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Corometrics 250cx Series
GE Corometrics 250cx Series Manuals
Manuals and User Guides for GE Corometrics 250cx Series. We have
3
GE Corometrics 250cx Series manuals available for free PDF download: Service Manual, Operator's Manual
GE Corometrics 250cx Series Operator's Manual (250 pages)
Brand:
GE
| Category:
Monitor
| Size: 2.57 MB
Table of Contents
Table of Contents
7
Safety
17
General Information
19
General Use
19
Responsibility of the Manufacturer
19
Responsibility of the User
19
Definitions of Terminology
20
Monitor Contraindications, Warnings, and Precautions
21
Warnings
21
Cautions
24
Electromagnetic Interference
25
Equipment Symbols
26
Introduction
29
Illustrations
31
Pulse Oximetry
32
Heart/Pulse Rate
32
Series Overview
32
The 250Cx Series Monitor Features
32
System Parameters (256Cx and 259Cx)
32
Fetal Parameters
33
Maternal Parameters (259Cx Only)
34
Adding Fetal Movement Detection And/Or Spectra Alerts
34
Controls, Indicators, and Connectors
35
Front Panel Description
37
Front Panel Displays
40
Display Example
41
Primary Labor Parameters
42
FHR Display
42
UA Display
43
Additional Parameters
44
Maternal NIBP
44
MHR/P Area
45
Mspo 2 Area
46
Waveform Area
46
Time and Waveform Message Area
46
Battery-Backed RAM Status
47
Softkeys
47
Mode Title Softkeys
47
Waveform Softkeys
47
Dedicated Softkey Area
48
Rear Panel Description
50
Setup Procedures
53
Loading Strip Chart Recorder Paper
55
Power
58
Interruption of Power
58
Self-Test Routine
59
Setup Screens
59
Using the Trim Knob Control
60
General Setup Screen
61
Play Song
61
Song Volume
61
Temp Done Volume
61
Brightness
61
Paper Speed
62
Date
62
Time
62
Mspo 2 Print Interval
62
Fspo 2 Print Interval
62
Fspo 2 Trace
62
Service
62
Preparing the Monitor for Patient Use
63
Fetal Heart Rate Monitoring
65
Ultrasound (External Method)
67
Methodology
67
US/US2 Setup Screen
67
Volume
67
Alert
68
Alarm Volume
68
FECG (Internal Method)
68
Methodology
68
Artifact Elimination
68
FECG Setup Screen
69
Volume
69
Alarms
69
Audio Alarms
69
Alarm Volume
69
Fetal Heart Rate Alarms
70
FHR Threshold Alarms
70
FHR High Alarm
71
Sample Clinical Exceptions
72
Active Signal Quality Alarm
72
Resolved Signal Quality Alarm
72
100% Signal Loss
73
Silencing an Audio Alarm
73
Summary
74
Single Fetal Heart Rate Monitoring
74
Dual Fetal Heart Rate Monitoring
74
Heartbeat Coincidence
75
Fetal Heart Rate Offset
75
Activating the Fetal Heart Rate Offset Feature
75
De-Activating the Fetal Heart Rate Offset Feature
76
Uterine Activity Monitoring
77
Tocotransducer (External Method)
79
Methodology
79
Establishing a Baseline
79
Initial Referencing
79
Accounting for Belt Tension
80
More about Referencing
80
Out of Range Condition
80
Manually Setting the Baseline at the Default Value
80
Manually Overriding the Baseline Default Value
80
Automatic Baseline "Zeroing
80
Internal Method - Intrauterine Pressure (IUP)
81
Methodology
81
Why You Must Zero the System
81
Maternal Heart/Pulse Rate Monitoring
83
MHR/P Source
85
MHR/P Setup Screen
86
Source
86
HR/PR Trace
87
Volume
87
Alarms
87
Alarm Volume
87
MECG Lead
87
MECG Pacer
88
Maternal ECG Monitoring
89
Theory and Methodology
89
Pacemaker Safety Information
89
MECG Waveform
90
Maternal Non-Invasive Blood Pressure Monitoring
91
Blood Pressure Safety Precautions
93
Warnings
94
NIBP Determination
95
Superstat NIBP Determination
95
Accelerated Determination
96
Systolic Search
96
NIBP Setup Screen
