GE Medical CAM HD Acquisition ModuleUserManual
GE Medical CAM HD Acquisition ModuleUserManual
GE Medical CAM HD Acquisition ModuleUserManual
CAM-14®/CAM-HD®
Acquisition Modules
Service Manual
2049751-001 Revision C
CAM-14/CAM-HD Acquisition
Module
English
2010-2011 General Electric
Company.
All Rights Reserved.
Publication Information
This manual refers only to version 2 of the CAM–14 Acquisition Module (Product Code RNC) and version 1 of the CAM-HD Acquisition Module
(Product Code RNB). Due to continuing product innovation, specifications in this manual are subject to change without notice.
CAM–14, CAM-HD, and MAC are trademarks owned by GE Medical Systems Information Technologies Inc., a General Electric Company going
to market as GE Healthcare. All other trademarks contained herein are the property of their respective owners.
The document's part number and revision appear at the bottom of each page. The following table summarizes the document's revision
history.
To access other GE Healthcare manuals, go to the Common Documentation Library (CDL), located at http://www.gehealthcare.com/usen/
service/biomed_tech_selfservice/services_user_doc/products/support.html and click Cardiology.
2 CAM-14®/CAM-HD® 2049751-001C
17 March 2010
Contents
1 Introduction
Product Information.................................................................................... 5
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
General Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Equipment Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Service Information..................................................................................... 9
Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Additional Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2 Maintenance
Visual Inspection ....................................................................................... 14
Cleaning .................................................................................................... 14
Cleaning and Disinfecting Acquisition Modules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Cautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Battery Compartment Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
3 Troubleshooting
General Information.................................................................................. 23
ECG Data Noise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Typical Problems and Solutions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Einthoven’s Triangle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
2049751-001C CAM-14®/CAM-HD® 3
4 Parts Lists and Drawings
Upper Level Drawing................................................................................. 30
4 CAM-14®/CAM-HD® 2049751-001C
Introduction
1
This chapter provides general information required for the proper use of the product
and the manual. Familiarize yourself with this information before using the product.
Product Information
This section provides the indications for use, general description, and identification
information for both the CAM-14 and CAM-HD acquisition modules. Except where
differences between the two products are noted, the terms acquisition module and
device refer to both products.
General Description
The acquisition module performs high resolution ECG data acquisition for use with
host equipment (resting ECG analysis systems and exercise systems). The acquisition
module has the following features:
• AC leadfail bias
• lead off detection
• patient isolation
• function key control of host equipment functions
The acquisition module provides patient electrical isolation for the host equipment.
The minute ECG signals from the patient’s skin are received by the electrodes and
sent to the acquisition module via leadwires. The acquisition module then amplifies,
digitizes, and performs processing on the signals.
2049751-001C CAM-14®/CAM-HD® 5
Introduction
Equipment Identification
Every GE Healthcare device has a product label that identifies the product name, part
number, manufacturing information, and unique serial number. This information is
required when contacting GE Healthcare for support.
The product label is located on the back of the acquisition module, as shown in the
following illustrations.
Product Label
The product label is laid out in the following format. Depending on the product, the
label may vary slightly in format, but it contains the same information.
Item Description
1 Product description
2 Product part number
3 Date of manufacture in YYYY-MM format
4 Unit serial number (See “Serial Number Format” on page 7 for more
information.)
6 CAM-14®/CAM-HD® 2049751-001C
Introduction
Item Description
Product Codes
The product code identifies specific system platforms. You need the product code
before servicing or requesting support for your device.
You can identify the product using the serial number listed on the product label on
the back of the device.
2049751-001C CAM-14®/CAM-HD® 7
Introduction
Safety Conventions
A Hazard is a source of potential injury to a person, property, or the product.
This manual uses the terms DANGER, WARNING, and CAUTION to point out hazards
and to designate a degree or level of seriousness. Familiarize yourself with the
following definitions and their significance.
Safety Definition
Convention
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.
8 CAM-14®/CAM-HD® 2049751-001C
Introduction
Service Information
This section provides information pertaining to the maintenance and servicing of the
device. Familiarize yourself with this information before requesting service from GE
Healthcare or its authorized representatives.
