Professional Documents
Culture Documents
Version V6.5
2027786-082 Revision F
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.
Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Styles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Illustrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
3 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Installation Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Installing the Monitor Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Installing the Release Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Preparing the NEC Flat Panel Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Preparing the CHILIN Flat Panel Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Mounting the Flat Panel Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Routing the Cables to the Connector Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Adjusting the Viewing Angle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Installing the Keyboard and the Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Configuring the Mouse (PN 2022144-001) . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Connecting the System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Preparing the Acquisition Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
Loading Writer Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Mains Connection, Power Up, Functional Test . . . . . . . . . . . . . . . . . . . . . . 3-15
5 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Required Tools and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
7 Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
A Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
Manual Information
Revision History
Each 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.
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-ROM
Corrected 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
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
Manual Purpose
This 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 Audience
This manual is intended for the person who uses, maintains, or troubleshoots this
equipment.
Conventions
These are the conventions used in the manual:
Styles
Bold 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.
Illustrations
All 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.
Safety Information
Responsibility of the Manufacturer
GE 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.
General
This device is not intended for home use.
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; and
evidence 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.
WARNING
FIRE HAZARD — For continued protection against risk of fire
replace fuse only with fuse of same type and rating.
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.
Equipment Symbols
CAUTION, consult accompanying documents.
Equipotential
Signal input
Signal output
Fuse
On/Standby
CL
ASSIFIED Classified by Underwriters Laboratories Inc. with respect to electric shock, fire, mechanical and other
C R US 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.
MEDICAL EQUIPMENT
UL 2601-1 CAN/CSA 601.1
4P41
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.
Service Information
Service 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 Identification
The Serial Number and Unit ID number tags appear on back of the device in the
location shown below.
Serial Number
location
A B C D E F
A Product Code
B Year Manufactured (00-99)
00 = 2000
01 = 2001
02 = 2002
(and so on)
C Fiscal Week Manufactured
D Production Sequence Number
E Manufacturing Site
F Miscellaneous Characteristic
General Description
Shown below is a general overview of a CASE system. See the “CASE Operator’s
Manual” for details on operating procedures.
Front View
Monitor
Paper tray
Function keypad
Acquisition Module
Holder
Rear View
Access Panel
Equipotential pin,
power inlet with fuses,
Mains switch
Assembly Descriptions
Familiarity with the components of the CASE assembly will aid in troubleshooting
the equipment. The CASE consists of the following components.
Monitor
The 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.
Keypad
The 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.
Thermal Writer
The 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.
Power System
AC 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.
Standard PC Components
PC Subsystem
The 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 Keyboard
A standard 104-key Windows 95 keyboard with PS/2 interface is connected to the
PC I/O panel PS/2 keyboard connector.
PS/2 Mouse
A 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.
CD-R/W Drive
This 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.
Connections
Shown 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.
