Datex-Ohmeda

S/5 Arrhythmia Workstation

Technical Reference Manual

0537
Conformity according to the Council Directive 93/42/EEC concerning Medical Devices.

CAUTION: U.S. Federal law restricts this device to sale by or on the order
of a licensed medical practitioner.
Outside the USA, check local laws for any restriction that may apply.

All specifications are subject to change without notice.

Document No. 8001909

August, 2000

Datex-Ohmeda Division, Instrumentarium Corporation

P.O. Box 900 FIN-00031 Datex-Ohmeda
Tel. +358 9 39411 Fax +358 9 146 3310
www.datex-ohmeda.com

© Instrumentarium Corp. All rights reserved.

Intended purpose
The Datex-Ohmeda S/5 Arrhythmia Workstation is intended for centralized monitoring and
analyzing arrhythmic ECG data automatically, and measuring and trending ST changes for
telemetry patients and for patients connected to Datex-Ohmeda S/5 monitors.

CE Marking

• Arrhythmia Workstation software CE marked in accordance with the EU Medical Device

Directive.
• Arrhythmia Workstation PC, video display, keyboard, telemetry antenna system,
telemetry transmitter and telemetry receiver CE marked in accordance with the EU
Directive for Electromagnetic Compatibility.

Telemetry transmitter classification in accordance with IEC 601-1

• The type of protection against electrical shock: INTERNALLY POWERED EQUIPMENT.

• The degree of protection against electrical shock: TYPE CF, defibrillation proof applied
part.
• Degree of protection against the harmful ingress of water as detailed in the IEC 529:
IPX0.
• Not suitable for use in the presence of a flammable anaesthetic mixture with air or with
oxygen or nitrous oxide.
• The mode of operation: CONTINUOUS.

Storage and transport

For allowed storage and transport conditions refer to the documentation delivered with the
workstation computer.
Responsibility of the manufacturer
Datex-Ohmeda Division, Instrumentarium Corporation is responsible for the effects on safety,
reliability and performance of the equipment only if:
• assembly, operation, extensions, readjustments, modifications, servicing and repairs are
carried out by personnel authorized by Datex-Ohmeda.
• the electrical installation of the monitor room complies with appropriate requirements.
• the system is used in accordance with this manual.

Related documentation

The Datex-Ohmeda S/5 Arrhythmia Workstation User’s Reference Manual.

For detailed information on the Datex-Ohmeda S/5 bedside monitors, see documentation related
to Datex-Ohmeda S/5 monitors.
Trademarks
Datex-Ohmeda S/5 and CS/3 are trademarks of Instrumentarium Corp., Finland.

Copyright
 Instrumentarium Corp., 2000. All rights reserved.
The manual is protected by copyright. No part of this document may be photocopied, reproduced,
or translated to another language without the prior written consent of Datex-Ohmeda.
 Table of Contents

TABLE OF CONTENTS
1 Introduction 1–1
Symbols and abbreviations ..............................................................................................1–1
Symbols.....................................................................................................................1–1
Abbreviations.............................................................................................................1–1
Safety precautions .....................................................................................................1–2
2 System description 2–1
Arrhythmia Workstation....................................................................................................2–1
Telemetry system .............................................................................................................2–2
Telemetry transmitter..................................................................................................2–4
Antenna plate ............................................................................................................2–5
Antenna system .........................................................................................................2–5
Parts installed in the computer....................................................................................2–7
Data transfer ..............................................................................................................2–8
3 Installation 3–1
Unpacking.......................................................................................................................3–1
Arrhythmia Workstation installation ..................................................................................3–1
Hardware setup..........................................................................................................3–1
Software installation...................................................................................................3–1
Arrhythmia Workstation functional check.....................................................................3–2
Cabling ......................................................................................................................3–2
Telemetry installation.......................................................................................................3–3
Pre-Installed workstation ............................................................................................3–3
Adding a Receiver Board.............................................................................................3–3
Antenna installation ...................................................................................................3–6
Functional check of the telemetry system....................................................................... 3–12
Checking the antenna system .................................................................................. 3–12
Checking the entire telemetry system ....................................................................... 3–12
4 Configuration 4–1
Steps of configuration......................................................................................................4–1
Editing Config.doc............................................................................................................4–1
User configuration ...........................................................................................................4–2
5 Products 5–1
Arrhythmia Workstation Computer, C-ARRWS and C-ARRWSTEL.........................................5–1
Patient telemetry transmitter, T-PE2..................................................................................5–2
Functional description ................................................................................................5–2
Specifications of the telemetry transmitter...................................................................5–4
Service and repair procedures.....................................................................................5–5

i
Datex-Ohmeda S/5 Arrhythmia Workstation

Telemetry Antenna, N-API.................................................................................................5–7

Functional description................................................................................................5–7
Specifications of the antenna plate .............................................................................5–8
Service and repair procedures ....................................................................................5–8
Frequency Converter Board, B-RFC...................................................................................5–9
Functional description................................................................................................5–9
Specifications of the converter board ........................................................................5–10
Receiver Board, B-RC4, B-RC3 or B-RC2.........................................................................5–11
Functional description..............................................................................................5–11
Specifications of the receiver board ..........................................................................5–12
6 Cleaning and maintenance 6–1
Cleaning .........................................................................................................................6–1
Preventive maintenance...................................................................................................6–1
Computer and network ...............................................................................................6–1
Telemetry transmitter..................................................................................................6–2
7 Troubleshooting 7–1
8 Spare Parts 8–1
Index 1

ii
 List of Figures

LIST OF FIGURES
Figure 2-1 Arrhythmia monitoring system 2–1
Figure 2-2 Telemetry system 2–3
Figure 2-3 Transmitter 2–4
Figure 2-4 Dual system of the antenna plate 2–5
Figure 2-5 Maximal antenna systems 2–6
Figure 2-6 Converter board 2–7
Figure 2-7 Receiver board 2–7
Figure 3-1 Arrhythmia Workstation setup 3–1
Figure 3-2 Parts of the Pre-Installed Telemetry Workstation 3–3
Figure 3-3 Connecting the Receiver Board to the Converter Board 3–4
Figure 3-4 Receiver board dip switch settings 3–6
Figure 3-5 Antenna coverage 3–7
Figure 3-6 Maximum antenna system 3–8
Figure 3-7 Simple antenna system 3–9
Figure 3-8 Intensified antenna system 3–10
Figure 5-1 Block diagram of the telemetry transmitter 5–3
Figure 5-2 Changing batteries in the telemetry transmitter 5–5
Figure 5-3 Block diagram of the antenna plate 5–7
Figure 5-4 Block diagram of the converter board 5–9
Figure 5-5 Block diagram of the receiver board 5–11

