CASE - ServiceManual

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CASE™ Exercise Testing System Service Manual Version V6.5 2027786-082 Revision F

Transcript of CASE - ServiceManual

Page 1: CASE - ServiceManual

CASE™Exercise Testing System

Service Manual

Version V6.52027786-082 Revision F

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T-2 CASE Exercise Testing System Revision F2027786-082 27 July 2007

NOTE: The information in this manual only applies to the CASE Version 6.5. Due to continuing product innovation, specifications in this manual are subject to change without notice.

CASE and MUSE are trademarks owned by GE Medical Systems Information Technologies, a General Electric Company going to market as GE Healthcare. All other marks are owned by their respective owners.

© 2007 General Electric Company. All rights reserved.

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Revision F CASE Exercise Testing System 12027786-082

Contents

1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1Manual Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3Manual Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4Styles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4Illustrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Warnings, Cautions, and Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

Service Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8Equipment Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8

2 Equipment Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1General Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3Rear View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Assembly Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4Thermal Writer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5Power System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6Standard PC Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Input and Output Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10USB A or B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10COM A or B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10ANALOG AND TTL I/O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11

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DVI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11Motherboard Power and I/O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

3 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1Installation Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4Installing the Monitor Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4Installing the Release Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5Preparing the NEC Flat Panel Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6Preparing the CHILIN Flat Panel Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7Mounting the Flat Panel Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8Routing the Cables to the Connector Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9Adjusting the Viewing Angle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10Installing the Keyboard and the Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11Configuring the Mouse (PN 2022144-001) . . . . . . . . . . . . . . . . . . . . . . . . . 3-12Connecting the System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12Preparing the Acquisition Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13Loading Writer Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14Mains Connection, Power Up, Functional Test . . . . . . . . . . . . . . . . . . . . . . 3-15

Network Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17Configure the Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

Domain Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18Workgroup Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

Centricity Xi Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23Save Existing Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24

Copy Custom Setups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24Merge Local Examination Databases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24Merge Networked Examination Database . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25Merge User List and Configured Reports . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26Copy System Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27Finish Database Merge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27

Install CASE Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-28Reconfigure the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-28

Configure Network User Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-29Install Option Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-29Restore System Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-29Restore Custom Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-30Installing a Network Printer for all Users on This CASE . . . . . . . . . . . . . . . 3-30

Data Interface with MUSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-32Establish Connection to MUSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-32Read MUSE Patient Data from CASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-33

Configure Internet Explorer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-33Establish a MUSE Account . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-33

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Configuring a CASE/CardioSoft System with the EMR Application . . . . . . . . . . 3-34Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-35Configuring a CASE/CardioSoft System with the EMR Application . . . . . . . . . . 3-36Install the Centricity EMR Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-36Migrate Historical CardioSoft Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-38

Migrate Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-38

Metabolic Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-39Communication Commands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-39Serial Port Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-39Command String Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-40Shared File Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-42Data File Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-42

4 InSite 2.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1Installing InSite 2.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Pre-Installation Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3Installation Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Uninstalling InSite 2.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

Operating InSite 2.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14Setting the Operation Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14

Restricting Remote Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

5 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Required Tools and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Inspection and Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4Visual Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4Exterior Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4Interior Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

Electrical Safety Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5Recommended Test Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5Recommended Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5Protective Earth Resistance Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5Leakage Current Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

Earth Leakage (AC line) Current Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6Enclosure Leakage Current Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7Patient Leakage Current Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8Patient Leakage Current, Mains on Applied Part . . . . . . . . . . . . . . . . . . . . . 5-10

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6 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Troubleshooting Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4Service Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

Service Screen Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5Diagnostic Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

Access the Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6Acquisition Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7Keypad Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7Writer Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8

Entering a One-Day Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9

General Fault Isolation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10Visual Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10Power-up Self-test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

General Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

Frequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15

Flat Panel Monitor Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22

Printer Debugging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-24

Usage and Workaround of Acrobat 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26

7 Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

System Backup and Restore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4Saving to Diskette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4

Saving System Configurations to Diskette . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4Saving Custom Settings to Diskette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5

Restoring from Diskette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6Restoring System Configuration from Diskette . . . . . . . . . . . . . . . . . . . . . . . 7-6Restoring Custom Setups from Diskette . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

Recovering from a CASE BTRV Error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9

Database Repair for CASE / CardioSoft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11How the Data is Repaired . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11Supported Modalities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11

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Non-Supported Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11Password Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11Directory / File Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-12

Repair directory structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-12Configuring the Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13Using the Repaired Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-14Merging Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-15External Stored Examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-15Examinations with Full Disclosure ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16Repair Message Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16Patient-Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17

Remote Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-18

Controlling Electrostatic Discharge Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-19

Servicing Light Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-20

Servicing the Keypad Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-21

Removing the Worksurface Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23

Servicing the Power Distribution Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-25

Accessing the Drives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-26

Upgrading the Floppy Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-29

Replacing the Floppy Drive / Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-37

Servicing the Print Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-44

Writer Board Firmware Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-47

Servicing the I/O Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-49

Configuring the Acquisition Interface Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-51Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-52

8 System Rebuild . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

CD Image and Application Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4Initial BIOS Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4Bios Setup — Changing the Boot Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5Disk Image Loading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

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Final Bios Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5XP Systems — Verify CRT or Flat Panel Display Settings . . . . . . . . . . . . . . . . . 8-6Modify CRT Display Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6Verify CRT or Flat Panel Display Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6The System Configuration Utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7

Configure the CASE System Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8Set Menus and Dialog Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8Set Input Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9Set Regional Standards and Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9Set Non-Unicode Program Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10

Install Supplemental XP System Files and XP Security Patches . . . . . . . . . . . . 8-11Install XP Security Patches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11

Install the Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12

Options Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-13

9 Upper Level Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1Upper Level Product Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

Field Replaceable Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4FRU Lists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5

Core FRUs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5Cables, Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10Keyboards and Mice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10KISS Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11Monitors and Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11Power Cords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12

FRU Diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-13

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Documentation FRUs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-35

A Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1

B Technical Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-1

C Electromagnetic Compatibility . . . . . . . . . . . . . . . . . . . . .C-1

Electromagnetic Compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3Guidance and Manufacturer’s Declaration – Electromagnetic Emissions . . . . . . C-3Guidance and Manufacturer’s Declaration – Electromagnetic Immunity . . . . . . . C-4Guidance and Manufacturer’s Declaration – Electromagnetic Immunity . . . . . . . C-5Recommended Separation Distances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6Compliant Cables and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-7

D CASE Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-1

Directory Structure and Notes on CASE Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-3Files in Windows system32 directory: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-3File name nomenclature of the examination procedure . . . . . . . . . . . . . . . . . . . . D-4File in the Windows INF directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-4Files in the Windows directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-4

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For your notes

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1 Introduction

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For your notes

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Introduction: Manual Information

Manual Information

Revision HistoryEach page of the document has the document part number and revision letter at the bottom of the page. The revision letter identifies the document’s update level.

The revision history of this document is summarized in the table below.

Manual PurposeThis manual supplies technical information for service representative and technical personnel so they can maintain the equipment to the assembly level. Use it as a guide for maintenance and electrical repairs considered field repairable. Where necessary the manual identifies additional sources of relevant information and or technical assistance.

See the operator manual for the instructions necessary to operate the equipment safely in accordance with its function and intended use.

Intended AudienceThis manual is intended for the person who uses, maintains, or troubleshoots this equipment.

Table 1. Revision History PN 2027786-082

Revision Date Comment

A 5 May 2006 Initial release of this manual; corresponds with CASE software version 6.5

B 2 June 2006 Revised the System Restore instructions to include the “XP Supl Files CASE UPD from V6.01” CD-ROMCorrected the Keypad part number in the FRU list.

C 20 November 2006 ECO 084616, Warning note added on page 1-5, 19” monitor changed on page 9-13

D 04 January 2007 Revision for CASE update to V6.51 / ECO 086172

E 22 February 2007 ECO 086785, update for WIN XP Patch CD and new motherboard

F 27 July 2007 ECO 087386, update new mouse, hard drive and display without stand and cables, Ferrite bead installation, update of equipment symbols description, update of Maintenance chapter/Electrical Safety Tests

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Introduction: Conventions

ConventionsThese are the conventions used in the manual:

StylesBold text indicates keys on the function keypad, the keyboard, text to be entered, or hardware items such as buttons or switches on the equipment.Italicized text indicates software terms that identify menu items, on-screen controls, buttons, or options in various windows.To perform an operation which appears with a plus (+) sign between the names of two keys, you press and hold the first key while pressing the second key once. This is called a keystroke combination.Example: “Press Ctrl + Esc” means to press and hold down the Ctrl key while pressing the Esc key.

When instructions are given for typing a precise text string with one or more spaces, the point where the space bar must be pressed is indicated as Space. The purpose is to ensure you press the spacebar when required.

IllustrationsAll illustrations in this manual are provided as examples only. They may not necessarily reflect your equipment setup or data displayed.

In this manual, all names appearing in examples and illustrations are fictitious. The use of any real person’s name is purely coincidental.

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Introduction: Safety Information

Safety Information

Responsibility of the ManufacturerGE Medical Systems Information Technologies is responsible for the effects of safety, reliability, and performance only if:

Assembly operations, extensions, readjustments, modifications, or repairs are carried out by persons authorized by GE Medical Systems Information Technologies.The electrical installation of the relevant room complies with the requirements of the appropriate regulations.The equipment is used in accordance with the instructions for use.

GeneralThis device is not intended for home use.

Contact GE Medical Systems Information Technologies for information before connecting any devices to the equipment that are not recommended in this manual.

Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards, and/or the system configuration must meet the requirements of the IEC 60601-1-1 medical electrical systems standard.

Periodically, and whenever the integrity of the device is in doubt, test all functions.

The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include:

use of the accessory in the PATIENT VICINITY; andevidence that the safety certification of the ACCESSORY has been performed in accordance to the appropriate IEC 60601-1 and/or IEC 60601-1-1 harmonized national standard.

If the installation of the equipment, in the USA, will use 240V rather than 120V, the source must be a center-tapped, 240V, single-phase circuit.

WARNINGFIRE HAZARD — For continued protection against risk of fire replace fuse only with fuse of same type and rating.

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Introduction: Warnings, Cautions, and Notes

Warnings, Cautions, and NotesThe terms danger, warning, and caution are used throughout this manual to point out hazards and to designate a degree or level or seriousness. Familiarize yourself with their definitions and significance.

Hazard is defined as a source of potential injury to a person.

Term Definition

DANGER Indicates an imminent hazard which, if not avoided, will result in death or serious injury.

WARNING Indicates a potential hazard or unsafe practice which, if not avoided, could result in death or serious injury.

CAUTION Indicates a potential hazard or unsafe practice which, if not avoided, could result in minor personal injury or product/property damage.

NOTE Provides application tips or other useful information to assure that you get the most from your equipment.

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Introduction: Equipment Symbols

Equipment SymbolsCAUTION, consult accompanying documents.

WARNING, dangerous voltage.

Type BF equipment, external defibrillator protected.

Power switch (ON - OFF)

Equipotential

Signal input

Signal output

Fuse

On/Standby

Classified by Underwriters Laboratories Inc. with respect to electric shock, fire, mechanical and other specified hazards, only in accordance with UL 2601-1, CAN/CSA C22.2 No. 601.1, IEC 60601-1, and, if required, IEC 60601-2-27, IEC 60601-2-30, IEC 60601-2-34, IEC 60601-1-1.

This symbol indicates that the waste of electrical and electronic equipment 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 your equipment.

CLASSIFIED

C

MEDICAL EQUIPMENTUL 2601-1 CAN/CSA 601.1

4P41

USR

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Introduction: Service Information

Service InformationService Requirements

Follow the service requirements listed below.Refer equipment servicing to GE Medical Systems Information Technologies’authorized service personnel only. 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 Medical Systems Information Technologies 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 ensure that the equipment will always be functional when required.

Equipment IdentificationThe Serial Number and Unit ID number tags appear on back of the device in the location shown below.

Serial Number location

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Introduction: Service Information

Every GE Medical Systems Information Technologies device has a unique serial number for identification.

A Product CodeB Year Manufactured (00-99)

00 = 200001 = 200102 = 2002(and so on)

C Fiscal Week ManufacturedD Production Sequence NumberE Manufacturing SiteF Miscellaneous Characteristic

### ## ## #### # #

A B C D E F

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Introduction: Service Information

For your notes

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2 Equipment Overview

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For your notes

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Equipment Overview: General Description

General DescriptionShown below is a general overview of a CASE system. See the “CASE Operator’s Manual” for details on operating procedures.

Front View

Rear View

Function keypad

Monitor

Console for keyboard and mouse

Paper tray

Power switch, floppy disk/SD card reader, and CD drive

Acquisition Module Holder

Equipotential pin, power inlet with fuses, Mains switch

Access Panel

Route external device cables through clamps

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Equipment Overview: Assembly Descriptions

Assembly DescriptionsFamiliarity with the components of the CASE assembly will aid in troubleshooting the equipment. The CASE consists of the following components.

MonitorThe system uses either a 19" or 17” flat panel monitor rated IEC-950 universal AC input.

This monitor has a standard IEC320 power cord and a DVI video connector on a cable for the digital DVI input signal.

The monitor displays optimal waveform quality at the system setting of 1280 x 1024 with a 60Hz refresh rate and 16 bit color depth.

KeypadThe keypad is designed as a bus powered, low speed USB peripheral using a Cypress MCU.

There is protection from ESD on the PCB as well. The keypad is hot pluggable, and in the CASE system, it relies on a custom software driver running the USB ports on the motherboard under NT 4.

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Equipment Overview: Assembly Descriptions

Thermal WriterThe thermal writer assembly contains a thermal print head with cue hole sensor, a motor/encoder assembly to drive the platen roller, and an Information Technologies designed PCB to receive scan line data and motor commands from the PC over USB.

The PCB is based on an Cypress high speed USB MCU with an 8051 core. The program is stored on a FLASH memory chip that can be reprogrammed from the host PC. The PCB connects to the thermal print head motor and cue sensor through a 40-pin ribbon harness. A standard type 'B' R/A USB connector provides the link to the PC using any high speed USB A-to-B cable under 5m.

The functioning of this USB writer PCB depends on communication with the host PC motherboard USB controller which is under the control of a software driver. A special driver is always needed to communicate with this writer PCB (this driver is built into the application software). Check operation in the CASE system, since full functionality depends on cooperation with the motherboard USB ports and associated software drivers.

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Equipment Overview: Assembly Descriptions

Power SystemAC power comes into the unit through an IEC-320 inlet module that has an equipotential ground stud mounted near it.

The AC power then goes to a power distribution PCB. Its function is to route AC power and isolated AC power to the proper places in the unit. Regular AC power is routed to the medical grade power supplies. Isolated AC power is derived from the isolation transformer, and routed to the IEC-950 CRT monitor. No switching of AC power is needed with inputs from 100–240 VAC since all supplies and the isolation transformer are universal input in the unit.

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Equipment Overview: Assembly Descriptions

Standard PC Components

PC SubsystemThe PC subsystem (A) provides processing, video, and network capability using industry standard PC components.

Besides on PCB connectors for floppy and IDE drives, the motherboard has an I/O panel arrangement in one corner (per standard ATX designs) that has off PCB connectors.

Acquisition/Interface Card This PCB (B) plugs into an expansion slot on the motherboard and provides an interface to the PC that allows CAM-14 acquisition and analog/TTL I/O and needed COM ports.

PS/2 KeyboardA standard 104-key Windows 95 keyboard with PS/2 interface is connected to the PC I/O panel PS/2 keyboard connector.

B

A

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Equipment Overview: Assembly Descriptions

PS/2 MouseA standard two-or three-button mouse with PS/2 interface is connected to the PC I/O panel PS/2 mouse connector.

Hard Drive This drive (A) connects to the motherboard primary IDE channel as a master through a standard IDE ribbon cable. Power comes from the power distribution PCB.

Floppy Drive / SD Card Reader This drive (B) connects to the motherboard floppy channel through a standard floppy ribbon cable and an internal USB cable. Power comes from the power distribution PCB.

CD-R/W DriveThis drive (C) connects to the motherboard primary IDE channel as a slave through a standard IDE ribbon cable daisy-chained with the hard drive. Power comes from the power distribution PCB.

A

B

C

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Equipment Overview: Connections

ConnectionsShown below is the CASE rear connector panel. See Chapter 3 of this document and the CASE Operator’s Manual, “B Miscellaneous, Connecting Peripheral Devices,” for information on connecting peripheral devices to the CASE.

Mouse

USB PortsStress Keyboard and External Thermal Writer can be connected to either USB Port.

KeyboardCom 1Treadmill

Video DVI

LANLPT 1

COM 2 Analog I/O Com D

Com B

Com A

CAM 14

Com C

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Equipment Overview: Input and Output Connectors

Input and Output ConnectorsThe pin-by-pin descriptions identify the signal names and pin outs for each connector on the unit.

USB A or B

COM A or B

ANALOG AND TTL I/O

Table 1. USB Jack or Plug

Pin Name

1 Vcc

2 - Data

3 + Data

4 Ground

Table 2. Acquisition PCB Serial PortsPin Name1 HANDSHAKE OUT2 HANDSHAKE IN3 XMIT 422-4 GND5 RXD 422-6 XMIT 422+7 +12V, 0.5A MAX8 RXD 422+

SHLD CHASSIS

2 1

8 67

35

4

MD1322-007

Table 3. Acquisition PCB Analog and TTL I/O ConnectorPin Name1 +12V, 300mA MAX2 CH1OUT3 TTL-I/O4 CH2OUT5 GND6 CH3OUT7 AN2IN8 CH4OUT9 AN1IN

SHLD CHASSIS

5 1

9 6

MD1322-010

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Equipment Overview: Input and Output Connectors

Acquisition Interface

DVI

Table 4. Acquisition Module I/F

Pin Name

1 +12V, 0.5A MAX

2 GND

3 AMTX+

4 AMTX-

5 AMRX+

6 AMRX-

7, 8, 9, 10 N/C

Table 5. DVI

Pin Name

1 T.M.D.S. DATA 2-

2 T.M.D.S. DATA 2+

3 T.M.D.S. DATA 2/4 SHIELD

4 T.M.D.S. DATA 4-

5 T.M.D.S. DATA 4+

6 DDC CLOCK

7 DDC DATA

8 ANALOG VERT. SYNC

9 T.M.D.S. DATA 1‘-

10 T.M.D.S. DATA 1+

11 T.M.D.S. DATA 1/3 SHIELD

12 T.M.D.S. DATA 3-

8 1

1724

9C4

C1C2

C5

C3

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Equipment Overview: Input and Output Connectors

13 T.M.D.S. DATA 3+

14 +5V POWER

15 GND

16 HOT PLUG DETECT

17 T.M.D.S. DATA 0-

18 T.M.D.S. DATA 0+

19 T.M.D.S. DATA 0/5 SHIELD

20 T.M.D.S. DATA 5-

21 T.M.D.S. DATA 5+

22 T.M.D.S. CLOCK SHIELD

23 T.M.D.S. CLOCK+

24 T.M.D.S. CLOCK-

C1 ANALOG RED

C2 ANALOG GREEN

C3 ANALOG BLUE

C4 ANALOG HORZ SYNC

C5 ANALOG GROUND

Table 5. DVI (Continued)

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Equipment Overview: Input and Output Connectors

Motherboard Power and I/O

Table 6. Power Supply Connector

Pin Name

1 +3.3V

2 +3.3V

3 GROUND

4 +5V

5 GROUND

6 +5V

7 GROUND

8 PWRGD (power good)

9 +5VSB (standby for real-time clock)

10 +12V

11 +3.3V

12 -12V

13 GROUND

14 PS-ON# (power supply remote on/off control)

15 GROUND

16 GROUND

17 GROUND

18 -5V

19 +5V

20 +5V

Table 7. PS/2 Keyboard and Mouse Connector

Pin Name

1 DATA

2 N/C

3 GROUND

4 +5V (fused)

5 CLOCK

6 N/C

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Equipment Overview: Input and Output Connectors

Table 8. Parallel Port Connector

Pin Name

1 STROBE #

2 DATA BIT 0

3 DATA BIT 1

4 DATA BIT 2

5 DATA BIT 3

6 DATA BIT 4

7 DATA BIT 5

8 DATA BIT 6

9 DATA BIT 7

10 ACK#

11 BUSY

12 ERROR

13 SELECT

14 AUTO FEED #

15 FAULT #

16 INIT #

17 SLCT IN #

18 GROUND

19 GROUND

20 GROUND

21 GROUND

22 GROUND

23 GROUND

24 GROUND

25 GROUND

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Equipment Overview: Input and Output Connectors

Table 9. Com 1, 2, C and D Connectors

Pin Name

1 DCD #

2 SERIAL IN

3 SERIAL OUT

4 DTR #

5 GROUND

6 DSR #

7 RTS #

8 CTS #

9 RI #

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Installation OverviewInstallation of the CASE system consists of the following steps:

1. Unpack and inspect the system.

Verify that the shipment is complete and undamaged. If the shipment has missing or damaged pieces, stop the installation and contact GE Healthcare.

2. Assemble the system.

Refer to “Assembly” on page 3-4 for details.

3. Connect the CASE to the exercise device.

Refer to the installation instructions included with the exercise device for details.

4. Install and configure InSite 2.0, if applicable.

InSite 2.0 is the service option that allows diagnostics for the CASE system. Refer to Chapter 4, “InSite 2.0” for details on installing and configuring InSite 2.

5. Connect the CASE system to the network, if applicable.

Refer to “Network Installation” on page 3-17.

6. Connect the CASE system to the MUSE system, if applicable.

This allows the CASE system to share information with the MUSE system, speeding up data entry and reducing errors. Refer to “Data Interface with MUSE” on page 3-32 for details.

7. Configure the CASE system for an EMR application, if applicable.

By interfacing with an EMR application, the CASE system can be controlled by and transfer data with the EMR application. Refer to “Configuring a CASE/CardioSoft System with the EMR Application” on page 3-34 for details.

8. Configure the CASE system for a metabolic interface, if applicable.

Refer to “Metabolic Interface” on page 3-39 for details.

After the installation is complete, the CASE system is ready for the user.

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AssemblyAfter unpacking and inspecting the CASE system, complete the following procedures to put your new CASE into service.

Installing the Monitor Support

1. Lock the wheels.

2. Open rear access panel.

3. Remove the nuts from the extended screws at the base of the support.

4. Route the light cable through the indicated opening on the tray.

NOTE The light cable and cable guide MUST be routed through the center of the support neck. If your assembly is not in the center, remove the cable guide and insert it in the center of the neck before proceeding.

5. Insert the support screws into the matching holes of the tray.

2-10A

27D

Route the light cable through this opening.

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6. Secure the support to the tray using the nuts removed in Step 3 and apply in the order shown below.

Installing the Release Handle

To install the Release Handle follow these steps:

1. Insert the Release Handle into the threaded hole and turn clockwise until the handle is bottomed out.

2. Lift and turn handle to the center position.

3. Turn handle counter-clockwise to release tension and clockwise to increase tension on the mounting plate.

1

6 4

3

52

Back

Front

2-11B

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Preparing the NEC Flat Panel MonitorTo prepare the NEC monitor for mounting on the CASE system follow these steps:

CAUTION APPROPRIATE CABLE USAGE — The CASE system is configured to operate ONLY with the digital video interface (DVI) cable (2019792-001 CABLE ASSY DVI-D TO DVI-D VIDEO 1.8 m).

DO NOT use the VGA cable that is shipped with the flat panel monitor to configure the CASE system. Discard the VGA cable that is shipped with the flat panel monitor.

1. Remove monitor from its shipping carton.

2. Place hands on each side of the monitor and lift up to highest position.

3. Place the monitor face down on a 55 mm thick non-abrasive surface.

4. Remove the stand cover by sliding the top/bottom pieces off the stand as shown below.

5. Remove the four screws connecting the monitor to the stand.

55 mm

Cover BottomCover Top

1

43

2

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Preparing the CHILIN Flat Panel MonitorTo prepare the CHILIN monitor for mounting on the CASE system follow these steps:

CAUTION APPROPRIATE CABLE USAGE - The CASE system is configured to operate ONLY with the digital video interface (DVI) cable (2019792-001 CABLE ASSY DVI-D TO DVI-D VIDEO 1.8M) that is shipped separately within the CASE shipment, when using the CHILIN monitor.

DO NOT use the DVI or VGA cables that may have been delivered in the monitor's accessory box to configure the CASE system. Discard any cables you may find in the monitor's accessory box.

1. Remove monitor from its shipping carton.If the monitor is delivered without stand, proceed with step 4.

2. Place the monitor face down on a non-abrasive surface

3. Remove the four screws connecting the monitor to the stand. Start with the lower left one, this one is a little bit harder to remove, then to remove the other screws, turn the stand to allow access to the screws.

4. After mounting the flat panel monitor (see page 3-8) and routing the cables to the connector panel (see page 3-9), connect the monitor to power as described below:

5. Remove cover at the backside of the monitor.

6. Connect cables as shown (use bracket to secure the power cord).

7. Close cover.

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Mounting the Flat Panel Monitor1. Remove the CASE neck assembly and flat panel monitor from their packaging.

2. Lay the flat panel monitor face down on a clean flat surface and fasten the mounting adapter to the back of the monitor display housing with four M4 pan head screws provided.

3. Partially insert two M4 pan head screws provided into the two top holes of the mounting adapter.

4. With the Mounting Plate locked in the vertical position, lift the monitor onto the Mounting Plate while guiding the two M4 pan head screws into the slots in the Mounting Plate.

4 - M4 Screws

2 - M4 Screws

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5. Insert the two remaining two M4 pan head screws then tighten all four screws.

Routing the Cables to the Connector Panel

CAUTION APPROPRIATE CABLE USAGE — The CASE system is configured to operate ONLY with the digital video interface (DVI) cable (2019792-001 CABLE ASSY DVI-D TO DVI-D VIDEO 1.8 m).

DO NOT use the VGA cable that is shipped with the flat panel monitor to configure the CASE system. Discard the VGA cable that is shipped with the flat panel monitor.

27E

Cable Clamps

Connector Panel

Cable Feed Through Hole

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1. Remove monitor from its shipping carton.

2. Guide the cables through the cable clamps to the connector panel.

3. To lock the clamps, press first on its small tab, then press the large tab.

Adjusting the Viewing Angle

To adjust the viewing angle of the monitor, while holding the monitor, lift and turn the release handle counter clockwise. To lock the monitor in place, lift and return the handle to its original position.

1

2

2-13A

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Installing the Keyboard and the Mouse

1. Remove the tray liner.

2. Open the access door, revealing the access panel.

3. Guide the keyboard and mouse cables completely through

a. the center opening at the back of the tray, and

b. the opening at the top of the access panel.

4. Coil the excess cable in the tray and replace the access panel and the tray liner.

5. Choose convenient locations for the keyboard and the mouse on the tray.

6. If the mouse (PN 2022144-001) is sharing a USB connector, add the USB to PS/2 adapter as described in the next section.

7. Connect the keyboard and mouse cables. See the Reference Diagram inside the back panel for connector locations.

8. Connect the monitor to the DVI connector. See the Reference Diagram inside the back panel for connector location.

28A

161A

1

3a

2

3b

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Configuring the Mouse (PN 2022144-001)

For use with the CASE system, connect the PS/2 adapter to the mouse cable. The PS/2 adapter is required, because there is no free USB port for connection of the mouse cable.

Connecting the System Components

1. Connect the remaining cables to the system components and secure the connections with retaining screws.

2. When all connections are made, guide the cables through the gap at the top of the closed access panel and secure them with provided cable clamps if necessary.

A reference diagram of the CASE Exercise Testing System’s back panel, complete with connector labels, is located inside the access door to the back of the unit. Refer to this diagram for information on where to make system connections.

NOTECoil the excess cable for storage as shown above. DO NOT squeeze the cables when closing the access panel.