LAN
Com B
LPT 1
Mouse
Com A
CAM 14
USB A or B
Table 1. USB Jack or Plug
Pin Name
1 Vcc
2 - Data
3 + Data
4 Ground
COM A or B
Table 2. Acquisition PCB Serial Ports
Pin Name
1 HANDSHAKE OUT 7 6
8
2 HANDSHAKE IN
4
3 XMIT 422-
4 GND 5 3
5 RXD 422-
6 XMIT 422+
7 +12V, 0.5A MAX 2 1
MD1322-007
8 RXD 422+
SHLD CHASSIS
8 CH4OUT
9 AN1IN
SHLD CHASSIS
Acquisition Interface
Table 4. Acquisition Module I/F
Pin Name
2 GND
3 AMTX+
4 AMTX-
5 AMRX+
6 AMRX-
7, 8, 9, 10 N/C
DVI
C3
24 17
C5 C4
9
C1 8 1
C2
Table 5. DVI
Pin Name
1 T.M.D.S. DATA 2-
2 T.M.D.S. DATA 2+
4 T.M.D.S. DATA 4-
5 T.M.D.S. DATA 4+
6 DDC CLOCK
7 DDC DATA
10 T.M.D.S. DATA 1+
12 T.M.D.S. DATA 3-
13 T.M.D.S. DATA 3+
14 +5V POWER
15 GND
17 T.M.D.S. DATA 0-
18 T.M.D.S. DATA 0+
20 T.M.D.S. DATA 5-
21 T.M.D.S. DATA 5+
23 T.M.D.S. CLOCK+
24 T.M.D.S. CLOCK-
C1 ANALOG RED
C2 ANALOG GREEN
C3 ANALOG BLUE
C5 ANALOG GROUND
Pin Name
1 +3.3V
2 +3.3V
3 GROUND
4 +5V
5 GROUND
6 +5V
7 GROUND
10 +12V
11 +3.3V
12 -12V
13 GROUND
15 GROUND
16 GROUND
17 GROUND
18 -5V
19 +5V
20 +5V
Pin Name
1 DATA
2 N/C
3 GROUND
4 +5V (fused)
5 CLOCK
6 N/C
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
Pin Name
1 DCD #
2 SERIAL IN
3 SERIAL OUT
4 DTR #
5 GROUND
6 DSR #
7 RTS #
8 CTS #
9 RI #
Installation Overview
Installation of the CASE system consists of the following steps:
After the installation is complete, the CASE system is ready for the user.
Assembly
After unpacking and inspecting the CASE system, complete the following
procedures to put your new CASE into service.
2-10A
Route the
light cable
through this
opening.
27D
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.
6. Secure the support to the tray using the nuts removed in Step 3 and apply in the
order shown below.
Front
5
2 3
6 4
1
Back 2-11B
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.
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.
55 mm
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.
1 2
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.
7. Close cover.
4 - M4
Screws
2 - M4
Screws
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.
5. Insert the two remaining two M4 pan head screws then tighten all four screws.
Cable Feed
Through Hole
Cable Clamps
Connector Panel
27E
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
2-13A
3b
3a
28A
161A
Cable clamp
Reference
diagram
2-15A
NOTE
Coil the excess cable for storage as shown above. DO NOT squeeze the
cables when closing the access panel.
NOTE
See the CASE Operator’s Manual, “B Miscellaneous, Connecting
Peripheral Devices,” for information on connecting other devices to the
CASE system.
29B
NOTE
There 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.
3. Place the supplied acquisition module holder to the right side of the cart, then
place the acquisition module into the holder.
NOTE
The 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).
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.)
Release
Button
Compartment
Lid
53A
Storage
Compartment
54A
3. Feed paper (plain side facing roller) under roller assembly until approximately
3–4 inches extend out of the paper storage compartment.
55A
4.
5. Press the paper release button while moving the roller assembly back into
position.
56A
6. Release the paper release button to lock the roller assembly into position. Close
the paper compartment lid.
Mains
connection
(power line
connection)
Mains power switch
Potential
equalization
system
connection
34A
Back Panel
Power
button
200A
Side Panel
1. Connect the CASE Exercise Testing System to the power line and fasten with
the clamp provided.
NOTE
DO NOT energize the system at this time.
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.
Network Installation
After 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.
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.
The following table outlines the installation procedures for both network
configurations. They are presented side-by-side to call out differences and
similarities.
Create a Domain user or domain user group Create a user or create users and a user
to be used by the CASE systems group on the server.
Create a shared folder on the server with full Create a shared folder on the server with
control permissions for the domain user or full control permissions for the user or
domain user group. user group.
Provide the server name (or IP address) and path to the created shared folder for
mapping a drive letter to the folder.
Provide static IPs for each system (if Remote View function will be used).
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.
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.
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.
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.
In both cases, the user must exist on the CardioSoft server and be designated as a
Network User.
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.
Centricity Xi Configuration
When 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
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.”
NOTE
Refer to “Saving Custom Settings to Diskette” on page 7-5 for details.