LIST OF TABLES
Table 1 Dip switch settings for Receiver Boards ................................................................. 3–5
Table 2 Some factors affecting antenna coverage.............................................................. 3–7

iii
 Introduction

1 INTRODUCTION
The arrhythmia monitoring system consists of the ECG monitors, Arrhythmia
Workstation, and optional telemetry system. This manual consists of following
parts:
- system description
- installation of the Arrhythmia Workstation
- installation of the telemetry system
- detailed information on separate products.
For technical information of the monitors, refer to the manuals of the monitor
used.

Symbols and abbreviations

Symbols
Attention. Consult accompanying documents. In this device the
symbol means that the device must be supplied from an isolation
(separating) transformer when placed in the patient environment.
This symbol is located on the telemetry transmitters. It symbolizes the
Nurse Call button. When Nurse Call is pressed, respective message is
displayed on the ARRWS screen.

Indicates a type CF applied part according to the degree of protection

against electric shock. Indicates also protection against defibrillation.

Abbreviations
ARRWS Datex-Ohmeda S/5 Arrhythmia Workstation
BPSK binary phase shift keying
CCM Datex-Ohmeda S/5 Critical Care Monitor
CRC cyclic redundancy check
ID identification

1–1
Datex-Ohmeda S/5 Arrhythmia Workstation

Safety precautions

CAUTION A CAUTION IDICATES A SITUATION IN WHICH THE UNIT OR DEVICES

CONNECTED TO IT MAY BE DAMAGED.
Operation of the telemetry system is based on radio transmission.
Electromagnetic emission from other radio transmitters, or electronic equipment
emitting noise more than permitted, may interfere with the system.
In the telemetry system all cables are planned so that attenuation in them
equals to the amplifiers on the antenna plates. Do not use any other cables, or
shorten or extend the cables.
Do not use hypochlorite, acetone-, phenol- or ammonia-based cleaners.
Do not autoclave the device or its parts.
Do not immerse any part of the device in liquids, or allow liquid to enter the
interior.

1–2
 System description

2 SYSTEM DESCRIPTION

Arrhythmia Workstation

Antenna
system

1-3 Centrals / ViewStations telemetry

transmitter
Bedside
monitoring

HUB

Telemetry
monitoring

Figure 2-1 Arrhythmia monitoring system

The Datex-Ohmeda S/5 Arrhythmia Workstation is a monitoring central for

analyzing ECG signals sent from the S/5 Critical Care monitors, C/3 monitors or
Cardiocap/5 monitors (or from the patient transmitters if telemetry option is
used).
The ECG signals are analyzed and all the events are stored on a hard disk. If full
disclosure option is used, the actual ECG signals are stored for up to 24 hours.
Concurrently with the recording of new ECG waveforms, the ones that are more
than 24 hours old are discarded.
The smart key determines the number of beds that can be configured in the
system. There are keys for 4, 6, 8, 10, 12, 14, or 16 beds. The maximum
number of telemetry channels is 12 with the 14 or 16 bed configuration.
Using the Datex-Ohmeda S/5 Network and Centrals (or Information Center)
more monitoring beds are achievable to the system.

2–1
Datex-Ohmeda S/5 Arrhythmia Workstation

Telemetry system
In the telemetry system, the ECG signal is measured with two leads, and sent
from the portable transmitter to antennas, and linked further to the Arrhythmia
Workstation Computer. In the computer, the converter board processes the
signal suitable for the receiver, and then the signal is analyzed for arrhythmias.
See Figure 2-2.

CAUTION Operation of the telemetry system is based on radio transmission.

Electromagnetic emission from other radio transmitters or electronic
equipment emitting noise more than permitted may interfere with
the system.
If the monitoring is impaired because of the transmission interference, the
Arrhythmia Workstation will give an alarm.

2–2
 System description

ECG signal

A/D Transmitter
conversion

transmission

linking, Antenna
dual system System

converting Converter

receiving and Receiver

error handling

signal CPU
analysis

arrhythmia analysis
Figure 2-2 Telemetry system

2–3
Datex-Ohmeda S/5 Arrhythmia Workstation

Telemetry transmitter
The transmitter transforms the measured analog signal to digital, and sends it to
antenna system using the black lead wire as antenna.
The carrier wave is either 210-230 MHz (VHF) or 430 -470 MHz (UHF), and it is
modulated, using the binary phase shift keying (BPSK).
Each transmitter’s signal’s bandwidth is 25 kHz. All the transmitters in a
telemetry system must be within 1 MHz range. This is adjusted by the
manufacturer, and cannot be changed in the field.
NOTE: The transmitter cannot be switched on or off. It is always on when
functioning batteries are inserted.