NOTESee the CASE Operator’s Manual, “B Miscellaneous, Connecting Peripheral Devices,” for information on connecting other devices to the CASE system.

Cable clamp

Reference diagram

2-15A

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Preparing the Acquisition Module

Preparing the acquisition module

NOTEThere are two sets of lead label stickers for the acquisition module: AHA labeling and IEC labeling. If not already done, select the proper one for your use and apply.

1. If not already done, connect the patient cable to the base of the acquisition module.

To remove the cable from the acquisition module, press in the spring lock located on one side of the patient cable.

2. If not already done, plug the individual lead wires into the acquisition module, observing the lead labels.

CAUTION Trace each individual lead wire from its colored connector back to the Acquisition Module label to insure that it is matched to the correct label location. Improper connection will cause inaccuracies in theECG.

3. Place the supplied acquisition module holder to the right side of the cart, then place the acquisition module into the holder.

NOTEThe ECG signal input of the CASE Exercise Testing System is isolated and defibrillation-proof only in conjunction with the CAM-14 Acquisition Module (type BF).

29B

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Loading Writer Paper

Verify that the thermal paper is installed properly.

1. Lift up the paper Compartment Lid and press the paper Release Button. (A stripe appears on the writer paper when only 20 feet of paper are left.)

2. Place fanfold paper in paper storage compartment.

3. Feed paper (plain side facing roller) under roller assembly until approximately 3–4 inches extend out of the paper storage compartment.

4.

5. Press the paper release button while moving the roller assembly back into position.

6. Release the paper release button to lock the roller assembly into position. Close the paper compartment lid.

53A

Release Button

Compartment Lid

54A

Storage Compartment

55A

56A

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Mains Connection, Power Up, Functional Test

NOTEObserve the Safety Information section in Chapter 1.

1. Connect the CASE Exercise Testing System to the power line and fasten with the clamp provided.

NOTEDO NOT energize the system at this time.

2. We also recommend connecting the system to the potential equalization system.

3. Connect all system components to the power line and put them into operation as outlined in the respective operator manuals.

4. Turn on the mains power switch on the back of the system.

5. Turn on the CASE Exercise Testing System with the power button on the Side Panel and the Windows operating screen will appear.

6. Login to system.

NOTEIf logged in as Administrator go to Step 7.If logged in as User go to Step 8.

7. Double click on the CASE icon when it appears.

8. The Initial Screen will now appear.

200A

34A

Mains connection (power line connection)

Potential equalization system connection

Power button

Mains power switch

Back Panel

Side Panel

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NOTE Do not turn off the mains power switch until you have:a. Exited from the application, and

b. Selected Yes from the Do you want to terminate the program and shut down the device dialog box.

Turn off the CASE Exercise Testing System with the Mains power switch on the back of the unit if it is not used for a prolonged period of time. In all other situations, turn it off and on with the power button on the side panel.

The power button on the side panel does not disconnect the system from AC power.

See the CASE Operator’s Manual for “Putting the System into Service.”

CAUTION Before using the CASE system for the first time, you should conduct electrical safety tests on the equipment to ensure the safety of the patient and the operator. For information on conducting these tests, refer to “Electrical Safety Tests” on page 5-5. After the electrical safety tests have been successfully completed, you are ready to continue with the installation.

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Installation: Network Installation

Network InstallationAfter connecting the CASE system to the exercise equipment, it is ready to be connected to the network. This section addresses the installation of the system in a CardioSoft network. The following is a high-level outline of the installation procedure. Perform the following installation procedure in the given order.

CAUTIONS Before installation, close ALL programs (CASE / CardioSoft) on ALL stations. The CardioSoft server itself must not be used as a CardioSoft station. If an application is open on any system, it may cause failure of installation.

To ensure trouble-free access to the database, install the same software version on all clients/workstations.

1. Configure the Network

Perform this step by choosing one type of network configuration (Domain Configuration or Workgroup Configuration) and follow all of the steps to setup the networking aspect of the installation.

2. Save Existing Data

Perform this step only after all systems have been configured in the network to merge all data from stand-alone systems to the CardioSoft server.

3. Install CASE Application

Perform this step only after all systems have been configured in the network and all of the data has been merged to the CardioSoft server.

4. Reconfigure the System

Perform this step only after the CASE application has been installed at each system to configure each system for customer use.

NOTE The RadiSys board used with the CASE System is Full Duplex, Intel ICH2 integrated MAC with Intel 82562 PHY IEEE 802.3 10Base-T and 100Base-TX compatible.

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Configure the NetworkCASE/CardioSoft can be installed on either a Domain or Workgroup network configuration. A network administrator must determine which configuration to use prior to the network installation.

The following table outlines the installation procedures for both network configurations. They are presented side-by-side to call out differences and similarities.

Proceed only after the network configuration is identified.If you are installing on a Domain configuration, proceed to “Domain Configuration” on page 3-18.If you are installing on a Workgroup configuration, proceed to “Workgroup Configuration” on page 3-21.

NOTE If existing CASE systems can communicate with the MUSE server, the MUSE server access permissions will need to be reconfigured if a new CASE user is created.

Domain Configuration

To install CASE on a domain, you first configure the server and then configure each workstation to be added to the network. A domain administrator may have to perform both steps.

Server Configuration on a DomainThe configuration of the server consists of the following tasks:

Set up the domain userSet up a shared folder on a domain server

Domain Configuration Workgroup Configuration

Create a Domain user or domain user group to be used by the CASE systems

Create a user or create users and a user group on the server.

Create a shared folder on the server with full control permissions for the domain user or domain user group.

Create a shared folder on the server with full control permissions for the user or user group.

Provide the server name (or IP address) and path to the created shared folder for mapping a drive letter to the folder.

Add each CASE system to the Windows NT / Windows 2000 domain.

Provide static IPs for each system (if Remote View function will be used).

Provide the domain name. Provide the workgroup name.

Provide TCP/IP configuration settings. Provide TCP/IP configuration settings.

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Set up a domain user – Do one of the following:

Create a new domain user accountSelect an existing domain user account

In either case, the account must be designated as a Network User and exist on the domain where the CardioSoft server resides or on a domain that has a trust relationship with the domain where the CardioSoft server resides.

Set up Shared Folder – The procedure for setting up a shared folder differs depending on whether you are installing a new CardioSoft server or updating an existing CardioSoft server.

New CardioSoft Server

1. Log in to the server as the domain administrator.

2. Create a directory named cardio on the local drive of the server.

3. Share the cardio directory and name the share cardio.

4. Configure the share permissions such that the designated Network User has full control permissions.

Existing CardioSoft Server

NOTE Before renaming the old cardio folder, save the system configuration and all custom setups to disk. For additional information, refer to “General Troubleshooting” on page 6-11.

1. Log in to the server as the domain administrator.

2. Rename the existing CardioSoft directory cardio to card_old.

3. Create a new directory named cardio on the local drive of the server.

4. Share the card_old directory and name the share card_old.

5. Share the cardio directory and name the share cardio.

6. Configure the share permissions for both shares such that the designated Network User has full control permissions.

Workstation Configuration in a DomainOnce the server has been configured, you must configure all the systems that will be connected to the CardioSoft network. The workstation configuration consists of the following steps:

Adding a CASE system to the domainConfiguring the CASE user accounts and network settings

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Add CASE System to Windows NT / Windows 2000 Domain – To add a case system to the domain, use the following procedures:

1. Boot the CASE with the Network Enabled hardware profile.

2. Log in as local Administrator.

3. Set the default hardware profile as Network Enabled.

a. Open System Properties by right clicking on My Computer and selecting Properties.

b. Click the Hardware Profiles tab.

c. Select Network Enabled and click the up arrow button.

d. Click OK to close the window.

4. Change network settings.

NOTE The domain administrator may have to perform these steps.

a. Open network properties by right clicking on Network Neighborhood and selecting Properties.

b. Click Change button in Identification tab.

c. Click Domain radio button.

d. Type in designated Domain Name.

e. Check Create a computer account in the domain.

f. Enter the domain administrator login name.

g. Enter the domain administrator password.

h. Click OK to close the window, then click OK to close the network properties window.

i. If prompted, restart the computer.

Configure User Accounts and Network Settings on CASE in a Domain – To configure the user accounts and network settings, use the following procedures:

1. Log in to the CASE as local Administrator.

2. Add the designated Network User to the local Administrator group.

a. Open Start Menu->Programs->Administrator Tools->User Manager.

b. Double click on Administrators in the Groups section.

c. Click Add.

d. In the Add Names textbox, type the domain name and username in this form: [Domain Name]\[Network User].

e. Click OK and then close the User Manager window.

3. Configure the TCP/IP settings.

NOTE Perform these steps if the Remote View function is used or communication with a MUSE server (Version 5.0a) is needed.

a. Right click on Network Neighborhood and select Properties.

b. Click on the Protocols tab.

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c. Click on TCP/IP Protocol and then click Properties.

d. If using Remote View function, specify the IP Address, Subnet Mask, and Gateway.

e. Click on the DNS tab and enter the necessary information.

f. Click on the WINS Address tab and enter the necessary information.

4. Log off the CASE.

Repeat the section Workstation Configuration in a Domain for all systems before proceeding.

Workgroup Configuration

To install CASE on a workgroup, you first configure the server and then configure each workstation to be added to the network. An administrator may have to perform both steps.

Server Configuration in a WorkgroupThe configuration of the server consists of the following tasks:

Set up the domain userSet up a shared folder on a domain server

Set up User for a Workgroup – Do one of the following:

Create a new user account.Select an existing user account.

In both cases, the user must exist on the CardioSoft server and be designated as a Network User.

Set up Shared Folder in a Workgroup – The procedure for setting up a shared folder varies slightly depending on whether the server is new.

New CardioSoft Server

1. Log in to the server as the administrator.

2. Create a directory named cardio on the local drive of the server.

3. Share the cardio directory and name the share cardio.

4. Configure the share permissions such that the designated Network User has full control permissions.

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Existing CardioSoft Server

NOTE Before renaming the old cardio folder, save the system configuration and all custom setups to disk. For additional information, refer to “General Troubleshooting” on page 6-11.

1. Log in to the server as the administrator.

2. Rename the existing CardioSoft directory cardio to card_old.

3. Create a new directory named cardio on the local drive of the server.

4. Share the card_old directory and name the share card_old.

5. Share the cardio directory and name the share cardio.

6. Configure the share permissions for both shares such that the designated Network User has full control permissions.

Workstation Configuration in a WorkgroupOnce the server has been configured, you must configure all the systems that will be connected to the CardioSoft network. The workstation configuration consists of the following steps:

Adding a CASE system to the workgroupConfiguring the CASE user accounts and network settings

Add CASE System to Windows NT / Windows 2000 Workgroup – To add a CASE system to the work group, use the following procedure:

1. Boot the CASE with the Network Enabled hardware profile.

2. Log in as local Administrator.

3. Set the default hardware profile as Network Enabled.

a. Open system properties by right clicking on My Computer and selecting Properties.

b. Click the Hardware Profiles tab.

c. Select Network Enabled and click the up arrow button.

d. Click OK to close the window.

4. Change network settings.

a. Open network properties by right clicking on Network Neighborhood and selecting Properties.

b. Click Change button in Identification tab.

c. Click Workgroup radio button.

d. Type in designated Workgroup Name.

e. Click OK to close the window, then click OK to close the network properties window.

f. If prompted, restart the computer.

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Configure User Accounts and Network Settings on a CASE in a Workgroup – To configure the user accounts and network setting, use the following procedure.

1. Log in to the CASE as local Administrator.

2. Create the designated Network User.

a. Open Start Menu->Administrator Tools->User Manager.

b. Select New User in the User Menu.

c. Enter the exact same user name and password as the designated Network User used on the CardioSoft server.

d. Uncheck the checkbox labeled Change Password.

e. Check the checkbox labeled Password Never Expires.

f. Click Groups button.

g. Add the designated Network User to the Administrators group.

h. Click OK and then close the User Manager window.

3. Configure the TCP/IP settings.

NOTE Perform these steps if the Remote View function is used or communication with a MUSE server (Version 5.0a) is needed.

a. Right click on Network Neighborhood and select Properties.

b. Click on the Protocols tab.

c. Click on TCP/IP Protocol and then click Properties.

d. If using Remote View function, specify the IP Address, Subnet Mask, and Gateway.

e. Click on the DNS tab and enter the necessary information.

f. Click on the WINS Address tab and enter the necessary information.

4. Log off the CASE.

Repeat the section Workstation Configuration in a Workgroup for all systems before proceeding.

Centricity Xi ConfigurationWhen interfacing the CASE to Centricity Xi, data from the CASE will not transfer to the Centricity system until the CASE application is shut down. However, by default, shutting down the CASE application shuts down the entire CASE system. To prevent this, add the following lines to the win.ini file on the CASE system:

[Cardio]Mai-NTDown=0

The following table identifies the location of the win.ini file:

CASE Version WIN.INI Location

v6 or later CASE installation directory

prior to v6 Windows system directory

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Save Existing DataThis section describes how to back up existing system configurations, custom setups, user lists, custom configured reports, and examination files. Start this section only after the network has been configured on all systems that will be connected to the CardioSoft network.

This section must be completed if at least one CASE system added to the CardioSoft network has locally stored examinations. If all systems (CASE \ CardioSoft) and the shared CardioSoft server folder are new, this section can be skipped.

NOTE This procedure copies the examination files and the custom setups from each CASE system. However, it copies the system configuration, the user list, and any custom configured reports from only one CASE system, which should be designated as the “special station.” If the CardioSoft network existed before this installation began, it is recommended you use one of the CASE systems connected to the existing CardioSoft network as the “special station.”

Copy Custom Setups

Copy to diskette the custom setups from every existing CASE system that is not currently connected to the CardioSoft network. The custom setups stored for CASE systems that were already connected to the CardioSys network should already have been copied before the cardio directory on the CardioSoft server was renamed to card_old.

NOTE Refer to “Saving Custom Settings to Diskette” on page 7-5 for details.

Merge Local Examination Databases

The following procedure merges locally stored examinations from the CASE system to the shared folder on the network server. It should be performed on each CASE system that meets the following criteria:

Not currently connected to the CardioSoft networkHas locally stored examinations

Do not perform this procedure for any system that was connected to an existing CardioSoft network.

NOTE Additional information can be found in “Database Repair for CASE / CardioSoft” on page 7-11.

1. Log in to the CASE as designated Network User.

2. Map the next available drive letter (e.g. F:\) to the cardio shared folder on the CardioSoft server.

3. Copy the CARD_REP.exe program to the local CASE program directory (e.g., D:\Case\).

4. Launch the CARD_REP.exe program.

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5. Change the Master Directory to the CASE program directory (e.g. D:\Case).

6. Change the Repair Directory drive to the mapped cardio drive letter (e.g. F:\CARD_R0).

7. Press Start Repair button to run the merge process.

8. Enter the password, which can be found in “General Troubleshooting” on page 6-11.

9. After the merge is completed, press Program End.

10. Log off the CASE.

Repeat Copy Custom Setups and Merge Local Examination Databases on all systems before proceeding.

Merge Networked Examination Database

This procedure merges the local examination databases that were just uploaded to the server with the network examination databases that previously existed in the card_old folder on the server. It should be performed only:

a. IF the CardioSoft server previously existed and had examination data, and

b. AFTER all of the locally stored examinations have been uploaded from each CASE workstation to the CASE server.

1. Log in to the special station CASE as the designated Network User.

2. Map the next available drive letter (e.g. F:\) to the cardio shared folder on the CardioSoft server if it is not already connected.

3. Map any available drive letter (e.g. X:\) to the card_old shared folder on the CardioSoft server.

4. Copy the program CARD_REP.exe to the card_old mapped drive (e.g. X:\).

5. Launch the CARD_REP.exe program from the card_old mapped drive (e.g. X:\).

6. Change the Master Directory to the mapped drive card_old (e.g. X:).

7. Change the Repair Directory drive to the mapped cardio drive letter (e.g. F:\CARD_R0).

8. Press Start Repair button to run the merge process.

9. Enter the password, which can be found in “General Troubleshooting” on page 6-11.

10. Close the CARD_REP program by pressing Program End.

11. Log off the CASE.

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Merge User List and Configured Reports

This procedure merges any custom configured reports and user list from the special station to the cardio folder on the CASE/CardioSoft server. If no custom reports or user list exists on the special station, this procedure can be skipped.

The procedure varies slightly depending on whether the special station had been a stand-alone workstation or part of an existing network. Chose the appropriate procedure and perform all of the steps.

Special Station Was a Stand-Alone Station1. Log in to the special station CASE as the designated Network User.

2. If it is not already connected, map the next available drive letter (e.g. F:\) to the cardio shared folder on the CardioSoft server.

3. Launch the CARD_REP.exe program from the local CASE program directory (e.g. D:\CASE).

4. Change the Master Directory to the local CASE program folder (e.g. D:\Case).

5. Change the Repair Directory drive to the mapped cardio drive letter (e.g. F:\CARD_R0).

6. Press User / Conf. Rep button to run the merge process.

7. Click Yes.

8. Close the CARD_REP program by pressing Program End.

9. Log off the CASE.

Special Station Was Connected to Existing CardioSoft Network1. Log in to the special station CASE as the designated Network User.

2. If it is not already connected, map the next available drive letter (e.g. F:\) to the cardio shared folder on the CardioSoft server.

3. If it is not already connected, map any available drive letter (e.g. X:\) to the card_old shared folder on the CardioSoft server.

4. Launch the CARD_REP.exe program from the card_old mapped drive (e.g. X:\).

5. Change the Master Directory to the mapped drive card_old (e.g. X:).

6. Change the Repair Directory drive to the mapped cardio drive letter (e.g. F:\CARD_R0).

7. Press User / Conf. Rep button to run the merge process.

8. Click Yes.

9. Close the CARD_REP program by pressing Program End.

10. Log off the CASE.

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Copy System ConfigurationThis procedure copies the system configuration of the special station to diskette. Log on to the special station as a local administrator and follow the directions described in “Saving System Configurations to Diskette” on page 7-4.

NOTE If the special station was on the CardioSoft network before the installation procedure was started, the system configuration should have already been saved before the cardio folder was renamed to card_old on the CardioSoft server.

Finish Database Merge

Perform this task only after the following tasks have been completed:

All local databases have been merged into the CARD_R0 folder.The original server database (if it existed) has been merged into the CARD_R0 folder.The user list has been merged into the CARD_R0 folder.The configured reports have been merged into the CARD_R0 folder. The custom setups have been copied to diskette.The system configuration has been copied to diskette.

To finish the database merge, use the following procedure:

1. Log in to the special station CASE as the designated Network User.

2. Map the next available drive letter (e.g. F:\) to the cardio shared folder on the CardioSoft server if it is not already connected.

3. Open the CARD_R0 folder on the mapped drive cardio (e.g. F:\CARD_R0).

4. Move all files in the CARD_R0 folder to the root of the mapped drive cardio (e.g. F:\).

5. Delete the empty CARD_R0 folder.

6. Log off the CASE.

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Install CASE ApplicationThe following procedure installs the CASE application. The application should be installed on all CASE workstations. Do not install it on the server.

CAUTIONS Install the application only after you configure the CardioSoft network (“Configure the Network” on page 3-18) and save the existing data (“Save Existing Data” on page 3-24)

Install the application on ONLY ONE workstation at a time. Attempting to install it on more than one workstation at the same time may corrupt the installation on ALL workstations.

1. Log in as the local Administrator.

2. Map the next available drive letter (e.g. F:\) to the cardio shared folder on the CardioSoft server.

NOTE Make sure the Reconnect at login box is checked. Also, Connect as should be the designated Network User. If the designated Network User is a domain user, then enter [Domain Name]\[Network User].

3. Insert the application installation CD into the CD drive and begin the installation. If the installation does not start automatically (wait some seconds), launch setup.exe in directory Disk1 (“E:\Disk1\setup.exe”).

4. At the Choose Program Directory (local) screen, choose the default, D:\CASE. Click Next.

5. At the Choose Database Directory screen, select Browse… and browse to the root folder of the mapped drive cardio on the CardioSoft server.

6. Verify the Path edit box value is the root folder of the mapped network drive (e.g. F:\).

7. Finish the installation and reboot the system as prompted.

Reconfigure the SystemConfiguring the system is the last step in the installation process and prepares the CASE workstations. It should be performed only after the application has been installed on ALL workstations.

CAUTION Do not start the application on any workstation until the all workstations have been reconfigured. Attempting to start the CASE application before all workstations have been configured may corrupt the installation on all workstations.

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Configure Network User Profile

The following procedure prepares the default Network User profile.

1. Log in as the local Administrator.

2. Open the System applet in Control Panel and select the User Profiles tab.

3. Select the local User user profile ([Computer Name]\User) and click the Copy To… button.

4. Browse to the designated Network User profile directory: (C:\winnt40\Profiles\[Network User Name]).

5. Click OK.

6. Click OK to close the System applet.

7. Close Control Panel.

8. Log off.

9. Log in as Network User.

NOTEFrom this point on, the CASE user should login as the designated Network User. Inform the customer of this change.

10. Verify the desktop wallpaper is the GE wallpaper and the mapped drive cardio on the CardioSoft server is connected.

Install Option CodesThe following procedure installs option codes, if they are needed.

1. Start the CASE application if it did not automatically start.

2. Type in the desired option codes or load them from the provided diskette.

For additional information, refer to “Network Installation” on page 3-17.

Restore System Configuration

For any new CASE workstations on the network, do the following:

Load the system configuration that was copied from the special station as part of the data backup process.For more information, refer to “Restoring System Configuration from Diskette” on page 7-6.

Verify that all settings are correct for each tab in the System Configuration window. Verify the connection from the workstation to the MUSE server was not broken, if the workstation should communicate with MUSE.For more information, refer to “Data Interface with MUSE” on page 3-32.

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Restore Custom Settings

For any new CASE workstations on the network, do the following:

Load the custom settings that were copied from the special station as part of the data backup process. The custom settings can be saved to the CardioSoft server from one CASE system and then copied from the server to each workstation. For more information, refer to “Restoring System Configuration from Diskette” on page 7-6.

Verify that the settings are correct for each tab in the Setup window.

Installing a Network Printer for all Users on This CASE

Windows NT stores network printer definitions in the users' profile. To avoid multiple installations for each user, install the printer locally and add a new local port with the path of the network printer:

NOTEThis section should only be performed if a network printer is used.

1. Login as local Administrator.

2. Click Start -> Settings -> Printers.

3. Double click Add Printer.

4. Select My Computer and click Next.

5. Select port LPT2 and click Next.

6. Select manufacturer and model of the network printer or use an appropriate driver from CD/disk. Click Next.

7. At the dialog Type in the name of this printer… Click Next.

8. At the dialog Indicate whether this printer will be shared… Click Next.

9. At the dialog Would you like to print a test page… select No and click Finish.

10. Click Start -> Settings -> Printers.

11. Right click the installed printer, select Properties, select Ports tab, and click Add Port…

12. Select Local Port in the list and click New Port…

13. Enter the network printer name \\[Printer Server Name]\[Printer Name] to enter the port name and click OK.

14. At the Properties dialog, click OK.

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Installation: Data Interface with MUSE

Data Interface with MUSETests on CASE can be transferred to the MUSE database for general accessibility. The tests can be transferred using one of three methods:

a. Save Examinations to a floppy disk and carry it to MUSE

b. Send Examinations to MUSE using FTP via LAN

c. Store Examinations on a shared directory located on MUSE via LAN

NOTEMethods b and c require a network connection with TCP/IP specifications. All methods require that each CASE use its unique Cart number and correct location number to generate a unique filename.

Establish Connection to MUSEThe preferred method for transferring data depends on the version of MUSE with which you wish to transfer data.

For MUSE 5.x, the preferred method is FTP. Use the following procedure to establish a connection from the CASE workstation to MUSE:

1. Specify the FTP account informations on CASE -> System Configuration -> MUSE by enabling “Data transfer via FTP”

2. Type in the FTP Server (normally the same as the Web Server).

3. Enter a Username and Password if this information is required for the FTP server.

For MUSE 4.x, the preferred method is a shared directory. Use the following procedure to establish a connection from the CASE workstation to MUSE:

1. Specify the account informations on CASE -> System Configuration -> MUSE by enabling “Data transfer via shared directory”.

2. Type in the correct shared directory.

You have multiple methods to enter the correct shared directory.

If the shared directory has been mapped and configured to reconnect at logon, you can enter the mapped drive letter (e.g., .F:\).

If the shared directory has not been mapped, you can enter the UNC format in a valid form (e.g., \\SvrName\SharePointName).

If no DNS/WINS is installed on the domain server (i.e. you are using RAS), enter the physical IP address of the server and the directory name (e.g., \\123.456.789.255\SharePointName).

3. Enter a Username and Password if this information is required for accessing this shared directory.

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Read MUSE Patient Data from CASEWith MUSE v5.0 or above, you can read the MUSE patient data directly from the CASE workstation. This requires the following:

MUSE v5.0 or abovean account on the MUSE serverInternet Explorer v6.0 or aboveNetwork connection with TCP/IP specificationsAcrobat Reader v4.0 or above

Configure Internet Explorer

Before you can access MUSE from CASE, you must first configure Internet Explorer using the following procedure:

1. On the Windows taskbar, select Start -> Settings -> Control Panel.

2. Double-click on “Internet”.

3. Open the “Connection” tab.

4. If your connection to the LAN does not require access to the proxy server, deactivate “Access via proxy server”. Otherwise, open “Advanced Settings” and configure the proxy settings appropriately.

5. Do one of the following:

If the workstation is connected directly to the LAN via an ethernet connection, activate “Connect to Internet via LAN” If the workstation is connected to the LAN remotely, activate “Connect via modem”.

6. Click “OK”

NOTESome changes may not take effect until the OS is restarted.

Establish a MUSE Account

To select patients from the MUSE database instead of the local database, you need to establish an account on the MUSE server using the following procedure:

1. Specify the Web account informations on CASE -> System Configuration -> MUSE by enabling “Request MUSE data”.

2. Type in Web Server, the Username, and the Password

You have multiple methods to enter the Web Server.

Internet name convention: http:\\www.myMuseSvr.Intranet name convention: myMuseSvrIP address: 123.456.789.255

3. Select the correct MUSE site number.

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Installation: Configuring a CASE/CardioSoft System with the EMR Application

Configuring a CASE/CardioSoft System with the EMR Application

The CASE/CardioSoft system* can be configured with the EMR application. The process is identical for both new and existing systems with one exception: when configuring an existing system, you must migrate historical data. The general process is outlined below. Details are found on the following pages.

1. Go through “Before You Begin” on page 3-35.

2. Install Logician 5.6.3 or higher on each CASE / CardioSoft client.

For details, refer to “Configuring a CASE/CardioSoft System with the EMR Application” on page 3-36.

3. Install the CASE/CardioSoft interface kit.

For details, refer to “Install the CASE/CardioSoft Interface Kit.” on page 3-36.

4. Import the CardioSoft clinical kit to the EMR application using the instructions in the CASE/CardioSoft - EMR Integration Release Notes.

For instructions on accessing the release notes, refer to “Acquire CASE/CardioSoft – EMR Integration Release Notes” on page 3-35.

5. Configure the CASE/CardioSoft EMR settings.

For details, refer to “Configure CASE/CardioSoft EMR Settings” on page 3-36.

6. If you are configuring an existing CASE/CardioSoft system, migrate historical CASE/CardioSoft data. This is a four-part process.

The instructions in the CASE/CardioSoft - EMR Integration Release Notes explain how to:

configure the cross-reference file,create LinkLogic relationships, andconfigure the LinkLogic document relationship.

For details, refer to “Migrate Data” on page 3-38.

* The term “CASE/CardioSoft” is used generically to denote whichever system is being configured, CASE or CardioSoft.

