are prerequisites for configuring a PDF Printer:

● A server must be running the SFTP service on the IX Network or hospital enterprise
network.
● 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:
<YYYY-MM-DD>_<HHMM>~[<orgCode>]~<PID>~<LAST,
FNAME>~<TYPE>~<BEDUNIT>~<BEDNAME>.pdf
Field Description
<YYYY-MM-DD> The print date as a series of numeric digits

<HHMM> The print time as a series of numeric digits

<orgCode> A central station customer specific code
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
<TYPE> The report type
Only Event Review Strip Report is supported
for this version.
<BEDUNIT> The bedside monitor Unit Name
corresponding to the patient data in
the report
<BEDNAME> The bedside monitor Bed Number
corresponding to the patient data in the
report
~ A tilde character used to delimit most fields
_ An underscore used to delimit time and date
fields

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Field Description
- A hyphen character used to delimit inside
fields
<..> Angle brackets implies a required field
[..] Square brackets implies an optional 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 Strip PDF printing. GE does not provide nor
support the SFTP server.

Networking
Patient monitoring network description
The central station is designed for and requires the CARESCAPE Network.
The central station processes and displays live view data acquired from up to 16
networked GE bedside monitors or telemetry monitoring devices connected to the
CARESCAPE Network.
When patient data is acquired from a telemetry monitoring device, the data is
transmitted from the telemetry monitoring device to a telemetry receiver where it
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.

Intranet access
CAUTION INTERNET EXPLORER FAVORITES — Saving Internet Explorer
Favorites (bookmarks) for web pages containing patient
data is not recommended. Doing so may result in patient
data displayed in Internet Explorer not matching the patient
identification number.

The healthcare institution is responsible for ensuring the privacy of any protected
health information that is displayed on this device.
Browser is configured before clinical use, including Citrix settings and/or Internet
Explorer Favorites. Browser and the Citrix portal which runs in conjunction with the
central station are intended for hospital intranet use only. If confidential patient

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information is made available from the hospital intranet, the security of the data is
the responsibility of the hospital.
CITRIX
Citrix and Browser allow central station clinical users to access other applications
(e.g., Hospital Information System (HIS)) and other sources of patient data (e.g., labs,
images, MUSE Cardiology Information System).
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.

Browser provides access and view other clinical web applications or other sources
of patient data. From the Multi-Viewer menu, select Browser to launch the Microsoft
Internet Explorer web browser and access the configured Citrix or intranet Favorites.

Data types
Patient data
There are two types of physiological patient stored data:
Parameter numerics are retrieved 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

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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. Previous versions of the central
station, including the 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.

Data review tools

Time focus
When parameter data is collected and stored, the historical data is linked to a specific
time focus. When viewing an area of interest for one type of patient data, choosing
another type of patient data will display for that same time focus (e.g., choosing
Numeric Trends to view data that was collected and stored at 7:28 PM on January
10, then choosing Graphic Trends will display the data that was also collected and
stored at 7:28 PM on January 10).
When reviewing stored ECG data samples or strips, only Full Disclosure data stored
within the time span identified by the Full Disclosure license can be viewed. When
attempting to view data that exceeds the Full Disclosure license, the message No
patient data is available for the selected time displays.

Full Disclosure overview

Full Disclosure collects patient data from the bedside monitor. The amount of data
available per patient is determined by licensing. One hour of data collection and

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storage, with up to 500 events per session, is available without additional licensing. A
maximum of 144 hours is available, with up to 2000 events per session.
When the monitoring device is offline for less than the Offline Storage time, there
will be a gap in the Full Disclosure data equal to the amount of time the monitoring
device was offline. When the monitoring device returns online, the Full Disclosure
data displays the gap.
When the monitoring device is offline for more than the Offline Storage time, the
current session becomes a prior (discharge) session. When the monitoring device
returns online, a new session is created. The prior session can be viewed with Data
Sessions.
When the central station collecting the Full Disclosure data (central station A) is offline
for more than five minutes but less than the Offline Storage time, another in-unit
central station starts collecting data for the monitoring devices Full Disclosed by
central station A. When central station A returns online, a gap is added to the session
equal to the offline time plus up to five minutes, and new collected Full Disclosure data
gets appended after that. Central station A then resumes collection of Full Disclosure
data. The other central station converts whatever amount of Full Disclosure data
it collected into a discharge session. This results in one current session, one prior
sessions, and no more than five minutes of Full Disclosure data lost.
When the central station collecting the Full Disclosure data (central station A) is offline
for more than the Offline Storage time, another in-unit central station starts collecting
Full Disclosure data. When central station A returns online, the Full Disclosure data it
collected goes into a discharge session. The other central station continues to collect
the Full Disclosure data instead of the central station A. This results in one current
session and one prior session with no Full Disclosure data lost.
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
FD Strip allows review of multiple ten second waveforms of Full Disclosure data on
one page.
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.

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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 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 on the
screen or printed is questionable, first determine the patient's
vital signs by alternative means. Then, verify the monitoring
devices and printers are working correctly.

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WARNING INCORRECT ALGORITHMS, ARRHYTHMIA PROCESSING, AND

CALCULATIONS BASED ON PATIENT AGE — After manually
updating or automatically retrieving patient information from
a network database, always confirm that the entered patient's
date of birth matches the patient's actual date of birth.
Otherwise the appropriate age-related algorithms, arrhythmia
detection, and calculations will not be applied.

Parameter numerics are retrieved 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.
Trends are configured with factory 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.
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 ten 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 + (STv)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.

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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 appears at the time the V lead data was collected.

Calipers overview
WARNING ACCURACY — If the accuracy of any value displayed on the
screen 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 measurements are not stored on the central station. 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 Monitoring Status indicator overview

The ST Monitoring Status Indicator conveys the current state, as either successful or
failing, of ST records transfer from the monitoring device to the central station. It
does not enable or disable this ST records transfer. The transfers occur automatically
whenever possible and cannot be disabled.
The central station requests an ST record every minute from the monitoring devices.
The central station retrieves the generated ST record and updates the Full Disclosure
data record. In order for ST records to be retrieved from a monitoring device, the
monitoring device must have the following:
● 12SL Analysis Program enabled.
● 10-leadwire cable or 6-leadwire cable and the 12RL algorithm enabled.

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● Full Disclosure data collection at the central station enabled.

ST Review overview
CAUTION INCORRECT HISTORICAL DATA — The 12SL ECG Analysis
Program installed in bedside monitors expects 12 ECG leads
to perform a complete analysis. The bedside monitor can get
12 ECG leads by using a 10-leadwire ECG cable or by using a
6-leadwire ECG cable. If a 6-leadwire ECG cable is used, the
bedside monitor must also have the 12RL program installed
so it can compute the other ECG waveforms, after which it
then indicates interpolated leads on the 12SL reports.
Some bedside monitors still compute 12SL analysis even
though they do not have 12 ECG leads and don't have the 12RL
program installed. These bedside monitors do not include
the interpolated leads statement on the reports. Missing lead
data appears as a zero-level (flat-line) in the corresponding
waveform channel and the 12SL report includes a statement
that data quality is poor. 12SL reports based on less than 12
ECG leads may not provide a complete analytic interpretation.
The central station retrieves 12SL analysis reports in all the
above cases. If the accuracy of the displayed 12SL data is
questionable or data is missing, first confirm patient status,
then review the data at the primary monitoring device.

ST Review requires a secondary display and an enabled license.

ST Review 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. Waveforms displayed on the central station
are to scale provided that screen calibration is correct.
ST Review allows users to display and print ST records on the central station. ST
Review is not intended to make diagnostic interpretations.
The central station will automatically request monitoring devices to generate a ST
record every minute for all monitoring devices for which Full Disclosure data is being
acquired. The central station will then retrieve the generated ST records every minute
from the monitoring device and place it into the monitoring device's Full Disclosure
data record. Not all monitoring devices can generate ST records. No ST records will
be placed into Full Disclosure for those devices. Monitoring devices full disclosed at
previous versions of the central station, e.g., CIC Pro Clinical Information Center, will
not have ST records in Full Disclosure.
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.

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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.
The ST records display in ST Review within approximately three minutes.
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.

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4
Hardware installation overview
This section explains the steps needed to install new central station hardware. If
upgrading a CIC Pro Clinical Information Center existing on the MP100 platform to run
CARESCAPE Central Station software, see the Upgrade chapter (240).

Installation safety precautions

WARNING ACCIDENTAL SPILLS — To avoid electric shock or device
malfunction, liquids must not be allowed to enter the device. If
liquids have entered a device, take it out of service and have
it checked by authorized service personnel before it is used
again.

WARNING BEFORE USE — Before putting the system into operation,

visually inspect all connecting cables for signs of damage.
Damaged cables and connections must be replaced
immediately.
Before using the system, the user must verify that it is in
correct working order and operating condition.
Periodically, and whenever the integrity of the product is in
doubt, test all functions.

WARNING ELECTRIC SHOCK — To avoid electric shock, this device and

its accessories should not be placed within the patient
environment, which is a volume related to an object (bed,
chair, table, treadmill, etc.) where a patient is intended to be
diagnosed, monitored, or treated.

WARNING LOSS OF ALARMS — The CARESCAPE Central Station is in-unit

compatible with CIC Pro Clinical Information Center software
v4.0.7 or later. Sharing the Unit Name across central stations
having incompatible software versions can result in lost or
corrupted Telemetry Alarm Setup Defaults and loss of audio
alarms.

WARNING LOSS OF MONITORING — During shutdown or while in admin

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.

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WARNING LOSS OF MONITORING — Leave space for circulation of air to

prevent the equipment from overheating. The manufacturer
is not responsible for damage to equipment caused by
improperly vented cabinets, improper or faulty power, or
insufficient wall strength to support equipment mounted on
such walls. The environmental operating conditions specified
in the technical specifications must be ensured at all times.

WARNING LOST OR INTERMITTENT COMMUNICATION — Do not exceed a

maximum of 15 central stations in a single logical unit.
Attempting simultaneous displays of a monitoring device
(bedside or telemetry) at too many central stations may cause
lost or intermittent communication between central stations
and the monitoring device. This is evidenced by NO COMM or
intermittent communication conditions for the beds.
The maximum number of central stations viewing a
monitoring device can vary depending on bedside monitor
capabilities and network design.
Monitoring devices are limited in the number of remote view
connections that can be supported.
There are limitations for the device quantity supported by
the CARESCAPE Network. For more information, contact GE
Technical Support.

WARNING OUT-OF-UNIT ALARMS — Depending on the central station

configuration, audio alarms may not sound at the central
station for any viewed out-of-unit patients. Only visual alarm
indicators display unless the central station is configured
to also sound audio alarms. For more information, contact
authorized service personnel.

WARNING PERFORMANCE ISSUES/DATA LOSS — Failure to adhere to the

following restrictions may cause central station performance
issues and data loss.
● USB connections/interfaces support passive extenders
up to a total of 15 feet (per USB 2.0 standards) and do
not support active extenders. The standard keyboard
is supplied with a six-foot cable, so only an additional
nine-foot USB passive extender can be used.
● GE does not provide or support any USB extenders.
● No extenders are supported for the speaker.
● The part numbers for the supported digital video cables
are listed in the supplies and accessories supplement.
● Do not use unapproved equipment, such as active USB
extenders.

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WARNING POWER REQUIREMENTS — Before connecting the device to the

power line, check that the voltage and frequency ratings of
the power line are the same as those indicated on the device's
label. If this is not the case, do not connect the system to the
power line until authorized service personnel adjust the device
to match the power source. In the US, if the installation of this
device will use 240 V rather than 120 V, the source must be
a center-tapped, 240 V, single-phase circuit. This device is
suitable for connection to public mains as defined in CISPR 11.

WARNING SITE REQUIREMENTS — Do not route cables in a way that they

may present a stumbling hazard. For devices installed above
the user or patient, adequate precautions must be taken to
prevent them from dropping on the user or patient.

WARNING UNMONITORED BEDS — Failure to have enough Multi-Viewer

slot 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.

WARNING A shock hazard may exist if external devices are connected

differently from described in this manual, or as directed by
the manufacturer.
External equipment must be connected to the central station
only by authorized service personnel.

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 Take necessary electrostatic discharge (ESD) precautions

while servicing the product.

WARNING The installer should not connect the MC and IX network cables
until instructed to do so as part of configuration procedure
as doing so before network configuration is complete could
cause interference with other devices on the network.

WARNING This assembly is static sensitive and should be handled using

precautions to prevent electrostatic discharge damage.

CAUTION LOSS OF DISPLAY — The CARESCAPE Central Station does not

support and should not be used with a KV/KVM switch as it
may lead to loss of display. Since KVMs share the display, only
one central station would have a display at any time. Each
central station must have a persistent display to avoid the loss
of visual monitoring hazardous situations.

CAUTION Do not exceed the limitations of the mounting system during

equipment installation or modification.

Installation requirements
The following requirements must be met before installation:

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● Product training completed

● Site survey completed
The following tools are required for installing system components:
● Computer equipped with the following:
￭ DVD-ROM drive reader
￭ Ethernet network adapter
￭ At least one USB interface/connection
￭ Running Windows XP or 7 operating system
● USB memory stick
● Straight blade screwdriver
● Phillips screwdriver

Site requirements
WARNING BEFORE INSTALLATION — Compatibility is critical to safe and
effective use of this device. Only external devices specifically
designed to be connected to the CARESCAPE Central Station,
or approved by GE for use with the CARESCAPE Central
Station, should be connected, as specified in this manual or
as otherwise specified by the manufacturer. To avoid possible
reduced system performance, please contact your local
GE representative prior to installation to verify equipment
compatibility.

WARNING LOSS OF MONITORING — Leave space for circulation of air to

prevent the equipment from overheating. The manufacturer
is not responsible for damage to equipment caused by
improperly vented cabinets, improper or faulty power, or
insufficient wall strength to support equipment mounted on
such walls. The environmental operating conditions specified
in the technical specifications must be ensured at all times.

CAUTION The central station uses an internal forced-air cooling system,

but most displays do not. The user must determine the heat
dissipation requirements of the selected display and provide
for any required cooling ventilation.

The following requirements must be met before installation:

● Check that all devices on the CARESCAPE MC and IX Networks are compatible with
the central station. For more information, see the compatible devices supplement.
● Check that the installation site meets the following environmental criteria:
￭ Clean, dry and relatively free of dust.
￭ Well-ventilated and away from heat sources.
￭ Away from vibration or shock sources.
● Check that the central station will be isolated from strong electromagnetic fields
and electrical noise produced by electrical devices, such as:
￭ Elevators
￭ Copy machines
￭ Refrigerators, freezers, air conditioners and large fans

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￭ Large electric motors

￭ Radio and TV transmitters
￭ High frequency security devices
￭ High-load medical devices (e.g., imaging, defibrillators)
● Check that the central station ventilation openings are free of obstructions.
The physical installation location should provide at least the following minimal
ventilation clearances:
￭ Front: 20.5 cm (8 in)
￭ Back: 20.5 cm (8 in)
￭ Bottom: 1 cm (3/8 in)
● Follow local electrical grounding code to ensure proper grounding of the device.

Electrical requirements
WARNING ACCESSORIES (SUPPLIES) — The use of non-approved UPS may
impact the performance of the product and potentially result
in loss of monitoring.

WARNING SHOCK HAZARD — The central station and all peripheral

equipment must be adequately grounded or a shock hazard
may exist. Do not use plug adapters that defeat the grounding
capability of the power plug. An ungrounded electrical device
presents a potentially severe and dangerous shock hazard.

WARNING Connect the UPS to the central station(s) and display monitor(s)
only. Do not connect printers or other devices to a UPS, as
such devices may shorten estimated run-times. If AC line
power is not restored before UPS run-time is exceeded, the
central station improperly shuts down and patients will not
be monitored.

WARNING Without a UPS, power line outages may result in:

● Improper shutdown of the central station, causing lengthy
disk scan procedures on reboot.
● Data loss.
● Failure of the central station and other hardware
components.

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.
For more information, see the technical specifications supplement.

Visually inspecting equipment

WARNING MAINTENANCE — Regular preventative maintenance
should be carried out annually. Following any applicable
country-specific requirements is the responsibility of the
hospital.

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CAUTION INSPECTION — Failure on the part of the responsible hospital

or institution employing use of this device to implement
a satisfactory maintenance schedule may cause undue
device failure and possible health hazards. The manufacturer
does not in any manner assume the responsibility for
performing the recommended maintenance schedule, unless
an Equipment Maintenance Agreement exists. GE Service
personnel may, at their discretion, follow the procedures
provided in this manual as a guide during visits to the
equipment site.
An effective maintenance schedule should be established for all equipment and
reusable supplies, including inspection and general cleaning on a regular basis. The
maintenance schedule must comply with your institution’s policies.
All equipment must be inspected before installation, annually for preventative
maintenance, and whenever an equipment failure is suspected.
To visually inspect the equipment, complete the following procedure:
1. Unpack equipment and inspect for shipping damage.
Use the following guidelines when inspecting the equipment:
● Inspect the equipment for obvious physical damage.
● Inspect cords for fraying, tearing of the external protective sheathing or
detachment from the connector head, exposed wires, missing or loose prongs,
and other damage.
● Inspect connections/interfaces for bent prongs or pins.
● Inspect all cable insulation for cracks, tears, or other damage.
2. Check that all equipment is present, including required cables.
3. Inspect the processing unit for damage to the chassis.
4. Inspect the processing unit for a loose potential equalization conductor.
5. Inspect all cables and cable strain-reliefs for cracks or other degradation.
6. Inspect the display for marks, scratches, or other damage.
7. Inspect the internal fan vents for dust or other debris.
8. Inspect the equipment labels to check that they are legible.
9. Inspect the mounting hardware for loose, wrong sized, or missing screws.
If any equipment is damaged before installation, contact GE.
If any equipment damage is observed after installation, clean, repair, or replace the
damaged equipment as appropriate.
For more information, contact GE.

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Installation procedures
Installing processing unit
WARNING PERMANENT INSTALLATION — Do not move the central station
or any system device while the central station is running.
Doing so could result in failure of the system to work properly.
Refer all installation modifications to authorized service
personnel.

Install the processing unit in its permanent location. The following mounting options
are available:
● On a desktop, horizontally either stand-alone or under the monitor stand/base or
vertically using the vertical stand (vertical stand is ordered separately).
● To a wall, using the wall mount, bracket and four mounting screws.
If using mounting hardware, see the instructions accompanying the mounting
hardware.

Installing displays
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.

CAUTION Primary and secondary displays used with the central

station must have a 1280x1024 native resolution. Otherwise,
pixel interpolation performed by the display could distort
waveforms leading to possible stretching and/or loss of ECG
morphological information.

CAUTION While installing touchscreen monitors, check that a mouse is

also installed and operational.

All displays connected to the central station must be identically sized and have a
natural display resolution of 1280x1024.
Installing remote displays
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.

CAUTION LOSS OF DISPLAY — Plug the video splitter power adapter

into a UPS to prevent loss of power. Route cords to prevent
accidental disconnection. Loss of power to the video splitter
will result in a loss of both the remote and the local display.
After resolving the power loss, a reboot of the central station
is required to reset the video splitter and restore the displays.

Remote display installation requires a video splitter. For more information, see the
compatible devices supplement.

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To install the remote display(s), complete the following procedure:

1. Place the displays in their permanent locations.
2. Connect the video splitter DVI to VGA adapter (from the video splitter installation
kit) to the processing unit.
3. Follow the installation instructions provided with the video splitter installation kit.
4. Connect the display power cable to a UPS, if available.
Installing primary display
1. Place the display in its permanent location.
2. Connect the display DVI cable to the video output (DVI-1) on the processing unit.
Analog VGA displays require VGA to DVI adapter.
3. Tighten the cable connector screws.
4. Connect the touchscreen data display cable to an available USB
interface/connection on the processing unit, if applicable.
Or connect the touchscreen cable to the serial connection/interface (RS232 1) on
the processing unit, if available.
5. Connect the display power cable to a UPS, if available.
Installing secondary displays
Secondary displays will not function until the required license(s) are activated.
To install secondary displays, complete the following procedure:
1. Place the display in its permanent location.
2. Connect the display DVI cable to the video output (DVI-2) on the processing unit.
3. Tighten the cable connector screws.
4. Connect the touchscreen data display cable to an available USB
interface/connection on the processing unit, if applicable.
Or connect the touchscreen cable to the serial connection/interface (RS232 1) on
the processing unit, if available.
5. Connect the display power cable to a UPS, if available.

Installing keyboard and mouse

1. Install the mouse on a flat surface to prevent erratic movements and performance.
An additional 5 meter USB passive extender can be used if necessary. See the
supplies and accessories document for approved passive extenders. Active
extenders are not supported.
2. Connect the mouse USB cable to an available USB interface/connection on the
processing unit.
3. Install the keyboard on a flat surface.
An additional 5 meter USB passive extender can be used if necessary. See the
supplies and accessories document for approved passive extenders. Active
extenders are not supported.

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4. Connect the keyboard USB cable to an available USB interface/connection on

the processing unit.

Installing external speakers

1. Place the external speakers in the appropriate location.
2. Connect the external speakers cable to the speaker output on the processing unit.
Audio extenders are not supported for the external speakers.
3. Route the cable through the cable clamp.
4. Tighten the cable clamp screws.

Installing writer
1. Check the writer is a supported device. For more information, see the compatible
devices supplement. Use of earlier versions may result in the omission of
characters from the patient identification number and/or patient name on
printouts.
2. Place the writer in its permanent location.
3. Connect the serial cable to the writer adapter.
4. Connect the writer adapter to the serial interface/connection (RS232 2) on the
processing unit.
5. Tighten the adapter screws to the processing unit.
6. Connect the Cat 5 cable to the writer adapter.
7. Connect the writer adapter to M-port connector on the writer.
8. Connect the power source to the writer.

Installing 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.

WARNING EXCESSIVE LEAKAGE CURRENT — Do not plug the CARESCAPE

Central Station into a power strip used by other non-medical
grade devices, such as a laser printer. Laser printers are UL
60950/IEC 60950 certified equipment, which may not meet the
leakage current requirements of patient care equipment. This
equipment must not be located in the patient environment
unless the medical system standard EN 60601-1-1 is followed.
Do not connect a laser printer to a multiple socket outlet
supplying patient care equipment. The use of multiple socket
outlet for a system will result in an enclosure leakage current
equal to the sum of all the individual earth leakage currents
of the system if there is an interruption of the multiple socket
outlet protective earth conductor. Consult authorized service
personnel before installing a laser printer.

1. Check the laser printer is a supported device. For more information, see the
compatible devices supplement.

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2. Follow the installation instructions provided with the laser printer.

● Do not install any software provided with the laser printer on the central station.
● If USB interface is used to the laser printer, do not connect the laser printer
USB cable to the processing unit at this time. The laser printer USB cable is
connected to the processing unit after configuration.

Installing Mirrored Central display(s)

Install the additional central station(s) planned to be mirrors in the permanent
location(s) or use existing central stations on the network.

Connecting processing unit power source

WARNING ACCESSORIES (SUPPLIES) — The use of non-approved UPS may
impact the performance of the product and potentially result
in loss of monitoring.

WARNING LOSS OF MONITORING — If power to the central station is lost,

patient monitoring information will no longer be displayed
or stored.

WARNING POWER REQUIREMENTS — Before connecting the device to the

power line, check that the voltage and frequency ratings of
the power line are the same as those indicated on the device's
label. If this is not the case, do not connect the system to the
power line until authorized service personnel adjust the device
to match the power source. In the US, if the installation of this
device will use 240 V rather than 120 V, the source must be
a center-tapped, 240 V, single-phase circuit. This device is
suitable for connection to public mains as defined in CISPR 11.

WARNING Ample access for AC power cord disconnect (from the

wall outlet, or from the back of the unit) is vital to provide
positive AC power disconnection for service or in the event
of emergency.

WARNING LOSS OF MONITORING — Secure the power cord to the

processing unit using the strain relief (cable clamp) to avoid
loss of power and a potential result in loss of monitoring.

To connect the central station to the power source, complete the following procedure:
1. Connect the processing unit power cable into a UPS.
2. Connect the UPS to a properly grounded, hospital-grade duplex power outlet.
Without a UPS, power line outages may result in:
● Improper shutdown resulting in lengthy disk scan procedures on reboot.
● Data loss.
● Processing unit and/or other hardware component failure.
3. Connect the processing unit power cable to the processing unit.
4. Connect a green and yellow potential equalization cable to the pin labeled
with the equipotential symbol, and connect the other end of the cable to the
equalization bus bar for the unit.

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5. Route the power cable through the cable clamp.

6. Tighten the cable clamp screw to secure the clamp to the chassis.

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5
Service interfaces overview
Service interfaces provide several advanced and specialized functions for configuring,
troubleshooting, and performing checkout procedures on the central station.
The central station provides both direct and network access methods to access
the service interfaces. The direct access method uses locally connected displays,
keyboards, and mouse devices to access multiple central station functionality. The
network access method uses a service computer connected with a network route to
the central station.

Central station access

The following table lists the username and password required to access the service
interfaces:
Interface Username Password
User mode— non-alarm n/a mms_cic
related settings configuration
Alarm service mode n/a mms_alarm1
Command-line interface n/a mms_com
Admin mode (OS utilities and administrator admin1,3,5,7
command-line interface)
Screen sharing interface n/a prism1,3,5,7
Webmin interface biomed Change Me2

Logging on admin mode

WARNING LOSS OF MONITORING — During shutdown or while in admin
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.

1. From the Multi-Viewer menu, select Setup > User Setup.

1. Password may be changed.

2. Password may be changed.

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2. In Password, enter mms_com.

3. Select OK.
4. At the command prompt, enter stop and press Enter.
5. From the Start menu, select Shut Down > Log off.
6. When the logoff window appears, hold down Shift and select OK.
7. Continue to hold Shift until a login prompt appears.
8. In Username, enter administrator.
9. In Password, enter admin1,3,5,7.
10. Select OK.

Logging off admin mode

To log off as administrator and return to the run-time central station clinical
application mode, complete the following procedure:
1. Select Start > Shutdown.
2. Select Log off as Administrator and press Enter.
The central station automatically begins running the central station clinical application.

Logging on alarm service mode

1. From the Multi-Viewer menu, select Setup > User Setup.
2. In Password, enter mms_alarm.
3. Select OK.

Logging off alarm service mode

Select OK.

Logging on service mode

WARNING QUALIFIED PERSONNEL — The service mode and alarm service
mode are intended for use only by qualified personnel with
training and experience in their use. The consequences of
misuse include loss of alarm configuration, loss of patient
data, corruption of the operating system software, or
disruption of the network.

1. From the Multi-Viewer menu, select Setup > User Setup.

2. In Password, enter mms_cic.
3. Select OK.

Logging off service mode

1. If the User Setup window is open, click OK .
If the close button or Cancel is selected, the window will close but no changes
made will be saved.

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2. From the Multi-Viewer menu, select Setup > User Setup.

3. Select Yes when prompted to exit service mode.

Logging on command-line interface

1. From the Multi-Viewer menu, select Setup > User Setup.
2. In Password, enter mms_com and press Enter.

Accessing the command-line interface from

admin mode
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. Select Start > Run.
3. In the textbox, enter cmd and select OK.

Logging off command-line interface

Select the close button to exit the command-line interface.

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.

Webmin is a network-accessible web application running on the central station used

to configure, troubleshoot, and perform checkout procedures.
All Webmin modules are static in nature; the browser must be refreshed to load the
latest page. A Webmin service interface session times out after 15 minutes.
The Webmin service interface can be accessed locally from the central station or
remotely from a service computer connected to the CARESCAPE Network IX.
The Webmin service interface can only perform some operations while the clinical
application is not running. The authorized service personnel will be prompted when
the clinical application must be stopped. Webmin will prevent those operations from
being performed while the clinical application is running.

Logging on Webmin
This procedure provides instructions for logging on to the Webmin service interface
using Browser. If you are logging on Webmin remotely via the CARESCAPE Network,
see Logging on Webmin remotely (76).
To log on to Webmin locally, complete the following procedure:
1. From the Multi-Viewer menu, select Browser.
2. From Favorites, select LocalWebmin.
3. In Username, enter biomed.

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4. In Password, enter [password] and press Enter.

The factory preset password is Change Me , but it can be customized. For more
information, see Changing the Webmin password (77).

Logging on Webmin remotely

To log on to the Webmin interface remotely using a service computer on the network,
complete the following procedure:
1. Set up the computer network properties. For more information, see Configuring
service computer’s network properties (78).
2. If necessary, change the Internet Explorer LAN Settings on the service computer.
a. Start the Microsoft Internet Explorer application.
b. Select Tools > Internet Options.
c. Select Connections.
d. Select LAN Settings.
e. Disable Automatic Configuration and Proxy Server.
f. Select OK.
3. Connect the service computer to a CARESCAPE Network IX switch, or connect
the service computer directly to the central station CARESCAPE Network IX
connection/interface using a crossover cable.
4. In Address, enter https://[central station server IX IP address]:10000 and press
Enter.
Make sure you enter https and not http.
If an invalid certification message appears, select Continue to this website (not
recommended).
5. In Username, enter biomed.
6. In Password, enter [password] and press Enter.
The factory preset password is Change Me, but it can be customized. For more
information, see Changing the Webmin password (77).

Logging on UltraVNC
1. Set up the computer network properties. For more information, see Configuring
service computer’s network properties (78).
2. Check that the UltraVNC client is installed on the service computer. If not, install
using the software distributed with the central station software DVD.
3. Navigate to the location where the UltraVNC Viewer was installed.
4. For Windows XP, select All Programs > UltraVNC > UltraVNC Viewer > Run
UltraVNC Viewer (Listen Mode).
5. For Windows 7, select All Programs > UltraVNC > UltraVNC Viewer.

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6. In VNC Server, enter the central station server IX IP address and select Connect.
● Do not enter http or https before the IP address.
● Do not change any of the default settings.
● A central station can be remotely viewed only. You cannot take control of the
central station you have connected.
7. In Password, enter the password and select Log On.

Logging off UltraVNC

Select the close button to log off UltraVNC.

Changing passwords
Changing the Webmin password
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Passwords.
3. In Edit User Password:
a. In Password, enter the new password.
b. In Confirm Password, enter the new password again.
4. Select Save.

Changing the alarm service mode password

This procedure is used to manage the Setup alarms password. This password is
used to change system alarm configurations (e.g., Minimum Volume) through the
application user interface.
Once the alarm service mode password is customized, the factory preset password
will no longer access the alarm service mode. If the alarm service mode password is
not recorded with the central station custom defaults or is lost, re-ghosting is the only
option. There is no password reset function.
To change the alarm service mode password, complete the following procedure:
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Passwords.
3. In Edit User Password:
a. In Password, enter the new password.
b. In Confirm Password, enter the new password again.
4. Select Save.
5. Log out of Webmin.
6. Log on to alarm service mode on the central station. For more information, see
Logging on alarm service mode (74).

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Configuring service computer's network

properties
1. To configure the service computer's network properties for Windows XP, complete
the following procedure:
a. From the Start Menu, select Control Panel > Network Connections.
b. Right-click Local Area Connection.
c. Select Properties.
d. Select Internet Protocol (TCP/IP).
e. Select Properties.
f. Select Use the following IP address and complete the following steps:
i. In IP address, enter an IP address that is in the same domain as the
central station and is not used at this site.
ii. In Subnet mask, enter the Subnet mask address. The address must match
the Subnet mask address configured at the central station you want to
connect to.
g. Select OK.
h. Select OK.
i. From the Start Menu, select Control Panel >Network Connections, right-click
on Local Area Connection, select Disable and then right-click again and
select Enable.
2. To configure the service computer's network properties for Windows 7, complete
the following procedure:
a. From the Start Menu, select Control Panel > Network and Sharing Center.
b. Select the Local Area Connection link under View your active networks.
c. Select Properties.
d. Right-click either Internet Protocol Version 4 (TCP/IPv4) or Internet Protocol
Version 6 (TCP/IPv6) and select Properties.
e. Select Use the following IP address and complete the following steps:
i. In IP address, enter an IP address that is in the same domain as the
central station and is not used at this site.
ii. In Subnet mask, enter the Subnet mask address. The address must match
the Subnet mask address configured at the central station you want to
connect to.
f. Select OK.
g. Select OK.
h. From the Start Menu, select Control Panel >Network and Sharing Center,
right-click on Local Area Connection, select Disable and then right-click again
and select Enable.

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Safely restarting
WARNING LOSS OF MONITORING — During shutdown or while in admin
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.

WARNING Prior to restarting, remove any USB memory sticks (blank

or otherwise) connected to USB connections/interfaces of
the central station. Otherwise, the system software may not
restart.

To safely restart, complete the following procedure:

1. Set up alternate monitoring and alert clinical users.
2. If a USB memory stick is connected to the USB connection/interface, remove it.
3. From the Multi-Viewer menu, select Setup > Service Password.
4. In Password, enter mms_com and press Enter.
5. At the prompt, enter stop and press Enter.
6. From the Start Menu, select Shut Down > Restart and press Enter.

Safely shutting down

WARNING EQUIPMENT DAMAGE OR DATA LOSS — Turn off the central
station power switch only when the message It is now safe to
turn off your computer displays. Equipment damage or data
loss can occur if this instruction is not followed.

WARNING LOSS OF MONITORING — During shutdown or while in admin

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, complete the following procedure:

1. From the Multi-Viewer menu, select Setup > User Setup > Service Password.
2. In Password, enter mms_com and press Enter.
3. At the prompt, enter stop and press Enter.
4. From the Start Menu, select Shut Down > Shut Down > OK.
5. 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.

Safely removing USB memory stick

1. From the system status tray, select the Safely Remove Hardware icon.

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2. Select the USB memory stick from the displayed list.

3. Remove the USB memory stick from the computer's USB connection/interface.

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6
License codes
The central station's features/functions are controlled by licenses. Licenses are
specific to an individual central station and are node-locked to the serial number.
The following licenses are available:
Name Code Description
ADT - Basic Functionality ADTF Admit, discharge and enter patient
demographic information.
ADT - Picklist ADTP ● Admit, discharge and enter patient
demographic information.
● Search by patient last name, room,
bed and patient identification number.
● View a list of possible patient matches
with their demographics.
● Select a patient from the list instead
of needing to enter characters with
the keyboard.
● Interface with Hospital Information
Systems via the CARESCAPE Gateway
to select a patient from a list.
Discharged Data - 144 Hours DC6D Display the last 144 hours of Full
View Disclosure data post discharge. This
data is viewable from the FD Strip and
FD Page data review tools.
Dual Display DDIS ● Enables use of secondary display for
Single Viewer.
● Required for ST Review (enabled with
a separate license).
● Provides Save As Favorites on the
Single Viewer.