Figure 2-3 Transmitter

(1) Carrying belt

(2) Nurse call button
(3) Patient mark button
(4) Lead wire set

2–4
 System description

Antenna plate
The telemetry antennas link the radiowaves from the transmitter to the
Arrhythmia Workstation Computer.
When a patient carrying the transmitter walks around in the ward area, the
signals will reflect from the walls, floors and ceilings causing fading.
On an antenna plate, there are two whip antennas, which are placed with a
quarter of the wavelength from each other, and each with a separate amplifier.
When the signal is weak or put-phased at one antenna, it will be at it’s
maximum at the other antenna. Because of this dual system, two signals are
sent from the antenna to the computer.
1/4

Figure 2-4 Dual system of the antenna plate

Antenna system
The antenna system consists of maximum of 12 antennas, arranged in 1 to 3
branches with maximum of 5 antennas in each, see Figure 2-5. Between the
branch and the computer an adder/divider is needed for each of the signals.
Each antenna amplifies the signal to the extent of the attenuation that takes
place in the cable. Thus, other cables but the specified ones must not be used.
Accordingly, the specified special terminators must be used in every input
connector not used in the antenna plates or adder/dividers.

2–5
Datex-Ohmeda S/5 Arrhythmia Workstation

Figure 2-5 Maximal antenna systems

2–6
 System description

Parts installed in the computer

Converter
The Frequency Converter Board, B-RFC, has a common front end diversity UHF
and VHF converter which converts the carrier waves (operating within the
frequency bands officially recognized for telemetry transmission in each
country) to lower frequency for the receiver board.

Figure 2-6 Converter board

Receiver
The Receiver Board, B-RC4, B-RC3 or B-RC2, receives signals from the
converter. The number in the board’s name tells for how many patients the
receiver is configured. Up to three receiver boards can be installed into the
computer.
Because of the dual antenna system all the signals are doubled. The receiver
receives the two signals (A and B), and selects the better one by comparing the
noise level. The received data packages are opened and possible transmission
errors are handled. Then the data is passed on to the computer CPU for
arrhythmia analysis.

Figure 2-7 Receiver board

2–7
Datex-Ohmeda S/5 Arrhythmia Workstation

Data transfer
Various steps have been taken to prevent errors during transmission.
In addition to the digital data, each transmitter sends continuously its own ID-
integrity code. If the ID code is lost, a system alarm will appear.
The information sent is packaged into a matrix:
Data1 ID CRC1
Data2 ID CRC2
Data3 ID CRC3
Data4 ID CRC4
Data = measured data
ID = transmitter ID
CRC = cyclic redundancy check
The signal carries the information: Data1 Data2 Data3 Data4 ID ID ID ID CRC1
CRC2 CRC3 CRC4 ... If any of the data is lost on the way, it can be calculated with
the help of CRC.

Cyclic redundancy check

Each ECG channel is organized in blocks, and each data block is divided by a
polynomial leaving a remainder. The remainder is transmitted along the data
block. When the signal is received, the data block is divided with the same
polynomial again, and remainders are compared. Any difference indicates an
error, and thus, the corrupted bits are discovered, and original ECG reproduced.

Interlacing
Interlacing means that the transmission of one data block is spread over time.
This reduces the probability that all bits are damaged.
A brief disturbance affecting a number of consecutive bits will therefore have no
significant effect on the system’s possibility of reproducing an ECG signal,
because CRC is capable of correcting bit errors.

Binary phase shift keying (BPSK)

The transmitter uses the BPSK modulation principle which doubles the
transmission capacity compared to systems using traditional FSK (Frequency
Shift Keying) modulation.

2–8
 Installation

3 INSTALLATION

Unpacking
1. Ensure that the packing box is undamaged. If the box is damaged,
contact the shipper.
2. Open the top of the box and carefully unpack all components.
3. Ensure that all the components are undamaged. If any of the
components is damaged, contact the shipper.
4. Ensure that all the components are included. If any of the components is
missing, contact your Datex-Ohmeda distributor.

Arrhythmia Workstation installation

Hardware setup

Figure 3-1 Arrhythmia Workstation setup

The Arrhythmia Workstation is preinstalled in factory, all you need to do is:

1. Plug the display, mouse, and keyboard together, and connect the
loudspeakers.
2. Insert smart key into the parallel communication port.
3. Turn the power on.
The smart key sets the number of monitoring places that can be attached to the
workstation and patient sectors displayed on the screen.

Software installation

3–1
Datex-Ohmeda S/5 Arrhythmia Workstation

Software is pre-installed in the factory.

If reinstallation is necessary:
1. Start the workstation computer.
2. Quit the arrhythmia software by pressing Ctrl-F2 and giving the
password DADE. Then you should get to operating system level.
3. Insert the installation diskette into the drive A.
4. Write A:\Install and press Enter.
5. Follow the displayed instructions. See chapter 4 Configuration for
instructions on how to edit Config.doc file.

Arrhythmia Workstation functional check

Configure the system before performing the functional check, see chapter 4
Configuration.
1. Start up the system.
2. Start up all the monitors that are installed in system and connect them to
simulator sending ECG waveform.
3. Check that the waveforms and digits from all the monitors are displayed
on the Workstation screen
4. If problems occur, see the chapter 7 Troubleshooting.

Cabling
Cabling depends on the system you have, materials used etc. Refer to Datex-
Ohmeda S/5 Central and Network Technical Reference Manual.

3–2
 Installation

Telemetry installation
NOTE: Before building a telemetry system you must have a license from local
authorities to use certain channel of VHF or UHF radiowaves. Inform your local
Datex-Ohmeda distributor of this channel, the telemetry transmitters are made
accordingly.
After hardware installation, perform the configuration and functional check.

Pre-Installed workstation

Telemetry Converter
board B-RFC

Telemetry Receiver board

B-RC2/3/4

Smart key

Figure 3-2 Parts of the pre-installed telemetry workstation

When the telemetry option is purchased, the required boards (converter and
receiver boards) are pre-installed. However, it may be necessary to add more
receiver boards.

Adding a Receiver Board

It is possible to install up to 3 receiver boards to the system. Each board must
be addressed uniquely using the dip switches.

Installing the board

NOTE: Make sure your workstation is properly grounded, and wear a wrist strap
connected to ground. Hold the board by the edges only. Avoid touching the
board elements or gold connectors.
1. Remove the top cover of the computer and select the suitable slot.
2. Remove and save the expansion slot cover and screw.
3. Remove the board from its wrapper.