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.
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.
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.
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.
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.
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.
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)
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.
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.
10. Verify the desktop wallpaper is the GE wallpaper and the mapped drive cardio
on the CardioSoft server is connected.
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.
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.
NOTE
This section should only be performed if a network printer is used.
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.
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”
NOTE
Some changes may not take effect until the OS is restarted.
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.
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.
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.
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.
The customer site administrator must designate the default provider for
use before migrating historical data from the CASE/CardioSoft system
to the EMR application.
EMR tab
Communication
folders
Error logging
folder location
NOTE
The 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).
Migrate Data
After completing the instructions in the CASE/CardioSoft - EMR Integration
Release Notes, use the following instructions to migrate the CASE/CardioSoft data:
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.
Metabolic Interface
The 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:
Communication Commands
The 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
parity no
data bits 8
stop bits 1
baud rate 1200
handshake 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 parity
1 = even parity
2 = odd parity
Field Values
SpiroHandShake 0 = no handshake
1 = XonXoff
2 = hardware handshake
3 = hardware handshake and interpretation of CR and NULL
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 = 1
SpiroDataBits = 0
SpiroStopBits = 1
SpiroBaudrate = 5
SpiroHandShake = 1
[recoxxx34xMxxxx0x%xxx60xxxx4x-999x-999x-999xx-19xxxx1xx-12x]4CCR
[ Beginning
x% Grade designator % 2
x] Ending
4C Checksum 7
CR Carriage return
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:
Pre-Test 1 base
Pre-Test 2 warm
warm
Exercise 1 ramp
ramp
Recovery 1 reco
reco
Field Values
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 = 1
SpiroDirectory = C:\SPIROAPP\DATA
[recoxxx34xMxxxx0x%xxx60xxxx4x-999x-999x-999xx-19xxxx1xx-12x]4CCR
[ Beginning
x% Grade designator % 2
x] Ending
4C Checksum 7
CR Carriage return
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:
Pre-Test 1 base
2 warm
... warm
Exercise 1 exer
... exer
Recovery 1 reco
... reco
This document outlines the steps involved in installing InSite 2.0 in CardioSoft,
CardioSoft Client, CardioSoft DFT, and CardioSoft WebServer.
NOTE
InSite 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 Process
Before beginning the installation of the GE CASE CardioSoft InSite Service Agent,
complete the following steps.
NOTE
During 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.
CAUTION
If 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.
Installation Procedure
Use the following instructions to install the InSite 2.0 software:
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.
NOTE
The 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:
Device Name:
Serial Number:
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.
9. Enter the proxy server address and port that was recorded during the pre-
installation process.
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.
12. Enter the User Name and Password information required by the proxy server
and select the authentication method.
User Name:
Password:
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).
When the software has been registered, the following screen appears.
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.
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.
Manual
The 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.
1. From the Windows taskbar, select Start > Settings > Control Panel.
The Control Panel opens.
3. Double-click Services.
The Services window opens, as seen below.
A B
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.
B C
NOTE
During installation of InSite 2.0, a default password is configured and the
Display Query Window check box (B) is deselected.
NOTE
When 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.
4. Select the Display Query Window check box (B) and enter the Timeout (B) in
seconds.
NOTE
When 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.
Introduction
A 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:
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.
Visual Inspection
Perform 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 Cleaning
Clean 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
Disassembly
To 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.
General
Check 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.
Thermal Printhead
Clean 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.
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.
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:
50 Hz / 60 Hz 25 A 6V
The test fails if the measured value is greater than indicated in the following table:
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.
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):
The test has failed if the measured values are greater than:
300 µA (UL)
Use the following settings on your Safety Tester during normal conditions:
Switch Setting
GND closed
S1 (neutral) closed
Use the following settings on your Safety Tester during single fault conditions:
Switch Setting
The test fails if the measured values are greater than indicated in the following table:
NOTE
For your protection, the following values of resistor R may be used:
During N.C., measurements should be taken under the following conditions (refer to
the safety tester diagram:
During S.F.C., measurements should be taken under the following conditions (refer
to the safety tester diagram):
The test has failed if the measured values are greater than:
N.C. S.F.C.
