Gambro Renal Products Technical Assistance Services. Technical Update PH,GI, /2008 GENERAL INFORMATION Equipment Type: Phoenix.

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Gambro Renal Products Technical Assistance Services http://tech.usa-gambro.com 800/525-2623 303/232-6800 Technical Update PH,GI,11048 6/2008 GENERAL INFORMATION Equipment Type: Phoenix Subject: From: Communications Phoenix - Primer Charles Zuelchner This document is a primer for communications between the Gambro Phoenix dialysis machine and all Ethernet-based data collection software such as Exalis, Davita Snappy, and others. This does not cover CentryNet communications. This document includes definitions and general information for Phoenix in the following categories. Network Settings External Connections Internal Hardware Please read and understand this document first, then proceed to the specific "Troubleshooting" or "Configuration" document specific to your needs. The following "troubleshooting" and "configuration" Technical Updates provide detailed step-by-step instructions for particular systems. Communication Phoenix Configuration Exalis Communication Phoenix - Configuration Davita Communication Phoenix Configuration Other (all brands other than Exalis or Davita) Communication Phoenix - Troubleshooting CentryNet is not covered by these documents. For CentryNet, read the following. Technical Update "Communications CentryNet - Configuration". Technical Update "Communications CentryNet - Troubleshooting". "CentryNet Operations Guide" - A printed version of the manual was shipped with your CentryNet software. An electronic copy of the manual for CentryNet 3.0 may be viewed by clicking the CentryNet menu "Help Operations Guide" and clicking "TOC" for Table of Contents. Page 1 of 19

Table of Contents 1. Network Settings... 2 1.1. Touchscreen and Control Panel... 3 1.2. Finding the Blue Startup Screen... 5 1.3. Reading the Blue Startup Screen... 6 1.4. Comm Screens...7 1.4.1. To reach the Comm Screens:... 7 1.4.2. Comm Screen 1... 8 1.4.3. Comm Screen 2... 9 1.5. Net Config Screens... 10 1.5.1. To reach the Net Config Screens... 10 1.5.2. Net Config Screens 1 and 2... 12 1.6. Summary of Important Points... 13 2. Exterior Connections... 14 2.1. Phoenix Port... 15 2.2. Wall Port... 15 2.3. Network Cable... 15 3. Interior Hardware... 16 3.1. Internal Ethernet Cable... 16 3.2. Ethernet Interface Card... 17 3.3. PC104 & Carrier Boards... 18 4. Summary... 19 1. Network Settings This section describes Phoenix Network Settings -- the location and operation of the various Ethernetrelated software items on the Phoenix dialysis machine. There are a total of 5 screens on the Phoenix that display network-related information. Blue Startup Screen - appears briefly about 35 seconds after power-on. Comm Screen 1 - has the Phoenix IP and Mask, as well as the CCM ID (MachineID). Comm Screen 2 - has the Gateway IP as well as the Net Route1 IP and Mask. Net Config Screen 1 - has the Secure Level IP and Mask for both Level 1 and Level 2. Net Config Screen 2 - has the Secure Level IP and Mask for both Level 3 and Level 4. In addition, the Online Icon is visible on the lower left of most screens when the Phoenix is online. Note: The Blue Startup Screen always displays the actual Network Settings. The Comm and Net Config screens allow you to change the Network Settings. Reloading Phoenix software erases your Network Settings. Because the Blue Startup Screen always displays the actual Network Settings, it is best to start with the Blue Screen when you are troubleshooting Network Settings. The Comm and Net Config screens do not show the actual settings until AFTER all values have been confirmed one time. This "initial confirmation" must be repeated each time you reload Phoenix software. The blue screen will always show the updated values. Page 2 of 19