3–3
Datex-Ohmeda S/5 Arrhythmia Workstation

4. Ensure that the dip switch is set correctly (see Table 1), and that there is
only one board with each address (1, 2 or 3).
5. Press the board into the appropriate expansion slot.
6. Attach the board with a screw. Make sure that the bracket slot is well
against the screw, otherwise the bracket may interfere with an adjacent
bracket.
7. Connect the two cables from the receiver to the converter board
connector. Make sure they are in adjacent positions.
8. Terminate the empty connector positions with the converter terminators.

Figure 3-3 Connecting the Receiver Board to the Converter Board

3–4
 Installation

Dip switches
The dip switches must be set uniquely for each receiver board in the system to
address it right. Switches on the receiver board can be adjusted e.g. with a
small screwdriver through the three holes in the covering plate. The stickers
nearby show the correct switch positions, and a small round sticker shows the
card’s factory settings.
NOTE: Only Receiver boards 1, 2 or 3 can be used.
Table 1 Dip switch settings for Receiver Boards

Receiver 1, 304
Contact no. 1 2 3 4 5 6 7 8
Position Off Off On On On On On Off
Receiver 2, 308
Contact no. 1 2 3 4 5 6 7 8
Position Off On Off On On On On Off
Receiver 3, 30C
Contact no. 1 2 3 4 5 6 7 8
Position Off Off Off On On On On Off

3–5
Datex-Ohmeda S/5 Arrhythmia Workstation

Figure 3-4 Receiver board dip switch settings

Antenna installation

Antenna coverage
The thumb rule for planning the antenna system is that one antenna covers an
area of 30m x 30m. This can be used for approximating the need of antennas in
a system.
The final antenna density depends on the environment, e.g. factors listed in
Table 2. The simple antenna system, where the antenna functioning radius can
be up to 20 meters, can be used with good radio transmission conditions with
minimum disturbance. In difficult conditions intensified system is required, e.g.
one antenna coverage radius being 15 m.

3–6
 Installation

30 m
20
m

30 m
Figure 3-5 Antenna coverage

Table 2 Some factors affecting antenna coverage.

Simple system enabled Intensified system required

Good radio Radio frequency disturbance: electrosurgery,
transmission conditions MRI, lifts etc.
Light wooden doors No doors, or thick metal doors.
Thin concrete walls Metal or thick concrete walls

Maximum antenna system

Maximum system consists of 12 antennas, arranged in 1 to 3 branches with up
to 4 antennas serially in one branch. The antenna system solution can vary
depending on the shape of the area and environmental conditions.

3–7
Datex-Ohmeda S/5 Arrhythmia Workstation

120 m

90 m

30 m

Figure 3-6 Maximum antenna system

Planning the antenna installation

1. Obtain a floor plan of the area to be covered.
2. Draw the position of the workstation.
3. First place an antenna 15 m from the most distant wall of the area to be
covered.
4. Design the place for the next antenna towards the central unit.
Remember that the cable length (30 m) cannot be altered, though the
cabling channels may not be direct.
5. Repeat this procedure until entire area has been covered.
6. Place the adder/divider so that the distance from all the branches are
within reach of one cable length (30 m).
7. Check that the adder/divider is placed so that it can be connected to the
Arrhythmia Workstation with a 4-meter cable.
8. Contact a Datex-Ohmeda Arrhythmia Workstation specialist for checking
your plans.

CAUTION All cables are planned so that attenuation in them equals to the
amplifiers on the antenna plates. Do not use any other cables, or
shorten or extend the cables.
Consider the factors listed above in Table 2 whether simple or intensified
antenna system is needed.

3–8
 Installation

Example:
Antenna system should cover an L-shaped department with 6 patient rooms
along the corridor, see Figure 3-7 and Figure 3-8.
Figure 3-7 shows an example of a simple system where radio transmission
conditions are good and disturbances minimal.

12m

ArrWs

72 m
Figure 3-7 Simple antenna system

Figure 3-8 shows a plan for place, where hinders (thick walls etc.) or
disturbances (MRI, electrosurgery etc.) force to use an intensified system.

3–9
Datex-Ohmeda S/5 Arrhythmia Workstation

12m

ArrWs

72 m
Figure 3-8 Intensified antenna system

Installing the antenna system

Use only the cables shipped with the antenna plates and adder/dividers. Do not
shorten or extend the cables. The amplification of the components is
dimensioned for these cables only. Using other cables may impair or restrain
the transmission of telemetry signals.

1. Start with the antenna at the most distant end.

2. Attach the antenna plate to the ceiling with appropriate mounting
elements. E.g. place the plate above the ceiling panel and drill two holes
so that the whips can protrude.
3. Attach the special terminator in the input (EXT).

3–10
 Installation

NOTE: Use only specified terminators. Other terminators may destroy the
system.

4. Attach the next antenna less than 30m from the first one towards the
workstation.

5. Connect the two cables from A and B output connectors to A and B

inputs of the next plate.
6. Repeat the steps until all the planned antennas are attached.

7. Connect the two cables from A and B output connectors of the last
antenna plate to an adder/divider.

8. Connect the cables from adder/dividers to the converter board.

3–11
Datex-Ohmeda S/5 Arrhythmia Workstation

9. Attach the special terminator to unused connectors

10. Install other branches.

Functional check of the telemetry system

Before the functional check, the system must be configured, see chapter 4,
Configuration.

Checking the antenna system

Check the antenna system with minimizing the transmission capability of a
transmitter.
1. Make sure you have batteries in the transmitter.
2. Wrap the black lead wire (transmitter’s antenna) around the transmitter.

