GE Eagle 4000 - Service Manual
GE Eagle 4000 - Service Manual
GE Eagle 4000 - Service Manual
Trademarked names appear throughout this document. Rather than list the names and entities that own the trademarks or insert a trademark symbol with each mention of the trademarked name, the publisher states that it is using the names only for editorial purposes and to the benefit of the trademark owner with no intention of improperly using that trademark. ACCUSKETCH, APEX, AQUA-KNOT, ARCHIVIST, BABY MAC, CASE, CD TELEMETRY, CENTRA, CHART GUARD, CINE 35, CORO, COROMETRICS, CRG PLUS, DIGISTORE, Digital DATAQ, E for M, EAGLE, Event-Link, HELLIGE, IMAGE STORE, LASER SXP, MAC, MAC-LAB, MACTRODE, MARQUETTE, MARQUETTE UNITY NETWORK, MARS, MAX, MEI, MEI in the circle logo, MEMOPORT C, MIDAS SYSTEM, MIDASNET, MINISTORE, MINNOWS, Monarch 8000, MULTI-LINK, MULTISCRIPTOR, MUSE, Neo-Trak, OXYMONITOR, PRESSURE-SCRIBE, PRES-RCUFF, QMI, QS, Quantitative Medicine, Quantitative Sentinel, Qwik Connect Spiral, RAMS, SAM, SEER, SOLAR, Spectra 400, Spectra-Tel, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRAMSCOPE, TRIM KNOB, UNITY NETWORK, UNITY twist logo, Vari-X, Vari-X Cardiomatic, and VAS are trademarks of Marquette Medical Systems, Inc. registered in the United States Patent and Trademark Office. 12SL, 15SL, AccuVision, ADVANTAGE, AUTOSEQ, BODYTRODE, CardioMail, CardioServ, CardioSmart, CardioSpeak, CardioSys, CD TELEMETRY-LAN, CENTRALSCOPE, Corolation, Corometrics Sensor Tip, CV Mail, CV-Web, DASH, EDIC, HI-RES, IMAGE VAULT, INTELLIMOTION, INTER-LEAD, LIFEWATCH, MARQUETTE MEDICAL SYSTEMS, MARQUETTE RESPONDER, MENTOR, MIDAS Com, MRT, MUSE CardioWindow, MUSE CV, MUSEWord, O2SENSOR, OMRS, OnlineABG, Premium, RSVP, SILVERTRACE, SMART-PAC, SMARTLOOK, SOLARVIEW, Spectra-Overview, Trimline, UNITY, and Universal are trademarks of Marquette Medical Systems, Inc. 1997 Marquette Medical Systems, Inc. All rights reserved.
Registered trademarks
Trademarks
Copyright
T-2
REVISION E
GENERAL
The following are telephone numbers and addresses for contacting various Marquette Electronics Service and Supplies Division departments. Supply items are generally items used during normal operation of a product. Leadwires, electrode paste, patient cables, and printer paper are examples of supply items. Make telephone inquiries about supply items at: 1-800-558-5102 (U.S. only), 1-407-575-5000 (outside the U.S.), or 1-407-575-5050 (fax). Address orders or inquiries to: Attn: Supplies Department Marquette Electronics Service & Supplies Division P.O. Box 9100 100 Marquette Drive Jupiter, FL 33468-9100
Service parts are items that are not expended in the normal operation of the product. They are generally replacements for defective or malfunctioning items inside the product. Service parts include PCB assemblies, electronic components, internal cables and harnesses, software or firmware, and operator and service manuals. When ordering additional operator manuals, remember to notate the software version from the start-up screen. A part number for the item to be replaced is necessary for ordering a service part. If the part number for the desired item is unobtainable, the following will be necessary to order the item: model and serial number of the equipment, part number/name of the assembly where the item is used, item name, and where applicable, reference designation (ex., R3, S1, U32).
SERVICE CALLS
To open a service call with Marquette Electronics Service Department, contact Service Dispatch at: 1-800-558-7044 (U.S. only), or 1-407-575-5000 (outside the U.S.).
SERVICE MAINTENANCE
AGREEMENTS
For questions regarding service maintenance agreements, contact the service and supplies division at: 1-800-552-3248, or 1-407-575-5000 ext. 4206.
REVISION E
III
GENERAL
MAIN SWITCHBOARD
The main switchboard operator will direct your call to the person most able to assist you. For any other questions or problems, contact the main switchboard operator at: 1-800-558-5120, or (407) 575-5000.
IV
REVISION E
GENERAL
TABLE OF CONTENTS
GENERAL
Trademarks and Copyright .............................................. ii How To Reach Us ... ............................................................ iii Telephone numbers and addresses ................................. iii Ordering supply items .................................................... iii Ordering service parts .................................................... iii Service calls ................................................................... iii Service maintenance agreements .................................... iii Technical Support .......................................................... iv Main switchboard ........................................................... iv
Product Description .......................................................... 1-2 About the monitor ....................................................... 1-2 Marquette Unity Network .................................................. 1-3 Monitor application ..................................................... 1-3 Patient monitoring system application ......................... 1-3 Hospital-wide network application ............................... 1-3 Front Panel Controls/Connectors ...................................... 1-4 Rear Panel Controls/Connectors ........................................ 1-5 About the remote alarm connector .............................. 1-6 Performance Specifications ............................................... 1-7 Preparation For Use ......................................................... 1-16 Power requirements .................................................. 1-16 Equipment ground requirements ............................... 1-16 Fuse and voltage setup .............................................. 1-17 Voltage selector card setup ........................................ 1-17 Monitor ventilation requirements .............................. 1-18 Mounting recommendations ...................................... 1-18 Software setup .......................................................... 1-18 Theory of Operation ........................................................ 1-19 Overall block diagram ............................................... 1-19 Overall block theory .................................................. 1-20 Power supply PCB block diagram .............................. 1-21 Power supply PCB block theory ................................. 1-22 Acquisition PCB block diagram .................................. 1-23 Acquisition PCB block theory .................................... 1-24 Processor PCB block diagram .................................... 1-25 Processor PCB block theory ....................................... 1-26 (Optional) EtCO2 PCB block diagram ........................ 1-27 (Optional) EtCO2 PCB block theory ........................... 1-28
SECTION 2 MAINTENANCE
Maintenance Schedule ....................................................... 2-2 Manufacturer recommendation ................................... 2-2 Manufacturer responsibility ........................................ 2-2 Visual Inspection ............................................................... 2-3 Inspecting the monitor ................................................ 2-3 Cleaning The Monitor ........................................................ 2-4 Cleaning the display .................................................... 2-4 Cleaning the external surfaces .................................... 2-4 Manufacturer recommendation ................................... 2-4 EAGLE 4000 PATIENT MONITOR 407300-123
REVISION E
GENERAL
SECTION 3 CALIBRATION
Adjustments / Jumpers / Switches ................................... 3-2 Hardware calibration ................................................... 3-2 Software calibration .................................................... 3-2 Processor PCB ................................................................... 3-3 About the procedure .................................................... 3-3 Test equipment ........................................................... 3-3 Calibration procedure ................................................. 3-3 Switch (SW1) settings - color display ........................... 3-4 Switch (SW1) settings - mono display .......................... 3-4 BP analog output null and gain calibration .................. 3-5 Low battery voltage threshold calibration .................... 3-6 Switch settings ............................................................ 3-7 Jumper setting ............................................................ 3-8 Acquisition PCB ................................................................ 3-9 About the procedure .................................................... 3-9 Test equipment ........................................................... 3-9 Calibration procedure ................................................. 3-9 Power Supply PCB ........................................................... 3-11 About the procedure .................................................. 3-11 Test equipment ......................................................... 3-11 Calibration procedure ............................................... 3-11
VI
REVISION E
GENERAL
SECTION 4 CONFIGURATION
Monitor Configurations ..................................................... 4-2 Setup for use .............................................................. 4-2 Stand-alone ................................................................ 4-2 Network interface ........................................................ 4-2 Installing Software ............................................................ 4-3 Methods for downloading software ............................... 4-3 Intended use ............................................................... 4-4 Available software ....................................................... 4-4 Summarized download procedures .............................. 4-5 Summarized download procedures (Cont) .................... 4-6 Load Software For Update .................................................. 4-7 Use the Correct Loading Procedure .............................. 4-7 Load software onto a central station ............................ 4-7 Download from a central station to the monitor ......... 4-10 Use the Correct Loading Procedure ............................ 4-11 Download from memory card to the monitor .............. 4-11 Load the Version 6 Conversion Tool ................................. 4-12 Download the version 6 conversion tool ..................... 4-12 Download the boot code software .............................. 4-13 Download the Software Components ................................ 4-15 Download monitor software components ................... 4-15 Completing the procedure ......................................... 4-18 Update Software From Diskettes Using A PC .................... 4-20 About the procedure .................................................. 4-20 Connect the PC to the monitor .................................. 4-20 Update program start-up ........................................... 4-21 Download from the PC to the monitor ........................ 4-22 Download files to the monitor .................................... 4-23 Completing the procedure ......................................... 4-25 Set French or German Defaults ........................................ 4-27 Defaults for French or German monitors ................... 4-27 Enable (Version 6) Software Features ............................... 1-29 Procedure .................................................................. 1-29 Completion ............................................................... 1-31
REVISION E
VII
GENERAL
SECTION 5 TROUBLESHOOTING
VIII
REVISION E
GENERAL
Field Service Manual ......................................................... 7-2 Intended use ............................................................... 7-2 Scope of the manual .................................................... 7-2 Manual content ........................................................... 7-2 Page Layout ....................................................................... 7-3 Related Documentation ..................................................... 7-4 Operator information .................................................. 7-4 Service information ..................................................... 7-4 Manufacturer Responsibility .............................................. 7-5 Liability disclaimer ...................................................... 7-5 Notes, Cautions, and Warnings .......................................... 7-6 What these indicate ..................................................... 7-6
REVISION E
IX
GENERAL
REVISION E
EQUIPMENT OVERVIEW
Product Description .......................................................... 1-2 About the monitor ....................................................... 1-2 Marquette Unity Network .................................................. 1-3 Monitor application ..................................................... 1-3 Patient monitoring system application ......................... 1-3 Hospital-wide network application ............................... 1-3 Front Panel Controls/Connectors ...................................... 1-4 Rear Panel Controls/Connectors ........................................ 1-5 About the remote alarm connector .............................. 1-6 Performance Specifications ............................................... 1-7 Preparation For Use ......................................................... 1-16 Power requirements .................................................. 1-16 Equipment ground requirements ............................... 1-16 Fuse and voltage setup .............................................. 1-17 Voltage selector card setup ........................................ 1-17 Monitor ventilation requirements .............................. 1-18 Mounting recommendations ...................................... 1-18 Software setup .......................................................... 1-18 Theory of Operation ........................................................ 1-19 Overall block diagram ............................................... 1-19 Overall block theory .................................................. 1-20 Power supply PCB block diagram .............................. 1-21 Power supply PCB block theory ................................. 1-22 Acquisition PCB block diagram .................................. 1-23 Acquisition PCB block theory .................................... 1-24 Processor PCB block diagram .................................... 1-25 Processor PCB block theory ....................................... 1-26 (Optional) EtCO2 PCB block diagram ........................ 1-27 (Optional) EtCO2 PCB block theory ........................... 1-28
REVISION E
1-1
EQUIPMENT OVERVIEW
PRODUCT DESCRIPTION
ABOUT THE MONITOR
Compact design The monitor is a compact, self-contained patient monitor incorporating many advanced features previously found only in complete modular systems. Measuring a compact 12.8 x 12.5 x 5.6 inches, and weighing just under 18 pounds, the monitor is thin and unobtrusive enough for locations previously considered impractical. The display is an impressive 10.4 inches with exceptional visibility. This full-featured vital signs monitor offers various software and hardware options which allow it to be configured to meet the needs of specific care units. The basic monitor includes multilead ECG, respiration, two temperatures (or cardiac output), two invasive blood pressures and pulse oximetry. The monitor meets the needs of a variety of care areas from subacute to acute incorporating additional monitoring features such as: simultaneous multi-lead arrhythmia analysis, multi-lead arrhythmia event recall, enhanced multi-lead ST segment measurement capabilities, thermodilution cardiac output determination with cardiac indices calculation, pulmonary and dosage calculations, non-invasive blood pressure, end-tidal carbon dioxide and more. Network compatible The monitor can be part of a patient monitoring network, an open architecture, systems integration platform designed to improve the efficiency and effectiveness of health care delivery, permitting viewing of remote bed information and much more. From software designed for specific care areas to the monitor's unique Trim Knob control, the monitor was designed to be as easy to use as it is comprehensive. The Mentor user support system provides on-screen prompts and instructions as well as answers to operational questions to assist novice users.