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Name Code Description

Events - Directory EVDR Enable Event Directory to sort and
count parameter events:
● Sort parameter events by time and
type.
● View the total count of each event
type in the Event Directory.
● Scan for events without scrolling
through individual events.
Events - Patient Data Server EVPD Access events from Patient Data Server.
Events - Review EVRW Review events.
Full Disclosure - 24 Hours FD24 Store up to 24 hours of Full Disclosure
Storage data. This data is viewable from the FD
Strip and FD Page data review tools.
Full Disclosure - 48 Hours FD48 Store up to 48 hours of Full Disclosure
Storage data. This data is viewable from the FD
Strip and FD Page data review tools.
Full Disclosure - 72 Hours FD72 Store up to 72 hours of Full Disclosure
Storage data. This data is viewable from the FD
Strip and FD Page data review tools.
Full Disclosure - 96 Hours FD96 Store up to 96 hours of Full Disclosure
Storage data. This data is viewable from the FD
Strip and FD Page data review tools.
Full Disclosure - 144 Hours FD6D Store up to 144 hours of Full Disclosure
Storage data. This data is viewable from the FD
Strip and FD Page data review tools.
Full Disclosure - Calipers FDCL Access the Calipers data review tool.
Full Disclosure - Page Review FDPR Display multiple waveforms of Full
Disclosure data in a page view:
● View up to 72 hours of Full Disclosure
data as a half-screen format.
● View multiple (up to five) waveforms
per line in 15-second, 30-second, or
one minute per line increments.
● Quick magnification of ten seconds of
Full Disclosure data.
● View Full Disclosure data that is
time-synched to Events, Trends, and
the FD Strip.
Full Disclosure - Strip Review FDST Display multiple waveforms of Full
Disclosure data.
ST Review ISCH Analyze ST records stored in Full
Disclosure.
Live View - Audio alarm pause LVAS Pause audio alarms.
Live View - Basic View LVBV Display a monitoring device in Single
Viewer. Included with all packages.

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Name Code Description

Live View - Enterprise LVEN View out-of-unit monitoring devices.
Live View - Graph All LVGA Print the parameter limits or the
waveform data for all monitoring
devices displayed in the Multi-Viewer.
Live View - Multi-Viewer LVMV Display a maximum of 16 monitoring
devices in the Multi-Viewer.
Live View - Patient Multi-Viewer LVSL Display a monitoring device in the
windows Multi-Viewer. One license is required
for each monitoring device that will be
displayed in the Multi-Viewer (up to 16
monitoring devices per central station).
Live View - Mirror central display LVSM Provide a mirror image view of a primary
central station.
Setup - Remote Monitor MNSU Access Single Viewer > Monitor Setup
which provides control settings for ECG,
Pressures, , SPO2/Resp, Alarm Setup,
and Print Setup.

Trends - ST Vector Magnitude STVM Enables ST vector magnitude data trend

displays in Graphic Trends, Numeric
Trends and ST Review.

Trends - Graphical TDGR View parameter numeric data over a

chosen period of time in graph format.
Trends - Numeric Trends TDVS View parameter numeric data values for
monitored parameters over a chosen
period of time.
Trends - Patient Data Server TDPD Configure the central station to retrieve
stored data from an available Patient
Data Server (PDS).

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Name Code Description

Trends - Live View TDRT Display Real-time Trend Graph in the
patient Multi-Viewer window.
● Display up to one hour of stored data
for up to two parameters.
● Select which parameters display in
the Real-time Trend Graph for each
patient Multi-Viewer window.
● Add or remove the Real-time Trend
Graph from each patient Multi-Viewer
window.
● Select the Real-time Trend Graph to
display the Graphic Trends.
System Utilities - Citrix UTCX View clinical applications using a Citrix
client. To leverage this capability, a Citrix
server is required.
System Utilities - MultiKM UTMM Configure keyboard and mouse groups:
● Share one keyboard and one mouse
between a group of configured
central stations.
● Navigate and use multiple central
stations or displays at the same time.

For information about the clinical application functions of the central station, see the
central station 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 GE.

Changing licenses (transfers and expansions)

The CARESCAPE Central Station is shipped pre-licensed. Perform the following steps
only if the licenses are to be changed from what was originally ordered (see the
Activation Code Summary Sheet with the appropriate serial number for the central
station). The following sections must be performed in order:
● Deactivating licenses

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● Activating licenses
● Completing license changes

Deactivating licenses for license changes (transfers and

expansions)
WARNING LOSS OF MONITORING — During shutdown or while in admin
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.
The deactivation must be completed before activating new licenses.
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Licensing.
3. Using the Activation Code Summary Sheet, compare the licenses to those that are
displayed to identify each license that has a quantity change.
4. Select Deactivate for the license(s) that were:
● Identified with a quantity change
● Identified as “DEACTIVATE” on the Activation Code Summary Sheet
5. Once all appropriate licenses are deactivated, check that the Activation Code text
box is grayed out for the deactivated license(s).
6. Restart the central station. For more information, see Safely restarting (79).
After the licenses have been deactivated and the central station has restarted, ensure
the central station configuration is updated as necessary. The license deactivation
may change features that affect the configuration. The following features, once
deactivated, will need further action before the deactivation is complete:
● Full Disclosure (FD24, FD48, FD72, FD96, and FD6D) — If reducing quantity of
licenses, discharge the appropriate number of monitoring devices to match the
quantity of licenses (e.g. reducing from 16 patient Multi-Viewer windows to 8
patient Multi-Viewer windows). Otherwise, the Full Disclosure data will be assigned
to the remaining admitted monitoring devices as determined by the system. If the
quantity of hours has been changed, check that the configuration is correct. For
more information, see Setting Full Disclosure licensing (259).
● Multi-Viewer license (LVMV) — If the license is to be disabled, the instructions for
Configuring Clinician Review Workstations (117) should be followed.
● Mirror central display license (LVSM) — If the license is to be disabled, the
configuration should be updated. For more information, see Configuring mirror
central displays (121).
● Patient Multi-Viewer windows licenses (LVSL) — If the number of Patient
Multi-Viewer windows licenses is reduced while monitoring devices are admitted,
the Multi-Viewer will appear unchanged with an insufficient licenses message until
the monitoring devices are transferred to another central station.

Activating licenses
Using the Activation Code Summary Sheet, activate the license(s) as appropriate by
performing the following.

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Formatting USB memory stick

An NTFS formatted USB memory stick transfers the license file from the service
computer to the central station.
To format a USB memory stick, complete the following procedure:
1. Insert a blank USB memory stick into the service computer's USB
connection/interface.
2. From Windows Explorer, right-click on the USB memory stick and select Properties.
3. Select General.
4. Check that File system is NTFS. If it is not NTFS, complete the following procedure:
a. For operating system other than Windows XP, skip to the next step.
b. For Windows XP:
i. From Windows Explorer, select Hardware.
ii. Select the USB memory stick and select Properties.
iii. Select Policies > Optimize for Performance.
iv. Select OK twice to close the windows.
5. From Windows Explorer, right-click on the USB memory stick and select Format.
6. From File system select NTFS.
7. Select Start.
8. Select OK.
9. Safely remove the USB memory stick. For more information, see Safely removing
USB memory stick (79).
Uploading license file
WARNING UNMONITORED BEDS — Failure to have enough Multi-Viewer
slot 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 an NTFS formatted 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 SDY08010027GA should have a
license file name of SDY08010027GA.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.

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5. Safely remove the USB memory stick. For more information, see Safely removing
USB memory stick (79).

Activating licenses automatically

Activating licenses via central station
To activate a license automatically with a USB memory stick, complete the following
procedure:
1. Insert the NTFS formatted memory stick containing the <serial number of central
station>.txt license file into one of the USB ports on the back panel of the central
station.
2. From the Multi-Viewer menu, select Setup > Licensing.
If no licenses have been installed on this central station, option activation codes
are blank and the activation icons appear red in color.
3. Select Install Licenses.
4. Select OK. The Licensing window on the central station should display the option
activation codes for the activated licenses.
5. Get the Activation Code Summary Sheet that matches the serial number of your
central station.
6. Check that the licences 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. For more information, see Safely removing
USB memory stick (79).
8. Store the USB memory stick and the Activation Code Summary Sheet in a safe and
accessible location. In the event of a hard drive failure, the option activation codes
on this USB memory stick are required for disaster recovery.
9. Restart the central station. For more information, see Safely restarting (79).
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, CD, or the service computer hard drive. To activate a license 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 (76)
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.

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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. In the event of a system failure, the option activation codes are required
for disaster recovery.
8. Restart the central station. For more information, see Safely restarting (79).
The central station must restart before the user can use any of the newly
activated features.
Activating licenses manually
To activate a license manually using the license activation code on the printed
Activated Code Summary Sheet, complete the following procedure.
The printed Activation Code Summary Sheet that matches the serial number of the
central station where options are being activated is required.
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Licensing.
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 Activation Code Summary Sheet in a safe and accessible location. In
the event of a hard drive failure, the option activation codes are required for
disaster recovery.

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7. Restart the central station. For more information, see Safely restarting (79).
The central station must restart before the user can use any of the newly
activated features.

Completing license changes

1. Repeat the deactivating/activating licenses for all central stations that require
license changes. For more information, see Deactivating a license for license
changes (transfers and expansions) (85) and Activating licenses (85).
2. For each affected central station, complete the Checking status of installed
licenses (194).

Deactivating/Reactivating licenses
Temporarily deactivating licenses
To temporarily disable a license perform the following steps. To deactivate a license
due to a change in licensing (transfers or expansions), see Deactivating a license for
license changes (transfers and expansions) (85).
1. Log onto Webmin. For more information, see Logging on Webmin (75).
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. Restart the central station. For more information, see Safely restarting (79).

Reactivating a deactivated license

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Licensing.
3. Select Activate for the license to be reactivated.

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Configuration
7
Configuration levels
WARNING QUALIFIED PERSONNEL — The service mode and alarm service
mode are intended for use only by qualified personnel with
training and experience in their use. The consequences of
misuse include loss of alarm configuration, loss of patient
data, corruption of the operating system software, or
disruption of the network.

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.
● Factory presets: Factory presets are specified by the manufacturer and define the
initial value for the central station's custom defaults. Factory presets cannot be
changed. For more information, see the Factory presets appendix of the user’s
manual.
● 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
appendix of the user’s manual. 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, dimmed 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, dimmed 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,

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undimmed 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 factory
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.
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.

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 (93).
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 (166).
configured central station
to configure another central 2. Make updates to the configuration as needed, following
station the applicable procedures in this chapter.
3. Perform the following checkout procedures:
● Running Check Centrals utility (201).
● Examining the central stations on the network (95).

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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, you should 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.

WARNING During the timeframe that GE monitoring devices are

connected to a non-validated network, clinical users must
be aware that they are operating this system with increased
risk, especially for devices that rely specifically on the network
for transmission of alarms and other monitoring data. This
increased risk comes about because GE has not been able
to review/approve the proposed network design and/or
commission the implemented network to ensure it meets
required performance specifications.
The devices at increased risk include, but are not exclusive to,
telemetry monitoring and all patient monitoring done from
the central station.
Since monitoring data flows to and from central stations,
telemetry servers, and other medical devices, the lack of a
commissioned network can affect the performance of the
overall system. Further, the lack of a validated network may
result in limited technical support for troubleshooting product
issues on products that rely on the CARESCAPE Network.

If there are existing central stations connected to the CARESCAPE IX and MC Networks,
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. Perform the procedure
Running Check Centrals utility (201).
● All MC Network IP addresses must be in the same IP scheme with the same subnet
mask.
● All IX Network IP addresses must be in the same IP scheme with the same subnet
mask.

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 v5.1.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.

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● 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. For more information, see Configuring time and date (103).
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 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. For more information, see Configuring Network IP address (105).

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. To view a list of IP addresses used on the MC Network, select Webmin >
Diagnostics > IP Usage.
For the Time Master on the CARESCAPE Network, you must assign a set of the highest
MC Network IP addresses to the device running the highest software version on the
entire network.
For example, if you are installing CARESCAPE Central Station v1 to an existing
CARESCAPE Network comprised of CIC Pro Clinical Information Center software v5.1.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 v1, 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
For details regarding the IP address of the Full Disclosure Master, see Determining Full
Disclosure Master (247).

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Examining the central stations on the network

To configure a central station on a network that has pre-existing central stations,
complete the following procedures:
1. Check that only compatible central station versions co-exist in a given unit. For
more information, see the compatible devices supplement.
2. If there is one or more CARESCAPE Gateway on the network, configure the Time
Master settings at the CARESCAPE Gateway. See the latest CARESCAPE Gateway
Technical Manual for instructions.
For more information, contact GE.
3. Investigate if there is any unauthorized, non-GE medical equipment connected
to the MC/IX Network.
4. Investigate if there are any spare (unconnected) central stations in the biomed
shop 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 MC IP addresses must be in the same IP scheme with the same subnet mask.
● All 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. For more
information, see IP address allocation (94).
6. Check that there is only one Time Master on the network and it is compliant with
step 5 by running the following command from any central station currently on
the network:
lw -s “TIME MASTER”(lw<space>-s<space>”TIME<space>MASTER”)
7. Coordinate with GEHC Network Design and Implementation and your project
manager if router configuration is required for connectivity to the following:
● InSite connectivity
● MARS connectivity
● CARESCAPE Gateway connectivity
● MUSE connectivity
● Citrix connectivity
8. If you have not already connected the service computer to the central station,
Configure the service computer's network properties (78).

Configuring secondary displays

Secondary displays will not function until the required license(s) are activated.
The central station is already configured to interface with a secondary display. You
need to check that this interface is working.
Before the secondary display will function correctly with the central station, you must
make sure all of the installation and configuration preconditions have been met. Then
you can check that the interface to the secondary display is working.

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To configure a secondary display, complete the following procedure:

1. Check that the secondary display interface is working.
a. Connect the secondary display. For more information, see Installing secondary
displays (68).
b. Restart the central station and turn on the power to the primary and
secondary displays.
c. Check that the secondary display is illuminated and is grey in color.
d. From the Multi-Viewer menu, select Browser. Browser should appear on the
secondary display.
2. If Browser does not appear on the secondary display, complete the following
steps to configure the secondary display properties:
a. Log onto the central station as administrator. For more information, see
Logging on admin mode (73).
b. On the desktop, right-click the mouse.
c. Select Graphics Properties.

d. In Display Devices, under Multiple Display:

i. Select Extended Desktop. Depending on the video cable connection for
both displays, either VGA and DVI or both DVI interfaces, the screen title
will either be Monitor and Digital Display or Digital Display and Digital
Display 2.
ii. From Primary Device, select the appropriate option.
iii. From Secondary Device, select the appropriate option.
e. Click and drag the location of the primary device icon (1) and secondary device
icon (2) to match the physical layout of the primary and secondary displays.

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f. Select Display Settings from the options on the left.

g. In the tab for the primary device option (Monitor or Digital Display) from
Screen Resolution, select 1280 x 1024.
h. Select the tab for the secondary device option (Digital Display or Digital
Display 2).
i. From Screen Resolution, select 1280 x 1024.
j. Select Apply.
k. Before clinical use, calibrate the display. For more information, see Calibrating
displays (145).
3. Complete the Configuring secondary display checkout procedures (195).

Calibrating touchscreen displays

Touchscreen display video drivers
Calibrating a touchscreen display adjusts the accuracy of the touchpoint on the
display used to select an item. Touchscreen displays can be used with a central
station; however, touchscreen calibration is required.
The touchscreen display model determines the application you must use to calibrate
the touchscreen display. Use the following information to determine the touchscreen
capability with the central station:

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Touchscreen Model Part number Driver used Secondary Single Dual

display name display touchscreen touchscreen
configuration setup1 setup2
19” NEC NEC 2023609-002 3M Yes Yes3 No
display 1980SXi Touchware
20” NEC NEC 2020737-003 3M Yes Yes4 No
display 2080UXi Touchware
19” GE CDA19T 2033159-0xx Elo Yes Yes Yes5
medical or Touchsystems
grade 2033161-001
display

Calibrating touchscreen displays using Elo

When two USB touchscreen displays using the Elo Touchsystems video driver are
connected to the central station, you will first calibrate the primary display, then the
secondary display, and go back and calibrate the primary display again.
When one USB touchscreen display and one serial touchscreen display both using the
Elo Touchsystems video driver are both connected to the central station, you will first
calibrate the primary display, then calibrate the secondary display.
To calibrate touchscreen displays using Elo, complete the following procedure:
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. From the Windows desktop, double-click the Elo Touchscreen icon.
3. On General, select Align.
4. Follow the onscreen instructions to touch each of the targets displayed.
5. Tap the screen at different locations and ensure that the cursor moves to the
locations tapped.
a. If the cursor followed your finger, select the green check mark button.
b. If the cursor did not follow your finger, select the blue arrow button and repeat
steps 4 and 5.
6. If a secondary display is connected, complete steps 4 and 5 to calibrate the
second touchscreen display.
7. If two USB touchscreen displays are used, you must repeat steps 4 and 5 to
calibrate the primary touchscreen display again.
8. When all of the connected touchscreen displays are calibrated, select OK from
Elo Touchscreen Properties.

Calibrating touchscreen displays using Touchware

Use this procedure if a single Touchware touchscreen display is connected to the
central station.

1. In a single touchscreen setup, either the primary or the secondary display may be a touchscreen.
2. In a dual touchscreen setup, both the primary and the secondary displays are touchscreens.
3. The 19” NEC display supports single touch only, even though enough USB connections/interfaces are available at the central station.
4. The 20” NEC display supports single touch only, even though enough USB connections/interfaces are available at the central station.
5. The 19” GE medical grade display supports USB and serial COM1 connection/interface dual touch.

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To calibrate touchscreen displays using Touchware, complete the following procedure:

1. If you have a secondary display connected to the central station, you must
disconnect it before calibrating the primary display.
2. Check that the Touchware touchscreen display is connected with a USB
connection/interface to the central station.
3. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
4. From the Windows desktop, double-click the Calibration icon.
5. Follow the online instructions to touch each of the targets displayed.
6. Select Accept.
7. Select OK.
8. Safely shut down the central station. For more information, see Safely shutting
down. (79)
9. Connect the secondary display to the central station.
10. Power on the central station.

Configuring Webmin-related settings

Configuring Set Flags
WARNING AUDIBLE ADU ALARMS MAY NOT SOUND — Depending on the
configuration of your CARESCAPE Central Station, audible ADU
alarms may not sound at the CARESCAPE Central Station for
any in-unit monitoring devices.
Only on-screen ADU alarm indicators display unless the
CARESCAPE Central Station is configured to also sound
audible alarms.

WARNING AUDIO ALARMS — Some bedside monitors (e.g., CARESCAPE

Monitor B850) provide the ability to turn off alarm notifications
at the bedside monitor (e.g., sleep mode, display off/alarm
off). In the event that a network disconnection occurs, and the
central station NO COMM AUDIO was set to Disable before
clinical use, then only a visual NO COMM notification appears
at the central station for that bedside monitor. For additional
information on turning off alarm notifications at the bedside
monitors, see the documentation accompanying the bedside
monitor.

WARNING OUT-OF-UNIT ALARMS — If the central station is configured to

sound audio out-of-unit alarms, any patient displayed on the
out-of-unit central station can have the active audio alarms
paused at the out-of-unit central station.

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:

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1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. From the desktop, launch Internet Explorer.
3. Enter the following URL: https://[central station server IX IP address]:10000.
4. Log onto Webmin. For more information, see Logging on Webmin (75).
5. Select Configuration > Set Flags.

6. In NO COMM AUDIO, select the appropriate option:

‒ Enable: 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. Enable is the
factory preset.
‒ Disable: Only the visual notification will display in the Multi-Viewer. The audio
notification will not sound.
7. In Force Age Selection on Admit, select the appropriate option:
‒ Enable: Age will be blank. The clinical user must select the appropriate
age range. Enabling this option helps ensure that appropriate age-related
algorithms, arrhythmia detection, and calculations are applied.
‒ Disable: Age automatically displays the selected age range. Disable is the
factory preset.
8. In OUT-OF-UNIT MULTI-VIEWER ALARM AUDIO/AUDIO PAUSE, select the
appropriate option:
‒ Enable: Enables audio alarms for any out-of-unit monitoring device displayed
in a patient Multi-Viewer window at the central station. The clinical user can
pause an active audio alarm on the central station without having to go to
that unit to pause the alarm. This setting is applicable for mirror or out-of-unit
central stations.
‒ Disable: Disables audio alarms for any out-of-unit monitoring device displayed
in a patient Multi-Viewer window at the central station. Only visual alarm
indicators display at the central station. Disable is the factory preset.

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9. In ALL ADUs (IN-UNIT) REDUNDANTLY ALARM AUDIO, select the appropriate

option:
‒ Enable: Enables audible alarms to sound at the central station for in-unit
monitoring devices that are not displayed in a patient Multi-Viewer window,
but are displayed in a patient Multi-Viewer window on another in-unit central
station.
‒ Disable: Disables audible alarms from sounding at the central station for
in-unit monitoring devices that are not displayed in a patient Multi-Viewer
window, but are displayed in a patient Multi-Viewer window on another in-unit
central station. Disable is the factory preset.
10. In Allow user to change “Alarm Audio Off Reminder”, select the appropriate
option:
‒ Enable: Allows the clinical user to change the Alarm Audio Off Reminder
setting in Setup > Central Defaults. Enable is the factory preset.
‒ Disable: Does not allow the clinical user to change the Alarm Audio Off
Reminder setting in Setup > Central Defaults.
11. In NO MULTIPLE PATIENT VIEWER SLOT ALARM SILENCING, select the appropriate
option:
‒ Enable: Does not allow the clinical user to pause audio alarms for individual
monitoring devices on the Multi-Viewer.
‒ Disable: Allows the clinical user to pause audio alarms for individual monitoring
devices on the Multi-Viewer. Disable is the factory preset.
12. In Repeat IEC Low Technical Alarm Tone, select the appropriate option:
● Enable: Low priority, technical audio alarm signals will repeat at a set interval.
Enable is the factory preset.
● Disable: Low priority, technical audio alarm signals will sound only once.
13. Select Submit.
14. Restart the central station. For more information, see Safely restarting (79).
15. Complete the Configuring Set Flags checkout procedures (196).
Changing Set Flags
Note that 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.

Configuring language
The CARESCAPE Central Station language is configured in the factory.
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.

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The language cannot be changed while the central station is running.

The Webmin interface is always in English.
To set the language of the central station clinical application, complete the following
procedure:
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. From the desktop, launch Internet Explorer.
3. Enter the following URL: https://[central station server IX IP address]:10000.
4. Log onto Webmin. For more information, see Logging on Webmin (75).
5. Select Configuration > Language.
6. From Language, select the appropriate language and select Submit.
7. From the Start Menu, select Shut Down > Restart and press Enter.
8. Wait for the central station application window to display. The central station
should restart normally in the clinical application mode and display in the new
language.

Configuring time zone

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, plus there is a potential that data stored at the
central station may be incorrectly time-stamped (e.g., Full
Disclosure data).

The following restrictions apply to configuring the time zone:

● Do not change the time zone using the standard Windows operating system
functionality (time clock icon in the bottom-right corner of the screen) or Microsoft
DOS functionality.
● You cannot change the time zone while the clinical application is running. Changing
the time zone causes the central station to reboot.
● 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 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 MC Networks.
2. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
3. From the desktop, launch Internet Explorer.
4. Enter the following URL: https://[central station server IX IP address]:10000.
5. Log onto Webmin locally. For more information, see Logging on Webmin (75).

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6. Select Configuration > Time Date > Time Zone.

7. From Time Zone Settings, select the appropriate time zone.

Sri Jayawardenapura time is listed as GMT + 5:30 for CIC Pro Clinical Information
Center software v5.1 or later and GMT + 6.00 for earlier versions of CIC Pro center
software.
8. Select Save to apply your changes.
9. Check that the central station reboots itself.
CAUTION LOSS OF FULL DISCLOSURE DATA — Failure to reboot the
central station after changing the time zone results in the
following:
● The loss of stored Full Disclosure data.
● The discontinuance of Full Disclosure data collection.
● The inability to access the Full Disclosure function.

10. Check the time zone setting of the central station:

a. Log onto Webmin. For more information, see Logging on Webmin (75).
b. Select Information > Configuration Information.
c. Scroll down to Timezone Settings.
d. Check that the new time zone setting is correct.

Configuring time and date

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, you should 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.

All the central stations connected to the CARESCAPE IX and MC Networks 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:

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● To change the time zone, daylight saving time, time-of-day, or the date on a CIC
Pro Clinical Information Center v4.0.x or v4.1.1-2 or later, see the documentation
accompanying your equipment. Use the Check Centrals utility to check the time
zone and daylight saving time status. For more information, see Running Check
Centrals utility (201).
● Do not change the time using the standard Windows operating system functionality
(time clock icon in the bottom-right corner of the screen) or Microsoft DOS
functionality.
● 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 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.
● Do not disconnect the CARESCAPE MC or IX Network 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 of a CARESCAPE Central Station, complete the
following procedure:
1. If necessary, configure the time zone or daylight saving time (DST) settings.
2. Log onto Webmin. For more information, see Logging on Webmin (75).
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).
8. Select Change Time.
If the time change request is ignored, see Time change request ignored by central
station (220).
9. Check that there are no time or date errors.

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Configuring network IP address

WARNING NETWORK INTEGRITY — The central station should not be
installed directly on the Hospital Enterprise network. Ensure
that the CARESCAPE Network IX and CARESCAPE Network
MC are isolated either physically, or on non-routable VLANs
or via router.
If the central station is configured to reside on the hospital’s
enterprise network, it is possible that inadvertent or malicious
network activity could adversely affect patient monitoring.
The integrity of the computer network is the responsibility of
the hospital.

WARNING Duplicate IP addresses will cause erratic system

communication and data loss. Be extremely careful not to
assign the same IP address to two different devices.

WARNING In order to avoid erratic system communication and data

loss, it is extremely important for the hospital and installer to
follow the instructions for Configuring network IP address and
Checking network connectivity sections within this manual
before putting the system into clinical use.

It is a best practice to check the IP address usage on the CARESCAPE MC Network

before assigning the IP addresses to this device. Select Webmin > Diagnostics > IP
Usage. When configuring static routes, do not configure with an IX Network IP address.
To configure the network IP address, complete the following procedure:
1. Obtain the completed Site Survey Workbook for this unit.
2. Log onto Webmin. For more information, see Logging on Webmin (75).
3. Select Configuration > Network.

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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 MC Network > 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.
d. If the MC Network is supporting Static Route, enter the Destination Address,
Destination Netmask, and MC Gateway. When configuring static routes, do
not configure with an IX Network IP address.
5. Under IX Network, enter the appropriate values.
a. In IP Address, Subnet Mask, and Default Gateway, enter the settings
according to the values identified in the Site Survey Workbook.
● Typically, the IX Network > Subnet Mask setting could remain at
255.255.0.0. For more information, see the Site Survey Workbook.
● A route must exist from the IX Network to other central stations, Citrix
servers, Browser services, and the Internet for Remote Connection Services.
● Contact the hospital IT administrator, as needed, to configure Browser to
access hospital intranet applications.
● Correct Ethernet connections and IP addresses are required for proper
monitoring at the central station.
b. In Primary DNS and Secondary DNS, enter the settings according to the
values identified in the Site Survey Workbook.
DNS addresses can be used for Browser sources and for InSite 2.0
configuration only.
c. In Speed & Duplex, select the appropriate option.
6. If the MC and IX Network IP Address or Subnet Mask has been changed, replace
the label on the central station cover with a new label displaying the IP address
and subnet mask value(s).
7. Select Save.
8. Complete any other pending central station configuration procedures, as required.
You must restart the central station for the new IP address settings to take effect.
9. From the Windows taskbar, select Start > Shut Down > Restart and press Enter.
10. Connect the central station to the CARESCAPE Network IX and MC
connections/interfaces.

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11. Run the CheckCentrals command from the central station you connected to the
CARESCAPE Network in the previous step. For more information, see Running
Check Centrals utility (201).
The CheckCentrals command checks that the central station has the correct IP
address settings and can recognize other central stations on both the CARESCAPE
IX and MC Networks.
12. Complete the Network connectivity checkout procedures (197).

Configuring network laser printers

The following procedure requires a CARESCAPE Network IX connection. This procedure
only applies when the printer TCP/IP scheme follows CARESCAPE Network IX IP
addressing factory presets, and the printer is physically located on the CARESCAPE
Network IX. When the printer uses a custom TCP/IP addressing scheme, see the Site
Survey Workbook for resolving TCP/IP values.
Printers on the enterprise network need SNMP port 161 open on the router between
the central station and the network printers. If this port is blocked by routers or
firewall, printing from the central station to the network printer will not be possible.
Installing USB laser printers and the device drivers can take up to three minutes. Wait
until the driver installation is complete before attempting to print to the device.
To configure a network laser printer, complete the following procedure:
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Printers.
3. With the laser printer physically connected to the CARESCAPE Network IX, turn on
the power to the laser printer.
4. Select Install Laser Printer.

5. In Printer’s IP Address, enter the IP address assigned to the printer.

It is recommended that the assigned IP addresses of the printers be maintained at
the site for future reference.
6. In Printer Type, select the default printer driver HP Universal Printing PS. For a list
of compatible printers, see the compatible devices supplement.
This driver will support the currently released printers listed in the compatible
devices supplement.
7. In Printer Name, enter a name for the printer (up to 29 characters).

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8. If desired, in Comment, enter a comment about the printer (up to 29 characters).

The process to determine the printer type and install the printer can take up to
three minutes. After installation is complete and the printer is connected to the
network, continue to the next step.
9. Select Submit. The installed printer displays in the printer list.
10. Once the printer is added, select Submit to print a test page.
11. Check that the test page is printed.
Deleting network laser printers
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Printers.
3. Select Delete Laser Printer.
4. From Printer Name, select the appropriate printer from the displayed list.
5. Select Submit.

Configuring print locations for stored patient data

Specific categories of patient data can be configured to print to a local laser printer or
to the monitoring device’s current Print Window configuration. Also, patient data can
be prevented from being printed by disabling the Single Viewer menu Print button.
When the Single Viewer menu Print button is disabled, the button is still active but the
message Printing is not available will be displayed. Consider the following when
configuring print location settings:
● The patient data categories available to print are determined by the licensed
features and functions activated on the central station.
● The laser printer and bedside monitor print settings must be configured before the
print location of the patient data categories can be configured.
For CARESCAPE Central Station, Graphic Trends, Event Directory, and Event
printouts may only be sent to a central station laser printer. Printing by the central
station to a writer is not supported.
● The bedside monitor only prints the categories of patient data it supports.
● When a Laser printer location is changed in Setup > Central Defaults >
Printer/Writer, the print locations set on the Config Func Locations module revert
to their default print location.
For example, if Numeric Trends was configured to print to Bedside Determined,
and the laser printer is changed in Setup > Central Defaults > Printer/Writer, the
Numeric Trend print location will revert to Local Laser.
● Printing CRG printouts from bedside monitors to the central station’s laser printer
is not supported.
● Consult with your CAS or hospital staff 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. For more information, see Logging on Webmin (75).

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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.

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8. In FD Strip, 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.

9. In Graphic Trends, 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.

10. In ST 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.

11. In Numeric Trends, select the appropriate option:

● Local Laser:
￭ Enables the Single Viewer menu Print button for Numeric Trends.

￭ Prints to the Laser printer location configured in Setup > Central Defaults.

● Bedside Determined: 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 for Numeric Trends.
12. Select Apply to apply your changes.
Any changes to Setup printer settings will be overwritten with any printer settings
made in Webmin.
13. Select Information > Configuration Information.
14. Scroll down to Print Location.
15. Check that the print location settings are correct.

Configuring PDF Printer

Use this procedure to set up PDF Printer for printing a report to a PDF file that is stored
on the central station and can be transferred to other devices/servers (e.g., MUSE).
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 PDF filenames follow a specific format. For more information, see PDF Printer (50).

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To configure a PDF Printer, complete the following procedure:

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > PDF Printer.

3. In Server, enter the IP address of the SFTP server configured on the network.
4. In Directory, enter the user-specified directory location of the SFTP server.
5. In Username, enter the user name for the system where the SFTP server is
configured.
6. In Password, enter the password for the system where the SFTP server is
configured.
7. From Directory Organization, select either Flat or By PID, as appropriate.
● By PID — All PDF files are transferred to the remote directory configured in
Webmin, irrespective of PID and Organization code value.
● Flat— The directory to which PDF files are transferred depends on the
Organization code and PID values
For example:
￭ If the Directory is REMOTE , Organization code is GE, and PID is
999999999, then the PDF files will be transferred to the following directory
REMOTE\GE~999999999.
￭ If the Directory is REMOTE , Organization code is empty, and PID is
999999999, then the PDF files will be transferred to the following directory
REMOTE\ 999999999.
8. In Organization Code, enter the user-specified alphanumeric organization code
(up to 13 characters).
The organization code is used to identify the printer destination when the
institution occupies multiple buildings.
9. Select Save.
10. Select Test PDF Server Connection to check that the user can print to the PDF
Printer.

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Disabling PDF Printer functionality

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > PDF Printer.
3. In Server, delete the IP address of the SFTP server.
4. Select Save.
Viewing PDF files pending
You can view a list of PDF files waiting to be sent to the SFTP server. This list includes
the time, date and file size of each PDF file. To display the list, complete the following
procedure:
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > PDF Printer.
3. Select View PDF Files Pending.
If no PDF files are pending, the system displays the message No PDF File is
pending to be transferred.

Configuring Remote Service

The central station is capable of Remote Service using GE InSite ExC Digital Services.
For required configuration information, see the Site Survey Workbook.
To configure Remote Service, complete the following procedure:
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Remote Service > Configuration.

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3. Under HTTP Proxy Server Configuration, select the appropriate values, as

determined during the site survey:
a. If this site uses an HTTP proxy server, in IP Address and Port, enter the
appropriate values. Otherwise, select None.
b. If the HTTP proxy server requires user authorization, in Username and
Password, enter the appropriate values. Otherwise, select None.
4. Under Remote Service Configuration, enter the appropriate values:
a. If required, in Enterprise URL, enter the address of the GE backoffice servers
required to communicate with the Remote Service agent.
b. If required, in Enterprise Tunnel URL, enter the address of the GE backoffice
servers required to communicate with the tunneling agent.
5. Select Save.
Enabling Remote Service
After the central station has been configured for remote serviceability, the Remote
Service Agent must be enabled for use.
To enable Remote Service, complete the following procedure:
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Remote Service > Control.

3. Under New State, select Enable.

If you need to disable Remote Service, select Disable.
4. Select Save.

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5. Test connectivity to the backoffice:

a. Select Configuration > Remote Service > Control.
b. Under Remote Service Controls, check that the Current State is Enabled.
c. Select Test to test connectivity to the backoffice.
d. Check that the status of Connection to Enterprise URL and Connection to
Tunnel URL is Pass.