3. Admit this transmitter as “patient” in the workstation.

4. Check that the workstation receives the signal (a message ‘Leads off’ is
displayed) from every point of the covered area. If the message ‘No ECG’
appears, the signal is missing.
5. If the signal fades an antenna must be added. Before that check also
chapter 7, Troubleshooting

Checking the entire telemetry system

1. Start up the system.
2. Connect all the transmitters to ECG simulators.
3. Check that all the patient sectors are named, as they should, and that all
waveforms and digits are displayed on Arrhythmia Workstation screen.

3–12
 Configuration

4 CONFIGURATION

Steps of configuration
1. Start the workstation computer.
2. Go to Normal Screen and make sure all menus are closed.
3. Quit the arrhythmia software by pressing Ctrl-F2 and giving the password
DADE, so that you are in operating system level.
4. Edit the Config.doc file.
5. Save the file, and take a back-up copy of it.
6. Write INIT and press Enter to initialize the system.
NOTE: Initialization clears all the patient data from the workstation’s
memory.
7. Reset the monitor.

Editing Config.doc
NOTE: Make sure you configure each monitor to one Arrhythmia Workstation
only.
Make sure you write the correct number of characters and spaces to the exactly
correct position. The #### string shows the place and maximum length of the
item. See the examples below (written in COURIER typeface).
1. Enter the name of your Server name in S/5 network (max 39 characters)
########################################
network server. Start at NAME Arrws ICU
column 6 and use max.
39 characters. This name
appears on the monitor
end when it
communicates with the
workstation.
2. Enter the printout Header string for printouts. Hospital/department name (max. 50
characters)
header. Start at column ##################################################
6 and use max. 50 HEAD The Royal Hospital of the Republic
characters.
3. Enter the name for each List of telemetry names (max 6 characters)
and transmitter ID codes (max 2 digits)
of your telemetry T##### ## (Telemetry names start with T)
transmitters (e.g. Tel1), CHAN Tel1 09
and the code of the CHAN Tel1 10
...
transmitter’s device CHAN Tel12 21

4–1
Datex-Ohmeda S/5 Arrhythmia Workstation

plate. Start transmitter

name at column 6 with T,
and use 6 characters.
Write the 2-character
transmitter ID at column
15. There are up to 12
channels reserved for
telemetry.
4. Enter the monitor List of monitor ID’s (max 8 characters)
and location names (max 6 characters)
location ID and name for D####### ###### (Monitor ID start with *D*)
up to 48 monitors in the CHAN D1124 Bed1.2
CHAN D234 Bed1.3
system. The ID is found in ...
the network ID-plug CHAN D925 Bed4.7

attached to the monitor.

Start the ID with D at the
column 6 and use max. 8
characters and the
location name at the
column 15 with max. 6
characters.
5. Enter extra location List of extra location names (max 6 characters)
###### (ID field left blank)
names, where telemetry CHAN Bed7.1
patients may be located. ...
Start at column 15 and
write max. 6 characters.
6. You can fix certain List of possible fixed location names
for screen positions. One line for each position.
locations (max. 16) to be NOTE: Location names must also be listed above.
displayed in the ###### (max 6 characters)
DBED
permanent patient sector DBED
of the workstation’s DBED
DBED Bed1.3
screen. (The amount of DBED
DBED
patient sectors is set by DBED
the smart key.) DBED Bed7.1
In the example, there are
8 patient sectors, and
the fourth and eighth are
fixed.

User configuration
For configuration of displayed parameters, different views of patient screen etc.,
please refer to the User’s Reference Manual.

4–2
 Products

5 PRODUCTS

Arrhythmia Workstation Computer, C-ARRWS and C-ARRWSTEL

C-ARRWS is a Pentium computer for Arrhythmia Workstation without telemetry

option. The computer has all the necessary boards installed (display controller,
network and sound blaster boards.)
C-ARRWSTEL is a Pentium computer for mixed system with both telemetry
transmitters and S/5 monitors. The computer has the display controller,
network and sound blaster boards. If the telemetry option is purchased the
receiver and converter boards are installed as well.
NOTE: The C-ARRWS cannot be updated to functions as C-ARRWSTEL.
For service and technical information, refer to the computer's and boards’
manuals.

5–1
Datex-Ohmeda S/5 Arrhythmia Workstation

Patient telemetry transmitter, T-PE2

Two ECG signals are continuously transmitted from the patient to the central
monitor system while the patient can move within the area covered by the
antenna system. In addition to ECG signals, the messages created by pressing
the PATIENT MARK and NURSE CALL keys are sent.

Functional description
The electrode disconnection (‘Leads Off’) is monitored by feeding a bias current
through the electrodes.
The ECG amplifier ensures that the ECG signal is on an appropriate level for
further sampling and transmission. It also includes overload detection and
active recovery.
After amplification there is a pace maker pulse detection circuitry. It detects
pacer spikes by the shape of the signal.
Analog to Digital Converter takes samples 200 times/second and converts
every sample to a number with 10-bit resolution.
The signal is further processed and modulated for safe and fast transfer (see
chapter Data transfer).
High frequency transmitter is designed for low power consumption.
Transmission is modulated by the BPSK signals. The black lead wire works as an
antenna.
The power supply works with two 1.5 V batteries.
See the block diagram in Figure 2-1.

5–2
 Products

ANT.
TRIPLER UHF * 2

HF OSC. *3 PA
MOD. AMP.
. AMP.
VHF AMP.

LEADS

WHITE ECG A/D MODU-

AMP.-A CONV. DIGITAL LATOR
GREEN
PROCES-
YELLOW INPUT SING
RED BOARD UNIT
ECG A/D REF
BLACK OSC
AMP.-B CONV.