Easy to use
1-2
REVISION E
EQUIPMENT OVERVIEW
HOSPITAL-WIDE NETWORK
APPLICATION
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ALL ZERO P
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GO/STO SAO
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ISOLATED
ECG
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GO/STO SAO
AC
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ISOLATED
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CD
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ETR
REVISION E
1-3
EQUIPMENT OVERVIEW
Display: Two types are available: Monochrome Hi-bright electroluminescent (EL) display panel. Color Active matrix thin film transistor (TFT) LCD panel. Screen size 10.4-inch diagonal Resolution 640 x 480 pixels
Front Panel Controls: Five backlit pushbutton operator controls provide the following functions:
DISPLAY ON/OFF
When operating on ac power, controls only display power. When operating on battery power, controls overall monitor power. Manually starts or stops the noninvasive blood pressure function. Sets zero references for all invasive blood pressure functions. Controls patient alarm silencing functions. Manually starts or stops graphs to selected writers. Manually stops alarm graphs.
NBP GO/STOP
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Patient Input Connectors: Used to attach patient cables for various electrodes, sensors and transducers used in patient signal acquisition Indicators: Five LED's indicate the following power related conditions of the monitor: PWR-AC: Monitor is operating on ac power PWR-BATT: Monitor is operating on battery power
Trim Knob Control: This is the control that is used most often to choose menu items and enter data. Rotate the Trim Knob control to highlight an item on the display. Press the Trim Knob control to select the highlighted item.
NBP Connector: A pneumatic connector for attaching a noninvasive blood pressure cuff to the monitor. DEFIB SYNC: This front panel jack provides a direct interface between the monitor and a defibrillator for synchonization of the two devices during emergency defibrillation or for synchronized cardioversion. The signals available through this connector are: Outputs Defib sync pulse Analog ECG signal Analog invasive BP signal Input Defibrillator triggered marker pulse
BATT-RDY: The battery is fully charged monitor is ready for battery powered use
PWR BATT
AC RDY CHRGNG
BATT FAIL
BATT-CHRGNG: The battery is charging the monitor is not ready for battery powered use
1-4
REVISION E
EQUIPMENT OVERVIEW
Battery Access Cover: Remove two screws to access the optional Ni-Cad battery pack located under this cover.
Serial Number Label: Describes the type of equipment, date and sequence of product manufacture for each monitor. ASYNC COMM Connectors (2): These ports can be used for interconnection to remote controls, direct digital writers and other devices
RM T VID AS YN C RM CO T A MM LR M ASY NC RM CO T A MM LR M
Main Power Switch: Selects ac or battery power. When in the on (I) position, the monitor operates on ac power and battery charging is enabled. When in the off (0) position, the monitor operates on battery power controlled by the DISPLAY ON/OFF pushbutton switch located on the front panel.
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50-60 Hz
ET HE R NE T -
Main Power: A power cord connected between this port and a wall receptacle is used for ac main power operation of the monitor. Fuse/Voltage Selector Cover: Main power fuses and the voltage selector for the monitor are located behind this cover. The label above the cover shows the correct ratings for replacement fuses. ETHERNET Connector: An IEEE 802.3 AUI cable and transceiver can be connected to this port for monitors used in patient monitoring network configurations.
REMOTE ALARM Connector: This 9-pin "D" connector provides interconnection to the Marquette/Hellige Isolation Relay for a nurse-call light system. The following alarms will trigger these outputs: CRISIS Patient Status Alarms, and WARNING System Status Alarms.
RMT VID (remote video) Connector: For monitors with color displays only, an external display monitor can be connected to this port for viewing patient information from a remote location.
REVISION E
1-5
EQUIPMENT OVERVIEW
The remote alarm connector (REMOTE ALARM) is for use with the Marquette/Hellige Isolation Relay, pn 303 444 77 (non-U.S.) and pn 303 445 50 (U.S.). This accessory provides a relay closure when either of the following alarms occur: CRISIS (Patient Status Alarm), and/or WARNING (System Status Alarm).
The signals from the REMOTE ALARM connector activate and deactivate the isolation relay. When the monitor is initially powered up or rebooted, the relay remains deactivated until the monitor completes its power-up or reboot sequence. Once the monitor successfully completes this sequence, the relay is then activated. If either of the above listed alarms occurs, the relay is deactivated by the monitor. This causes the nurse call system to notify personnel that an alarm situation exists at the monitor. When the alarm has been cleared, the relay is activated. This causes the nurse call system to notify personnel the alarm situation has been cleared. The relay is deactivated when AC power is removed from the monitor.
1-6
REVISION E
EQUIPMENT OVERVIEW
PERFORMANCE SPECIFICATIONS
DISPLAY
Size: Type: Monochrome: Color: Resolution: Number of traces: Number of seconds/trace: Sweep speed: All waveforms except EtCO2: EtCO2: Waveform display options: Information window: Display organization: 10.4-inch diagonal Hi-Bright Electroluminescent (EL) Thin-Film Transistor (TFT) Liquid Crystal Display (LCD) 640 by 480 pixels 6 6.0 at 25 mm/sec 25 mm/sec (with erase bar) 6.25, 12.5 or 25 mm/sec (with erase bar) Full or individual Displays non-real-time information without obstructing the display of real-time information Prioritized by parameter
CONTROLS
Standard: Trim Knob control plus 4 hard keys: Silence Alarm, Graph Go/ Stop, Zero All, and Display On/Off
PROCESSING
Main processor: Data acquisition processor: Graphics processor: Program storage: Data storage: MC68332 32-bit integrated microcontroller (19.968 MHz) MC68332 32-bit integrated microcontroller (15.72 MHz) TMS34010 32-bit graphics system processor (50 MHz) 4-MB flash memory 2-MB RAM (battery backed-up)
ALARMS
Classification: Notification: Setting: Silencing: Volume: 4 levels Crisis, Warning, Advisory, and Message Audible and visual Default and individual 1 minute, current alarm only Default 70%, 70 dB measured at 1 meter
REVISION E
1-7
EQUIPMENT OVERVIEW
120 Hz 40 Hz 25 Hz Hz
0.05 to 120 Hz 0.05 to 40 Hz 0.05 to 25 Hz 0.05 to 25 Hz 90 dB minimum at 50 Hz or 60 Hz 1000 3% 3% <30 V RTI (referred to input) 2 mV to 700 mV 0.1 ms to 2 ms 10 s to 100 s 2 mV (max) <0.5 mV/hour with a 700-mV, 2-ms pacemaker pulse applied
RESPIRATION
Measurement technique: Impedance variation detection Range: Respiration rate: 1 - 200 breaths per minute Base impedance: 100 - 1000 at 52.6 kHz excitation frequency Detection sensitivity: 0.4 to 10 variation Waveform display bandwidth: 0.1 to 1.8 Hz (3 dB) Alarms: User-selectable upper and lower respiration rate limits, and user-selectable apnea limit
1-8
REVISION E
EQUIPMENT OVERVIEW
YSI Series 400 or 700 thermistor (determined by input cable) 0C to 45C (32F to 113F) 0.1C
T1, T2 121.95 1% <1% from 30C to 42C <1 mV/C (independent of source) 0.1C for YSI series 400 probes; 0.3C for YSI series 700 probes <20 mV from dc to 100 Hz User-selectable upper and lower limits for T1, T2
Input specifications: Probe type: Catheter size: Injectate volume: Output specifications: Parameters displayed:
Range: Cardiac output: 0.2 - 15 liters per minute Blood temperature: 30 - 42C Injectate temperature: 0 - 30C Noise: <20 mV from dc to 100 Hz Accuracy: Cardiac output: Blood temperature: Injectate temperature: Frequency response: Noise: 5% (liters of blood/min) 0.2C 0.3C dc to 15 Hz 2 Hz <20 mV from dc to 100 Hz
REVISION E
1-9
EQUIPMENT OVERVIEW
Transducer requirements: Excitation voltage: Transducer output: Input specifications: Range: Offset: Input impedance: Common mode: Differential: Output specifications: Gain: Frequency response: Gain stability: Zero balance range: Zero balance accuracy: Zero balance drift: Common mode rejection: Noise: Accuracy: Alarms:
25 mmHg to 300 mmHg 150 mmHg >100 k at 50/60 Hz >100 k from dc to 60 Hz 976 1% dc to 50 Hz (+0/-3 dB) < 0.1%/C, and < 0.1% over any 24 hour period 150 mmHg 1 mmHg 1 mmHg over 24 hours >60 dB at 60 Hz <5 mVp-p from dc to 30 Hz 2% or 1 mmHg, whichever is greater (exclusive of transducer) User-selectable upper and lower limits for systolic, diastolic, and mean pressures
1 - 10
REVISION E
EQUIPMENT OVERVIEW
REVISION E
1 - 11
EQUIPMENT OVERVIEW
Airway adaptor specifications: Airway adaptor types: Adult reusable (standard), adult disposable, neonatal Airway adaptor dead space/chamber volumes: Adult reusable: <5 cc Adult disposable: <5 cc Neonatal: <0.5 cc CO2 measurement specifications: Measurement range: Pi CO2/Fi CO2: Pe CO2/Fe CO2: RR: Accuracy: Display update interval: CO2 averaging: CO2 measurement stability: Resolution: Noise: Repeatability: Step response time: Mainstream adult: Mainstream neonate Interference: N2O gas: O2 gas: Barometric pressure: Water vapor: Anesthetic agent: Airway adaptor variability: Warm-up time: Calibration: Factory settings:
0 to 100 Torr/0 to 13% 0 to 100 Torr/0 to 13% 0 to 120 breaths/min 2 mmHg or 5%, whichever is greater. 2 sec Selectable from single breath, 10 seconds, or 20 seconds. Accuracy maintained over 8 hours. 1 mmHg 0.5 mmHg or 2% (maximum), whichever is greater, measured over a 10 second period. 1 mmHg or 2.5% (maximum), whichever is greater. <60 ms (10-90%) <50 ms (10-90%) 2 mmHg or 5% (maximum), whichever is greater, with N2O compensation enabled. 2 mmHg or 5% (maximum), whichever is greater, with O2 compensation enabled. 2 mmHg (maximum) from 500 to 800 mmHg, with barometric pressure compensation enabled. 0.5 mmHg or 1.5% (maximum), whichever is greater. 0.5 mmHg (maximum) for concentration of no more than 5% of halogenated agents. 1.5 mmHg or 3% (maximum), whichever is greater, with same or different adaptor; not applicable after adaptor zero. Less than 15 seconds to initial CO2 indication, full specification within 120 seconds; waveform immediate upon power up. Factory calibration settings stored in nonvolatile memory within the sensor; 15 second adaptor calibration when switching airway types. Zero and span performance check with on-cable verifier. Selectable 6.25, 12.5, or 25 mm/sec
1 - 12
REVISION E
EQUIPMENT OVERVIEW
Barometric pressure sensor specifications: Range: 530-785 mmHg Accuracy: 7 mmHg Calibration: Calibrated at factory; user calibration in service menu. Capnostat III sensor specifications: Operating temperature: Storage temperature: Humidity: Barometric pressure: Shock resistance: Moisture resistance: Cleaning and sterilization: Sensor: 10 to 40 C (50 to 104 F) -30 to 65 C (-22 to 149 F) 5 to 95%, relative humidity, non-condensing. 500 to 800 mmHg Able to withstand 6 ft. drop to tile floor. Splash resistant sealed transducer
Transducer, cable and verifier may be wiped with cold chemical disinfectant; no steam sterilization or EtO gas permitted; fluid immersion not recommended. Adult reusable airway adaptor: Disinfect with buffered glutaraldehyde, EtO gas, isopropyl alcohol, household bleach; also steam sterilizable and pasteurizable. No damage to the sensor from electrostatic discharge of 0.01 J at up to 15 kV, applied to sensor connector pins. <0.5 mmHg at 38 mmHg Selectable upper and lower limits for CO2 and RR.