97
Mode
97
Target
97
NIBP Done Volume
98
Alarms
98
Alarm Volume
98
NIBP Monitoring
98
Checklist
98
Patient Preparation
98
Blood Pressure Methodology
99
Hydrostatic Effect
100
Manual Mode
100
Automatic Mode
100
Taking a Manual Reading between Auto Determinations
101
Venous Return in Auto Mode
101
Adjusting the Interval Time between Automatic Determinations
101
NIBP Interval Button Shortcut
102
Terminating a Determination in Progress
103
Smart BP Feature
103
Enabling/Disabling Smart BP
103
Methodology
103
Maternal Pulse Oximetry Monitoring
105
Mspo2 Technology
107
Which Module Is Installed
107
Theory of Operation
108
Ohmeda Trusignal™ Oximetry
108
Trusignal™ Enhanced Spo2
108
Signal Processing
108
Masimo SET
108
Nellcor Oximax
109
Automatic Calibration
110
Satseconds
110
Satseconds "Safety Net
112
Using Satseconds
112
Mspo 2 Setup Screen
113
Response Time (Nellcor 506 Technology Only)
113
Response Time (Nellcor NELL-3 Technology Only)
113
Sensitivity (Masimo Technology Only)
113
Averaging Time (Masimo Technology Only)
114
Print Interval
114
Alarms
114
Alarm Volume
114
Mspo Pulse Beat Audio
115
The Mspo 2 Waveform
115
Module and Probe Compatibility
115
Modules and Sensors
116
No Implied License
116
Sensors
116
Alarms
117
Introduction
119
Alarm Setup
119
Master Alarm Setup Screen
119
Alarms
119
Alarm Volume
120
Alarm Silence
120
Alarm Setting Indicators
121
Maternal Alarm Occurring During Setup
121
Alarm Behavior
121
Fetal Heart Rate Alarms
122
FHR Patient Alarms
122
Active Patient Alarm
122
Resolved Patient Alarm
122
FHR Signal Quality Alarms
122
Active Signal Quality Alarm
122
Resolved Signal Quality Alarm
123
Silencing an FHR Audio Alarm
123
Maternal Alarms
123
Maternal Patient Alarms
123
Active Patient Alarm
123
Resolved Patient Alarm
123
Signal Quality Alarms
123
Active Signal Quality Alarm
124
Resolved Signal Quality Alarm
124
Silencing a Maternal Audio Alarm
124
Alarms Summary
125
Recorder Modes
127
Modes
129
Off Mode
129
On Mode
129
Maternal-Only Mode
129
What Is the Maternal-Only Mode
129
Printing Style
129
Changing Recorder Modes
130
Functionality with a QS System
131
Paper Versus Electronic Strip Charts
131
Fetal Heart Rate Alarms
132
Trends
132
Multiple Trends
132
Spo Scale
133
Annotations
133
Standard Annotations
134
Blood Pressure Annotations
134
Maternal Pulse Oximetry Annotations
135
Annotations from a Central Information System
135
Multiple Annotations
135
Summary of Annotations
136
Adjustable Recorder Font Size
139
Chart Style Vital Signs Printing
140
Enabling/Disabling Chart-Style Printing
140
Examples of Printing Styles
141
Chart-Style Printing Examples
141
Real-Time Printing Example
141
Chart-Style 7-Minute Exception for NIBP
141
Strip Chart Paper
142
Paper-Low, Paper-Out, and Paper-Loading Error Conditions
144
Maternal Vital Signs History
147
What Is the Maternal Vital Signs History Screen
149
Using the Maternal Vital Signs History Screen
150
Displaying the Screen
150
Selecting the HX Interval
150
Printing the Maternal Vital Signs History Screen
151
Printing the Entire Vital Signs History
151
Printing a Page of the Vital Signs History
151
Stopping the Printing of Maternal Vital Signs History
151
Heartbeat Coincidence
153
Heartbeat Coincidence Theory
155
Using the Heartbeat Coincidence Feature
155
Enabling/Disabling Heartbeat Coincidence Detection
155
Display Indicator
155
Strip Chart Annotation
157
Waveforms
159
Waveform Area
161
Selecting the Waveform
161
Waveform Speed
161
ECG Size