Configuring Browser Favorites

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 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). Before Browser can access
hospital-approved web sites (external to the hospital network), a connection for
the CARESCAPE Network IX to the Internet is required. Contact the hospital IT
administrator.
To configure Browser Favorites, complete the following procedure:
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Browser.

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3. In Please enter a name for this favorite, enter the name that will identify this
website in the Browser Favorites menu.
When you access https web applications, make sure you enter the correct IP
address starting with https:// and not http.
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.
6. Select Create Favorite.
7. Select the link to test the URL of the website.
Deleting Browser Favorites
You cannot delete the pre-configured LocalConfig or LocalWebmin favorites from the
list of Browser Favorites.
Complete the following procedure to delete Browser Favorites:
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Browser.
3. Under Delete Favorite, select the radio button associated with the favorite you
want to delete 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.
Audio is disabled for Citrix applications.

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To configure a Citrix client, complete the following procedure:

1. Obtain the Citrix configuration (.ica file) for the Citrix server from the hospital’s IT
administrator or biomedical department.
2. Log onto Webmin. For more information, see Logging on Webmin (75).
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 Address, enter the appropriate value.
This value corresponds to the TcpBrowserAddress in the sample .ica file.
7. In Startup Time, change the default value if necessary.
8. In Connection Timeout, change the default value if necessary. In order to
avoid Citrix session timeout issues, the Connection Timeout setting should be
configured to have a longer timeout period than the remote Citrix server.
9. In Initial Program, enter # followed by the name of the program that is initially
displayed in the Citrix Client window.
For example, #MUSE.
10. In Width and Height, enter the numeric value that defines the display size of
the Citrix application window.
● The approximate width x height for a full-screen format application (on a
secondary display) is 1280 x 900.
● The approximate width x height for a half-screen format application is 1280 x
280.
● When you define both width and height for the displayed Citrix application
window, scroll bars allow you to move through the displayed information.
● Scroll bars are not provided in the Citrix application window unless you enter
numeric values for both width and height.
● When you leave width and height empty, the Citrix application automatically
resizes itself to fit the default screen size of the central station.

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11. Select Save. The changes will not take effect until the central station is rebooted.

Configuring Clinician Review Workstations

1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer, select Setup > Central Defaults.
3. Set the Mirror Central Display to NONE.
4. Select Apply.
5. If monitoring devices are not monitored by another central station, set up
alternate monitoring and alert clinical users.
6. Configure the patient Multi-Viewer windows to NONE and LOCK.
7. Log off service mode. For more information, see Logging off service mode (74).
8. Log onto Webmin. For more information, see Logging on Webmin (75).
9. Deactivate the Multi-Viewer and slot licenses (LVMV, LVSL, and LVSM). For more
information, see Temporarily deactivating licenses (89).
The following licenses are also not recommended for use with Clinician Review
Workstations:
● ADT – Basic Functionality and Picklist (ADTF and ADTP )
● Setup – Remote Monitor (MNSU)
● Full Disclosure – 24, 48, 72, 96 and 144 storage (FD24, FD48, FD72, FD96, and
FD6D)
10. Restart the central station. For more information see Safely restarting (79).

Configuring Asset Setting

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Configuration > Asset Settings.
3. In Change Value To, enter the asset ID for the device.
4. Select Submit.

Configuring clinical application service-level

defaults
Configuring Central and Unit Name service-level defaults
WARNING QUALIFIED PERSONNEL — The service mode and alarm service
mode are intended for use only by qualified personnel with
training and experience in their use. The consequences of
misuse include loss of alarm configuration, loss of patient
data, corruption of the operating system software, or
disruption of the network.

The Central and Unit Name are used to identify this central station and unit on the
network.

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Once the Unit Name is programmed, and the central station is placed in use, avoid
changing the Unit Name. Changing the Unit Name deletes all Full Disclosure data and
the list of transmitters/transceivers stored on the central station. You must re-enter
that data after you change the Unit Name.
To configure the Central and Unit Name for the central station, complete the following
procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
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.

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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

Configuring Printer/Writer service-level defaults

1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer menu, select Setup > Central Defaults.

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3. From Laser, select the appropriate option from the list.

When this value is changed, the print locations set on the Webmin Config Func
Locations module may revert to their default print location.
For example, if Numeric Trends is configured to print to Bedside Determined on
Config Func Locations in Webmin, and you change the print location in this field,
the Numeric Trend print location will revert to Local Laser in Webmin.
4. From DDW, select the appropriate option from the list.
5. From Full Disclosure, select the appropriate option from the list.
Full Disclosure reports can be large and take a long time to print. To prevent Full
Disclosure reports from blocking other print jobs, select a different printer for
Laser and Full Disclosure, when available.
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.

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7. If you are printing to the bedside monitor’s default printer, check that the correct
printer is chosen on the Telemetry Unit Defaults window.
a. Select Setup > Telemetry Unit Defaults.
b. From Print Window, select the printer where all manual historical data will
print.
Some bedside monitors do not support this option.
8. Complete the Configuring Printer/Writer checkout procedures (199).

Configuring mirror central displays overview

WARNING PERFORMANCE ISSUES — In order to ensure proper
performance of the central station, do not exceed two central
stations configured as mirrors per a single primary central
station.

When the central station is configured for the Russian language, mirror central
displays are not supported.
Mirror central displays allow users to:
● Display the same patients in the same patient Multi-Viewer windows on up to three
central stations (one primary display and two mirror central displays).
● Monitor patients from a primary central station at another location, including audio
alarm notification.
● All other central station functionality is unaffected.
Mirroring rules and behavior
WARNING The mirror central display and the primary central station
must be at the same software version.

When a mirror central display is configured, the following behavioral rules apply:
● It is recommended that the mirror 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 mirror central display displays mirror of [CIC SELECTED].
● The user cannot change the display configuration on the mirror central display.
● Auto Display is disabled at the mirror 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. For more information,
see Auto Display button and mirroring (122).
● 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 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.

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● Each mirror 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:

The following configuration, daisy chained mirrors, is not allowed:

Auto Display button and mirroring

When mirroring central stations, the following characteristics apply to the Auto
Display button:
● When mirroring central stations with each other, the display layouts need to match
before initiating mirroring.
● The Auto Display button is automatically removed from a central station display
when it mirrors another central station.
● The Auto Display button is not automatically removed from the primary central
station (i.e., the central station that acts as a mirror for other central stations).
● The license for the Auto Display button must be manually disabled on each central
station that acts as a mirror for other central stations. Failure to remove the Auto
Display license for those central stations permits users to reconfigure the display
layout on the mirrored central display with no synchronous layout change on the
mirrors. This results in differences between the patients that are shown on the
mirror and mirrored devices.
Configuring mirror central displays
1. Check that you have a sufficient number of mirror license sets.
2. Log onto the central station service mode. For more information, Logging on
service mode (74).

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3. From the Multi-Viewer menu, select Setup > Display Configuration.

4. Under Auto Display Button, select Disable Auto Display Button.

Auto Display is disabled on the mirror central display, but it is still active on the
primary central station.
5. Check that the other Display Configuration settings on the mirror central display
match the primary central station.
6. Set the Columns and Rows of the mirror central station to match the primary
central station.
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.

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8. From the Multi-Viewer menu, select Setup > Central Defaults.

9. Under Mirror Central Display, select the primary central station from the
displayed list.
10. Look at the title bar on the mirror central display to check that it is mirroring the
correct central station (MIRROR of XXXX).
11. 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.
12. Complete the Configuring mirror central display checkout procedures (199).

Configuring Waveforms, Real-time Trend Graph, and Color

Set service-level defaults
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 Waveforms, Real-time Trend Graph, and Color Set on the
Multi-Viewer, complete the following procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).

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2. From the Multi-Viewer menu, select Setup > Central Defaults.

3. Under Waveforms, select the appropriate options:

ECG 1 is automatically selected from the default ECG source.
● Waveform 2: Select the waveform from the displayed list.
● Waveform 3: Select the waveform from the displayed list.
● Waveform 4: Select the waveform from the displayed list.
4. Under Real-time Trend Graph Configuration, select Display Real-time Trend
Graph to display the Real-time Trend Graph in the Multi-Viewer.
The Real-time Trend Graph displays up to two parameters in graph format.
Clinical users can adjust the Real-time Trend Graph for individual patient
Multi-Viewer windows.

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5. Under Color Set, select the appropriate option:

● Clinical: Select for single parameter monitoring or double parameter
monitoring to apply the pre-defined Color Set:
￭ ECG waveforms: orange
￭ Pressures waveforms: green
￭ RESP, SPO2, and CO2 waveforms: blue
￭ Parameter numerics: white
● Transducer: Select for multiple parameter monitoring to apply the pre-defined
Color Set:
￭ ECG waveforms: green
￭ ART, FEM, and UAC waveforms: red
￭ PA waveforms: yellow
￭ CVP, RA, and UVC waveforms: blue
￭ CO2, ICP, and LA waveforms: white
￭ RESP, SPO2, and SP waveforms: green
● Custom: Select each waveform color individually from the displayed palette.
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, check that the following are configured correctly:
● Displayed waveforms
● Whether or not the Real-time Trend Graph is displayed
● Color settings for the parameters

Configuring Multi-Viewer Display Configuration

service-level defaults
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).

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2. From the Multi-Viewer menu, select Setup > Display Configuration.

3. Under Columns, select the number of patient Multi-Viewer windows to display as

columns (left to right).
4. Under Rows, select the number of patient Multi-Viewer windows to display as
rows (top to bottom).
5. From Show Unit Names for in Unit Monitors, select the appropriate option:
‒ Yes: Display the unit name for both in- and out-of-unit monitoring devices.
‒ No: Do not display the unit name for in-unit monitoring devices.
The unit name will be displayed for out-of-unit monitoring devices.
The display/hiding of unit names on the mirror and remote central stations will
be the same as the configuration of the primary central station.
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/hiding 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 factory
preset.

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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

Configuring Auto Display Button service-level defaults

1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer menu, select Setup > Display Configuration.

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3. Under Auto Display Button, select the appropriate option:

● Maximize Waveform Length: Maximize the horizontal length of the patient
Multi-Viewer windows to display the maximum waveform duration.
● Maximize Number of Waveforms: Maximize the vertical height of the patient
Multi-Viewer windows to display the maximum number of waveforms.
4. Under Auto Display Button, select Disable Auto Display Button to remove Auto
Display from the Multi-Viewer menu.
5. 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.
6. On the Multi-Viewer, check that the Auto Display Button settings are configured
correctly.

Configuring Real-time BP UOM service-level default

To configure the pressures unit of measurement when the central station is configured
for the Chinese language, complete the following procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer menu, select Setup > Display Configuration.

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3. Under Real-time BP UOM configuration, select the appropriate option:

● mmHg: Display pressure values in mmHg.
● kPa: Display pressure values in kPa.
4. 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. On the Multi-Viewer, check that the pressure value displays in the following
unit-of-measure:
● 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

Configuring Graph Setup service-level defaults

The Telemetry Unit Defaults only apply to telemetry monitoring devices.
When changing the Print Setup options for admitted telemetry patients, the changes
do not take effect until the telemetry patients are discharged. Temporary changes
may be made for a specific patient via the Single Viewer menu > Monitor Setup
> Print Setup. For more information on setting Telemetry Unit Defaults, see the
documentation accompanying the telemetry monitoring device.
To configure the print settings, complete the following procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).

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2. From the Multi-Viewer menu, select Setup > Telemetry Unit Defaults.

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.

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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.

Configuring ECG service-level defaults

The ECG service-level defaults apply to monitoring devices. Many of these defaults
have corresponding control settings that can be adjusted by clinical users. 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.
For telemetry monitoring device custom defaults, once changes are made and custom
defaults are active, they apply to any newly admitted patient. After changes to the
telemetry custom defaults are made, any new subsequently admitted telemetry
monitoring devices will receive the new values.
Pace functionality is part of the monitoring device, but can be remotely enabled and
disabled from the central station for a selected bedside monitor. There is no central
station service-level default for pace detection. For more information about Pace, see
the documentation accompanying the monitoring device.
To configure the ECG service-level defaults, complete the following procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).

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2. From the Multi-Viewer menu, select Setup > Telemetry Unit Defaults.

3. Under Display Lead, select the appropriate lead to acquire the heart rate value.
This lead is also used for automatic alarm prints and any manual print requests.
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. For more information, see
Logging on alarm service mode (74).

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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.

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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.

Configuring Event Marker service-level defaults

The Event Marker is only available with telemetry monitoring devices. For telemetry
monitoring device custom defaults, once changes are made and custom defaults are
active, they apply to any newly admitted patient. After changes to the telemetry
custom defaults are made, any new subsequently admitted telemetry monitoring
devices will receive the new values.
To configure the Event Marker service-level defaults, complete the following
procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer menu, select Setup > Telemetry Unit Defaults.

3. From Event Marker Graph, select the appropriate option to enable or disable
the Event Marker.

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4. 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.

Configuring beds and transmitters

Configuring beds and transmitters should only be done after the central station name
and computer name have been configured.
Telemetry monitoring devices are distinguished with an asterisk appended to the
end of the bed number.
Complete the following procedure to configure beds and transmitters:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer menu, select Setup > Current Telemetry Listings.

3. Under Telemetry Beds, select the bed number from the list or enter the bed
number and select Enter.
4. Under Hardwire Beds, select the bed number from the list or enter the bed
number and select Enter.
5. Under Transmitters, select the TTX number for the transmitter or enter the TTX
number and select Enter.

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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.

Configuring Full Disclosure service-level defaults

There is a separate Full Disclosure printer selection in Setup > Central Defaults. For
more information, see Configuring Printer/Writer service-level defaults (119).
To configure the Full Disclosure service-level defaults, complete the following
procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer menu, select Setup > Full Disclosure Defaults.

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3. Under FD Report Printing, select the appropriate FD Report options:

● Duration: Select the default amount of data to include in FD Page printouts.
The options are 0 hr 1 min to 144 hr 0 min in one minute intervals. This is
the initial value when printing a FD Page report and can be adjusted on an
individual report basis.
The central station can print up to 50 pages, depending on the amount of data
available, the Duration and the Line Time settings.
● 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.
● Include: Define the appearance and data displayed on the report.
￭ Graybar: Print every other line of the data with a shaded background to
differentiate between lines of data.
￭ Arrhythmia Annotations: Print the arrhythmia event name on the
waveform.
￭ Heart Rate: Print the heart rate at the end of each report line.
● Line Time: Select the appropriate option to determine the amount of data
printed on each line of the report. Printing more data per line results is higher
compression of the printed waveform. This setting also applies to FD Page
printouts.
￭ 15sec: Print 15 seconds of waveform across the page width.
￭ 30sec: Print 30 seconds of waveform across the page width.
￭ 1min: Print 60 seconds of waveform across the page width.
4. Under FD Strip, select the appropriate FD Strip Report options:
● Duration: Select the amount of data to include in FD Strip printouts. The
options are 0 min 5 sec to 60 min 0 sec in five second intervals.
● 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.
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 default does not match the actual license, Full Disclosure will not work.

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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.
For more information about Offline Storage behaviors, see the Full Disclosure
chapter (245).
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. Clinical users 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. 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.
● Restore: Disregard the changes and restore the factory presets.
11. Complete the Configuring Full Disclosure service-level defaults checkout
procedures (199).

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Configuring FD Session Search criteria

FD Session Search criteria can be configured by site. The settings determine
the available Patient Search fields, whether sessions with non-matching patient
identification numbers can be selected, and whether partial or complete search
criteria can be used to search for a patient.
Port 9001 is used for discovering discharge sessions.
To configure the FD Session Search criteria, complete the following procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer menu, select Setup > Full Disclosure Defaults.
3. Select Setup FD Session.

4. From Session Search Mode, select the appropriate option:

● Normal: The clinical user can search by patient name, patient identification
number, or unit. The system displays a list of suggested results, filtering the
list as the clinical user enters text. The search capabilities are not limited or
restricted.
● Partially Restricted: The clinical user can search by patient name or patient
identification number. The system does not display a list or filter the results
while the clinical user enters text.
● Restricted: The clinical user can only search by patient identification number.
The system does not display a list of results while the clinical user enters text.
5. Select Allow selection of multiple sessions with non-matching PIDs to allow
clinical user to select multiple patient sessions at one time, even though the
patient identification numbers do not match.
This option typically applies to the Normal search mode.

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6. Select Include Active Sessions by default to always include sessions of patients

currently being monitored in addition to sessions of discharged patients.
If this option is not selected, only sessions of discharged patients are included in
the search results.
7. Select the appropriate option:
● OK: Save the changes and close the window.
● Cancel: Disregard the changes and close the window.
8. To check that the search settings are configured correctly:
a. From the Multi-Viewer menu, select Other Patients.
b. Select Prior Data Search.
c. Enter data in the search fields.

Configuring locked patient Multi-Viewer windows

When locked, the bed number is permanently allocated to a particular patient
Multi-Viewer window on the central station and users are unable to move the patient
Multi-Viewer window.
It is possible to admit a monitoring device to a patient Multi-Viewer window with a bed
number that is locked to NONE. To avoid duplication of patient waveforms, a patient
Multi-Viewer window locked as NONE should not be used to admit a monitoring device.
The central station automatically assigns unmonitored patients to an open unlocked
patient Multi-Viewer window in the same unit as the central station.
To configure locked patient Multi-Viewer windows, complete the following procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. Right-click in the appropriate patient Multi-Viewer window.
3. Select LOCK.
The change takes effect immediately.
To unlock the patient Multi-Viewer window, select UNLOCK.

Configuring Graphic Trends Groups

Graphic Trends Groups allow users to:
● Display up to 6 parameters in half-screen format; up to 12 parameters in full-screen
format.
● Define up to 12 Graphic Trends Groups for customized trend views.
For more information on the factory presets, see the user’s manual.
To configure Graphic Trends Groups custom defaults, complete the following
procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. Select the appropriate patient Multi-Viewer window.
3. From the Single Viewer menu, select Patient Data > Graphic Trends.

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4. Select the Configuration button.

5. To modify an existing Graphic Trends Groups factory preset, complete the
following procedure:
a. Under Groups, select the appropriate Graphic Trends Groups name.
b. Under 1 Select parameter, select the appropriate parameter.
c. 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.
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.
8. Select Close on Customize Graphic Trends.
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.

Configuring Numeric Trends Groups

Numeric Trends Groups allow users to define up to 12 trend groups for customized
trend views.
For more information on the factory presets, see the user’s manual.
To configure Numeric Trends Groups custom defaults, complete the following
procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. Select the appropriate patient Multi-Viewer window.
3. From the Single Viewer menu, select Patient Data > Numeric Trends.
4. Select the Configuration button.

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5. To modify an existing Numeric Trends Groups factory preset, complete the

following procedure:
a. Under Groups, select the appropriate Numeric Trends Groups name.
b. Under Order, select the parameter you want to move to a new position.
c. Under Change Order, use the up or down arrow to move the parameter up or
down in the list.
d. Select Close.
6. To add a new Numeric Trends Group custom default, complete the following
procedure:
a. From Customize Numeric Trends, select the keyboard button to add a new
Numeric Trends Group.
b. Enter up to 10 characters for the Numeric Trends Group name.
c. Under Groups, select the Numeric Trends Group name.
d. Under Order, select the parameter you want to move to a new position.
e. Under Change Order, use the up or down arrow to move the parameter up or
down in the list.
7. To delete a Numeric Trends Group, complete the following procedure:
a. Under Groups, select the appropriate Numeric Trends Group name.
b. Select Delete Group.
8. Select Close on Customize Numeric Trends.
9. In the Single Viewer window, select the Numeric Trends Groups custom default
button you created.
10. Check that the Numeric Trends Groups custom default displays properly.

Configuring Save As Favorite buttons

The Save As Favorites buttons display on the Single Viewer, and apply to all patients.
● When using only a primary display, up to two buttons can be defined.
● When using a secondary display, up to eight buttons can be defined.
For more information on the factory presets, see the user’s manual.
To configure shortcuts to favorite central station views, complete the following
procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. Select the appropriate patient Multi-Viewer window.
3. From the Single Viewer menu, select the appropriate data review tool (e.g.,
Graphic Trends).
4. Select Save As Favorite.
5. Enter up to 10 characters as the button name and select OK.
6. Check that the favorite view button displays on the upper part of the Single Viewer.

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Configuring internet properties

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.

WARNING QUALIFIED PERSONNEL — The service mode and alarm service

mode are intended for use only by qualified personnel with
training and experience in their use. The consequences of
misuse include loss of alarm configuration, loss of patient
data, corruption of the operating system software, or
disruption of the network.

To configure internet properties, complete the following procedure:

1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer menu, select Browser.
3. Select the Browser Internet Options button.

4. Select General.
5. In Address, enter the internet address for the home page.

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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. Select Connections > LAN Settings.
8. If using a configuration script, complete the following procedure:
a. Select Use automatic configuration script.
b. In Address, enter the appropriate address.
9. If using a proxy server, complete the following procedure:
a. Select Use a proxy server.
b. In Address, enter the appropriate address.
c. In Port, enter the appropriate port.
10. Select the appropriate option:
● Cancel: Disregard the changes and close the window.
● OK: Save the changes and close the window.
11. Select OK to close the Internet Properties window.

Calibrating displays
WARNING INCORRECT WAVEFORM SCALING—After replacing an LCD
display, screen calibration must be performed. Otherwise,
there is a potential for incorrect waveform scaling.

WARNING When using a video splitter with the central station, screen
calibration may be possible with only one of the monitors
connected to the splitter. This is because changing calibration
for one monitor will affect the calibration of all other monitors
connected to that same splitter.
When using monitors connected to a splitter, only the last
monitor calibrated will have proper calibration. Manual
measurements should be made from that monitor only.

Standard (non-touchscreen) primary and secondary displays require screen calibration

to adjust the waveform gain and sweep speed. Calibration should be performed
when a standard primary or secondary display is installed or serviced. The primary
display should be calibrated first.
A flexible clear plastic ruler calibrated in inches and centimeters is recommended
for this procedure.
To calibrate displays, complete the following procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
2. From the Multi-Viewer menu, select Setup > Display Configuration.

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3. Select Begin Calibration.

4. From Units, select the appropriate option.

5. Select Default to apply the default display resolution.
6. If you want to adjust the horizontal and vertical rulers at the same time for the
display you are calibrating, select Maintain Aspect Ratio.
7. Complete the following procedure:
a. Hold a ruler to bottom of the display.
b. Click in the horizontal on-screen ruler and drag left or right until the on-screen
ruler aligns with the flexible clear plastic ruler real measurements.
c. Hold a ruler to the left side of the display.
d. Click in the vertical on-screen ruler and drag up or down until the on-screen
ruler aligns with the flexible clear plastic ruler real measurements.
8. Select Apply and then select OK.
9. Repeat steps 4 through 8 for the secondary display, if present.

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Configuring clinical application alarm-level

defaults
Configuring alarm-level defaults
WARNING ALARM VOLUME — Adjustment of the minimum alarm volume
to a low level or off may allow the actual volume to be
adjusted to a low level or off during monitoring, which may
result in a hazard to patients.

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 ALARMS — Do not rely exclusively on the audio alarm

system for monitoring. Remember that the most reliable
method of monitoring combines close personal surveillance
with correct operation of monitoring devices.

WARNING AUDIO ALARMS — The functions of the alarm system must

be verified at regular intervals. Check speaker volume of
all connected speakers periodically to ensure audio alarm
functionality.

WARNING AUDIO ALARM TONES — GE recommends using 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

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Legacy audio alarm tones

CRISIS priority WARNING ADVISORY MESSAGE priority
Alarm condition
level priority level priority level level
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
settings or monitoring parameter settings, the following can be done to configure
the system to suit your needs:
● The central stations located in a unit can be configured to be in a different unit, such
as one used by a central monitoring location, so that these settings can be modified
only from the central monitoring location and not by the clinical users in the unit.
● The central stations may be configured without certain licenses that would have
permitted changes to the settings.
To configure the alarm-level defaults, complete the following procedure:
1. Log onto the central station alarm service mode. For more information, see
Logging on alarm service mode (74).

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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 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.
6. From IEC Alarm Tones, select the appropriate option:
● Yes: Use the IEC alarm tones.
● No: Use the Unity alarm tones.
7. From IEC Priority Nomenclature, select the appropriate option:
● Yes: Use the IEC alarm priority terminology (High, Medium, Low, and
Informational).
● No: Use the Unity alarm priority terminology (Crisis, Warning, Advisory,
Message, System Warning, System Advisory, System Message).

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8. From Allow Telemetry Alarm Audio OFF on this Central, select the appropriate
option:
● Yes: Allows the clinical user to select OFF under Alarm Audio On/Off to pause
audio alarms for telemetry monitoring devices.
● No: Does not allow the clinical user to select OFF under Alarm Audio On/Off to
pause audio alarms for telemetry monitoring devices.
This option pertains to telemetry monitoring devices only.
If you change the option for this alarm-level default, the option for Allow
Arrhythmia OFF on this Central automatically changes to the same value.
9. From Allow Arrhythmia OFF on this Central, select the appropriate option:
● Yes: Allows the clinical user to select Off as the Arrhythmia detection level on
the ECG window.
● No: Prevents the clinical user from setting the Arrhythmia detection level to
Off on the ECG window.
This option pertains to both telemetry monitoring devices and bedside monitors.
If you change the option for this alarm-level default, the option for Allow Telemetry
Alarm Audio OFF on this Central automatically changes to the same value.
10. 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.
11. Complete the Configuring alarm-level defaults checkout procedures (200).

Configuring Patient Age service-level default

This procedure applies to telemetry monitoring devices. For telemetry monitoring
device custom defaults, once changes are made and custom defaults are active,
they apply to any newly admitted patient. After changes to the telemetry custom
defaults are made, any new subsequently admitted telemetry monitoring devices will
receive the new values.
To configure the Patient Age service-level default for telemetry monitoring devices,
complete the following procedure.
1. Log onto the central station alarm service mode. For more information, see
Logging on alarm service mode (74).

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2. From the Multi-Viewer menu, select Setup > Telemetry Unit Defaults.

3. From Patient Age, select the appropriate patient age range option.
4. 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.

Configuring Transmitter Audio Pause service-level defaults

The following service-level defaults apply to telemetry monitoring devices. For
telemetry monitoring device custom defaults, once changes are made and custom
defaults are active, they apply to any newly admitted patient. After changes to the
telemetry custom defaults are made, any new subsequently admitted telemetry
monitoring devices will receive the new values.
To configure the Transmitter Audio Pause service-level defaults, complete the
following procedure:
1. Log onto the central station alarm service mode. For more information, see
Logging on alarm service mode (74).

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2. From the Multi-Viewer menu, select Setup > Telemetry Unit Defaults.

3. From Transmitter Audio Pause, select the appropriate option to enable or disable
transmitter audio pause.
4. From Alarm Pause Breakthrough, select the appropriate option to enable or
disable transmitter audio pause breakthrough.
5. 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.

Configuring Telemetry Alarm Setup service-level defaults

The Telemetry Alarm Setup service-level defaults have corresponding control
settings that can be adjusted by clinical users. 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.
For telemetry monitoring device custom defaults, once changes are made and custom
defaults are active, they apply to any newly admitted patient. After changes to the
telemetry custom defaults are made, any new subsequently admitted telemetry
monitoring devices will receive the new values.

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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.
For information on alarm priority factory presets, see the user’s manual.
For more information on setting Telemetry Alarm Setup Defaults, see the
documentation accompanying the telemetry monitoring device.
To configure Telemetry Alarm Setup service-level defaults, complete the following
procedure:
1. Log onto the central station alarm service mode. For more information, see
Logging on alarm service mode (74).
2. From the Multi-Viewer menu, select Setup > Telemetry Alarm Setup Defaults.

3. To configure the parameter limits, complete the following procedure:

a. Under Parameter Limits and Alarm Levels, locate the parameter in the table.
b. Place the cursor in the Low or High alarm limit field.
c. Use the up/down arrow to select a value or enter a value into the field.
d. Repeat for each parameter.

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4. To configure the parameter alarm priorities, complete the following procedure:

a. Under Parameter Limits and Alarm Levels, locate the parameter in the table.
b. Place the cursor in the Priority field.
c. Use the up/down arrow to select a value from the displayed list.
Alarm priorities that have been adjusted from the factory presets display in
blue.
d. Repeat for each parameter.
5. To configure the arrhythmia alarm priorities, complete the following procedure:
a. Under Arrhythmia Alarm Levels, locate the arrhythmia alarm.
b. Place the cursor in the Priority field.
c. Use the up/down arrow to select a value from the displayed list.
Alarm priorities that have been adjusted from the factory presets display in
blue.
d. Repeat for each parameter.
6. To configure the technical alarm priorities, complete the following procedure:
a. Under Technical Alarm Priorities, locate the technical alarm.
b. Place the cursor in the Priority field.
c. Use the up/down arrow to select a value from the displayed list.
Alarm priorities that have been adjusted from the factory presets display in
blue.
d. Repeat for each parameter.
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.

Resetting Telemetry Unit Defaults to factory presets

1. Log onto the central station alarm service mode. For more information, see
Logging on alarm service mode (74).

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2. From the Multi-Viewer menu, select Setup > Telemetry Unit Defaults.

3. From Reset to Manufacturer Defaults, select Reset.

4. 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.

Configuring printers
Configuring USB laser printers
The USB laser printers that are compatible with the central station are supported as
Plug and Play devices. When used as a USB printer, they do not require any special
installation or configuration. As long as the printer is connected to the central station,
it is readily available for configuration in Setup > Central Defaults.
For a list of compatible USB printers, see the compatible devices supplement.
Installing USB laser printers and the device drivers can take up to three minutes. Wait
until the driver installation is complete before attempting to print to the device.
To use a USB laser printer as a network printer, see Configuring Printer/Writer
service-level defaults (119).

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Configuring laser printer paper size

The central station leaves the factory with the default paper size set to 8.5 x 11 inches
(letter). This setting is used for both USB and network laser printers.
To configure the laser printer paper size, complete the following procedure after
configuring a network laser printer or connecting a compatible USB printer:
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. From the Start Menu, select Settings > Control Panel > Printers and Faxes.
3. Right-click the printer you want to configure and select Printing Preferences.
4. In Paper Size, select the paper size you want to use as the default.
5. Close all windows.

Configuring MultiKM overview

The use of Multimouse and MultiKM names appear in both this manual and in the
software application. Please be aware that these names refer to the same licensed
software application, MultiKM.
When enabled, MultiKM allows users to use one mouse and keyboard to control data
entry for a configured group of central stations (up to eight displays).
The following rules apply to keyboard and mouse groups:
● You can use one or more sets of mouse devices and keyboards. If you use a pair
of mouse devices and keyboards across multiple central stations, just connect or
disconnect the mouse and keyboard from each central station as you configure a
keyboard and mouse group.
● You cannot enable, disable, or configure the MultiKM application from a remote
location. You can only perform these tasks while you are locally seated at the
central station and logged on to the local Webmin service interface.
● To prevent temporary loss of navigation control in a configured keyboard and
mouse group, you should always have a redundant navigation control device
connected in each configured group. A redundant navigation control device
includes one or more of the following:
￭ A touchscreen display connected to a second central station in the configured
keyboard and mouse group.
￭ A second keyboard and mouse connected to a second central station in the
configured keyboard and mouse group.
● If you connect more than one mouse to a configured mouse group, always
position the additional mouse devices on a flat surface. Otherwise, erratic mouse
movements and behaviors may result.
● The mouse devices do not need to be actively used on each system. They can be
placed out of the way behind the central stations.
● All central station devices in the MultiKM group must be of the same version.
￭ In any given CARESCAPE Network, many MultiKM groups can co-exist as long as
each individual group’s devices are the same central station version. (Example:
all CARESCAPE Central Station v1 in one group and all CIC Pro center v5.1.x
in another group.)

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￭ If a central station is swapped from an existing MultiKM group A, check that

the new central station is the same version as the other central stations in the
MultiKM group A.
● All central stations that will be added to the MultiKM group must have an active IX
Network connection with a properly configured IX IP address.
● All central stations must have a valid, individual computer name.
● If the MultiKM license is activated, you must position the mouse cursor in the
central station patient window where the user action is to take place.

Setting up central stations to use MultiKM

You need to identify the computer name and activate the MultiKM license on each
central station that will use MultiKM. Complete the following procedure:
1. Connect a mouse and keyboard to every central station in the group.
You can remove all but one set once you have configured the keyboard and
mouse group.
2. From the primary control central station where the mouse and keyboard will
remain connected, log onto Webmin. For more information, see Logging on
Webmin (75).
3. Select Configuration > Licensing.

4. Write the Computer Name on a label and apply the label to the front bezel of
each display screen.
Be sure to apply a Computer Name label to both the primary (1) and secondary (2)
displays.

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5. Check that the MultiKM license is activated on each central station you want in
the keyboard and mouse group.
a. In the Feature List, locate System Utilities - MultiMouse.
b. Next to System Utilities - MultiMouse, check that an activation code displays
in Activation Code.
If an activation code is not displayed, you must activate the license on this
central station before you can configure it into a keyboard and mouse group.
c. Repeat steps a and b for each central station you are configuring into a
keyboard and mouse group.
6. Proceed to Configuring a keyboard and mouse group (158).

Configuring a keyboard and mouse group

After you have identified the Computer Name 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 you want to add to the
keyboard and mouse group:
a. While you are locally seated at the central station and logged onto the local
Webmin service interface, select Configuration > MultiKM.
b. On the MultiKM Configuration window, select Enable.

c. Repeat steps a and b for each central station you are configuring into a
keyboard and mouse group.

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2. On the central station that will have the keyboard and mouse attached, on the
Multimouse window, select Configure.

3. On the Change Configuration window, check that the computer names of the
central stations to be added or removed from a group are displayed in the list.

All central stations that have MultiKM enabled but do not belong to a group will be
added to the list automatically.
4. To remove any names of the central stations you do not want included in this
group, under Other Computers, select the computer name of the central station
you want to remove and select Remove.
Repeat this step to remove additional central stations from this group.
5. Select Next.

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6. Click and drag the location of the computer names to match the physical layout
of the central station displays in this group.

● Check that there are no gaps between the virtual screens.

If there are gaps between the virtual screens, intermittent screen access may
occur.
● Check that the X and Y axes are aligned correctly.
If the X and Y axes are not aligned correctly, intermittent screen access may
occur.
Central stations with a secondary display will move together.
7. Select Finish.
8. On the Multimouse window, select Hide to hide the Multimouse window.

9. Remove any extra keyboards, but leave the mouse devices connected.
10. Complete the Configuring MultiKM checkout procedures (200).

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Adding a central station to existing keyboard and mouse

group
1. At each central station that you want to add to the keyboard and mouse group:
a. Log onto Webmin locally. For more information, see Logging on Webmin (75).
b. Select Configuration > Licensing and do the following:
● Identify the Computer Name of the central station you are adding.
● Check that the MultiKM license is activated on the central station you are
adding.
c. Select Configuration > MultiKM > Enable and start the MultiKM application on
the central station you are adding.
2. At any one of the central stations that is already in this keyboard and mouse group:
a. Log onto Webmin locally. For more information, see Logging on Webmin (75).
b. Select Configuration > MultiKM > Configure and start the MultiKM application.