REVISION E
1 - 13
EQUIPMENT OVERVIEW
1 - 14
REVISION E
EQUIPMENT OVERVIEW
Monochrome EL display: TFT Color LCD display: Operating conditions: Ambient temperature: Relative humidity: Storage conditions: Maximum: Minimum:
PHYSICAL SPECIFICATIONS
Height: 32.6 cm (12.8 inches) Width: 32 cm (12.5 inches) Depth: 14.1 cm (5.6 inches) Weight (optional battery pack installed): With color display: 17.9 lb With monochrome display: 17.5 lb
CERTIFICATION
UL: IEC: UL 2601-1 Listed. C22.2 No. 601.1-M90 IEC 601-1 Certified.
WARRANTY
Standard: Optional: One year Other options are available. Contact the manufacturer sales representative for more information. EAGLE 4000 PATIENT MONITOR 407300-123
REVISION E
1 - 15
EQUIPMENT OVERVIEW
WARNING Loss of power to the monitor results in the loss of all monitoring functions.
EQUIPMENT GROUND
REQUIREMENTS
The ground pin of the wall receptacles and all exposed metal parts (beds, radiators, water pipes, etc.) in the patient area should be connected together and tied to the nearest equipotential ground point through a bonded grounding system, or with a 10-AWG stranded copper grounding cable. This equipotential ground point should be as close to earth ground as possible. Use only three-prong, polarized, hospital-grade wall receptacles to accept the three-wire, polarized plug on the power cord of the monitor. If a bonded grounding unit is not available, interconnect the ground pins of all wall receptacles in the patient and monitor areas with 10-AWG (or larger) stranded copper cables. This copper cable must connect to the central grounding point. Do not jumper from ground pin to ground pin, then to the central grounding point. The ground cabling must not carry current, such as a grounded neutral, since the current flow will produce differences in potential along the ground. These potential differences are the main source for shock hazards to the users and patients. Do not rely on conduit as a ground conductor. Plastic (PVC) pipes or fittings used as conduit break up the ground path, which can present potential shock hazards. The electrical ground system must be connected to actual earth ground. If this is not possible, then a good reference ground such as a metal cold water pipe or an electrically conductive building component should be used. It is more important that all grounded objects in the patient area are at the same potential than at true earth potential.
1 - 16
REVISION E
EQUIPMENT OVERVIEW
220V 240V
4.
NOTE Two fuses are required for 230/240 Vac operation. A dummy fuse may be used in the neutral (lower) holder. Fuse(s) inserted into the power input module first, are the active set. 5. To change fuse arrangement, invert the fuse holder and reassemble it to the fuse block in the reverse order of steps 2 and 3.
Next, change the voltage selector for the correct operating voltage of the monitor. Continue with these steps: 1. With the fuse holder remaining out of the power input module, remove the voltage selector card from the power input module as well by pulling it straight out. Holding the indicator pin in the upright position, rotate the selector card so the desired voltage is readable at the bottom. Insert the voltage selector card into the power input module such that the voltage lettering imprinted on the card is facing the power on/off switch. Replace the fuse holder into the power input module and verify the desired voltage is indicated, when viewed from the rear panel.
I
2.
3.
120
4.
220V 240V
Selected voltage
REVISION E
1 - 17
EQUIPMENT OVERVIEW
The monitor is capable of producing as much as 170 BTu per hour of heat load. This is equivalent to approximately 50 watts of energy.
WARNING Failure to properly ventilate the monitor may cause equipment failure or improper monitoring conditions which may endanger the patient being monitored.
MO DEL NO. MA RQU ETT E ELE SER CTR IAL ONI NO. CS INC . MIL WA W CA UKE AR UT E WI. RE NI
CAUTION Do not locate the monitor in an enclosed area that may restrict the heat dissipated by it. Any restriction in air flow causes a rise in internal temperature which may result in equipment failure.
USA 702 06-0 04
PL
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50-60 Hz
FIR RK E ED
ET HE NE
RT RM T VID AS YN C RM CO T AL MM RM AS
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CAUTION The monitor must be located no closer than 4 inches (10 cm) from any partition or wall. The monitor can be no closer than 12 inches (30 cm) from any overhead partition or the ceiling.
MOUNTING RECOMMENDATIONS
Tram Critical Care Monitoring System Reference Guide: pn. 403799-010 Manufacturer recommended methods of mounting the monitor to various locations.
SOFTWARE SETUP
1 - 18
REVISION E
EQUIPMENT OVERVIEW
THEORY OF OPERATION
OVERALL BLOCK DIAGRAM
D a t a Bu s
REVISION E
Patient Connectors
F l e x
Expansion Interface
C i r c u i t
Audio Analog Out User Panel Defib Sync NIBP Control PCMCIA
Flex Circuit
16-ohm Speaker Front Panel Flex PCB Assembly Memory Card Slot
NOTE: All supply voltages are sent to the processor pcb assembly, then dc power is distributed to other electrical assemblies in the monitor.
1 - 19
EQUIPMENT OVERVIEW
1 - 20
REVISION E
EQUIPMENT OVERVIEW
Display On/Off
Shut Down
AC In
(From Transformer)
+5V
C/10 Enable
Charger Enable
REVISION E
1 - 21
EQUIPMENT OVERVIEW
The power supply PCB mounts internally to the monitor rear casting assembly. The board accepts both low voltage AC power from the main step down isolation transformer or 12 Vdc from the optional battery pack. Both the step down transformer and the battery pack are located off of the power supply PCB, mounting into the rear casting assembly. The power supply PCB provides four independent output voltages and appropriate power control and status input/output (I/O) signals required by the monitor electronic assemblies. Functional circuits on the power supply PCB include: Power on/off control, and Power forward converter/magnetics, Pulse width modulation (PWM) controller, Post regulator, Battery and charger, and Battery/line power status.
Calibration
The calibration procedure for this assembly is found in the section titled Calibration in this manual.
1 - 22
REVISION E
EQUIPMENT OVERVIEW
RA LA
ECG Defib Protection
12-Bit ADC
LL V1 RL V2 V3 V4 V5 V6
ADC Data
Isolation Barrier
12V_MAIN
REVISION E
1 - 23
EQUIPMENT OVERVIEW
The acquisition PCB, or data acquisition system (DAS), located in the monitor, is responsible for the acquisition of all vital-sign patient data. Analog sensor/electrode input signals are amplified and conditioned by hybrid assemblies, then converted to digital data. The digital patient data is transferred across an isolation barrier via high-speed opto-couplers to the processor PCB for analysis and display. The DAS consists of an isolated and non-isolated section which are separated by a barrier that is capable of withstanding up to 6000 Vdc with respect to earth ground. Isolation is accomplished by using a coupled inductor power supply and opto-isolation for signals crossing the barrier.
Functional circuits
Functional circuits on the acquisition PCB include: Isolated power supplies generation, Patient input connector interface, ECG defibrillator protection, Patient signal generation (hybrids interface), Analog-to-digital conversion (patient signals), DAS microcontroller and processing, and DAS communication interface (isolation barrier).
Calibration
The calibration procedure for this assembly is found in the section titled Calibration in this manual.
1 - 24
REVISION E
EQUIPMENT OVERVIEW
DAS_FRZ DAS_PCS0*
Buffer MC68332 32-Bit Integrated Controller
LA0-23
IOA0-15
Ethernet Xcvr Interface
LD0-15
IOD0-15
Compressor
RAM Address Driver NBP Interface ASIC Battery Backed SRAM
RA1-19
RD0-15
XA1-19
Expansion Interface
XD0-15
XA1-19
XD0-15
16 Speaker
LAD0-15
GD0-15
WUA0-9
+5VID/12VID
GSP Memory Interface Logic Text VRAM
TA0-7 TD0-15 EPD0-7
D0-7
REVISION E
1 - 25
EQUIPMENT OVERVIEW
Functional circuits
Serial asynchronous serial communications interface DUART (ASYNC COMM ports), Serial network interface controller (ETHERNET port), Non-invasive blood pressure (NBP) interface ASIC, Analog output 12-bit DAC (ECG and blood pressure), Real-time clock/calendar and audio generation, User panel interface (Trim Knob control/push-buttons), Memory card (PCMCIA) interface, Video processing circuit (waveforms and text for display):
Texas Instruments TMS34010 graphics co-processor (50 MHz), Clock - 50 MHz CMOS/TTL oscillator, Video control LCA, Graphics system processor memory interface LCA, Graphics system processor program memory - DRAM (512 kilobytes), Waveform display memory - VRAM (256 kilobytes), Text display memory - VRAM (256 kilobytes), Display driver circuit, Remote display video interface (RMT VID port).
Calibration
The calibration procedure for this assembly is found in the section titled Calibration in this manual. EAGLE 4000 PATIENT MONITOR 407300-123
1 - 26
REVISION E
EQUIPMENT OVERVIEW
Case temp Case heater Detector temp Detector heater CO2 signal Ref signal IR source Barometric pres
Signal/Control Circuitry
SRXD 12-Bit ADC STXD SCLK ADCCS* EXP_PS0-3 EtCO2 Controller (MC68332) EXP_ID0-3 EXP_HRST* EXP_TXD EXP_RXD Data EtCO2 Control EPLD Processor RAM Address EXP_MSIRQ* +5/+12 V
Expansion Interface
Flash EEPROM
REVISION E
1 - 27
EQUIPMENT OVERVIEW
The Eagle Capnostat CO2 System (ECCS) is a self-contained printed circuit assembly that interfaces Novametrix Capnostat 3 sensors to the Eagle 4000 Patient Monitor. The ECCS has the necessary circuitry to interface to the Capnostat 3. It acquires raw signals from the Capnostat 3, processes these signals to produce CO2 waveform data and respiration parameters. These parameters are sent to the host system via an asynchronous serial communication link. The Mainstream Capnometer measures End-tidal Carbon Dioxide using a non-invasive technique that relies on the selective absorption properties of CO2 to specific frequencies of infrared radiation. In the transducer head, a thick film infrared source is pulsed at a rate of approximately 87 Hz, generating a broad band spectrum of IR. Selective filtering separates this into two narrow regions, one inside the band of CO2 absorption, the other outside the region of CO2 absorption. Behind each filter is a detector which produces an electrical signal proportional to the amount of light energy it receives. The detector associated with the filter outside the band of CO2 absorption always records the maximum level of the source energy since the signal it receives is not affected by CO2. As the level of CO2 increases, more of the light energy is absorbed by the CO2 gas molecules in the airway and less signal reaches the detector. This signal, inverted by the detector is referred to as the CO2 Input signal. To acquire a precise level of CO2, both channels are sampled simultaneously and the level of CO2 in the sampling chamber is determined from the ratio of CO2 Input and Reference channels. The ratio is compared to a lookup table in memory to establish the correct value in units of mmHg (which can be converted to units of kPa or %). The functional circuits on the EtCO2 PCB include: Signal/control circuitry Power Converter Circuit Source Pulser Heater Circuits Pump circuitry Barometric pressure measurement
Reference Detector
Ref Signal
CO2 Detector
CO2 Signal
Functional circuits
Analog to digital conversion circuit. EtCO2 microcontroller circuit, Motorola MC68332 32-bit integrated microcontroller running at the clock rate of 15.9744 MHz from the crystal frequency of 31.2 kHz Time processing unit (TPU) channels Memory, Flash EEPROM; 128 kB; 80 ns, SRAM; 128 kB; 80 ns, Serial EEPROM.