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Before You BeginComplete the following checklist to ensure that you are prepared to configure the CASE/Cardiosoft system with the EMR application.

Install CASE/CardioSoft system

The CASE/CardioSoft system must be installed and operational before you configure the CASE/CardioSoft to EMR interface.

Use the procedures described in the CASE Service Manual for configuring the CASE system. Use the installation procedures described in the CardioSoft Installation Guide for configuring the CardioSoft system.The CASE/CardioSoft database must reside in a shared location, accessible to all users.

NOTE GE recommends installing the CASE/CardioSoft database on a separate server from the EMR application. If you install it on the same server, GE recommends that it is on a separate, dedicated hard drive to ensure that file sizes do not hinder performance.

Enable EMR option on CASE/CardioSoft

The following requirements must be met for the EMR Option to be enabled on the CASE/CardioSoft system:

The CASE/CardioSoft option code for the EMR application must be entered in the System Configuration >> Option Codes tab PRIOR to configuring the EMR application on the CASE/CardioSoft system. The EMR option must be enabled in the System Configuration >> General. Click For Service Only (service password: helserv) to display the Service Screen. Click Enable EMR-Mode.

Acquire permissions for the EMR application web site

You will need a User ID and password to access the EMR application’s support web site. Ask your EMR application manager for this information.

Acquire CASE/CardioSoft – EMR Integration Release Notes

You will need the CASE/CardioSoft EMR Integration Release Notes for EMR-specific instructions for configuring the EMR application. The release notes can be found on the EMR support web site (http://support.medicalogic.com/).

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Configuring a CASE/CardioSoft System with the EMR ApplicationTo configure the system, use the following instructions:

1. Set up the CASE/CardioSoft in a networked environment.

Make sure that the XEMR option code for interfacing to the EMR application is available (in the CASE/CardioSoft system, click System Configuration, then the Option Code tab).

2. Install Logician 5.6.3 or higher on each CASE/CardioSoft client.

Install the Centricity EMR ApplicationThe installation of the Centricity EMR application consists of the following steps:

1. Install the CASE/CardioSoft Interface Kit.

Install the CASE/CardioSoft Interface Kit. This is available for download/installation on the EMR application support website (http://support.medicalogic.com/).

2. Import the Clinical Kits.

Follow the instructions in the CASE/CardioSoft - EMR Integration Release Notes to import the CardioSoft clinical kit.

3. Configure CASE/CardioSoft EMR Settings

After importing the CASE/CardioSoft clinical kit into the EMR application, verify on the CASE/CardioSoft system that the EMR settings are configured correctly.

a. Launch the CASE/CardioSoft application.

b. Click System Configuration. The System Configuration window displays.

Install EMR application

The EMR application must be installed and operational before you begin to configure the CASE/CardioSoft to EMR interface. For information on installing the EMR application, go to http://support.medicalogic.com/, select your version of the product, and then look under Installation Checklists.

Acquire administrator privileges

You will need administrator privileges to both the CASE/CardioSoft system and to the EMR application to complete this configuration. If you do not have administrator privileges, contact your system administrator.

Acquire default provider name

The customer site administrator must designate the default provider for use before migrating historical data from the CASE/CardioSoft system to the EMR application.

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c. Verify that the EMR tab now is available onscreen.

CASE/CardioSoft System Configuration Setup Tab

NOTEThe Communication Folder locations were determined automatically after the EMR application was installed, using information from the file <EMR ApplicationInstallFolder>/CardioSoft/CardioSoft.ini.

d. The folder for error logging is automatically generated. Verify that the folder location is accurate (i.e., for CardioSoft c:\ cardio\emr_errors, or for CASE: d:\case\emr_errors).

EMR tab

Communicationfolders

Error loggingfolder location

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Migrate Historical CardioSoft DataIf you have been using CASE/CardioSoft prior to integrating with the EMR application, you will need to migrate your existing CASE/CardioSoft data. This migration transfers all of the data. You cannot selectively migrate only certain records. There are four steps to this migration:

1. Configure the Cross Reference File.

2. Create LinkLogic Relationships.

3. Configure the LinkLogic Document Relationship.

4. Migrate Data.

Follow the detailed instructions in the CASE/CardioSoft - EMR Integration Release Notes to configure the cross reference file, create LinkLogic relationships, and to configure the LinkLogic document relationship (steps 1 – 3 above). Refer to “Migrate Data” below to migrate historical data from the CASE/CardioSoft system to the EMR application.

Migrate Data

After completing the instructions in the CASE/CardioSoft - EMR Integration Release Notes, use the following instructions to migrate the CASE/CardioSoft data:

1. In the CASE/CardioSoft application, click System Configuration.

2. Select the EMR tab.

3. In the Data Transfer Via Shared Directory field, click the ellipsis and select the network LinkLogic installation of the ...Data\In folder.

4. Click OK.

5. Click Start.

A demographics file (.hd) and its related ImageLink files (.ht) are created for every patient in the CASE/CardioSoft database. These files are picked up by LinkLogic and included in the patient’s chart.

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Installation: Metabolic Interface

Metabolic InterfaceThe CASE workstation can communicate with the data acquisition device over the workstation’s serial port. In addition, it can record test data to a shared file on the network. This section describes:

the available communication commandsthe serial port settingsthe structure of the command stringthe test data settingsthe structure of the test data file

Communication CommandsThe stress test module can process the following commands from the serial port:

'E' echo on'T' start treadmill'O' stop treadmill'H' stage hold'R' request measurements'W' start pretest'S' start exercise'M' start recovery

Serial Port SettingsThe default settings for serial port are

parity nodata bits 8stop bits 1baud rate 1200handshake no

You can modify the settings for the serial port by modifying the following values in [CAS_RECORD] section of the cardio.ini file located in the Windows directory. '

Field Values

SpiroParity 0 = no parity1 = even parity2 = odd parity

SpiroDataBits 0 = 7 data bits1 = 8 data bits

SpiroStopBits 0 = 1 stop bit1 = 2 stop bits

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For example, to configure the serial port for even parity, 7 data bits, 2 stop bits, 9600 baud, and XonXoff, cardio.ini would look like this:

[CAS_RECORD]SpiroParity = 1SpiroDataBits = 0SpiroStopBits = 1SpiroBaudrate = 5SpiroHandShake = 1

Command String StructureThe CASE workstation sends the following string to the serial port every five seconds:

[recoxxx34xMxxxx0x%xxx60xxxx4x-999x-999x-999xx-19xxxx1xx-12x]4CCR

Position is very important in this message. Therefore, an x is used to indicate a space. The following table identifies the remainder of the values in the string. Explanatory notes follow the table.

SpiroBaudrate 0 = 300 baud1 = 600 baud2 = 1200 baud3 = 2400 baud4 = 4800 baud5 = 9600 baud6 = 19200 baud7 = 38400 baud8 = 56000 baud9 = 128000 baud

SpiroHandShake 0 = no handshake1 = XonXoff2 = hardware handshake3 = hardware handshake and interpretation of CR and NULL

Field Values

Part of string Meaning Value Notes

[ Beginning

reco Stage 'Recovery' 5, 10

xxx34 Speed * 10 3.4 5, 8

xM Speed designator MPH 1

xxxx0 Grade * 10 0.0 5

x% Grade designator % 2

xxx60 Heart Rate 60 BPM 5

xxxx4 Ectopic Beats per Minute 4 3, 6

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1. Could be 'K' for KPH. Kilometers per hour. If so, SPEED is KPH.Could be 'P' for KPM. Kilopondmeters. If so, SPEED is KPM from Ergo.Could be 'W' for WATTS. Watts. From Ergo.

2. Could be 'D' dor DEGREES. If so, GRADE is DEGREES.

3. This is ECTOPIC COUNT for the minute previous.

4. mmHg

5. If unavailable, pass 0.

6. If unavailable, pass -999.

7. Right-most 2 ASCII characters of checksum. Checksum includes [, all spaces,] Alpha characters must be Upper Case.

8. If Ergometer Watts or KPM, SPEED value is not *10.

9. Not supported in the current version (value = -999)

10. The stage names are fixed as the following table shows:

x-999 BP Measurement NBR -999 6, 9

x-999 Systolic BP -999 4, 6

x-999 Diastolic BP -999 4, 6

xx-19 ST Level [mm]*10 -1.9 6

xxxx1 ST Slope [mV/s]*10 0.1 6

xx-12 ST Integral uV -12 6, 9

x] Ending

4C Checksum 7

CR Carriage return

Phase Stagenumber Stagename in the shared file (4 characters)

Pre-Test 1 base

Pre-Test 2 warm

warm

Exercise 1 ramp

ramp

Recovery 1 reco

reco

Part of string Meaning Value Notes

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Shared File SettingsIf the stress test module receives the R command (request measurement, see “Communication Commands” on page 3-39), the CASE workstation will write the stress test data to a shared file named ergospir.dat. By default, the file is stored in c:\temp. You can change that setting by modifying the following fields in the [CAS_RECORD] section of the win.ini file located in the Windows directory.

For example, if you want the shared file ergospir.dat to be written to a directory called spirapp\data located on the c:\ drive, the entry in win.ini would look like this:

[CAS_RECORD]SpiroOptionWriteToFile = 1SpiroDirectory = C:\SPIROAPP\DATA

Data File StructureThe CASE workstation will write the following data string to the shared file every five seconds or immediately after phase or stage has changed.

[recoxxx34xMxxxx0x%xxx60xxxx4x-999x-999x-999xx-19xxxx1xx-12x]4CCR

Position is very important in this message. Therefore, an x is used to indicate a space. The following table identifies the remainder of the values in the string. Explanatory notes follow the table.

Field Values

SprioOptionWriteToFile 0 = Do not write to file1 = Write to file

SpiroDirectory Valid directory path

Part of string Meaning Value Notes

[ Beginning

reco Stage 'Recovery' 5, 10, 11

xxx34 Speed * 10 3.4 5, 8

xM Speed designator MPH 1

xxxx0 Grade * 10 0.0 5

x% Grade designator % 2

xxx60 Heart Rate 60 BPM 5

xxxx4 Ectopic Beats per Minute 4 3, 6

x-999 BP Measurement NBR -999 6, 9

x-999 Systolic BP -999 4, 6

x-999 Diastolic BP -999 4, 6

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NOTES

1. Could be 'K' for KPH. Kilometers per hour. If so, SPEED is KPH.Could be 'P' for KPM. Kilopondmeters. If so, SPEED is KPM from Ergo.Could be 'W' for WATTS. Watts. From Ergo.

2. Could be 'D' dor DEGREES. If so, GRADE is DEGREES.

3. This is ECTOPIC COUNT for the minute previous.

4. mmHg

5. If unavailable, pass 0.

6. If unavailable, pass -999.

7. Right-most 2 ASCII characters of checksum. Checksum includes [, all spaces,] Alpha characters must be Upper Case.

8. If Ergometer Watts or KPM, SPEED value is not *10.

9. Not supported in the current version (value = -999)

10. The stage names are fixed as the following table shows:

If a phase or stage change occurs, the complete string is written immediately.

xx-19 ST Level [mm] * 10 -1.9 6

xxxx1 ST Slope [mV/s] * 10 0.1 6

xx-12 ST Integral uV -12 6, 9

x] Ending

4C Checksum 7

CR Carriage return

Phase Stagenumber Stagename in the shared file (4 characters)

before Test-Start chck

Pre-Test 1 base

2 warm

... warm

Exercise 1 exer

... exer

Recovery 1 reco

... reco

Test finished stop

Part of string Meaning Value Notes

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For your notes

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InSite 2.0: Installing InSite 2.0

Installing InSite 2.0InSite 2.0 is a remote service solution that provides GE Service with the following two tools:

GE CASE CardioSoft InSite Service Agent, whichuploads files from the CardioSoft program directory\InSite\Upload,downloads files to the CardioSoft program directory\InSite\Download, andwatches disk space of the CardioSoft database drive.

VNC Server, which provides remote access service capability providedGE Service knows the VNC server password, and GE CASE CardioSoft InSite Service Agent is set to automatic mode.

This document outlines the steps involved in installing InSite 2.0 in CardioSoft, CardioSoft Client, CardioSoft DFT, and CardioSoft WebServer.

NOTEInSite 2.0 replaces the previous remote service option, which used a MultiTech modem and pcAnywhere to allow access to the CASE/CardioSoft system. When upgrading from an earlier CardioSoft version, uninstall pcAnywhere from the system before proceeding with the installation of InSite 2.0.

Pre-Installation ProcessBefore beginning the installation of the GE CASE CardioSoft InSite Service Agent, complete the following steps.

NOTEDuring installation, InSite 2.0 will use the information entered and checked in the following steps as default values. This information includes device name, serial number, CardioSoft program directory, CardioSoft database drive, Proxy server address, and proxy server port. Be sure to record this information while completing these steps.

1. Verify that CardioSoft, CardioSoft Client, CardioSoft DFT, or CardioSoft WebServer are installed.

2. Turn off the PC.

3. Connect the CAM-USB with CAM14, CAM-USB A/T with CAM14, or CORINA to the PC.

4. Turn the PC on.

5. Start CardioSoft.

6. Select System Configuration.

7. On the General tab, fill out the Institution Name and Address fields (Name, Street, City).

8. On the Option Code tab, check the Internal Serial Number.

9. Exit CardioSoft.

10. Start Internet Explorer.

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11. To use a proxy server, complete the following steps:

a. Select Tools > Internet Options > Connections tab > Settings.

b. Select the Use a proxy server for your LAN... check box

c. Enter the proxy server address and port number.

12. Determine whether the proxy server requires authentication (method, user name, password).

NOTEIf a proxy server will be used, please contact your System Administrator for installation details.

CAUTIONIf any of the above information is missing or incomplete, DO NOT PROCEED with the installation. Incorrect information provided during the installation may cause the services to function improperly requiring you to uninstall/reinstall InSite 2.0. Obtain ALL of the required information before proceeding.

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Installation ProcedureUse the following instructions to install the InSite 2.0 software:

1. Log on to the system.

NOTEYou must have system administrator privileges to perform the installation.

2. Insert the CD in the CD ROM drive.

If autoplay is enabled, the installation will begin immediately. If autoplay is not enabled, use the following instructions to begin the installation routine:

a. Select Start > Run > Browse.

b. Locate the file X:\CASECardioSoftSAInstall

X = CD ROM drive letter, e.g. D:\ or E:\).

c. Double-click the file name.

The following screen appears.

3. Click Next> to advance to the next screen.

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4. Specify the root installation directory for the GE CASE CardioSoft InSite Service Agent and the VNC Server.

The default directory is C:\gehc-it\InSite 2.0.

5. Click Next> to advance to the next screen.

6. Confirm or modify the default values (use alphanumeric values only).

The following table identifies the fields and required values. Use alphanumeric values only. Spaces are not allowed.

Device Name Unique device name for the GE CASE CardioSoft InSite Service Agent. It consists of Product Name, Product Version, Institution Name, and Mac Address.

To locate the Mac Address, use the following instructions:

a. From the Start button, select Programs > Accessories > Command Prompt to open a DOS window.

b. Type the command ipconfig -all | more

c. Record the value of the Ethernet Adapter Local Area Connection in the Physical Address line without the leading hyphen (-). This is the Mac Address.

Serial Number The serial number of the CAM-USB, CAM-USB/AT, or CORINA.

Program Directory The directory where CardioSoft application is installed.

Database Driver The drive where the CardioSoft database is installed.

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NOTEThe GE Service technician will need to know a part of the device name (e.g., the Mac address) or the serial number to locate your PC using InSite 2.0. To ensure that this information is available when needed, record it in the following table:

7. After the fields have been verified or modified, click Next> to advance to the next screen.

8. Indicate whether the GE CASE CardioSoft InSite Service Agent will connect to the GE enterprise server through a proxy server and click Next> to advance to the next screen.

What happens next depends on your response in step 8.

If you selected Yes, you must define the proxy settings InSite 2.0 will use. Proceed to step 9.If you selected No, you will be prompted to select whether the CardioSoft InSite Service Agent and VNC Server should start automatically after install. Skip to step 14.

Device Name:

Serial Number:

CardioSoft Program Directory:

CardioSoft Database Drive:

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9. Enter the proxy server address and port that was recorded during the pre-installation process.

Record the information in the following table for service interventions:

10. Click Next> to advance to the next screen.

11. Indicate whether the GE CASE CardioSoft InSite Service Agent will require authentication. and click Next> to advance to the next screen.

What happens next depends on your response to step 11.

If you selected Yes, you must specify the authentication settings InSite 2.0 will use. Proceed to step 12.If you selected No, you will be prompted to select whether the CardioSoft InSite Service Agent and VNC Server should start automatically after install. Skip to step 14.

Proxy Server Address: Port:

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12. Enter the User Name and Password information required by the proxy server and select the authentication method.

Record the information in the following table for service interventions:

13. Click Next> to advance to the next screen.

14. Choose whether the installer should automatically start the VNC Server and CardioSoft InSite Service Agent upon completion.

The installer automatically starts these services by rebooting the computer after installation of InSite 2.0. If you choose not to start these services automatically, you will need to start them manually (see “Operating InSite 2.0” on page 4-14).

User Name:

Password:

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15. Click Next> to advance to the next screen.

16. Review the installation summary and do one of the following:

If the summary is incorrect, click <Back to return to a previous screen and make a correction. Refer to the appropriate step for instructions.If the summary is correct, click Next> to begin the installation. The progress is displayed, as seen below.

When the software has been registered, the following screen appears.

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17. Click OK to continue the installation.

When the installation is complete, the following screen appears.

18. Click Finish to exit the installer application.

19. Contact your local GE Service Center to have them verify connection with InSite 2.0. You will need the information recorded during the installation process.

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InSite 2.0: Uninstalling InSite 2.0

Uninstalling InSite 2.0If GE Services cannot connect to InSite 2.0, it could indicate that incorrect information was entered during the installation. To correct this problem, you will need to uninstall the software, gather the correct information, and re-install the software using the corrected information. Use the following procedure to uninstall InSite 2.0.

1. From the Windows taskbar, select Start > Settings > Control Panel.

2. Double-click Add/Remove Programs.

3. Locate GE CASE CardioSoft InSite Service Agent.

4. Click Change/Remove.

The Uninstall Welcome Screen appears.

5. Click Next.

The Uninstall Summary Screen appears.

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6. Click Next.

The InSite 2.0 uninstall routine unregisters the WinVNC service and displays the following dialog box.

7. Click OK.

The uninstall routine completes the uninstallation and displays the Uninstall Confirmation Screen.

8. Click Finish to complete the installation.

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InSite 2.0: Operating InSite 2.0

Operating InSite 2.0InSite 2.0 can be operated in one of two modes: Automatic or Manual.

ManualThe default mode. Requires you to start the GE CASE CardioSoft InSite Service Agent and the VNCServer services when they are needed.

Automatic Starts the GE CASE CardioSoft InSite Service Agent and the VNCServer services automatically when the system boots.

Setting the Operation ModeUse the following instructions to switch operating modes.

1. From the Windows taskbar, select Start > Settings > Control Panel.

The Control Panel opens.

2. Double-click Administrative Tools.

The Administrative Tools window opens.

3. Double-click Services.

The Services window opens, as seen below.

4. Verify that the GE CASE CardioSoft InSite Service Agent and VNCServer services exist.

The Status column (A) indicates the status of each service.

The Startup Type column (B) indicates the currently selected operating mode of the services (Automatic or Manual).

5. To toggle either the Status or the Startup Type, right-click the appropriate column for a service and select the appropriate option.

A B

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InSite 2.0: Restricting Remote Access

Restricting Remote AccessTo provide additional security from unauthorized access, you can use the WinVNC Current User Properties window to:

set a service password (A),require confirmation prior to granting access to incoming connections (B), andset a confirmation response time, after which an incoming connection will be automatically rejected (C).

NOTEDuring installation of InSite 2.0, a default password is configured and the Display Query Window check box (B) is deselected.

Use the following procedure to set these options.

1. Display the Windows taskbar if it is not visible.

A

CB

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2. Click the WinVNC icon (D).

The WinVNC: Current User Properties window opens.

NOTEWhen the content of the blue diamond is red instead of yellow, a Remote Access Service connection is active. To cancel an active connection, right-click the icon (D) and select Kill all clients.

3. Change the password under Incoming Connections (A).

NOTEContact GE Service and inform them of the new password: they need the password to access your PC.

4. Select the Display Query Window check box (B) and enter the Timeout (B) in seconds.

NOTEWhen an incoming connection tries to access your PC, a Query Window will be displayed on your PC for the period of time specified at Timeout (C). This identifies the user name used and the IP from which the connection is being made. You can use this information to verify that it is GE Service attempting to connect.

To accept the connection, click Accept. If you do not accept within the timeout period, the connection is rejected automatically.

To reject the connection, click Reject.

5. To accept your changes on the WinVNC: Current User Properties window, click OK.

D

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5 Maintenance

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Maintenance: Introduction

IntroductionA regular equipment maintenance program helps prevent unnecessary equipment and power failures and reduces possible health hazards. This chapter contains instructions for the following recommended maintenance:

Inspecting and cleaning the unitLeakage tests to verify the equipment does not propose a health hazardGround continuity test to verify all exposed metal is properly grounded

WARNING Failure—on the part of all responsible individuals, hospitals or institutions employing the use of this device—to implement the recommended maintenance schedule may cause equipment failure and possible health hazards. The manufacturer does not, in any manner, assume responsibility for performing the recommended maintenance schedule unless an Equipment Maintenance Agreement exists. The sole responsibility rests with the individuals, hospitals, or institutions utilizing the device.

Required Tools and SuppliesIn addition to a standard set of hand tools, you will need the special tools and items listed below to maintain or repair the unit.

Table 1-1. Tools and Supplies (Continued)Leakage Current Tester

120 V (or equivalent)240 V (or equivalent)

MultimeterIsopropyl AlcoholDust Remover (compressed air)Lint-free Cloth

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Maintenance: Inspection and Cleaning

Inspection and CleaningBasic maintenance consists of visual inspection and both external and internal cleaning.

Visual InspectionPerform a visual inspection of all equipment and peripheral devices daily. Turn off the unit and remove power before making an inspection or cleaning the unit.

Check the case and display screen for cracks or other damage.Regularly inspect all cords and cables for fraying or other damage.Verify that all cords and connectors are securely seated.Inspect keys and controls for proper operation.

Toggle keys should not stick in one position.Knobs should rotate fully in both directions.

Exterior CleaningClean the exterior surfaces once per month, and more frequently if needed.

Use a clean, soft cloth and a mild dishwashing detergent diluted in water.Wring the excess water from the cloth. Do not drip water or any liquid on the equipment, and avoid contact with open vents, plugs, or connectors.Dry the surfaces with a clean cloth or paper towel.

Interior Cleaning

DisassemblyTo clean the interior, log off the CASE application, shut down the system, turn the power switch to OFF, and unplug the unit from the power outlet. Remove the screws from the CPU access door, then remove the door.

GeneralCheck for dust buildup on the surfaces of the interior circuit boards, components, and assemblies. Use commercially available compressed air to blow away accumulated dust. Follow the manufacturer’s directions for use.

After reassembly, reconnect the CASE unit to AC power.

Thermal PrintheadClean the thermal printhead every three months, or more often with heavy use. A build-up of thermal paper coating on the printhead can cause light or uneven printing.

Use a solution containing alcohol on a nonwoven, nonabrasive cloth such as Techni-Cloth to wipe off the printhead. Do not use paper toweling, as it can scratch the printhead.

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Maintenance: Electrical Safety Tests

Electrical Safety TestsThe suggested electrical safety tests, described below, are based on UL 60601-1 or the international standard IEC 60601-1, as applicable.

What follows is a general description of the suggested tests; refer to the governing standard for a more detailed description. Conduct the tests under normal ambient conditions of temperature, humidity, pressure, and line voltage. The leakage currents correspond to 110% of the rated voltage for the test unit. Most Safety Testers take this into account; otherwise, the measured values must be calculated.

Recommended Test ScheduleGE recommends that the tests be performed according to the following schedule:

After initial installation.Once every 12 months thereafter as part of a regular maintenance plan.Whenever internal assemblies are serviced.

Recommended Test EquipmentThe following equipment is required to conduct the electrical safety tests:

Safety Tester calibrated to IEC 60601-1. Refer to the device’s user manual for details on calibration and use. To ensure personal safety, refer to the tesing instrument’s user documentation.Testing connector, as described for the individual tests, below

Protective Earth Resistance TestThis test determines whether the device and/or its power cord has a power ground fault.

If the device has a power cord, the test measures the impedance between the cord’s protective earth pin and any accessible metal part which is protectively earthed. If the device does not have a power cord, the test measures the impedance between the AC inlet’s protective earth teminal and any accessible metal part which is protectively earthed. Conduct the test both with and without a power cord.

To conduct this test, the test circuit must conform to the following values:

The test fails if the measured value is greater than indicated in the following table:

Hertz Amperage Voltage

50 Hz / 60 Hz 25 A 6 V

IEC 60601-1 UL 60601-1

With Power Cord 200 mOhm 200 mOhm

Without Power Cord 100 mOhm 100 mOhm

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Leakage Current MeasurementTo perform the suggested measurements, the unit under test has to be separated from any interconnection to a system. If the unit is part of a system, extended tests must be performed in accordance with the governing standard.

The following diagram shows the Measuring Circuit [M] required for leakage current. The reading in mV corresponds to mA (leakage current). The Safety Testers generally work with this Measuring Circuit [M] and the displayed values are already converted to leakage current.

Electrical Diagram for Leakage Current Measurement

Earth Leakage (AC line) Current Test

This test measures leakage current of the device’s internal power supply. The device has to be turned on and off, and connected to your safety-testing equipment.

Measurements should be taken under the following conditions (refer to the safety tester diagram):

Device in “ON” statePolarity switch NORM and RVSS1 (neutral) closed and openGND switch open

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The test has failed if the measured values are greater than:

Enclosure Leakage Current Test

This test measures the leakage current from the chassis to the ground during both normal conditions (N.C.) and single fault conditions (S.F.C.). In both cases, use the Safety Tester to measure the leakage current from any exposed conductive part to the ground, as illustrated in the following diagram.

Electrical Diagram for Enclosure Leakage Current Test

Use the following settings on your Safety Tester during normal conditions:

Polarity: NORM & RVSS1 (neutral): closedGND: open

Polarity: NORM & RVSS1 (neutral): openGND: open

Total tests/combinations: 2 Total tests/combinations: 2

500 µA (IEC) 1,000 µA (IEC & UL)

300 µA (UL)

Switch Setting

Polarity NORM and RVS

GND closed

S1 (neutral) closed

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Use the following settings on your Safety Tester during single fault conditions:

The test fails if the measured values are greater than indicated in the following table:

Patient Leakage Current Test

This test measures leakage current from the floating input (patient connection) to ground during normal condition (N.C.) and single fault condition (S.F.C.), and depends on a domestic power outlet with 115 or 230 V AC as the source into the floating inputs. In all cases, the leakage current is measured from the floating input to ground: The device has to be turned on and off, and connected to your safety testing instrument.

Electrical Diagram for Patient Leakage Current Test

NOTEFor your protection, the following values of resistor R may be used:

Switch Setting

Polarity NORM and RVS

GND open and closed

S1 (neutral) closed and open

IEC 60601-1. UL 60601-1

N.C. 100 µA 100 µA

S.F.C. 500 µA 300 µA

Device Type Resistence Line Voltage

Type BF 22 kOhm 120 to 130 V

47 kOhm 220 to 240 V

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During N.C., measurements should be taken under the following conditions (refer to the safety tester diagram:

Device in “ON” statePolarity switch NORM and RVSGND switch GND closedS1 (neutral) closed

During S.F.C., measurements should be taken under the following conditions (refer to the safety tester diagram):

Device in “ON” statePolarity switch NORM and RVSGND switch closed, S1 (neutral) openGND switch open, S1 (neutral) closed

The test has failed if the measured values are greater than:

N.C. S.F.C.