3. Complete the configuration beginning with step 3 of the procedure Configuring a

keyboard and mouse group (158).

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 of the central stations 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. For more information, see Logging on Webmin (75).
b. Select Configuration > MultiKM > Configure and start the MultiKM application.
c. On the Multimouse window, select Configure.
4. Create Group 1.
a. On the Change Configuration window, remove the names of the central
stations you do not want included in Group 1:

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Because the primary central station is the device that has the mouse and
keyboard connected to it, the computer name 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 of the central station
you want to remove from the group (e.g., D) and select Remove.
ii. Repeat this step 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.

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c. Click and drag the location of the computer names to match the physical
layout of the central station displays in this group.

● Check that there are no gaps between the virtual screens.

If there are gaps between the virtual screens, intermittent screen access
may occur.
● Check that the X and Y axes are aligned correctly.
If the X and Y axes are not aligned correctly, intermittent screen access
may occur.
d. Select Finish.
e. Select Hide to hide the Multimouse window.

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f. Check that the MultiKM application is running on each central station in the
keyboard and mouse group.
If there are problems, see MultiKM issues (217).
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. For more information, see Logging on Webmin (75).
c. Select Configuration > MultiKM and start the MultiKM application.
d. Complete the procedure Configuring a keyboard and mouse group (158).
e. Check that the MultiKM application is running on each central station in the
keyboard and mouse group.
If there are problems, see MultiKM issues (217).

Combining keyboard and mouse groups

1. Identify the computer groups you want to combine (e.g., Group 1: A, B, C and
Group 2: D, E, F).
2. Go to central station A (the central station that will have the keyboard and mouse
connected).
a. Log onto Webmin locally. For more information, see Logging on Webmin (75).
b. Select Configuration > MultiKM > Configure and start the MultiKM application.

c. Repeat the configuration beginning with step 3 of Configuring a keyboard

and mouse group (158).
3. Complete step 2 on central stations D, E, F, B and C.

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4. Go to central station A.
a. Check that all the central station computer names are listed and select Next.
b. Click and drag the location of the computer names to match the physical
layout of the central station displays in this group.
● Check that there are no gaps between the virtual screens.
If there are gaps between the virtual screens, intermittent screen access
may occur.
● Check that the X and Y axes are aligned correctly.
If the X and Y axes are not aligned correctly, intermittent screen access
may occur.
c. Select Hide to hide the Multimouse application window.
5. Check that the MultiKM application is running on each central station in the
keyboard and mouse group.

Backing up system settings

A backup file should be created when the system is initially installed and at regular
intervals, whenever changes are made to central station configuration settings, and
after preventative maintenance is performed. Regular backups ensure a complete
system restore if it should become necessary.
The backup procedure must be completed only from a remote computer. For a list of
the settings that are backed up, see the Restored modules appendix (269).
To back up the system settings, complete the following procedure:
1. Log onto Webmin remotely. For more information, see Logging on Webmin
remotely (76).
2. Select Configuration > Settings > Backup.
3. Select Backup.
The default files are temporarily written to the central station and are prepared for
downloading to your local computer.
4. On File Download, select Save.
5. Browse to the location where you want to save the backup file and select Save.
6. Back up the system settings on a USB memory stick.

Restoring system settings

Restoring system settings overview
You can perform either a full or partial restore of the system settings on a central
station, depending on the serial number associated with the backup file.
● Full restore: Restores a central station’s previously archived settings on the same
machine. This procedure is used when the serial number of the central station
matches the serial number of the backup file.

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● Partial restore: Restores one central station’s settings on a different central station.
This procedure is used when the serial number of the central station does not
match the serial number of the backup file.

Performing a full restore

When performing a full restore, the following settings are restored:
● All local central station settings
● All customized settings
● All platform settings (Operating System and service)
● All unit settings
This procedure can only be used if the serial number of central station you are
restoring matches the serial number of the backup file.
This procedure must be completed only from a remote computer.
To perform a full restore, complete the following procedure:
1. Stop the central station application.
a. From the Multi-Viewer menu, select Setup > User Setup.
b. In Password, enter mms_com and press Enter.
c. At the prompt, enter stop and press Enter.
2. Disconnect the central station from the CARESCAPE Network IX and MC.
3. Connect a service computer directly to the central station.
4. Log onto Webmin remotely. For more information, see Logging on Webmin
remotely (76).
5. Select Configuration > Settings > Restore.
6. Select Browse to select a backup file from the service computer/remote computer.
7. On the Choose file window, navigate to the directory where the backup file is
located.
8. Select the backup file with the serial number that matches the central station you
are restoring, and select Open.
9. Select Upload.
10. Complete the Restoring system settings checkout procedures (201).

Performing a partial restore

Perform a partial restore when:
● It is necessary to restore the central stations in a unit to a previous configuration.
Or
● The serial number of the backup file does not match the central station’s serial
number.
For a partial restore, you can select any or all of the following settings to restore:
● Local central station settings
● Customized settings, under the Configuration (wrench) tool

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● Platform settings (partial)

The restore procedure must be completed only from a remote computer.
To perform a partial restore, complete the following procedure:
1. Stop the central station clinical application.
a. From the Multi-Viewer menu, select Setup > User Setup.
b. In Password, enter mms_com and press Enter.
c. At the prompt, enter stop and press Enter.
2. Disconnect the central station from the CARESCAPE Network IX and MC.
3. Connect a service computer directly to the central station.
4. Log onto Webmin remotely. For more information, see Logging on Webmin
remotely (76).
5. Select Configuration > Settings > Restore.
6. Select Browse to select a backup file from the service computer/remote computer.
7. On the Choose file window, navigate to the directory where backup files are
located.
8. Select the appropriate backup file, and select Open.
9. Select Upload.
10. Select the settings (any or all) to be restored and select Restore.
11. Complete the Restoring system settings checkout procedures (201).

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Preventative maintenance
8
Maintenance schedule
CAUTION INSPECTION — Failure on the part of the responsible hospital
or institution employing use of this device to implement
a satisfactory maintenance schedule may cause undue
device failure and possible health hazards. The manufacturer
does not in any manner assume the responsibility for
performing the recommended maintenance schedule, unless
an Equipment Maintenance Agreement exists. GE Service
personnel may, at their discretion, follow the procedures
provided in this manual as a guide during visits to the
equipment site.

WARNING Take necessary electrostatic discharge (ESD) precautions

while servicing the product.

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 upon installation, every 12
months after original installation, and each time the unit is serviced.
The following is the recommended maintenance schedule:
Task Schedule
Visual inspection of the equipment. Yearly
Cleaning of the fans. Yearly
Power source tests. Yearly
Electrical safety tests. Yearly
Checking the operation of the input devices Yearly
and displays.
Performing all the configuration checkout Yearly
procedures.
Perform calibration of bedside monitors by a Periodic — See the documentation
satisfactory maintenance schedule. accompanying the device for schedule
information.
Perform maintenance of the keyboard, Periodic — See the documentation
mouse, display, processing unit enclosure, accompanying the device for schedule
UPS, and associated cabling. information.

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Task Schedule
Test UPS to confirm it meets at least 80% of Yearly.
rated capacity. Follow the preventative maintenance
recommendations provided by the UPS
manufacturer.
Perform the SMART Run Short Self-Test. At least once during equipment preventative
Once the test has fully completed, check maintenance.
that the Passed drive check? is Yes. If the
Passed drive check? is No, then the hard
drive should be replaced.
Recommended replacement of the system’s Once every three years.
hard drive.
Recommended replacement of the two Once every four years.
chassis fans.

Visually inspecting equipment

WARNING MAINTENANCE — Regular preventative maintenance
should be carried out annually. Following any applicable
country-specific requirements is the responsibility of the
hospital.

CAUTION INSPECTION — Failure on the part of the responsible hospital

or institution employing use of this device to implement
a satisfactory maintenance schedule may cause undue
device failure and possible health hazards. The manufacturer
does not in any manner assume the responsibility for
performing the recommended maintenance schedule, unless
an Equipment Maintenance Agreement exists. GE Service
personnel may, at their discretion, follow the procedures
provided in this manual as a guide during visits to the
equipment site.
An effective maintenance schedule should be established for all equipment and
reusable supplies, including inspection and general cleaning on a regular basis. The
maintenance schedule must comply with your institution’s policies.
All equipment must be inspected before installation, annually for preventative
maintenance, and whenever an equipment failure is suspected.
To visually inspect the equipment, complete the following procedure:
1. Unpack equipment and inspect for shipping damage.
Use the following guidelines when inspecting the equipment:
● Inspect the equipment for obvious physical damage.
● Inspect cords for fraying, tearing of the external protective sheathing or
detachment from the connector head, exposed wires, missing or loose prongs,
and other damage.
● Inspect connections/interfaces for bent prongs or pins.
● Inspect all cable insulation for cracks, tears, or other damage.
2. Check that all equipment is present, including required cables.
3. Inspect the processing unit for damage to the chassis.

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4. Inspect the processing unit for a loose potential equalization conductor.

5. Inspect all cables and cable strain-reliefs for cracks or other degradation.
6. Inspect the display for marks, scratches, or other damage.
7. Inspect the internal fan vents for dust or other debris.
8. Inspect the equipment labels to check that they are legible.
9. Inspect the mounting hardware for loose, wrong sized, or missing screws.
If any equipment is damaged before installation, contact GE.
If any equipment damage is observed after installation, clean, repair, or replace the
damaged equipment as appropriate.
For more information, contact GE.

Cleaning
Cleaning safety precautions
WARNING LOSS OF MONITORING — Safely turning off this device and/or
removal of the device from mains power should be done by
authorized service personnel.

WARNING SHOCK HAZARD — Disconnect AC-powered devices from the

power line before cleaning or disinfecting its surface. Turn
off the power to battery-powered devices before cleaning or
disinfecting its surface.

WARNING SHOCK HAZARD — Do not pour or spray any liquid directly on

cables or leadwires or permit fluid to seep into connections
or openings.

WARNING SHOCK HAZARD — Never immerse devices, cables, or

leadwires in any liquid or allow liquid to enter the interior.

CAUTION DEVICE DAMAGE — Never use conductive solutions, solutions

that contain chlorides, wax, or wax compounds to clean
devices, cables or leadwires.

CAUTION DEVICE DAMAGE — Never use solutions or products that

contain the following:
● Any type of Ammonium Chloride such as, but not limited to:
￭ Dimethyl Benzyl Ammonium Chloride
￭ Quaternary Ammonium Chloride solutions
● Abrasive cleaners or solvents of any kind
● Acetone
● Ketone
● Betadine
● Alcohol-based cleaning agents
● Sodium salts

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CAUTION DEVICE DAMAGE — Do not autoclave any part of the system

with steam (including cables).

Permitted cleaning agents

The following are permitted cleaning agents:
● Water
● Mild soap (diluted)
● Clorox bleach (active ingredient: 5.25% sodium hypochlorite) mixed 10:1 with water
● Any sodium hypochlorite wipe product that meets these above guidelines
● Sagrotan (dilution 3:100, containing 75 mg tartaric acid per 100 ml solution).

Harmful cleaning agents

The following cleaning agents have been demonstrated to cause one or more of
the results of improper cleaning:
● Formula 409
● Isopropyl alcohol
● Ethanol
● Virex 256
● Cavicide surface cleaner/disinfectant
● Lysol Coverage spray disinfectant
● Kleenaseptic
● Sufanios
● Cidex Plus
● Cidex OPA
● Sporicidin
● Vesphene
● Lysol Basin Tub and Tile Cleaner
● Sani-Cloth HB

Results of improper cleaning

Use of cleaning agents other than the permitted cleaning agents is considered
improper cleaning and could lead to the following:
● Discoloration
● Metal part corrosion
● Reduced cable life
● Brittle wires/cables
● Brittle and breaking device case
● Brittle and breaking connectors
● Melting, dulling, or distorting device case
● Overall system performance degradation
● Device malfunction

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● Total mechanic failure requiring replacement

● Void warranty

Cleaning external surfaces

WARNING LOSS OF MONITORING — Safely turning off this device and/or
removal of the device from mains power should be done by
authorized service personnel.

Use the following procedure to clean the external surfaces of the processing unit
and other devices.
1. Turn off the power to the device.
2. Disconnect the equipment from the power supply.
3. Remove all cables.
4. Dampen a clean, soft, lint-free cloth with one of the permitted cleaning agents.
5. Wring excess fluid from the cloth.
6. Wipe the exterior with a soft lint-free cloth, lightly moistened with the permitted
cleaning agent. Do not allow fluids to pool around connections. If this should
happen, blot the area dry with a cotton swab or soft cloth
7. Wipe off the cleaning agents with a clean, lightly moistened cloth.
8. Dry thoroughly with a dry lint-free cloth and let air dry for at least 30 minutes.
Drying times may vary based on the environmental conditions.
9. Reconnect the device to the power supply.
10. Turn on the power to the device.

Cleaning displays and touchscreens

WARNING LOSS OF MONITORING — Safely turning off this device and/or
removal of the device from mains power should be done by
authorized service personnel.

Use the following procedure to clean the displays, including touchscreen displays.
1. Turn off the power to the device.
2. Disconnect the equipment from the power supply.
3. Remove all cables.
4. Dampen a clean, soft, lint-free cloth with one of the permitted cleaning agents.
5. Wring excess fluid from the cloth.
6. Wipe the exterior with a soft lint-free cloth, lightly moistened with household glass
cleaner. Do not allow fluids to pool around connections. If this should happen, blot
the area dry with a cotton swab or soft cloth.
7. Wipe off the household glass cleaner with a clean, lightly moistened cloth.
8. Dry thoroughly with a dry lint-free cloth and let air dry for at least 30 minutes.
Drying times may vary based on the environmental conditions.
9. Reconnect the device to the power supply.

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10. Turn on the power to the device.

Disinfecting external surfaces

WARNING LOSS OF MONITORING — Safely turning off this device and/or
removal of the device from mains power should be done by
authorized service personnel.

The decision to disinfect or sterilize must be made per the institution’s requirements
with an awareness of the effect on the integrity of the device. Do not use excessive
drying techniques, (e.g., oven, forced heat, sun drying).
1. Turn off the power to the device.
2. Disconnect the equipment from the power supply.
3. Remove all cables.
4. Dampen a clean, soft, lint-free cloth with the following solution as recommended
in the APIC Guidelines for Selection and Use of Disinfectants (1996):
● Sodium hypochlorite (5.2% household bleach) minimum 1:500 dilution
(minimum 100 ppm free chlorine) and a maximum 1:10 dilution.
● Any sodium hypochlorite wipe product that meets the above guidelines can
be used.
5. Wring excess fluid from the cloth.
6. Allow disinfecting solution to remain on device for a minimum of one minute or
per hospital guidelines. Do not let fluid pool around connections. If this happens,
blot with a cotton swab or soft cloth.
7. Wipe off the disinfecting solution with a clean, lightly moistened cloth.
8. Dry thoroughly with a dry lint-free cloth and let air dry for at least 30 minutes.
Drying times may vary based on the environmental conditions.
9. Reconnect the device to the power supply.
10. Turn on the power to the device.

Cleaning internal components

WARNING In order to remove power from the central station, disconnect
the power cord from the wall outlet. The power switch on
the back panel of the processor box 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.

The processing unit fan, fan intake, and other internal components can be cleaned
to remove accumulated dust.
1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Use compressed gas duster to spray dust from internal components.
3. Replacing the processing unit cover. For more information, see Replacing
processing unit cover (190).

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Touchscreen display guidelines

The following guidelines should be followed when using a touchscreen display:
● Do not apply tape or other items to touchscreens.
● Do not use pencils or other sharp objects to select items on touchscreens.
● Right-click menus are not supported on touchscreens.

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 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.

Storing writer paper

Paper manufacturers advise that thermal products should retain traces for three to
five years when properly imaged and stored. If the institution's retention requirements
exceed these guidelines, consider alternate image storage techniques.
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.

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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.
￭ Non-thermal chart papers or any other products containing tributyl phosphate,
dibutyl phthalate, or any organic solvents. Many medical and industrial charts
contain these chemicals.
￭ Document protectors, envelopes, and sheet separators containing polyvinyl
chloride or other vinyl chlorides.
● Avoid contact with cleaning fluids and solvents (e.g., alcohols, ketones, esters,
ether).
● Do not use mounting forms, pressure-sensitive tapes, or labels containing
solvent-based adhesives.

Power source tests

Power outlet test
Check with the facilities or biomedical maintenance department that the power
outlet is wired correctly per the country’s electrical code standard before starting
the following electrical safety tests. The results of the safety tests will be inaccurate
unless a properly wired power outlet is used. Use only non-isolated power outlets
when performing safety tests.

Power cord and plug test

Check that the power cord being used with the monitor is good. The following are
areas to check for in this regard:
● Failure of the power cord strain relief is very common. Often times users of the
equipment pull on the power cord itself, rather than the power cord plug, to unplug
the monitor from a power outlet. Inspect the power cord for wear or damage
regularly. If damage is suspected, test for continuity through each conductor of the
power cord connector and plug.
● Verify line, neutral, and earth conductors are properly connected to the power
cord plug and are not short-circuited. Replace the power cord, as necessary, with
regulatory-approved cord for the country of use.
● If there are still concerns or doubts about the safety of the power cord, replace the
power cord, as necessary, with a regulatory-approved cord for the country of use.

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Electrical safety tests

Testing ground continuity
Failure of the power cord strain relief is common when users pull the power cord
instead of the power cord plug to unplug the device from the power outlet. The
continuity should be checked for each line, neutral, and ground conductor of the
power cord and power cord plug. The power cord may need to be rewired, tightened,
or replaced.
To check ground (earth) integrity, complete the following procedure:
1. Disconnect the central station from the power outlet.
2. Connect the negative (-) lead of the DMM to the protective earth terminal (ground
pin in power inlet connector) or the protective earth pin in the mains plug (ground
pin in power cord).
3. Set the DMM to the milliohm range.
4. Connect the positive (+) lead of the DMM to the equipotential plug on the central
station.
5. Resistance must read:
● 0.1 ohm or less without power cord.
● 0.2 ohms or less with power cord.

Testing ground wire leakage current

To test the current leakage through the ground (earth) wire at normal operating
voltage, complete the following procedure:
1. Configure the leakage tester as defined by the IEC/EN/UL 60601-1 standard for
measuring leakage current.

2. Connect the power cord of the device under test to the power receptacle on the
leakage tester.

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3. Set the power switch of the device under test to ON.

4. Read the current leakage indicated on DMM.
5. Set the polarity switch on the leakage tester to RVS (reverse).
6. Read the current leakage indicated on DMM.
● 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.
8. Disconnect the leakage tester from the power outlet.
9. Disconnect all test equipment from the device.
10. Disconnect the device power cord from the leakage tester.

Testing enclosure leakage current

To test the current leakage through exposed conductive surfaces on the device under
test during normal operation, complete the following procedure:
1. Configure the leakage tester like the circuit shown below with GND switch OPEN
and polarity switch NORM.

2. Connect probe to an unpainted, non-anodized chassis ground on the unit under

test.
3. Set the power switch of the device under test to ON.
4. Read the current leakage indicated on DMM.
5. Set the polarity switch on the leakage tester to RVS (reverse).

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6. Read the current leakage indicated on DMM. Center-tapped and

non-center-tapped supply circuits produce different leakage currents and the
UL and IEC limits are different. 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 GND switch on the leakage tester to CLOSED.
8. Read the current leakage indicated on DMM.
9. Set the polarity switch on the leakage tester to RVS (reverse).
10. Read the current leakage indicated on DMM.
100 μA (0.1 volts on the DMM), and the device under test is powered from 100-
240 V/50-60 Hz.
If the reading is greater than the specification, and the device under test is
powered from 100-240 V/50-60 Hz, the device under test fails. Contact GE.
11. Set the power switch of the device under test to OFF.
12. Disconnect the leakage tester from the power outlet.
13. Disconnect all test equipment from the device.
14. Disconnect the device power cord from the leakage tester.

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9
FRU replacement safety precautions
WARNING DISCONNECTION FROM MAINS — When disconnecting the
system from the power line, remove the plug from the wall
outlet first. Then you may disconnect the power cord from the
device. If you do not observe this sequence, there is a risk
of coming into contact with line voltage by inserting metal
objects, such as the pins of leadwires, into the sockets of the
power cord by mistake.

WARNING PERSONAL INJURY OR EQUIPMENT DAMAGE — Follow these

precautions whenever performing disassembly. Failure
to follow this instruction could result in serious injury or
product/property damage.

WARNING POWER SUPPLY — This device must be connected to a properly

installed power outlet with protective earth contacts only.
If the installation does not provide for a protective earth
conductor, disconnect the device from the power line and
operate it on battery power, if possible. GE recommends the
use of an Uninterrupted Power Supply (UPS) with the central
station, including displays. If a UPS is not used, improper
shutdowns of the system could result from power outages
and cause a lengthy disk scan delays when the device
reboots. Data could be lost in the event of a power outage. All
system devices must be connected to the same power supply
circuit. Devices that are not connected to the same power
supply circuit must be electrically isolated when operated.

WARNING REPAIR TO THE FRU LEVEL — Field repairs are recommended

to the FRU only. Attempting a field repair on a PCB or a
factory-sealed component or assembly could jeopardize the
safe and effective operation of the device.

WARNING In order to remove power from the central station, disconnect

the power cord from the wall outlet. The power switch on
the back panel of the processor box 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 Take necessary electrostatic discharge (ESD) precautions

while servicing the product.

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CAUTION BURNS — During operation, the power supply can become

hot enough to cause severe burns. Allow the power supply to
thoroughly cool before disassembly.

Electrostatic discharge (ESD) guidelines

WARNING Take necessary electrostatic discharge (ESD) precautions
while servicing the product.

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.

Supported FRUs
Part number Description
2039793-011 FRU MP100 CPU 2GByte
2039793-003 FRU MP100 FAN
2039793-004 FRU MP100 DUAL SPEAKERS
2039793-005 FRU MP100 POWER SUPPLY
2039793-006 FRU MP100 INTERNAL CABLES

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Part number Description

2039793-007 FRU MP100 HARDWARE
2039793-008 FRU MP100 FRONT BEZEL
2039793-009 FRU MP100 SATA HDD
2039793-010 FRU MP100 8G SATA FLASH DRIVE
2061784-001 CSCS v1 REIMAGE KIT

MP100D assembly

Item Description
1 PCB (motherboard)
2 Chassis fans
3 Power supply
4 Front bezel
5 Dual speakers
6 Hard drive
7 Flash drive
8 SATA drive cables

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Interconnect diagram

FRU replacement procedures

Removing processing unit cover
WARNING DISCONNECTION FROM MAINS — When disconnecting the
system from the power line, remove the plug from the wall
outlet first. Then you may disconnect the power cord from the
device. If you do not observe this sequence, there is a risk
of coming into contact with line voltage by inserting metal
objects, such as the pins of leadwires, into the sockets of the
power cord by mistake.

WARNING SHOCK HAZARD — Whenever the cover is removed, you can

disrupt internal components and potentially disrupt proper
power or ground connections. The potential for electric shock
exists. When the cover is replaced, perform electrical safety
tests and FRU checkout procedures.

WARNING In order to remove power from the central station, disconnect

the power cord from the wall outlet. The power switch on
the back panel of the processor box 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.

To remove the processing unit cover, complete the following procedure:

1. Safely shut down the central station. For more information, see Safely shutting
down (79).
2. Unplug the AC power cord from the processing unit.
3. Turn off power to all connected peripheral devices.
4. Label, then disconnect all peripheral cables and telecommunication lines
connected the processing unit.

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5. Remove the screws that connect the processing unit cover to the chassis. Retain
the screws.

6. Lift the processing unit cover off the chassis.

Replacing PCB (motherboard)

Do not re-image the central station after replacing the motherboard.
Do not replace the motherboard and Flash (SSD) drive at the same time. Doing so will
cause ghosting, and further licenses cannot be loaded because the serial number of
the central station will be lost. The hardware unit will need to be sent to the GE repair
facility to have the serial number reprogrammed.
To replace the PCB (motherboard), complete the following procedure:
1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Remove the speaker cable from the motherboard.
3. Remove the two SATA cables from the motherboard.
4. Remove the LED light pipe from the motherboard.
5. Remove the power supply cable from the motherboard.
6. Remove the two fan cables from the motherboard.
7. Remove the two serial cables from the motherboard.
8. Remove the four screws that connect the DVI connections/interfaces to the
chassis.
9. Remove the six screws that connect the motherboard to the chassis.
10. Replace the motherboard.

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11. Reverse steps to re-assemble.

12. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
13. Complete the Replacing the PCB (motherboard) checkout procedures (202).

Replacing processing unit battery

CAUTION Avoid getting chemicals leaked from a ruptured battery into
eyes or on the skin. In the event that battery ruptures and
battery chemicals get into eyes, flush with copious quantities
of flowing lukewarm water for a minimum of 15 minutes. Get
immediate medical attention for eyes. Wash skin with soap
and water.

The processing unit is a Li coin cell battery available at retail stores. When purchasing
from a retail supplier, use the specification number on the battery to check that an
equivalent battery is purchased.
To replace the processing unit battery, complete the following procedure:
1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Push the battery latch, golden color, away from the battery.

3. Remove the battery.

4. Replace the battery.
5. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
6. Complete the Replacing processing unit battery checkout procedures (204).

Replacing hard drive

To replace the hard drive, complete the following procedure:

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1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Remove the power cable from the hard drive.
3. Remove the SATA cable from the hard drive.
4. Loosen the four screws that connect the hard drive and flash drive to the
mounting bracket. The hard drive is on the top; the flash drive is on the bottom.
5. Slide the hard drive out of the mounting bracket.
6. Replace the hard drive.
7. Reverse steps to re-assemble.
8. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
9. Re-image the system.
10. Complete the Replacing hard drive checkout procedures (204).

Replacing flash drive

Do not replace the motherboard and Flash (SSD) drive at the same time. Doing so will
cause ghosting, and further licenses cannot be loaded because the serial number of
the central station will be lost. The hardware unit will need to be sent to the GE repair
facility to have the serial number reprogrammed.
To replace the flash drive, complete the following procedure:
1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Remove the power cable from the hard drive.
3. Remove the SATA cable from the hard drive.
4. Remove the power cable from the flash drive.
5. Remove the SATA cable from the flash drive.
6. Loosen the four screws that connect the hard drive and flash drive to the
mounting bracket. The hard drive is on the top; the flash drive is on the bottom.
7. Slide the flash drive out of the mounting bracket.
8. Replace the flash drive.
9. Reverse steps to re-assemble.
10. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
11. Re-image the system.
12. Complete the Replacing flash drive checkout procedures (205).

Replacing SATA cables

To replace the SATA cables, complete the following procedure:
1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).

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2. Remove the SATA cable from the hard drive.

3. Remove the SATA cable from the flash drive.
4. Replace the SATA cables.
5. Reverse steps to re-assemble.
6. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
7. Complete the Replacing SATA cables checkout procedures (206).

Replacing power supply

WARNING POWER SUPPLY — This device must be connected to a properly
installed power outlet with protective earth contacts only.
If the installation does not provide for a protective earth
conductor, disconnect the device from the power line and
operate it on battery power, if possible. GE recommends the
use of an Uninterrupted Power Supply (UPS) with the central
station, including displays. If a UPS is not used, improper
shutdowns of the system could result from power outages
and cause a lengthy disk scan delays when the device
reboots. Data could be lost in the event of a power outage. All
system devices must be connected to the same power supply
circuit. Devices that are not connected to the same power
supply circuit must be electrically isolated when operated.

WARNING SHOCK HAZARD — Never touch components inside the power

supply. There are no field-serviceable components in the
power supply. Capacitors in the power supply present a shock
hazard even when the power is off.

CAUTION BURNS — During operation, the power supply can become

hot enough to cause severe burns. Allow the power supply to
thoroughly cool before disassembly.

To replace the power supply, complete the following procedure:

1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Remove the power supply cable from the motherboard.
3. Remove the AC power cable from the power supply.
4. Remove the four screws that connect the power supply to the chassis.
5. Replace the power supply.
6. Reverse steps to re-assemble.
7. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
8. Complete the Replacing power supply checkout procedures (207).

Replacing fan
There are two internal fans which can be replaced independently.
To replace the fan, complete the following procedure:

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1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Remove the two fan cables from the motherboard.
3. Remove the two screws that connect the fan to the chassis.
4. Remove the fan.
5. Replace the fan.
6. Reverse steps to re-assemble.
7. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
8. Complete the Replacing fan checkout procedures (207).

Replacing dual (internal) speakers

To replace the dual (internal) speakers, complete the following procedure:
1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Remove the speaker cable from the motherboard.
3. Remove the two screws that connect the speaker to the mounting bracket.
4. Remove the dual (internal) speaker assembly.
5. Replace the dual (internal) speaker assembly.
6. Reverse steps to re-assemble.
7. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
8. Complete the Replacing dual (internal) speakers checkout procedures (208).

Replacing fuse(s)
The fuse is available at retail stores. When purchasing from a retail supplier, use the
specification number on the fuse to check that an equivalent fuse is purchased.
To replace the fuse(s), complete the following procedure:
1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Pry open the fuse door latch.
3. Pry open the fuse drawer.
4. Remove the fuse(s).
Do not touch fuses with bare hands. Oils and acids on the skin can reduce fuse
life. Wear gloves or use a clean, dry cloth to handle fuses.
5. Replace the fuse(s).
6. Reverse steps to re-assemble.
7. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
8. Complete the Replacing fuse(s) checkout procedures (208).

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Replacing front bezel

To replace the front bezel, complete the following procedure:
1. Remove the processing unit cover. For more information, see Removing
processing unit cover (184).
2. Remove the two screws that connect the bezel to the chassis.
3. Remove the LED light pipe from the motherboard.
4. Push the three plastic bezel tabs and lift the bezel off the chassis.
5. Replace the bezel.
6. Reverse steps to re-assemble.
7. Replace the processing unit cover. For more information, see Replacing processing
unit cover (190).
8. Complete the Replacing front bezel checkout procedures (208).

Replacing processing unit cover

To replace the processing unit cover, complete the following procedure.
1. Slide the cover over the chassis.
2. Replace the screws that connect the cover to the chassis.

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10
Checkout overview
Checkout provides a method of checking operational and functional performance
without disassembling the device. Checkout should be performed upon receipt of
the device, every year thereafter, and each time a component is removed/replaced.
Checkout assumes the device is being tested with known good cables and requires
the user to be familiar with the system operation. Failure to attain the prescribed
results indicates a need for calibration, configuration, or repair.
The safety tests and checkout procedures are based on the assumption that the
equipment being tested is using known, good cables. It also requires that the user
be familiar with the operation of the system. For more information concerning
the operation of these components, see the documentation accompanying the
equipment.
Checkout procedures need to be performed at the following times:
● Upon receipt of the equipment, every year thereafter, and each time a component
is removed or replaced.
● When initially installing, modifying the configuration, or upgrading the software.
● When performing preventative maintenance.
● When replacing any FRU.
The safety tests and checkout procedures are written for the GE recommended test
equipment listed for each test. If test equipment other than those GE recommends is
used, some test steps may need to be slightly modified.

Installation checkout procedures

Connecting processing unit power source checkout
procedures
1. Check that the power cable is routed through the cable clamp and secured to the
chassis.
2. Press the power switch on the processing unit.
When the power switch is moved to the on position, both line connections are
made. When the power switch is moved to the off position, both line connections
are broken.
3. Check that the power indicator illuminates green.

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Installing processing unit checkout procedures

After installing the processing unit, complete the following procedure:
1. Check the electrical safety of the central station by performing the following
procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
2. Select Webmin > Information > System Information to check that the central
station information is correct. The Serial Number, Asset ID, Model Name, and
Software version display.

Installing remote displays checkout procedures

After installing the remote displays, complete the following procedure:
1. Check that the primary central station display screen image is shown on the
remote display (view only).
2. Check that both images are the same.

Installing primary display checkout procedures

After installing the primary display, complete the following procedure:
1. Check that all cables and power cords are securely fastened to the system.
2. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
3. From the desktop, launch Internet Explorer.
4. Enter the following URL: https://[central station server IX IP address]:10000.
5. Enter the Webmin Username and Password. For more information, see Logging
on Webmin (75).
6. Select Diagnostics > Preventative Maintenance > Video Test to check that the
video card and driver(s) are functioning.
7. Check that all images on the display are clear.
8. Check that all text on the display is readable.

Installing secondary displays checkout procedures

After installing the secondary displays, complete the following procedure:
1. Check that all cables and power cords are securely fastened to the system.
2. If the central station has just been restarted and the power turned on to the
primary and secondary displays, the secondary display should be illuminated
and display grey in color.
3. From the Multi-Viewer menu, select Browser. Browser should display on the
secondary display.
4. Select any patient Multi-Viewer window from the Multi-Viewer. The Single Viewer
window should appear on the secondary display.

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Installing keyboard and mouse checkout procedures

After installing the keyboard and mouse, complete the following procedure:
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Preventative Maintenance > USB Loopback Test to check
that the USB devices have been installed correctly.
3. For a mouse that is connected to a USB connection/interface, move the mouse
cursor at the central station and select Setup.
4. Check that the cursor moves and Setup is displayed.
5. Select User Setup and in Password, enter a few characters on the keyboard.
6. Check that **** characters are displayed.
7. Select Cancel.

Installing external speakers checkout procedures

After installing the external speakers, complete the following procedure:
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. From the desktop, launch Internet Explorer.
3. Enter the following URL: https://[central station server IX IP address]:10000.
4. Enter the Webmin Username and Password. For more information, see Logging
on Webmin (75).
5. Select Diagnostics > Preventative Maintenance > Audio Test to check the audio
alarm function.
6. Select Diagnostics > Runtime Diagnostics > Closed-loop Audio Info to check
that the Speaker Status for External Speaker is Plugged.

Installing writer checkout procedures

After installing the writer, complete the following procedure:
1. Check that the writer is turned on and the paper is installed correctly.
2. Log onto the central station service mode. For more information, see Logging
on service mode (74).
3. Select Setup > Central Defaults.
4. In Printer/Writer, select COM2 for DDW.
5. Select Apply and OK.
6. Select Setup > Telemetry Unit Defaults.
7. In Default Print Location, select the installed writer from Manual. If needed,
change the monitoring device print setting to print on the central station writer.
8. Select Apply and OK.
9. Check that a patient is admitted to the monitoring device.
10. From the Multi-Viewer menu, select Print All and select Waveforms.

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11. Check that it prints the waveform strip.