1 - 28
EQUIPMENT OVERVIEW
REVISION E
1 - 29
EQUIPMENT OVERVIEW
1 - 30
REVISION E
MAINTENANCE
Maintenance Schedule ....................................................... 2-2 Manufacturer recommendation ................................... 2-2 Manufacturer responsibility ........................................ 2-2 Visual Inspection ............................................................... 2-3 Inspecting the monitor ................................................ 2-3 Cleaning The Monitor ........................................................ 2-4 Cleaning the display .................................................... 2-4 Cleaning the external surfaces .................................... 2-4 Manufacturer recommendation ................................... 2-4 Checkout Procedures ......................................................... 2-5 About the checkout procedures ................................... 2-5 Manufacturer recommended test equipment................ 2-5 Power-up self-test ....................................................... 2-6 ECG tests .................................................................... 2-7 12SL ECG tests ........................................................... 2-9 Respiration tests ....................................................... 2-10 Temperature tests ..................................................... 2-11 Cardiac output tests .................................................. 2-12 Invasive blood pressure tests ..................................... 2-13 Pulse oximetry tests .................................................. 2-15 Non-invasive blood pressure tests ............................. 2-17 End-tidal carbon dioxide tests ................................... 2-22 Defib synch tests ....................................................... 2-24 Battery tests ............................................................. 2-26 Speaker tests ............................................................ 2-27 Checkout procedure completion ................................ 2-27 Electrical Safety Tests ..................................................... 2-28 Current leakage tests ................................................ 2-28 Wall receptacle tests .................................................. 2-29 Surface continuity tests ............................................ 2-29 Ground wire to ground tests ...................................... 2-30 Chassis to ground tests ............................................. 2-31 Patient source tests ................................................... 2-32 Patient sink tests ...................................................... 2-34 Test completion ......................................................... 2-35 Hi-Pot (Dielectric Withstand) Tests ............................ 2-36
REVISION E
2-1
MAINTENANCE
MAINTENANCE SCHEDULE
MANUFACTURER
RECOMMENDATION
To make sure the monitor remains in proper operational and functional order, a good maintenance schedule must be adhered to. The manufacturer's recommendations in this regard is as follows: Inspection: Operators should perform this prior to admitting each patient to the monitor. Service personnel should perform this prior to servicing the monitor. General Cleaning: Operators should perform this prior to admitting each patient to the monitor. Service personnel should perform this after servicing the monitor. Checkout Procedures: These should be performed by qualified service personnel upon receipt of the equipment, one time per year thereafter, and each time the monitor is serviced. Leakage Current Tests: These should be performed by qualified service personnel upon receipt of the equipment, one time per year thereafter, and each time the monitor is serviced. Hi-Pot Tests: High-potential tests should be performed by qualified service personnel whenever a circuit board is removed, repaired or replaced in the monitor. These tests should also be performed if any component or assembly effecting patient isolation is removed, repaired or replaced in the monitor.
NOTE The Hi-Pot Tests provide a means of checking the patient isolation circuitry such that a patient receiving defibrillation, while attached or admitted to the monitor, will receive the full energy of each shock and that the monitor will not absorb the energy, when delivered.
MANUFACTURER RESPONSIBILITY
Failure on the part of all responsible individuals, hospitals or institutions, employing the use of this monitor, to implement the recommended maintenance schedule may cause equipment failure and potential operator and patient health hazards. The manufacturer does not in any manner, unless an Equipment Maintenance Agreement exists, assume the responsibility for performing the recommended maintenance schedule. The sole responsibility rests with all individuals, hospitals, or institutions utilizing the monitor.
2-2
REVISION E
MAINTENANCE
VISUAL INSPECTION
INSPECTING THE MONITOR
The monitor should be carefully inspected prior to each patient being admitted to the monitoring system. Follow these guidelines when inspecting the equipment:
TIN MAR E 0 15 C 50 G
0 20 80 S
mm
SICU
-BED
70
BP
DISC
HA
RG
ED ZE RO
A R 1 P A 2 C O
Hg
II
ZE
R NITO HT LIG reen) E MO HIGH sc to e of n). ob sid ER Kn ht scree OP m r rig m of Tri tto the els (fa r (bo TE ete ns TA r lab ns tio RO ete optio op param nu d. nu CT param LE me the playe me SE ed and dis to Relat ribing is ob Kn ns. e desc tion m . Tri optio e lin nu op nu ag me S themenu ss ted me in ES d me . ma PR an A hligh nu to els ar. me lab appe a hig us urn of ret vio y an will on pla t to y pre cti lec dis pla fun Se will dis IN nu t to MA lec NU p me ME Se E pu US OS a po VIO CL W m PRE NU DO fro . ME LP WIN HE ndow ting wi lec on Se ati inform AT ING TH
RO
BP
60 10 D
mm
Hg
Carefully inspect the monitor for obvious physical damage to the outer case, display screen and controls. Do not use the monitor if physical damage is determined. Refer damaged equipment to qualified service personnel for repair before using the monitor on a patient. Inspect all front and rear panel external connectors for damaged pins, prongs and connector housings. Refer damaged equipment to qualified service personnel for repair before using the monitor on a patient. Inspect all cables, insulation, strain-reliefs and connectors for damage, cracks or degradation. Refer damaged equipment to qualified service personnel for repair before using the monitor on a patient.
V
160
AR
0 60
32.4
42 30
PA
0
20
II
30 5
R R
RR
II
DISC
T: TIEN ED RG HA
WIN
XT NE W DO
H& AP GR MS AR AL
Y LA DISPONS TI OP
AP TO GR /S GO E NC LE M SI AR AL P
NB
P
!
AL ZE P P NB TO /S O2 GO SA RO
DE FIB
L
NC
TR
IM
KN
OB
. SY
BA
TT IL BP
FA NG
AC R PW RD T P/ CO BA TE Y
CH
RG
BP
Y LA SP FF DI /O ON
ATED ISOL
EC
REVISION E
2-3
MAINTENANCE
WARNING Do not spray glass cleaner or general cleaning solutions directly onto the display. Do not use hospital disinfectants, like Cidex, on the display. Filter lens characteristics The monitor display uses a circular-polarized filter with antireflective (AR) coating, which is the exposed external surface. This type of filter increases the display contrast while, at the same time, reducing glare from ambient light sources. Upon close inspection of this filter lens while the display is turned off, milky-white streaks may be noticed. Visible streaks do not indicate that the display needs to be cleaned. This phenomena is inherent of displays incorporating this technology. Clean the external surfaces of the monitor before each time a patient is admitted to the system. The exterior surfaces may be cleaned with a lint-free cloth dampened with one of these approved solutions: ammonia (diluted), Cidex, mild soap (dissolved), or sodium hypochlorite bleach (diluted).
CLEANING THE
EXTERNAL SURFACES
MANUFACTURER
RECOMMENDATION
The manufacturer recommends the following guidelines to avoid damaging the monitor: Dilute all cleaning solutions according to respective manufacturer recommendations. Use a clean, dry, lint-free cloth to wipe off excess cleaning solution after each application. Do not pour water or cleaning solutions directly onto the monitor. Do not allow fluids to run into crevices, connectors or cooling vents on the monitor. Never use these cleaning agents: abrasive cleaners or solvents of any kind, alcohol-based cleaning agents, wax containing a cleaning substance, acetone, or betadine.
CAUTION Follow these cleaning instructions exactly. Failure to follow the instructions may melt, distort, or dull the finish of the case, blur lettering on the labels, or cause equipment failures. EAGLE 4000 PATIENT MONITOR 407300-123
2-4
REVISION E
MAINTENANCE
CHECKOUT PROCEDURES
ABOUT THE CHECKOUT
PROCEDURES
This part of the section contains all of the checkout procedures for the monitor. The checkout procedures provide service personnel with a method of verifying operational and functional performance of the monitor without having to disassemble the unit. Failure to attain the prescribed results indicates a need for calibration or potential malfunction of the monitor. Perform the checkout procedures upon receipt of the monitor, every year thereafter, and each time a circuit board is removed or replaced. The checkout procedures are based on the assumption that the monitor being tested is used with known, good cables and test equipment. It also requires that the user be somewhat familiar with the operation of the monitor and all test equipment used for the checkout procedures. For more information concerning the operation of these components, refer to the respective operator manual.
MANUFACTURER RECOMMENDED
TEST EQUIPMENT
The following table lists the manufacturer's recommended test equipment, adaptors, and cables necessary to successfully complete the checkout procedures. The checkout procedures were written for the test equipment in the following table. If test equipment other than the manufacturer's recommendation is used, it may be necessary to slightly modify some test steps. Description Multifunction Microsimulator Multi-Link ECG cable, 5-Lead, AHA Multi-Link ECG cable, 12-Lead, AHA Multi-Link Leadwire Set, 5-Lead, AHA BP Adapter Temperature Adaptor TEMP-to-Simulator Cable Cardiac Output Simulator II CO Adaptor Mercury manometer SpO2 Simulator SpO2 Simulator Cable, Nellcor Capnostat (CO2) Sensor Cable Part Number MARQ1 412931-001 416035-001 414556-001 700095-001 402015-004 6770031 900028-001 700092-001 SenSym 1200 408610-001 700232-004 412340-001 Qty 1 1 1 1 1 2 1 1 1 1 1 1 1 1
REVISION E
2-5
MAINTENANCE
PWR BATT
AC RDY CHRGNG
BATT FAIL
PWR
AC
BATT
If the RDY indicator is on, continue with the tests. If the CHRGNG indicator is on, wait for the battery to fully charge and the RDY indicator to illuminate. If the FAIL indicator is on, replace the battery as described in the Battery Failure portion of Section 4: Troubleshooting.
2-6
REVISION E
MAINTENANCE
Attach the ECG patient cable and ECG leadwire set to the ECG/RESP connector on the monitor and the leadwire connectors on the top of the patient simulator.
Multi-Link ECG Cable Part Numbers: AHA IEC 5-Lead 412931-001 412931-002 12-Lead 416035-001 416035-002
AP TO GR /S GO E NC LE M SI AR AL P
NB
P
!
AL ZE P P NB TO /S O2
SA
L
NC
TR
IM
KN
OB
RO
DE FIB . SY
BA
TT IL BP
GO
FA NG
AC R PW RD T /C O BA TE Y
CH
RG
BP
Y LA SP FF DI /O ON
TED ISOLA
MP
EC
CO
AD LE INU NT ITY SY ST OL
C /V 1
0 2.
5 0. 0 1. 1 E 0. UD IT PL mV AM
L A
G
E C
TY RI S LA PO PO
R E S P IR A T IO N
CT LE SE
0 B 16 0 P M 12 80
B L O O D P R E
G NE
L L
50 12 0 75 TEM RABP
40 EC
S S
UT S O mm PO G NE 0 20 0 15 0 10 50 30 m H
AP NE A
1 A C VP 2 E VP S AV
0 E 25 LINE NC SE DA BA PE MS OH IM
400 PRBLOO ES D TE SE SU MP RIE 120 RE ER S /80 1 OU AT TP UR 700 UT E
T PU
10
Hg
AP
Multi-Link Leadwire Set: AHA Colors IEC Colors 5-Lead 414556-001 414556-003 V-Leads 415467-003 415467-004
1 0. 5 0.
OH MS
NE A 12 0 B 60 30 40 37
AV E
EC
PRBLOO ES D SU 30/ RE 10 2
0 2. I& II AD LE CT LE SE
15
M 30 W LO T. BA
E C T
T E M P R 0 E 4. 10 .6 98 .0 86 A T U R
O P IC
III ER W FF O PO N O
E
40 37
30 C ES F GRE DE
3. 4.
Admit the patient simulator to the monitor. Observe the following: ECG lead II is displayed and is noise-free, Heart rate of 80 1 BPM is displayed, With QRS tones enabled, an audible tone sounds with each R-Wave (QRS complex).
5.
Verify all seven ECG leads are available for viewing and are noise-free.
REVISION E
2-7
MAINTENANCE
Disable pacemaker pulse detection on the monitor and return the simulator to these conditions: Heart rate - 80 BPM, Heart rate amplitude - 1.0 mV, 5-Lead ECG patient cable properly attached.
Select ECG lead II for viewing in the top trace position on the monitor display. Disconnect the RA leadwire from the patient simulator. Observe following: a RA FAIL message appears on the display, and lead III automatically displays in place of lead II in the top trace position.