Polarity: NORM & RVSS1 (neutral): closedGND: closed

Polarity: NORM & RVSS1 (neutral): closed | openGND: open | closed

Total tests/combinations: 2 Total tests/combinations: 4

10 µA (IEC & UL) 50 µA (IEC & UL)

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Patient Leakage Current, Mains on Applied Part

WARNING PERSONAL SAFETY — MAINS VOLTAGE is applied to floating input (patient connection) and patient cables/test plug conductors and safety tester PATIN JACK.

For the protection of the person performing these tests, the following values of resistor R may be used:

Type BF — 22 kOhm (120 to 130 V)

Type BF — 47 kOhm (220 to 240 V)

Disconnect safety tester from line voltage before connecting patient cable/test plug to device.

After line voltage has been disconnected, connect the patient cable/test plug to device.

This test performs leakage current tests during single fault conditions (S.F.C.) with line voltage applied to the floating (patient connection) inputs.

In all cases, the leakage current is measured from the floating (patient) inputs jack of the device to ground. To setup this leakage current test:

1. Disconnect the safety tester from the line voltage

2. Ground all signal input/output connections (all SIPs/SOPs connected to ground)

3. Connect the patient cable/test plug to device

4. Connect the patient cable/test plug to the safety tester

5. Ensure that the person/tester in not touching the patient cable/test plug or floating (patient) input or device conductive surfaces

6. Connect safety tester to line voltage —see warning on previous page.

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During S.F.C, measurements should be taken under the following conditions (refer to safety tester diagram):

Device in “ON” state Polarity switch NORM and RVS S1 (neutral) open GND switch closed

The test has failed if the measured values are greater than:

After completing this test, disconnect the safety tester from line voltage before disconnecting the patient cable/test plug and/or the device.

N.C. S.F.C.

N/A Polarity: NORM & RVSS1 (neutral): closedGND: closed

Total tests/combinations: 0 Total tests/combinations: 2

N/A 5 mA (IEC & UL)

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6 Troubleshooting

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Troubleshooting: Overview

OverviewThis chapter discusses the tools and techniques for troubleshooting problems with the CASE system. The topics include:

Service ToolsService ScreenDiagnostic Tests

Entering a One-Day PasswordGeneral Fault IsolationGeneral TroubleshootingFrequently Asked QuestionsFlat Panel Monitor ProblemsPrinter DebuggingUsage and Workaround of Acrobat 6

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Troubleshooting: Troubleshooting Tools

Troubleshooting ToolsCASE provides two groups of tools to help you diagnose issues with the system:

Service ScreenDiagnostic Tests

Each tool is discussed in more detail below.

Service ScreenThe Service Screen is used to help diagnose issues with the CASE system. It provides access to the system log, key settings, software tests, and service functions. It can be accessed in the General Settings via the “For Service” key. When prompted for a password, enter helserv or case8k, depending on model.

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Service Screen Description

The following table describes the elements of the Service Screen.

Element Description

Logbook Displays internal logbook entries of e errors arising during the run period since the last program start. Each entry is time stamped. You can delete the log or save it for future reference.

Active Activates the entries in the internal logbook. Can only be deactivated until next program start

Delete… Deletes all entries in internal logbook.

Save as… Saves all entries of the internal logbook to a text file.

OK or Cancel Close the Service Screen

Archive Path Select on a CASE System the path to the archive A: (floppy drive) or E: (CDROM drive). This Archive Path is only displayed if the password case8k was entered.

CORINA time constant (HP filter)

Time Constant for CORINA ECG Acquisition Module. Should be not changed unless requested by customer.

CAM14 High Pass Filter High Pass Filter for CAM14 ECG Acquisition Module. Should be not changed unless requested by customer.

Research Full Disclosure ECG (in directory \ONL500, \ONL2000)

Should be set to “none”. If you select any other value, the hard disk will fill up quickly: for every Full disclosure ECG a Full disclosure ECG with 500 Samples per second or 2000 Samples per second will be stored.

CAM14 Disable Lead-Fail Bias Disable Lead-Fail Bias for CAM14 ECG Acquisition Module.

ACQ TEST Test of the CASE ECG Acquisition Module.

WRTR TEST Test of the Thermal Writer.

KEYPAD TEST Test of the CASE function keyboard.

BURN-IN TEST Burn-In Test for CASE.

LOOPBACK TEST Loop back test for CASE Serial ports.

Test dictionary… Compares the Text Strings of the selected language with the actual selected language of the system configuration.

Service notice… Service Person can write notice to a file.

Set CAM-USB/CORINA Serial Number…

Set the CAM-USB or the CORINA Serial number of a CAM-USB or CORINA from Service with Serial Number 0.

Delete Network Locks… All other stations of the network using this server must be stopped before this Network Locks should be deleted.

Save Log Files Save the Log Files what have been activated from Engineering and send this Log Files please to Engineering.

Format floppy Formats a floppy disk.

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Troubleshooting: Troubleshooting Tools

Diagnostic TestsThe diagnostic tests check operation of the acquisition module and board, writer, and keypad. A burn-in test in the menu is for factory production only.

Access the Tests

1. On the startup screen, click System Config.

2. On the System Configuration screen click For Service Only.

3. When the Password prompt appears, enter helserv or case 8R.

4. From the bottom of the Service Screen choose the CASE Test Software you want to view

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Acquisition Test

Click ACQ TEST at the bottom of the service screen. The acquisition test screen appears.

The screen displays information about the status of data acquisition.

Keypad Test

Click KEYPAD TEST at the bottom of the service screen.

Press each key on the keypad, and watch the interactive screen to be sure all are functioning properly.

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Writer Test

Click WRTR TEST at the bottom of the service screen.

The screen provides information about the writer settings. If the printhead or Power Distribution with Writer PCB assembly is replaced, the resistance value must be entered in this screen, then select Recalc and Save.

Speed and roller tests can be run from the CASE Writer Utility screen.

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Troubleshooting: Entering a One-Day Password

Entering a One-Day PasswordThe one-day password is used when the CASE application has been password protected through the User List. The service/service and Administrator/admin1,3,5,7 username and password only get you to the desktop; they do not allow you to use the CASE application. The one-day password is the only way to access the CASE application when the application has been password protected.

The one-day password is made up of 6 characters, starting with today’s YEAR DATE MONTH (with 2-digits for each parameter).

Example: the six-digit number for January 15, 2002 is 021501. Using the chart above, the password would convert into “rxzmrz”.

0 = r 5 = m

1 = z 6 = f

2 = x 7 = n

3 = v 8 = a

4 = c 9 = s

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Troubleshooting: General Fault Isolation

General Fault Isolation

Visual InspectionA thorough visual inspection of the equipment can save time. Small things—disconnected cables, foreign debris on circuit boards, missing hardware, loose components—can frequently cause symptoms and equipment failures that may appear to be unrelated and difficult to track.

NOTETake the time to make all the recommended visual checks (refer to Table 2, “Visual Inspection List,” on page 6-10) before starting any detailed troubleshooting procedures

Power-up Self-testOn power-up, the system automatically runs an internal self-test. If all circuits test good, the start up screen displays.

Table 2. Visual Inspection List

Area Look for the following problems

I/O Connectors and Cables

Fraying or other damageBent prongs or pinsCracked housingLoose screws in plugs

Fuses Type and rating. Replace as necessary.

Interface Cables Excessive tension or wearLoose connectionStrain reliefs out of place

Circuit Boards Moisture, dust, or debris (top and bottom)Loose or missing componentsBurn damage or smell of over-heated componentsSocketed components not firmly seatedPCB not seated properly in edge connectorsSolder problems: cracks, splashes on board, incomplete feedthrough, prior modifications or repairs

Ground Wires/Wiring Loose wires or ground strap connectionsFaulty wiringWires 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 outletCircuit not dedicated to system(Power source problems can cause static discharge, resetting problems, and noise.)

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General Troubleshooting

Problem: Stress test driver settings lost. Stress test profiles were changed or newly created and are no longer there.

Solution: The file ERG_PROT_V5AN.DAT (ERG_PROT_ANSI.DAT old name before V4.2) in the Windows directory was inadvertently deleted or overwritten.

A backup of this file should be made after changing profiles so that it can be restored even after a hard disk error (restore file into Windows directory).

Problem: Defective data sets in the database. Errors occur during patient selection, but not when selecting examination options.

Solution: Contact technical support for a reorganization tool, which may repair the error in the database.

By activating the REORG procedure you can reorganize defective BTRIEVE files from CASE. This repair procedure may become necessary when the data becomes damaged for some reason or another (e.g. after a power failure). To carry out the repair procedure successfully, CASE must first of all be terminated. There must be sufficient memory space on your hard disk.

As a general rule, the following applies: memory space required = twice as much free memory space as the sum of all CASE files with the suffix “BTR”.

The original CASE files are still available in the form of “OLD” files after reorganization and should only be deleted when the reorganization has been completed successfully.

If the reorganization is unsuccessful, the only option remaining is to retrieve the latest backup data or contact technical support for the Database Repair Tool (CARD_REP).

Problem: Error when reading examinations, examinations get lost

Error messages when calling up examinations from the archive or examinations no longer there.

Solution: There are two causes, which may lead to the loss of data on hard disks.

One is a read error on the disk; the second is the destructive influence of some viruses. Indications of a defective hard disk sometimes exhibit themselves as reading errors in certain sectors. The number of defective sectors increases with time. Such a hard disk must be replaced.

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Problem: Patient locked, although only called up from one workstation

A patient in the network is locked, although they are only called up from one workstation. This error only occurs when the program crashes or after switching off the PC without having terminated CASE beforehand.

Solution: Please be sure that CASE is not running from any workstation.

Problem: Monitoring stress tests

Attempt to monitor a stress test from two stations at the same time.

Solution: None! A stress test currently being performed can be monitored from one station only at any one time.

Problem: Swapping out examinations.

Almost simultaneous swap-out at several stations; examinations are destroyed.

Solution: None! Refer to Device Manual.

Problem: Transferring examinations to data media

When an examination is transferred to another data medium, naming a subdirectory with an umlaut (or other special characters), the examination cannot be retrieved.

Solution: Create subdirectories without umlauts (or other special characters).

It is not possible to transfer more than 512 examinations into the root directory of a data medium as DOS is only able to manage a maximum of 512 files on this medium. If more examinations are to be transferred, a subdirectory must be created. The number of files there is practically unlimited.

Problem: No connection to ergometer Ergoline 900.

Solution: Use Version “752” or “M345” with OEM 4 buttons, or Version “236”/“436” in Program 10 with original 25 button Ergoline.

Problem: Modem RAS connection is not started.

In MUSE Settings of System Configuration of CASE is activated “Start Modem connection before transfer”, but the connection is not started. Please do not start manually the Modem RAS connection, when you configure that the application should start the connection.

Solution: Terminate the manually started Modem RAS connection.

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Problem: Not enough memory space when compressing examination.

When compressing examination and using a Hard Disk >4.3GB the following message will occur that less than 15% of storage medium is free.

Solution: Set the percentage of storage medium in CASE tab System Configuration, button Database to 1% or Disable Check of free disk space with entry “LOG_DisableFreeCheck=1” in section “[CARDIO]” in the “WIN.INI” file

Problem: Reprogramming Serial Number

Solution: 1. Go to the Service Screen and select Service Tool for Corina and CAM-USB v5.0.

2. Select Read Acquisition System Information. Only when the Acquisition System serial number is “0” the Serial Number Programming Mode can be entered.

Problem: On some occasions, the program does not calculate the target load.

Solution: To calculate the target load, the program needs to know the patient's gender, date of birth, height, and weight.

In the following situations, the program is not able to calculate the target load:

age < 15 years or age > 84 yearsor height < 50 cm or height > 250 cmor weight < 20 kg or weight > 200 kgor body surface area (men) < 1.6 m2

or body surface (women) < 1.2 m2

Problem: OS Message appears: Adobe Acrobat Reader is not installed.

Solution: When the message appears, please install the Acrobat Reader from the CASE CD.

1. You must have system administrator privileges to install the software.

2. Insert the CASE CD in the CD ROM drive. If the CD drive automatically starts up, close the CASE Installation Screen.

3. Select Start > Run.

4. In the command line type X:\Disk\Setup Acrobat (X=CD ROM drive letter, e.g. “E” or “D”).

5. Click OK.

6. Follow the displayed prompts.

Symptom: Application seems to lock up at Test End in Exercise Test. If the database is damaged and the user initiates to store the test, there is a BTRV error message. But this error message may appear behind the acquisition window. The problem is that the user will not see the message box and for him it seems that the system locked up.

Solution: Press one of the keys ALT, ESC, RETURN. This will bring the error message into the foreground

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Symptom: Application seems to lock up while printing a Post Test Report on the thermal printer.

Solution: Press the key ‘Stop Printing’ on the function keyboard. Delete the print jobs from the Marquette Thermal printer: Settings / Control Panel / Printer.

Problem: InSite 2.0 - No remote access to server.

Solution: Check if the remote servicing software “PC Anywhere” is installed on your PC. If it is installed, please remove it.

Problem: By default the CASE system shuts down, when the CASE application is closed.

Solution: To prevent the CASE system from shutting down after the application is closed, the following entry has to be added to your WIN.INI file:

[Cardio]Mai_NTDown=0

Depending on the CASE version the file WIN.INI is located in different folders:

Problem: Test cannot be opened with the MUSE Browser function, when running Windows XP on a CASE system. The window that opens is blank and no error message is displayed.

Solution: Install the CD Security Patches CASE XP, PN 2034985-001.

CASE Version WIN.INI Location

v6 or later CASE installation directory

prior to v6 Windows system directory

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Frequently Asked Questions

Problem: The Remote Test Screen shows vertical red lines or the ECG does not appear continuously on the remote viewing system over TCP/IP.

Solution: Please make the entries for the package size in the TCP/IP protocol in your Stress Test System (the remote viewing system does not need an additional entry for TCP/IP).

Windows NT 4.0

1. With the Registry Editor "regedt32.exe", locate the following key:

"HKEY_LOCAL_MACHINE\SYSTEM\CurrentControlSet\Services\<Adapter Name>\Parameters\Tcpip"

Where <Adapter Name> refers to the subkey for a network adapter that TCP/IP is bound to.

2. Go to EDIT and then to Add Value.

3. Select Data Type “REG_DWORD”

4. Enter the Value Name “MTU”, press <ENTER>, and type in Data “200” Hex ("512" in Dec) and press <ENTER>. Now you have an additional line in the right window:

MTU:REG_DWORD:0x200

5. After the change, reboot the system.

Windows 2000

1. With the Registry Editor “regedt32.exe” please locate and set the following key:

MTU

Key: HKEY_LOCAL_MACHINE\SYSTEM\CurrentControlSet\Services\Tcpip\Parameters\Interfaces\ID for Adapter

2. Go to EDIT and then to Add Value.

3. Select Data Type “REG_DWORD”

4. Enter the Value Name “MTU”, press <ENTER> and type in Data “200” Hex (“512” in Dec) and press <ENTER>

Now you have an additional line in the right window:

MTU:REG_DWORD:0x200

5. After the change, reboot the system.

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Problem: When I open an examination, I get an error when reading examinations, examinations get lost, or I get a Decompression Error. Errors or decompression error messages come up when I call up examinations (also from the archive) or examinations that are no longer there.

Solution: There are two main causes which may lead to the loss / corruption of data on hard disks:

A read error on the disk, orThe destructive influence of some viruses.

Additionally, a defective hard disk could be the reason. Indications of a defective hard disk sometimes exhibit themselves as reading errors in certain sectors. The number of defective sectors increases with time. Such a hard disk must be replaced.

Check the hard disk using SCANDISK or CHKDSK. If the result of the check indicates many lost sectors, replace the disk. If not, restore the system by using the last BACKUP file.

Problem: When I start CASE, I get a database error

Solution: Close CASE and start “REORG.BAT” file from CASE directory in DATABASE directory.

Problem: PCW130 value will not be displayed in the stress test measurement summary

Solution: PCW 130 is not for use in combination with treadmill stress tests.

The stress test must be complete, the weight of the patient must be entered, and a heart rate of 130 must be reached. (ECG equipment must have the capability for a heart rate of 130.)

Problem: The modem I use is not in the modem list and brings up an error message at initialization

Solution: Chose modem type User defined and delete “\X1” out of the field Initialization.

After doing this, the error message will disappear. Configure modems type MultiTech only with 14400 baud and 19.2K baud.

Use the newer MultiTech 56K with the modified modem type User defined.

Problem: Patient selection menu will not fit within the screen

Solution: Select SMALL FONTS within the display configuration window.

Problem: Heart Rate removed after transferred from MAC 1200 to CASE

Solution: The Heart Rate is calculated from the RR duration. To get the Heart Rate in CASE, you must have the Measurement Software Option on the MAC 1200, then the RR duration and the Heart Rate can be calculated.

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Problem: Small differences in the measurement values after transferred from MAC 1200 to CASE.

Solution: The protocol used to transfer the data doesn't use the same amplitude unit for the measurement values from MAC 1200. These values have to be converted when the data is received in CardioSoft and the results may not be exactly the same values.

Problem: Integration of CASE in an archiving system by the customer

Solution: Customer buys Adobe Acrobat. Adobe Acrobat installs a printer driver to generate PDF files. These generated PDF files can be sent to the archive system of the customer and the archiving system can view these files with the PDF reader. PDF files can be printed with high quality on a laser printer. These PDF files are better than exported screen shots (such as JPG files).

Problem: Proxy Settings from Internet Explorer influence the FTP file transfer to MUSE

Solution: If a Proxy Server name is configured, then the intranet MUSE FTP Server Name must be excluded from the Proxy Server.

Problem: The Windows 2000 network displays a BTRV error message when a registered user tries to invoke CASE.

Solution: In the Windows 2000 network, register the user and grant ALL rights. In Windows 2000, the selection of users with limited rights is the default setting.

Problem: [11007] Error starting print job on CASE

Solution: This Error Message is generated if the print job cannot be started.

Reasons for this error message: No printer is defined as default printer.

Problem: If a PDF report with ECG grid is generated with Adobe Acrobat in CASE, the figure 2 is displayed instead of the ECG grid.

Solution: 1. Display Acrobat Distiller from Adobe Acrobat: Start Menu -> Settings -> Printers.

2. Double-click on Acrobat Distiller and select the menu: Printer -> Document Defaults...

3. Deactivate field Do not send fonts to Distiller on the Adobe PDF Settings tab.

4. Set field Graphic-> True Type Font to value Download as Softfont on the Advanced tab.

Problem: When transferring data from MAC 1200, the same patient record is created twice.

Solution: The function of CardioSys/Soft to automatically assign an incoming resting ECG from a MAC 1200 to a patient record does not pose any problems.

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If the patient with the patient ID from MAC 1200 already exists in CardioSys/Soft, the resting ECG will automatically be assigned to this patient.

If the patient with the patient ID from MAC 1200 does not exist in the CardioSys/Soft database, the patient record will be generated and the resting ECG will be assigned to the new patient record.

A second patient record with the name displayed in capital letters is generated only when a resting ECG with the same acquisition date and time is transferred a second time. This second resting ECG is assigned to the second patient record and can be deleted.

Make sure that you do not unnecessarily transfer resting ECGs more than once.

If a new resting ECG is transferred after the resting ECG is sent a second time, the new one will be assigned to the first patient record.

Problem: The MUSE Web Server works, but an error message appears when the CASE patient list is invoked.

Solution: A MUSEWeb user account must be created under Windows and assigned to the MUSE group. The user account must also be created in MUSE.

Problem: Metabolic Carts display a higher heart rate than CASE?

Solution: During exercise tests, the heart rate is calculated for 30-second tabular data. The heart rate is averaged over 30 seconds at 5-second intervals and entered in the table. The max. heart rate is derived from the tabular data. If the heart rate is sent to the metabolic cart at 5-second intervals, the value displayed there may be higher than in CASE.

Question: Network installation using cardiouser as the domain user does not work. What can be done?

Answer: For CASE to run in the Windows 2000 environment, the registered user must be a member of the local group of power users. This applies to both local users and domain users. The user must have the right to access the Cardio installation directory and the Temp directory. We assume you have verified the latter requirement. So the user rights are probably the root cause of the problem.

Log on to the CASE client as the Administrator (local), and add the user “?Domain?\cardiouser” to the local user group of power users. Repeat this configuration at each CASE client.

For multiple users, it is recommended to create a special user group for them on the domain controller and to add this user group to the local user group of main users.

To do so, expand the entry Local users and groups in the computer administration and click the Groups folder. In the window at right, click Main User. A dialog opens showing all members of the group. Clicking the Add button opens a second dialog Select user or group. Select the domain from the combo box at the top.

Select the user or the group and confirm with Add. Exit with OK.

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Question: How can I run CardioSoftWeb on a Windows 2000 Domain Controller?

Answer: For CardioSoftWeb to run on Windows 2000 domain controllers, users IUSR_<Computer Name> and IWAM_<ComputerName> must be assigned to the group Server Operators after installation.

To do so, open the dialog Active Directory Users and Computers via Control Panel --> Administrative Tools. In the dialog at left, select the Domain, under Domain, on the folder Builtin and open the Property Dialog for the Server Operators.

Select the Members tab a add the users IUSR_<Computer Name> and IWAM_<ComputerName>.

Question: What do the spirometry test parameters mean (LF501)?

For SpiroSoft parameters, see users manual.

Answer: Designation of Spirometry Test Parameters

Parameter Designation

IVC [liters] Inspiratory vital capacity (relaxed)

Inspiratorische Vitalkapazität

EVC [liters] Expiratory vital capacity (relaxed)

Exspiratorische Vitalkapazität

FEVC [liters] Forced expiratory vital capacity

Forcierte Exspiratorische Vitalkapazität

FEV1 [liters] Volume of air exhaled during the 1st second of FEVC

Forciertes exspiratorisches Volumen in 1 Sekunde

PEF [liters/second] Peak expiratory flow Max. exspiratorischer Flow

MEF75 [liters/second] Max. expired flow at 75% FEVC remaining

Forcierter max. exspiratorischer Flow bei 75% Restvolumen FEVC

MEF50 [liters/second] Max. expired flow at 50% FEVC remaining

Forcierter max. exspiratorischer Flow bei 50% Restvolumen FEVC

MEF25 [liters/second] Max. expired flow at 25% FEVC remaining

Forcierter max. exspiratorischer Flow bei 25% Restvolumen FEVC

MMF [liters/second] Max. mid-expiratory flow (forced) between 25 and 75% of FEVC

Mittlerer Flow bei 25-75% FEVC

FIVC [liters] Forced inspiratory vital capacity

Forcierte inspiratorische Vitalkapazität

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Troubleshooting: Frequently Asked Questions

Question: What are the rules for the MILLER spirometry interpretation (LF501)?

Answer: 1. FEV1/IVC ≥ 70% and IVCref/IVC ≥ 70%

--> No Respiratory Problem

2. FEV1/IVC < 70% and IVCref/IVC < 70%

--> Combined Respiratory Problem

3. FEV1/IVC < 70% and IVCref/IVC °› 70%

--> Obstruction

4. FEV1/IVC ≥ 70% and IVCref/IVC < 70%

--> Restriction

Question: What are the maximum numbers of objects in the application?

Answer: The CASE application has the follow restrictions for data storage:

FIV1 [liters] Volume of air inhaled during the 1st second of FIVC

Forciertes inspiratorisches Volumen nach 1 s

PIF [liters/second] Peak inspiratory flow Max. inspiratorischer Flow

MIF75 [liters/second] Max. inspired flow at 75% of inhaled FIVC

Forcierter max. inspirator. Flow bei 75% der inhalierten FIVC

MIF50 [liters/second] Max. inspired flow at 50% FIVC remaining

Forcierter max. inspirator. Flow bei 50% inhalierten FIVC

MIF25 [liters/second] Max. inspired flow at 25% FIVC remaining

Forcierter max. inspirator. Flow bei 25% inhalierten FIVC

MVV [liters/second] Maximal voluntary ventilationof air expired for one minute (indirect, derived from FEV1)

Maximals exspiratorisches Ventilations-Volumen pro Minute (indirekt, abgeleitet von FEV1)

Parameter Designation

Object Max. number Message at the screen

Trend 600 Trend memory full, no more trend data can be saved!

ECG strips 50 Memory for ECG Strips is full, no more ECG Strips can be saved!

Arrhy strips (Episode)

20 N/A

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Medians 450 Memory for sample cardiac cycles is full, no more sample cardiac cycles can be saved!

TWA Median 300 TWA memory full, no more TWA data can be stored!

FD ECG 60 min. N/A

Object Max. number Message at the screen

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Troubleshooting: Flat Panel Monitor Problems

Flat Panel Monitor Problems

Problem: No picture

Solutions: The signal cable should be completely connected to the monitor computer.Check that the Vacation Switch is in the ON position.Front Power Switch on the monitor and the CASE power switch should be in the ON position.Check the monitor and your computer with respect to recommended settings.Check the signal cable connector for bent or pushed-in pins.

Problem: Power Button does not respond

Solutions: Unplug the power cord of the monitor from the AC outlet to turn off and reset the monitor.Check the Vacation Switch on the left side of the monitor.

Problem: Image Persistence

Solution: Image persistence is when a residual or “ghost” image of a previous image remains visible on the screen. Unlike CRT monitors, LCD monitors, image persistence is not permanent, but constant images being displayed for a long period of time should be avoided.

To alleviate image persistence, turn off the monitor for as long as the previous image was displayed. For example, if an image was on the monitor for one hour and a residual image remains, the monitor should be turned off for one hour to erase the image.

We recommend that when your CASE is sitting idle for long periods of time, turn OFF the system or the monitor.

Problem: Image is unstable, unfocused or swimming is apparent

Solutions: Signal cable should be completely attached to the computer.Use the OSM (On Screen Manager) Image Adjust controls to focus and adjust display by increasing or decreasing the fine total. When the display mode is changed, the OSM Image Adjust settings may need to be re-adjusted.Check the monitor with respect to recommended signal timings.If your text is garbled, change the video mode to non-interlace and use 60Hz refresh rate.

Problem: LED on monitor is not lit (no green or amber color can be seen)

Solution: Power Switch should be in the ON position and power cord should be connected.

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Problem: Display image is not sized properly

Solutions: Use the OSM Image Adjust controls to increase or decrease the Coarse total.Check to make sure that a supported mode has been selected on the system being used. (Please consult system manual to change graphics mode.)

Problem: No Video

Solutions: If no video is present on the screen, turn the Power button OFF and ON again.Make certain the computer is not in a power-saving mode (touch the keyboard or mouse).

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Troubleshooting: Printer Debugging

Printer Debugging

Problem: In Windows 2000, some characters overlap the characters that follow them

Select Start > Settings > Printers and select your standard printer.

Solution: Select menu “File” the entry “Properties”. Select “General” Tab and press button “Printing Preferences” and than press button “Advanced”. In the displayed list is in the topic “Document Options” the Entry “Print Optimizations”. This “Print Optimizations” must be disabled.

Problem: Printout incomplete

Solution: The printer probably has insufficient memory.

Problem: NT 4.0, slowly printing with HP6P, HP2100M, HP4050M (only CardioSoft)

Solution: Please replace the original printer driver with “HP Laserjet 5M” from the Windows Workstation CD ROM.

Problem: Laser printer prints numbers instead of grid.