400 kHz

PACER
DET.
LEADS OVER
OFF LOAD

NURSE CALL

PATIENT EVENT

ID
CODE

+3 V POWER BATTERY
2 * 1,5 V
-2 V SUPPLY

GND

Figure 5-1 Block diagram of the telemetry transmitter

5–3
Datex-Ohmeda S/5 Arrhythmia Workstation

Specifications of the telemetry transmitter

ECG channels.
Inputs A and B Balanced. 5 electrode connections.
Red = A+, Green = A-, Yellow = B+, White = B-, and
Black = Neutral.
Input impedance > 5 MOhm /< 500 pF differentially.
Input voltage AC ± 5mV
Input voltage DC Max. +/-250 mV (electrode potential).
CMRR at 50 Hz > 75 dB at 5 kOhm gen. imp.
Bandwidth 0.12 - 80 Hz sampled at 200 Hz with 10 Bit
Noise < 20 µVpp (0.12 - 80 Hz).
Defib. protection 5 kV, 400 J.
Recovery time < 1 sec. to < 200 mV (ref. to output).
Pace pulse detection 0.2 - 2.5 ms, 2 - 1000 mV, rise time < 10 % of
pulse width, but max. 0.1 sec.
Miscellaneous
Dimensions 21 x 47 x 147 mm.
Weight 155 g including batteries.
Carrier frequencies 25 kHz (Carrier waves must be within 1 MHz range in
a hospital, and within 210-230 or 430-470 MHz).
Channel separation 25 kHz.
Channel selection Crystal controlled.
Frequency tolerance 2 kHz (VHF), 2,5 kHz (UHF), (better than 5 ppm),
+10 to +40 °C
Output 50 Ohm 2 mW+/-2 dB
Adjacent channel < 200 nW
radiation
Out of band radiation < 4 nW.
Antenna Neutral electrode lead (black) is used.
Modulation Digital coherent BPSK.

5–4
 Products

Battery supply Two 1.5 V batteries, size AA (LR6).

Power consumption Approx. 45 mW.
Operating time Approx. 7-days/battery change with specified type
alkaline, approx. 3 days with manganese oxide.
Valid operating voltage is 2.1 - 3.5 V.
Weak battery is signaled below 2.1 V.
Operating conditions +10... +40 °C, relative humidity 10...95 %,
pressure 700...1060 hPa
Storage conditions -40... +70 °C, relative humidity 10...95 %, pressure
500...1060 hPa

Service and repair procedures

Telemetry transmitters cannot be serviced in the field. Send the broken one
back to factory via your local distributor.

Changing batteries

Figure 5-2 Changing batteries in the telemetry transmitter

1. Open battery cover.

2. Insert two alkaline AA size 1.5V batteries into the transmitter.
3. Change ECG-lead wires.
Remove the batteries when the transmitter is not in use.

Cleaning
Wipe with a moistened cloth. Do not let any liquid enter the transmitter.

5–5
Datex-Ohmeda S/5 Arrhythmia Workstation

CAUTION Do not use hypochlorite, acetone-, phenol- or ammonia-based

cleaners.

Do not autoclave the device or its parts.

Do not immerse any part of the device in liquids, or allow liquid to

enter the interior.

5–6
 Products

Telemetry Antenna, N-API

Functional description
An antenna plate consists of two whip antennas each having its own amplifier
on an aluminum plate.
Antenna whips are placed 1/4 wavelength from each other to enable that when
a wave is weak or put-phased at one whip, it will be at its maximum in another.
This is called true diversity, which also means that two signals (A+B) are passed
to the converter and receiver for each receiver channel.
The power for amplificators is supplied from the converter board in the computer
via the same cables as the signals but to the opposite direction.
The amplifying capacity is equal to attenuation taking place in the cables. Thus,
the cables must not be shortened or extended, and no other cables must be
used.
The connector(s) that are not used for cabling must be terminated with a
specified special terminator. The terminator is not a resistance only but has also
a condensator.

AMP. AMP.
OUT A

EXT A INPUT

AMP. AMP.
OUT B

EXT B INPUT

Figure 5-3 Block diagram of the antenna plate

5–7
Datex-Ohmeda S/5 Arrhythmia Workstation

Specifications of the antenna plate

System: Modular active units
Principle Space diversity
Impedance 2 x 50
Connector type BNC
Cable type RG58
Distance between 30 m
positions
Frequency range: VHF: 210 - 230 MHz
UHF: 430 - 470 MHz
Bandwidth (3 dB): VHF: 6 MHz ±3 MHz
UHF:12 MHz ±3 MHz
Gain :ANT to OUT: VHF: 20 dB 0/-3 dB
UHF: 23 dB 0/-3 dB
Image rejection: >60 dB
Power supply: 10.5 V/2x15 mA per antenna plate (supplied
from the PC)
Physical dimensions VHF: 535x350 mm
UHF: 350x350 mm.
Operating conditions: Temp.: +10 - +40 °C
Relative humidity: 10 - 95% (non-
condensing)
Pressure: 700 - 1060 hPa
Storage conditions: Temp.: -40 - +70 °C
Relative humidity: 10 - 95% (non-
condensing)
Pressure: 500 - 1060 hPa

Service and repair procedures

Antennas cannot be serviced in the field. Replace the whole antenna plate.
A broken whip can be replaced:
• Turn and draw to remove the old one.
• Replace the whip accordingly.

5–8
 Products

Frequency Converter Board, B-RFC

Functional description
When a signal is received from the antenna, it will first be amplified in a LNA (low
noise amplifier).
After the amplifier has passed the signal through an image filter, it is mixed
down to 43-44 MHz. After that there is another amplifier with an image filter. In
the last part of the image filter there is a divider used to distribute the signals to
the receiver boards.
The two receivers (A and B) join the same injection signal. The signal is
generated by an oscillator, and a multiplicator multiplies the frequency by 3. A
buffer is placed after the multiplicator. In the VHF version this buffer is a normal
amplifier, while in the UHF version it multiplies the frequency by 2.