Reconnect the RA leadwire to the patient simulator. Inject a 1 mV calibration signal using the patient simulator and start a manual graph. Observe that the calibration pulse is properly displayed and graphed (see figure below).
16.
This completes the ECG tests. Continue to the next steps of these checkout procedures.
2-8
REVISION E
MAINTENANCE
Attach the ECG patient cable and ECG leadwire sets to the ECG/RESP connector on the monitor and the leadwire connectors on the top of the patient simulator. Admit the patient (simulator) to the monitor. From the Main Menu of the monitor, rotate the Trim Knob to highlight the ECG parameter box then press the Trim Knob to select it. Select 12 LEAD ECG ANALYSIS from the ECG parameter menu option items. Observe the 12 ECG traces are noise-free and properly displayed,
3. 4.
5. 6.
REVISION E
2-9
MAINTENANCE
4. 5.
Change the RESP waveform lead select of the monitor to lead I (RESP waveform derived from ECG lead I). Observe the following: RESP parameter window appears on the monitor with a reading of 30 2 (respirations per minute), RESP waveform appears distortion-free on the monitor.
6.
Disconnect the ECG patient cable from the ECG/RESP connector of the monitor. Proceed to the next steps in these checkout procedures.
2 - 10
REVISION E
MAINTENANCE
H AP P TO GR /S GO E NC LE M SI AR AL P
NB
AL ZE P P NB TO /S O2 GO SA RO
DE FIB
L
NC
TR
IM
KN
OB
. SY
BA
TT IL BP
FA NG
AC R PW RD T /C O BA TE Y
CH
RG
BP
Y LA SP FF DI /O ON
ATED ISOL
MP
EC
Temperature Adapter, PN402015-001 Patient Simulator, PNMARQ1 Temperature Simulator Cable, PN6770031
0 E E 25 LIN C E N S A A D B PE MS 5 0.
60 30
CO AD LE IN NT UI TY SY ST OL
C /V 1
0 2.
5 0. 0 1. 1 E 0. D TU LI P mV M A
L A
G
E C
Y IT R S LA O P PO
R E S P IR A T IO N
80
T C LE E S
B L O O
0 B 16 0 P M 12
G E N
L L
P R E
50 12 0 75
40 T P EC 1 A C VP 2 E VP VS A
S S
U S O mm PO EG N 0 20 0 15 0 10 50 m
AP NE A
R L
R E
IM 1 0.
OH MS
H G
OH
30 10
T U TP Hg
TE AM R BP
12
A PN EA 0 B 40 37 30 W A VE
0
EC
PRBLOO ES D SU 30/ RE 10 2
0 2. I& II D A LE
15
M W LO T. A B
E C T
T E M P E R A T U
0 4. 10 .6 98 .0 86
O P IC
III T C LE E S R E W FF O O P N O
R E
40 37
C S E E F GR E D
30
5. T2 temperature setup 6.
Verify a TEMP parameter window appears on the monitor display with a T1 reading of 37.0 0.4 C. Move the temperature simulator cable from the T1 connector of the temperature adaptor to the T2 connector of the temperature adaptor. Verify a T2 reading of 37.0 0.4 C in the TEMP parameter window on the monitor display. Remove the temperature adaptor and temperature simulator cable from the monitor and patient simulator.
REVISION E
2 - 11
MAINTENANCE
CO test setup
AP TO GR /S GO E NC LE M SI AR AL P
NB
P
!
AL ZE P P NB TO /S O2
SA
L
NC
TR
IM
KN
OB
RO
DE FIB . SY
BA
TT IL BP
GO
FA NG
AC R PW RD T /C O BA TE Y
CH
RG
BP
Y LA SP FF DI /O ON
ATED ISOL
MP
EC
Cardiac Output Cable Adapter, PN700092-001 Cardiac Output Simulator II, PN900028-001
C A R SIM D IA U C LA O TO U R TPU II T
C BA HA TT NG ER E Y IN JE C T 37 36 41 > 30 .1 .3 35 30 O D TE M P C 42 .7 LO 24 15 < 29 > 2 < IN JE C TA TE 0 TE M 8 P C 30 B .6
3.
Set the CO simulator to output blood temperature (BT) readings. Verify a CO parameter window appears on the monitor display with BT readings in the ranges as shown in the table below: Simulator BT Setting 30.3C 35.1C 36.0C 37.0C 41.7C Monitor BT Reading Range 30.1 30.5 34.9 35.3 35.8 36.2 36.8 37.2 41.5 41.9
4.
Set the CO simulator to output injectate temperature (IT) readings. Verify a CO parameter window appears on the monitor display with IT readings in the ranges as shown in the table below: Simulator IT Setting 0.0C 8.0C 15.0C 24.0C 29.6C Monitor IT Reading Range 0.3 +0.3 7.7 8.3 14.7 15.3 23.7 24.3 29.3 29.9
CO test completion
5.
Disconnect the CO cable adaptor from the TEMP/CO connector of the monitor. This completes the CO tests.
2 - 12
W A
SH O SE UT LE C C U T RV
REVISION E
MAINTENANCE
Connect the BP simulator cable from the BLOOD PRESSURE 1 - 120/80 connector of the patient simulator to the BP1 (left-most BP) connector of the monitor.
BP test setup
AL ZE P P NB TO /S O2
SA
L
NC
TR
IM
KN
OB
RO
DE FIB . SY
BA
TT IL BP
GO
FA NG
AC R PW RD T /C O BA TE Y
CH
RG
BP
Y LA SP FF DI /O ON
ATED ISOL
MP
EC
CO
AD LE IN NT UI TY SY ST OL
C /V 1
0 2.
5 0. 0 1. 1 E 0. D TU LI P mV M A
L A
G
E C
Y IT R S LA O P PO
R E S P IR A T IO N
T C LE E S
0 B 16 0 P M 12 80
B L O O D P R E
G E N
L L
50 12 0 75 TE AM R BP
40 T P EC 1 A C VP 2 E VP VS A
S S
U S O mm PO EG N 0 20 0 15 0 10 50 m 30 m H 10
AP NE A
R L
R E
0 E E 25 LIN C E N S A A D B PE MS OH IM
40 0 PRBLOO ES D TE SE SU MP RIE 120 RE ER S /80 1 OU AT TP UR 70 UT E 0
T U TP Hg
A PN W
1 0. 5 0.
OH MS
EA
VE
12 0 B 60 30 40 37
EC
PRBLOO ES D SU 30/ RE 10 2
0 2. I& II D A LE
15
M 30 W LO T. A B
E C T
T E M P R 0 E 4. 10 .6 98 .0 86 A T U
O P IC
III T C LE E S R E W FF O O P N O
R E
40 37
C S E E F GR E D
30
3.
Verify the AR1 parameter window, waveform label, corresponding graticules, and waveform appear on the monitor display, along with a BP waveform requiring zero reference. Press the ZERO ALL push-button on the front panel of the monitor to zero-reference the AR1 BP waveform. Change the patient simulator BP output to 200 mmHg. Observe a reading of 200/200 (200) 4 mmHg in the AR1 parameter window on the monitor display. Change the patient simulator BP output to WAVE (simulated BP waveform). Set the AR1 BP waveform gain on the monitor to auto. Observe a distortion-free AR1 BP waveform and a reading of approximately 120/80 (93) in the AR1 parameter window on the monitor display. Disconnect the BP simulator cable from the BP1 connector of the monitor. Continue to the next step for the BP2 test.
4. 5. 6.
7. 8. 9.
10.
REVISION E
2 - 13
MAINTENANCE
Connect the BP simulator cable to the BP2 (right-most BP) connector of the monitor. Verify a PA2 parameter window, waveform label and corresponding graticules appear on the monitor display, along with a PA2 BP waveform requiring zero reference. Press the ZERO ALL push-button on the front panel of the monitor to zero reference the PA2 BP waveform. Change the patient simulator BP output to 200 mmHg. Observe a reading of 200/200 (200) 4 mmHg in the PA2 parameter window on the monitor display. Change the patient simulator BP output to WAVE (simulated BP waveform). Set the PA2 BP waveform gain on the monitor to auto. Observe a distortion-free PA2 BP waveform and a reading of approximately 120/80 (93) in the PA2 parameter window on the monitor display. Remove the BP simulator cable from the BP2 connector of the monitor. This completes the BP tests.
20.
2 - 14
REVISION E
MAINTENANCE
H AP P TO GR /S GO E NC LE M SI AR AL P
NB
AL ZE P P NB TO /S O2 GO SA RO
DE FIB
L
NC
IM TR
OB KN
. SY
BA
TT IL BP
FA NG
AC R PW RD T /C O BA TE Y
CH
RG
BP
Y LA SP FF DI /O ON
ATED ISOL
MP
EC
3.
Set up the SpO2 simulator as follows: SpO2 - 99% (using the white NELLCOR values), PULSE RATE - 100 B/M (beats per minute), MODE - NELLCOR, Power switch - on.
4. 5.
Verify a SpO2 parameter window, waveform label and corresponding graticules appear on the monitor display. Verify the following appear on the monitor display: Sinusoidal SpO2 waveform, SPO2% parameter reading of 97-102 (%), PPR parameter reading of 97-103 (beats per minute).
6.
Verify accuracy of the SPO2% values (these are the white NELLCOR values shown on the SpO2 simulator) on the monitor display using the SpO2 simulator settings from the following table: SpO2 Simulator Setting 99% 85.5% 68.4% Displayed SPO2% Value 97 102 83 88 66 71
REVISION E
2 - 15
MAINTENANCE
Press the INTERFERENCE TEST button on the SpO2 simulator for 30 seconds. Verify the displayed SPO2% value remains 97-102%, or an interference detection message is displayed and XX is displayed in the SpO2 parameter window in place of an SPO2% value. Set the SpO2 simulator power switch to the off position. Disconnect the Nellcor-style SpO2 simulator cable from the monitor SpO2 connector. This completes the SpO2 tests.
10. 11.
2 - 16
REVISION E
MAINTENANCE
Follow these steps to setup for the non-invasive blood pressure (NBP) tests. 1. Attach the digital manometer, NBP cuff, pneumatic plumbing tees and tubing to the NBP connector on the monitor front panel (see figure below).
NBP tubing,
6-inch diameter PVC pipe (or 1-pound coffee can): Wrap the NBP cuff around this for tests.
H AP P TO GR /S GO CE EN RM SIL ALA BP
N
TR
IM
KN
OB
ZE P P NB TO O2 O/S
SA
RO
ALL
IB . SY NC
DEF
BA
TT IL BP
FA NG
AC R PW RD T P/ CO BA TE Y
CH
RG
BP
Y PLA FF /O DIS ON
ED ISO LAT
EC
3-way tee, pn 4745-101: Connects manometer tubing, NBP tubing and NBP cuff tubing.
Digital manometer, Sensym PDM200M: Note: A calibrated mercury manometer may be substituted.
Set the digital manometer power switch to the on position. Set the digital manometer range switch to 1000mmHg.
REVISION E
2 - 17
MAINTENANCE
2.
Rotate the Trim Knob control to highlight SERVICE MODE, and press the Trim Knob control to select it.
MAIN MENU PRINT CRG PLUS
WAVEFORMS ON/OFF DISPLAY: INDIVIDUAL COLOR: CLINICAL LEARN THE MONITOR PARAMETERS ON/OFF SOFTWARE REVISION GRAPH SETUP SOFTWARE COMPATIBILITY MONITOR DEFAULTS SERVICE MODE
3.
SERVICE MODE
A service menu password window will appear on the monitor display. A password is required to prevent nonservice personnel from accessing the service menus. The password is four numbers that represent the date that currently resides in a memory circuit within the monitor (please note that this may or may not be the correct date). In the password, the first two numbers, starting from the left, represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor. For example, the seventh day of the third month (March 7th) would be represented in the password as 0703 (ddmm). Note the date that is currently on the monitor display and follow these steps to enter the password; Rotate the Trim Knob control to highlight the password number that you would like to change. To change the highlighted number. Press the Trim Knob control. Rotate the Trim Knob control until the correct number is displayed in the selected field. To enter the number, press the Trim Knob control. Repeat these steps until all password numbers are correctly displayed. Once you have entered the correct password numbers, rotate the Trim Knob control to highlight SERVICE MODE in the enter password window. Press the Trim Knob control one more time to enter the password and access the service menus of the monitor.