161
MECG Lead Select
161
MECG Pacer Label
161
Moving Gap
162
Freezing Waveforms
162
Printing a Waveform Snapshot
163
Recorder on
163
Recorder in Maternal-Only Mode
164
Recorder off
164
Stopping a Print Command
164
Maintenance
165
Cleaning
167
Monitor Exterior
167
Display
168
Tocotransducer and Ultrasound Transducer
168
Leg Plates and MECG Cables
168
Maternal NIBP Cuffs and Hoses
169
General
169
Materials
169
Procedure
169
Maternal Spo 2 Calibration
170
NIBP Maintenance
170
Disposal of Product Waste
171
Patient Applied Parts
171
Packaging Material
171
Monitor
171
Troubleshooting
173
General Troubleshooting
175
Ultrasound Troubleshooting
176
FECG Troubleshooting
177
External Uterine Activity Troubleshooting
177
Internal UA Troubleshooting
178
MECG Troubleshooting
179
Blood Pressure Troubleshooting
179
Maternal Pulse Oximetry Troubleshooting
180
Technical Specifications
181
General Monitor
183
Operating Modes
184
Strip Chart Recorder
191
Supplies & Accessories
193
General Add-Ons Ordering Information
195
Paper Supplies Ordering Information
195
Ultrasound Ordering Information
195
FECG Ordering Information
196
Tocotransducer Ordering Information
196
IUPC Ordering Information
196
MECG Ordering Information
197
NIBP Ordering Information
197
Mspo 2 Ordering Information
198
Peripheral Device Ordering Information
198
Factory Defaults
199
Table of Defaults
201
Fetal Movement Detection
207
Introduction
209
Availability
209
Methodology
209
Using Fetal Movement Detection While Monitoring
209
Enabling/Disabling Fetal Movement Detection
209
Display Indicator
210
Strip Chart Annotation
210
Using the FM Remote Marker to Complement the Patient Record
210
Spectra Alerts
213
Important Safety Information
215
Using the Spectra Alert Option
216
Enabling/Disabling Spectra Alerts
216
Methodology
216
Alert Indications
218
Active Alerts
218
Silencing Alerts
218
Resolved Alerts
219
Alert Suspension Feature
219
Enabling/Disabling the Alert Suspension Feature
219
Suspending Audio Alerts (and the Nurse Call Interface
219
Restoring Audio Alerts (and the Nurse Call Interface
219
Alert Parameters Summary
221
Resetting Alerts
224
False Pattern Recognition
224
Mode Switching
224
Trend Screen
225
Uterine Contraction Frequency
225
Enabling/Disabling UC Frequency Display
226
UC Frequency in UA Display Area
226
UC Frequency Histogram
227
Enabling/Disabling UC Chime
227
Nurse Call Interface
228
Alert Parameters
229
Frequently Asked
235
Questions
235
Faqs
237
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GE Corometrics 250cx Series Service Manual (252 pages)
Brand:
GE
| Category:
Medical Equipment
| Size: 2.77 MB
Table of Contents
Table of Contents
7
Introduction
15
Revision History
15
Safety Information
17
Responsibility of the Manufacturer
17
Responsibility of the User
17
References to Persons, Places, and Institutions
17
Hazard Definitions
18
Product Specific Hazards
19
Cautions
22
Electromagnetic Interference
23
Equipment Symbols
24
Service Requirements
25
Equipment ID
25
Intended Audience
26
Intended Use
26
Related Manuals
27
Equipment Overview
29
Equipment Description
31
Front Panel Description
32
Front Panel Displays
35
Display Example
36
Setup Screens
36
Softkeys
36
Mode Title Softkeys
36
Waveform Softkeys
37
Dedicated Softkey Area
37
Rear Panel Description
40
Optional Components
42
Software Upgrades
42
Adding Spectra Alerts
42
Adding Fetal Movement Detection
42
Peripheral Components
42
Nellcor® Puritan Bennett Model N-200 Maternal Pulse Oximeter