WARNING
PERSONAL SAFETY — MAINS VOLTAGE is applied to
floating input (patient connection) and patient cables/test plug
conductors and safety tester PATIN JACK.
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:
During S.F.C, measurements should be taken under the following conditions (refer
to safety tester diagram):
The test has failed if the measured values are greater than:
N.C. S.F.C.
After completing this test, disconnect the safety tester from line voltage before
disconnecting the patient cable/test plug and/or the device.
Overview
This chapter discusses the tools and techniques for troubleshooting problems with
the CASE system. The topics include:
Service Tools
Service Screen
Diagnostic Tests
Entering a One-Day Password
General Fault Isolation
General Troubleshooting
Frequently Asked Questions
Flat Panel Monitor Problems
Printer Debugging
Usage and Workaround of Acrobat 6
Troubleshooting Tools
CASE provides two groups of tools to help you diagnose issues with the system:
Service Screen
Diagnostic Tests
Service Screen
The 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.
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.
Save as… Saves all entries of the internal logbook to a text file.
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 Time Constant for CORINA ECG Acquisition Module. Should be
filter) 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 Should be set to “none”. If you select any other value, the hard disk
(in directory \ONL500, will fill up quickly: for every Full disclosure ECG a Full disclosure
\ONL2000) 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.
Test dictionary… Compares the Text Strings of the selected language with the actual
selected language of the system configuration.
Set CAM-USB/CORINA Serial Set the CAM-USB or the CORINA Serial number of a CAM-USB or
Number… 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.
Diagnostic Tests
The 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.
Acquisition Test
Click ACQ TEST at the bottom of the service screen. The acquisition test screen
appears.
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.
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.
0=r 5=m
1=z 6=f
2=x 7=n
3=v 8=a
4=c 9=s
Example: the six-digit number for January 15, 2002 is 021501. Using the chart
above, the password would convert into “rxzmrz”.
NOTE
Take 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-test
On power-up, the system automatically runs an internal self-test. If all circuits test
good, the start up screen displays.
General Troubleshooting
Problem: Stress test driver settings lost. Stress test profiles were changed or newly created and
are no longer there.
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.
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.
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.
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.
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.
Solution: Use Version “752” or “M345” with OEM 4 buttons, or Version “236”/“436” in
Program 10 with original 25 button Ergoline.
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
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:
Solution: When the message appears, please install the Acrobat Reader from the CASE CD.
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
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.
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.
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
Where <Adapter Name> refers to the subkey for a network adapter that TCP/IP
is bound to.
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\Par
ameters\Interfaces\ID for Adapter
MTU:REG_DWORD:0x200
Solution: There are two main causes which may lead to the loss / corruption of data on hard
disks:
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.
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
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.
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.
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.
Solution: This Error Message is generated if the print job cannot be started.
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.
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.
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.
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>.
Parameter Designation
Parameter Designation
Question: What are the rules for the MILLER spirometry interpretation (LF501)?
Answer: The CASE application has the follow restrictions for data storage:
TWA Median 300 TWA memory full, no more TWA data can be
stored!
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.
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.
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: 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.
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).
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: 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.
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
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.
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:
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:
Workaround Click OK to quit the message, then click Help button again. Acrobat now shows the
desired location in the Operator’s Manual.
Solution: When the message appears, please install the Acrobat Reader V5.1 from the
CardioSoft CD.
Overview
This chapter describes the general procedures to perform the most common service
tasks. These include:
Saving to Diskette
These procedures are used to back up the following information to a high density,
1.44 MB floppy diskette:
System configurations
System 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.
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.
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.
b. Select Ok.
The message Format complete appears.
c. Select OK.
d. Select Close.
The Format A:\ dialog window closes.