Solution: There are three solutions for this issue:

If you work within a network installation, make sure that CardioSoft is installed on every client that wand’s to work with this software.Open Printer properties menu and change the printer scheduling to “Print direct.”Do the following entries to the WIN.INI, section.[CARDIO]GRA_DontRemoveGrid=1

Another solution can be to disable character sets in the Control Panel:

Start ---> Settings ---> Control Panel ---> Regional Options

1. In Language settings for systems, disable the following character sets:

ArabicHebrewIndicKoreanThaiVietnamese

2. After changing these settings the system must be rebooted.

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Troubleshooting: Printer Debugging

Problem: Paper out message from a laser printer is displayed delayed

Solution: You can reduce the Transmission Retry Timeout to decrease the delay of the displayed Paper out message, but it could cause a timeout message during the printing of pages with noisy ECG curves.

Reduce the Transmission Retry Timeout in Windows Printer Settings (tab Port, button Configure Port...).

Problem The error message “Paper Jam” appears when the P2000 is turned off.

Solution With the power on, open and close the writer door. This will clear the error message.

Prevention This problem occurs only when the P2000 is turned off after the PC has booted. To prevent this error from occurring, do not turn off the P2000 while the PC is on.

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Troubleshooting: Usage and Workaround of Acrobat 6

Usage and Workaround of Acrobat 6Problems occur if the newer Adobe Acrobat 6.0 Standard (6.0.0 19.05.2003) is used instead of version 5 which is validated for CASE 5.02 and 5.1x.

The following workarounds are helpful if customers are not able to get a full Adobe Acrobat 5 version. The proper usage of Acrobat 6 will be established in a future release.

Problem When you try to export an examination to a PDF the following error message occurs:

“Adobe Acrobat Distiller” is not installed!”

Workaround Change printer name and adjust printing preferences.

1. Go to Start --> Settings --> Printers, and change “Adobe PDF” to “Acrobat Distiller”.

2. In Printing Preferences of the renamed Adobe PDF (right mouse key) uncheck Do not send fonts to “Adobe PDF.

Problem In CardioSoft 5.1x, Acrobat 6 starts with this error message IF the online help function is invoked the first time:

Could Not Connect

Workaround Click OK to quit the message, then click Help button again. Acrobat now shows the desired location in the Operator’s Manual.

Problem: OS Message appears: Adobe Acrobat Reader is not installed

Solution: When the message appears, please install the Acrobat Reader V5.1 from the CardioSoft CD.

1. You need system administrator privileges to install the software.

2. Insert the CardioSoft CD in the CD ROM drive. If the CD drive does an automatically start up, close the CardioSoft Installation Screen.

3. Select Start > Run.

4. In the command line type X:\Disk\Setup Acrobat (X=CD ROM drive letter, e.g. “E” or “D”).

5. Click OK.

6. Follow the displayed prompts.

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Service: Overview

OverviewThis chapter describes the general procedures to perform the most common service tasks. These include:

System Backup and RestoreSoftware-Related Service

Software Upgrade InstructionsRecovering from a CASE BTRV ErrorDatabase Repair for CASE/CardioSoft

Hardware-Related ServiceControlling Electrostatic Discharge DamageServicing the Light AssemblyServicing the Keypad AssemblyRemoving the Worksurface AssemblyServicing the Power Distribution AssemblyServicing DriveReplacing the Floppy Drive/SD Card ReaderServicing the Print HeadUpdating the Writer Board FirmwareServicing the I/O AssemblyConfiguring the Acquisition Interface Board

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Service: System Backup and Restore

System Backup and RestoreBacking up the CASE system configuration and settings files ensures that the system can be restored in case of a catastrophic failure or after the hard drive is replaced. The system configuration files and the system setting files are backed up and restored independently of each other.

Saving to DisketteThese procedures are used to back up the following information to a high density, 1.44 MB floppy diskette:

System configurationsSystem settings

You MUST perform these procedures BEFORE replacing the hard drive. You can also use these procedures to save these settings so they can be copied from one unit to another.

Saving System Configurations to Diskette

Before saving your system configurations to diskette, manually write down all of your option codes. To access a listing of option codes for this system, choose System Configuration in the CASE application. Choose the Option Code Tab.

1. From within the CASE application, select the System Configuration icon.

The System Configuration window opens.

2. In the System Configuration window, select the For Service Only icon.

You are prompted to enter a password.

3. Enter the Service Password: helserv

NOTEThe password is case sensitive: be sure to use a lowercase letters.

4. Select Ok.

The Service window opens.

5. With the Service window open, insert the floppy diskette in Drive A:.

6. Select Format Floppy.

The Format A:\ dialog window opens.

7. Follow these steps:

a. Select Start

A warning message appears.

b. Select Ok.

The message Format complete appears.

c. Select OK.

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d. Select Close.

The Format A:\ dialog window closes.

8. In the Service window, select Ok.

The Service Window closes.

9. Verify the floppy disk is still in Drive A:

10. In the System Configuration window, select the Save icon.

A dialog window will appear, asking Is empty disk inserted in drive A:\?

11. Select ok.

The message System Configuration successfully stored to disk displays.

12. Select OK to finish saving the system configuration.

Saving Custom Settings to Diskette

1. At the initial screen within the CASE application, select New Test.

2. Highlight a test patient and choose the Select icon.

The Test Information window opens.

3. In the Test Information window, select OK.

4. Select the Custom Setup icon.

The Load Settings window opens.

5. Do one of the following:

If file names are listed under Settings..., skip to step 9.If file names are not listed under Settings..., continue to step 6.

6. select the Save icon.

The Save Settings window opens.

7. Verify the following settings:

Drive should be set to Hard Drive. Save As should be set to whatever you want to name the custom setup. Example: Dr. Smith.

NOTEMake sure to delete the three dots before entering the name.

8. In the Save Settings window, select Save.

This saves all of your Custom Settings to the file and location specified.

9. In the Load Settings window, under Drive, select Hard drive.

10. Under Settings select the Custom Setup Name that you want to save to diskette.

If you have more than one file name, repeat these steps for each.

11. Select Load.

The message Load setting and overwrite current setting? appears.

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12. Select OK.

The message Overwrite test protocols and phases? appears.

13. Select OK.

14. Select the Custom Setup icon.

The Load Settings window opens.

15. Select the Save icon.

16. In the Save Settings window, set the Drive selection to Disk Drive A:

17. Select the first “---” in this list.

18. The Save As selection should be set to whatever you would like to name the custom setup. Example: Dr. Smith.

NOTE Make sure to delete the three dots before entering the name.

19. In the Save Settings window, select Save.

You are returned to the Load Settings window.

20. Repeat step 9 through step 17 for each custom setting.

21. After you have saved the last custom setting, select Cancel in the Load Settings window.

Restoring from DisketteThese procedures are used to restore the following information from your system back:

System configurationsSystem settings

You MUST perform these procedures AFTER replacing the hard drive. You can also use these procedures to restore settings from one unit to another.

Restoring System Configuration from Diskette

NOTETo successfully restore the system configuration from diskette, you will need the list of option codes that were written down prior to replacing the hard drive.

1. Select the icon System Configuration.

The System Configuration window opens.

2. Insert the diskette with backup settings and procedures into the floppy drive.

3. In the System Configuration window select the LOAD icon.

The message Load System Configuration and overwrite current Configuration? appears.

4. Select OK.

The message Is a disk with the System Configuration inserted in drive A:?

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5. Select OK.

The message System configuration successfully loaded (software options not loaded, please use option disk to load) appears.

6. Select OK.

7. Select the System Configuration icon.

The System Configuration window opens.

8. In the System Configuration window, select the Option Code tab.

9. On the Option Code tab of the System Configuration window, select the Modify... icon.

The message Change Software option, are you sure? appears.

10. Select OK.

11. Enter all of the option codes that you manually wrote down prior to replacing the hard drive.

CAUTION Option codes are serial number specific and should not be duplicated.

12. After entering the option codes in the System Configuration window, select OK.

Restoring Custom Setups from Diskette

1. From the initial screen, select New Test.

2. Highlight a test patient and click on the Select icon.

The Test Information window opens.

3. In the Test Information window, select OK.

4. Insert the diskette with backup settings and procedures in drive A:.

5. Select the Custom Setup icon.

The Load Settings window opens.

6. Make the following selections:

For Drive, select Disk drive A: Highlight the custom file name under SettingsSelect Load.

The message Load setting and overwrite current settings? appears.

7. Select OK.

The message Overwrite test protocols and phases? appears.

8. Select OK.

9. Select the Custom Setup icon.

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The Load Settings window opens.

10. Select Save.

The Save Settings window opens.

11. Make the following selections:

For Drive, select Hard driveSelect the first “...” on the list.For Save As, delete the three dots and type in the custom setup name again (example: Dr.Smith)

12. Select the Save icon.

You return to the Load Settings window.

13. If you need to restore additional custom setups, repeat step 5 through step 12 for each setting BEFORE proceeding to the following step.

14. If you loaded more than one custom setup, select the custom setup under Settings that you would like to use as your default setup.

15. Select Load.

The message Load setting and overwrite current settings? appears.

16. Select OK.

The message Overwrite test protocols and phases? appears.

17. Select OK.

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Service: Recovering from a CASE BTRV Error

Recovering from a CASE BTRV ErrorBtrieve errors may occur when the CASE attempts to store a patient test. They may indicate an improper system shutdown or facility power interruptions.

The Btrieve recovery process that follows is used to reorganize the corrupt database in order to possibly regain access to tests already stored and to allow new tests to be stored until the system can be repaired.

For further information on recovering from a CASE BTRV error, contact technical support at the following phone numbers:

1-800-558-7072 (U.S.) 561-575-5000 (outside of the U.S.)

ProcedureFollow these steps:

1. Log on as Administrator.

a. From the CASE initial screen press Ctrl+Alt+Delete. The Windows NT Security window opens.

b. In the Windows NT Security window, click on Logoff.

c. Hold down the Shift key.

d. Click on OK.

e. Continue holding down the Shift key until the Logon screen appears.

f. Logon as:

User name: AdministratorPassword: admin1,3,5,7Click OK.

g. Wait for the desktop screen to come up (showing the My Computer, Network Neighborhood, etc. icons).

2. Click on My Computer.

3. Click on D:

4. Click on Case.

5. Click on Database.

6. Double-click on Reorg.bat.

7. Each time the Press any key to continue message appears, press the space bar. This will occur four times.

After you respond to the last message, the Database window opens.

8. At the bottom left corner of the Database window, select Start > Programs > GE Medical Systems IT > Configure User Auto Logon.

The Configure User Auto-Login window opens and the message Auto-login configured for user is displayed.

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9. Select OK.

NOTE Some older systems will not have not have this step. If not, proceed with the next step.

10. Restart the computer as normal.

11. Verify the system boots automatically into the CASE initial screen.

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Service: Database Repair for CASE / CardioSoft

Database Repair for CASE / CardioSoftGE Healthcare provides a software tool—card_rep.exe—that can repair the patient.btr and examina.btr database files on the following systems:

CASE (all versions)CardioSoft (v4.1 and later)

How the Data is RepairedThe tool repairs the database by reading the data from the headers of the examination files in the corresponding modality directory and writing a corresponding patient.btr and examina.btr file. The tool does not modify the original data in the CASE\CardioSoft 0 database. Instead, it stores the repaired data in a temporary directory; the operator is responsible for ensuring the repaired data is usable and for moving the data to the database.

Supported ModalitiesThe tool supports the following modalities:

Exercise Test (v5 and above)Rest ECG (v5 and above)Ambulatory Blood Pressure (v5 and above)Spirometry (v5 and above)Archived Patient Records (v5 and above)Late Potentials (prior to v5)STAT ECG (prior to v5)Right-Heart Cath (prior to v5)

Non-Supported FeaturesThe tool does NOT support entries from external programs because those files do not store patient information. Nor does it repair the following data, which are not stored in the examination files:

Device/Cart NumberExamination Sent to MUSE flag

InstallationTo install the tool, copy it to the CASE\CardioSoft directory so it can use the DLLs located in that system.

Password ProtectionTo use the tool, you must enter the One Day Password, as described in “General Troubleshooting” on page 6-11.

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Directory / File StructureThe following table identifies the directory structure and contents of the CASE/CardioSoft system.

Repair directory structure

The repair directories have fix names from Card_R0 to Card_R9, where any writeable disk-drive can be selected.

DIRECTORY /Files Description

CARDIO Program directory

DATABASEPatient.BtrExamina.BtrUsers.BtrStation.BtrNetwork.Btr

Database directoryBtrieve-file: PatientsBtrieve-file: ExaminationsBtrieve-file: UsersBtrieve-file: Network-Stations, not used from V5 onBtrieve-file: Network-Locking, temporary files

RESTECGR*.*

Rest ECG directoryExamination files

AVERAC*.*

Late Potentials-directoryExamination files

SPIRSC*.*

Spirometry - directoryExamination files

EMECGN*.*

STAT ECG - directoryExamination files

RHKZ*.*

Right-Heart Cath - directoryExamination files

HOLTERBPBC*.*

Ambulatory Blood Pressure - directoryExamination files

CASC*.*

Exercise test - directoryExamination files

EXTPROG*.*

Directory: Results from external programsResult files

SOUND*.*

Directory: Sound-Files from all modalitiesSound Files

ONLINE*.*

Directory: Full disclosure-Files from all modalitiesFull disclosure Files

NARRATIV*.*

Directory: Configured ReportsConfigured Reports from all modalities

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Configuring the RepairBelow is screenshot of the English version of the CASE/CardioSoft Repair Tool. The tool is also available in German.

To use the tool, do the following:

1. Specify the root directory of the CASE/CardioSoft system. The tool uses this directory to generate the modality directories.

2. Specify the disk drive and directory where the repaired data will be stored. Verify there is enough disk space.

3. Select the examination files the tool will use to restore the database.

4. Click the Settings button and define the following:

Special Settings for handling mismatched patient data. This determines how the tool will handle patient data differences between the examination files and the database. This could happen when the patient data is modified after an examination was made. You have the following options:

Control the Patient data with a dialogueUse always the Patient data from the examination-fileRetain always the Patient data found in the databaseUpdate empty fields of the database with valid entries from the examination-file

Special Settings for handling existing examination-dataThis determines how the tool will respond when the key generated from the examination-file exists in the database. This could happen when examinations are merged from different directories and there are several

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entries for one patient from the same date and time.(year, month, day, hour, minute and second). You have the following options:

Ignore the examination: The examination-file will not be copied to the repair directoryGenerate a new key and store the examination.The second of the recording-time will be incremented and a new try is made with this modified key.

This option should be used with care, because when Card_Rep is used with the same examination-files more than once, more than one entry will be found in the database.

Using the Repaired FilesAfter the repair is complete, use the View button to review the entries the tool made in the patient.btr and examina.btr files.

After you verify that the files have been repaired to your satisfaction, you need to replace the missing or corrupt database files with the repaired files. You have two methods for doing this.

Move the working files to the repair directory using the following procedure:a. Install CASE/CardioSoft on the temporary repair-directory: c:\card_r0

b. Copy the file uers.btr and the configured reports from the master directory to the temporary directory using the Users/Conf.Rep button.

c. Delete the master-directory and rename the temporary-directory to the master-directory.

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Copy the repaired files to the appropriate master directories using the following procedure.a. Delete the contents of these master directories:

DATABASE\*.BTR RESTECG\*.* ERGOECG\*.* AVER\*.* SPIR\*.* EMECG\*.* RHK\*.* HOLTERBP\*.* CAS\*.* SOUND\*.* ONLINE\*.*

b. Copy the files from the corresponding temporary repair directories.

c. Copy the files examina.btr and patient.btr from the temporary database directory to the master database directory.

Merging Data Card_rep.exe can be used to merge patient and examination data stored in different directories:

1. Decide which database should be used as a base and copy the whole directory into a repair directory (c:\Card_Rep0,... c:\Card_Rep9)

2. Select the directories of the files where the examinations to be merged are stored.

3. Start Repair and the selected examinations are merged to the repair directory.

Continue with the work described in “Using the Repaired Files” on page 7-14.

External Stored ExaminationsCard_rep.exe can be used to regenerate the database entries for the external stored examinations. The only restriction is that the device where the examinations are stored must be writeable. This is because the repair-procedure requires that the header of each examination file be changed and the file has to be renamed.

NOTE Before the repair is started, you should back up the directory of the external stored examinations. This would be helpful if the system crashes while all the files are renamed.

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Examinations with Full Disclosure ECGWhen using a directory structure that does not follow the CASE/CardioSoft conventions, there may be problems with examinations that have a Full disclosure ECG.

Card_rep.exe assumes that the Online Files are stored in the directory \ONLINE, which is parallel to examinations. When card_rep.exe does not find such a directory, no Online File will be available for that examination.

The modalities that may have Online files are Exercise Test, STAT ECG, Right-Heart Cath.

Example:To repair Exercise Tests, where the examinations are stored in the directory d:\exercise, make sure that the corresponding online files are stored in d:\online.

Repair Message CodesThe following codes are used to indicate the status of the actual examination to be repaired.

Code English German

PN Patient entered new Patient neu eingetragen

PF Patient found and identical to the examination-data

Patient gefunden und identisch

PD Patient found and different to the examination-data, not updated

Patient gefunden, aber unterschiedlich, kein Update

PE general error Allgemeiner Fehler

PU Patient-data different, updated by the user

Patientendaten unterschiedlich, Update durch Benutzer

PM Patient-data different, empty fields supplemented

Patientendaten unterschiedlich, leere Fehler ergänzt

PR Patient-data used from the examination-file

Patientendaten aus dem Untersuchungsfile übernommen

EN Examination entered new Untersuchung neu eingetragen

EK Examination entered new, but recording-date modified

Untersuchung neu eingetragen aber Aufnahmedatum modifiziert

EF duplicate examination-key, examination ignored

doppelter Untersuchungsschlüssel, Untersuchung ignoriert

E0 Error: internal patient-number is zero Fehler: Patientennummer ist null

EE general error Allgemeiner Fehler

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Patient-FilterYou can use a filter to restrict the repair of patient and examination files based on the patient’s name and ID. The filter can include wild cards (*,?). For example:

It is possible to set a filter for the patient´s last name. So only patients/examinations according this filter are stored in the new database. The filter-specification can also include wild cards (* ?) for example

Meier selects patients with the last name Meier.

Me* selects patients beginning with Me followed by any other combination of characters

Me??? selects patients beginning with Me followed by exact 3 other characters.

*xyz* selects patients containing the substring xyz

The specification for searching can also be extended by the property “Match case”.

The filter is set on the “Settings” dialog box.

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Service: Remote Service

Remote ServiceRemote service is available using InSite 2.0. Refer to Chapter 4, “InSite 2.0” for more information.

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Service: Controlling Electrostatic Discharge Damage

Controlling Electrostatic Discharge DamageAll external connector inputs and outputs of the device are designed with protection from ESD damage. However, if the device requires service, exposed components and assemblies contained within are susceptible to ESD damage from sources including human hands, non-ESD protected work stations, and/or improperly grounded test equipment.

CAUTION The CASE contains components that are susceptible to electrostatic discharge damage. Observe all static precautions while performing service. Failure to observe these precautions may result in failure of components.

The following guidelines help make a service workstation more resistant to the ESD damage:

Discharge any static charge you may have built up before handling semiconductors or assemblies containing semiconductors.A grounded, antistatic wristband (3M part number 2046 or equivalent) or heel strap should be worn at all times while handling or repairing assemblies containing semiconductors.Use properly grounded soldering and test equipment.Use a static-free work surface (3M part number 8210 or equivalent) while handling or working on assemblies containing semiconductors.Do NOT remove semiconductors or 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 semiconductors or electrical/electronic assemblies across any surface.Do NOT touch semiconductor leads unless absolutely necessary.Semiconductors and electrical/electronic assemblies should be stored only in antistatic bags or boxes.

These guidelines may not guaranty a 100% static-free workstation, but greatly reduce the potential for failure of any electrical/electronic assemblies.

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Service: Servicing Light Assembly

Servicing Light AssemblyLog off the CASE application, shut down the system, turn the power switch to OFF, and unplug the unit from the power outlet.

To access the light assembly for servicing follow these steps:

1. Remove two screws from the light assembly to separate it from the display support.

2. Remove two screws from the light assembly circuit board to separate it from the lens.

3. Disconnect the light cable and replace the circuit board.

4. Reverse the procedure to reassemble.

5. Reconnect the CASE unit to AC power.

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Service: Servicing the Keypad Assembly

Servicing the Keypad AssemblyLog off the CASE application, shut down the system, turn the power switch to OFF, and unplug the unit from the power outlet.

To access the keypad assembly for servicing follow these steps:

1. Remove the keypad overlay to gain access to the keypad assembly locking tabs.

2. Working from right to left, release the locking tabs. Extract the keypad assembly.

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3. Disconnect both cables and replace the keypad assembly.

4. Reverse the procedure to reassemble.

5. Reconnect the CASE unit to AC power.

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Service: Removing the Worksurface Assembly

Removing the Worksurface AssemblyLog off the CASE application, shut down the system, turn the power switch to OFF, and unplug the unit from the power outlet.

To gain access the writer and power supply assemblies, the CASE worksurface must first be removed. Follow these steps to remove the CASE worksurface:

1. Disconnect the keyboard and mouse connectors from the I/O drawer and pull the cable through the cable guide and remove.

2. Disconnect the ground wire on the writer drawer.

3. Remove the 12 mounting screws from under the worksurface.

4. Lift the worksurface up from the front.

CAUTION Lift the front of the workstation only far enough to reach underneath and disconnect the keypad cables. Lifting the workstation any higher could damage the connectors on the keypad board.

Ground Terminal

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5. While holding the front of the worksurface up, reach underneath it and carefully disconnect the two keypad cables located near the left of the keypad assembly.

6. Lift off the worksurface and set it aside.

NOTEThe writer paper release button will fall through when the worksurface is lifted. When reassembling the worksurface, the button must be inserted from the top.

7. Reverse the procedure to reassemble.

8. Reconnect the CASE unit to AC power.

Release

Button

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Service: Servicing the Power Distribution Assembly

Servicing the Power Distribution AssemblyThe power distribution assembly contains writer power supply, CPU power supply, power distribution board and EMI filter.

Log off the CASE application, shut down the system, turn the power switch to OFF, and unplug the unit from the power outlet.

To service the power distribution assembly, follow these steps:

1. Remove the CASE worksurface. Refer to “Removing the Worksurface Assembly” on page 7-23.

2. Remove the two lock nuts and two screws holding the writer tray in place. Remove the writer assembly.

3. Loosen the two lock nuts holding the power supply in place.

4. Disconnect the cables that are connected to the power supply assembly. Carefully lift the assembly out for service.

5. Reverse the procedure to reassemble.

6. Reconnect the CASE unit to AC power.

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Service: Accessing the Drives

Accessing the DrivesTo access drives for servicing, follow these steps:

1. Back up the configuration and custom settings as described in “Saving to Diskette” on page 7-4.

2. Log off the CASE application, shut down the system, turn the power switch to OFF, and unplug the unit from the power outlet.

3. Lift drive bezel up at the bottom and pull it away from the CASE chassis.

4. Remove the four lock nuts from the drives assembly front panel.

5. Slide the drives assembly out of the CASE assembly.

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NOTEDo not allow the drive assembly to drop into the unit.

6. Hang the drives assembly by the hooks on its side panels to access connectors and individual drive mounting screws.

The drives are now accessible for replacement or upgrade. If you replace the hard drive, restore your system settings (see “Restoring from Diskette” on page 7-6).

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When replacing the hard drive with the 80 GB hard drive (PN 2000714-011), change the jumper to “Master or single drive” as shown in the illustration below.

When you are done servicing the drives, reverse the procedure to reassemble.

Reconnect the CASE unit to AC power.

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Service: Upgrading the Floppy Drive

Upgrading the Floppy DriveIf you are upgrading from an earlier version of CASE, use the following procedure to replace the existing floppy drive with the floppy drive / card reader.

1. Perform the procedure described in “Accessing the Drives” on page 7-26 to make the drives accessible for upgrade.

2. Unplug the ribbon cable from the floppy drive.

3. Unplug the power connector from the floppy drive.

Unplug ribbon cable

Unplug power connector

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4. Unplug the floppy drive ribbon cable (41978-001) from the motherboard inside the CASE and remove it. This cable will no longer be used.

5. Remove the 2 screws on each side of the floppy drive.

6. Slide the floppy drive out of the drive assembly.

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7. Guide the “tail” of the USB cable through the drive assembly. Then insert the new floppy drive /card reader (2028841-001) into the slot of the drive assembly.

8. Secure the floppy drive / card reader with 2 screws on each side of the floppy bracket.

Insert the USB cable through the assembly first.

Secure screws on left side...

and on the right side.

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9. The USB cable of the floppy drive / card reader must be connected to the USB connector on the motherboard. Use a flashlight if necessary to ensure correct positioning.

Correct position of the USB cable on the motherboard.

10. View into CASE with the USB cable connected to verify the cable is routed away from the fan.

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11. Insert the new floppy ribbon cable (2028841-002) into CASE and connect it to the floppy connector on the motherboard. It can be plugged in one position only.

Floppy cable connected to the motherboard

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12. Connect the “Drive A” connector of the ribbon cable to the floppy drive /SD card reader.

!

Pin 1 (red wire) on the right side

Ribbon cable connected to the floppy drive / SD card reader

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13. Connect the power connector to the floppy drive.

14. Slide the drive assembly into the CASE assembly.

Power connector connected to the floppy drive

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15. Secure the drive assembly front panel with the four lock nuts.

16. Attach the drive bezel.

17. Reconnect the CASE unit to AC power.

18. Turn on the power switch and make sure that the internal fan does not touch any cable (makes no noise).

19. Use Windows Explorer to verify that the card reader and floppy disk can be written to and read from.

20. Format a card or floppy disk as necessary.

WARNING Formatting a card or floppy disk will erase ALL data previously stored on the medium. Verify that the medium contains no data that you want or need to retain.

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Service: Replacing the Floppy Drive / Card Reader

Replacing the Floppy Drive / Card ReaderIf the floppy drive / card reader fails, use the following procedure to replace the existing drive / reader with a new unit.

1. Perform the procedure described in “Accessing the Drives” on page 7-26 to make the drives accessible for upgrade.

2. Unplug the ribbon cable from the drive / reader.

3. Unplug the power connector from the drive / reader.

Unplug ribbon cable

Unplug power connector

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4. Unplug the USB cable from the USB connector on the motherboard. If necessary, you may momentarily lift the drive assembly from its resting position to provide additional room to access the USB connector.

5. Remove the 2 screws on each side of the floppy drive.

6. Slide the floppy drive out of the drive assembly.

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7. Guide the USB cable of the new drive through the drive assembly and insert the new drive / reader into the slot of the drive assembly.

8. Secure the floppy drive / card reader with 2 screws on each side of the floppy bracket.

Insert the USB cable through the assembly first.

Secure screws on left side...

and on the right side.

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9. The USB cable of the floppy drive / card reader must be connected to the USB connector on the motherboard. Use a flashlight if necessary to ensure correct positioning.

Correct position of the USB cable on the motherboard.

10. View into CASE with the USB cable connected to verify the cable is routed away from the fan.

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11. Connect the “Drive A” connector of the ribbon cable to the floppy drive /SD card reader.

!

Pin 1 (red wire) on the right side

Ribbon cable connected to the floppy drive / SD card reader

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12. Connect the power connector to the floppy drive.

13. Slide the drive assembly into the CASE assembly.

Power connector connected to the floppy drive

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14. Secure the drive assembly front panel with the four lock nuts.

15. Attach the drive bezel.

16. Reconnect the CASE unit to AC power.

17. Turn on the power switch and make sure that the internal fan does not touch any cable (makes no noise).

18. Use Windows Explorer to verify that the card reader and floppy disk can be written to and read from.

19. Format a card or floppy disk as necessary.

WARNING Formatting a card or floppy disk will erase ALL data previously stored on the medium. Verify that the medium contains no data that you want or need to retain.