A1

A filte r / A2
LN A filte r M ixer filter AMP
BNC divid er A3

A4

B uffer
M CX
U H F x2 conn ector
OSC x3 V H F x1

Buffer
B1

B filte r / B2
LN A filte r M ixer filter AMP
BNC divid er B3

B4

Figure 5-4 Block diagram of the converter board

5–9
Datex-Ohmeda S/5 Arrhythmia Workstation

Specifications of the converter board

Dimensions 190 x 106,5 x 16 mm
Frequency range UHF:.430 - 470 MHz
VHF: 210 - 230 MHz
Input impedance 50 Ohm
Image rejection > 75 dB
Unwanted radiation < 2 nW
Bandwidth 1 MHz
I/O Interface Compatible with ISA Bus Specification for IBM
PC/AT bus as I/O resource.
External voltage 2x10.5 V/200 mA, short-circuit protected
Current consumption +12 V (total board): 490 mA.
+5 V (total board): 120 mA.

Service and repair procedures

Boards cannot be serviced in the field. Send the broken board back to factory
via your local distributor.

5–10
 Products

Receiver Board, B-RC4, B-RC3 or B-RC2

The number in the board’s name refers to the number of channels received.

Functional description
The signal comes from the converter board output and goes into the two splitters
that divide the signal into 2 times 4 identical signals.
From the splitter, the signals go to diversity intermediate frequency receivers
that transmit a total of 4 differential BPSK signals. The BPSK signals are
converted into a digital bit flow in 4 separate demodulator circuits.
Then the signal goes to a microprocessor that unpacks data and corrects errors
that may have occurred during the transmission. After error correcting and
unpacking, the signals are transmitted to the central processor of the PC via the
PC bus.

RECEI- DEMODU-
VER 1 LATOR

SPLIT- RECEI- DEMODU-

A TER VER 2 LATOR
from 1/4 TO
MAIN
receiver PC
PROCESSOR
B SPLIT- PORT
TER RECEI- DEMODU-
1/4 VER 3 LATOR

RECEI- DEMODU-
VER 4 LATOR

Figure 5-5 Block diagram of the receiver board

5–11
Datex-Ohmeda S/5 Arrhythmia Workstation

Specifications of the receiver board

Dimensions 333x107x16mm
Power supplies +12 V, -12 V, +5 V from ISA-bus connector
Current consumption +12 V: 250 mA
-12 V: 60 mA
+5 V: 150 mA
Channel separation 25 kHz
Adjacent channel rejection >70 dB
Image rejection >75 dB
Unwanted radiation <2 nW (-57 dBm)
Input impedance 50 Ohm
PC-interface Compatible with ISA Bus Specification for
IBM PC/AT bus as I/O.

Service and repair procedures

Boards cannot be serviced in the field. Send the broken board back to factory
via your local distributor.

5–12
 Cleaning and maintenance

6 CLEANING AND MAINTENANCE

Cleaning
The Arrhythmia Workstation computer and transmitters can be wiped with soft
moisturized cloth.

CAUTION Do not use hypochlorite, acetone-, phenol- or ammonia-based

cleaners.
Do not autoclave the device or its parts.
Do not immerse any part of the device in liquids, or allow liquid to
enter the interior.

Preventive maintenance
Perform following maintenance procedures at least once a year.

Computer and network

1. Check that all the components of the workstation are clean and
undamaged. Make sure that the cooling holes are not obstructed.
2. Check that all cable connections are secure, and that no cables are
pulled out. Make sure that the wallboxes are clean and undamaged.
3. Check that the system starts up normally, and that all active devices
connected to workstation register to it.
4. Check that the display contrast and brightness are adequately adjusted,
and that the display picture is placed in the center of the screen. For
readjustments, please refer to the computer’s user documentation.
5. Check that the keyboard keys function properly by pressing the keys one
by one.
6. Check that the clock shows the correct time. For readjustments, please
refer to the computer’s user documentation.
NOTE: Use the time displayed on the monitor. Networked monitors and
Central are synchronized but the Arrhythmia Workstation is not.
7. Make a back-up file of your config.doc file.
8. Run an appropriate disc-scanning program. For further instructions,
please refer to program’s user documentation.

6–1
Datex-Ohmeda S/5 Arrhythmia Workstation

If the workstation is located in the area where it is suspected to collect dust, it is

recommended to open the system unit cover and to remove dust that might
have accumulated around the power supply unit. For preventive maintenance of
printers, power supplies, and hubs, please refer to the corresponding user
documentation.

Telemetry transmitter
1. Check the transmitters visually.
2. Check that all the transmitters in the system function as they should, see
Functional check of the telemetry system.
3. Check and clean the battery cabin: open the battery cabin, remove the
batteries and wipe the patient connectors with soft cloth.

6–2

7 TROUBLESHOOTING
Workstations with or without telemetry:
Workstation does not work, or
works unreliably (e.g. signals
misplaced).
‘Leads off’ message appears.
ECG signal from one of the
monitors doesn’t appear on the
workstation
‘Arrhythmia Off’ message
displayed on a monitor, though
the workstation works properly
with other monitors.
‘No ECG’ or ‘ID error’ message
appears.
Troubleshooting
• Check that smart key is properly inserted into the parallel
communication port of the computer.
NOTE: The system must be initialized always after the
smart key is removed and inserted again.
• Initialize the system, see Configuration.
NOTE: Initialization clears all the patient data from the
workstation’s memory.
• Ensure that the configuration is done correctly.
• Check cabling connections.
• Check workstation computer; refer to computer’s
manuals.
Electrode impedance > 2.5 MOhm.
• Check electrode attachment. See the Arrhythmia
Workstation User’s Reference Manual.
• With telemetry: Check the black lead wire in the transmitter,
and replace the lead wire set if necessary.
The disturbance is probably in the communication between the HUB
and monitor.
• Turn the monitor to standby from the workstation, and then
back to active. This initializes the monitor communication
but will not destroy the patient data.
• Check the monitor’s network board. See the monitor’s
manuals.
The monitor is probably configured to more than one Arrhythmia
Workstation.
• Check configuration.
Configuration error: Channel and transmitter ID do not match.
• Check configuration.
7–1
Datex-Ohmeda S/5 Arrhythmia Workstation
With telemetry option:
Workstation does not work with
telemetry.
‘Low battery’ voltage message
appears.
‘No ECG’ or ‘ID error’ message
appears.
• Try another transmitter.
If another transmitter works, change batteries and/or lead
wire set, and try again.
• Check computer:
- Check the board attachment.
- Replace the Converter or Receiver board, one of them may
be broken.
Appears when the voltage < 2.1 V (corresponding to a remaining
operating time of approx. 10 hours)
• Change the transmitter batteries.
• Check transmitter batteries.
• Patient outside antenna’s range.
• Configuration error: Channel and transmitter ID do not
match.
• Interference from other sources of radio transmission, e.g.
mobile phone.
• Ensure that receiver is properly connected to the converter
board and dip switches are set correctly.
7–2
 Spare Parts