NOTE
Make sure to delete the three dots before entering the name.
System configurations
System 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.
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:?
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.
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.
7. Select OK.
The message Overwrite test protocols and phases? appears.
8. Select OK.
9. Select the Custom Setup icon.
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.
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.)
Procedure
Follow 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: Administrator
Password: admin1,3,5,7
Click OK.
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.
9. Select OK.
NOTE
Some older systems will not have not have this step. If not, proceed with
the next step.
Supported Modalities
The tool supports the following modalities:
Non-Supported Features
The 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 Number
Examination Sent to MUSE flag
Installation
To install the tool, copy it to the CASE\CardioSoft directory so it can use the DLLs
located in that system.
Password Protection
To use the tool, you must enter the One Day Password, as described in “General
Troubleshooting” on page 6-11.
DIRECTORY /
Description
Files
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 dialogue
Use always the Patient data from the examination-file
Retain always the Patient data found in the database
Update empty fields of the database with valid entries from the
examination-file
Special Settings for handling existing examination-data
This 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
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 directory
Generate 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.
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.
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\*.* O
NLINE\*.*
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.
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.
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.
Patient-Filter
You 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
The specification for searching can also be extended by the property “Match case”.
Remote Service
Remote service is available using InSite 2.0. Refer to Chapter 4, “InSite 2.0” for
more information.
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.
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.
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.
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.
Ground Terminal
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.
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.
NOTE
The writer paper release button will fall through when the worksurface is
lifted. When reassembling the worksurface, the button must be inserted
from the top.
Release
Button
Log off the CASE application, shut down the system, turn the power switch to OFF,
and unplug the unit from the power outlet.
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.
4. Remove the four lock nuts from the drives assembly front panel.
NOTE
Do 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).
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.
Unplug
ribbon
cable
Unplug
power
connector
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.
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.
Insert the
USB cable
through the
assembly
first.
8. Secure the floppy drive / card reader with 2 screws on each side of the floppy
bracket.
Secure
screws on
left side...
and on the
right side.
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.
10. View into CASE with the USB cable connected to verify the cable is routed
away from the fan.
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
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
Power
connector
connected to
the floppy
drive
15. Secure the drive assembly front panel with the four lock nuts.
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.
Unplug
ribbon
cable
Unplug
power
connector
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.
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.
Insert the
USB cable
through the
assembly
first.
8. Secure the floppy drive / card reader with 2 screws on each side of the floppy
bracket.
Secure
screws on
left side...
and on the
right side.
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.
10. View into CASE with the USB cable connected to verify the cable is routed
away from the fan.
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
Power
connector
connected to
the floppy
drive
14. Secure the drive assembly front panel with the four lock nuts.
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.
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.
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.
Resistance Value
8. Insert the new print head while taking care that the printhead brush does not get
caught under the printhead.
Incorrect
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.
NOTE
If 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.
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.
1. Use a screw driver to loosen and open the I/O access drawer located on the back
of the unit.
Cable clamps – used for external
devices, e.g., the CAM-14.
2. Remove five mounting screws from the I/O drawer rear panel.
MOUNTING
SCREWS
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.
Harness
Reset
Switch
Analog I/O
Com C
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.
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.
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.
NOTE
If Windows cannot find the application, you may need to specify the entire
path and filename, which is typically c:\hardware\syscfg.exe.
NOTE
Some earlier units prompt you to enter the NT License number also. If this
prompt displays, enter Certificate of Authenticity or 00000-oem-0000000-
00000.
Verification
After configuring the acquisition interface board, verify its success by running a
burn-in test with the following instructions:
8. Select Yes.
Overview
In 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:
CAUTION
The CD reimaging procedure will completely erase all
information on the unit, including patient data.
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.
Kit
Check 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.
Description QTY
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.
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.
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.
10. The System Configuration Utility dialog box appears on the screen.
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.