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Service: Servicing the Print Head

Servicing the Print HeadLog off the CASE application, shut down the system, turn the power switch to OFF, and unplug the unit from the power outlet.

To replace the print head, follow these steps:

1. Remove the thermal writer from the worksurface assembly. Refer to “Removing the Worksurface Assembly” on page 7-23 for details.

2. Press the paper release button to move the print roller away from the print head.

3. Remove the rubber disk from the slide plate and set it aside.

4. Disconnect the print head ribbon cable from the print head connector.

5. Move the slide plate to the right to remove pressure from the print head.

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6. Pull back on the brush assembly and lift out the print head.

7. Before installing the new print head, record the resistance value. If it is different from the original print head resistance value, the writer test will have to be performed when this your CASE is reassembled. Refer to “Writer Test” on page 6-8 for more information.

8. Insert the new print head while taking care that the printhead brush does not get caught under the printhead.

Resistance Value

Incorrect

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9. Move slide plate to the left to lock it in place.

10. Replace the rubber disk that was removed earlier.

11. Connect the print head cable and reassemble the CASE.

12. Reconnect the CASE unit to AC power and turn the power switch ON.

13. Perform the writer test discussed in “Writer Test” on page 6-8 for more information.

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Service: Writer Board Firmware Update

Writer Board Firmware UpdateFollow this procedure when replacing the Writer/Power Distribution Assembly FRU to ensure the USB Writer board has the latest firmware and correct printhead resistance.

1. Install the new Writer/Power Distribution Assembly.

2. Boot up the system.

One of two things will happen:

If the CASE has the latest application software, the system boots normally. Skip to step 7.If a firmware update is needed, the Writer Firmware Update Utility runs. Proceed to step 3.

3. When the Writer Firmware Update Utility is finished, click OK then Exit.

NOTEIf the update doesn't complete, check the USB connections and connections to the board or FRU that was just installed. Then repeat from step 2.

4. Perform a normal unit shutdown.

5. After the screen goes completely black, turn off the Mains power switch on the back of the unit.

6. Wait at least 30 seconds for all capacitors to drain down, then turn on the Mains power switch and press the start button by the floppy drive door.

7. Check the writer firmware version using the following procedure:

a. On the Windows taskbar, select Start > Control Panel.

b. Double-click on GEMS-IT USB Devices.

c. Verify the two numbers under the Revision section for the thermal writer are 2.08 2.08 or higher.

If the numbers shown are less than 2.08 2.08, then the update did not work and you must repeat this procedure from the beginning.

d. Close the USB Devices and Control Panel windows.

8. Reburn the printhead resistance into the writer PCB using the following procedure:

a. On the Windows taskbar, select Start > Run.

b. Browse to D:\CASE\Diags\writerutil.exe.

c. Click OK.

d. Check the printhead in the writer for the indicated printhead resistance label. Refer to “Resistance Value” on page 7-45 for more information.

e. If the Printhead Resistance value displayed is incorrect, enter the correct number.

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f. Click the Recalc and Save buttons.

CAUTION Perform this step regardless of whether you modified the resistance value: it is required to burn the resistance value into the new writer PCB flash.

g. Close the Case Writer Utility window.

9. Perform a normal unit shutdown.

10. After the screen goes completely black, turn off the Mains power switch on the back of the unit.

11. Wait at least 30 seconds for all capacitors to drain down, then turn on the Mains power switch and press the start button by the floppy drive door.

The unit is now ready for normal operation.

12. Launch the CASE application.

13. Click on the System Config icon.

14. Select For Service Only.

The Service window opens.

15. In the Service window, enter the password helserv.

16. Select Launch Writer Tests.

For more information, refer to “Writer Test” on page 6-8.

17. Run the test at the speed of 25 mm/second.

NOTEThe first 1mm of the speed test may be distorted at 25mm/s and 50mm/s, due to the new current limiting startup ramp that was put into 2.07 and higher to prevent motor problems.

18. When the test is complete, quit the CASE application.

19. On the Windows taskbar, select Start > Programs > GE Medical Systems IT > Configure User Auto Logon.

The Configure User Auto Logon window opens.

20. Select User and click OK.

NOTE Some older systems will not have not have this step. If not, proceed with the next step.

21. Perform a normal Windows shutdown.

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Service: Servicing the I/O Assembly

Servicing the I/O AssemblyLog off the CASE application, shut down the system, turn the power switch to OFF, and unplug the unit from the power outlet.

To access the I/O assembly for servicing follow these steps:

1. Use a screw driver to loosen and open the I/O access drawer located on the back of the unit.

2. Remove five mounting screws from the I/O drawer rear panel.

3. Carefully slide out the I/O drawer to gain access to the I/O boards and mother board assembly

CAUTION When moving the I/O drawer, keep it to the left or press in on circuit board to prevent the side of the chassis from damaging it.

Cable clamps – used for external devices, e.g., the CAM-14.

Use care not to damage the attached board by pulling on device cables/cords attached here.

MOUNTING SCREWS

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4. Hang the drive bay as described in “Servicing the Power Distribution Assembly” on page 7-25 to position I/F cables appropriately when reinserting the I/O drawer assembly back into the CASE chassis.

5. Reverse the procedure to reassemble.

6. Reconnect the CASE unit to AC power.

Shown below is a picture of the interior of the I/O assembly drawer.

Floppy Drive Not Used Hard Drive & CDRW

Power Header

Harness Reset Switch

Analog I/O

Com D

Com C

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Service: Configuring the Acquisition Interface Board

Configuring the Acquisition Interface BoardAfter replacing the acquisition interface board, you must configure the board to work with the CASE workstation by specifying the workstation’s unit serial number. This is done with syscfg.exe using the following instructions.

1. Make sure that you are at the initial CASE application screen.

2. Hold down the Ctrl key and press Esc.

The Start menu opens.

3. Log on as a service user with the following procedure:

a. Select Start and then Shut Down.

The Shut Down Windows window opens.

b. Select choose Close all programs and log on as a different user.

c. Press and hold the Shift key.

CAUTION Do not release the Shift key until the Logon Information window opens.

d. Select YES.

The system reboots and the Logon Information window appears.

e. Type service for the user name and password. Use all lowercase letters.

The system completes the boot process.

4. On the Windows desktop, right-click Network Neighborhood and select Properties.

The Network window opens.

5. Verify that the Computer Name is entered as the unit serial number.

6. Select Ok to close the Network window and return to the desktop.

7. On the Windows taskbar, select Start > Run.

The Run dialog box opens.

8. Type syscfg and click OK.

The System Configuration window opens.

NOTEIf Windows cannot find the application, you may need to specify the entire path and filename, which is typically c:\hardware\syscfg.exe.

9. Verify the Unit Serial Number is correct.

10. If the Unit Serial Number is incorrect, enter the correct number.

11. Select Configure.

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NOTESome earlier units prompt you to enter the NT License number also. If this prompt displays, enter Certificate of Authenticity or 00000-oem-0000000-00000.

12. Select Update.

13. When the update is complete, select Exit.

14. On the Windows taskbar, select Start > Programs > GE Medical Systems IT > Configure User Auto Logon.

The Configure User Auto Logon window opens.

15. Select User, and then click OK.

NOTE Some older systems will not have not have this step. If not, proceed with the next step.

16. Shut down the computer as normal.

Verification

After configuring the acquisition interface board, verify its success by running a burn-in test with the following instructions:

1. Launch the CASE application.

2. Click on the System Config icon.

3. Select For Service Only.

The Service window opens.

4. In the Service Screen, enter the password helserv.

5. From the bottom of the Service Screen choose Burn-in Test.

The burn-in test begins.

6. Verify that the correct unit serial number is displayed.

7. Click anywhere on the screen to stop the burn-in test.

The message Stop Burn-in test? appears.

8. Select Yes.

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System Rebuild: Overview

OverviewIn the event of a catastrophic system failure or a hard drive replacement, it will be necessary to restore the CASE system. This process consists of the following steps:

1. Apply the CD image.

For details, refer to “CD Image and Application Installation” on page 8-4.

2. Configure the CASE system language.

For details, refer to “Configure the CASE System Language” on page 8-8.

3. Install the supplemental XP system files, if necessary.

For details, refer to “Install Supplemental XP System Files and XP Security Patches” on page 8-11.

4. Install the application.

For details, refer to “Install the Application” on page 8-12.

5. Identify the options that were purchased with this installation.

For details, refer to “Options Installation” on page 8-13.

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CD Image and Application Installation

CAUTION The CD reimaging procedure will completely erase all information on the unit, including patient data.

ALL PATIENT DATA WILL BE LOST.

For technical support, call the Jupiter Remote On-Line Center at 1-800-558-7044. If you need technical support and you are not in the US, see “How to Reach Us...” at the front of this manual to determine who to contact for technical support for further information on copying patient data prior to CD reimaging.

This procedure describes how to install the CD image and CASE Exercise Testing System application software. Follow all the instructions to ensure your system saves your exercise test settings (user lists, protocols, etc.) and stored tests during the upgrade process.

For information on saving system settings, see “General Troubleshooting” on page 6-11.

KitCheck that the following items are in the kit you received. For technical support, call the Jupiter Remote On-Line Center at 1-800-558-7044. If you need technical support and you are not in the US, see “How to Reach Us...” at the front of this manual to determine who to contact for technical support.

Initial BIOS ConfigurationTo do the initial setup, complete the following steps:

1. Restart the system by left-clicking Start on the task bar, selecting Shut Down, and selecting Restart.

2. When Loading... appears press the F2 key immediately to enter the BIOS SETUP.

Description QTY

Multi Image CD Kit 3

CASE application software CD 1

XP Supl. Files CD (only shipped with V6.5/V6.51) 1

XP Security Patch CD (only shipped with V6.51) 1

InSite 2.0 CD (only shipped with V6.5/V6.51) 1

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Bios Setup — Changing the Boot Sequence1. When asked to Enter Password type system then press Enter. You will then be

entered into the BIOS Setup Utility.

2. Insert the CASE Disk 1 Image CD into the CD-ROM drive.

3. Press the right-arrow key to select the Boot Menu.

4. In the Boot Menu, arrow up/down to highlight the desired device, then use the +/- keys of the numeric keypad to move the device order up/down and change so the sequence is as follows:

ATAPI CDROM DriveRemovable DevicesHard Drive

5. With this order set, right arrow to the Exit Menu, highlight Exit Savings Changes, and press Enter. Highlight Yes and press Enter again. The system will reboot.

NOTE In the BIOS Setup Utility Screen, under the EXIT menu, the text “CMOS Restore Condition (CMOS Corruption)” is displayed. This is a normal condition. No action is required.

Disk Image Loading1. The CASE Image Utility window will appear on the display along with some

warning messages. Press Y in response to the question Do you wish to continue[Y,N]?

2. Press Y again in response to the question Are you sure? (The existing contents of your hard drive will be lost!) [Y,N]?

CAUTION Pressing Y to this prompt will erase the contents of your hard drive. All patient data will be lost.

3. When the message Span Volume [1] Done, Insert next media and press Enter to continue appears, insert Disk 2 into the CD-ROM drive and click OK.

4. When loading is done the message Partition 1 successfully imaged will appear. Remove the CASE Image CD from the CD-ROM drive.

5. Reboot the system by pressing Ctrl+Alt+Delete. When Loading... appears on the screen, press the F2 key immediately to enter the BIOS SETUP.

Final Bios Configuration1. When asked, Enter Password, type system.

The BIOS Setup Utility opens.

2. Use the right arrow key to select the Exit Menu.

3. In the Exit Menu, use the arrow key to select Restore CMOS From Flash.

4. Press Enter to select.

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5. Press Enter again to confirm.

6. Use the arrow key to highlight Exit Saving Changes.

7. Press Enter.

8. Select Yes and press Enter again to reboot the system.

9. Press Ctrl+Alt+Delete to open the Login window.

Log on with your:

User name: __________Password: __________Click OK

10. The System Configuration Utility dialog box appears on the screen.

XP Systems — Verify CRT or Flat Panel Display SettingsThe XP image installs display settings for a CASE system with a flat panel display. The display settings for a CASE system with CRT are different. If the image is loaded on a CRT system, the display settings need to be modified.

Modify CRT Display SettingsTo modify display settings on a CRT system:

1. Right-click My Computer and click Explore.

2. Click Local Disk (C:) and double-click the Support folder.

3. Right-click the CRT_Settings.inf file and select Install.

4. Restart the system.

Verify CRT or Flat Panel Display SettingsVerify that the display settings for CRT or Flat Panel are the same as listed in the table below.

1. Right-click anywhere on the desktop and select Properties from the menu.

2. Click the Settings tab on the Display Properties box.

3. Verify the Screen Resolution and Color Quality.

4. Click the Advanced button.

5. Click the Monitor tab.

6. Verify the Screen Refresh Rate.

Display Settings for CRT Display Settings for Flat Panel (19” and 17”)

Color Quality Medium (16 bit) Medium (16 bit)

Screen Resolution 1024 by 768 pixels 1280 by 1024 pixels

Screen Refresh Rate 85 Hertz 60 Hertz

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The System Configuration Utility1. Enter the serial number for your CASE. This entry is not case sensitive.

2. Click Configure.

The Acquisition Board Firmware Update runs automatically, followed by the New SID utility. When both operations are complete, the CASE restarts automatically.

CAUTION Do not interrupt this update. Interruption of the Acquisition Board Firmware Update may damage the Acquisition Board.

3. After the computer has restarted, press Ctrl+Alt+Delete to enter the Login screen.

Logon as:

User name: AdministratorPassword: admin1,3,5,7Click OK.

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Configure the CASE System Language The CASE XP image is a single image with the multi-language user interface. All language support is loaded on the image and can be configured as needed. The following 15 languages are supported:

Chinese (Simplified)CzechDanishDutchEnglishFrenchGermanHungarianItalianJapaneseNorwegianPolishPortuguese (Brazilian)RussianSpanishSwedish

Four language support settings are needed to change languages on a CASE XP system:

Language used on operating system menus and dialogs Input LanguageRegional Standards and FormatsLanguage for Non-Unicode program

NOTESince all but the Non-Unicode Program Language settings in XP apply to the logged-in user, and since most CASE customers use the User account, apply these setting changes while logged in as a User at a minimum.

Set Menus and Dialog LanguageThe CASE system supports multiple languages for its menus and dialogs. This setting sets the language to be used.

NOTEApplies to logged-in user account only.

1. Double-click on the Set Windows Language icon on the CASE system desktop.

2. Click the Languages tab and choose the desired language from the Language used in menus and dialogs drop-down list.

3. Click OK.

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CASE 6.5 supports the following languages:

Chinese (Simplified)CzechDanishDutchEnglishFrenchGermanHungarianItalianJapaneseNorwegianPolishPortuguese (Brazilian)RussianSpanishSwedish

Set Input LanguageThe CASE system has a separate keyboard for each supported language. This setting sets the keyboard to be used.

NOTEApplies to logged-in user account only.

1. Click the Languages tab and click the Details button.

2. Click the Settings tab of the Text Services and Input Languages dialog, and select the keyboard language from the Default input language drop-down list.

3. Click OK.

Set Regional Standards and FormatsThis sets how dates, times, etc., appear in the operating system.

NOTEApplies to logged-in user account only.

1. Double-click the Set Windows Language icon on the CASE system desktop.

2. Click the Regional Option tab and select the Language (and Country) where the CASE system is installed.

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Set Non-Unicode Program LanguageThe CASE application is a non-unicode program, so this setting is needed for languages to appear correctly in the CASE application.

NOTE Applies to all user accounts.

1. Double-click the Set Windows Language icon on the CASE system desktop.

2. Click the Advanced tab.

3. Select the language for the CASE application from the Language for non-Unicode programs dropdown list.

4. Click OK.

A message is displayed stating that the necessary files are installed on the system.

5. Click Yes to use the installed files.

6. Click Yes to restart the system.

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Install Supplemental XP System Files and XP Security Patches

If you are restoring a CASE system running on a Windows XP platform, you need to update some system files prior to restoring the CASE application. Use the following instructions.

NOTEIf you are upgrading a CASE system running on a Windows NT platform, it is not necessary to update your system files. Skip the following process and proceed to “Install the Application” on page 8-12.

NOTEIf you are upgrading a CASE V6.5 system running on a Windows XP platform, it is not necessary to update your system files. Skip the following process and proceed to “Install XP Security Patches” on page 8-11.

1. Insert the XP Supl Files CASE UPD from V6.01 CD (2031971-001) into the CD-ROM drive.

Windows will automatically start the upgrade of the system files. The next time the CASE system is started, Windows will check the file system.

2. When the system files have been installed on the CASE system, remove the CD-ROM from the CD-ROM drive and proceed to “Install the Application” on page 8-12.

Install XP Security Patches1. Insert the SECURITY PATCHES CASE XP CD (2034985-001) into the CD-ROM

drive.

Windows will automatically start the installation and finally shut down and restart the system.

2. Remove the CD-ROM from the CD-ROM drive and proceed to “Install the Application” on page 8-12.

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Install the ApplicationTo perform the initial setup, complete the following steps:

1. Load the application CD into the CD-ROM drive.

Windows will start the Install Shield Wizard.

2. When the Case window opens, select Next.

3. Choose the destination default, D:\CASE and select Next.The program installs automatically.

4. Choose Program directory (local).

5. Choose Database directory (local or network):

Choose D:\CASE for local.See “Network Installation” on page 3-17 for network instructions.

The program installs automatically and a progress bar appears on the screen showing the upgrade’s percent of completion.

6. When the Install Shield Wizard is complete, select Yes I want to restart my computer now.

7. Remove the Application CD and store. The system is now ready for use.

8. Select Finish and the system will restart.

9. After the computer has rebooted, press Ctrl+Alt+Delete to enter the Login screen.

Logon as:

User name: AdministratorPassword: admin1,3,5,7Click OK.

The CASE icon will appear on the desktop.

After performing the application installation procedure, reload customer options. For more information, refer to “Options Installation” on page 8-13.

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Options InstallationNOTE

Please read this entire procedure before continuing.

To enable options complete the following steps:

1. Open the CASE application.

2. If the Select Patient window appears, select Cancel.

3. From the right task bar select System Configuration.

4. At the System Configuration window, select the Option Code tab.

5. Insert the Options disk.

6. Select the Load button at the statement: Change Software Options - Are you sure?

7. Select OK.

8. Select the swopt.txt file then select Open.

9. Select OK.

10. Remove the Options disk from the drive and store.

11. Peel off the backing of the options code label and affix it to the inside of the writer door.

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For your notes

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Upper Level Product NumbersThe following table identifies the product numbers for the two upper level CASE assemblies. These numbers are presented for reference only. The products cannot be ordered as field replaceable units (FRUs).

Product Number Description

2012492-007 CASE Series

2012492-008 CASE with KISS

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Field Replaceable UnitsSome items in a CASE system may not be assigned separate manufacturing part numbers because they are normally part of a larger assembly. Since they are considered field replaceable units (FRUs), they have specific service part numbers so they can be ordered and replaced by service technicians. Contact Tech Support for FRU information for assemblies used on previous configurations.

NOTE Verify part numbers before ordering service parts (field replaceable units). See the tech memo series for this product for changes or additions to this list.

This section presents the FRUs in two ways:

FRU ListThis is a series of tables that identify the FRUs by category. Each table includes the associated item numbers and descriptions.

FRU DiagramsThis is a series of CASE design diagrams that callout the locations of various core FRUs. For each callout, a table following the description lists the item number, description, and location.

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FRU ListsThis section lists FRUs in the following categories:

Core FRUsCables, InterfaceKeyboards and MiceKISS ModuleMiscellaneousMonitors and CablesPower CordsSoftware

Core FRUs

The following table lists the FRUs that are part of the core CASE system. The FRUs are listed sequentially by item numbe. For each FRU, the table includes the item description, the name and page of the design drawing on which the FRU is included, and the number of the callout identifying the location of the FRU on the drawing.

Item Number Item Description Drawing(s) Page Loc Num

4520-306 WASHER LOCK EXIT #6, Drawing 10, “Worksurface Detail” 9-30 66

4520-008 WASHER FLAT SS #8, Drawing 2, “WorkStation Back” 9-16 103

4528-106 CLAMP CABLE CUSH-.31 ID Drawing 2, “WorkStation Back”Drawing 8, “CPU Top and Back”7

9-16 9-26

106

4535-001 TIE WRAP 4.00 LG X .125W Drawing 9, “Power Detail” 9-28 112

4702-023 WHEEL ASSY, FRONT, BRAKE Drawing 3, “WorkStation Side” 9-18 114

4702-022 WHEEL ASSY, BACK, SWIVEL Drawing 3, “WorkStation Side” 9-18 115

45000-604 SCREW SEMS PH 6-32X1/4 Drawing 10, “Worksurface Detail” 9-30 93

45000-603 SCREW SEMS PH 6-32 X 3/16 PHIL Drawing 7, “Drives Detail” 9-24 67

45142-002 HINGE INVISIBLE SOSS 101 Drawing 10, “Worksurface Detail” 9-30 64

45177-204 SCREW PH 2-25 X .25LG Drawing 5, “Display Platform Detail”Drawing 8, “CPU Top and Back”

9-22 9-26

104

58017-001 BUTTON PPR TRAY MTG CASE 12 Drawing 2, “WorkStation Back”Drawing 8, “CPU Top and Back”

9-16 9-26

57

70437-005 LABEL SYMBOL GROUND Drawing 8, “CPU Top and Back” 9-26 105

70437-002 LABEL, SYMBOL, EQUIP. Drawing 8, “CPU Top and Back”Drawing 11, “Trays and Holders”

9-26 9-32

110

80307-059 WIRE GROUND CASE Drawing 1, “WorkStation Front”Drawing 3, “WorkStation Side”Drawing 12, “Electrical Diagram”

9-14 9-18 9-33

45

400040-001 PLUG MC EQUIPOTENTIAL Drawing 2, “WorkStation Back” 9-16 60

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400041-001 WASHER LOCK SERRATED F/M-6 Drawing 2, “WorkStation Back” 9-16 59

402019-001 SCREW 100FLHD 4-40 X 3/8 Drawing 10, “Worksurface Detail” 9-30 65

404525-001 LABEL BLANK 2 X 3/4 Drawing 8, “CPU Top and Back” 9-26 83

404811-001 TAB .25 FASTON LUG #6 STUD Drawing 10, “Worksurface Detail” 9-30 74

405655-006 DOOR PAPER ACCESS Drawing 10, “Worksurface Detail” 9-30 73

406831-001 HANDLE WRITER DOOR Drawing 10, “Worksurface Detail” 9-30 49

409561-001 WASHER, M2, SS Drawing 10, “Worksurface Detail”Drawing 11, “Trays and Holders”

9-30 9-32

111

411059-006 SCREW SEMS PH M3-.5X6 ZIN, Drawing 1, “WorkStation Front” Drawing 2, “WorkStation Back”Drawing 4, “CPU Detail”Drawing 5, “Display Platform Detail”Drawing 7, “Drives Detail” Drawing 9, “Power Detail”

9-14 9-16 9-20 9-22 9-24 9-28

53

411153-001 FUSE 8 AMP TYPE T 5X20MM Drawing 2, “WorkStation Back” 9-16 85

411324-001 NUT HEX KEPS M4-.7 CLASS 8 ZP Drawing 1, “WorkStation Front” Drawing 2, “WorkStation Back”

9-14 9-16

54

412048-002 WASHER LOCK M4 EXT TOOTH Drawing 1, “WorkStation Front” 9-14 81

418277-602 HOLDER-ACQ MODULE CASE Drawing 11, “Trays and Holders” 9-32 71

418277-601 TRAY PAPER CASE Drawing 11, “Trays and Holders” 9-32 70

418278-103 KNOB CRT BRCKT CASE Drawing 5, “Display Platform Detail” 9-22 61

418653-031 CABLE USB A TO B 1M WHITE Drawing 12, “Electrical Diagram” 9-33 42

419783-001 CABLE IDE DUAL 533 MM Drawing 12, “Electrical Diagram” 9-33 43

419960-002 FUSEDRAWER 2-POLE BLACK Drawing 2, “WorkStation Back” 9-16 21

420430-001 INLET IEC320 MODULE W/SW Drawing 2, “WorkStation Back” 9-16 76

420697-001 CLIP - RIBBON CABLE CASE Drawing 1, “WorkStation Front” 9-14 63

420759-001 SCREW FLATHEAD M6 X 12 Drawing 5, “Display Platform Detail” 9-22 62

420815-001 SCREW 82 DEG FLTHD 8-32 X.63 BLK

Drawing 2, “WorkStation Back” 9-16 56

420860-001 NUT M6 KEPS Drawing 5, “Display Platform Detail” 9-22 58

421200-001 SCREW THREAD FORMING M3 ZINC Drawing 4, “CPU Detail” 9-20 51

421491-001 EMI FILTER 6A LOW LEAKAGE 250V Drawing 9, “Power Detail” 9-28 20

700708-001 RIBBON CABLE 10P 170MM Drawing 12, “Electrical Diagram” 9-33 91

801500-001 CASE 2 CONN PCB Drawing 4, “CPU Detail” 9-20 38

Item Number Item Description Drawing(s) Page Loc Num

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2000714-010OR (alternative)2000714-011

HARD DRIVE, 40 GB

HARD DRIVE, 80 GB

Drawing 7, “Drives Detail” 9-24 2

2002599-001 PCB CASE ACQ INTFC Drawing 4, “CPU Detail” 9-20 3

2003089-001 WORKSURFACE CASE Drawing 10, “Worksurface Detail” 9-30 5

2003091-001 TRAY ACCESSORY CASE Drawing 1, “WorkStation Front” 9-14 6

2003092-001 BRACKET MTG FLOPPY DRIVE Drawing 7, “Drives Detail” 9-24 7

2003141-007 DISK DRIVE CDRW 52X32X52X EIDE W/ROXIO

Drawing 7, “Drives Detail” 9-24 75

2003342-001 EXTRUSION DISPLAY SUPPORT Drawing 5, “Display Platform Detail” 9-22 9

2004060-001 PCB CASE LIGHT BOARD Drawing 5, “Display Platform Detail” 9-22 10

2004064-001 PCB CASE USB WRITER Drawing 9, “Power Detail” 9-28 11

2004111-001 BUSHING SNAP HEYCO .875 DIA SHORTY

Drawing 7, “Drives Detail”Drawing 8, “CPU Top and Back”Drawing 9, “Power Detail”Drawing 12, “Electrical Diagram”

9-24 9-26 9-28 9-33

48

2004293-001 PAD WORKSURFACE Drawing 1, “WorkStation Front” 9-14 72

2004295-001 BEZEL DRIVES W/BUTTON CASE Drawing 1, “WorkStation Front”Drawing 3, “WorkStation Side”

9-14 9-18

12

2004296-001 TRAY WRITER CASE Drawing 1, “WorkStation Front” 9-14 13

2004297-001 WELDMENT CARD CAGE Drawing 8, “CPU Top and Back” 9-26

2004417-001 BUTTON WRITER RELEASE Drawing 1, “WorkStation Front” 9-14 17

2004508-001 DOOR ACCESS I/O Drawing 2, “WorkStation Back” 9-16 18

2004527-001 PANEL ACCESS CABLE Drawing 10, “Worksurface Detail” 9-30 19

2004540-001 SHIELD EMI CASE SERIES Drawing 1, “WorkStation Front” 9-14 22

2004574-001 BRACKET XFMR CASE Drawing 2, “WorkStation Back” 9-16 23

2004605-002 ASSY STRESS KEYPAD 22 KEY CASE SERIES

Drawing 10, “Worksurface Detail” 9-30 88

2004769-001 BUSHING INSULATOR SNAP Drawing 2, “WorkStation Back” 9-16 108

2004770-001 CLAMP CABLE .187 ID Drawing 2, “WorkStation Back” 9-16 107

2004867-001 LENS CLEAR CASE SERIES Drawing 5, “Display Platform Detail” 9-22 25

2004915-016 LABEL STRESS KEYPAD (PORTUGUESE)