42
Nellcor Puritan Bennett Model N-400 Fetal Pulse Oximeter
43
DINAMAP Models PRO Series 100-400 and Procare
44
Centricity Perinatal (QS)
44
Exergen® TAT-5000
44
GE Healthcare Protocols
45
250Plus Protocol
45
115 And 115X/R Protocols
45
Theory of Operation
46
Systems Overview
46
Installation
55
Tools Required
57
Connections
57
Fetal Acoustic Stimulator
57
Remote Marks Connector
57
ECG out Connector
57
J101 Connector (Model 340 Telemetry System Interface)
58
J109, J110, and J111 Connectors (RS-232C)
59
Power
60
J112 (External Display Connector)
61
Self-Test Routine
61
Battery-Backed RAM Status
62
Setup
63
Loading Strip Chart Recorder Paper
63
Mounting a Strain Gauge
66
Setup Screens
66
Service Mode Screens
66
Service Lock Screen
67
Install Options Screens
68
Printing System Setup Information
74
Communications Setup Screen
75
Baudrate
75
Mode
75
Configuration Switches
76
Factory Defaults
77
Maintenance
81
Maintenance Schedule
83
Visual Inspection
84
Cleaning
85
Monitor Exterior
85
Display
86
Tocotransducer and Ultrasound Transducer
86
Leg Plates and MECG Cables
86
Maternal NIBP Cuffs and Hoses
87
Periodic Thermal Printhead Cleaning
88
Cleaning the UA Strain Gauge
88
Disposal of Product Waste
89
Patient Applied Parts
89
Packaging Material
90
Monitor
90
Electrical Safety Tests
90
Initial Conditions
90
AC Line
90
Ground Impedance
90
Chassis Leakage
91
Patient-To-Ground Leakage for MECG/FECG
91
Patient-To-Line (ISO) Leakage for MECG/FECG
91
Patient-To-Ground Leakage for IUP
92
Patient-To-Line (ISO) Leakage for IUP
92
Patient-To-Ground Leakage for US1/US2
92
Patient-To-Line (ISO) Leakage for US1/US2
93
Patient-To-Ground Leakage for Spo2
93
Patient-To-Line Leakage for Spo2
93
Dielectric (Hi-Pot) Tests
94
Checkout
96
General
96
Equipment Required
97
Self-Test Routine
97
Front Panel Button Test
99
Connecting the Simulator
99
MECG Test
100
FECG Test
103
Ultrasound Test
106
Fetal Movement Detection Test
108
Ultrasound Transducer Test
109
Uterine Activity Test
110
Testing the Tocotransducers
112
Strain Gauge Transducer Test
113
Pattern Memory Test
114
Dual Heart Rate Test (Non-Pattern)
115
FECG/US Modes
115
Dual Ultrasound Modes
116
Alarm Test
117
Mspo Test
119
NIBP Calibration and Testing
120
Purpose
120
Required Hardware
120
General Calibration Sequence
121
Calibration Verification
121
Calibrate Transducers
121
Overpressure Detection
122
System Leakage
122
Display Check
123
Checking a Display
123
Verifying the DSP Board Operation
123
External Display
124
Maternal Spo 2 Calibration
124
Hardware Switches
124
Main Board SW1 Switch Settings
125
J102 Analog Output Connector DAC Static Test
125
Verification
126
RS-232C Connector Loopback Test
128
Making a Loopback Test Connector
128
Testing the Port(S)
128
Calibration
130
Before You Begin Electronic Calibration
130
General
130
Handling Precautions
130
Power Supply Voltages-Verification
130
Main Board Power Supply Voltages
130
Isolated Power Supply Board Voltages
131
Isolated FECG/UA Board Voltages
131
Recorder Photosensor Calibration
132
Adjusting the Paper-Low Photosensor
132
Adjusting the Paper-Out Photosensor
132
Adjusting the Paper-Loading Sensor
133
Repair Log
134
Preventative Maintenance Inspection Report
135
Configuration
135
Tools Required
135
Visual Inspection
135
Comments
139
Troubleshooting
141
Diagnostic Tests
143
Main Motherboard and DSP Board Self-Test
143
Monitor Self-Test
143
Error Log Screen
143
Diagnostic Control Screen
145