2 - 18
REVISION E
MAINTENANCE
MAIN MENU
SOFTWARE LEVEL
MEMORY MONITOR
REVIEW ERRORS
CALIBRATE
MAIN MENU
PREVIOUS MENU
CALIBRATE NBP
CO2 SERVICE
5.
Rotate the Trim Knob control to highlight CHECK CAL OFF and press the Trim Knob control to select it.
MAIN MENU
PREVIOUS MENU
6.
Rotate the Trim Knob control to highlight START and press the Trim Knob control to select it.
MAIN MENU
PREVIOUS MENU
REVISION E
2 - 19
MAINTENANCE
ICU-BED5
ARTIFACT
PVC X
X
X X CUFF 250
150 50
E C G N B P
LEADS FAIL
200 80 S
mmHg
III
OPENS POPUP TO START/STOP A CALIBRATION CHECK
MAIN MENU
PREVIOUS MENU
8.
Rotate the Trim Knob control to highlight CHECK CAL IN PROGRESS and press the Trim Knob control to select it.
MAIN MENU
PREVIOUS MENU CAL ZERO OFF CAL GAIN OFF CHECK CAL IN PROGRESS
2 - 20
REVISION E
MAINTENANCE
ICU-BED5
ARTIFACT
PVC X
X
X X CUFF 236
150 50
E C G N B P
LEADS FAIL
200 80 S
mmHg
III
OPENS POPUP TO START/STOP A CALIBRATION CHECK
MAIN MENU
PREVIOUS MENU
10.
Remove the NBP test setup apparatus from the monitor. The NBP tests are complete.
REVISION E
2 - 21
MAINTENANCE
Follow these steps to test the end-tidal carbon dioxide (EtCO2) functions of the monitor. 1. Connect the Capnostat Sensor Cable, pn 412340-001, into the EtCO2 patient input connector on the front of the monitor (see below). The CO2 parameter window will appear on the monitor display.
ar
qu
et
te
H APOP T GR /S GO CE EN M AR SIL AL BP
N
ZE P P NB TO O2 O/S
SA
RO
AL
IB
L
NC
TR
IM
KN
OB
. SY
DEF
BA
TT IL BP
FA NG
AC PW R T P/ RD CO Y
CH
RG
BP
AY PL FF /O DIS ON
ED ISO LAT
BA TE
EC
Sensor Cable
Capnostat Sensor
NOTE When the Capnostat sensor cable is first connected to the monitor, there is warm-up period of approximately two minutes. The message WARMING UP is displayed in the CO2 parameter window. When the Capnostat sensor is finished warming up, the message CAL SENSOR TO ZERO CELL will appear in the CO2 parameter window.
Capnostat Sensor
The Capnostat sensor cable is equipped with two cells (see figure at left). The -0- cell is used to zero calibrate the sensor and the REF cell is used for verifying the accuracy of the Capnostat Sensor.
-0Cell
REF Cell
WARNING The Capnostat Sensor should not be used in the presence of strong electromagnetic fields such as radio station transmitters, citizens band radios, cellular phones, etc. 2. Place the sensor on the -0- cell.
2 - 22
REVISION E
MAINTENANCE
>
CAL SENSOR TO ZERO CELL
CAL SENSOR TO ZERO CELL Pop-up Menu 4. Select READY. The message CALIBRATING is displayed in the CO2 parameter window. When calibration is complete, the pop-up menu clears and an EXP value of 0 is displayed in place of the message. Remove the sensor from the -0- cell and place it on the REF cell. Observe an EXP value of 38 mmHg ( 2 mmHg) is displayed. If the value is not within this range, contact Monitoring Technical Support.
5. 6.
REVISION E
2 - 23
MAINTENANCE
DEFIB. SYNC.
3 2 x10 0.2S 1V
3 2 x10 5mS 1V
2 - 24
REVISION E
MAINTENANCE
Observe the negative spikes in the R-waves while the jumper is installed. The spikes are small, and they can be difficult to see at times.
4.
Remove the jumper wire installed in the previous step, from the DEFIB SYNC connector. This completes the defibrillator synchronization tests.
REVISION E
2 - 25
MAINTENANCE
2.
3.
Setup the patient simulator as follows: ECG heart rate - 80 BPM, ECG amplitude - 1.0 mV, 5-lead patient cable attached. ECG Lead II is displayed and is noise-free, Heart rate of 80 1 BPM is displayed, With QRS TONES enabled, an audible tone sounds with each R-Wave.
4.
5. Verify AC operation 6.
Verify all seven ECG leads are selectable for display on the monitor. Connect the power cord plug to the wall receptacle and turn the monitor rear panel power switch to the on (1) position. Verify the PWR-AC front panel indicator illuminates (see figures below). This indicates the monitor is operating from wall receptacle (AC) power. Verify the BATT-CHRGNG front panel indicator illuminates for a few minutes. This indicates the monitor battery is charging.
PWR BATT AC RDY CHRGNG BATT FAIL
7.
8.
9.
Verify the BATT-RDY front panel indicator illuminates after a few minutes. This indicates the monitor battery has fully charged.
PWR BATT AC RDY CHRGNG BATT FAIL
2 - 26
REVISION E
MAINTENANCE
CHECKOUT PROCEDURE
COMPLETION
Upon completing all tests described in these checkout procedures, disconnect the monitor from the test equipment in the following manner: 1. 2. 3. Set all test equipment power switches to the off position. Set the monitor rear panel power switch to the off (0) position. Remove all test equipment from the monitor.
REVISION E
2 - 27
MAINTENANCE
Manufacturer recommendation
WARNING Failure to perform leakage current tests may cause undue equipment failure and potential health hazards to patients connected to the monitor. The manufacturer does not in any manner, unless an Equipment Maintenance Agreement exists, assume the responsibility for performing the leakage current tests. The sole responsibility rests with the individual or institution using the equipment. Manufacturer service representatives may, at their discretion, use this procedure as a helpful guide during visits to the equipment site. Test conditions Test equipment Leakage current tests may be performed under normal ambient conditions of temperature, humidity, and pressure. The Manufacturer recommended test equipment required to perform leakage current tests is listed below. Equivalent equipment may be substituted as necessary. Name Digital Multimeter Leakage Tester - 115V/60Hz ECG test body Manufacturer Fluke MEI MEI Part Number 8060A MT-1216-01 MT-3387
2 - 28
REVISION E
MAINTENANCE
If other than normal polarity and ground is indicated, corrective action must be taken before proceeding to the following steps. The results of the following steps will be meaningless unless a properly wired wall receptacle is used.
The surface continuity test provides a method of checking the integrity of the monitor relative to proper internal and external electrical ground. This test determines whether the monitor has a power ground fault. 1. 2. Disconnect the monitor (unit under test) from any wall receptacle. Connect the negative lead of a digital multimeter (DMM) to the ground pin of the unit under tests power cord plug. The figure to the left shows the location of the ground pin on a 120 Vac power cord plug used in the United States. If your monitor uses a different voltage, or you live in a different country, your outlet will look different. Set the DMM to the milliohms (m) range. Connect the positive lead of the DMM to any exposed metal surface on the unit under test. Read the resistance displayed on the DMM. If the resistance is higher than 100 m, the unit under test fails this test and should be repaired and tested again.
Ground Pin
3. 4. 5.
REVISION E
2 - 29
MAINTENANCE
Selector knob - 1, GND switch - OPEN, Polarity switch - NORM, Power switch - OFF.
2. 3. 4. 5. 6.
Connect the DMM to the METER jacks on the leakage tester. Set the DMM to measure AC millivolts. Connect the power cord of the monitor to the power receptacle on the rear of the leakage tester. Set the leakage tester power switch to ON. Set the rear panel power switch of the monitor to ON. Read leakage current indicated on DMM. If the reading is greater than: 300 microamperes ( A, read as 0.3 volts on the DMM), and the monitor is operating at 120 V/60 Hz (U.S.); or 500 A (0.5 volts on the DMM), and the monitor is operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again. 7. 8. Set the polarity switch on the leakage tester to RVS (reverse). Read the leakage current indicated on the DMM. If the reading is greater than: 300 A, (0.3 volts on the DMM), and the monitor is operating at 120 V/60 Hz (U.S.); or 500 A (0.5 volts on the DMM), and the monitor is operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again. 9. Electrical diagram: ground wire to ground tests
POWER CORD
HIGH LOW GND RVS GND 0.15F 1K UNIT UNDER TEST
NORM
POWER CORD
V*
10
2 - 30
REVISION E
MAINTENANCE
Connect a meter lead between the CHAS connector on the rear of the leakage tester and an unpainted, non-anodized chassis ground on the unit under test. Set the leakage tester power switch to ON. Read the leakage current indicated on the DMM. If the reading is greater than: 300 A, (0.3 volts on the DMM), and the monitor is operating at 120 V/60 Hz (U.S.); or 500 A (0.5 volts on the DMM), and the monitor is operating at 220-240 V/50-60 Hz (non-U.S.);
Power 120 V
3. 4.
the unit under test fails this test and should be repaired and tested again. 5. 6. 7. Set the polarity switch to RVS and observe the same meter readings as in the previous step. Set the GND switch on the leakage tester to CLOSED. Read the leakage current indicated on the DMM. If the reading is greater than: 300 A, (0.3 volts on the DMM), and the monitor is operating at 120 V/60 Hz (U.S.); or 500 A (0.5 volts on the DMM), and the monitor is operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again. 8. 9. Electrical diagram: chassis to ground tests
POWER CORD
HIGH LOW GND RVS GND UNIT UNDER TEST
Set the polarity switch to RVS and observe the same meter readings as in the previous step. Set the leakage tester power switch to OFF and remove the meter lead connected in step 2.
Leakage Tester
NORM
POWER CORD
0.15F 1K
V*
10
REVISION E
2 - 31
MAINTENANCE
Selector knob - 3, GND switch - GND OPEN, Polarity switch - NORM, Power switch - OFF.
2. 3.
Connect an ECG test body to the ECG/RESP connector of the monitor. Connect a short length of cable between the ECG test body installed in the last step and the jacks on the top of the leakage tester. Set the leakage tester power switch to ON. Set the rear panel power switch of the monitor to ON. Read the leakage current indicated on the DMM. If the reading is greater than 10 A (10 mV on the DMM), the unit under test fails this test and should be repaired and tested again.
4. 5. 6.
7. 8.
Change the leakage tester polarity switch to the RVS position. Read the leakage current indicated on the DMM. 10 A, (0.01 volts on the DMM), and the monitor is operating at 120 V/60 Hz (U.S.); or 50 A (0.05 volts on the DMM), and the monitor is operating at 220-240 V/50-60 Hz (non-U.S.);
9.
Leakage Tester
NORM
POWER CORD
0.15F 1K
V*
10
2 - 32
REVISION E
MAINTENANCE
Change the leakage tester polarity switch to the RVS position. Read the leakage current indicated on the DMM. 10 A, (0.01 volts on the DMM), and the monitor is operating at 120 V/60 Hz (U.S.); or 50 A (0.05 volts on the DMM), and the monitor is operating at 220-240 V/50-60 Hz (non-U.S.);
13.
REVISION E
2 - 33
MAINTENANCE
Disconnect the test cable from the leakage tester PATIENT JACKS (TOP) and reconnect it to the PATN JACK connector on the front panel of the leakage tester.
WARNING The following step will cause high voltage (120 Vac to 240 Vac) to appear at the PATN JACK on the leakage tester. Do not touch the PATN JACK posts or ECG lead clips during this test as an electrical shock will occur. 3. 4. Set power switch on the leakage tester to ON. Read leakage current indicated on DMM. If the reading is greater than: 10 A, (0.01 volts on the DMM), and the monitor is operating at 120 V/60 Hz (U.S.); or 50 A (0.05 volts on the DMM), and the monitor is operating at 220-240 V/50-60 Hz (non-U.S.);
the unit under test fails this test and should be repaired and tested again.