1.1. Touchscreen and Control Panel The front of the Phoenix has a Touchscreen color display and below that is a Control Panel. The Touchscreen has Navigation Keys, Action Keys, Parameter Keys, Icons, and Status Area. The Control Panel has buttons. Navigation Keys are located at the bottom of the Touchscreen and are used for navigating to different screens. Action Keys are located on the right side of the Touchscreen. Action Keys either perform a command or display a new set of keys similar to navigation. Parameter Keys contain values that are edited using the "+/-" buttons. Parameter Keys are normally gray, but they turn yellow when selected with a tap of the finger. When a Parameter Key is yellow, the "+/-" buttons can change the value. Icons are located on the left side of the Touchscreen and are for display and notification only. Buttons are located on the Control Panel below the Touchscreen. This document only covers the four buttons on the right which are used for editing values. The following values (described later in more detail) should be displayed clearly on the front of the Phoenix for easy visibility. Place the numbers to the left or right side of the screen. It is recommended to NOT place any of these numbers on the Phoenix lid, since lids can be swapped between machines causing confusion between the labelled values and the actual values. The same applies to placing "asset labels" or marking serial numbers on the front of a Phoenix. CCM IDENTIF - Machine ID, use a large font that is visible from across the room. IP ADDRESS and SUBNET MASK. GATEWAY (if required). Page 3 of 19

The most important Navigation Keys, Action Keys, Icons and Status for Network Settings are shown below. They are defined as follows. HOME Navigation Key - navigates to the "home" screen shown above. CONFIG Navigation Key - navigates to the Comm Screens MACHINE Navigation Key - navigates to the Net Config Screens IDLE mode - this icon displays the current mode of the Phoenix. Network Settings are only accessible in Idle mode. ONLINE icon - is visible when the Phoenix is online; not visible when Phoenix is offline. TheControl Panel buttons important for Network Settings are shown below. SET button - toggles between showing and hiding Parameter Keys so you can change values of the keys that are pertinent to this screen. +/- buttons - change values for the selected Parameter Key. The key must be selected first, that is, tap the key so it turns yellow before using +/-. CONFIRM button - stores the current value for the selected Parameter Key. That is, if a key is yellow, pressing the CONFIRM button stores the value. Page 4 of 19

1.2. Finding the Blue Startup Screen When you power-on the Phoenix, the following sequence of startup screens appears at the designated times. The important screen is the 4th one that appears about 35 seconds after power-on. We call this the "Blue Startup Screen" and it contains the actual Network Settings. Time After Power-on Sample Startup Screen 3 seconds System startup in progress 13 seconds Boot from ATAPI CD-ROM : 26 seconds Vx Works System Boot Loading OS 35 seconds Blue Startup Screen IP Address <10.21.4.51 : 255.255.255.0> Default Gateway <10.21.222.1> No Secure Level enabled Loading Modules Page 5 of 19

1.3. Reading the Blue Startup Screen The Blue Startup screen will have two or three rows of network configuration depending on whether your network requires a Gateway IP Address. The IT staff that built your network will decide whether a Gateway IP Address is required. If your network does NOT require a Gateway IP Address, then your Blue Startup screen has 2 lines. Line 1 is the Phoenix IP Address followed by the Phoenix IP Mask. Line 2 is the Phoenix firewall (must read "No Secure Level enabled"). IP Address <10.21.4.51 : 255.255.255.0> No Secure Level enabled Loading Modules If your network requires a Gateway IP Address, then your Blue Startup screen has 3 lines. Line 1 is the Phoenix IP Address followed by the Phoenix IP Mask. Line 2 is the Gateway IP Address. Line 3 is the Phoenix firewall (must read "No Secure Level enabled"). IP Address <10.21.4.51 : 255.255.255.0> Default Gateway <10.21.222.1> No Secure Level enabled Loading Modules Example Error #1: In the example below, we have an error -- the third line does not say "No Secure Level enabled". The text "Secure Level Nr 1" indicates that on Net Config Screen 1 or 2 a Parameter Key has not been zeroed out completely. A common cause is forgetting to confirm a Parameter Key that already had a zero value. The solution is to reconfirm ALL keys on both Net Config Screens, even if they already display a correct value. Example Error #2: In the example below, we have an error -- the second line has extra text referring to "Net Route1". This indicates that the Net Route1 IP or Net Route Mask on the Comm Screen 2 has not been zeroed out completely. A common cause is forgetting to confirm a Parameter Key that already had a zero. The solution is to reconfirm ALL keys on Comm Screen 2, even if they already display a correct value. Page 6 of 19