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:
Chinese (Simplified)
Czech
Danish
Dutch
English
French
German
Hungarian
Italian
Japanese
Norwegian
Polish
Portuguese (Brazilian)
Russian
Spanish
Swedish
NOTE
Since 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.
NOTE
Applies 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.
Chinese (Simplified)
Czech
Danish
Dutch
English
French
German
Hungarian
Italian
Japanese
Norwegian
Polish
Portuguese (Brazilian)
Russian
Spanish
Swedish
NOTE
Applies to logged-in user account only.
NOTE
Applies 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.
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.
NOTE
If 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.
NOTE
If 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 Patches
1. 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.
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:
After performing the application installation procedure, reload customer options. For
more information, refer to “Options Installation” on page 8-13.
Options Installation
NOTE
Please read this entire procedure before continuing.
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.
FRU List
This is a series of tables that identify the FRUs by category. Each table includes
the associated item numbers and descriptions.
FRU Diagrams
This 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.
FRU Lists
This section lists FRUs in the following categories:
Core FRUs
Cables, Interface
Keyboards and Mice
KISS Module
Miscellaneous
Monitors and Cables
Power Cords
Software
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.
4520-306 WASHER LOCK EXIT #6, Drawing 10, “Worksurface Detail” 9-30 66
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
45000-603 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” 9-22 104
Drawing 8, “CPU Top and Back” 9-26
58017-001 BUTTON PPR TRAY MTG CASE 12 Drawing 2, “WorkStation Back” 9-16 57
Drawing 8, “CPU Top and Back” 9-26
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” 9-26 110
Drawing 11, “Trays and Holders” 9-32
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
411324-001 NUT HEX KEPS M4-.7 CLASS 8 ZP Drawing 1, “WorkStation Front” 9-14 54
Drawing 2, “WorkStation Back” 9-16
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
419783-001 CABLE IDE DUAL 533 MM Drawing 12, “Electrical Diagram” 9-33 43
420815-001 SCREW 82 DEG FLTHD 8-32 X.63 Drawing 2, “WorkStation Back” 9-16 56
BLK
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
2003141-007 DISK DRIVE CDRW 52X32X52X EIDE Drawing 7, “Drives Detail” 9-24 75
W/ROXIO
2004060-001 PCB CASE LIGHT BOARD Drawing 5, “Display Platform Detail” 9-22 10
2004111-001 BUSHING SNAP HEYCO .875 DIA Drawing 7, “Drives Detail” 9-24 48
SHORTY Drawing 8, “CPU Top and Back” 9-26
Drawing 9, “Power Detail” 9-28
Drawing 12, “Electrical Diagram” 9-33
2004297-001 WELDMENT CARD CAGE Drawing 8, “CPU Top and Back” 9-26
2004605-002 ASSY STRESS KEYPAD 22 KEY Drawing 10, “Worksurface Detail” 9-30 88
CASE SERIES
2004867-001 LENS CLEAR CASE SERIES Drawing 5, “Display Platform Detail” 9-22 25
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” 9-22 28
Drawing 12, “Electrical Diagram” 9-33
2004972-001 HARN LIGHT INTERNAL CASE Drawing 8, “CPU Top and Back” 9-26 27
Drawing 12, “Electrical Diagram” 9-33
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- Drawing 2, “WorkStation Back” 9-16 34
265VAC 1:1 Drawing 8, “CPU Top and Back” 9-26
Drawing 12, “Electrical Diagram” 9-33
2005897-001 ASSY CABLE GUIDE CASE SERIES Drawing 1, “WorkStation Front” 9-14 24
2006538-001 LABEL BIOS SETUP CASE Drawing 10, “Worksurface Detail” 9-30 99
2006539-001 LABEL CASE WORKSURFACE Drawing 8, “CPU Top and Back” 9-26 98
LIGHT
2006583-001 CLAMP PUSH MOUNT .75 DIA. Drawing 1, “WorkStation Front” 9-14 78
Drawing 5, “Display Platform Detail” 9-22
2006584-001 GUIDES PUSH MOUNT 8.0IN LG Drawing 2, “WorkStation Back” 9-16 101
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 Drawing 9, “Power Detail” 9-28 113
FILTER
2007892-002 MAIN CPU BOARD W/SDRAM, BIOS Drawing 4, “CPU Detail” 9-20 1
AND CPU
OR compatible/interchangeable
2035864-001 FRU SET MOTHERBOARD CASE
RADISYS ROHS
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
2026205-012 KIT, KEYPAD ASSEMBLY (DANISH) 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
2026205-003 KIT, KEYPAD ASSEMBLY (FRENCH) Drawing 10, “Worksurface Detail” 9-30 88
2026205-002 KIT, KEYPAD ASSEMBLY (GERMAN) Drawing 10, “Worksurface Detail” 9-30 88
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
Cables, Interface
The following table identifies the FRUs available for connecting the CASE system
tothe exercise products.