Leakage Tester
NORM
POWER CORD
V*
10
2 - 34
REVISION E
MAINTENANCE
the unit under test fails this test and should be repaired and tested again. Patient sink tests completion 7. Set the power switch on the leakage tester to OFF.
TEST COMPLETION
Disconnect all test equipment from the monitor. Disconnect the monitor power cord plug from the leakage tester power receptacle. Disconnect the leakage tester from the wall receptacle.
REVISION E
2 - 35
MAINTENANCE
Manufacturer recommendation
WARNING Failure to perform hi-pot tests may cause undue equipment failure and possible health hazards. The manufacturer does not in any manner, unless an Equipment Maintenance Agreement exists, assume the responsibility for performing these recommended hi-pot tests. The sole responsibility rests with the individuals, hospitals or institutions utilizing this equipment. Manufacturer service representatives may, at their discretion, use this procedure as a helpful guide during visits to the equipment site. Test conditions Test equipment These tests may be performed under normal ambient conditions of temperature, humidity, and pressure. Equipment required to perform these tests is listed below. Equivalent equipment may be substituted as necessary. Name AC/DC Hi-Pot Generator ECG Test Body Manufacturer Hipotronics MEI Part Number AD125 MT-3387
Pretest preparation
Follow these steps in the same order in which they are listed. 1. Set up the AC/DC Hi-Pot Generator in the following manner: 2. Power switch - ON, VOLTAGE RANGE selector - MEDIUM (10 kVA), RAISE VOLTAGE selector - 0 volts, OUTPUT & CURRENT selector - 1 mA range, and Allow the tester to warm up for 15 minutes before continuing with this test.
Connect the ground pin on the power cord connector of the monitor to the ground of the AC/DC Hi-Pot Generator. EAGLE 4000 PATIENT MONITOR 407300-123
2 - 36
REVISION E
MAINTENANCE
CAUTION Never attempt to perform this test on any of the other front panel connectors of the monitor. Damage to the monitor may occur if this test is performed on any of the other front panel connectors. 1. Install the ECG test body in the ECG/RESP front panel connector of the monitor. Connect one end of a high voltage lead to the exposed lead of the test body. Connect the other end of the high voltage lead to the AC OUT connector of the AC/DC Hi-Pot Generator.
1 mA
2. 3.
4000 Vac
WARNING The following step will cause high voltage (4000 Vac) to appear at the test body. 4. Set the HIGH VOLTAGE switch to ON. The high voltage indicator should illuminate with this action.
NOTE During this test, watch the analog meter to ensure the current level never exceeds 1mA. If it does, the unit has failed the test and must be repaired then tested again. 5. 6. Slowly turn the RAISE VOLTAGE selector to 4000 volts. Wait for 60 seconds. If the breakdown warning lamp illuminates or the buzzer activates before the time expires, then the unit has failed the test and should be repaired then tested again. Slowly turn the RAISE VOLTAGE selector to 0 volts. Set the HIGH VOLTAGE switch to OFF. The high voltage indicator should turn off. If the unit under test fails, repairs must be made and the unit must be tested again. This completes the AC hi-pot test. Next, perform the dc hipot test.
REVISION E
2 - 37
MAINTENANCE
2 - 38
REVISION E
CALIBRATION
Adjustments / Jumpers / Switches ................................... 3-2 Hardware calibration ................................................... 3-2 Software calibration .................................................... 3-2 Processor PCB ................................................................... 3-3 About the procedure .................................................... 3-3 Test equipment ........................................................... 3-3 Calibration procedure ................................................. 3-3 Switch (SW1) settings - color display ........................... 3-4 Switch (SW1) settings - mono display .......................... 3-4 BP analog output null and gain calibration .................. 3-5 Low battery voltage threshold calibration .................... 3-6 Switch settings ............................................................ 3-7 Jumper setting ............................................................ 3-8 Acquisition PCB ................................................................ 3-9 About the procedure .................................................... 3-9 Test equipment ........................................................... 3-9 Calibration procedure ................................................. 3-9 Power Supply PCB ........................................................... 3-11 About the procedure .................................................. 3-11 Test equipment ......................................................... 3-11 Calibration procedure ............................................... 3-11 Non-invasive Blood Pressure ............................................ 3-14 About the procedure .................................................. 3-14 Manufacturer recommendation ................................. 3-14 Test equipment ......................................................... 3-14 Calibration procedure ............................................... 3-15 End-tidal CO2 .................................................................. 3-22 About the procedure .................................................. 3-22 Test equipment ......................................................... 3-22 Pretest setup ............................................................. 3-22 Calibration procedure ............................................... 3-23
REVISION E
3-1
CALIBRATION
Description Blood pressure analog output zero offset adjustment Blood pressure analog output gain adjustment Low battery voltage threshold adjustment Multipurpose, 8-station DIP switch Battery backup enable jumper Isolated +5-volt supply level adjustment +12-volt main adjustment +5-volt output adjustment Frequency adjustment
SOFTWARE CALIBRATION
Non-invasive blood pressure (NBP) is the only function requiring software calibration. The manufacturer recommends performing this calibrations upon receipt of the monitor initially, and once each year thereafter. The calibration should also be performed whenever the monitor is opened for service purposes. This will ensure the pneumatic circuit plumbing has not developed any air leaks as a result of disassembly.
3-2
REVISION E
CALIBRATION
PROCESSOR PCB
ABOUT THE PROCEDURE
The processor PCB has three potentiometers, a bank of DIP switches, and one jumper on it. Each monitor is calibrated before it is shipped. Replacement assemblies are calibrated before being shipped as well. Calibration of this PCB includes blood pressure analog output null/gain and low-battery threshold. These adjustments are only required if components on the board have been replaced. The following items are required to perform the adjustment: Variable DC power supply capable of generating 0.03.0 Vdc. Voltmeter accurate to 1.0 mV. Software update memory (PCMCIA) card. Because updating software is not actually required, any version software update memory card will work.
TEST EQUIPMENT
NOTE Software updates occur as necessary, either for improvement of existing software or for additional features for the monitor. Contact Technical Support for latest software information. It is recommended that the monitor have the latest revision of software installed for best overall performance. The following pages describe the adjustments as well as how to set jumpers and switches if the processor PCB is replaced in the monitor.
CALIBRATION PROCEDURE
It is only necessary to make adjustments after repair or replacement of the processor PCB. Assuming a replacement processor PCB is yet to be installed, follow these steps: 1. Disassemble and install the replacement processor PCB into the monitor. Connect all cables associated with the processor PCB and other assemblies of the monitor. Partially reassemble the monitor, leaving only the rear housing disassembled, allowing access to adjustments, switches, and the one jumper. Insert a software update memory card into the PCMCIA card slot located on the right side of the monitor. Connect a power cord to the rear panel power connector on the monitor, plug it into a working wall receptacle and toggle the rear panel main power switch to the on (1) position.
2.
3. 4.
REVISION E
3-3
CALIBRATION
NORMAL SWITCH SETTINGS: SWITCHES 1-4 & 6-8 OFF (OPEN) SWITCH 5 ON (CLOSED)
3-4
REVISION E
CALIBRATION
Use potentiometers R1 and R2 to adjust the BP analog output null (zero offset) and gain, respectively. 1. Start the monitor Boot Loader program: Press and hold the NBP GO/STOP and ZERO ALL front panel controls on the monitor, Press and release the Trim Knob front panel control on the monitor, Continue holding the NBP GO/STOP and ZERO ALL front panel controls until the EAGLE BOOT LOADER MENU appears on the monitor display.
2.
Connect a voltmeter to the Arterial BP pins of the DEFIB SYNC front panel connector (refer to the figure at left) on the monitor: Connect the positive test lead of the voltmeter to pin 6, Arterial BP, of the Defib Sync jack. Connect the negative test lead of the voltmeter to pin 5, Analog Ground, of the Defib Sync jack.
3.
Dedicated circuitry on the processor PCB writes a static blood pressure value to a DAC. That value is shown on the bottom of the monitor display in both hexadecimal and decimal form. Rotate the Trim Knob control until the hexadecimal value displayed is 0x800 (the decimal value will be 2048). Adjust potentiometer R1 until the voltmeter reads precisely 0.0 Vdc. Turning R1 clockwise increases the voltage reading on the meter and turning R1 counterclockwise decreases it. Rotate the Trim Knob control until the hexadecimal value shown at the bottom of the monitor display is 0xFFF (the decimal value will be 4095). Adjust potentiometer R2 until the voltmeter reads precisely 9.995 Vdc. Turning R2 clockwise increases the voltage reading on the meter and turning R1 counterclockwise decreases it.
4.
5.
6.
Each adjustment affects the other, therefore steps 8 through 11 must be repeated until accurate results are achieved. When finished with this process, press and release the Trim Knob control to exit the calibration mode.
REVISION E
3-5
CALIBRATION
A 3-volt lithium battery on the processor PCB provides backup power for memory circuits used for retaining data when the monitor is powered off. When the battery voltage diminishes to 2.1 volts, reliable memory data retention is jeopardized. The low battery voltage threshold adjustment controls the point at which the monitor posts a call service message on the display if, in fact, the battery reaches or falls below the 2.1-volt threshold level. Follow these steps to make this calibration: 1. Carefully remove jumper W1 to disable battery power from the memory circuits. Do not loose the jumper, it is quite small and can easily be misplaced. Turn potentiometer R6 fully clockwise. Power the monitor up using AC power from the wall receptacle. Place a jumper wire across connector J2, pin-5 and pin-7. This holds the processor PCB in a constant reset state. Follow these steps to apply 3.0 Vdc from an adjustable DC power supply to the processor PCB: Connect the positive test lead of the adjustable DC power supply to the pin on jumper W1 that is closest to connector J4. Connect the negative test lead of the adjustable DC power supply to a ground point on the processor PCB. Connector J2, pin-3 or pin-5 are probably the most convenient ground points for this.
Remove jumper W1
Adjust R6 fully cw Turn the monitor on and jumper J2, pins 5 & 7
2. 3.
4.
Turn on the adjustable DC power supply and set the output to 3.0 Vdc. NOTE If current draw from the adjustable DC power supply reads greater than 25.0 A, replacement of the processor PCB is required Verify U17, pin-10 is logic high Adjust the power supply down to 2.1 volts Adjust R6 ccw to set the trip point of the threshold 5. 6. Using an oscilloscope or a voltmeter, verify pin 10 on microprocessor support circuit U17 is a logic high. Slowly and evenly adjust the DC power supply down to exactly 2.1 volts. It is extremely important not to undershoot this 2.1-volt level. While continuously observing the logic level of pin 10 on microprocessor support circuit U17, slowly and evenly adjust potentiometer R6 counterclockwise to set the trip point of the threshold. When pin 10 of U17 toggles to a logic low, the threshold has been set. Check the calibration by varying the adjustable DC power supply from 3.0 volts down to 2.1 volts once again while observing the logic level of pin 10 on microprocessor support circuit U17. Pin 10 of U17 must switch from a logic high to a logic low state between 2.05 Vdc and 2.15 Vdc. Remove AC power from the monitor and replace jumper W1 to enable battery backup to the memory circuits. EAGLE 4000 PATIENT MONITOR 407300-123 REVISION E
7.
Check calibration
8.
Replace jumper W1
9.
3-6
CALIBRATION
Station 4: Station 5: Display Type Station 6: Probe Type Station 7: Defib Sync Pulse Width
REVISION E
3-7
CALIBRATION
2. 3. 4. 5.
3-8
REVISION E
CALIBRATION
ACQUISITION PCB
ABOUT THE PROCEDURE
The acquisition PCB requires calibration after a repair to ensure the accuracy of the isolated power supply voltages. The following procedure describes calibration for the acquisition PCB +5-volt isolated power supply voltage. Potentiometers for adjusting null (zero offset) and gain of analog-to-digital converter (ADC) U32 are also located on the acquisition PCB. The ADC calibration cannot be made in the field and, therefore, no procedure for this is included in this section. Calibration of the acquisition PCB in the field is required only after repair. Every acquisition PCB is calibrated by the manufacturer initially and after manufacturer repair. Replacement acquisition PCB's do not require calibration as a result.