Drawing 10, “Worksurface Detail” 9-30 88

2004960-001 LABEL MAX-2 POWER RATING Drawing 8, “CPU Top and Back” 9-26 95

2004972-002 HARN LIGHT EXTERNAL CASE Drawing 5, “Display Platform Detail”Drawing 12, “Electrical Diagram”

9-22 9-33

28

Item Number Item Description Drawing(s) Page Loc Num

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2004972-001 HARN LIGHT INTERNAL CASE Drawing 8, “CPU Top and Back”Drawing 12, “Electrical Diagram”

9-26 9-33

27

2004974-001 HARN POWER INLET W/TOROID Drawing 9, “Power Detail”Drawing 12, “Electrical Diagram”

9-28 9-33

30

2004975-001 HARN POWER FILTER Drawing 9, “Power Detail”Drawing 12, “Electrical Diagram”

9-28 9-33

31

2004976-001 HARN PS1/PS2/PWRDIST Drawing 12, “Electrical Diagram” 9-33 32

2004977-002 HARN PWRSPLY TO PDBD LONG Drawing 12, “Electrical Diagram” 9-33 29

2004977-001 HARN PWRSPLY TO PDBD SHORT Drawing 12, “Electrical Diagram” 9-33 33

2004979-001 ASSY ISOLATION XFMR 150VA 90V-265VAC 1:1

Drawing 2, “WorkStation Back”Drawing 8, “CPU Top and Back”Drawing 12, “Electrical Diagram”

9-16 9-26 9-33

34

2004980-001 HARN RIBBON WRITER Drawing 12, “Electrical Diagram” 9-33 35

2004981-001 HARN ATX POWER Drawing 12, “Electrical Diagram” 9-33 36

2004982-001 HARN POWER HARD/FLOPPY DRIVE

Drawing 12, “Electrical Diagram” 9-33 37

2004985-001 ASSY CABLEWITH BRACKET PC SERIAL

Drawing 4, “CPU Detail” 9-20 118

2004986-001 HARN RESET SWITCH CASE Drawing 2, “WorkStation Back”Drawing 12, “Electrical Diagram”

9-16 9-33

39

2005897-001 ASSY CABLE GUIDE CASE SERIES Drawing 1, “WorkStation Front” 9-14 24

2006194-001 CABLE POWER DISPLAY Drawing 12, “Electrical Diagram” 9-33 92

2006195-001 HARN POWER CDRW Drawing 12, “Electrical Diagram” 9-33 90

2006392-001 PLATE CPU SLIDE Drawing 4, “CPU Detail” 9-20 100

2006536-001 LABEL CASE CABLE GUIDE Drawing 3, “WorkStation Side” 9-18 97

2006537-001 LABEL CASE DRIVE SETTINGS Drawing 3, “WorkStation Side” 9-18 26

2006538-001 LABEL BIOS SETUP CASE Drawing 10, “Worksurface Detail” 9-30 99

2006539-001 LABEL CASE WORKSURFACE LIGHT

Drawing 8, “CPU Top and Back” 9-26 98

2006581-001 BUSHING SNAP PLASTIC 3.0IN Drawing 2, “WorkStation Back”Drawing 12, “Electrical Diagram”

9-16 9-33

77

2006582-001 SCR W/WASHER M4X8 Drawing 1, “WorkStation Front” Drawing 2, “WorkStation Back”Drawing 8, “CPU Top and Back”

9-14 9-16 9-26

55

2006583-001 CLAMP PUSH MOUNT .75 DIA. Drawing 1, “WorkStation Front”Drawing 5, “Display Platform Detail”

9-14 9-22

78

2006584-001 GUIDES PUSH MOUNT 8.0IN LG Drawing 2, “WorkStation Back” 9-16 101

Item Number Item Description Drawing(s) Page Loc Num

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2006585-001 CLIP WIRE ROUTING PUSH MT Drawing 2, “WorkStation Back” 9-16 102

2007165-001 KIT FRU WRITER CASE SERIES Drawing 1, “WorkStation Front” 9-14 79

2007169-002 KIT, POWER DISTRIBUTION W/O FILTER

Drawing 9, “Power Detail” 9-28 113

2007206-001 WIRE GROUND W/CHOKE Drawing 12, “Electrical Diagram” 9-33 47

2007786-009 NAMEPLATE 40MM GE LOGO DK BLUE

Drawing 10, “Worksurface Detail” 9-30 87

2007892-002

2035864-001

MAIN CPU BOARD W/SDRAM, BIOS AND CPU OR compatible/interchangeableFRU SET MOTHERBOARD CASE RADISYS ROHS

Drawing 4, “CPU Detail” 9-20 1

2007976-001 COVER PLATE D CONNECTORS Drawing 4, “CPU Detail” 9-20 82

2008051-001 LABEL SERVICE I/O CASE Drawing 2, “WorkStation Back” 9-16 86

2008053-001 STANDOFF 10.5MM LG FEMALE M3 THD

Drawing 4, “CPU Detail” 9-20 84

2008062-001 ASSY CHASSIS CASE SERIES Drawing 2, “WorkStation Back” 9-16 4

2021892-001 ASSY LCD MOUNT, CASE Drawing 5, “Display Platform Detail” 9-22 15

2026205-015 KIT, KEYPAD ASSEMBLY (POLISH) Drawing 10, “Worksurface Detail” 9-30 88

2026205-014 KIT, KEYPAD ASSEMBLY (CZECH) Drawing 10, “Worksurface Detail” 9-30 88

2026205-013 KIT, KEYPAD ASSEMBLY (HUNGARIAN)

Drawing 10, “Worksurface Detail” 9-30 88

2026205-012 KIT, KEYPAD ASSEMBLY (DANISH) Drawing 10, “Worksurface Detail” 9-30 88

2026205-011 KIT, KEYPAD ASSEMBLY (NORWEGIAN)

Drawing 10, “Worksurface Detail” 9-30 88

2026205-010 KIT, KEYPAD ASSEMBLY (JAPANESE)

Drawing 10, “Worksurface Detail” 9-30 88

2026205-009 KIT, KEYPAD ASSEMBLY (CHINESE) Drawing 10, “Worksurface Detail” 9-30 88

2026205-008 KIT, KEYPAD ASSEMBLY (RUSSIAN) Drawing 10, “Worksurface Detail” 9-30 88

2026205-007 KIT, KEYPAD ASSEMBLY (DUTCH) Drawing 10, “Worksurface Detail” 9-30 88

2026205-006 KIT, KEYPAD ASSEMBLY (ITALIAN) Drawing 10, “Worksurface Detail” 9-30 88

2026205-005 KIT, KEYPAD ASSEMBLY (SPANISH) Drawing 10, “Worksurface Detail” 9-30 88

2026205-004 KIT, KEYPAD ASSEMBLY (SWEDISH)

Drawing 10, “Worksurface Detail” 9-30 88

2026205-003 KIT, KEYPAD ASSEMBLY (FRENCH) Drawing 10, “Worksurface Detail” 9-30 88

2026205-002 KIT, KEYPAD ASSEMBLY (GERMAN) Drawing 10, “Worksurface Detail” 9-30 88

Item Number Item Description Drawing(s) Page Loc Num

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Cables, Interface

The following table identifies the FRUs available for connecting the CASE system tothe exercise products.

Keyboards and Mice

The following table identifies the input and navigation devices availble for the CASE system.

2026205-001 KIT, KEYPAD ASSEMBLY (ENGLISH) Drawing 10, “Worksurface Detail” 9-30 88

2028841-010 CABLE PC DISK DRIVE FDD Drawing 12, “Electrical Diagram” 9-33 41

2028841-008 DISK DRIVE FDD/ CARD READER Drawing 7, “Drives Detail” 9-24 8

1479-005T PRINTHEAD Drawing 1, “WorkStation Front” 9-14 135

CS-1150 PRINTHEAD SCREW Drawing 1, “WorkStation Front” 9-14 136

Item Number Item Description Drawing(s) Page Loc Num

Item Number Item Description

700609-001 CABLE, TREADMILL TO STRESS SYSTEM

Item Number Item Description

2005125-014 KEYBOARD PC PS/2 104 (CZECH)

2005125-013 KEYBOARD PC PS/2 104 (HUNGARIAN)

2005125-012 KEYBOARD PC PS/2 104 (DANISH)

2005125-011 KEYBOARD PC PS/2 104 (NORWEGIAN)

2005125-007 KEYBOARD PC PS/2 104 (DUTCH)

2005125-006 KEYBOARD PC PS/2 104 (SWEDISH)

2005125-005 KEYBOARD PC PS/2 104 (SPANISH)

2005125-004 KEYBOARD PC PS/2 104 (ITALIAN)

2005125-003 KEYBOARD PC PS/2 104 (GERMAN)

2005125-002 KEYBOARD PC PS/2 104 (FRENCH)

2005125-001 KEYBOARD PC PS/2 104 (USA)

2005125-016 KEYBOARD PC PS/2 104 (PORTUGUESE)

2007023-001OR (alternative)2022144-001

MICROSOFT INTELLIMOUSE

MICROSOFT OPTICAL MOUSE PS/2 or USB

2005125-015 KEYBOARD PC PS/2 104 (POLISH)

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KISS Module

The following table identifies the FRUs that are part of the KISS component available for the CASE system.

Miscellaneous

The following table identifies various FRUs that are not part of some other subsystem.

Monitors and Cables

The following table identifies the FRUs assocaited with the CASE system’s display subsystem.

Item Number Item Description

2008712-001 PUMP INTERNAL KISS CASE

2008713-001 KIT KISS CASE EXTERNAL

2031030-001 SET KISS MULTILEAD FOR GER, ENG, FRE

2031030-002 SET KISS MULTILEAD FOR ITA, SPA, DUT

2031030-003 SET KISS MULTILEAD FOR SWE, DAN, NOR

2031030-004 SET KISS MULTILEAD FOR HUN, CZE, SLA

2031030-005 SET KISS MULTILEAD FOR RUS, POL

Item Number Item Description

801280-001 CAM-14 PCB

4582-015 STRAIN RELIEF 5/8D 6N3-4

2024039-001 SET UPGRADE ELECTRODES NEHB

2024040-001 SET UPGRADE ELECTRODES A1-A4

2028841-010 FRU CABLE PC DISK DRIVE FDD(

2031549-001 CORE RING FERRITE SAFETY LOCK D=6.6MM

2031549-002 CORE RING FERRITE SAFETY LOCK D=13MM

2031549-003 CORE RING FERRITE SAFETY LOCK D=27.5MM

2024038-001 SET UPGRADE ELECTRODES FRANK

Item Number Item Description

2019792-001 CABLE ASSY DVI-D TO DVI-D VIDEO

2032323-001 DISPLAY, 19” CHILIN TECH MDC1900

2026400-001 DISPLAY LCD 17" NEC 1770NX

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Power Cords

The following table identifies the power cords available for the CASE system.

Software

The following table identifies the software available for the CASE system.

Item Number Item Description

401855-010 10A, 8FT, AUST

401855-009 10A, 8FT, DANISH

401855-008 10A, 8FT, INDIAN

401855-007 10A, 8FT, SWISS

401855-004 10A, 8FT, ISRAELI

401855-003 10A, 8FT, ITALIAN

401855-002 10A, 8FT, BRITISH

401855-001 10A, 8FT, CONT. EURO

405535-002 15A, 125V, 12FT, USA

Item Number Item Description

2022587-010 CD CASE V6.51

2022588-004 KIT IMAGE CASE XP RADISYS V1.2 MULTILANG

2028915-004 CD CASE V6.51 CLIENT

2028918-001 CD CASE CARDIOSOFT INSITE 2.0

2031971-001 XP SUPL FILES UPD FROM V6.01 CD-ROM

2034985-001 CD SECURITY PATCHES CASE XP (only for CASE systems with product code SCF or higher)

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FRU DiagramsThe diagrams on the following pages identify the various assemblies, components, and FRUs of the CASE 6.5 system. Key FRUs are identified by numbered callouts. The table following each diagram identifies the Item Number and description of each callout in the drawing.

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Drawing 1: WorkStation Front

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FRUs in Drawing 1, WorkStation Front

Loc Num Item Number Item Description

6 2003091-001 TRAY ACCESSORY CASE

12 2004295-001 BEZEL DRIVES W/BUTTON CASE

13 2004296-001 TRAY WRITER CASE

17 2004417-001 BUTTON WRITER RELEASE

22 2004540-001 SHIELD EMI CASE SERIES

24 2005897-001 ASSY CABLE GUIDE CASE SERIES

45 80307-059 WIRE GROUND CASE

53 411059-006 SCREW SEMS PH M3-.5X6 ZIN,

54 411324-001 NUT HEX KEPS M4-.7 CLASS 8 ZP

55 2006582-001 SCR W/WASHER M4X8

63 420697-001 CLIP - RIBBON CABLE CASE

72 2004293-001 PAD WORKSURFACE

78 2006583-001 CLAMP PUSH MOUNT .75 DIA.

79 2007165-001 KIT FRU WRITER CASE SERIES

81 412048-002 WASHER LOCK M4 EXT TOOTH

135 1479-005T PRINTHEAD

136 CS-1150 PRINTHEAD SCREW

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Drawing 2: WorkStation Back

FRUs in Drawing 2, WorkStation Back

Loc Num Item Number Item Description

4 2008062-001 ASSY CHASSIS CASE SERIES

18 2004508-001 DOOR ACCESS I/O

21 419960-002 FUSEDRAWER 2-POLE BLACK

23 2004574-001 BRACKET XFMR

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34 2004979-001 ASSY ISOLATION XFMR 150VA 90V-265VAC 1:1

39 2004986-001 HARN RESET SWITCH CASE

53 411059-006 SCREW SEMS PH M3-.5X6 ZIN,

54 411324-001 NUT HEX KEPS M4-.7 CLASS 8 ZP

55 2006582-001 SCR W/WASHER M4X8

56 420815-001 SCREW 82 DEG FLTHD 8-32 X.63 BLK

57 58017-001 BUTTON PPR TRAY MTG CASE 12

59 400041-001 WASHER LOCK SERRATED F/M-6

60 400040-001 PLUG MC EQUIPOTENTIAL

76 420430-001 INLET IEC320 MODULE W/SW

77 2006581-001 BUSHING SNAP PLASTIC 3.0IN

85 411153-001 FUSE 8 AMP TYPE T 5X20MM

86 2008051-001 LABEL SERVICE I/O CASE

101 2006584-001 GUIDES PUSH MOUNT 8.0IN LG

102 2006585-001 CLIP WIRE ROUTING PUSH MT

103 4520-008 WASHER FLAT SS #8,

106 4528-106 CLAMP CABLE CUSH-.31 ID

107 2004770-001 CLAMP CABLE .187 ID

108 2004769-001 BUSHING INSULATOR SNAP

FRUs in Drawing 2, WorkStation Back (Continued)

Loc Num Item Number Item Description

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Drawing 3: WorkStation Side

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FRUs in Drawing 3, WorkStation Side

Loc Num Item Number Item Description

12 2004295-001 BEZEL DRIVES W/BUTTON CASE

26 2006537-001 LABEL CASE DRIVE SETTINGS

45 80307-059 WIRE GROUND CASE

97 2006536-001 LABEL CASE CABLE GUIDE

114 4702-023 WHEEL ASSY, FRONT, BRAKE

115 4702-022 WHEEL ASSY, BACK, SWIVEL

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Drawing 4: CPU Detail

FRUs in Drawing 4, CPU Detail

Loc Num Item Number Item Description

1

1

2007892-002

2035864-001

MAIN CPU BOARD W/SDRAM, BIOS AND CPU OR compatible/interchangeableFRU CASE RADISYS ROHS MOTHERBOARD KIT

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3 2002599-001 PCB CASE ACQ INTFC

10. 4520-008 WASHER FLAT SS #8

38 801500-001 CASE 2 CONN PCB

51 421200-001 SCREW THREAD FORMING M3 ZINC

53 411059-006 SCREW SEMS PH M3-.5X6 ZIN,

82 2007976-001 COVER PLATE D CONNECTORS

84 2008053-001 STANDOFF 10.5MM LG FEMALE M3 THD

100 2006392-001 PLATE CPU SLIDE

118 2004985-001 ASSY CABLE WITH BRACKET PC SERIAL

FRUs in Drawing 4, CPU Detail (Continued)

Loc Num Item Number Item Description

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Drawing 5: Display Platform Detail

FRUs in Drawing 5, Display Platform Detail

Loc Num Item Number Item Description

9 2003342-001 EXTRUSION ALUMINUM CASE

10 2004060-001 PCB CASE LIGHT BOARD

15 2021893-001 ASSY LCD MOUNT, CASE

25 2004867-001 LENS CLEAR CASE SERIES

28 2004972-002 HARN LIGHT EXTERNAL CASENote: Also order Ferrite bead 2027241-001 (117) when replacing Harness Light External CASE.

117

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Drawing 6: Ferrite Bead Installation

117 2027241-001 FERRITE BEAD

53 411059-006 SCREW SEMS PH M3-.5X6 ZIN,

58 420860-001 NUT M6 KEPS

61 418278-103 KNOB CRT BRCKT CASE

62 420759-001 SCREW FLATHEAD M6 X 12

78 2006583-001 CLAMP PUSH MOUNT .75 DIA.

104 45177-204 SCREW PH 2-25 X .25LG

FRUs in Drawing 5, Display Platform Detail (Continued)

Loc Num Item Number Item Description

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Drawing 7: Drives Detail

FRUs in Drawing 7, Drives Detail

Loc Num Item Number Item Description

2 2000714-010OR (alternative)2000714-011

HARD DRIVE, 40 GB

HARD DRIVE, 80 GB

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7 2003092-001 BRACKET MTG FLOPPY DRIVE

8 2028841-008 DISK DRIVE FDD/ CARD READER

48 2004111-001 BUSHING SNAP HEYCO .875 DIA SHORTY

53 411059-006 SCREW SEMS PH M3-.5X6 ZIN,

67 45000-603 SCREW SEMS PH 6-32 X 3/16 PHIL

75 2003141-007 DISK DRIVE CDRW 52X32X52X EIDE W/ROXIO

FRUs in Drawing 7, Drives Detail (Continued)

Loc Num Item Number Item Description

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Drawing 8: CPU Top and Back

FRUs in Drawing 8, CPU Top and Back

Loc Num Item Number Item Description

27 2004972-001 HARN LIGHT INTERNAL CASE

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34 2004979-001 ASSY ISOLATION XFMR 150VA 90V-265VAC 1:1

48 2004111-001 BUSHING SNAP HEYCO .875 DIA SHORTY

55 2006582-001 SCR W/WASHER M4X8

57 58017-001 BUTTON PPR TRAY MTG CASE 12

83 404525-001 LABEL BLANK 2 X 3/4

95 2004960-001 LABEL MAX-2 POWER RATING

98 2006539-001 LABEL CASE WORKSURFACE LIGHT

104 45177-204 SCREW PH 2-25 X .25LG

105 70437-005 LABEL SYMBOL GROUND

106 4528-106 CLAMP CABLE CUSH-.31 ID

110 70437-002 LABEL, SYMBOL, EQUIP.

116 2004297-001 WELDMENT CARD CAGE

FRUs in Drawing 8, CPU Top and Back (Continued)

Loc Num Item Number Item Description

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Drawing 9: Power Detail

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FRUs in Drawing 9, Power Detail

Loc Num Item Number Item Description

11 2004064-001 PCB CASE USB WRITER

20 421491-001 EMI FILTER 6A LOW LEAKAGE 250V

30 2004974-001 HARN POWER INLET W/TOROID

31 2004975-001 HARN POWER FILTER

40 2005124-001 PWR SPLY SW 75W MED 4 OUTS 5/12/-12/12

44 420025-003 POWER SUPPLY SWIT 75W-15V

48 2004111-001 BUSHING SNAP HEYCO .875 DIA SHORTY

53 411059-006 SCREW SEMS PH M3-.5X6 ZIN,

80 2005342-001 BRACKET POWER SUPPLIES

112 4535-001 TIE WRAP 4.00 LG X .125W

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Drawing 10: Worksurface Detail

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FRUs in Drawing 10, Worksurface Detail

Loc Num Item Number Item Description

5 2003089-001 WORKSURFACE CASE

19 2004527-001 PANEL ACCESS CABLE

49 406831-001 HANDLE WRITER DOOR

64 45142-002 HINGE INVISIBLE SOSS 101

65 402019-001 SCREW 100FLHD 4-40 X 3/8

66 4520-306 WASHER LOCK EXIT #6,

73 405655-006 DOOR PAPER ACCESS

74 404811-001 TAB .25 FASTON LUG #6 STUD

87 2007786-009 NAMEPLATE 40MM GE LOGO DK BLUE

88 2026205-015 KIT, KEYPAD ASSEMBLY (POLISH)

2026205-014 KIT, KEYPAD ASSEMBLY (CZECH)

2026205-013 KIT, KEYPAD ASSEMBLY (hUNGARIAN)

2026205-012 KIT, KEYPAD ASSEMBLY (DANISH)

2026205-011 KIT, KEYPAD ASSEMBLY (NORWEGIAN)

2026205-010 KIT, KEYPAD ASSEMBLY (JAPANESE)

2026205-009 KIT, KEYPAD ASSEMBLY (CHINESE)

2026205-008 KIT, KEYPAD ASSEMBLY (RUSSIAN)

2026205-007 KIT, KEYPAD ASSEMBLY (DUTCH)

2026205-006 KIT, KEYPAD ASSEMBLY (ITALIAN)

2026205-005 KIT, KEYPAD ASSEMBLY (SPANISH)

2026205-004 KIT, KEYPAD ASSEMBLY (SWEDISH)

2026205-003 KIT, KEYPAD ASSEMBLY (FRENCH)

2026205-002 KIT, KEYPAD ASSEMBLY (GERMAN)

2026205-001 KIT, KEYPAD ASSEMBLY (ENGLISH)

2004605-002 ASSY STRESS KEYPAD 22 KEY CASE SERIES1

2004915-016- LABEL STRESS KEYPAD (PORTUGUESE)1

93 45000-604 SCREW SEMS PH 6-32X1/4

99 2006538-001 LABEL BIOS SETUP CASE

111 409561-001 WASHER, M2, SS

1. NOTE: Both 2004605-002 and 2004915-016 are required to replace the keypad on a Portuguese unit.

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Drawing 11: Trays and Holders

FRUs in Drawing 11, Trays and Holders

Loc Num Item Number Item Description

70 418277-601 TRAY PAPER CASE

71 418277-602 HOLDER-ACQ MODULE CASE

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Drawing 12: Electrical Diagram

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FRUs in Drawing 12, Electrical Diagram

Loc Num Item Number Item Description

27 2004972-001 HARN LIGHT INTERNAL CASE

28 2004972-002 HARN LIGHT EXTERNAL CASE

29 2004977-002 HARN PWRSPLY TO PDBD LONG

30 2004974-001 HARN POWER INLET W/TOROID

31 2004975-001 HARN POWER FILTER

32 2004976-001 HARN PS1/PS2/PWRDIST

33 2004977-001 HARN PWRSPLY TO PDBD SHORT

34 2004979-001 ASSY ISOLATION XFMR 150VA 90V-265VAC 1:1

35 2004980-001 HARN RIBBON WRITER

36 2004981-001 HARN ATX POWER

37 2004982-001 HARN POWER HARD/FLOPPY DRIVE

39 2004986-001 HARN RESET SWITCH CASE

41 2028841-010 CABLE PC DISK DRIVE FDD

42 418653-031 CABLE USB A TO B 1M WHITE

43 419783-001 CABLE IDE DUAL 533 MM

45 80307-059 WIRE GROUND CASE

47 2007206-001 WIRE GROUND W/CHOKE

48 2004111-001 BUSHING SNAP HEYCO .875 DIA SHORTY

77 2006581-001 BUSHING SNAP PLASTIC 3.0IN

90 2006195-001 HARN POWER CDRW

91 700708-001 RIBBON CABLE 10P 170MM

92 2006194-001 CABLE POWER DISPLAY

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Documentation FRUsThe following table identifies the documentation available for CASE v6.5 and their part numbers..