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.
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.
FRU Diagrams
The 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.
1. NOTE: Both 2004605-002 and 2004915-016 are required to replace the keypad on
a Portuguese unit.
Documentation FRUs
The following table identifies the documentation available for CASE v6.5 and their
part numbers..
Standard Abbreviations
Tot total X
TP test point
x by (as in “8-1/2 x 11”)
TPA T’ wave amplitude
XCV transceiver
TRAM Transport Remote Acquisition Monitor
X,Y,Z orthogonal leads
Tricyli Tricylic antidepressant
TTL transistor-transistor logic, TTL levels Y
TVS transient voltage suppressor
Y year, yellow
U yr year
yrs years
UE undefined errors
YY year
uF microfarad
UL Underwriters’ Laboratory, Inc Symbols
Unconf unconfirmed
UUT unit-under-test ↑ SHIFTed or alternate function
µ micro
V µF microfarad
µs, µsec microsecond
v, V volt, volts
68K 68000
V1-V6 precordial leads
& and
V123 V1, V2, V3
# number
V3R precordial lead
°C degrees Celsius
V456 V4, V5, V6
°F degrees Fahrenheit
V4R precordial lead
Ω Ohm, ohm
V ac volts, alternating current
% percent
V dc voltage, direct current
® registered
VA volt-amperes
> greater than
Var variable
< less than
VDE Verband Deutscher Elektrotechniker
± plus or minus
(German regulatory agency)
* An asterisk after a signal name indicates the
Vent. ventricular
signal is active at its relatively lower
VF ventricular fibrillation
potential, or “active-low.” Signals without the
VGA video graphics array
asterisk suffix are active at their relatively
VIA versatile interface adapter
higher potential, or “active-high.”
VIO violet
12SL 12 simultaneous leads
Volt voltage
VRAM video RAM
vs versus
W
w/ with
W watt
Warfar Warfarin
WHT white
WI Wisconsin
Technical Specifications
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.
ST measurements ST amplitudes, slope, integral, index, ST/HR slope, ST/HR loops, ST/HR
index up to 15 leads
ECG interpretation (optional) 12SL Adult and Pediatric ECG Analysis Program
Item Description
Technology Active, “Type BF” floating isolated powered 14 channel acquisition module
with built-in lead-fail detection and lead prep impedance measurement
Noise < 15 µV peak-to-peak noise over 0.01 to 150 Hz (-3 dB) bandwidth
High pass filter 0.01 Hz (or 0.05 Hz, special use) with DC offset control
Item Description
Table 3. Display
Item Description
Type LCD
Monitored leads 3, 6, or 15
Displayed vital signs data Heart rate, target heart rate, blood pressure, exercise clock, stage clock,
(configurable) phase clock, protocol, speed, grade, Watts, METS, RPP, and SpO2
Table 4. Writer
Item Description
Resolution Horizontal 1000 lines/s x 200 dpi dedicated local printing, 200 x 200 dpi