Recorder Calibration Test
146
CPU Version
146
DSP Version
146
Run Time
147
Recorder Time
147
Recorder Servicing
147
Faqs
156
System Troubleshooting
177
General Troubleshooting
186
Ultrasound Troubleshooting
187
FECG Troubleshooting
187
External Uterine Activity Troubleshooting
188
Internal UA Troubleshooting
189
MECG Troubleshooting
189
Blood Pressure Troubleshooting
190
Maternal Pulse Oximetry Troubleshooting
191
Parts List, Drawings, and Replacement
193
Ordering Parts
195
Service Parts
195
Field-Replaceable Units (Frus)
196
FRU List
196
FRU Main Reference Guide Drawing
198
Assembly/Disassembly of Frus
200
2025177-003 Speaker
200
2025177-037 Main Board
200
2025177-005 DSP Board
201
2025177-006 Main Power Supply
202
2025177-007 Dual Ultrasound Board
202
2025177-008 FECG/UA Board
203
2025177-009 Isolated Power Supply Board
204
2025177-010 Spo2 Carrier Board with Nellcor Mspo2 Module
204
2025177-013 Front-End Motherboard
206
2025177-036 Chassis
207
2025177-016 COMM Board
210
2025177-017 Recorder Assembly
210
2025177-018 Recorder Board
212
2025177-019 Cables
213
2025177-020 Pneumatics Assembly
214
2025177-021 Display Assembly
215
2025177-022 Front Bezel
216
2025177-023 Keypads
218
2025177-026 Trim Knob and Encoder
219
2025177-027 Power Switch Assembly
220
2025177-028 Main Power Supply
221
2025177-029 MECG Board
222
2025177-031 Top Cover Gasket
223
Technical Specifications
225
General Monitor
227
Operating Modes
228
Strip Chart Recorder
235
Alarms Summary
237
Electromagnetic Compatibility
243
Electromagnetic Compatibility (EMC
243
Guidance and Manufacturer's Declaration - Electromagnetic Emissions
243
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
244
Recommended Separation Distances
246
Compliant Cables and Accessories
247
GE Corometrics 250cx Series Service Manual (202 pages)
Monitor
Brand:
GE
| Category:
Medical Equipment
| Size: 7.06 MB
Table of Contents
Table of Contents
13
Compliance
18
Component Description
18
Components of the Certified Systems
18
Exceptions
18
Monitor System EMC: Immunity Performance
18
About this Manual
19
Scope and Intended Users
19
Conventions
19
User Responsibility
19
References
20
Definitions of Terms
20
Spo 2 Module) Replacement
20
Symbols
21
Important Safety Information
23
Warnings, Cautions and Notes
24
Electromagnetic Interference
27
Chapter 1: System Description
29
System Overview
29
Front Panel Controls, Indicators, and Connectors
31
Display Description
33
Primary Labor Parameters
34
Additional Parameters
34
Waveform
34
Time
34
Softkeys
34
Rear Panel Descriptions
37
Peripherals Description
39
Corometrics TM 340 Telemetry and Mini Telemetry
39
Quantitative Sentinel/Perinatal System
40
Exergen ® TAT-5000 TM
40
DINAMAP ® Models PRO Series 100-400 and Procare
40
Theory of Operation
41
Digital System Processor (DSP) / Display Board
41
Main Board
43
User-Interface Keypad & Volume/Alarm Keypad Boards
44
Video Decoder Board
44
Recorder Board
44
Communications Board
44
Mspo Connector Board
44
Mspo Carrier Board
45
FECG/UA Board
45
MECG Board
45
Dual Ultrasound Board
45
Isolated Power Supply Board
46
Front-End Motherboard
46
Memory Battery
46
Chapter 2: Installation
47
Time Required for Installation
47
Environmental Requirements
47
Tool Requirements
47
Installation Procedure
47
Strip Chart Recorder Paper Load
47
Peripheral Connections
49
Power Cord Attachment
49
System Configuration
49
Chapter 3: Maintenance and Checkout
53
Procedures Schedule
53
Environmental Requirements
54