Part Number Description

2027786-078 CASE Op Manual ENG

2027786-083 CASE Op Manual GER

2027786-086 CASE Op Manual FRE

2027786-089 CASE Op Manual DUT

2027786-092 CASE Op Manual ITA

2027786-095 CASE Op Manual SPA

2027786-098 CASE Op Manual SWE

2027786-101 CASE Op Manual DAN

2027786-104 CASE Op Manual NOR

2027786-107 CASE Op Manual RUS

2027786-110 CASE Op Manual HUN

2027786-113 CASE Op Manual CZE

2027786-116 CASE Op Manual SLA

2027786-120 CASE Op Manual POL

2027786-127 CASE Op Manual JPN

2027786-130 CASE Op Manual CHS

2027786-185 CASE Op Manual POR

2027786-082 CASE Service Manual ENG

2027786-141 CASE CLIENT OP Manual ENG

2027786-144 CASE CLIENT OP Manual GER

2027786-146 CASE CLIENT OP Manual FRE

2027786-148 CASE CLIENT OP Manual DUT

2027786-150 CASE CLIENT OP Manual ITA

2027786-152 CASE CLIENT OP Manual SPA

2027786-154 CASE CLIENT OP Manual SWE

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2027786-156 CASE CLIENT OP Manual DAN

2027786-158 CASE CLIENT OP Manual NOR

2027786-160 CASE CLIENT OP Manual RUS

2027786-162 CASE CLIENT OP Manual HUN

2027786-164 CASE CLIENT OP Manual CZE

2027786-166 CASE CLIENT OP Manual SLA

2027786-168 CASE CLIENT OP Manual POL

2027786-170 CASE CLIENT OP Manual JPN

2027786-172 CASE CLIENT OP Manual CHS

2027786-188 CASE CLIENT OP Manual POR

2027786-143 CASE CLIENT Service Manual ENG

2027786-142 CASE CLIENT Sw.Install.& Upgr.Guide ENG

2027786-145 CASE CLIENT Sw.Install.& Upgr.Guide GER

2027786-147 CASE CLIENT Sw.Install.& Upgr.Guide FRE

2027786-149 CASE CLIENT Sw.Install.& Upgr.Guide DUT

2027786-151 CASE CLIENT Sw.Install.& Upgr.Guide ITA

2027786-153 CASE CLIENT Sw.Install.& Upgr.Guide SPA

2027786-155 CASE CLIENT Sw.Install.& Upgr.Guide SWE

2027786-157 CASE CLIENT Sw.Install.& Upgr.Guide DAN

2027786-159 CASE CLIENT Sw.Install.& Upgr.Guide NOR

2027786-161 CASE CLIENT Sw.Install.& Upgr.Guide RUS

2027786-163 CASE CLIENT Sw.Install.& Upgr.Guide HUN

2027786-165 CASE CLIENT Sw.Install.& Upgr.Guide CZE

2027786-167 CASE CLIENT Sw.Install.& Upgr.Guide SLA

2027786-169 CASE CLIENT Sw.Install.& Upgr.Guide POL

2027786-171 CASE CLIENT Sw.Install.& Upgr.Guide JPN

2027786-173 CASE CLIENT Sw.Install.& Upgr.Guide CHS

2027786-189 CASE CLIENT Sw.Install.& Upgr.Guide POR

Part Number Description

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2025521-xxx KISS MULTILEAD Op. Manual (will be available in 14 languages)

22745001 KISS Service Manual

TBD Installation Manual KISS MAC5000 in dif. Languages

Part Number Description

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For your notes

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A-1CASE Exercise Testing System2027786-082

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Appendix A Abbreviations

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A-2 CASE Exercise Testing System2027786-082

Revision F

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Abbreviations: Standard Abbreviations

A-3CASE Exercise Testing System2027786-082

Revision F

Standard Abbreviations

A

A ampereA-ang antianginalA-arh antiarrhythmicA-coa anticoagulantsA-hyp antihypertensiveA1 - A4 auxiliary leadwiresAAMI American Association of Medical

InstrumentationABP ambulatory blood pressureac, AC alternating currentACLS Advanced Cardiac Life SupportA/D analog-to-digitalAdj adjustableAG automotive glassAh ampere hoursAHA American Heart AssociationAl aluminumAllRam all RAMAllSec all sectorAllTrk all trackALT alternateAlt-Off alternate offsetam, AM acquisition module, ante meridiemAM-1 acquisition module-1AM-1M acquisition module-1 modifiedAM-2 acquisition module-2AM-3 acquisition module-3AM-4 acquisition module-4amp ampereAmpl amplifierAMU ambulatory monitoring unitANA analogANLG analogAnsrTone answer toneA/O Analog OutputASCII American Standard Code for Information

InterchangeASSY assemblyAttn attentionAUG AugustAUST AustralianAUSTRALN AustralianAuto automaticAutoRhym automatic rhythmAUX auxiliaryaVF augmented left leg leadavg averageaVL augmented left arm lead

aVR augmented right arm leadAWG American Wire Gage

B

Bd board, baudBDGH binding headBetaB beta blockersBKSP backspaceBLK blackBLU blueBlvd boulevardBP blood pressureBPM beats per minuteBRIT BritainBRN brownBSI British Standards InstituteBtu British thermal unit

C

CalcBlk calcium blockersCAPOC Computer Assisted Practice of CardiologyCASE Computer Aided System for ExerciseCatoprl CatoprilCauc CaucasianCer ceramicCFM cubic feet/minuteCGR computer graphic recordCh, CH channelC/L center lineCLK clock signalClonid Clonidinecm centimetercm2 square centimetersCmd command numberCMMR common mode rejection ratioCMOS complementary metal-oxide semiconductorc/o in care ofCOM1 communications port 1COM2 communications port 2ComLink communications linkComp compositionConfrmd confirmedCont, CONT Continental, continuedCoumadn CoumadinCPR cardiopulmonary resuscitationCPU central processing unitCR diodeCRC cyclic redundancy checkCRD cord

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crt, CRT cathode ray tubeCSA Canadian Standards AssociationCTRL control

D

D/A digital to analogDA damping relaydac, DAC digital-to-analog converterDAN DanishDat/Tim date/timedBm decibel (referenced to 1 milliwatt into 600

ohms)dc, DC direct currentDD double density, dayDDD Digital Diagnostic DisketteDEC Digital Equipment Corporation, DecemberDel deleteDEMO demonstrationDES designationDevId device identificationDiag diagnosticDigital DigitalisDigitox DigitoxinDigox digoxinDigoxin Digoxin-LanoxinDIP dual in-line packageDirctry directoryDiurt diureticsDOB date of birthDOS disk operating systemDP diametral pitchDPST double-pole, single-throwDRAM dynamic RAMDR/DT digital recording/digital transmissionDSKTP desktopDysopyr Dysopyramide

E

E enable, vector electrode site, vector leadecg, Ecg, ECG electrocardiogramECO Engineering Change OrderEDIC Electrocardiograph Digital Information

CenterEEPROM electrically erasable programmable ROMe.g. for exampleEGA enhanced graphics adapterEMF electromotive forceEMI electromagnetic interferenceENG EnglishEOF end of fileEPIC Electronic Patient Information ChartEPLD electrically programmable logic deviceEPROM eraseable, programmable, read-only

memory

ESD electrostatic dischargeetc, etc. et ceteraEURO Europe, EuropeanEXP Expanded

F

F fuse, Farad, femaleF1-F5 function keys 1 through 5Fax facsimileFCC Federal Communications CommissionFE front endFILH fillister headFLH flat headFLRAM flash RAMFR FrenchFrntEnd front endFSK frequency shift keyingft foot, feetFurosem Furosemide

G

g gram, acceleration due to gravityGB Great BritainGERM German, GermanyGND ground, digital ground (dc common)GRN greenGRY gray

H

H high, vector electrode site, vector leadHDLC high-level data link controlHex, HEX hexagon, hexadecimalHH hourHiRes high-resolutionHr hourHydral HydralazineHz Hertz (cycles per second)

I

I on, input, vector electrode siteI, II, III limb leadsIC integrated circuitID identificationi.e. that isIEC International Electrotechnical Commissionin inchIN inputinc, inc., INC incorporatedInfo informationIns insertI/O input/outputI/P inputISA industry standard architecture

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Isosorb IsosorbideIT Italian, Italy

J

JAN JanuaryJIS Japan Industrial Standards

K

k, K kilo, 1000, 1024Kb, KB kilobytekg, Kg kilogramkHz, KHz kilohertzkV, KV kilovoltKyb keyboard

L

L lineL1 level oneL2 level twoLA left armlb poundLCD liquid crystal displayLcl Line local lineLd Grps lead groupsLED light-emitting diodeLH left handLidoca LidocaineLL left legLoc locationLocPc Local MAC PCLogRetry log retryLtd limited

M

m meterM megabyte, metric, vector electrode site,

vector lead, malemA milliamperesMAC Microcomputer Augmented Cardiographmains voltage voltage of a supply mains between 2 line

conductors of a polyphase system or voltage between the line conductor and the neutral of a single-phase system

max maximumMeasure measurementsMed medicationsMEM memoryMF metal filmMHz megahertzmin minutes, minimumMisc miscellaneousmm millimeterMM minute

MMM monthmm/mV millimeter per millivoltmm/s millimeter per secondModem modulator/demodulatorMOS metal oxide semiconductorMPE metallized polycarbonate expitaxialms millisecondsMS-DOS Microsoft Disk Operating SystemMTBF mean time between failuresmtg mountingMTR MOTORmux multiplexermV millivoltmVR minus (inverted) aVR

N

N neutraln/a not availableNA not applicableNC no connectionNitrate nitratesNLQ near letter qualityNMI non-maskable interruptNMOS N-channel metal-oxide semiconductorNo numberNO normally opennorm normalnS nanosecondsNSR Normal Sinus Rhythm

O

O off, originalOE other errorsOEM original equipment manufacturerOH off-hook relayOneSec one sectorORG orangeOrig originalOUT outputoz ounce

P

P P wave (section of the ECG waveform)p-p peak-to-peakPA P wave amplitudeParams parametersPasswds passwordsPatData patient dataPatInfo patient informationPATN patientPC printed circuit, personal computerPCB printed circuit boardpF picofarad

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Pgm programPgmId program identificationPhenoth PhenothiazidePhenytn PhenytoinPID patient identification digitPLCC plastic leadless chip carrierPM power modulepm, PM post meridiem, preventive maintenancePM-2 Power Module-2PM-3 Power Module-3pn, PN part numberPNH pan headPPA P wave amplitudePR ECG signal intervalPro-Off progressive offsetProcain ProcainamidePROM programmable read-only memoryPropran PropranololPSK phase shift keyingPSU power supply unitPsych psychotropicPUP pull-up signalPVC polyvinyl chloridePWM pulse-width modulationPWR powerPWR CRD power cord

Q

Q transistorQA quality assurance, Q wave amplitudeQAD Quality Assurance DeviationQAM quadrature amplitude modulation (phase

and amplitude modulation)QC quality controlQD Q wave durationQRS QRS complex (portion of ECG waveform),

interval of ventricular depolarizationQT QRS intervalQTC QRS intervalQTY quantityQuinid Quinidine

R

R resistor, red, resetRA right angle, right arm or R wave amplitudeRAM random access memoryRC resistor capacitorRD R wave durationRef reference, refreshREN Ringer Equivalence NumberReserp ReserpineREV revisionRevdBy reviewed byRevXmit reverse transmission

rf radio frequency RFI radio frequency interferenceRGB red, green, blueRI ring indicateRL right legRMR Rhythm and Morphology ReportROM read only memoryRPA R wave amplitudeRPD R wave durationrpt, Rpt reportRTC real time clockRTI relative to patient inputRTN returnRVS reverseR/W read/write

S

12SL 12 simultaneous leadss, S second, select, switchSA s wave amplitudeSB slow-blowSCL safe current limitsSD schematic diagram, S wave durationSE serial input/output errorssec secondsec.s secondsSEER Solid-state Electronic ECG RecorderSING SingaporeSP SpanishSPA S wave amplitudeSPDT single-pole, double-throwSRAM static RAMST-T ST-T wave (section of the ECG waveform)standrd, Standrd standardSTD standardSTE ST segment displacement at the endSTJ ST segment displacement at the J pointSTM ST segment displacement at the mid-point

between STJ and STEstmts, Stmts statementssupply mains permanently installed power sourceSVT power cord type; 300 Vsw, SW switch, softwareSW Swedish, Sweden

T

T Tone touch toneTA T wave amplitudeTant tantalumTDML treadmillTE timeout errorsTech technicalThiazid ThiazideTM trademark

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Tot totalTP test pointTPA T’ wave amplitudeTRAM Transport Remote Acquisition MonitorTricyli Tricylic antidepressantTTL transistor-transistor logic, TTL levelsTVS transient voltage suppressor

U

UE undefined errorsuF microfaradUL Underwriters’ Laboratory, IncUnconf unconfirmedUUT unit-under-test

V

v, V volt, voltsV1-V6 precordial leadsV123 V1, V2, V3V3R precordial leadV456 V4, V5, V6V4R precordial leadV ac volts, alternating currentV dc voltage, direct currentVA volt-amperesVar variableVDE Verband Deutscher Elektrotechniker

(German regulatory agency)Vent. ventricularVF ventricular fibrillationVGA video graphics arrayVIA versatile interface adapterVIO violetVolt voltageVRAM video RAMvs versus

W

w/ withW wattWarfar WarfarinWHT whiteWI Wisconsin

X

x by (as in “8-1/2 x 11”)XCV transceiverX,Y,Z orthogonal leads

Y

Y year, yellowyr yearyrs yearsYY year

Symbols

↑ SHIFTed or alternate functionµ microµF microfaradµs, µsec microsecond68K 68000& and# number°C degrees Celsius°F degrees FahrenheitΩ Ohm, ohm% percent® registered> greater than< less than± plus or minus* An asterisk after a signal name indicates the

signal is active at its relatively lower potential, or “active-low.” Signals without the asterisk suffix are active at their relatively higher potential, or “active-high.”

12SL 12 simultaneous leads

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Appendix B Technical Description

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Technical Specifications

Table 1. Performance Specifications - Signal Processing

Item Description

Instrument type Unity-enhanced cardiac stress testing system with 14 channel acquisition and programmable lead configurations. Celeron-based, NT technology platform and hard drive storage delivers local and MUSE database access.

ECG analysis frequency 500 Hz

ST measurements ST amplitudes, slope, integral, index, ST/HR slope, ST/HR loops, ST/HR index up to 15 leads

E, J, and post-J point Manual or computer selected

Signal processing technique Incremental updating to minimize artifact in all leads

Baseline correction Cubic Spline or Finite Residual Filter algorithm

QRS detection and analysis Based on automatic or manual lead selection

ECG output Real-time ECG/QRS beep/TTL synchronization output

Heart rate Automatic arrhythmia detection, documentation and annotation

Full disclosure ECG Beat-to-beat ECG record and event review

Reanalysis Post-test medians remeasurement from E, J, post-J point selections

ECG interpretation (optional) 12SL Adult and Pediatric ECG Analysis Program

Additional ECG function Vectorcardiography

Table 2. Performance Specifications - Data Acquisition

Item Description

Technology Active, “Type BF” floating isolated powered 14 channel acquisition module with built-in lead-fail detection and lead prep impedance measurement

Sampling rate Over-sampling @ 4000 Hz, 12 leads

Dynamic range 320 mV, ±10 mV signal superimposed on ±150 mV DC offset

Resolution 4.88 µV/LSB @ 500 Hz

Noise < 15 µV peak-to-peak noise over 0.01 to 150 Hz (-3 dB) bandwidth

Frequency response -3dB, display and writer

High pass filter 0.01 Hz (or 0.05 Hz, special use) with DC offset control

Low pass filter 20, 40, 100 or 150 Hz (selectable)

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Line filter 50.0 or 60.0 Hz notch filter (selectable)

Baseline correction Cubic spline algorithm

Artifact/baseline correction Finite Residual Filter (FRF) algorithm

Common mode rejection > 140 dB (123 dB with AC filter disabled)

Input impedance > 10MΩ @ 10 Hz, defibrillator protected

Patient leakage < 10 µA

Pace detect Orthogonal LA, LL, and V6; 750 µV @ 50 µs

Communication/storage MUSE CV system compatible via diskette, network (optional)MUSE CV Web compatible for retrieval, view, printing of MUSE CV system dataLocal storage: minimum 10 GB hard drive storage of complete ECG record and test resultsCD-RW removable archive (optional)Adobe PDF export of final reportsMicrosoft Word export of configured reportsXML or XL export of special data

Table 2. Performance Specifications - Data Acquisition (Continued)

Item Description

Table 3. Display

Item Description

Type LCD

Resolution 1280 x 1024

Size 19” diagonal DVI

Monitored leads 3, 6, or 15

Displayed leads Number on screen 3 or 6 (12 lead check)

Format 3 rhythm, 3 rhythm + medians, 3 rhythm + trends, 6 rhythm, 4 x 2.5 + 1 rhythm, 2 x 6

Speeds 25, 50 mm/s

Sensitivity/Gain 2.5, 5, 10, 20 mm/mV

Displayed vital signs data (configurable)

Heart rate, target heart rate, blood pressure, exercise clock, stage clock, phase clock, protocol, speed, grade, Watts, METS, RPP, and SpO2

Other displayed data ST scan/median complexes, arrhythmias, ventricular ectopic/min. counter, 3 to 15 waveforms, lead check torso and 12 leads, waterfall displays, trends, tabular summary, stored ECG strips, interpretation, time-of-day clock, patient name, warning messages and prompts

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Table 4. Writer

Item Description

Technology “Instant” load thermal dot array

Leads 3, 6, 12, or 15 (standard, NEHB, Cabrera, configurable)

Speeds 5, 12.5, 25, and 50 mm/s (± 2%)

Sensitivity/Gain 2.5, 5, 10, or 20 mm/mV (± 5%)

Resolution Horizontal 1000 lines/s x 200 dpi dedicated local printing, 200 x 200 dpi generic printing

Paper type Thermal, perforated, fanfold, 300 sheets per pack

Paper size A size 214.63 mm x 280 mm (8.45 in. x 11.7 in.)

Table 5. Environmental - Power Requirements

Item Description

Power supply AC operation only

Operating voltage range 100-135 VAC, 45-63 Hz, 2.8 A180-240 VAC, 45-63 Hz, 1.4 A

Power consumption 350 Watts maximum 1200 BTU/Hr<250 Watts normal 850 BTU/Hr<30 Watts standby 100 BTU/Hr

Operating conditionsTemperatureHumidityPressure

+10 to + 40° C (+50 to 104° F)20 to 95% RH non-condensing700 to 1060 hPa

Storage/Transport conditionsTemperatureHumidityPressure

-40 to +70° C (-40 to 158° F)*15 to 95% RH non-condensing500 to 1060 hPa

*. Paper discoloration may occur at higher temperatures.

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Table 6. Physical

Item Description

Height 125 cm (49 in.) floor to display shelf.

Width 62 cm (24 in.) with paper tray removed

Depth 75 cm (29 in.)

Weight 66.6 kg (147.5 lbs.) without monitor and KISS pump

Interfaces included Acquisition moduleKeyboard (PS/2) and dedicated stress keypad (USB)Mouse (PS/2)Built-in thermal printer (USB)Parallel printer port (LPT1) Only printers modified by GE Medical Systems Information Technologies are allowed to be installed.Full Duplex IEEE 802.3 10 Base-T and 100 BaseTX compatible through RJ45, MUSE compatible6 Serial ports (COM 1-2, COM A-D); treadmill, BP, ergometer, SpO24 Analog and 1 TTL (trigger) output; analog ergometer, camera synch., etc.Diskette drive; 3 ½ in., 1.44 MB PC-compatible for data storageCD-R/W drive; for software updates and optional patient data archival

Table 7. Safety

Item Description

Certification UL 2601-1 classifiedUL classified for CAN/CSA C22.2 No. 601.1CB certified for IEC 601-1CSA certificationCE marking for Council Directive 93/42/EEC concerning Medical DevicesMeets applicable AAMI EC-11 requirements

Type of protection against electrical shock

Class 1

Degree of protection against ingress of liquids

Ordinary

Handling of disposable supplies and other consumables

Use only parts and accessories manufactured or recommended by GE.Follow manufacturer’s instructions for use for disposable/consumable product.Follow local environmental guidelines concerning the disposal of hazardous materials.

Patient mode of operation Continuous

Patient leakage current <10 µA

Degree of protection against electrical shock

Type BF defibrillation protection for the patient cable (acquisition module)

Maintenance frequency Recommended user daily visual inspection and cleaning.Recommended six-month routine maintenance checks and test procedures performed by qualified technical personnel.

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Appendix C Electromagnetic Compatibility

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Electromagnetic Compatibility (EMC)Changes or modification to this system not expressly approved by GE Medical System 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 as follows.

WARNINGSUse of portable phones or other radio frequency (RF) emitting equipment near

the system may cause unexpected or adverse operation.

The equipment or system should not be used adjacent to, or stacked with, other equipment. If adjacent or stacked use is necessary, the equipment or system should be tested to verify normal operation in the configuration in which it is being used.

Guidance and Manufacturer’s Declaration – Electromagnetic Emissions

The CASE is intended for use in the electromagnetic environment specified below. It is the responsibility of the

customer or user to ensure that the CASE is used in such an environment.

Emissions Test Compliance Electromagnetic Environment - Guidance

RF emissions CISPR11 Group 1

The equipment uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

RF emissions CISPR11 Class A

The equipment is suitable for use in all establishments other than domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.

Harmonic EmissionsEN 61000-3-2 Class A

Voltage fluctuations/Flicker emissionsEN 61000-3-3

Complies

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Guidance and Manufacturer’s Declaration – Electromagnetic Immunity

The CASE is intended for use in the electromagnetic environment specified below. It is the responsibility of the

customer or user to ensure that the CASE is used in such an environment.

NOTEUt is the AC mains voltage prior to application of the test level.

Immunity Test EN 60601 Test Level Compliance Level Electromagnetic Environment - Guidance

Electrostatic discharge (ESD) EN 61000-4-2

± 6 kV contact ± 8 kV air

± 6 kV contact ± 8 kV air

Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.

Electrical fast transient/burst EN 61000-4-4

± 2 kV for power supply lines±1 kV for input/output lines

± 2 kV for power supply lines±1 kV for input/output lines

Mains power should be that of a typical commercial or hospital environment.

Surge EN 61000-4-5

± 1 kV differential mode± 2 kV common mode

± 1 kV differential mode± 2 kV common mode

Mains power should be that of a typical commercial or hospital environment.

Voltage dips, short interruptions and voltage variations on power supply input linesEN 61000-4-11

<5% Ut (>95% dip in Ut)for 0.5 cycles40% Ut (60% dip in Ut)for 5 cycles70% Ut (30% dip in Ut)for 25 cycles<5% Ut (>95% dip in Ut)for 5 sec

<5% Ut (>95% dip in Ut)for 0.5 cycles40% Ut (60% dip in Ut)for 5 cycles70% Ut (30% dip in Ut)for 25 cycles<5% Ut (>95% dip in Ut)for 5 sec

Mains power should be that of a typical commercial or hospital environment. If the user of the CASE requires continued operation during power mains interruptions, it is recommended that the CASE be powered from an uninterruptible power supply or a battery.

Power frequency (50/60 Hz) magnetic fieldEN 61000-4-8

3 A/m 3 A/m Power frequency magnetic fields should be at levels characteristics of a typical location in a typical commercial or hospital environment.

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Guidance and Manufacturer’s Declaration – Electromagnetic Immunity

The CASE is intended for use in the electromagnetic environment specified below. It is the responsibility of the

customer or user to assure that the CASE is used in such an environment.

Immunity Test EN 60601 Test Level Compliance Level Electromagnetic Environment – Guidance

Portable and mobile RF communications equipment should not be used closer to any part of the equipment, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.Recommended separation distance

Conducted RFEN 61000-4-6

3 Vrms150 KHz to 80 MHz

2.6 V rmsd = 1.2

Radiated RFEN 61000-4-3

3 V/m80 MHz to 2.5 GHz

1.8 V/md = 1.2 80 MHz to 800 MHzd = 2.3 800 MHz to 2.5 GHz

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 surveya, should be less than the compliance level in each frequency rangeb.

Interference may occur in the vicinity of equipment marked with the following symbol:

NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by reflection from structures, objects, and people.a 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.

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

P

P

P

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Recommended Separation Distances

The table below provides the recommended separation distances (in meters) between portable and mobile RF communication equipment and the CASE.

The CASE is intended for use in the electromagnetic environment on which radiated RF disturbances are

controlled. The customer or the user of the CASE can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the CASE as recommended below, according to the maximum output power of the communications equipment.

For transmitters rated at a maximum output power not listed above, the recommended separation distance [d] in meters (m) can 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.

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

Separation Distance in Meters (m) According to Frequency of Transmitter

Rated Maximum Output Power of Transmitter in

Watts

150 kHz to 80 MHz outside ISM bands

d = 1.2

150 kHz to 80 MHzin ISM bandsd = 1.2

80 MHz to 800 MHzd = 1.2

800 MHz to 2.5 GHzd = 2.3

0.01 0.12 0.12 0.12 0.23

0.1 0.38 0.38 0.38 0.73

1 1.2 1.2 1.2 2.3

10 3.8 3.8 3.8 7.3

100 12 12 12 23

NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.

P P P P

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Compliant Cables and Accessories

WARNINGThe use of accessories, transducers and cables other than those specified may result in increased emissions or decreased immunity performance of the equipment or system.

The table below lists cables, transducers, and other applicable accessories with which GE Medical Systems claims EMC compliance.

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

Part No Description Maximum Lengths

2019792-001 Cable Assy DVI-D to DVI-D Video 1.8m

700609-001 Cable Treadmill to Stress Sys 6.096m

900995-001 Cam 14 NA

2026400-001 Display LCD 17” NEC 1770NX N/A

2023603-001 Display LCD 19” NEC 19805XI N/A

2032323-001 Display LCD CHILIN TECH MDC1900 N/A

2005125-0XX Keyboard NA

901142-001 Kit Cam 14 Resting W/AHA Adaptors NA

901142-002 Kit Cam 14 Resting W/IEC Adaptors NA

420403-001 Mouse Two Button Logitech NA

401855-0XX Power Supply Cord European 10A 250V 2.5m

405535-002 Power Supply Cord US 15A 125V 3.0m

2008712-001 Pump Internal KISS CASE NA

400073-001 Serial Comm. Cable 8 Pin Mini DIN 6.1m

2031030-001 Set KISS Multilead for Ger, Eng, Fre N/A

2031030-004 Set KISS Multilead for Hun, Cze, Sla N/A

2031030-002 Set KISS Multilead for Ita, Spa, Dut N/A

2031030-006 Set KISS Multilead for Jpn, Chs N/A

2031030-005 Set KISS Multilead for Rus, Pol N/A

2031030-003 Set KISS Multilead for Swe, Dan, Nor N/A

2024040-001 Set Upgrade Electrodes A1-A4 N/A

2024038-001 Set Upgrade Electrodes FRANK N/A

2024039-001 Set Upgrade Electrodes NEHB N/A

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Appendix D CASE Files

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CASE Files: Directory Structure and Notes on CASE Files

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Directory Structure and Notes on CASE FilesWhen installing CASE, a subdirectory (default: D:\CASE) is created into which the files required for execution are copied. When calling up CardioSoft for the first time, several subdirectories are then created in this directory for

the examination data, speech entries and the configuration data. After calling up CASE, the directory structure is as follows:

Files in Windows system32 directory:CardioSoft requires the following files from the Windows system32 directory:

CARDIO DATABASE Databases for PatientExamination Data

RESTECG Resting ECG Reports

SPIR Spirograms

SOUND Sound Files from all Examinations.

ONLINE Full Disclosure ECG from all Exami-nations.

SETUP Configurations

TAPE Dictated Data

AVER Late Potential Reports

DOC User manual and Help Files

CAS Ergometry Reports

NARRATIV Configured report templates

ONL500 not used

ONL2000 not used

RHK Right-Heart-Catheterization

HOLTERBP Long-Term Blood Pressure Reports

EXTPROG Reports from all External Progs.

DIAGS Diagnostic Software

HELP Help files

WRITER Thermal Writer Windows Driver

Filename Description

mfc42.dllmsvcrt.dll

Visual C++ class library Functions

hel_grid.ttf Special Font

msflxgrd.ocx Flex Grid Tools for Stress Test Table

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File name nomenclature of the examination procedureThe file name consists of the following components:

the ID letter for the examination procedureA: late potential analysisB: ambulatory blood pressure measurementC: ErgometryH: Holter ECGK: cardiac catheterizationN: STAT (emergency) ECGR: Resting ECGS: spirometryT: stress echocardiography

U: ultrasoundX: external programsY: X-rayZ: Right-Heart-Catheterization

the identification letter for the compressionC: compressedU: uncompressed

the internal patient ID 6-digit with leading zeros

the internal examination ID, which gives additional file data

3-digit with leading zeros

File in the Windows INF directoryCardioSoft requires the following file in the Windows INF directory:

Files in the Windows directoryCardiosoft creates the following files in the Windows directory:

NOTE The program settings in cardio.ini can be allocated with an identifier and stored in the help functions under Settings in the \SETUP directory, thus making them available to all users of a network (load help functions under Settings). Up to 10 settings can be stored with file names from SETUP0.INI to SETUP9.INI. Stress test driver settings are stored in file PA5V0.DAT to PA5V9.DAT.

NOTE If the profiles in erg_prot_vsan.dat are modified or recreated, the file should be saved. It has been known for this file to have been deleted during new installations. It can also prove useful to assign the file with the attribute READONLY. This prevents overwriting or deletion. However, this attribute must be removed again before making any new changes in the profile. It is more advisable, however, to make a backup of the file as it cannot then be lost, even in the event of a hard disk error.

Filename Description

camusb.inf Information file for the USB cam device

Filename Description

cardio.ini Initialization file that stores program settings. These settings

ca_sys.ini Initialization file that stores system settings.

erg_prot_vsan.dat Data file that stores the settings for the stress test driver (e.g., ergometer, treadmill).

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World HeadquartersGE Medical SystemsInformation Technologies, Inc.8200 West Tower AvenueMilwaukee, WI 53223 USATel: + 1 414 355 5000

1 800 558 5120 (US only)Fax: + 1 414 355 3790

European RepresentativeGE Medical SystemsInformation Technologies GmbHMunzinger Straße 3-5D-79111 FreiburgGermanyTel: + 49 761 45 43 - 0Fax: + 49 761 45 43 - 233

Asia HeadquartersGE Medical SystemsInformation Technologies Asia; GE (China) Co., Ltd.24th Floor, Shanghai MAXDO Center,8 Xing Yi Road, Hong Qiao Development ZoneShanghai 200336, P.R. ChinaTel: + 86 21 5257 4650Fax: + 86 21 5208 2008

gemedical.com