Software checkout procedures

Checking status of installed licenses
To confirm that all purchased licenses for this central station have been activated,
complete the following procedure:
1. Get the Activation Code Summary Sheet that matches the serial number of your
central station.
2. From the Multi-Viewer menu, select Setup > Licensing.
3. Check that all of the licenses identified on the Activation Code Summary Sheet
have a green activation icon next to them on the Licensing window.

Reloading software checkout procedure

After reloading the software, complete the following procedure:
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. Right-click My Computer and select Manage.
3. Select Storage > Disk Management.
4. Compare drive capacities:
● Disk 0 has four partitions: C, D, E, and F.
￭ Disk 0 has a smaller capacity than Disk 1.
￭ Disk 0 is used for the central station software.
● Disk 1 has one partition: G.
￭ Disk 1 has a larger capacity than Disk 0.
￭ Disk 1 is used for Full Disclosure data only.
5. Log onto Webmin. For more information, see Logging on Webmin (75).
6. Select Configuration > Network.
7. Check that the central station is defaulted to the IP addresses listed in Central
station network interface technical specifications (285).
8. If possible perform a restore. For more information, see Restoring system settings
(165).
If upgrading from a CIC Pro Clinical Information Center v5 or later (MP100) to a
CARESCAPE Central Station, skip this step and go straight to step 9 (194).
9. Configure the central station as necessary as described in the Configuration
chapter (91).

Updating central station software checkout procedures

WARNING Check the network after an upgrade has been completed and
before the start of bedside or telemetry monitoring.
After updating the central station software, complete the following procedure:

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1. Check the network settings of the central station.

a. Log onto Webmin. For more information, see Logging on Webmin (75).
b. Select Information > Configuration Information and scroll down to Network
Settings.
c. Check that the IP addresses are correct.
2. Check that you are able to admit and discharge monitoring devices from the
central station.
3. Check that you are able to access out-of-unit monitoring devices, as long as the
required licenses are installed and the network is configured.
4. Check the audio alarm tones for the proper volume level.

Configuration checkout procedures

Configuring secondary display checkout procedures
1. If you have just restarted the central station and turned on the power to the
primary and secondary displays, the secondary display should be illuminated
and display grey in color.
2. From the Multi-Viewer menu, select Browser. Browser should appear in the
secondary display.
3. Select any patient Multi-Viewer window. The Single Viewer should display in the
secondary display.

Checking unit defaults

Confirm the unit defaults match the customer’s needs as provided by the clinical
application specialist or the responsible hospital care nurse.

Checking access to all other units

1. From the Multi-Viewer menu, select Other Patients.
2. Check that the list displays all units that should be networked.

Checking operation of audio alarm tones

Active alarm conditions override this test.
To check that audio alarm tones sound as configured, complete the following
procedure:
1. From the Single Viewer menu, select Monitor Setup > Alarm Setup.
2. Select Alarm Help > Low (Advisory) Alarm.
3. Check that the audio alarm sounds through both speakers.

Webmin-related configuration checkout

All Webmin modules are static in nature. A Webmin service interface session times
out after 15 minutes. Refresh the browser to load the latest page.

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Configuring Set Flags checkout procedures

1. For NO COMM AUDIO:
a. Check that the monitoring device is being monitored at the central station.
b. Disconnect the monitoring device from the network by unplugging the
CARESCAPE Network MC cable.
c. Wait for five minutes.
d. Check that the appropriate notification is received, based on the option
selected in NO COMM AUDIO on the Webmin Set Flags Module.
● If Enable is selected, check that a HIGH (CRISIS) audio notification sounds
and the visual NO COMM notification displays in the Multi-Viewer.
● If Disable is selected, check that only a visual notification displays in the
Multi-Viewer.
2. For Force Age Selection on Admit:
a. From the Single Viewer menu, select Admit/Discharge to admit a discharged
monitoring device.
b. Check that the appropriate indication is received, based on the option selected
in Force Age Selection on Admit on the Webmin Set Flags Module.
● If Enable is selected, check that the Age is blank.
● If Disable is selected, check that Age automatically displays a selected
age range.
3. For OUT-OF-UNIT MULTI-VIEWER ALARM AUDIO/AUDIO PAUSE:
a. Generate an alarm at an out-of-unit monitoring device being displayed on
this central station.
b. Check that the appropriate notification is received, based on the option
selected in OUT-OF-UNIT MULTI-VIEWER ALARM AUDIO/AUDIO PAUSE on the
Webmin Set Flags Module.
● If Enable is selected, check that the audio alarm sounds at the central
station for the out-of-unit monitoring device, and that the audio alarm
can be paused at the central station.
● If Disable is selected, check that only a visual alarm indicator displays at
the central station for the out-of-unit monitoring device.

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4. For ALL ADUs (IN-UNIT) REDUNDANTLY ALARM AUDIO:

a. Check that the monitoring device is configured for use in adult or neonatal
ICUs.
b. Check that the monitoring device is admitted in-unit, monitored at another
in-unit central station, and is not being displayed on this central station.
c. Generate an alarm condition that will create an audio alarm.
d. Check that the appropriate notification is received, based on the option
selected in ALL ADUs (IN-UNIT) REDUNDANTLY ALARM AUDIO on the Webmin
Set Flags Module.
● If Enable is selected, the central station sounds audio alarms at the
configured alarm priority level.
● If Disable is selected, the central station does not sound audio alarms at
the configured alarm priority level.
5. For Allow user to change “Alarm Audio Off Reminder”:
a. Log on to the central station alarm service mode. For more information, see
Logging on alarm service mode (74).
b. From the Multi-Viewer menu, select Setup > Central Defaults.
c. Check if the Alarm Audio Off Reminder setting can be changed, based on the
option selected in Allow user to change “Alarm Audio Off Reminder” on the
Webmin Set Flags Module.
● If Enable is selected, check that Alarm Audio Off Reminder can be changed.
● If Disable is selected, check that Alarm Audio Off Reminder cannot be
changed.
6. For NO MULTIPLE PATIENT VIEWER SLOT ALARM SILENCING:
a. From the Multi-Viewer menu, attempt to pause audio alarms for an individual
patient Multi-Viewer window, based on the option selected in NO MULTIPLE
PATIENT VIEWER SLOT ALARM SILENCING on the Webmin Set Flags Module.
● If Enable is selected, check that audio alarms cannot be paused for an
individual patient Multi-Viewer window.
● If Disable is selected, check that audio alarms can be paused for an
individual patient Multi-Viewer window.
7. For Repeat IEC Low Technical Alarm Tone:
a. Generate a low priority, technical alarm such as SpO2 PROBE OFF or LEADS
FAIL.
● If Enable is selected, check that the audio alarm signal repeats at a set
interval.
● If Disable is selected, check that the audio alarm signal sounds only once.
Network connectivity checkout procedures
To check the network interconnections, network integrity, and accessibility to
out-of-unit monitoring devices, complete the following procedure:

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1. If the monitoring device is connected to the MC Network, follow these steps to

verify the connection:
a. Make sure at least one monitoring device with an admitted patient is on the
same MC Network.
b. If no bed is displayed in the Multi-Viewer, select an open patient Multi-Viewer
window with the Admit button and right-click to admit an in-unit monitoring
device.
c. Check that waveforms and/or parameters for the admitted patient display
in the patient Multi-Viewer window.
d. Select another open patient Multi-Viewer window with the Admit button and
right-click to admit an out-of-unit monitoring device.
e. Check that waveforms and/or parameters for the admitted monitoring device
display in the patient Multi-Viewer window.
2. If the monitoring device is connected to the IX Network, follow these steps to
verify the connection:
a. If a laser printer is not configured, configure a network laser printer. For more
information, see Configuring network laser printers (107).
b. Check that a test page is successfully printed.
c. If Citrix access is configured, launch iPanel or any available application.
d. Check that the application is available through Citrix.
Configuring Remote Service checkout procedures
1. Check that the Remote Service configuration is correct:
a. Log onto Webmin. For more information, see Logging on Webmin (75).
b. Select Information > Configuration Information.
c. Scroll down to Remote Service Settings.
d. Check that the Remote Service settings are correct.
2. Test the connectivity to the backoffice.
a. Select Configuration > Remote Service > Control.
b. Under Remote Service Controls, check that the Current State is Enabled.
c. Select Test to test connectivity to the backoffice.
d. Check that the status of Connection to Enterprise URL and Connection to
Tunnel URL is Pass.
Configuring Browser Favorites checkout procedures
It is the responsibility of the hospital’s IT or biomedical department to check the
hospital intranet Browser functionality.
Configuring Citrix checkout procedures
It is the responsibility of the hospital’s IT or biomedical department to check the
operation of the Citrix applications displayed on the central station.

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Checking consolidated configuration information

To display consolidated configuration information for the central station, you can
access the information from Webmin, Browser, or the LocalConfig Browser Favorite.
1. To view the consolidated configuration information from Webmin:
a. Log onto Webmin. For more information, see Logging on Webmin (75).
b. Select Information > Configuration Information.
2. To view the consolidated configuration information without supplying a userid
and password:
a. Launch Browser.
b. Enter the following URL:
https://[central station server IX IP address]:10000/gehc_configura-
tion_info/
3. To view the consolidated configuration information from the central station
application:
a. From the Multi-Viewer menu, select Browser.
b. Select LocalConfig from the list of Browser Favorites.

Clinical application service-level defaults

Configuring Printer/Writer checkout procedures
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Information > Printer Information.
3. Check that the printer information listed under Printer/Writer is correct.
Configuring mirror central display checkout procedures
1. From the Multi-Viewer menu, select Setup.
2. Check that Display Configuration is missing from Setup.
3. At the top of the Multi-Viewer, confirm that the name of the mirror central display
is displayed as MIRROR of XXXX (XXXX is the name of the intended primary central
station).
Configuring Full Disclosure service-level defaults checkout procedures
1. Check the Full Disclosure license type for all admitted in-unit monitoring devices.
a. Log onto Webmin. For more information, see Logging on Webmin (75).
b. Select Diagnostics > Full Disclosure > Full Disclosure Information.
c. Select All from the displayed list.
d. Select Show.
e. Check that all in-unit monitoring devices have the correct Full Disclosure
license type.

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2. Check Full Disclosure report printing.

a. From the Single Viewer menu, select Patient Data > FD Page.
b. Check that waveforms display.
c. On FD Page, select the Print button.
d. Print a one-hour Full Disclosure report.
i. Set the Start and End time.
ii. Set the Time Per Line time duration.
iii. Select Print.
e. Check that the Full Disclosure report printed out at the printer.
f. Repeat step 2 for every central station in the unit.

Checking speaker volume

To check that the audio alarm volume is configured correctly, complete the following
procedure:
1. From the Multi-Viewer menu, select Setup > Central Defaults.
2. In Alarm Settings, check that the following settings are correct:
● Volume Current
● Volume Minimum

Configuring alarm-level defaults checkout procedures

To check that the alarm settings are configured correctly, complete the following
procedure:
1. Generate an alarm condition at the monitoring device.
2. Check that the audio alarm sounds at the central station at the appropriate
volume.
3. Check that the alarm nomenclature (IEC or Unity) is correct at the central station.
4. From the Multi-Viewer menu, select Setup > Central Defaults.
5. Under Alarm Settings, check that the options are correct for the following
alarm-level defaults:
● Alarm Audio Off Reminder
● Allow Telemetry Alarm Audio OFF on this Central
● Allow Arrhythmia OFF of this Central

Configuring MultiKM checkout procedures

To check that the MultiKM application is running on each central station in the
keyboard and mouse group, complete the following procedure:
1. While the central station is running, look for the MultiKM indicator (mouse icon)
next to the serial number in the Multi-Viewer title bar.

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2. Check that the mouse pointer moves into each of the display screens in each
keyboard and mouse group.
If the mouse pointer does not move to each display screen, see MultiKM issues
(217).

Restoring system settings checkout procedures

1. Check that the system reboots itself.
If the system does not reboot itself, restart the central station. For more
information, see Safely restarting (79).
2. Check the new settings prior to clinical use.
For details on which settings are restored, see the Restored modules appendix
(269).

Running Check Centrals utility

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
● CARESCAPE Network IP address errors
● Status of 4.1.1-2 patch application on CIC Pro center v4.1.1
● Full Disclosure Master central station within the unit and any errors if a proper Full
Disclosure Master central station is not discovered
● Log File Compression Utility patch status
The Check Centrals utility will discover CIC Pro centers running software v1.5, but will
not report their IP configuration information. This means that you must physically
locate these devices if they exist on the network.
The Check Centrals utility will not discover the following:
● Any version of Centralscope
● Any non-central station device (e.g., printers, CARESCAPE Gateway, PDS) on the
network
Depending on the size of the network, the data retrieval process can take several
minutes. The Check Centrals v2.0 service utility is compatible to run on the Bedrock
and MP100 hardware platforms only.
To run the Check Centrals utility, complete the following procedure:
1. If CIC Pro center software v4.1.1-2 is running on the CARESCAPE Network:
a. Log onto the command-line interface. For more information, see Logging on
command-line interface (75).
b. Run the Unity Time Zone Discovery Tool/Check Centrals utility from the CD
(BCM and Nightshade platforms) or a USB memory stick (Bedrock platform).
c. At the command prompt, navigate to the drive where the Check Centrals utility
is located (e.g., E:\ or F:\) and enter checkCentrals -tz.

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2. If CIC Pro center software v5.1.x is running on the CARESCAPE Network:

a. Log onto Webmin locally. For more information, see Logging on Webmin (75).
b. Select Diagnostics > All CICs.
c. Select Run Check Centrals.
3. If CARESCAPE Central Station software is running on the CARESCAPE Network:
a. Log onto Webmin locally. For more information, see Logging on Webmin (75).
b. Select Diagnostics > All Centrals.
c. Select Run Check Centrals.
4. Examine the output of the Check Centrals utility:
a. Check that the Unit|Name of all the central stations configured on the
CARESCAPE Network are listed.
Special characters used in the Unit|Name may not display correctly for certain
applications not running in the English language.
b. Check that the version of the central stations on the network are identified
and are correct.
c. Check that the configured CARESCAPE MC and IX Network addresses of the
central stations on the network are identified and are correct.
d. Identify CARESCAPE Network IX and MC addressing scheme errors:
● Check that the CARESCAPE Network IX and MC addressing schemes match
for all the central stations on the CARESCAPE Network.
● If the addressing schemes do not match, complete Network IP address
configuration for each central station that requires IP address changes. For
more information, see the documentation accompanying the CIC Pro center.
e. Check that there are no network errors.
f. Identify time zone or daylight saving time network errors:
● The target central station running the Unity Time Zone Discovery Tool utility
is the baseline device used for determining time zone or daylight saving
time errors.
● If errors are identified for either the time zone (TZ) or daylight saving time
(DST) settings, correct the time zone settings.
g. If there is any CIC Pro center software v4.1.1 on the network, check that the
v4.1.1-2 patch was applied.
h. Check that the Logfile Compression patch was applied successfully.
i. Check that the Full Disclosure Master is identified and is correct.

FRU checkout procedures

Replacing PCB (motherboard) checkout procedures
After replacing the PCB (motherboard), complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).

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2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
3. Check the time-of-day and date settings. For more information, see the
Configuration chapter (91).
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. Select Webmin > Configuration > Remote Services > Control to check that the
Remote Services have been enabled.
8. Select Webmin > Information > Printer Information to check that the printers
have been configured.
9. Check that the MultiKM application is running on each central station in the
configured keyboard and mouse group.
10. Check the FD Page print settings.
11. 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.
12. Check the hard drive and flash drive read/write integrity. For more information,
see Testing hard drive and flash drive integrity (205).
13. Select Webmin > Diagnostics > Preventative Maintenance > Audio Test to check
the audio alarm function.
14. Select Webmin > Diagnostics > Preventative Maintenance > Video Test to check
that the video card and driver(s) are functioning.
15. Select Webmin > 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.
16. Select Webmin > Diagnostics > Preventative Maintenance > BIOS Information to
check that the BIOS Version is Phoenix - AwardBIOS v6.00PG.

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17. Select Webmin > Diagnostics > Preventative Maintenance > Drive Test to check
that the hard drive and flash drive operating information is correct .
Drive Temperature is not supported at this time. The values displayed do not
reflect the actual temperature.
18. Select Webmin > 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.
For more information, see the Troubleshooting chapter (209).
20. Check that the power LED is on after the unit is powered up.
Do not re-image the central station after replacing the motherboard.

Replacing processing unit battery checkout procedures

After replacing the processing unit battery, complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
3. Check the time-of-day and date settings. For more information, see the
Configuration chapter (91).

Replacing hard drive checkout procedures

After replacing the hard drive, complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
3. Check the hard drive and flash drive read/write integrity. For more information,
see Testing hard drive and flash drive integrity (205).
4. Select Webmin > Diagnostics > Preventative Maintenance > Drive Test to check
that the hard drive and flash drive operating information is correct.
Drive Temperature is not supported at this time. The values displayed do not
reflect the actual temperature.
5. 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.

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6. Select Webmin > 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.
For more information, see the Troubleshooting chapter (209).

Replacing flash drive checkout procedures

After replacing the flash drive, complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
3. Configure the device. For more information, see the Configuration chapter (91).
4. Check the hard drive and flash drive read/write integrity. For more information,
see Testing hard drive and flash drive integrity (205).
5. Select Webmin > Diagnostics > Preventative Maintenance > Drive Test to check
that the hard drive and flash drive operating information is correct.
Drive Temperature is not supported at this time. The values displayed do not
reflect the actual temperature.
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. Select Webmin > 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.
8. Check the Central station system status messages/Proactive system monitoring.
For more information, see the Troubleshooting chapter (209).

Testing hard drive and flash drive integrity

WARNING LOSS OF MONITORING — During shutdown or while in admin
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.

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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 hard drive and flash drive,
complete the following procedure:
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. From the Start Menu, select Start > Run.
3. At the command prompt, enter cmd.
4. At the prompt, enter chkdsk and press Enter. This will test the D drive partition
(OS1).
5. Check for errors. If errors are found, see the Troubleshooting chapter (209).
6. At the prompt, enter c: and press Enter. This will test the C drive partition (clinical
and service applications).
7. Check for errors. If errors are found, see the Troubleshooting chapter (209).
8. At the prompt, enter f: and press Enter. This will test the F drive partition
(configuration data).
9. Check for errors. If errors are found, see the Troubleshooting chapter (209).
10. At the prompt, enter g: and press Enter. This will test the G drive partition (Full
Disclosure data).
11. Check for errors. If errors are found, see the Troubleshooting chapter (209).

Replacing SATA cables checkout procedures

After replacing the SATA cables, complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
3. Check the hard drive and flash drive read/write integrity. For more information,
see Testing hard drive and flash drive integrity (205).
4. Select Webmin > Diagnostics > Runtime Diagnostics > Temp/Voltage Info to
check 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 Webmin > Diagnostics > Preventative Maintenance > Drive Test to check
that the hard drive and flash drive operating information is correct .
Drive Temperature is not supported at this time. The values displayed do not
reflect the actual temperature.

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6. Select Webmin > Diagnostics > Preventative Maintenance > Store Integrity Test
to check the integrity of system files . The test may take up to three minutes
and the screen will remain blank while the test is running. Check that there are
not any extra, invalid, or missing files.
7. Check the Central station system status messages/Proactive system monitoring.
For more information, see the Troubleshooting chapter (209).

Replacing power supply checkout procedures

After replacing the power supply, complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
3. Select Webmin > 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.

Replacing fan checkout procedures

After replacing the fan, complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
3. Select Webmin > 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.
4. Select Webmin > Diagnostics > Preventative Maintenance > Fan Test to check
that the fan speed values fall within the following specifications.
● Chassis Fan1: 2700 - 4000 RPM.
● Chassis Fan2: 1700 - 4000 RPM.

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Replacing dual (internal) speakers checkout procedures

After replacing the dual (internal) speakers, complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
3. Disconnect the external speaker, if applicable.
4. Log into the central station admin mode.
5. Select Webmin > Diagnostics > Preventative Maintenance > Audio Test to c
heck the audio alarm function .
6. Select Webmin > Diagnostics > Runtime Diagnostics > Closed-loop Audio Info to
check that the Speaker Status for Internal Speaker is Plugged.
7. Connect the external speaker, if applicable.

Replacing fuse(s) checkout procedures

After replacing the fuse(s), complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).
3. Select Webmin > 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.

Replacing front bezel checkout procedures

After replacing the front bezel, complete the following procedure:
1. Check that the processing unit was installed correctly. For more information, see
the Hardware installation chapter (61).
2. Check the electrical safety of the device by performing the following procedures:
● Testing ground continuity (177).
● Testing ground wire leakage current (177).
● Testing enclosure leakage current (178).

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11
Troubleshooting overview
WARNING ACCIDENTAL SPILLS — To avoid electric shock or device
malfunction, liquids must not be allowed to enter the device. If
liquids have entered a device, take it out of service and have
it checked by authorized service personnel before it is used
again.

A systematic approach to the diagnosis of problems, as well as a general

understanding of the hardware and software architecture of the central station
are essential to ensure successful troubleshooting. GE recommends formal service
training before repairs are attempted. These troubleshooting procedures combined
with training provide the service technician with skills necessary to service and repair
this device, in the event of a malfunction.
The following tools and equipment are required to troubleshoot this device:
● Standard set of hand tools.
● Digital multimeter.
Before starting any detailed troubleshooting, you should always 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 UPS, if connected, is working properly.
● Check that there are no errors reported after running the Check Centrals utility.
For more information, see the documentation accompanying the device.

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Area Problems to look for:

I/O connectors and interface cables ● Fraying or other damage.
● Bent prongs or pins.
● Cracked housing.
● Loose screws in plugs.
● Excessive cable tension or wear.
● Secure mounting hardware.
Internal harnesses and cables ● Excessive tension or wear.
● Loose connection.
● Strain reliefs out of place.
Circuit boards ● Moisture, dust, or debris (top and bottom).
● Loose or missing components.
● Burn damage or smell of over-heated
components.
● Socketed components not firmly seated.
● PCB not seated properly in edge
connectors.
● Solder problems: cracks, splashes on
board, incomplete feedthrough, prior
modifications, or repairs.
Ground wires/wiring ● Loose wires or ground strap connections.
● Faulty wiring.
● Wires pinched or in vulnerable position.
Mounting hardware Loose or missing screws or other hardware,
especially fasteners used as connections to
ground planes on PCBs.
Power source ● Faulty wiring, especially AC outlet.
● Circuit not dedicated to system.
Symptoms of power source problems include
static discharge, resetting problems, and
noise.

Boot failure
● Check that all components are connected correctly and the unit is plugged into
a known good outlet.
● Check that all cables are properly seated.
● Check that no USB stick is connected. If connected, remove and reboot prior
to removing cover.
● Shut down, turn off and unplug the central station.
● Follow all ESD precautions.
● Remove all access panels and check that all internal components are properly
seated.

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Task Check Correct

Check for connection ● Check that all ● Correctly/firmly check that all
problems components are components/cables are properly
connected correctly connected/seated.
and the unit is plugged
● Press power switches firmly.
into a known good outlet.
● Check that all cables are
properly seated.
● Is the power supply
switch on?
Check for power supply ● Are the fans spinning? ● Firmly seat/secure power supplies.
problems
● Check that the power ● Power supply/UPS may be malfunctioning.
supply LED is lit.
● Replace power supply as needed.
● Is the UPS connected,
started, and working
correctly?
Check whether USB stick Has a USB stick been left If USB stick is connected, remove the USB stick
is connected connected to the central from the USB interface/connection.
station?
WARNING If a USB memory stick
other than the stick
containing the reload
image is plugged into
the central station, you
need to remove it prior
to rebooting. Otherwise,
the message Operating
system missing will be
displayed.

Check BIOS settings ● Does the central station ● If no beep sounds, the PCB (motherboard) may
issue a loud beep upon need to be replaced.
BIOS recognition?
● Correct the BIOS setting as needed.
● Are the BIOS settings
● If the BIOS version is incorrect, contact GE.
correct per the settings
described in the reload
procedure? For more
information, see
Reloading software (232).
● Is the BIOS version
correct?
Check for OS and Cannot check since server is ● Re-image the server. For more information, see
application file not booting. Reloading software (232).
corruption
● If still unsuccessful, try replacing the PCB
(motherboard). For more information, see
Replacing PCB (motherboard) (185).
● If still unsuccessful, contact GE.

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Error messages
Alarm messages from the central station, bedside monitors, and telemetry monitoring
devices are explained in the user’s manual for each device.
Message/symptom/issue Probable cause Recommended action
A Printer Name must be specified. The printer name was not specified. Enter a valid printer name. For
Please go back and re-enter a more information, see Installing
printer name. laser printer. (69)

Error response returned from The information from the server is Wait a few seconds and retry the
picklist server not valid and cannot be used. search request. If this does not
resolve the problem, try entering
different search criteria.
Invalid picklist query The search request is not valid. Try entering different search
criteria.
Monitor has incomplete data The Patient Age has not been set Set the Patient Age at the monitor.
at the monitor.
Monitor in auto mode The 12SL auto mode is on at the Turn 12SL auto mode off at the
monitor. monitor.
Monitor in combo mode The monitor is in Combo 12SL analysis is not available when
monitoring mode. the monitor is in combo mode.
Monitor in LEADS FAIL One or more leads are Check for disconnected leads.
disconnected.
No matches found for the picklist There are no valid matches for the Try entering different search
request search request. criteria.
Operating system missing A USB memory stick other than the 1. Remove the USB memory stick.
stick containing the reload image
2. Reboot the central station. For
is connected to the central station.
more information, see Safely
restarting. (79) The central
station software should come
back normally.
Operating system does not boot An incorrect boot order in the The correct boot order is:
from the USB memory stick system BIOS is the most likely
● First Boot Device — USB-HDD
cause.
● Second Boot Device — HDD-2
● Third Boot Device — IBA GE Slot
010
Picklist server is not available ● The server is not present on the Contact the institution’s
network. information technology
department.
● There are network problems
and the search cannot be
performed now.
Request time out, cancelling Communication to the server has Wait a few seconds and retry the
request failed and the search request is search request.
cancelled.

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Message/symptom/issue Probable cause Recommended action

Server off network The Hospital Information Server is There are network problems and
either not available or not present. the search cannot be performed
now. Wait a few seconds and retry
the search request.
There is a problem with your IP ● Printer’s IP Address was not Enter the correct IP address. For
address. Please go back and entered correctly. more information, see Installing
re-enter the correct IP. laser printer. (69)
● Printer’s IP Address was left
blank.
The USB memory stick does not A USB memory stick with less than Use a different USB memory stick
contain sufficient memory. 1 GB of memory is being used. with at least 1 GB of memory.
Unable to acquire ST records due 12 lead analysis was manually Before the bedside monitor will
to pending action needed at the performed at the bedside monitor. respond to a network request for
monitor. 12SL records, the condition must be
cleared. Select TRANSMIT-PRINT,
TRANSMIT, PRINT or DELETE.

Correcting boot order

If the operating system does not boot from the USB memory stick, the boot order
in the system BIOS may not be correct.
The correct boot order is:
● USB-HDD
● HDD-2
● IBA GE Slot 010
Correcting the boot order is a password protected process. The password is 8675309.
To correct the boot order, complete the following procedure:
1. Press Ctrl + Alt + Delete to restart the system. Watch for the processor type to
appear and immediately press Delete to enter the BIOS setup utility.
2. Use the up and down arrow keys to select Load Optimized Defaults and press
Enter.
3. At the Load Optimized Defaults (Y/N)? prompt, enter Y and press Enter.
4. Press F10 to save the settings.
5. At the Save to CMOS and EXIT (Y/N)? prompt, enter Y and press Enter.
6. Allow the central station to automatically start up.

Software image on USB stick does not match

hardware
Errors such as Platform type test failed, Image cannot be restored, Operating
system not found or Unknown platform image indicate that the software image on
the USB stick does not match the correct hardware. In this case, the USB stick may
contain the wrong image files, it may not contain any image at all, or it may have
been improperly created. It may be necessary to repeat the steps for Transfer the

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CARESCAPE Central Station image to a USB memory stick. For more information,
see Reloading software (232).

Out-of-unit audio alarms paused

Even though the Set Flags Out-Of-Unit Multi-Viewer Alarm Audio/Audio Pause is set
to Enable at the central station, out-of-unit audio alarms may have been paused.
Since this capability exists on the central station, care must be exercised not to pause
audio alarms when the Set Flags Out-Of-Unit Multi-Viewer Alarm Audio/Audio
Pause is set to Enable.

Audio alarms sound when removing the patient

Multi-Viewer windows
If an admitted patient Multi-Viewer window is not viewed on another central station,
an alarm will sound when removing the patient Multi-Viewer window from the display.
Perform the following steps to select a configuration that would eliminate admitted
patient Multi-Viewer windows from displaying on the Multi-Viewer:
1. Right-click in the patient Multi-Viewer window to be removed.
2. Select Select Care Unit, then Bed Number > None.

Unable to access PDF file

If the user is unable to access a PDF file, it may be due to Microsoft security restrictions
with the Win XP OS Service pack 2. Due to security restrictions with Windows XP
OS Service Pack 2, the IP address for the server location must be used instead of
the domain name.

Central station continually reboots during reload

procedure
If the central station continually reboots during the USB reload procedure, the reload
process was started without disconnecting the network cables.
Disconnect all the network cables before starting the reload process.

Blank screen with blinking cursor during central

station reboot
If the central station displays a blank screen with a blinking cursor during reboot, a
USB device other than a keyboard or mouse may be connected to the central station.
To correct this issue, remove/unplug the USB memory stick from the back of the
central station and cycle the power to the central station using the power switch.

Browser connectivity issues

A parsing defect in the Microsoft Internet Explorer browser can, in some cases, prevent
access to certain sites. Also, the level of security present on the central station server

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prevents running applications from the Windows desktop. The combination of these
two factors contribute to loss of browser function under certain circumstances.
● Add a forward slash (/) to the end of an internet address.
● Add the following suffixes to the MUSE Web address:
￭ With a frame: http://museserver1/Museweb.dll?InitializeDefault-
Page?Frames=1
￭ Without a frame: http://museserver1/Museweb.dll?InitializeDefault-
Page?Frames=0
For proper browser configuration, see Configuring Browser Favorites (114).

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 UPS
● Loose cables, connectors, or connections
● Internal component is loose
Perform the following steps to troubleshoot:
1. Check that all the display screens and the central station are plugged into a UPS.
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. For more
information, see Safely shutting down (79).
7. Follow the ESD guidelines. For more information, see Electrostatic discharge
(ESD) guidelines (182).
8. Remove the cover from the central station and check that all internal components
are properly seated. Replace cover when completed.
9. If necessary, connect the display(s). For more information, see the documentation
accompanying the display.

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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.

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Incorrect display colors

If the central station is displaying incorrect display colors, there may be an issue with
the video. Select Webmin > Diagnostics > Preventative Maintenance > Video Test to
check that the video card and driver(s) are functioning.

Primary image appears on secondary display (MP100

platform)
When a central station on MP100 platform is powered-up once with a secondary
display connected and a primary display (either connected or not connected) and then
switched from VGA to DVI or vice-versa, the windows driver will always try to force
the primary image to appear on the secondary display.
The central station primary image appearing on the secondary display will keep
occurring through each power cycle.
To correct the issue, perform the following steps.
1. Shut down the central station. For more information, see Safely shutting down (79).
2. Connect the primary display (with the desired video type). Check that the display
or Black box is powered-up.
3. Disconnect the secondary display.
4. Power up the central station and the primary image should be on the primary
display.
5. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
6. Connect the secondary display to the secondary DVI display port. Check that
the secondary display is on.
7. Check that the second display license is present and configure windows to enable
the second display.
8. Restart the central station. For more information, see Safely restarting (79).
9. Both displays should now show their respective, correct image.

MultiKM issues
Unable to use MultiKM feature
If the user is unable to use the MultiKM feature, 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 Configuring MultiKM (156).

MultiKM only works for one hour

If the MultiKM license activation fails on any one of the central stations in a keyboard
and mouse group, the MultiKM application will work for a maximum of one hour.
Complete the following procedure to troubleshoot a MultiKM license activation failure.

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Troubleshooting

1. Check that the MultiKM license icon with a red slash through it appears in the
upper right corner of the display screen. This icon indicates that the MultiKM
license has failed.
2. Remove the central station with the failed MultiKM license from the keyboard
and mouse group:
a. From another central station in the group, log onto Webmin. For more
information, see Logging on Webmin (75).
b. Select Configuration > MultiKM.
c. Select Enable.
d. Select Configure.
e. Select the central station with the failed MultiKM license from the Other
computers list.
f. Select Remove.
3. Select Hide.
4. Select Ctrl + F1 to change the focus to the central station where the keyboard and
mouse are connected.
5. Re-install the MultiKM license on the central station where it had failed.
6. Add the central station that was removed back to the group.

Unable to locate MultiKM control/focus

If the user cannot locate the MultiKM control/focus, it may be due to the physical
layout of the displays.
Select Ctrl + F1 to change the focus to the central station where the keyboard and
mouse are connected.

Unable to access central station within keyboard and

mouse group
If the user is unable to access the central station within a keyboard and mouse group,
it could be one of the following:
● Incompatible software versions within the keyboard and mouse group. To correct
this, see Configuring MultiKM (156).
● Control at one of the mouse devices was lost within the keyboard and mouse group.
To correct this, add a mouse to each system within the keyboard and mouse group.
The mouse devices do not need to be actively used on each system; they can be
placed out of the way behind the monitors. If the problem happens again, move the
mouse devices on all central stations in the configured keyboard and mouse group.

Intermittent access to one or more displays via MultiKM

If there is intermittent access to one or more displays via MultiKM, it is possible when
the MultiKM configuration was performed there were gaps between the virtual
displays and/or the displays were not aligned correctly. To correct this issue, see
Configuring a keyboard and mouse group (158).

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Time issues
Viewing time zone settings
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Information > Configuration Information.
3. Scroll down to Timezone Settings.

Time does not advance or alternates frequently

If the time does not advance or alternates frequently between two or more times on
a central station, it could be caused by:
● Abrupt power cycle
● UPS is not connected
● Time zone mismatch
● Unused central station connected to the existing network without adjusting the
time on the central station to be as close as possible to the CARESCAPE Network
time on any existing monitoring device or central station.
● Non-GE equipment connected to the MC/IX Network
● DST check box checked
Perform the following steps to correct the issue:
1. Arrange alternate bedside monitoring.
2. Check the IP addresses, and time zone/Time Master settings:
a. Run the Check Centrals utility to check for time zone settings, DST status, and
CARESCAPE Network IP address errors. Resolve any issues.
b. Run lw —s TIME to identify the Time Master on the network.
c. Using the results of the previous steps, check that the Time Master (highest
MC Network IP address) is the central station with the highest central station
application software version on the network. For more information, see
Running Check Centrals utility (201).
d. Shut down the Time Master central station. For more information, see Safely
shutting down (79).
e. Wait two minutes.
f. Power up the Time Master central station. Initiate a time change from the
Time Master central station (approximately one minute ahead) and check to
see if the time has advanced properly on at least a few CARESCAPE Network
devices in the unit.
g. If the time has advanced and is not alternating, no additional steps need to
be done. If the time has not advanced correctly, check CARESCAPE Gateway
settings.