1.4. Comm Screens There are two network "Comm" screens: Comm Screen 1 and Comm Screen 2. 1.4.1. To reach the Comm Screens: To reach the Comm Screens, perform the following steps. Ensure the Phoenix is in Idle mode. Select the Navigation Keys: HOME CONFIG MACHINE COMM. Press the SET button. Comm Screen 1 is now visible. Comm Screen 2 is visible by tapping the NEXT button, but only if COMM SYSTEM is set to 'RIMS' on Comm Screen 1. For Exalis users, set COMM SYSTEM = 'RIMS' in order to configure Comm Screen 2 and then return to Comm Screen 1 and revert to COMM SYSTEM = 'EXALIS'. Below is a visual representation of the same steps. (To return to the HOME screen press SET and HOME.) To reach the Comm Screens: Page 7 of 19

1.4.2. Comm Screen 1 Comm Screen 1 contains the following important Parameter Keys. CCM IDENTIF - (CCM ID) the Machine ID of this Phoenix. COMM SYSTEM - the type of software communicating with your Phoenix. OFFLINE TIMEOUT - the amount of time with no communication before the Online Icon disappears. Generally, 01:30 (90 seconds) is OK. IP ADDRESS - the network address of this Phoenix (4 keys). SUBNET MASK - determines the subnet of this Phoenix (4 keys). Important Points The CCM ID is unique -- no other Phoenix may have the same value. CCM ID means 'Machine ID'. In most dialysis units, the BioMed determines the ID. The 4th number of the IP ADDRESS is unique. No other Phoenix may have the same value. COMM SYSTEM is set to 'RIMS' when using non-gambro software and to 'EXALIS' when using the Gambro Exalis software. All other values on this screen (as well as all values on the other COMM and NET CONFIG screens) will be identical for all Phoenix in the same dialysis unit. This means that if one Phoenix needs to be reconfigured, you can look at any other working Phoenix to get all values but two. A key for "STATION ID" is visible when COMM SYSTEM equals "EXALIS". Do not confuse Station ID with Machine ID (CCM ID). Leave the Station ID at the default value of "50" unless you require the Exalis "auto-layout" feature. "RIMS" users will ignore STATION ID. Page 8 of 19

1.4.3. Comm Screen 2 Comm Screen 2 contains the following important Parameter Keys. GATEWAY - Gateway IP for your network if it has a gateway. NET ROUTE1 - all zeroes. MASK ROUTE1 - all zeroes. If your network requires a Gateway address, enter your Gateway here. NET ROUTE1 and MASK ROUTE1 are always all zeroes. Remember to re-confirm ALL keys even if they already have the correct value. If your network does not require a Gateway address, then enter all zeroes. Remember to re-confirm ALL keys even if they already have the correct value. Page 9 of 19

1.5. Net Config Screens There are two network "Net Config" screens: Net Config Screen 1 and Net Config Screen 2. The two screens look almost the same. 1.5.1. To reach the Net Config Screens To reach the Net Config Screens, perform the following steps. Ensure the Phoenix is in Idle mode. Select the Navigation Keys: HOME MACHINE CALIB. Press the SET Button. Tap the "PASSWORD CODE" Parameter Key so it turns yellow. Use the +/- Buttons to set the value to 65505 (hint: the '-' key is quicker). Press the CONFIRM Button. Press the SET Button. Press the Action Keys: OPERATIONS MAIN SETTING NET CONFIG. Press the SET Button. Net Config Screen 1 is now visible. Net Config Screen 2 is visible by tapping the NEXT key. On the following page is a visual representation of how to reach the Net Config screens. To return to the HOME screen, perform the following steps. Press the SET button to get out of 'edit-mode', if necessary. Press the "CLOSE" Action Key 3 times. Allow a few seconds for the HOME screen to settle before restarting the Phoenix. To restart the Phoenix, turn the power Off, wait 5 seconds, then turn the power On. A restart is necessary to accept to new network settings. Verify that the Blue Screen shows the Correct Settings during this restart. Now the Phoenix Network Settings are fully configured. Page 10 of 19