Service Requirements
Regular maintenance, irrespective of usage, is essential to ensure that the components
of this system are always functional when required.
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 safety hazards.
Refer equipment servicing to GE Healthcare service personnel or authorized service
agents 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 Healthcare or one of
their authorized agents.
Additional Assistance
GE Healthcare maintains a trained staff of application and technical experts to answer
questions and respond to issues and problems that may arise during the installation,
maintenance, and use of this product.
Contact your local GE Healthcare representative to request additional assistance.
Manual Information
This section provides information for the correct use of this manual.
Keep this manual with the equipment at all times and periodically review it. You
should request training assistance from GE Healthcare, if needed.
Manual Purpose
This manual supplies technical information for service representatives 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 of the host system for instructions necessary to operate the
equipment safely in accordance with its function and intended use.
Intended Audience
This manual is intended for persons who use, maintain, or troubleshoot this equipment.
2049751-001C CAM-14®/CAM-HD® 9
Introduction
Document Conventions
This manual uses the following conventions.
Typographical Conventions
Convention Description
Bold Text Indicates keys on the keyboard, text to enter, or hardware items such as
buttons or switches on the equipment.
Italicized-Bold Indicates software terms that identify menu items, buttons or options in
Text various windows.
CTRL+ESC Indicates a keyboard operation. A plus (+) sign between the names of two
keys indicates that while holding the first key, you should press and release
the second key. For example, Press CTRL+ESC means to press and hold the
CTRL key and then press and release the ESC key.
<space> Indicates that you must press the spacebar. When instructions are given
for typing a precise text string with one or more spaces, the point where
you must press the spacebar is indicated as: <space>. This ensures that
the correct number of spaces are inserted in the correct positions within
the literal text string. The purpose of the < > brackets is to distinguish the
command from the literal text within the string.
Enter Indicates that you must press the Enter or Return key on the keyboard. Do
not type Enter.
> The greater than symbol, or right angle bracket, is a concise method to
indicate a sequence of menu selections.
For example, the statement “From the main menu, select System > Setup >
Options to open the Option Activation window” replaces the following:
1. From the main menu, select System to open the System menu.
2. From the System menu, select Setup to open the Setup menu.
3. From the Setup menu, select Options to open the Option Activation
window.
Illustrations
All illustrations in the manual are provided as examples only. Depending on system
configuration, screens that appear in the manual may differ from the screens as they
appear on your system.
All patient names and data are fictitious. Any similarity to actual persons is
coincidental.
Notes
Notes provide application tips or additional information that, while useful, are not
essential to the correct operation of the product. They are called out from the body
text through a flag word and indentation, as follows:
NOTE:
The tip or additional information appears indented below the NOTE flag word.
10 CAM-14®/CAM-HD® 2049751-001C
Introduction
Related Documentation
You can find additional information in the following documents:
2049751-001C CAM-14®/CAM-HD® 11
Introduction
12 CAM-14®/CAM-HD® 2049751-001C
Maintenance
2
Other than daily cleaning and occasional maintenance checks as outlined in this
chapter, the acquisition module requires no maintenance.
Only qualified service personnel should attempt to repair components and assemblies
internal to the acquisition module. Contact GE Healthcare Customer Support for
repair and replacement options.
WARNING:
PROPER MAINTENANCE — Failure on the part of all responsible individuals,
hospitals, or institutions employing the use of this device, to implement the
recommended maintenance schedule may result in equipment failure and
possible health hazards. The manufacturer does not, in any manner, assume the
responsibility for performing the recommended maintenance schedule unless an
equipment maintenance agreement exists.
The sole responsibility rests with the individuals, hospitals, or institutions utilizing
the device.
Maintenance and Repair
Item Description
Maintenance Frequency The end user should visually inspect and clean the
device daily.
Qualified technical personnel should perform routine
maintenance checks and test procedures per the
Functional Checkout Procedure annually.
Repair Guidelines Equipment descriptions and service information
to repair field replaceable parts are available in
this service manual for use by qualified technical
personnel.
2049751-001C CAM-14®/CAM-HD® 13
Maintenance
Visual Inspection
Inspect the acquisition module each time you clean it or if you suspect a problem.