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Troubleshooting

3. Check CARESCAPE Gateway settings:

a. Check if there are one or more CARESCAPE Gateways connected to the
CARESCAPE Network.
b. If there is one or more CARESCAPE Gateways on the network, check that
the Time Master settings on all the CARESCAPE Gateways are set per the
instructions in the CARESCAPE Gateway Technical Manual.
c. Initiate a time change from the Time Master central station (approximately one
minute ahead) and check to see if the time has advanced properly and is not
alternating on at least a few CARESCAPE Network devices in the unit.
4. Segment the network:
a. If the settings on the CARESCAPE Gateway are correct or if corrections made
to the CARESCAPE Gateway Time Master settings do not resolve the issue, it is
recommended to try to segment the network, closet by closet.
After completing the tasks in this step, the system will now have multiple
segmented closets on different isolated networks.
b. If the problem still persists on any network, then power down the MC Network
switch in the specific segmented closet (e.g., closet A).
c. Wait for approximately 15 seconds and power on the MC Network switch in
the segmented closet.
d. Wait for two minutes.
e. If time is not alternating, no additional steps need to be completed for the
segmented closet.
f. If time is alternating, repeat Check the IP address, time zone/Time Master
settings. See step 2.
g. Repeat this step as needed for each segmented closet.
5. Perform the checkout procedures:
a. Reconnect the segmented closets one closet at a time.
b. Check that the time is not alternating before connecting the next closet.
c. Repeat Check the IP address, and time zone/Time Master settings. See step 2.

Time change request ignored by central station

A time change request may be ignored by the central station if more than six time
change requests have been made within 55 seconds.
The 55-second window is a rolling window; therefore, wait 55 seconds to request a
time change.
Exceeding the number of permitted time changes does not result in any user
notification; the system simply ignores the time change request. However, an entry is
made in the central station log files indicating the reason the time change request
was ignored.

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Printer issues
Printer button is dimmed when viewing stored patient data
If the printer button is dimmed and unselectable when viewing stored patient data,
the laser printer may not be configured correctly or there may be restricted support
from the monitoring device.
Perform the following to troubleshoot the issue:
● 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.

Unable to print to printer on enterprise network

If the SNMP Port 161 is not open on the router between the printers and the central
station, the user may not be able to print to the printer located on the enterprise
network.
To correct this issue, see Configuring network laser printers (107).

Unable to print to writer

To troubleshoot this issue, perform the following:
● Check that the printer is powered up.
● Check that the printer door is closed.
● Check that the printer has a paper roll.
● Check that the configuration of this printer is correct in the Setup and monitor
graph locations.
● Check that the printer is compatible.
● Check that the correct communication cable is being used for the printer model.

Report sent to PDF Printer not printing

If a report is not printing on the PDF Printer, it may be caused by the following:
● The SFTP server may be offline.
● The SFTP server may be configured with limited connections and may not be able
to support too many central stations at one time.
● A single server for multiple central stations could experience many connections and
requests which may interfere with whatever else that server may be tasked to do.
● The central station can have numerous unsent PDF files accumulate while waiting
for an offline SFTP server to return online. Once the SFTP server returns online, the
central station will attempt to send the PDF files all at once to the SFTP server.
● 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 network connections.

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Central station configuration issues

Unable to communicate with a device
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Ping.
3. In Address to Ping, enter the IP address of a known device on the network and
select Ping.
4. If there is a reply, the device is able to connect. If there is not a reply, perform
a network integrity check and run the Check Centrals utility. Resolve any
configuration errors. For more information, see Running Check Centrals utility
(201).

Unable to access ADT information

If the user is unable to access ADT information, there may be more than one ADT
system on the network.
The ADT-Picklist license must be activated on the central station before patient
information can be retrieved from a networked database.
If the Admit Request Info button is dimmed and unselectable and both ADT
configurations are being run simultaneously, only the Prism IS information is
accessible. The user must select to run only one ADT configuration. Two Admission
Discharge Transfer (ADT) configurations can exist:
● Prism IS: Legacy existing technology.
● Picklist: CIC Pro center v5.0.x and later technology.

Experiencing waveform dropout

If the central station is experiencing waveform dropout, it may be due to RF or network
connectivity issues. Complete the following procedure:
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Waveform Indicators.
3. Select the appropriate option to change the waveform indicator:
Option Function
Enable (TTX only) Display only telemetry monitoring device
indicators.
Enable (all) Display all waveform indicators.
Disable Remove all waveform indicators.

4. Select Submit.

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 Troubleshooting

5. If the waveforms are one of the colors listed in the following table, contact GE.
Waveform color Interpretation
Yellow Missing data from the transmitter.
Dark green Missing data from RX network.
Magenta Missing data from the receiver subsystem
(rack).
Orange Missing data from Hardware Manager.
Light gray Invalid telemetry monitoring device data.
Cyan Missing data from network.
White Waveform re-sync.
Blue Waveform buffer empty.
Red Waveform buffer overflow.
Dark gray Unknown error.

Improper age selection criteria

If the central station displays improper age selection criteria, it may be due to the fact
that for pediatric patients age selection is mandatory. For instructions on forcing age
selection when admitting a pediatric patient, see Configuring Set Flags (99).

Unable to activate licenses

If the licenses cannot be activated, it may be due to one of the following reasons:
● USB memory stick is not NTFS-formatted.
● USB memory stick does not contain the required licenses.
● Serial number of the device and the serial number in the licensing file do not match.
● The proper license activation process is not being followed.
For more information on activating licenses, see the Licenses chapter (81).

Unable to correctly restore settings

If the settings are not restoring correctly, the saved archive zip file may not contain
all of the necessary files.
1. Open the archive zip file to view the contents of the saved archive file.
2. Confirm the following files exist in the archive file:
● PltConfig.zip
● clinicalSettings/*.zip
● serviceSettings/insite2.cfg
● serviceSettings/miniserv.users
● serviceSettings/questra.cfg

Unable to establish Remote Service connection

If the Remote Service connection cannot be established, the IX Network and/or the
hospital network may not be configured properly.

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1. Perform an automatic self-test for remote connectivity:

a. Log into Webmin.
b. Select Configuration > Remote service > Control.
c. Select Test.
2. Check that the proxy server is properly configured. For more information, see
Configuring Remote Service (112).
3. Check that the Remote Service agent is enabled. For more information, see
Enabling Remote Service (113).

IEC Technical Alarms repeating at set interval

If IEC Technical Alarms are repeating at a set interval, change the set flags value for
Repeat IEC Low Technical Alarm Tone to Disable. This will set the alarm to sound
only once.

Full Disclosure issues

Unable to access Full Disclosure features
If the user is unable to access a Full Disclosure feature (e.g., ST Review, Events), check
that the monitoring device is being full disclosed at a central station capable of
providing the feature requested. To view Full Disclosure information for the central
station, issue the fdcmd list command.

Unable to start ST Review

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 supplement.
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 10- or 6- 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 CARESCAPE Monitor B850/B650 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.

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10. Check that the patient demographic information has been entered as necessary
for the bedside monitor to perform 12 lead analysis (e.g., age, gender).

Care note is not accessible immediately after admit

The user must wait until Full Disclosure has started for a monitoring device. This can
take up to one minute. The user has no indication that Full Disclosure has started
other than the admit text is not enabled for editing.

Push to MUSE button disabled

If the Push to MUSE button is dimmed while viewing ST Review data, check the
following:
1. Check that a MUSE Gateway is connected to the CARESCAPE Network.
2. Check that a valid patient identification number and last name are entered at
the central station.
3. Check that 12SL data is displayed in the ST Review Page for the selected minute.

Log files
Downloading log files
If contacting GE, the following log file information may be required.
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Logfiles > Download Logs.
3. Right-click the log file (in the format yyyymmddc.bfp) to download and select
Save Target As.
This log file contains the previous log files for up to 60 days. It does not contain
today’s log file. To collect logs for today (current day), see Accessing log files (225).
4. Send this log file to GE for further investigation.

Accessing log files

Log files generated by the central station are used during system analysis, problem
diagnosis, and troubleshooting.
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
If the user is not logged in as administrator, not all log files will be included in the
archive.
2. From the desktop, launch Internet Explorer.
3. Enter the following URL: https://[central station server IX IP address]:10000.
4. Enter the Webmin Username and Password. For more information, see Logging
on Webmin (75).
5. Select Diagnostics > Logfiles > Download Logs.

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6. Select Package Current Logfiles.

The job status information is displayed on the Download Logs window. A link to
the current log files is added to the list of Archived Logs.
7. Right-click the log file (in the format yyyymmddc.bfp) to download and select
Save Target As.
8. Send the log files to GE for further investigation.

Viewing application logs

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Logfiles > View Application Logs.
3. Select the appropriate log files to view and select View Selected Files.
To select multiple files, press and hold Ctrl and select the files to view.

Viewing operating system event logs

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Logfiles > View OS Event Logs.
3. Select the type of event logs (Application, Security, or System) to be viewed
from Event Log.
4. Select the number of entries to be included from Number of entries.
5. Select View.

Viewing operating system Dr. Watson log

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Logfiles > View OS Dr. Watson Log.

Viewing Webmin action log

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Logfiles > View Webmin Action Log.
3. Select the applicable options to search for the user(s), module(s), time, and date
range to be viewed.
4. Select Search.

Incorrect Webmin page displayed

All Webmin modules are static in nature. A Webmin service interface session times
out after 15 minutes. Refresh the browser to load the latest page.

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Webmin diagnostics
Viewing operating system hotfixes and service pack
information
1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Information > OS Hotfix Information.

Viewing device driver information

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Runtime Diagnostics > Device Driver Info.

Viewing network information

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Runtime Diagnostics > Network Info.

Viewing Unity Network device information

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Unity Devices.
3. Complete the fields as appropriate and select Run Query.

Viewing time zone settings

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Information > Configuration Information.
3. Scroll down to Timezone Settings.

Viewing time zone information

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Runtime Diagnostics > Timezone Info.

Viewing operating system runtime statistics

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Runtime Diagnostics > OS Runtime Stats.

Viewing operating system service process information

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Runtime Diagnostics > OS Service Process Info.

Viewing process information

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Runtime Diagnostics > Process Info.

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Viewing SMART drive status

Self-Monitoring, Analysis, and Reporting Technology (SMART) is a monitoring system
for computer hard disks to detect and report various indicators of reliability.
Tests executed from the SMART Drive Status window do not interfere with the normal
functioning of the disk.
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. From the desktop, launch Internet Explorer.
3. Enter the following URL: https://[central station server IX IP address]:10000.
4. Enter the Webmin Username and Password. For more information, see Logging
on Webmin (75).
5. Select Diagnostics > SMART Drive Status.
6. Select the drive from Show status of drive and select Show.
7. Select the test to execute: Run Short Self Test or Run Extended Self Test.
● The short self test typically takes one to two minutes to complete.
● The extended self test takes approximately one hour to complete.
8. Select View Self Test Log to view the logs resulting from the test.

Central station system status messages

The System Resource Monitor dialog box displays when the central station is
experiencing limited or compromised system resources and sends the message to
display in the central station system status alarm button/drop-down menu.
Central station system status messages do not provide audio alarm tones; only
visual alarm indicators will display in the central station system status alarm
button/drop-down menu.
The Environment Monitor automatically displays when the central station is
experiencing limited or compromised system resources or when central station device
failures have been detected.
When the central station is experiencing limited or compromised system resources,
the system displays one of the following messages.
Message Action
Power supply - VCCP out of range (X - X). Infrequent out of specification messages
Currently: X V. should be ignored (one minute or less).
Power supply - 1.8V out of range (X - X). If the out of specification messages are
Currently: X V. frequent (several times per day or more)
or persist for more than an hour and the
Power supply - 3.3V out of range (X - X). readings show the power supply is out of
Currently: X V. specification, then the supply level should be
Power supply - 5V out of range (X - X). monitored remotely to verify the supply level.
Currently: X V. If the problem is verified remotely, contact
GE.
Power supply - 12V out of range (X - X).
Currently: X V.

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Message Action
Enclosure temperature out of range (X - X). If temperature on CPU or hard disk or
Currently: X °C. enclosure is out of specification (too warm),
monitor to check that the condition is
Hard Disk temperature out of range (X - X). persistent and not a bad reading.
Currently: X °C.
If either temperature is too warm, then check
CPU temperature out of range (X - X). the other temperature and the fan speeds.
Currently: X °C.
If the temperatures are high and the fans are
operational, then check to see if the fan’s
airflow is blocked, or the unit is installed in a
very warm area.
If the temperatures are determined to be
legitimately high due to fan failure or other
problem, contact GE immediately. The
system is in danger of failing quickly if these
temperatures are maintained.
Chassis Fan 1 speed out of range (X - X). Fan speed too slow (either fan).
Currently: X rpm. The fans are redundant. The central station
Chassis Fan 2 speed out of range (X - X). should be able to run indefinitely with one
Currently: X rpm. fan completely disabled.
When one fan is too slow, or completed
failed, monitor the central station for
temperatures. If one fan has failed, the other
fan should be running at high speed and
the temperatures may rise slightly from the
normal temperature with both fans running.
Check to make sure there are no physical
reasons the fan has stopped, such as
something jammed into the fan to stop
rotation.
If at least one fan is running and
temperatures are OK, contact GE, as it is
recommended that the fan be fixed. The
system will fail within hours if the both fans
fail.
Internal speaker is unplugged. If speaker unplugged is indicated, confirm
that the speaker is unplugged. If speakers
External speaker is unplugged. are plugged in, but failure message continues
to occur, plug in new speakers (if available),
or reinstall the plug on the current speakers
to see if the problem goes away.
If problem persists, contact GE.
Hard Disk Drive failure. If hard drive failure messages occur,
If the rotating hard drive fails, the system contact GE to determine if the hard drive is
can be used for patient monitoring, but full completely failed.
disclosure data stored on the hard drive If the hard drive is determined to be bad,
cannot be used. replace hard drive and re-image the system.

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Message Action
Flash Disk Drive failure. If flash drive failure messages occur,
contact GE to determine if the flash drive is
completely failed.
If the flash drive is determined to be bad,
replace flash drive and re-image the system.
Warning! System resources are running Perform preventative maintenance as
low. A Preventative Maintenance action is recommend by the maintenance schedule.
required.1
Warning! Available system resources are Use alternative monitoring devices or close
running low. System restart is required patient observation and restart the central
to correct the problem. Patients will not station.
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.2

When any System Resource Monitor or Environment Monitor message displays, select
OK to acknowledge the message and close the dialog box.

1. The central station system status button changes to yellow until this condition is resolved or acknowledged.
2. The central station system status button changes to red until this condition is resolved or acknowledged.

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12
Reload software overview
WARNING LOSS OF MONITORING — During shutdown or while in admin
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.

The software reload process described in this section applies only to the MP100
platforms. Platform type checks, determined by the product code (SGJ, SDY, and SDZ),
and drive connections, will be performed. If the platform check is successful, the
image restore will proceed. Otherwise, the image restore process is cancelled.
The software reload process is used if the existing MP100 hardware with CARESCAPE
Central Station v1 software package experiences intermittent problems, or the flash
drive or hard drive is replaced, you must re-image the hard drive and the flash drive.
See the following table for instructions:
If this FRU is replaced Follow this procedure
● Hard drive Re-image the hard drive and flash drive.
OR
● Flash drive (solid-state
drive)
OR
● Both hard drive and flash
drive
Motherboard Do not re-image the flash drive or hard drive after replacing
the motherboard.
Do not replace the motherboard and flash drive at the
same time. Doing so will corrupt the serial number
information, and you will need to send the hardware unit to
GE to have the serial number reprogrammed.

Reload software requirements

You need the following:
● Service computer equipped with a DVD drive, and running Windows XP or Windows
7

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● CARESCAPE Central Station v1 software image DVD supplied via the CARESCAPE
Central Station v1 Commercial Software Kit
OR
● CARESCAPE Central Station v1 software reload/disaster recovery kit
● USB memory stick with a minimum of four GB memory

Reloading software
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 (165).
To reload the CARESCAPE Central Station software, complete the following procedure:
1. Safely shut down the central station. For more information, see Safely shutting
down (79).
If platform software is being reloaded because of catastrophic failure or
replacement of the flash (solid-state) drive, skip to step 2.
2. Disconnect the central station from the CARESCAPE Network IX and MC before
beginning the reload process. Otherwise, the central station will continuously
reboot.
3. Transfer the CARESCAPE Central Station image to a USB memory stick.
a. Insert a USB memory stick with at least four GB of memory into a USB
connection/interface on the computer.
b. Insert the DVD containing the GE Software Distribution Utility v2.0 into the
DVD drive on the computer.
c. If the GE Software Distribution Utility user interface does not launch
automatically, using either Windows Explorer or command prompt, navigate
to the DVD directory and run autorun.bat.
d. From the GE Software Distribution Utility v2.0: Make USB Stick (MP100 CIC),
select List USB Drive(s).
The utility displays a message informing you how many USB drives are
connected to the service computer.

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e. Select the appropriate USB memory stick drive (usually drive F) from the
displayed list.
This procedure erases any existing data on the USB memory stick. If more
than one USB memory stick is identified, be sure to select the correct one.
f. Select Make USB Stick > OK.
g. When the message displays indicating that the operation is complete, remove
the USB memory stick.
● The utility prepares the USB memory stick for safe removal from the service
computer. Therefore, it is not necessary to perform an extra operation to
safely eject the USB memory stick.
● Depending on the original status of the USB memory stick, at 99% on the
progress indicator, the process may appear to be idle. The flashing LED on
the USB memory stick indicates that the program is still processing. If the
USB memory stick is not equipped with an LED, wait for approximately
five minutes after the progress indicator shows that the process is 99%
complete.
● If an error occurs, see the Troubleshooting chapter (209).
h. Close the GE Software Distribution Utility.
i. Remove the DVD from the computer.
4. Insert the restore USB memory stick into a USB connection/interface on the
central station.
5. Power on the central station.
The central station will boot from the USB memory stick. If the central station does
not boot from the USB memory stick, see the Troubleshooting chapter (209).
6. Select 1. Restore MP100 CIC image and clear and initialize HDD.

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7. When the message Existing data will be erased, are you sure you want to
continue [Y,N]? displays, select Yes.
● 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 twice; once for the flash (solid-state)
drive and once for the hard disk drive. In addition, the Ghost image screen
flashes two more times to perform internal image checks.
● The following messages are displayed upon a successful restore:
￭ CIC image has been restored
￭ HDD is cleaned and initialized
￭ Remove the USB stick then reboot the system
8. Remove the USB memory stick.
9. 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 ‘Yes’ BUTTON.
● Info: SYSTEM WILL REBOOT AUTOMATICALLY IN APPROXIMATELY 2 MINUTES.
10. 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.
11. Complete the Reloading software checkout procedure (194).

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13
Station software

Updating software overview

WARNING LOSS OF MONITORING — During shutdown or while in admin
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.

This procedure is intended for use by authorized service personnel on CARESCAPE

Central Stations running v1 or later. It is intended for updating central station clinical
application or service application software packages.
There are different types of software package files you may be activating on a central
station. Some are simply software patches that enhance the software processing;
others add features or functions. You may be required to configure settings related to
any added software features or functions.
All central station devices in the keyboard and mouse group must be of the same
version.
● In any given CARESCAPE Network, many keyboard and mouse groups can co-exist
as long as each individual group devices are the same central station versions. For
example, all CARESCAPE Central Station v1 are in one group and all CIC Pro centers
v5.1.x are in another group.
● If a central station is swapped from an existing keyboard and mouse group, check
that the new central station is the same version as the other central stations in the
keyboard and mouse group.
You can update central station clinical application or service application software by
installing software package files from a service computer using the CD ROM. Both
the service computer and the central stations on MP100 series must be connected
to the CARESCAPE Network IX.
The software installation process occurs in the background and does not impact the
active monitoring of patients by the target central stations. The software package files
remain inactive on the target central stations until you activate them.
The activation process includes using the local Webmin service interface at each of
the target central stations. Then after a manual activation, the central station runs
the activated software.

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Updating software equipment requirements

The following equipment is required to upgrade central station software:
● Service computer (desktop or laptop computer) equipped with an Ethernet network
card, and running Windows XP or Windows 7. This service computer functions as
the software transfer server.
● Ethernet crossover cable.
● Software upgrade CD for central station, supplied as part of the software upgrade
kit.

Updating central station software

WARNING LOSS OF MONITORING — During shutdown or while in admin
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.

WARNING NETWORK INTEGRITY/MALWARE INFECTION— When using a

service computer to install software onto the central station,
do not connect the Ethernet cable from the service computer
to the central station’s CARESCAPE Network MC port. You
must use the CARESCAPE Network IX to install or reload
software.

To update the central station software, complete the following procedure:

1. Establish alternate patient monitoring.
When a unit has two or more working central stations, you can move monitoring
devices from one central station to another system if the central station has
empty, unlocked patient Multi-Viewer windows available.
2. Check that the central station is running and that it is connected to the CARESCAPE
Network IX.
3. Connect an Ethernet cable from the service computer’s Ethernet
interface/connection to the facility’s CARESCAPE Network IX.
4. Configure the service computer’s network properties. For more information, see
Configuring service computer’s network properties (78).
5. Start the software distribution utility.
a. Insert the DVD containing the GE Software Distribution Utility into the service
computer’s DVD drive.
b. If the GE Software Distribution Utility user interface does not launch
automatically, using either Windows Explorer or command prompt, navigate
to the DVD directory and run autorun.bat.
c. Select Run S/W Export Utility.

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6. Enter the CARESCAPE Network IX addresses of central stations to be updated.

a. To manually enter the IP addresses of the central stations you want to install
the software packages to:
i. Under Add Target IP Addresses, enter the IP address of a central station
you want to install the software packages on.
ii. Select the down arrow to add this IP Address to the displayed list.
iii. Repeat this step for each additional central station you want to install
the software packages on.
b. To automatically upload a .txt file containing the list of central station IP
addresses you want to install the software packages on:
i. Open the Windows Notepad application.
ii. Enter one IP address per line of type.
To add a brief descriptor (e.g., CSC1), enter a space after the IP address
and enter the descriptor. For example:
192.168.2.1 CSC1
192.168.2.3 CSC2
192.168.2.4 CSC3
iii. Select File > Save.
iv. Specify the destination and file name of this .txt file so you can easily
navigate to it.
v. From the Software Transfer Utility window, select File > Import IP File.
vi. Navigate to the .txt file containing the IP addresses.
c. In the Add Target IP Addresses, check that the list contains only the central
stations you want updated.
The selected software packages will be installed on all the IP addresses
displayed in the Software Transfer Utility > Add Target IP Addresses list.
d. To remove an IP address from the displayed list, select the IP address and
select the up arrow.
7. Install the software on the target central stations.
a. Under Select Software Packages, select the software packages you want to
install on the target central stations.
Select and hold Ctrl, then select multiple software packages.
b. Select Transfer.
Transfer status information displays in the Transfer Status window at the
bottom of the Software Transfer Utility window.
● If you selected more than one software package to be installed on the
targeted central stations, each package is installed in sequential order.
● A software package can only be installed on a limited number of target
devices at the same time. As a result, the software install may occur in
sequential groupings.
c. To cancel a software install, select Cancel.

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Selecting Cancel only cancels the installation of the Queued software

packages identified in the Transfer Status window. Once the installation of a
software package has started, you cannot cancel it.
d. To save the list of displayed IP address in a .txt file format, select File > Export
IP File and specify the destination and file name of this .txt file.
e. Check that the status of all software packages indicate Success.
f. Select Exit.
8. Activate the software packages.
WARNING If a USB memory stick other than the stick containing the
reload image is plugged into the central station, you need
to remove it prior to rebooting. Otherwise, the message
Operating system missing will be displayed.

a. If the unit has only one working central station, establish alternate monitoring.
b. Log onto the direct access (local) Webmin service interface. For more
information, see Logging on Webmin (75).
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
re-image CDs included in the software kit you purchased.
g. Re-configure MultiKM on the central station and complete the Configuring
MultiKM checkout procedures (200).
9. Complete the Updating central station software checkout procedures (194).

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Upgrading CIC Pro Clinical
14
Information Center v5 or later (MP100)
to CARESCAPE Central Station

Upgrading central station overview

WARNING LOSS OF MONITORING — During shutdown or while in admin
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.

This procedure is intended for use by authorized service personnel to upgrade CIC Pro
Clinical Information Centers running software v5 on MP100 series (MP100D product
code SDY and MP100R product code SDZ) to CARESCAPE Central Station v1. This can
be done by replacing the one GB of memory with two GB of memory and re-imaging
to CARESCAPE Central Station v1.
The software re-image process described in this section applies only to the MP100
platforms. Platform type checks, determined by the product code, and drive
connections, will be performed. If the platform check is successful, the image restore
will proceed. Otherwise, the image restore process is cancelled.
AFTER UPGRADING THE CENTRAL STATION SOFTWARE FROM CIC Pro Clinical
Information Center v5.1.x TO CARESCAPE Central Station v1, THE EXISTING
CONFIGURATIONS ARE LOST.
All settings (including MultiKM) must be re-configured on the central station after
the upgrade.

Upgrading central station equipment

requirements
● Service computer equipped with a DVD drive, and running Windows XP or Windows
7
● CARESCAPE Central Station v1 software image DVD
● USB memory stick with a minimum of four GB memory
● Philips screwdriver

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Upgrading memory
If upgrading from a CIC Pro Clinical Information Center software v5 or later on MP100
series, the memory will need to be upgraded before upgrading the software. Perform
the following steps to upgrade the memory.
1. Remove the cover. For more information, see Removing processing unit cover
(184).
2. Check that you are wearing an antistatic wrist strap as memory chips are highly
susceptible to damage from static electricity.
3. Remove the wire retainer clamp by gently pulling it outwardly from one side. It is
recommend to use a screwdriver to unlatch the wire retainer clamp.

4. Gently remove memory chip by pressing securing tabs on either side to the side
and disengage memory chip. Memory chip should pop up.
5. Place the removed memory in an antistatic container and retain in case the
system ever is reverted back to a CIC Pro Central Station v5 or later.
6. Remove the two new one GB memory chip from the antistatic bag by holding by
the edges. Do not touch surface of the memory chip.
7. Align the notched edge of the new memory chip with the tab on the bottom of the
memory slot. The memory chip only fits if it is aligned correctly.
8. Press the memory chip straight down into the slot, applying firm but gentle
pressure on both ends of the memory chip until it clicks into place. The securing
tabs will snap into place.
9. Reverse steps to re-assemble.
10. Replace the cover. For more information, see Replacing processing unit cover
(190).

Re-imaging to CARESCAPE Central Station

If possible, perform the following tasks prior to re-imaging the system:

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● 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 (165). This backup can only be used if the system is reverted back
to a CIC Pro Clinical Information Center v5 or later.
To re-image to the CARESCAPE Central Station software, complete the following
procedure:
1. Safely shut down the central station. For more information, see Safely shutting
down (79).
2. Disconnect the central station from the CARESCAPE Network IX and MC before
beginning the reload process. Otherwise, the central station will continuously
reboot.
3. Transfer the CARESCAPE Central Station image to a USB memory stick.
a. Insert a USB memory stick with at least four GB of memory into a USB
connection/interface on the computer.
b. Insert the DVD containing the GE Software Distribution Utility v2.0 into the
DVD drive on the computer.
c. If the GE Software Distribution Utility user interface does not launch
automatically, using either Windows Explorer or command prompt, navigate
to the DVD directory and run autorun.bat.
d. From the GE Software Distribution Utility v2.0: Make USB Stick (MP100 CIC),
select List USB Drive(s).
The utility displays a message informing you how many USB drives are
connected to the service computer.

e. Select the appropriate USB memory stick drive (usually drive F) from the
displayed list.

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This procedure erases any existing data on the USB memory stick. If more
than one USB memory stick is identified, be sure to select the correct one.
f. Select Make USB Stick > OK.
g. When the message displays indicating that the operation is complete, remove
the USB memory stick.
● The utility prepares the USB memory stick for safe removal from the service
computer. Therefore, it is not necessary to perform an extra operation to
safely eject the USB memory stick.
● Depending on the original status of the USB memory stick, at 99% on the
progress indicator, the process may appear to be idle. The flashing LED on
the USB memory stick indicates that the program is still processing. If the
USB memory stick is not equipped with an LED, wait for approximately
five minutes after the progress indicator shows that the process is 99%
complete.
● If an error occurs, see the Troubleshooting chapter (209).
h. Close the GE Software Distribution Utility.
i. Remove the DVD from the computer.
4. Insert the restore USB memory stick into a USB connection/interface on the
central station.
5. Power on the central station.
The central station will boot from the USB memory stick. If the central station does
not boot from the USB memory stick, see the Troubleshooting chapter (209).
6. Select 1. Restore MP100 CIC image and clear and initialize HDD.
7. When the message Existing data will be erased, are you sure you want to
continue [Y,N]? displays, select Yes.
● 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 twice; once for the flash (solid-state)
drive and once for the hard disk drive. In addition, the Ghost image screen
flashes two more times to perform internal image checks.
● The following messages are displayed upon a successful restore:
￭ CIC image has been restored
￭ HDD is cleaned and initialized
￭ Remove the USB stick then reboot the system
8. Remove the USB memory stick.
9. 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 ‘Yes’ BUTTON.
● Info: SYSTEM WILL REBOOT AUTOMATICALLY IN APPROXIMATELY 2 MINUTES.

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10. 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.
11. Once the re-image is completed, remove the existing alarm pause keyboard key
label.
12. Ensure the keyboard key is clean and place the appropriate new label (included in
the kit) on the keyboard key.
13. Complete the Reloading software checkout procedure (194).
14. Configure the central station as necessary as described in the Configuration
chapter (91).

Reverting to a CIC Pro Central Station v5 or later

system
If the need arises to revert the upgraded CARESCAPE Central Station back to a CIC
Pro Clinical Information Center software v5 or later on MP100 series, the memory
will need to be replaced with the original before re-installing the software. Perform
the following steps to revert the system.
1. Remove the cover. For more information, see Removing processing unit cover
(184).
2. Check that you are wearing an antistatic wrist strap as memory chips are highly
susceptible to damage from static electricity.
3. Remove the wire retainer clamp by gently pulling it outwardly from one side. It is
recommend to use a screwdriver to unlatch the wire retainer clamp.

4. Gently remove memory chips by pressing securing tabs on either side to the side
and disengage memory chips. Memory chips should pop up.

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5. Place the removed memory in a antistatic container.

6. Remove the stored one GB memory chip from the antistatic container by holding
by the edges. Do not touch surface of the memory chip.
7. Align the notched edge of the new memory chip with the tab on the bottom of the
memory slot. The memory chip only fits if it is aligned correctly.
8. Press the memory chip straight down into the slot, applying firm but gentle
pressure on both ends of the memory chip until it clicks into place. The securing
tabs will snap into place.
9. Reverse steps to re-assemble.
10. Replace the cover. For more information, see Replacing processing unit cover
(190).
11. Perform the disaster recovery procedure for a CIC Pro Clinical Information Center
v5 or later. For more information, see the CIC Pro Clinical Information Center
Service Manual.

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15
Full Disclosure safety precautions
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.

Full Disclosure overview

Full Disclosure collects patient data from the bedside monitor. The amount of data
available per patient is determined by licensing. One hour of data collection and
storage, with up to 500 events per session, is available without additional licensing. A
maximum of 144 hours is available, with up to 2000 events per session.
When the monitoring device is offline for less than the Offline Storage time, there
will be a gap in the Full Disclosure data equal to the amount of time the monitoring
device was offline. When the monitoring device returns online, the Full Disclosure
data displays the gap.
When the monitoring device is offline for more than the Offline Storage time, the
current session becomes a prior (discharge) session. When the monitoring device
returns online, a new session is created. The prior session can be viewed with Data
Sessions.
When the central station collecting the Full Disclosure data (central station A) is offline
for more than five minutes but less than the Offline Storage time, another in-unit
central station starts collecting data for the monitoring devices Full Disclosed by
central station A. When central station A returns online, a gap is added to the session
equal to the offline time plus up to five minutes, and new collected Full Disclosure data
gets appended after that. Central station A then resumes collection of Full Disclosure
data. The other central station converts whatever amount of Full Disclosure data
it collected into a discharge session. This results in one current session, one prior
sessions, and no more than five minutes of Full Disclosure data lost.
When the central station collecting the Full Disclosure data (central station A) is offline
for more than the Offline Storage time, another in-unit central station starts collecting
Full Disclosure data. When central station A returns online, the Full Disclosure data it
collected goes into a discharge session. The other central station continues to collect
the Full Disclosure data instead of the central station A. This results in one current
session and one prior session with no Full Disclosure data lost.

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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.

Discharged Data Sessions

The Discharged Data (Data Sessions) license controls how long after discharge a client
can view whatever data is available. Once an active Full Disclosure Data Session
becomes inactive, either through a patient discharge, via the minute rule expiring or
by some other means, the total amount of data stored is limited by the Full Disclosure
server’s storage license (i.e., the Full Disclosure license). The amount of data stored will
then decrease as time passes by rolling off data older than 144 hours. In addition,
a Full Disclosure client will only be able to retrieve the data from the Full Disclosure
server during the number of hours determined by the Discharged Data license at
that Full Disclosure client.

Full Disclosure Master

The Full Disclosure Master is responsible for assigning beds to be full disclosed to a
specific Full Disclosure instance. Each unit has, at most, one Full Disclosure Master.
The Full Disclosure Master performs the following every minute:
● Detects in-unit admitted monitoring devices. Each monitoring device is identified or
tracked by Bed Number and bed IP address.
● Identifies in-unit central stations with Full Disclosure. For more information, see the
compatible devices supplement.
● Assigns admitted monitoring devices to a central station to acquire/store Full
Disclosure data.
● Detects if more than one central station is acquiring Full Disclosure data for the
same monitoring device. Reassigns Full Disclosure data acquisition to the central
station with the oldest data for the admitted monitoring device.
● Detects if a central station goes offline and switches Full Disclosure data acquisition
to another in-unit central station.
● Detects if Full Disclosure data is being acquired from two monitoring devices
(bedside monitor and telemetry monitoring device) at the same time during Combo
monitoring mode for the same patient. Preserves the oldest bed data while the
other bed data is made available as discharged or inactive, provided the amount of
data available is greater than five minutes.

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● Detects if the Bed Number or bed IP address changes. If the Bed Number changes,
the Full Disclosure data acquisition continues uninterrupted. If the bed IP address
changes, the Full Disclosure data acquisition is stopped for the first bed IP address
and a new Full Disclosure record is created for the new bed IP address.
A central station will not act as Full Disclosure Master during the first minute after it
starts up. Instead, the latest data is first collected from the other central stations
on the network, and this data determines which central station becomes master.
Multiple masters on a network might occur briefly, but will self-correct within a couple
of minutes.