Tool Requirements
54
Maintenance and Checkout Procedures
54
Visual Inspection
54
Cleaning (Thermal Print Head)
55
Transducer Checks
55
Functional Checks
56
Pattern Memory Check
67
NIBP Calibration Check
70
Electrical Safety Tests
70
Chapter 4: Calibration
73
Calibration Schedule
73
Environmental Requirements
74
Tool Requirements
74
Calibration Procedures
74
NIBP Calibration Check
74
Recorder Photosensors Check
77
Recorder Calibration (Offsets) Check
79
Chapter 5: Diagnostics and Troubleshooting
81
General Troubleshooting Table
81
Ultrasound Troubleshooting Table
85
FECG Troubleshooting Table
87
External Uterine Activity Troubleshooting Table
88
Internal Uterine Activity Troubleshooting Table
90
MECG Troubleshooting Table
91
Blood Pressure Troubleshooting Table
91
Maternal Pulse Oximetry Troubleshooting Table
93
Main Board Troubleshooting - Voltage Checks
94
FECG/UA Board Troubleshooting - Voltage Adjustments
95
Recorder Troubleshooting
95
Vertical Offset Adjustment
95
Horizontal Offset Adjustment
97
Light Printing
98
Chapter 6: Repair and Replacement Procedures
103
Top Cover, Top Cover Gasket, and Timekeeping RAM Chip Replacement
104
Speaker Replacement
105
Dsp/Display Board Replacement
106
Communication Board Replacement
107
Pneumatics Assembly Replacement
108
Main Board Replacement
110
Display Assembly Replacement
111
Power Switch Assembly Replacement
113
Trim Knob Control Assembly Replacement
114
Keypads Replacement
115
Main Power Supply / Fan Replacement
117
Dual Ultrasound Board Replacement
119
FECG/UA Board and MECG Board Replacement
120
Isolated Power Supply Board Replacement
122
Front-End Motherboard Replacement
123
Recorder Assembly and Recorder Door Button Replacement
125
Recorder Board Replacement
127
Recorder Stepper Motor Replacement
128
Recorder Paper-Out/Paper-Low Photosensor Replacement
129
Recorder Paper-Loading Photosensor Replacement
131
Recorder Thermal Print Head Replacement
132
Front Bezel Replacement
133
Chapter 7: Service Parts
135
Illustrated Parts
136
Labels
141
Power Cords
142
FRU List
143
Appendix A: Technical Specifications
149
General Product Specifications
150
Strip Chart Recorder Specifications
151
Operating Modes Specifications
152
Appendix B: Alarm Summary
159
Appendix C: Electromagnetic Compatibility
161
Manufacturer's Guidance and Declaration - Electromagnetic Emissions
161
Manufacturer's Guidance and Declaration - Electromagnetic Immunity
162
Recommended Separation Distances
164
Compliant Cables and Accessories
164
Appendix D: PS320 Fetal Simulator Setup
167
Parts Required
167
PS320 Fetal Simulator Setup
168
Appendix E: Service Mode Screens
171
Service Lock Screen
172
Install Options Screens
173
Printing Setup Information
177
Communications Setup Screen
177
Error Log Screen
178
Diagnostic Control Screen
179
J102 Screen
180
NIBP Calibration Screen
181
Setup Screen Defaults
181
Operator Setup Screens
182
Service Mode Screens
185
Appendix F: CPU Software Upgrade
187
Tool Requirement
187
Upgrade Procedure
187
Appendix G: Corometrics 325 Simulator Setup and Use
189
Simulator Setup
189
Alarms Check
189
MECG Input Check
192
FECG Input Check
193
Ultrasound Input Check
195
Uterine Activity Check
196
Pattern Memory Check
197
Dual Heart Rate Check (Non-Pattern, FECG/US Modes)
198
Dual Heart Rate Check (Non-Pattern, Dual US Modes)
199
Fetal Movement Detection Check
200
Appendix G: Corometrics TM 325 Simulator Setup and Use
189
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