8 SPARE PARTS
Monitor/IC Net Cable 885 268 (1.5 m/4.9 ft.)
885 269 (3 m/9.8 ft.)
885 271 (6 m/19.6 ft.)
Telemetry Antenna package (incl. connecting cables) N-API
Telemetry Antenna Adder/Divider (incl. connecting cables N-ADD
and antenna branch terminators)
Datex-Ohmeda S/5 Frequency Converter Board B-RFC
Datex-Ohmeda S/5 Receiver Boards B-RC4, B-RC3, B-RC2
5-lead wire set 713702
Special terminator for antenna branches and 909951
adder/dividers
Converter board terminator 909950
Telemetry transmitter* (5-lead ECG cable included) T-PE2
Telemetry ECG cable 713702
*) Transmitters are prepared specially for a given wavelength, and thus, cannot
be sold directly from the stock. It is recommended to have a spare transmitter
for each telemetry system.

8–1
INDEX

Adder/divider, 2–5, 3–8 workstation, 3–2

Addressing Cleaning, 6–1
monitors, 4–2 telemetry transmitter, 5–5
network server, 4–1 Configuration, 4–1
receiver boards, 3–5 patient sectors, 3–1
telemetry locations, 4–2 Converter Board, 2–7
telemetry transmitters, 4–1 CRC, 2–8
Aerial, 2–4 Cyclic redundancy check, 2–8
Amplification Data transfer, 2–8
antennas, 2–5 Description
Antenna, 2–4 Arrhythmia workstation, 2–1
operating radius, 3–6 telemetry, 2–2
Antenna system, 2–5 Dip switches, 3–5
Arrhythmia Workstation Computer, 5–1 Disturbance
Attenuation to telemetry transmission, 3–7
in antenna cables, 3–8 Diversity principle, 5–7
B-FRC, 5–9 Dual antenna system, 2–5, 5–7
Binary Phase Shift Keying, 2–8 Fixed patient sector
Block diagram configuring, 4–2
antenna plate, 5–7 Functional check
converter board, 5–9 telemetry system, 3–12
receiver board, 5–11 workstation, 3–2
telemetry transmitter, 5–3 Hardware setup, 3–1
Boards ID-integrity code, 2–8
converter, 5–9 Installation, 3–1
receiver, 5–11 antenna system, 3–10
BPSK, 2–8 antennas, 3–6
B-RC4,3,2, 5–11 configuration, 4–1
Cabling, 3–2 planning antenna system, 3–8
Carrier wave receiver board, 3–3
transmission, 2–3 smart key, 3–1
Central, 2–1 software, 3–2
CF, 1–1 software setup, 4–1
Changing telemetry, 3–3
batteries in transmitter, 5–5 workstation, 3–1
configuration, 4–1 Interlacing, 2–8
Channels Isolation transformer, 1–1
VHF and UHF, 3–3 License
Checking telemetry transmission, 3–3
telemetry system, 3–12 Location ID, 4–2

8–1
Datex-Ohmeda S/5 Arrhythmia Workstation

Maintenance, 6–1 Specifications

Maximum antenna system, 2–5, 3–7 antenna plate, 5–8
Modulation, 2–8 converter board, 5–10
MRI, 3–7 receiver board, 5–12
Naming telemetry transmitter, 5–4
monitoring sites etc, 4–1 System Description, 2–1
network server, 4–1 Telemetry
receiver boards, 3–5 antenna, 2–4
telemetry locations, 4–2 antenna installation, 3–6
telemetry transmitters, 4–1 antenna system, 2–5
Network, 2–1 converter, 2–7, 5–9
Network ID-plug, 4–2 data transfer, 2–8
Nurse Call button, 1–1 effect of environmental conditions, 3–6
Password, 3–2, 4–1 installation, 3–3
Patient sector, 4–2 installing antenna system, 3–10
Planning license for transmission, 3–3
antenna installation, 3–8 planning antenna system, 3–8
Preventive maintenance, 6–1 receiver, 2–7
Printout header, 4–1 receiver board installation, 3–3
Product information receiver boards, 5–11
converter board, 5–9 software setup, 4–1
list of spare parts, 8–1 transmission disturbancy, 3–7
receiver boards, 5–11 transmitter, 5–2
transmitter, 5–2 Telemetry system, 2–2
workstation, 5–1 Terminator, 2–5
Receiver Board, 2–7 T-PE2, 5–2
Service and repair Transmitter, 2–3
antenna plates, 5–8 batteries, 5–5
converter board, 5–10 cleaning, 5–5
receiver board, 5–12 Troubleshooting, 7–1
telemetry transmitter, 5–5 Unpacking, 3–1
Settings Whip antenna, 2–5
changing, 4–1 workstation
Setup functional check, 3–2
hardware, 3–1 Workstation
software, 3–2 configuration, 4–1
Smart key, 3–1 installation, 3–1
Software installation, 3–2 monitor communication, 4–1
Solving problems, 7–1 telemetry transmitter communication, 4–
Spare parts, 8–1 1
Special terminators, 3–11

Index-2