Determining Full Disclosure Master

The lowest MC Network IP address within a logical unit is determined by comparing

the positional ASCII value of the number within the octets of the IP address. The
following are examples of MC Network IP addresses for central stations in the ER and
ICU units of a hospital.
Central station CARESCAPE Network MC IP address
ER|CSC1 126.7.123.100
ER|CSC2 126.100.123.100
ICU|CSC3 126.50.9.22
ICU|CSC4 126.50.500.22

In the table above:

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● In the ER unit, central station ER|CSC2 is the Full Disclosure Master, because the
ASCII value of 1 is lower than 7 in the second octet of the IP addresses.
● In the ICU unit, central station ICU|CSC4 is the Full Disclosure Master, because the
ASCII value of 5 is lower than 9 in the third octet of the IP addresses.

Full Disclosure and Discharged Data licensing

overview
Licensing controls the amount of data that is stored and viewable. Every central
station with CIC Pro Clinical Information Center v4.0.x or later software has the ability
to store 16 beds of Full Disclosure data for one hour without a license.
If the Full Disclosure duration for a central station unit is configured to none, then
the Full Disclosure duration shall be at least one hour. If the Full Disclosure duration
selected does not match the Full Disclosure license type of the unit, then the Full
Disclosure duration is equal to zero and no events are stored in the FD database. In
other words, the one hour of free Full Disclosure duration is not present when the Full
Disclosure duration setting does not match one of the Full Disclosure licenses installed.

Full Disclosure license

Full Disclosure licenses control how much data is stored when the monitoring device
is admitted. Licensing information is stored with data, so restrictions follow the data
regardless of where it is viewed, even if viewed in a different unit with a different Full
Disclosure License Type. If a central station does not have a Full Disclosure license
installed for the Full Disclosure License Type selected in Setup > Full Disclosure
Defaults, the central station will not participate in Full Disclosure management and
no Full Disclosure data, events, ST Review data, or Care Notes will be stored in the
Full Disclosure database.
A Full Disclosure license provides the following:
● Support for up to 16 patients per central station.
● Storage of 144 hours of the most recent data per patient, regardless of license
type. (Access to data is controlled through the Full Disclosure license type on the
central station in which the data is stored.)
● Supported Full Disclosure License types: 24, 48, 72, 96, 144 hours, and none
(default is one hour).
● For available Full Disclosure licenses, up to 2000 events are stored for each active
session.
● Care Notes.
● ST Review collection status.

Discharged Data license overview

The Discharged Data (Data Sessions) license enables access/viewing how long
after discharge a client can view whatever data is available. This license does not
control if inactive session data is or is not stored. This license only determines if a
particular central station can access the data. If a central station does not have a
Discharged Data license, it is possible to go to a different central station (either in-unit
or out-of-unit) that has the license and access the inactive session data, regardless of
the central station on which the data resides.

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Once an active Full Disclosure Data Session becomes inactive, either through a patient
discharge, via the minute rule expiring or by some other means, the total amount
of data stored is limited by the Full Disclosure server storage license (i.e., the Full
Disclosure license). Once inactive, the discharged data stored will then expire as time
passes by rolling off data older than 144 hours of available discharged data storage.
A Discharged Data license provides the following:
● Display the last 144 hours of Full Disclosure data post discharge.
● Supported Discharged Data license types: 144 hours and none (default is one hour).
The following examples describe how the Full Disclosure discharge session works.
Case 1: CARESCAPE Central Station v1 as Full Disclosure Server—Maximum available
Full Disclosure data (FD144 license) and CARESCAPE Central Station v1 Full Disclosure
client

● 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 v1 as Full Disclosure Server—Minimum available

Full Disclosure data (FD24 license) and CARESCAPE Central Station v1 Full Disclosure
clients

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● 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.
Discharge Time (DC) in hours
DC + 0 hours DC + 23 hours DC + 24 hours DC + 120 hours
Full Disclosure 24 24 24 24
Stored/Available
CLIENT A 24 24 24 24
Viewable

Full Disclosure rules

Minute rule or Offline Storage setting
Offline storage exists as a precautionary measure when contact with a monitoring
device has been lost. This feature applies most often when the monitoring device is
being used in Rover monitoring mode, since the monitoring device moves (roves) from
room to room, on and off the network.
● When a monitoring device returns to the network before the Offline Storage
time-out has been reached, the stored Full Disclosure data storage continues with
a gap in the same session.
● When a monitoring device does not return to the network before the Offline Storage
time-out expires, the stored Full Disclosure data becomes inactive or discharged,
provided the time available is greater than five minutes.
If a discharge and admit cycle occurs off the network for a monitoring device with Full
Disclosure data collection, the Full Disclosure sub-system is unaware that the patient
has changed. When the monitoring device returns to the network, Full Disclosure will
present the data from the discharged and admitted patients as part of the more
recent patient’s data. Offline storage helps to prevent this by assuming that the
patient has been discharged if the monitoring device is off the network for greater
than the number of minutes chosen with the Offline storage control. The Offline
Storage setting determines the length of time the central station will maintain Full

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Disclosure data for a monitoring device from which it has stopped receiving data
(e.g., a NO COMM notification).
● If the NO COMM notification ends within the Offline Storage setting time frame,
Full Disclosure data collection for the monitoring device continues.
● If a NO COMM notification exceeds the Offline Storage setting time frame, all
data for the monitoring device is available as inactive or discharged, provided the
time available is greater than five minutes. If (while in Auto mode) the monitoring
device comes back online (the NO COMM notification ends) after this point, the
monitoring device is reassigned as a new and different monitoring device and new
data collection is started for the monitoring device.
● When a central station starts up, it determines when Full Disclosure data was last
received from the assigned monitoring devices. If the latest data for a monitoring
device:
￭ Is not older than the Offline Storage setting, then Full Disclosure data collection
continues for the monitoring device.
￭ Is older than the Offline Storage setting, existing data associated with the
monitoring device is available as inactive or discharged, provided the time
available is greater than five minutes, and new data collection is started for
the monitoring device.

Multi-Full Disclosure rule

When multiple central stations are running in a unit, the multi-Full Disclosure rule
allows the switching of Full Disclosure data collection from one central station to
another, if a central station goes offline (e.g., reboot, shutdown). Storage of Full
Disclosure data happens if the central station has a Full Disclosure license. The central
station does not need to wait for all Full Disclosure patient Multi-Viewer windows
to be admitted on one central station, but can randomly select any central station
that has a Full Disclosure license.
The following examples describe how the multi-Full Disclosure rule works when using
two central stations (CICA and CICB). In the examples, Start Data Storage is set to
Automatically for all beds and only one bed (BED1) is used.
Example 1:

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

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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.

Twin bed rule (Combo monitoring)

In Combo monitoring mode, two monitoring devices are on the network: one is a
bedside monitor, and the other is a telemetry monitoring device. Both monitoring
devices share the same Bed Number (e.g., BED), but ‘*’ is appended to the telemetry
monitoring device number (e.g., BED and BED*). Both monitoring devices represent
the same patient. If the bedside monitor or telemetry monitoring device was not
functioning in Combo monitoring mode, these two monitoring devices would be
treated as distinct and separate.
Case 1:

1. A bedside monitor BED is admitted and Full Disclosure data is collected.

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2. A telemetry monitoring device 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, with the data still stored as BED.
Case 2:

1. A bedside monitor BED is admitted and Full Disclosure data is collected.

2. A telemetry monitoring device 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 now stored as BED*.
Case 3:

1. A telemetry monitoring device BED* is admitted and Full Disclosure data is

collected.
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.

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Case 4:

1. A telemetry monitoring device BED* is admitted and Full Disclosure data is

collected.
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 now stored as BED*.

Bed Number/IP address changes

The central station tracks Full Disclosure data for individual beds using a combination
of the Bed Number and IP address.
● If a Bed Number changes during Full Disclosure data collection, information within
the data reflects the new name at the point the name change occurred.
● If a bed IP address changes during Full Disclosure data collection, but the name
does not, it is interpreted as a new and different bed, and a new Full Disclosure
Data Session is created and used for the new bed.

Effects of time changes on Full Disclosure data

When the time is changed on the CARESCAPE Network MC for spring and fall daylight
saving time (DST) events, central station Full Disclosure data will be affected. When
the time is changed, the Full Disclosure will continue to collect data at the new time
and ensure no overlapping data with respect to time stamps. A time gap will appear in
the data as follows:
● When time is moved/advanced forward, the Full Disclosure data will continue
to collect at the new time, but a time gap will be present in the data. This gap
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.

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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.

Full Disclosure bed assignment

Full Disclosure bed assignment is the process by which a bed (monitoring device)
is assigned to a central station for purposes of Full Disclosure. Full Disclosure bed
assignment for monitoring devices in a specific unit is performed by the Full Disclosure
Master in that unit. This section provides details on how a Full Disclosure Master
assigns beds.
The primary objective of the Full Disclosure Master during bed assignment is to assign
a bed to a central station that is of the highest version number that is displaying the
bed. In this way, the likelihood is maximized of full disclosing the bed on a central
station whose capabilities match that of the central station on which the bed is
actually being viewed. In many cases, the bed will be full disclosed on a central station
viewing the bed, but this is not guaranteed or required for proper operation.
During bed assignment, the Full Disclosure Master first attempts to assign a bed to
a central station that is of the highest major version currently displaying the bed,
preferring central stations at this version that are actually displaying the bed. If no
assignment can be made to a central station of the highest major version currently
displaying the bed, and that is actually displaying the bed, then the Full Disclosure
Master will attempt to assign the bed to one of the central stations of highest major
version displaying the bed, but is not currently displaying the bed. If still no assignment
can be made, then the Full Disclosure Master will consider the central stations of the
next lower major version, again preferring central stations displaying the bed being
assigned. If no assignment can be made to a central station of major version equal or
lower than the highest major version central station currently displaying the bed, then
the Full Disclosure Master will attempt to assign the bed to a central station of major
version greater that the highest major version currently displaying the bed, starting
with the lower such major version central stations.
For example, consider the situation where two CARESCAPE Central Stations, CIC1
and CIC2, and a CIC Pro center v5.1, CIC3, are present in a unit. Further, only one of
the central stations, CIC2, is currently displaying the bed to be assigned. The Full
Disclosure Master will see that the highest central station major version currently
displaying the bed is CARESCAPE Central Station and will attempt to assign the bed to
CIC2. If this assignment cannot be made, then the Full Disclosure Master will consider
the other central stations of major CARESCAPE Central Station not displaying the bed,
in this case CIC1. If this assignment also cannot be made, then the Full Disclosure
Master will consider lower major version numbers. Thus, the Full Disclosure Master
will attempt to assign the bed to CIC3, the CIC Pro center v5.1 central station. To
extend this example, if there were a CIC Pro center v7 central station (this version does
not exist and is used here for example purposes only) in the unit, say 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 figure provides a flowchart representation of the algorithm that the Full
Disclosure Master uses to perform bed assignments.

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Following are some failure conditions that would prevent a bed from being assigned
for Full Disclosure.
● Not enough Full Disclosure acquisition licenses are available.
Action: Check that there are not more beds in the unit than Full Disclosure licenses
available for the in-unit central stations.
fdcmd list will show the MaxFD available for each central station in the unit.
● The Full Disclosure mode is set too low. Full Disclosure mode has three settings:

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￭ 0-16
￭ ON = 16
￭ OFF = 0
When determining the number of available Full Disclosure patient Multi-Viewer
windows (MaxFD) a central station will take the minimum of the licensed amount
and the mode.
fdcmd mode –n ? will show the mode setting for an individual central station.

ST Review
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 v1 or greater.
● 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 v1 or greater, 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 GE.

Pushing 12SL reports to MUSE

Central stations can each have numerous, unsent 12SL report files accumulated
if waiting for an offline MUSE Gateway server to return. Once the MUSE Gateway
returns, the central stations will all attempt to send the 12SL report files.
● The central station finds the MUSE Gateway on the CARESCAPE Network
automatically. No configuration is required.
● If multiple MUSE Gateways are found on the CARESCAPE Network, the MUSE
Gateway that is actually used by a central station is not deterministic.

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● More than one MUSE Gateway on the CARESCAPE Network is considered an

installation error. Only one MUSE Gateway should exist per CARESCAPE Network,
but there may be multiple MUSE Workstations connected to that Gateway for a
particular site.
● The Push to MUSE button, used for sending 12SL reports to the MUSE Gateway, will
be disabled if the central station cannot find a MUSE Gateway on the CARESCAPE
Network.
● When the maximum number of 12SL reports is queued at a central station, the
oldest reports are deleted to accommodate newer reports.
● The 12SL reports that are not sent to the MUSE Gateway will be deleted after 10
days.

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.

Full Disclosure compatibility

● The CARESCAPE Central Station is compatible with previous versions of the central
station (e.g., CIC Pro Clinical Information Center) that support viewing of Full
Disclosure waveform data.
● When a CIC Pro center v4 central station joins the existing CARESCAPE Central
Station, the Full Disclosure default settings of the CARESCAPE Central Station
change to that of the CIC Pro center v4 central station. If mixed versions of central
stations exists 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.,
CIC Pro centers) 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 centers) 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.

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● If a previous version of the central station (e.g., CIC Pro center) changes anything in
Setup > Full Disclosure Defaults, it will cause a full unit defaults update to be sent
to all other central stations in the unit. For example, 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 center), 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.
● If a user opens the Setup page on a CIC Pro center of a version less than 5.1
and dismisses it by selecting OK, it may cause a unit default transfer as stated
previously. The user does not need to be logged in as a service user.
● A CIC Pro center v5.1.x central station will provide access to Full Disclosure data for
inactive sessions stored on the CIC Pro center v5.1.x central station for waveform
data only.

Full Disclosure printing

● The FD Page printout is a configurable, time-period (license dependent) overview
of waveform activity. It is activated by selecting the Print button located in the
top right corner of the FD Page window.
● The FD Strip printout is a quick snapshot of what is currently on the screen. It is
activated by selecting the Print button while the FD Strip is being viewed. The
Duration can be set in Setup > Full Disclosure Defaults.
● There is a separate Full Disclosure printer selection from the main laser printer
selection in Setup > Central Defaults > Printer/Writer. Specifying a printer in
Setup > Central Defaults does not broadcast this central station as a print server
on RWHAT (e.g., the main laser selection). It is used exclusively by the local Full
Disclosure system. A printer must be added to the operating system before it will be
available in the displayed list.

Full Disclosure procedures

Setting Full Disclosure licensing
Full Disclosure licensing changes are not guaranteed to take effect unless the central
station is restarted.
To set Full Disclosure licensing, complete the following procedure:
1. Log onto the central station service mode. For more information, see Logging
on service mode (74).
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.

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5. Restart the central station application.

a. From the Multi-Viewer menu, select Setup > User Setup.
b. In Password, enter mms_com and press Enter.
c. Wait at least one minute.
d. At the prompt, enter fdcmd list and press Enter.
e. Check that the value of the Lic field is correct.

Setting Full Disclosure Mode

1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. From the desktop, launch Internet Explorer.
3. Enter the following URL: https://[central station server IX IP address]:10000.
4. Enter the Username and Password to log onto Webmin. . For more information,
see Logging on Webmin (75).
5. Select Diagnostics > Full Disclosure > Set Full Disclosure.

6. In Full Disclosure Mode, select either On or Off.

7. Select Submit.

Viewing Full Disclosure Information

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Full Disclosure > Full Disclosure Information.

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3. From the list, select the type of information to view:

● All: Full Disclosure information for beds and Full Disclosure data, Full Disclosure
Master, Full Disclosure server, and mapping of beds to servers.
● Beds and FD Data Information: Unit Name and Bed Number, license type,
earliest and latest available Full Disclosure data (date), and total available
hours of each full disclosed bed for each Full Disclosure server.
● FD Master: Unit Name, central name, and MC Network IP address of the Full
Disclosure Master.
● FD Server Information: Full Disclosure server name and software version,
MC Network IP address, and IX Network IP address for each Full Disclosure
server in the unit.
● Mapping of Beds to Servers: Full Disclosure storage device (unit and central
name), software version, MC Network IP address, and IX Network IP address.
4. Select Show.
5. Check that the type of information selected is displayed.

Performing Full Disclosure Database Integrity Check

1. Log onto Webmin. For more information, see Logging on Webmin (75).
2. Select Diagnostics > Full Disclosure > Database Integrity Check.
3. Select Database Integrity Test.
4. Check that the system indicates that the Database Integrity test passed.
If the test fails:
a. Restart the central station clinical application. For more information, see
Safely restarting (79).
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 (261).

Clearing the Full Disclosure database

Use this procedure to clear the Full Disclosure data stored on the central station only
after the Database Integrity Check has failed.
The Full Disclosure database cannot be cleared while the clinical application is
running. Clearing the database causes the system to reboot.
1. Log onto the central station as administrator. For more information, see Logging
on admin mode (73).
2. Log onto Webmin locally. For more information, see Logging on Webmin (75).
3. Select Diagnostics > Full Disclosure > Clear Database.
4. Select Clear Database.
5. Select Yes.
6. Select Yes. The central station will reboot.

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7. After the reboot, check that the central station logs in and that the clinical
application has started.

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Electromagnetic compatibility (EMC)
A
Electromagnetic compatibility safety
precautions
CAUTION EMC INTERFERENCE — Magnetic and electrical fields are
capable of interfering with the proper performance of the
device. For this reason make sure that all external devices
operated in the vicinity of the device comply with the relevant
EMC requirements. X-ray or MRI devices are a possible
source of interference as they may emit higher levels of
electromagnetic radiation.

CAUTION ELECTROMAGNETIC COMPATIBILITY (EMC) — Changes or

modifications to this device/system not expressly approved
by GE may cause EMC issues with this or other devices.
This device/system is designed and tested to comply with
applicable standards and regulations regarding EMC and
needs to be installed and put into service according to the
EMC information stated as follows:
Use of known RF sources, such as cell/portable phones,
or other radio frequency (RF) emitting devices near the
system may cause unexpected or adverse operation of
this device/system. Consult qualified personnel regarding
device/system configuration.
The device/system should not be used adjacent to, or stacked
with, other devices. If adjacent or stacked use is necessary,
the device/system should be tested to verify normal operation
in the configuration in which it is being used. Consult qualified
personnel regarding device/system configuration.
The use of accessories, transducers, and cables other
than those specified may result in increased emissions or
decreased immunity performance of the device/system.
This device/system is suitable for use in all establishments
other than domestic and those directly connected to the
public low-voltage power supply network that supplies
buildings used for domestic purposes. Mains power should be
that of a typical commercial or hospital environment.

Changes or modifications to this system not expressly approved by GE could cause

EMC issues with this or other equipment. This system is designed and tested to
comply with applicable regulation regarding EMC and needs to be installed and put
into service according to the EMC information stated in this appendix.

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Electromagnetic compatibility (EMC)

Guidance and manufacturer's declaration

Electromagnetic emissions
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.
Emission test Compliance Electromagnetic environment — guidance
RF Emissions (radiated) EN Group 1 The device uses RF energy only for its internal
55011 Class A function. Therefore, its RF emissions are very low
and are not likely to cause any interference in
nearby electronic equipment.
RF Emissions (conductive) Group 1
CAUTION This device/system is
EN 55011 Class A suitable for use in all
Harmonic Emissions IEC Complies establishments other
61000-3-2 than domestic and
those directly connected
Voltage Fluctuations/ Flicker Complies to the public low-voltage
Emissions IEC 61000-3-3 power supply network
that supplies buildings
used for domestic
purposes. Mains power
should be that of a
typical commercial or
hospital environment.
Refer to the EMC
appendix for additional
compliance and safety
information.

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.
Ut is the AC mains voltage prior to application of the test level.
IEC 60601 test Electromagnetic environment —
Immunity test level Compliance level guidance
Electrostatic Discharge ± 6 kV contact Floors should be wood, concrete or
(ESD) IEC 61000-4-2 ± 8 kV air ceramic tile. If floors are covered
with synthetic material, the relative
humidity should be at least 30%.
Electrical Fast Transient/ ± 2 kV for power supply lines Mains power should be that of
Burst IEC 61000-4-4 ± 1 kV for input/output lines a typical commercial or hospital
environment.
Surge IEC 61000-4-5 ± 1 kV differential mode
± 2 kV common mode

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 Electromagnetic compatibility (EMC)

IEC 60601 test Electromagnetic environment —

Immunity test level Compliance level guidance
Voltage dips, short <5% Ut (>95% dip in Ut) for 0.5 cycles Mains power should be that of
interruptions and voltage <40% Ut (>60% dip in Ut) for 5 cycles a typical commercial or hospital
variations on power supply environment. If the user of the
input lines IEC 61000-4-11 <70% Ut (>30% dip in Ut) for 25 cycles equipment requires continued
<5% Ut (>95% dip in Ut) for 5 s operation during power mains
interruptions, it is recommended that
the equipment be powered from an
uninterruptable power supply or a
battery.
Power Frequency (50/60 3 A/m Power frequency magnetic fields
Hz) Magnetic Field IEC should be at levels characteristic
61000-4-8 of a typical location in a typical
commercial or hospital environment.
Conducted RF IEC 3 Vrms 150 KHz 3 V rms Portable and mobile RF
61000-4-6 to 80 MHz 3 V/m communications equipment should
Radiated RF IEC 61000-4-3 3 V/m 80 MHz to not be used closer to any part of
2.5 GHz the equipment, including cables,
than the recommended separation
distance calculated from the equation
applicable to the frequency of the
transmitter.

Recommended separation distance:

150 kHz to 80 MHz: d = 1.2 √P
80 MHz to 800 MHz1: d = 1.2 √P
800 MHz to 2.5 GHz: d = 2.3 √P
where P is the maximum output power rating of the transmitter in watts (W) according
to the transmitter manufacturer, and d is the recommended separation distance
in meters (m).
Field strengths from fixed RF transmitters, as determined by an electromagnetic site
survey2, should be less than the compliance level in each frequency range.3
Interference may occur in the vicinity of equipment marked with the following symbol:

These guidelines may not apply in all situations. Electromagnetic propagation is

affected by reflection from structures, objects, and people.

1. At 80 MHz and 800 MHz, the higher frequency range applies.

2. 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.
3. Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.

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Recommended separation distances

The following table provides the recommended separation distances (in meters)
between portable and mobile RF communications equipment and the device.
This device is intended for use in the electromagnetic environment on which
radiated RF disturbances are controlled. The customer or the user of the device
can help prevent electromagnetic interference by maintaining a minimum distance
between portable and mobile RF communications equipment (transmitters) and the
device as recommended below, according to the maximum output power of the
communications equipment.
Separation distance in meters (m) according to frequency of
transmitter4

Rated maximum output power 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
of transmitter in watts d = 1.2 √P d = 1.2 √P d = 2.3 √P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23

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
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.
These guidelines may not apply in all instances. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

Compliant cables and accessories

CAUTION The use of accessories, transducers, and cables other
than those specified may result in increased emissions or
decreased immunity performance of the device/system.

The table below lists cables, transducers, and other applicable accessories with which
GE claims EMC compliance.
Part number Description Maximum lengths
80274-006 AC Power Cord 1.8 m / 6 ft.
2019792-001 DVI-D to DVI-D Cable 1.8 m / 6 ft.
418331-002 PRN50-M Writer n/a
2062759-001 PRN 50-M+ Writer n/a
418335-00x RJ45 Category 5 Cable n/a
418708-001 Key Pad n/a
2001323-001 Speakers n/a

4. At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.

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Part number Description Maximum lengths

2006733-001 Serial Cable 1.8 m / 6 ft.
2016193-001 USB Keyboard n/a
2019795-001 USB Cable 1.8 m / 6 ft.
2020737-001 NEC Display 20” LCD n/a
20080UX+
2022144-002 USB Mouse n/a

Any supplied accessories that do not affect EMC compliance are not included.

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Restored modules
B
Restored data overview
This appendix lists detailed information associated with restored data via Webmin
> Configuration > Settings > Restore.
Items marked with * are automatically updated by other in-unit central stations.

Platform settings
● Device Asset Number
● Browser
￭ Save-As-Favorite shortcuts
￭ Browser bookmarks
● Citrix configuration
● Language
● Network settings
￭ Primary DNS
￭ Secondary DNS
● Passwords
● Printer settings
● Remote Service
￭ Remote Service Configuration
￭ Remote Service Controls (Enable Remote Service Agent)

Local central station settings

Local central station settings are set locally at the central station, and are not
propagated to other in-unit central stations when they change.

Central Defaults
● Central Name
● Unit Name
● Mirror Central Display
● ECG1WaveForm
● Waveform2

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Restored modules

● Waveform3
● Waveform4
● 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)
● ColorSetECG0
● ColorSetECG1
● ColorSetECG2
● ColorSetECG3
● ColorSetECG4
● ColorSetECG5
● ColorSetECG6
● ColorSetART
● ColorSetPA
● ColorSetFEM
● ColorSetCVP
● ColorSetRA
● ColorSetLA
● ColorSetICP
● ColorSetSP
● ColorSetUAC
● ColorSetUVC
● ColorSetRESP
● ColorSetSPO2
● ColorSetCO2

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

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● 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)

Patient Multi-Viewer window assignment

● Display format
● Beds configured

Patient Multi-Viewer window control settings (windows

0-16)
● Unlock/Lock status
● Bed assignment
● Row, Column and Bed Number
● Lead or site, lead position, waveform sweep speed
● Waveform #1 Color
● Waveform #2 Color
● Waveform #3 Color
● Waveform #4 Color
● Real-time Trend Graph control settings:
￭ Display Real-time Trend Graph

￭ Parameter 1 :

♦ Parameter Name

♦ Scale

♦ Color

￭ Parameter 2:

♦ Parameter Name

♦ Scale

♦ Color

Citrix information
● User Name
● Password
● Server Address

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Restored modules

● Startup Time
● Connection Timeout
● Initial Program
● Width
● Height

MultiKM information
● MultiKM configuration

Set Flags
● NO COMM AUDIO
● Force Age Selection on Admit
● OUT-OF-UNIT MULTI-VIEWER ALARM AUDIO/AUDIO PAUSE
● ALL ADUs (IN-UNIT) REDUNDANTLY ALARM AUDIO
● Alarm Audio Off Reminder
● NO MULTIPLE PATIENT VIEWER SLOT ALARM SILENCING
● Repeat IEC Low Technical Alarm Tone

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

Unit default settings

The central station’s unit default settings are set locally at the central station and are
propagated to the other in-unit central stations.

Telemetry Unit Defaults

Items marked with * are automatically updated by other in-unit central stations.
● Graph Setup:
￭ Default Manual Graph Print Location

￭ Default Alarm Graph Print Location

￭ Default Print Window Graph Print Location

￭ ECG1 Waveform*

￭ Waveform 2*

￭ Waveform 3*

￭ Waveform 4*

￭ Transmitter Graph*

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 Restored modules

￭ Alarm Graph*
￭ Event Marker 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*

Telemetry Alarm Setup Defaults

Items marked with * are automatically updated by other in-unit central stations.
● Parameter limits*:
￭ HR* low and high alarm limit custom defaults

￭ ST-I* low and high alarm limit custom defaults

￭ ST-II* low and high alarm limit custom defaults

￭ ST-III* low and high alarm limit custom defaults

￭ ST-V* low and high alarm limit custom defaults

￭ ST-V2* low and high alarm limit custom defaults

￭ ST-V3* low and high alarm limit custom defaults

￭ ST-V4* low and high alarm limit custom defaults

￭ ST-V5* low and high alarm limit custom defaults

￭ ST-V6* low and high alarm limit custom defaults

￭ ST-aVR* low and high alarm limit custom defaults

￭ ST-aVL* low and high alarm limit custom defaults

￭ ST-aVF* low and high alarm limit custom defaults

￭ NBP-S* low and high alarm limit custom defaults

￭ NBP-D* low and high alarm limit custom defaults

￭ NBP-M* low and high alarm limit custom defaults

￭ SPO2* saturation low and high alarm limit custom defaults

￭ SPO2-R* low and high alarm limit custom defaults

￭ RR* low and high alarm limit custom defaults

￭ RR-APNEA* high alarm limit custom default

￭ PVC* high alarm limit custom default

● Parameter alarm priority levels*:

￭ HR* alarm priority level custom default

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Restored modules

￭ ST-I* alarm priority level custom default

￭ ST-II* alarm priority level custom default

￭ ST-III* alarm priority level custom default

￭ ST-V* alarm priority level custom default

￭ ST-V2* alarm priority level custom default

￭ ST-V3* alarm priority level custom default

￭ ST-V4* alarm priority level custom default

￭ ST-V5* alarm priority level custom default

￭ ST-V6* alarm priority level custom default

￭ ST-AVR* alarm priority level custom default

￭ ST-AVL* alarm priority level custom default

￭ ST-AVF* alarm priority level custom default

￭ NBP-S* alarm priority level custom default

￭ NBP-D* alarm priority level custom default

￭ NBP-M* alarm priority level custom default

￭ SPO2* saturation alarm priority level custom default

￭ SPO2-R* alarm priority level custom default

￭ RR* alarm priority level custom default

￭ RR-APNEA alarm priority level custom default

￭ PVC alarm priority level custom default

● Arrhythmia Alarm Levels*:

￭ ASYSTOLE alarm priority level custom default*

￭ VFIB/VTAC alarm priority level custom default*

￭ V TACH alarm priority level custom default*

￭ VT > 2 alarm priority level custom default*

￭ V BRADY alarm priority level custom default*

￭ ACC VENT alarm priority level custom default*

￭ PAUSE alarm priority level custom default*

￭ TACHY alarm priority level custom default*

￭ BRADY alarm priority level custom default*

￭ R ON T alarm priority level custom default*

￭ COUPLET alarm priority level custom default*

￭ BIGEMINY alarm priority level custom default*

￭ TRIGEMINY alarm priority level custom default*

￭ PVC alarm priority level custom default*

￭ IRREGULAR alarm priority level custom default*

￭ ATRIAL FIB alarm priority level custom default*

● Technical Alarm Priorities:

￭ CHANGE BATTERY alarm priority level custom default

￭ OFF NETWORK alarm priority level custom default

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￭ ARR SUSPEND alarm priority level custom default

￭ LEADS FAIL alarm priority level custom default
￭ PROBE OFF alarm priority level custom default

Current Telemetry Listings

Items marked with * are automatically updated by other in-unit central stations.
● Telemetry Beds*
● Hardwire Beds*
● Transmitters*

Full Disclosure Defaults

Items marked with * are automatically updated by other in-unit central stations.
● FD Report Printing Duration*
● FD Report Printing Hole Location*
● Include Graybar*
● Include Arrhythmia Annotations*
● Include Heart Rate*
● Line Time*
● FD Strip Duration*
● FD Strip Hole Location*
● Full Disclosure License Type*
● Strip Printing Hole Location
● Strip Printing Report Number
● Offline Storage*
● Start Data Storage*
● Bed List*

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C
Product security overview
The information in this section describes the security features, functionality, and
administrative requirements of the central station. The information is provided to
assist the user in using the system in a manner that protects patient privacy and
security, and to work in accordance with local and federal regulatory requirements.
This information also addresses expectations for the environment where the central
station will be used, and contains information regarding security upgrade procedures.
The healthcare provider is encouraged to use risk management procedures to assess
and prioritize security and privacy risks. Based on a risk assessment, the capabilities of
the central station can best be applied. The risk assessment should carefully balance
regulatory compliance, patient safety, and security. In cases where security mitigation
conflicts with patient safety, patient safety should be considered a higher priority.
The central station incorporates a broad assortment of security features designed
to allow a flexible approach to safe and secure implementation, focusing on the
principles of confidentiality, integrity, and availability. The capability and use of these
features are described in detail throughout this section.

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

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monitoring other medical devices. Therefore, this device must be installed in a

restricted area and care must be taken to prevent malicious access or patient privacy
breaches.
To change device configuration parameters (normally associated with device
installation or troubleshooting), a login is required. Depending on the required
servicing step, a service user may be required to log into the Operating System
as administrator, log into Webmin, or log into the clinical application alarm-level
configuration screen. Because authorized service personal must have access to this
device, the device maintains a fixed login for each of these methods. No additional
user accounts may be created on the device. However, the password for Webmin for
customer’s servicing may be changed.
No additional user accounts may be created on the central station. The Guest account
cannot be accessed on the device.

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?
Clinical n/a Fixed password Password No No
application required to
alarm–level access the
configuration application
tool configuration
menus.
Webmin service n/a Fixed user name Username and Yes Yes
tool and changeable password
password.
Accessible both
at the device
and across the
CARESCAPE
Network IX.
GE Service
user also has
a fixed user
name and a
fixed password.

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Interface Clinical use Installation and Authentication Password Password

servicing use type encrypted? modifiable?
Remote desktop n/a Fixed user Password Yes No
tool name and fixed
password for
both customer
and GE access
Operating n/a – the device For some Username and Yes No
system automatically configuration password
boots to settings and
the clinical maintenance,
application in the clinical
a fixed user application
context. must be
stopped and
the user
logged in as
administrator.
This requires
both physical
access to the
system and the
administrator
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.

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Malicious software protection

The computing environment is increasingly hostile, and threats continue to grow
from malicious software, including computer viruses, worms, Trojan horses, denial
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
MC and IX Networks. The MC Network shall be isolated from the customer’s enterprise
network, via physical or virtual isolation (VLANs). The IX Network may be connected
to the hospital enterprise network; however, the IX Network router/firewall, or an
equivalent firewall, must bridge the IX and hospital enterprise network to only allow
known network traffic from the hospital enterprise network into the IX Network.
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.

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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.

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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 central station. See the Networking disclosure to facilitate
network risk management appendix (285).

Media access control points

Unsecured removable media and media access ports represent a risk of data loss
and theft.
The only external media the central station supports are USB drives. USB media
should only be used for known service operations such as the installation of license
keys or the extraction of log files from the device.
The central station does support booting from USB media, but only for the purpose
of ghosting (i.e., re-imaging) the system.
Lastly, as mentioned in previous sections, the operating system auto-run feature is
disabled for USB ports. Therefore, even if an infected media is installed into the USB
interface/connection, malware will not automatically run.

Security administration and service

Product change management
GE monitors published vulnerabilities, which are analyzed and assessed on a monthly
basis. The information regarding vulnerabilities is published on the GE security web
site. If updates are needed to ensure the secure operations of a device, the updates
are prepared and verified for each affected product. The validation status and
instructions for accessing the updates are presented on the GE security web site.
Only software authorized by GE shall be installed on the product to ensure safe and
effective operation.
The GE Security web site can be found at the following URL:
http://www.gehealthcare.com/usen/security/index.html

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

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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 central station cyber security features can be
found in the central station 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, click the
MDS2 search link on left or at the bottom of the page.