To reach the Net Config Screens: Page 11 of 19

1.5.2. Net Config Screens 1 and 2 The Net Config Screens 1 and 2 contain a list of security filter addresses. Set all values on both screens to zero. Re-confirm ALL keys even if they already have the correct value The Net Config Screens 1 and 2 contain a list of security filter addresses. The intention is similar to a firewall in that you can limit the addresses that a Phoenix will respond to. However, in actual use it is preferable to use the robust firewall and security of your own network rather than to push this task onto the Phoenix. Improperly set filter addresses will block communications with your Phoenix, so it is always simpler to set all values to zero. Setting all values to zero disables security filtering. Net Config Screen 1 contains the following important Parameter Keys. ADDR 1st LEVEL - 1st firewall filter (all zeroes). MASK 1st LEVEL - 1st firewall filter mask (all zeroes). ADDR 2nd LEVEL - 2nd firewall filter (all zeroes). MASK 2nd LEVEL - 2nd firewall filter mask (all zeroes). NEXT - go to Net Config Screen 2. Net Config Screen 2 contains the following important Parameter Keys. ADDR 3rd LEVEL - 3rd firewall filter (all zeroes). MASK 3rd LEVEL - 3rd firewall filter mask (all zeroes). ADDR 4th LEVEL - 4th firewall filter (all zeroes). MASK 4th LEVEL - 4th firewall filter mask (all zeroes). PREV - go to Net Config Screen 1. Net Config Screen 1 Net Config Screen 2 There are a total of 32 Parameter Keys (16 keys on each screen). Set all values to zero. Remember to re-confirm ALL keys even if they already have the correct value. Page 12 of 19

1.6. Summary of Important Points Blue Startup Screen The Blue Startup Screen is only visible when restarting the Phoenix. The Blue Startup Screen ALWAYS displays the actual network settings. The Blue Startup Screen only displays settings -- you can not change settings here. Online Icon The Online Icon appears on the lower left side of the screen immediately after communications begin with the Phoenix. The Online Icon does not disappear immediately upon loss of communications. It disappears after 'Timeout' number of seconds. The default value is 1:30 (that's 1 minute and 30 seconds) and can be set on Comm Screen 1. Comm and Net Config Screens The Comm and Net Config screens allow changes to the Phoenix Network Settings. The Comm and Net Config screens are only accessible while the Phoenix is in Idle mode. The network settings displayed on the Comm and Net Config screens are only valid after EVERY value has been confirmed once on all screens. The Blue Startup Screen ALWAYS displays the actual network settings. The following buttons are found on the Control Panel below the screen: SET, CONFIRM (arrow), PLUS (+), and MINUS (-). Navigate to the Comm Screens using the Navigation Keys CONFIG MACHINE COMM and the SET button. Navigate to the Net Config Screens using the Navigation Keys MACHINE CALIB and the buttons SET, PASSWORD=65505, CONFIRM, SET, OPERATIONS MAIN SETTING NET CONFIG and SET. To confirm a value, tap the Parameter Key so it turns yellow, set the correct value (using the +/- buttons), then press the Confirm button. If the key already has the correct value, then just tap it and confirm it. Remember: "Confirm" means turn it yellow, then press the CONFIRM button. Preferably confirm the screens in order: Comm Screen 1, Comm Screen 2, Net Config Screen 1, and Net Config Screen 2. After reloading software or after using the Tech Card to perform a "Card-to-Config", the network settings on the Comm and Net Config screens will NOT match the actual settings on the Blue Startup screen. Re-confirm ALL values on Comm and Net Config screens. Even if a key already displays the correct value, it must be re-confirmed. Once all values have been confirmed, then the Comm and Net Config screens match the Blue Screen. For a particular dialysis unit, all Phoenix have the same network settings except for the CCM ID and the 4th number of the IP Address. This means you can use a working Phoenix in order to determine all of the network settings except CCM ID and the 4th number of the IP Address. Reloading software erases your Network Settings. Label your Phoenix with the Network Settings: CCM ID, IP Address, Subnet Mask, Gateway. This allows easy reconfiguration of Network Settings when software is reloaded. Do not put CCM ID and IP labels on the removeable lid of the Phoenix, because lids can easily get swapped. Do not confuse Station ID with Machine ID (CCM ID). Machine ID (CCM ID) is the unique identifier for each Phoenix. Page 13 of 19

2. Exterior Connections There are three exterior components related to the network as shown below. Phoenix Port Wall Port Network Cable (external Network Cable) Page 14 of 19