• Check the leadwires and leadwire adapters for wear and loose connections.
Replace these parts at the first sign of wear.
• Check the pins that the leadwires plug into. They should not be bent or loose.
Contact GE Healthcare Customer Support for any repairs needed.
• Check the acquisition module plastic case for any damage. Contact GE Healthcare
Customer Support for any repairs needed.
Cleaning
The exterior and leadwires of the acquisition module should be cleaned daily.
14 CAM-14®/CAM-HD® 2049751-001C
Maintenance
Cautions
• Follow the cleaning instructions exactly.
• Wring excess disinfectant from wipe before using.
• Never immerse the device, cables, or leadwires in any liquid, as this may corrode
metal contacts and affect signal quality.
• Do not allow fluid to pool around connection pins. If this happens, blot dry with a
soft, lint-free cloth.
• Never use conductive solutions or solutions that contain chlorides, wax, or wax
compounds to clean the device, cables, or leadwires.
• Never use solutions or products that contain any type of Ammonium Chloride such
as, but not limited to:
• Dimethyl Benzyl Ammonium Chloride
• Quaternary Ammonium Chloride solutions
• Abrasive cleaners or solvents of any kind
• Acetone
• Ketone
• Betadine
• Alcohol-based cleaning agents
• Sodium salts
• Never autoclave or steam clean the device, cables, or leadwires.
• Do not use until thoroughly dry.
2049751-001C CAM-14®/CAM-HD® 15
Maintenance
Storage
Use the following guidelines when storing acquisition modules:
• Always remove the batteries when the device is not in use, even for short periods
of time.
• Store in a dry, well-ventilated area.
• Hang the device, using a holder if available.
• If leadwires are attached, they should hang straight.
• Do not coil leadwires or cables around the device.
2049751-001C CAM-14®/CAM-HD® 17
Maintenance
Tools
1. ECG Simulator
2. Standard hand tools including a #6 Torx driver
3. Current leakage tester
4. Hipot tester
5. Anti-static wrist strap
6. Applicable service and/or operator manual as needed for reference
Visual Inspection
Inspect the following for excess wear and/or any visual signs of damage.
1. Inspect for defective or broken patient cable/leadwires or out-of-date electrodes.
2. Review electrode placement, skin prep, and patient related requirements with
the ECG Tech.
3. Inspect external surfaces.
Operational Checks
1. Complete power-up self-test.
2. Run a simulated recorded rhythm strip.
3. Run a simulated recorded ECG.
18 CAM-14®/CAM-HD® 2049751-001C
Maintenance
Leakage Tests
The leakage tests are safety tests to ensure that the equipment poses no electrical
health hazards. Use the following table to determine which tests apply to the unit
under test and the maximum allowable leakage currents. For international leakage
limits, refer to the internal standards agencies of that particular country.
If the unit under test fails the leakage tests, do not allow the customer to use the
equipment. Call GE Healthcare Customer Support for assistance.
GE Healthcare recommends that you perform these tests with the following frequency:
• Before applying power for the first time
• Every year as part of routine maintenance
• Whenever internal assemblies are serviced
You need a leakage tester to perform the leakage tests.
NOTE:
The accuracy of the leakage tests depends on a properly-wired wall outlet. Do not
proceed until you verify the integrity of the power source.
WARNING:
Total system leakage current must not exceed 100 microamperes.
2049751-001C CAM-14®/CAM-HD® 19
Maintenance
1. NC= Normal Condition SFC= Single Fault Condition N/A= Not Applicable
2. UUT= Unit Under Test
3. All SIPs/SOPs grounded
20 CAM-14®/CAM-HD® 2049751-001C
Maintenance
2049751-001C CAM-14®/CAM-HD® 21
Maintenance
22 CAM-14®/CAM-HD® 2049751-001C
Troubleshooting
3
This chapter addresses problems with ECG data acquisition and the quality of ECG
data. The troubleshooting information in this chapter will help you narrow problems to
one of the field replaceable assemblies.
NOTE:
A copy of a good 12-lead report generated from an ECG simulator is very useful
when trying to determine if the data is correct on a report.
General Information
The following sections provide general information to help identify problems with
the acquisition module.