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D
network risk management

Purpose and scope

This disclosure is intended to satisfy the requirements of IEC 60601-1:2005 clause
14.13 and IEC/ISO 80001-1:2010 clause 3.5 for disclosure of network-related
specifications, requirements, and residual risks in order to facilitate the responsible
organization’s risk management activities (e.g., pursuant to 80001-1) for their networks
incorporating the central station.

Purpose of central station connection to network

The central station is intended to be connected to a network in order to support the
intended use of the product. For more information, see Intended use (35).

Central station network interface technical

specifications
Connection name Mission critical (MC) network port
Physical network connection type IEEE 802.3-1998 10/100BaseT Ethernet
Speeds and duplex modes supported 10 Mbps half and full duplex, 100 Mbps half and full
duplex, Autonegotiate (default)
Default IP address (from factory) IP address — 172.16.1.1
Subnet mask — 255.255.0.0
IP addressing IPv4 static
QoS support Not supported

Connection name Information exchange (IX) network port

Physical network connection type IEEE 802.3-1998 10/100BaseT Ethernet

Speeds and duplex modes supported 10 Mbps half and full duplex, 100 Mbps half and full
duplex, Autonegotiate (default)
Default IP address (from factory) IP address — 172.18.1.1
Subnet mask — 255.255.0.0
Gateway — 172.18.254.254

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Connection name Information exchange (IX) network port

IP addressing IPv4 static

QoS support No markings

Network information flows

Unity services
Unity services Value
Usage type Clinical
Functional need Function Waveforms, parameters, alarms
Licensed/optional/required Required
Network MC Network
Communication partner Device/IP address Unity devices
Network MC Network
Protocols Layer 3/4 UDP
Application protocol Unity
Ports Standard Unity ports
Direction (relative to the device) Incoming and Outgoing
Reflexive —
Transmission characterization Periodic and on-demand
Data characterization Incoming unicast traffic is approximately
50 Kbps per Unity device viewed or
full disclosed on the central station,
maximum 33 devices (16 devices viewed
in Multi-Viewer, and 16 full disclosed).
Typical usage will be lower because the
central station attempts to align devices
viewed with devices full disclosed.
Outgoing unicast traffic is less than 6
Kbps. Outgoing broadcast traffic is very
small (< 0.1 Kbps).

InSite ExC
InSite ExC Value
Usage type Device servicing
Functional need Function GE Remote Service, Device health status
notification
Licensed/optional/required Optional
Network IX Network
Communication Device/IP address InSite ExC server
partner https://us1-ws.service.gehealthcare.com
Network Internet

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InSite ExC Value

Protocols Layer 3/4 TCP
Application protocol HTTPS
Ports 443
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization Periodic
Data characterization 4 Kbytes/minute (continuous) plus any file
transfers (on-demand)

InSite ExC tunnel

InSite ExC tunnel Value
Usage type Device servicing
Functional need Function GE Remote Service
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address InSite ExC server
https://us1-rd.service.gehealthcare.com
Network Internet
Protocols Layer 3/4 TCP
Application protocol HTTPS
Ports 443
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization Remote Webmin sessions (on-demand)

HTTP/HTTPS proxies
HTTP/HTTPS proxies Value
Usage type Network services
Functional need Function Clinical web browsing and InSite ExC
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address Proxy server
Proxy for clinical web browsing should
only be used for hospital-approved web
sites.
Network Hospital enterprise network

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HTTP/HTTPS proxies Value

Protocols Layer 3/4 TCP
Application protocol HTTP, HTTPS
Ports Customer defined (ex. 3128)
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization Periodic, on-demand or user initiated
Data characterization Same as InSite ExC and Web browsing

Webmin — hospital enterprise network

Webmin — hospital enterprise network Value
Usage type Device servicing
Functional need Function Hospital biomed service
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address PC
Network Hospital enterprise network
Protocols Layer 3/4 TCP
Application protocol HTTPS
Ports 10000
Direction (relative to the device) Incoming
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

Webmin — IX Network
Webmin — IX Network Value
Usage type Device servicing
Functional need Function Hospital biomed service
Licensed/optional/required Required
Network IX Network
Communication partner Device/IP address PC
Network IX Network
Protocols Layer 3/4 TCP
Application protocol HTTPS
Ports 10000
Direction (relative to the device) Incoming
Reflexive Yes

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Webmin — IX Network Value

Transmission characterization On-demand, user initiated
Data characterization —

Remote desktop — hospital enterprise network

Remote desktop — hospital network Value
Usage type Device servicing
Functional need Function Read-only view for hospital biomed
service
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address PC
Network Hospital enterprise network
Protocols Layer 3/4 TCP
Application protocol RFB
Ports 5900
Direction (relative to the device) Incoming
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

Remote desktop — IX Network

Remote desktop — IX Network Value
Usage type Device servicing
Functional need Function Read-only view for hospital biomed
service
Licensed/optional/required Required
Network IX Network
Communication partner Device/IP address PC
Network IX Network
Protocols Layer 3/4 TCP
Application protocol RFB
Ports 5900
Direction (relative to the device) Incoming
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

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NetBIOS
NetBIOS Value
Usage type Device servicing
Functional need Function Network troubleshooting, using Check
Centrals, and configuring MultiKM
groups
Licensed/optional/required Required
Network IX Network
Communication partner Device/IP address Central stations
Network IX Network
Protocols Layer 3/4 UDP/TCP
Application protocol NetBIOS over TCP/IP
Ports UDP 137,
UDP 138,
TCP 139
Direction (relative to the device) Incoming and outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

SMB
SMB Value
Usage type Device servicing
Functional need Function Network troubleshooting and using
Check Centrals
Licensed/optional/required Required
Network IX Network
Communication partner Device/IP address Central stations
Network IX Network
Protocols Layer 3/4 TCP
Application protocol SMB
Ports 445
Direction (relative to the device) Incoming and outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

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Ping — hospital enterprise network

Ping — hospital enterprise network Value
Usage type Device servicing
Functional need Function Network troubleshooting and Check
Centrals (IX Network only)
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address PC and other central stations for Check
Centrals
Network Hospital enterprise network
Protocols Layer 3/4 ICMP
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 —

Ping — IX Network
Ping — IX Network Value
Usage type Device servicing
Functional need Function Network troubleshooting and Check
Centrals (IX Network only)
Licensed/optional/required Required
Network IX Network
Communication partner Device/IP address PC and other central stations for Check
Centrals
Network IX Network
Protocols Layer 3/4 ICMP
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 —

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Ping — MC Network
Ping — MC Network Value
Usage type Device servicing
Functional need Function Network troubleshooting
Licensed/optional/required Required
Network MC Network
Communication partner Device/IP address PC and other central stations for Check
Centrals
Network MC Network
Protocols Layer 3/4 ICMP
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 —

Software transfer — IX Network

Software transfer Value
Usage type Device servicing
Functional need Function Performs software upgrades
Licensed/optional/required Required
Network IX Network
Communication partner Device/IP address PC
Network IX Network
Protocols Layer 3/4 TCP
Application protocol HTTP, SSH
Ports 10001 (http)
22 (ssh)
Direction (relative to the device) Incoming
Reflexive Yes
Transmission characterization On-demand, during software upgrades
Data characterization SSH: Approximately 100 MB of software
download at low priority and very
infrequently.

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Software transfer — hospital enterprise network

Software transfer Value
Usage type Device servicing
Functional need Function Performs software upgrades
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address PC
Network Hospital enterprise network
Protocols Layer 3/4 TCP
Application protocol HTTP, SSH
Ports 10001 (http)
22 (ssh)
Direction (relative to the device) Incoming
Reflexive Yes
Transmission characterization On-demand, during software upgrades
Data characterization SSH: Approximately 100 MB of software
download at low priority and very
infrequently.

Web browsing
Web browsing Value
Usage type Clinical
Functional need Function Clinical web browsing
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address Internally-hosted web applications and
hospital-approved web sites
Network IX Network, hospital enterprise network,
and Internet
Protocols Layer 3/4 TCP
Application protocol HTTP, HTTPS
Ports Customer defined (ex. 80, 443, 10000)
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

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Full Disclosure — Unity monitoring devices

Full Disclosure — Unity monitoring devices Value
Usage type Clinical
Functional need Function Collection of Full Disclosure and Full
Disclosure master coordination
Licensed/optional/required Licensed
Network MC Network
Communication partner Device/IP address Unity monitoring devices
Network MC Network
Protocols Layer 3/4 UDP
Application protocol Unity
Ports Standard Unity ports
Direction (relative to the device) Incoming and outgoing
Reflexive —
Transmission characterization Periodic and on-demand
Data characterization See Unity Services data characterization

Full Disclosure — central stations

Full Disclosure — central stations Value
Usage type Clinical
Functional need Function Sharing Full Disclosure
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address Central stations
Network IX Network
Protocols Layer 3/4 TCP
Application protocol Unity
Ports 9001
Direction (relative to the device) Incoming and Outgoing
Reflexive —
Transmission characterization On-demand, user initiated
Data characterization Full Disclosure overview can request a
15 MB report of data worst case.

Full Disclosure — MARS

Full Disclosure — MARS Value
Usage type Clinical
Functional need Function Sharing Full Disclosure
Licensed/optional/required Optional

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Full Disclosure — MARS Value

Network IX Network
Communication partner Device/IP address MARS
Network IX Network or hospital enterprise
network
Protocols Layer 3/4 TCP
Application protocol Unity
Ports 9001
Direction (relative to the device) Incoming
Reflexive —
Transmission characterization On-demand, user initiated
Data characterization Approximately 3 GB for 144 hour
Full Disclosure report per patient:
Central station/MARS acquisition client
(file size depends on the number of
Full Disclosure hours and number of
channels)

Printing
Printing Value
Usage type Clinical
Functional need Function Printing
Licensed/optional/required Required
Network IX Network
Communication partner Device/IP address Printer
Network IX Network, hospital enterprise network
Protocols Layer 3/4 TCP
Application protocol RAW print protocol
Ports 9100
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

Printer status
Printer status Value
Usage type Clinical
Functional need Function Printing setup
Licensed/optional/required Required
Network IX Network

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Printer status Value

Communication partner Device/IP address Printer
Network IX Network, hospital enterprise network
Protocols Layer 3/4 UDP
Application protocol SNMP
Ports 161
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization Upon installation of printer on central
station
Data characterization —

Citrix ICA
Citrix ICA Value
Usage type Clinical
Functional need Function Connection to Citrix server
Licensed/optional/required Licensed
Network IX Network
Communication partner Device/IP address Citrix server
Network Hospital enterprise network

Protocols Layer 3/4 TCP

Application protocol Citrix ICA
Ports Customer defined (default 1494)
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization On-demand, use initiated
Data characterization Citrix data varies from Kbyte to several
Mbytes depending if data is graphical or
textual and whether data compression
is used

DNS
DNS Value
Usage type Network services
Functional need Function Named network address discovery
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address DNS server
Network Hospital enterprise network

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DNS Value
Protocols Layer 3/4 UDP
Application protocol DNS
Ports 53
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization Sporadic
Data characterization —

MultiKM
MultiKM Value
Usage type Clinical
Functional need Function MultiKM functionality
Licensed/optional/required Licensed
Network IX Network
Communication partner Device/IP address Central stations
Network IX Network
Protocols Layer 3/4 TCP
Application protocol MultiKM
Ports 5225
Direction (relative to the device) Bidirectional
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

ADT Picklist
ADT Picklist Value
Usage type Clinical
Functional need Function Cached ADT lookups
Licensed/optional/required Licensed
Network MC Network
Communication partner Device/IP address Aware Gateway, CARESCAPE Gateway
Network MC Network
Protocols Layer 3/4 TCP
Application protocol Picklist XML
Ports 11111
Direction (relative to the device) Outgoing
Reflexive Yes

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ADT Picklist Value

Transmission characterization On-demand, user initiated
Data characterization —

Custom defaults transfer

Custom defaults transfer Value
Usage type Clinical
Functional need Function Synchronization of custom default
settings
Licensed/optional/required Required
Network MC Network
Communication partner Device/IP address Central stations in the same unit
Network MC Network
Protocols Layer 3/4 UDP
Application protocol TFTP
Ports 69
Direction (relative to the device) Incoming and outgoing
Reflexive No
Transmission characterization On-demand, user initiated
Data characterization —

Push to MUSE
Push to MUSE Value
Usage type Clinical
Functional need Function ST Reviews
Licensed/optional/required Optional
Network MC Network
Communication partner Device/IP address MUSE Gateway v1.1
Network MC Network
Protocols Layer 3/4 TCP
Application protocol TFTP
Ports 69
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

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Electronic document transfer

Electronic document transfer Value
Usage type Clinical
Functional need Function Send patient documents for archiving
(e.g. Strip Report)
Licensed/optional/required Optional
Network IX Network
Communication partner Device/IP address SFTP server, may be part of an Electronic
Medical Record (EMR) system
Network IX Network and hospital enterprise
network
Protocols Layer 3/4 TCP
Application protocol SFTP
Ports 22
Direction (relative to the device) Outgoing
Reflexive Yes
Transmission characterization On-demand, user initiated
Data characterization —

Required characteristics and configuration of

network for support of central station
● The network must meet the specific requirements previous listed for all traffic
flows associated with the subset of features, use cases and workflows required by
the responsible organization’s users. The network must prevent all other traffic
flows not necessary for the intended use of the product. For more information,
see Malicious software protection (280).
● In addition, the MC Network must be “flat” (i.e., limited to a single IP broadcast
domain).
● The maximum MC Network size (number of unique RWhats generated) is governed
by the most limited client, and is usually 1023 based on some bedside monitors.
For the central station, this network size is 1023 as well.
● The MC application requires MC packet latency of less than 250 ms. Packet latency
from the ApexPro Telemetry Server (ATS) or bedside monitor to the central station
should be less than 250 ms in order for the system to meet AAMI EC13 - 2002
Sections 4.2.8.4, 4.2.8.5, 4.2.8.6 Time to Alarm.
The MC application requires MC packet loss of less than or equal to five packets
per million.

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Potential risks to safety, effectiveness or security

resulting from failure of IT network to provide
the required characteristics
Loss of network connectivity or failure of the network to meet required characteristics
can result in the following hazardous situations:
● Complete or partial loss or deterioration of monitoring capability (alarm events,
waveforms and parameter data)
● Clinician is not notified or does not recognize an adverse patient condition (missed
alarm)
● Incorrect alarm event (arrhythmia or parameter) information is provided to the
clinician
● Incorrect real-time parameter data is provided to the clinician
● Incorrect real-time waveforms are provided to the clinician
● Incorrect historical data is provided to the clinician or transferred to another system
● Operational impairment of other medical devices on the network
● Loss of user inputs: Caregiver unable to interact with the system using touch
screen, keyboard, or mouse (in a MultiKM keyboard and mouse group)
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.

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● The system is hardened against introduction of non-validated software including

use of a firewall to limit network communications to only necessary services.
WARNING In addition to the hazardous situations identified above,
connection of the central station to a shared network that
was not built by or as specified by GE could result in other
unidentified risks to patients, operators or third parties. The
responsible organization should identify, analyze, evaluate
and control these risks on an ongoing basis including after
changes to the network such as those listed below, which
could introduce new risks and require additional analysis.
● Changes in network configuration
● Connection of additional items to the network
● Disconnecting items from the network
● Update of equipment connected to the network
● Upgrade of equipment connected to the network

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Checklists
E
High-level installation and commissioning
process checklist
The following is a high-level checklist for installing and commissioning the central
station.
Step Description
1 Perform pre-installation check
2 Install hardware
3 Change licenses (if necessary)
4 Configure system
5 Perform checkout procedure

Pre-installation checklist
Before installing and configuring the central station, perform the following tasks:
□ Check that you have site survey information that includes Central Name, Unit
Names, and IP addresses/schemes for central stations being installed.
□ Check that you have a list of other GE devices the central station will be
communicating with (e.g., CARESCAPE Gateway, PDS, MUSE, MARS, MCS).
□ Check that the license configuration purchased is appropriate for the desired
clinical functionality.
If you find any discrepancies, escalate the issue to the appropriate Sales and
Project Management before proceeding with installation.
□ If the customer owns the network design configuration, the customer should be
reminded that they are assuming some network risk and responsibility and should
consider following the IEC 80001-1 standard.
□ Set up the service computer’s network properties. For more information, see
Configuring computer’s network properties (78).
□ The central station is shipped pre-licensed. However, if a license change is needed,
acquire the necessary licenses. For more information, see Changing licenses (84).
□ Gather required tools. For more information, see Installation requirements (63).
□ Inspect equipment. For more information, see Visually inspecting equipment (170).
□ Evaluate site. For more information, see Site requirements (64).

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Hardware installation process checklist

Complete the following tasks in the order presented:
□ Install processing unit (67).
□ If required, Install remote displays (67).
□ Install primary display (68).
□ Install secondary displays (68).
□ Install keyboard and mouse (68).
□ Install external speakers (69).
□ Install writer (69).
□ Install laser printer (69).
□ Connect processing unit power source (70).

License checklist
Complete the following tasks in the order presented:
□ The CARESCAPE Central Station is shipped pre-licensed. However, if a change in
licenses is required, acquire the necessary licenses.
□ Deactivate any licenses identified with a quantity change and/or identified as
“DEACTIVATE” on the Activation Code Summary Sheet. For more information, see
Deactivating licenses for license changes (transfers and expansions) (85).
□ Format USB Memory stick to NTFS. For more information, see Formatting USB
memory stick (86).
□ Upload the license file. For more information, see Uploading license file (86).
□ Activate license automatically or manually. For more information, see the following
instructions:
□ Activating licenses automatically (87).
□ Activating licenses manually (88).
□ Complete the Checking status of installed licenses (194).

Configuration checklist
Configuring secondary and touchscreen displays checklist
Complete the following tasks:
□ Configure secondary displays (95).
□ Calibrate touchscreen displays using Elo or Touchware, as appropriate. For more
information, see the following instructions:
□ Calibrate touchscreen displays using Elo (98).
□ Calibrate touchscreen displays using Touchware (98).
Configuring Webmin-related settings checklist
Complete the following tasks:
□ Configure Set Flags (99).

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□ Configure time zone (102).

□ Configure time and date (103).
□ Configure network IP address (105).
□ Configure network laser printers (107).
□ Configure print locations for stored patient data (108).
□ Configure PDF Printer (110).
□ Configure Remote Service (112).
□ Configure Browser Favorites (114).
□ Configure Citrix (115).
□ Configure Clinician Review Workstations (117).
□ Configure Asset Setting (117) (if needed).

Configuring clinical application service-level defaults

checklist
Complete the following tasks:
□ Configure Central and Unit Name service-level defaults (117).
□ Configure Printer/Writer service-level defaults (119).
□ Configure mirror central displays (122).
□ Configure Waveforms, Real-time Trend Graph, and Color Set service-level defaults
(124).
□ Configure Multi-Viewer Display Configuration service-level defaults (126).
□ Configure Auto Display Button service-level defaults (128).
□ Configure Real-time BP UOM service-level default (129) (Chinese only).
□ Configure Graph Setup service-level defaults (130).
□ Configure ECG service-level defaults (132).
□ Configure Event Marker service-level defaults (135).
□ Configure beds and transmitters (136).
□ Configure Full Disclosure service-level defaults (137).
□ Configure FD Session Search criteria (140).
□ Configure locked patient Multi-Viewer windows (141).
□ Configure Graphic Trends Groups (141).
□ Configure Numeric Trends Groups (142).
□ Configure Save As Favorite buttons (143).
□ Configure internet properties (144).
□ Calibrate displays (145).

Configuring clinical application alarm-level defaults

checklist
Complete the following tasks:
□ Configure alarm-level defaults (147).
□ Configure Patient Age service-level default (150).

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□ Configure Transmitter Audio Pause service-level defaults (151).

□ Configure Telemetry Alarm Setup service-level defaults (152).

Configuring printers checklist

Complete the following tasks:
□ Configure USB laser printers (155).
□ Configure laser printer paper size (156).

Configuring other settings checklist

Complete the following tasks:
□ Configure MultiKM (156).
□ Back up system settings (165).

Checkout checklists
System installation and commissioning checkout
Close all files before starting the checkout procedures.
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.
□ Connecting processing unit power source checkout (191)
□ Install processing unit checkout (192).
□ Install remote displays checkout (192).
□ Install primary display checkout (192).
□ Install secondary displays checkout (192).
□ Install keyboard and mouse checkout (193).
□ Install external speakers checkout (193).
□ Install writer checkout (193).
□ Configure secondary display checkout (195).
□ Check unit defaults (195).
□ Check access to all other units (195).
□ Check operation of audio alarm tones (195).
□ Configure Set Flags checkout (196).
□ Check Network connectivity checkout (197).
□ Check if Remote Service agent is enabled. For more information, see Enabling
Remote Service (113).
□ Configure Browser Favorites checkout (198).
□ Configure Citrix checkout procedures (198).
□ Check consolidated configuration information (199).
□ Configure Printer/Writer checkout (199).
□ Configure mirror central display checkout (199).

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□ Configure Full Disclosure service-level defaults checkout (199).

□ Check speaker volume (200).
□ Configure alarm-level defaults checkout (200).
□ Configure MultiKM checkout (200).
□ Check time and date on the network after installing this current device. For more
information, see Running Check Centrals utility (201).

Software reload/ghost checkout

After reloading/ghosting the CARESCAPE Central Station software, perform the
following checkout procedures:
□ Reload software checkout (194).
□ Perform all checkout procedures in System installation and commissioning
checkout (306).

Software upgrade checkout

After upgrading the central station software, perform the following checkout
procedure:
□ Upgrade central station software checkout (194).

Preventative maintenance checkout

Perform the following checkout procedures:
□ Check date and time on the network after maintenance of this current device. For
more information, see Running Check Centrals utility (201).
□ Verify that the Remote Service agent is enabled. For more information, see Enabling
Remote Service (113).
□ Check the laser printer and digital writer connectivity. For more information, see
Configuring Printer/Writer checkout procedures (199).
□ Check operation of the secondary display (if applicable). For more information, see
Configuring secondary display checkout procedures (195).
□ Check status of installed licenses (194).
□ Check settings with Check Centrals command. For more information, see Running
Check Centrals utility (201).
□ Check operation of audio alarm tones (195).
□ Check access to all other units (195).
□ Check the operation of the Citrix application displayed on the central station
(Hospital responsibility). For more information, see Configuring Citrix checkout
procedures (198).
□ Check the hospital intranet browser functionality (Hospital responsibility). For more
information, see Configuring Browser Favorites checkout procedures (198).
□ Check the status of locked beds. For more information, see Configuring locked
patient Multi-Viewer windows (141).
□ Check the language settings. For more information, see Configuring language (101).
□ Check the pressures unit-of-measure (for Chinese applications only). For more
information, see Configuring Real-time BP UOM service-level default (129).

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□ Check MultiKM operation. For more information, see Configuring MultiKM checkout
procedures (200).
□ Check current system settings. For more information, see Checking consolidated
configuration information (199).
□ Check Full Disclosure defaults. For more information, see Configuring Full
Disclosure service-level defaults checkout procedures (199).
□ Check for hard drive and solid state flash drive errors. For more information, see
Testing hard drive and flash drive integrity (205).
□ Check USB devices. Select Webmin > Diagnostics > Preventative Maintenance
> USB Loopback Test.
□ Check internal hardware temperature and voltage status. Select Webmin >
Diagnostics > Runtime Diagnostics > Temp/Voltage Info.
□ Check BIOS information. Select Webmin > Diagnostics > Preventative
Maintenance > BIOS Information.
□ Check drive operation information (Flash drive and hard drive). Select Webmin >
Diagnostics > Preventative Maintenance > Drive Test.
□ Check audio component operation. Select Webmin > Diagnostics > Preventative
Maintenance > Audio Test.
□ Check speaker status. Select Webmin > Diagnostics > Runtime Diagnostics >
Closed-loop Audio Info.
□ Check fan status. Select Webmin > Diagnostics > Preventative Maintenance >
Fan Test.
□ Check video function and status of video card and drivers. Select Webmin >
Diagnostics > Preventative Maintenance > Video Test.
□ Check integrity of system files. Select Webmin > Diagnostics > Preventative
Maintenance > Store Integrity Test.
□ Check asset information. Select Webmin > Configuration > Asset Settings.
□ Check the Central station system status messages/Proactive system monitoring.
For more information, see Central station system status messages/Proactive
system monitoring (228).
□ Check operation of the Watchdog countdown function. Select Webmin >
Diagnostics > Preventative Maintenance > Watchdog Test.

FRU upgrades checkout

Perform the appropriate checkout procedure for the replaced FRU:
□ Replacing PCB (motherboard) checkout (202).
□ Replacing processing unit battery checkout (204).
□ Replacing hard drive checkout (204).
□ Replacing flash drive checkout (205).
□ Replacing SATA cables checkout (206).
□ Replacing power supply checkout (207).
□ Replacing fan checkout (207).
□ Replacing dual (internal) speakers checkout (208).
□ Replacing fuse(s) checkout (208).

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□ Replacing front bezel checkout (208).

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Glossary
F
Glossary
Term Definition
An algorithm that mathematically derives ECG leads
based on a reduced set of leads (e.g. derived V2, V3, V4
12RL algorithm
and V6 based on I, II, III, V1 and V5 measured leads from a
6-leadwire ECG cable).
An algorithm that assists the physician in interpreting and
12SL analysis measuring resting 12 lead ECG by providing computer
generated measurements and interpretations.
Temporarily display an additional patient that is not
17th patient view currently monitored on the central station in the Single
Viewer.
Patient data available for display on the central station via
admitted
an monitoring device.
Password protected custom defaults configured by
authorized personnel before clinical use. In user mode,
alarm-level defaults
the alarm-level defaults display in light, dimmed text and
cannot be modified.
If the central station Volume Current is set to 0%, the
Alarm Audio Off Reminder sounds every 120 seconds
± 10 seconds until the alarm condition is resolved or
acknowledged.
The central station will not sound the Alarm Audio Off
Reminder when ANY of the following conditions are met:
● The monitoring device audio alarms are paused.
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.

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Glossary

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 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 allows access to Clinical Information System
Citrix
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.

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 Glossary

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 factory 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.
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.
Specified by the manufacturer and define the initial value
Factory presets for the central station's custom defaults. They cannot be
changed.
Displays Full Disclosure data for the selected time focus
FD Page
(up to five waveforms per row of data).
Allows review of multiple ten 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.

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Glossary

Term Definition
Full Disclosure collects patient data from the bedside
Full Disclosure monitor. The amount of data available per patient is
determined by licensing.
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 Mirror 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 same monitoring
mirrored central display
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.

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 Glossary

Term Definition
mutually exclusive Cannot use more than one options at a time.
non-episodic parameters Periodic data updated every two seconds (e.g., SPO2).
A hazardous situation not related to personal injury that,
notice
if not avoided, could result in property damage.
Numeric Trends Displays parameter numerics in a tabular format.
Monitoring devices that have been assigned a different
out-of-unit
unit name of 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.
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 audible 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.

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Glossary

Term Definition
Network directory lookup service used to discover devices
RWHAT
and their available services.
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, dimmed
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.
Single Viewer Displays a detailed view of a single monitoring device.
Selecting an alarms off reason establishes an audio alarm
Smart Alarms 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.

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 Glossary

Term Definition
Screen sharing interface used to remotely service the
Ultra 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, undimmed 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.

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Glossary

318 CARESCAPE Central Station 2048001-057E

Abbreviations and symbols
G
Abbreviations
#
12RL 12 reduced leads
12SL 12 simplified leads
A
A amperes
A automatic
a-vO2 arterial venous oxygen content difference
AaDO2 alveolar arterial oxygen gradient
AAMI Association of Medical Instrumentation
ABG arterial blood gas
AC alternating current
Acc accelerated
ACI acceleration index
ADUs alarm display units
ADT Admit Discharge Transfer
AF autoflow
AFIB atrial fibrillation
AHA American Heart Association
ANSI American National Standards Institute
ANT anterior
APV airway pressure ventilation
APRV airway pressure release ventilation
AR arterial pressure
AR argon
Arr arrhythmia
ART arterial pressure
ASB assisted spontaneous breathing

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Abbreviations and symbols

AST assist
ASV adaptive support ventilation
Auto automatic
AVG average
aVF unipolar limb lead on the left leg in electrocardiography
aVR unipolar limb lead on the right arm in electrocardiography
aVL unipolar limb lead on the left arm in electrocardiography
B
BE base excess of blood
BIPAP biphasic positive airway pressure
BIS bispectral index
BP blood pressure
bpm beats per minute
BRADY bradycardia
BS base
BSA body surface area
BT blood temperature
BTU British thermal unit
BUN blood urea nitrogen
C
C celsius
Cal calibrate
calcs calculations
CAN Canadian Standards Association
CaO2 arterial oxygen content
CAT5 category five
CC Cardiac Calculations
CCI continuous cardiac index
CCO continuous cardiac output
CD compact disc
CDYN dynamic compliance
CE European Conformity
CFM cooling fan mechanical
CI cardiac index
CIC CIC Pro Clinical Information Center
CISPR Special International Committee on Radio Interference
Cl chloride

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 Abbreviations and symbols

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
CREA creatinine
CRG cardiorespirogram
CRT cathode ray tube
CSA Canadian Standards Association
CTRL control
CV central venous pressure
CvO2 mixed venous oxygen content
CVP central venous pressure
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 diastolic
DISCON disconnect
dL deciliter
DO2I oxygen delivery index
DS dead space ventilation

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Abbreviations and symbols

DVI digital video interface

DVI-A digital video interface (analog)
DVI-D digital video interface (digital)
DVI-I digital video interface (integrated)
E
e episodic
E expired
e.g., for example
EC European Commission
ECF BE base excess extracellular fluid
ECG electrocardiograph
EEC European Economic Community
EEG electroencephalograph
eFUP environment-friendly user period
EMC electromagnetic compatibility
EMG electromyograph
EMI electromagnetic interference
EMMV extended mandatory minute ventilation
EN European Standards
ENF enflurane
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

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 Abbreviations and symbols

G
g gram
GB gigabyte
GE General Electric
GHz gigahertz
GOST State Standard of Russia
H
HAL halothane
Hb hemoglobin
HCO3 bicarbonate
HCT hematacrit
HDD hard disk drive
HE helium
HF high frequency
HFV high frequency ventilation
HI high
HIS Hospital Information System
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 identification
i.e., that is
IEC International Electrotechnical Commission
IMV intermittent mechanical ventilation
in inches
in/insp/INSP inspired
IN inspiration

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Abbreviations and symbols

INF inferior
IP internet protocol
IP invasive pressure
IPPV intermittent positive pressure ventilation
IPX water ingression protection rating
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
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

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 Abbreviations and symbols

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
mW milliwatts
N
n/a not applicable
Na Sodium
N2 nitrogen
N2O nitrous oxide
NBP non-invasive blood pressure
NICO non-invasive cardiac output
No. number
O
O2 oxygen
O2CI oxygen consumption index
O2DI oxygen delivery index
O2R; O2ER oxygen extraction ratio
OR operating room

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Abbreviations and symbols

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
PaO2 partial pressure oxygen; arterial oxygen
PAM pulmonary artery mean
PAW pulmonary artery wedge
PBAR barometric pressure
PC pressure control
PC Pulmonary Calculations
PCB printed circuit board
PCBF pulmonary capillary blood flow
PCO2 partial pressure of arterial carbon dioxide
PCP pressure control pressure
PCV pressure controlled ventilation
PDF portable document format
PDM patient data module
PDS patient data server
PEF peak expiratory flow
PEP pre-ejection period
PEEP positive end expiratory pressure
PEEPi intrinsic positive end expiratory pressure
PID patient identification number
PIP peak inspiratory pressure
PO2 partial pressure of arterial oxygen
POC point of care
PPLAT plateau pressure
PPS positive pressure support
PR pressure
PR pulse rate
PRES ventilator pressure
ppm parts per million
PRN writer

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 Abbreviations and symbols

PRS peak to peak pressure setting

PS pressure support
PT prothrombin time
PvO2 mixed venous oxygen pressure
PVC premature ventricular contraction
PVR pulmonary vascular resistance
PVRI pulmonary vascular resistance index
Q
QRS interval of ventricular depolarization
Qs/Qt shunt fraction
time interval between the start of the Q wave and the end of the T wave
QT
in an ECG waveform
QTc heart rate-corrected QT interval
QWERTY most common keyboard layout
QWERTZ keyboard layout for Central Europe
R
R rate
R right
RA right arm
RA right atrial
RAWe resistance (expiratory)
RES resistance
RESP breath rate
RESP respiration
RF radio-frequency
RGB red green blue
RJ-45 registered jack connector
RL right leg
RM respiratory mechanics
RR respiration rate
RS-232 serial connection/interface
RT rate
RVSWI right ventricular stroke work index
Rx prescription
RX receiver exchange
S
s second(s)

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Abbreviations and symbols

s spontaneous
S static
S systolic
SATA serial advanced technology attachment
SaO2 arterial oxygen saturation
SaO2 oxygen saturation
SB spontaneous breathing
SDRAM synchronous dynamic random access memory
sec second
SENS sensitivity
SEV sevoflurane
SET setting
SFTP secure file transfer protocol
SI International System of Units
SIMV synchronized intermittent mechanical ventilation
SIMVPS synchronized intermittent mechanical ventilation with pressure support
SLV slave
SMART self-monitoring, analysis, and reporting technology
SN serial number
SP service pack
SP special pressure
SPO/SPONT spontaneous
SPO2 arterial oxygen saturation
SPO2 peripheral oxygen saturation
SPO2 pulse oximetry
SQI signal quality index
SR suppression ratio
SSD solid-state drive
ST interval of ventricular repolarization
STNBY stand-by
STR strength
SV stroke volume
SVO2 mixed venous oxygen saturation
SVO2 oxygen saturation
SVR systemic vascular resistance
SVRI systemic vascular resistance index
Sync/SYNC synchronized

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 Abbreviations and symbols

sys/Sys systolic
T
T total
TACHY tachycardia
Tc/TC transcutaneous CO2
TCO2 total CO2
TCPL time-cycle pressure-limited
TEMP temperature
TP temperature probe
TFC thoracic fluid content
tHb total hemoglobin
TRG trigger
TTX telemetry monitoring device identification number
TV tidal volume
TV television
U
UA umbilical artery
UAC umbilical artery catheter
UK United Kingdom
UL Underwriter’s Laboratories, Inc.
UOM unit of measurement
UPS uninterrupted power supply
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

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Abbreviations and symbols

VGA video graphics array

VFIB ventricular fibrillation
VI velocity index
VM vector magnitude
VNC virtual network computing
VO2I oxygen consumption index
VOL volume
V TACH ventricular tachycardia
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

330 CARESCAPE Central Station 2048001-057E

 Abbreviations and symbols

* telemetry monitoring device bed number

* times

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Abbreviations and symbols

332 CARESCAPE Central Station 2048001-057E

content
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