2.1. Phoenix Port The Phoenix Port is an RJ-45 connector. It is the same type connector used by standard computers and it looks like a large telephone plug. The Phoenix Port is located on the back of the Phoenix. Looking at the back of the Phoenix, the Phoenix Port is on a panel on the upper left -- the same panel where the blood pressure cuff hose connects. The Phoenix Port is clearly marked "ETHERNET". 2.2. Wall Port The Wall Port is also an RJ-45 connector. It is the same type connector used by standard computers and it looks like a large telephone plug. Your IT department will determine which ports are designated for Phoenix dialysis machines. The Wall Port may be any color. There may be a single plug or multiple plugs. It is a good idea to mark the ports that are designated for Phoenix dialysis machines. Plugging into a regular computer port will cause communications to fail -- as if the cable were not plugged in. 2.3. Network Cable The Network Cable connects the Phoenix Port to the Wall Port. This is a standard CAT-5 Ethernet cable as used for standard computers. Use a cable that is long enough to prevent yanking of the cable when floorcleaning crews move the Phoenix and when patients recline in their dialysis chairs. Page 15 of 19

3. Interior Hardware Internal Hardware must be accessed by a qualified technician using anti-static handling skills. There are three internal components related to the network as shown below. Internal Ethernet Cable Ethernet Interface Card PC104 and Carrier Boards 3.1. Internal Ethernet Cable The Internal Ethernet Cable (Part # 6981625) connects the Ethernet Interface Card to the ethernet port on the PC104 Board. The Internal Ethernet Cable routes behind the card cage on the right side of the Phoenix. The end of the cable with the 4-pin connector plugs into the Ethernet Interface Card. The end of the cable with the RJ-45 connector plugs into the ethernet port of the PC104 Card. Page 16 of 19

3.2. Ethernet Interface Card The Ethernet Interface Card (Part # 6968945) isolates and protects the internal network components from the outside world. The Ethernet Interface Card is mounted on the inside of the back panel of the Phoenix. It has two connectors. Facing inward is a 4-pin connector -- the Internal Ethernet Cable plugs in here. Facing outward is an RJ-45 connector. Viewed from the outside of the Phoenix, this is called the Phoenix Port -- the Network Cable from a Wall Port plugs in here. When plugging in a Network Cable, ensure that the Phoenix power cable is plugged into the wall socket so that the Phoenix is grounded along with the external network. The Phoenix does not have to be powered on, but it must be grounded to avoid damage due to static electricity. For troubleshooting purposes the external Network Cable can be plugged directly into the PC104 Board INSIDE the Phoenix. This bypasses both the Ethernet Interface Card and Internal Ethernet Cable, allowing you to test if these two parts have failed. Page 17 of 19

3.3. PC104 & Carrier Boards The PC104 Board (Part # is 6975692) is a small computer motherboard that contains the actual network port (ethernet port) of the Phoenix. The Internal Ethernet Cable plugs into the network port on the PC104 Board using a standard RJ-45 connector. The PC104 Board is mounted on top of the Carrier Board using 4 screws. The Carrier Board slides into the metal card cage. Always power-off the Phoenix before removing the PC104 or Carrier Boards. As described above, for troubleshooting purposes the external Network Cable can be plugged directly into the PC104 Network Port in order to bypass both the Ethernet Interface Card and Internal Ethernet Cable. This can tell you whether the Ethernet Interface Card or Internal Ethernet Cable are defective. The green and yellow LEDs for the Network Port are located just above the PC104 Network Port. A solid green LED signifies a "live" connection, that is, the PC104 Network Port detects a live port at the other end of the network. A blinking yellow LED signifies that this port is sending or receiving communication messages. Page 18 of 19

The underside of the PC104 Board houses the Compact Flash and the RAM. The Compact Flash holds all the Phoenix configuration settings including network settings. If a PC104 assembly is known to be defective, it is possible to swap Compact Flash or RAM with a known good unit in order to determine whether the defect is in the board or in a subcomponent. 4. Summary Upon completing the material in this document, proceed to the Technical Updates Communication Phoenix - Configuration Communication Phoenix - Troubleshooting The "Troubleshooting" and "Configuration" Technical Updates shown in the first section provide detailed step-by-step instructions for particular systems. Page 19 of 19