2049751-001C CAM-14®/CAM-HD® 23
Troubleshooting
Troubleshooting
Symptom Troubleshooting
The host device displays the message
Acquisition Module Disconnected • Check the acquisition cable connection.
• Check the host cable interface flex in the
module.
The lead tracings appear inverted or at the Check the position of the leadwires on the
wrong amplitude acquisition module and the patient.
All leads have excessive noise
• Examine the RA and RL leadwires and
replace them if necessary.
• Check the lead preparation site.
• Refer to Einthoven's Triangle to determine
which lead or leads are causing the noise.
• Move the acquisition module to an area
where there is less electrical noise.
• Try another acquisition module.
Control switch buttons on the acquisition
module fail or are intermittent • Check that the Switch Flex Cable is
plugged into the PCB.
• Replace the switch label.
• If there is still a failure, replace the main
PCB.
Einthoven’s Triangle
The following illustration shows Einthoven's Triangle and the definitions of the
standard 12 leads. Some find this information useful when troubleshooting noisy
leads or lead groups.
24 CAM-14®/CAM-HD® 2049751-001C
Troubleshooting
2049751-001C CAM-14®/CAM-HD® 25
Troubleshooting
1. Remove the four Torx screws (1) holding the top and bottom of the device
together using a #6 Torx driver.
2. Lift the top cover (2) high enough to allow access to the switch flex cable (3) from
the switch assembly.
3. To avoid damage to the flex cable (3), gently pry the cable off the switch at the
main PCB connector (4) with a small screwdriver before removing the cover.
NOTE:
Damage to the switch flex cable connector will result in failure of one or
more of the switch functions.
• DO NOT attempt to disconnect the switch flex cable by pulling on it.
• DO NOT let the main PCB hang by the cable.
4. When the main PCB has been separated from the switch flex cable, disconnect
the host cable interface flex (5) from the main PCB by gently prying the
connectors apart.
26 CAM-14®/CAM-HD® 2049751-001C
Troubleshooting
1. Apply silicone sealant to the edge (1) of the top and bottom covers.
2. Place the main PCB in the bottom cover.
3. Connect the host cable interface flex (2) at the main PCB by gently pressing
the connector in place.
4. Connect the switch flex cable (3) to the host cable interface flex at the main PCB
(4) by gently pressing the connector in place.
5. While holding the top (5) and bottom covers together, replace the four Torx
screws (6) using a #6 Torx driver. DO NOT over tighten.
6. Perform a Functional Checkout procedure.
2049751-001C CAM-14®/CAM-HD® 27
Troubleshooting
28 CAM-14®/CAM-HD® 2049751-001C
Parts Lists and Drawings
4
This chapter provides upper-level drawings for the standard configurations of the
acquisition module and any kits that are available. It includes enough detail to provide
part numbers for field-serviceable assemblies in the equipment.
NOTE:
Do NOT remove individual components from the main PCB: surface mounted
components on the PCB are not field replaceable.
2049751-001C CAM-14®/CAM-HD® 29
Parts Lists and Drawings
30 CAM-14®/CAM-HD® 2049751-001C
Parts Lists and Drawings
2049751-001C CAM-14®/CAM-HD® 31
Parts Lists and Drawings
32 CAM-14®/CAM-HD® 2049751-001C
Asia Headquarters
GE Medical Systems GE Medical Systems GE Medical Systems
Information Technologies, Inc. Information Technologies GmbH Information Technologies, Inc.
8200 West Tower Avenue Munzinger Strae 5 Asia; GE (China) Co., Ltd.
Milwaukee, WI 53223 USA D-79111 Freiburg Germany No.1 Huatuo Road
Tel: +1 414 355 5000 Tel: +49 761 45 43 -0 Zhangjiang Hi-tech Park Pudong
+1 800 558 7044 (US Only) Fax: +49 761 45 43 -233 Shanghai, People's Republic of China 201203
Fax: +1 414 355 3790 Tel: +86 21 5257 4650
Fax: +86 21 5208 2008
GE Medical Systems Information Technologies, Inc., a General Electric Company, going to market as
GE Healthcare.
www.gehealthcare.com