generic printing
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 module
Keyboard (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
compatible
6 Serial ports (COM 1-2, COM A-D); treadmill, BP, ergometer, SpO2
4 Analog and 1 TTL (trigger) output; analog ergometer, camera synch., etc.
Diskette drive; 3 ½ in., 1.44 MB PC-compatible for data storage
CD-R/W drive; for software updates and optional patient data archival
Table 7. Safety
Item Description
Certification UL 2601-1 classified
UL classified for CAN/CSA C22.2 No. 601.1
CB certified for IEC 601-1CSA certification
CE marking for Council Directive 93/42/EEC concerning Medical Devices
Meets applicable AAMI EC-11 requirements
Type of protection against Class 1
electrical shock
Degree of protection against Ordinary
ingress of liquids
Handling of disposable supplies Use only parts and accessories manufactured or recommended by GE.
and other consumables 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 Type BF defibrillation protection for the patient cable (acquisition module)
electrical shock
Maintenance frequency Recommended user daily visual inspection and cleaning.
Recommended six-month routine maintenance checks and test
procedures performed by qualified technical personnel.
RF emissions
Class A
CISPR11 The equipment is suitable for use in all
establishments other than domestic
Harmonic Emissions
Class A establishments and those directly connected to
EN 61000-3-2
the public low-voltage power supply network
Voltage fluctuations/ that supplies buildings used for domestic
Flicker emissions Complies purposes.
EN 61000-3-3
Electromagnetic Environment -
Immunity Test EN 60601 Test Level Compliance Level
Guidance
Electrical fast ± 2 kV for power supply lines ± 2 kV for power supply lines Mains power should be that of a typical
transient/burst ±1 kV for input/output lines ±1 kV for input/output lines commercial or hospital environment.
EN 61000-4-4
Surge ± 1 kV differential mode ± 1 kV differential mode Mains power should be that of a typical
EN 61000-4-5 ± 2 kV common mode ± 2 kV common mode commercial or hospital environment.
Voltage dips, short <5% Ut (>95% dip in Ut) <5% Ut (>95% dip in Ut) Mains power should be that of a typical
interruptions and for 0.5 cycles for 0.5 cycles commercial or hospital environment. If the
voltage variations on 40% Ut (60% dip in Ut) 40% Ut (60% dip in Ut) user of the CASE requires continued
power supply input for 5 cycles for 5 cycles operation during power mains
lines 70% Ut (30% dip in Ut) 70% Ut (30% dip in Ut) interruptions, it is recommended that the
EN 61000-4-11 CASE be powered from an uninterruptible
for 25 cycles for 25 cycles
power supply or a battery.
<5% Ut (>95% dip in Ut) <5% Ut (>95% dip in Ut)
for 5 sec for 5 sec
NOTE
Ut is the AC mains voltage prior to application of the
test level.
Immunity Test EN 60601 Test Level Compliance Level Electromagnetic Environment – Guidance
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.
100 12 12 12 23
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE
These guidelines may not apply in all situations.
Electromagnetic propagation is affected by absorption
and reflection from structures, objects, and people.
900995-001 Cam 14 NA
2005125-0XX Keyboard NA
Filename Description
Filename Description
Filename Description
erg_prot_vsan.dat Data file that stores the settings for the stress test
driver (e.g., ergometer, treadmill).
NOTE NOTE
The program settings in cardio.ini can be allocated If the profiles in erg_prot_vsan.dat are modified or
with an identifier and stored in the help functions recreated, the file should be saved. It has been known
under Settings in the \SETUP directory, thus making for this file to have been deleted during new
them available to all users of a network (load help installations. It can also prove useful to assign the file
functions under Settings). Up to 10 settings can be with the attribute READONLY. This prevents
stored with file names from SETUP0.INI to overwriting or deletion. However, this attribute must
SETUP9.INI. Stress test driver settings are stored in be removed again before making any new changes in
file PA5V0.DAT to PA5V9.DAT. 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.