TEST EQUIPMENT
A digital multimeter (DMM) accurate to 0.01-volt is required to successfully perform the calibration. To calibrate the +5-volt isolated power supply voltage, follow these steps: 1. Install the acquisition PCB into the monitor. Connect all of the cables, but do not install the RFI shield that covers the acquisition PCB.
CALIBRATION PROCEDURE
WARNING In the following step, line voltage appears at the power inlet module. Be very careful not to touch the power inlet module during the following steps. 2. Plug the monitor power cord into an AC power wall receptacle and turn the rear panel main power switch to the on (1) position. Connect a DMM across capacitor C33 and measure the +5volt isolated supply voltage. Adjust potentiometer R33 until the DMM reads +5.0 Vdc ( 0.01V). Turn the monitor rear panel main power switch to the off (0) position and unplug the power cord from the wall receptacle . Reassemble the monitor with the associated hardware. Perform the checkout procedures, leakage current tests, and hi-pot tests as described in the section of this manual titled Maintenance.
3. 4. 5.
6. 7.
REVISION E
3-9
CALIBRATION
3 - 10
REVISION E
CALIBRATION
TEST EQUIPMENT
The following test equipment is required to successfully complete the calibration: Oscilloscope (a digital voltmeter and frequency counter may be substituted) 5/5W load resistor
CALIBRATION PROCEDURE
To complete the power supply PCB calibration, follow these steps: 1. Disconnect all cables from the power supply PCB assembly.
CAUTION The following step is very important. If power is applied to the power supply PCB without first connecting a load resistor to the +5-volt output, damage to the circuit board may occur, and voltage readings may be incorrect. 2. 3. Connect a 5 / 5W load resistor across connector J4, pin-7 and pin-8. Connect cable harness plug P1 from the power transformer located in the rear housing (casting) of the monitor, to connector J2 on the power supply PCB. Verify the voltage selector on the power inlet module located on the rear panel on the monitor, is in the appropriate position for the AC power being applied to the monitor. Plug the power cord of the monitor into an AC power wall receptacle.
4.
5.
WARNING In the following step, line voltage appears at the power inlet module. Be very careful not to touch the power inlet module during the following steps. 6. Turn the monitor rear panel main power switch to the on (1) position.
REVISION E
3 - 11
CALIBRATION
3 - 12
REVISION E
CALIBRATION
8.
Adjust potentiometer R50 until the oscilloscope measures (or the frequency counter reads) 112 0.25 kHz. Connect the DMM (or oscilloscope) to the +5 Vdc output: Connect the positive test lead to connector J4, pin-8, Connect the negative test lead to connector J4, pin-6.
Adjust potentiometer R43 until the DMM reads (or the oscilloscope measures) +5 0.01 Vdc. Connect the DMM (or oscilloscope) to the +12 Vdc (12V_MN) output: Connect the positive test lead to connector J4, pin-4. Connect the negative test lead to connector J4, pin-6.
Adjust potentiometer R38 until the DMM reads (or the oscilloscope measures) 12 0.02 Vdc. Turn the monitor rear panel main power switch to the off (0) position and unplug the power cord from the wall receptacle. Power down all test equipment and disconnect all test leads from the power supply PCB. Disconnect the 5 5W load resistor from connector J4. Completely reassemble the monitor. Perform the checkout procedures and leakage current tests as described in the section of this manual titled Maintenance.
REVISION E
3 - 13
CALIBRATION
This procedure provides a method of verifying these items are accurate and also checks the NBP pneumatic circuit plumbing for leaks.
MANUFACTURER
RECOMMENDATION
The manufacturer recommends performing this procedure upon initially receiving the monitor, before it is used on a patient, and once each year thereafter. Also, perform the procedure each time the monitor is opened for service or repair, simply to verify the NBP pneumatic circuit plumbing did not develop inadvertent air leaks. The following items are required to successfully complete the NBP calibration procedure: Manometer (Sensym PDM200M or mercury manometer), NBP tube, pn. 9461-203, NBP cuff, pn. 9461-301 (any size will work), Something to wrap the NBP cuff around (PVC pipe or coffee can), The table below lists items for connecting the NBP tube between the manometer and NBP cuff: Part Number 400787-001 46100-002 4745-101 401582-001 Qty 1 1 1 2
TEST EQUIPMENT
Description NBP cuff coupling NBP hose coupling NBP tee NBP tubing
WARNING When the NBP cuff is used in this procedure, it must be tightly wrapped around a rigid cylinder or pipe. Do not put the NBP cuff around a human arm during the calibration procedures due to the potential for injury.
3 - 14
REVISION E
CALIBRATION
3.
Use the Trim Knob control to scroll to MONITOR SETUP in the monitor main menu and press the Trim Knob control to select it.
ALARM CONTROL
VIEW OTHER PATIENTS
PATIENT DATA MONITOR SETUP PATIENT: DISCHARGED
4.
Use the Trim Knob control to scroll to SERVICE MODE in the monitor setup menu and press the Trim Knob control to select it.
MAIN MENU PRINT CRG PLUS
WAVEFORMS ON/OFF DISPLAY: INDIVIDUAL COLOR: CLINICAL LEARN THE MONITOR PARAMETERS ON/OFF SOFTWARE REVISION GRAPH SETUP SOFTWARE COMPATIBILITY MONITOR DEFAULTS SERVICE MODE
5.
SERVICE MODE
A service menu password window will appear on the monitor display, as shown in the figure at the left. A password is required to prevent non-service personnel from accessing the service menus. The password is four numbers that represent the date that currently resides in a memory circuit within the monitor (please note that this may or may not be the correct date). In the password, the first two numbers, starting from the left, represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor. For example, the seventh day of the third month (March 7th) would be represented in the password as 0703 (ddmm). Note the date that is currently on the monitor display and follow these steps to enter the password; Rotate the Trim Knob control to highlight the password number that you would like to change. To change the highlighted number, press the Trim Knob control. Rotate the Trim Knob control until the correct number is displayed in the selected field. To enter the number, press the Trim Knob control. Repeat these steps until all password numbers are correctly displayed. Once you have entered the correct password numbers, rotate the Trim Knob control to highlight SERVICE MODE in the enter password window. Press the Trim Knob control one more time to enter the password and access the service menus of the monitor. 3 - 15
REVISION E
CALIBRATION
MAIN MENU
SOFTWARE LEVEL
CALIBRATE
MAIN MENU
PREVIOUS MENU
CALIBRATE NBP
7.
Rotate the Trim Knob control to highlight CAL ZERO OFF, and then press the Trim Knob control to select it.
MAIN MENU
PREVIOUS MENU
8.
Rotate the Trim Knob control to highlight START, and then press the Trim Knob control to select it. The CAL ZERO menu item will show that its IN PROGRESS, and when its done it will show that its OFF again.
MAIN MENU
PREVIOUS MENU
MAIN MENU
PREVIOUS MENU
MAIN MENU
PREVIOUS MENU
3 - 16
REVISION E
CALIBRATION
NBP tubing,
6-inch diameter PVC pipe (or 1-pound coffee can): Wrap the NBP cuff around this for tests.
TR
IM
KN
OB
Z P P NB TO O2 O/S
SA
O ER
ALL
IB . SY NC
DEF
BAT FA NG
IL BP
AC R PW R P/ BAT TE M DY
CH
RG
BP
Y PLA FF /O DIS ON
ED ISO LAT
CO
EC
3-way tee, pn 4745-101: Connects manometer tubing, NBP tubing and NBP cuff tubing.
Digital manometer, Sensym PDM200M: Note: A calibrated mercury manometer may be substituted.
Set up the manometer 10.
Turn the manometer on and adjust the range switch to the 1000mmHg setting.
REVISION E
3 - 17
CALIBRATION
12.
Rotate the Trim Knob control to highlight CAL GAIN OFF, and then press the Trim Knob control to select it.
MAIN MENU
PREVIOUS MENU
13.
Rotate the Trim Knob control to highlight START, and then press the Trim Knob control to select it. The second line of text on the CAL GAIN menu item changes from HOLDING to INFLATING. Then, the monitor starts pumping up the pressure bulb or cuffthe audible whirring sound of the NBP pump motors will occur and an increase in displayed pressures on both the monitor and the manometer will be observed.
MAIN MENU
PREVIOUS MENU
MAIN MENU
PREVIOUS MENU
MAIN MENU
PREVIOUS MENU
3 - 18
REVISION E
CALIBRATION
MAIN MENU
PREVIOUS MENU
MAIN MENU
PREVIOUS MENU
15.
Rotate the Trim Knob control to highlight ENTER CAL PRESSURE and press the Trim Knob control to select it.
MAIN MENU
PREVIOUS MENU
16.
An ENTER CAL PRESSURE pop-up window will appear. Use the Trim Knob control to select a pressure value that is 1 mmHg lower than the current manometer reading.
MAIN MENU
PREVIOUS MENU
247
17.
When the manometer falls to exactly the value that you selected in the pop-up window, press the Trim Knob control to enter the value.
REVISION E
3 - 19
CALIBRATION
19.
Rotate the Trim Knob control to highlight START and press the Trim Knob control to select it.
MAIN MENU
PREVIOUS MENU
20.
The text on the menu item will change from CHECK CAL OFF to CHECK CAL IN PROGRESS. Verify the pressure readings (shown as CUFF in the NBP parameter box) on the monitor and manometer are equal ( 1 mmHg) for at least one full minute.
ICU-BED5
ARTIFACT
PVC X
X
X X CUFF 250
150 50
E C G N B P
LEADS FAIL
200 80 S
mmHg
III
OPENS POPUP TO START/STOP A CALIBRATION CHECK
MAIN MENU
PREVIOUS MENU
3 - 20
REVISION E
CALIBRATION
22.
Rotate the Trim Knob control to highlight STOP and press the Trim Knob control to select it. The monitor automatically releases pneumatic pressure in the entire plumbing circuit.
ICU-BED5
ARTIFACT
PVC X
X
X X CUFF 236
150 50
E C G N B P
LEADS FAIL
200 80 S
mmHg
III
OPENS POPUP TO START/STOP A CALIBRATION CHECK
MAIN MENU
PREVIOUS MENU
23.
Turn the monitor rear panel main power switch to the off (0) position, turn the manometer off and remove the test apparatus from the monitor.
REVISION E
3 - 21
CALIBRATION
END-TIDAL CO2
ABOUT THE PROCEDURE
The overall accuracy of end-tidal CO2 (EtCO2) readings by the monitor depend on the following: the barometric pressure calibration, and the null and gain of the CO2 sensor in the monitor.
TEST EQUIPMENT
The following items are required to successfully complete the EtCO2 calibration procedure: Mercury manometer (SenSym PDM200M or laboratory grade mercury manometer), Two 12-inch lengths of silicone tubing (1/8 ID x 1/4 OD), Tubing tee fitting (3-way, 1/8), and 10 cc syringe (any size will work).
PRETEST SETUP
The following steps describe the test setup for calibrating the end-tidal CO2 functions of the monitor. 1. 2. 3. Remove the 4 screws on the back of the monitor. Remove the front and rear housings from the monitor. Unsnap the processor PCB to gain access to the EtCO2 calibration tube located in the recess behind the processor PCB. Connect the 3-way tee fitting to the EtCO2 calibration tube affixed to the mounting frame. Connect one length of silicone tubing between one of the unused tee fittings and the mercury manometer. Connect the other length of silicone tubing between the remaining unused tee fitting and the 10 cc syringe.
4. 5. 6.
3 - 22
REVISION E
CALIBRATION
2.
3.
Use the Trim Knob control to scroll to MONITOR SETUP in the monitor main menu and press the Trim Knob control to select it.
ALARM CONTROL
VIEW OTHER PATIENTS
PATIENT DATA MONITOR SETUP PATIENT: DISCHARGED
4.
Use the Trim Knob control to scroll to SERVICE MODE in the monitor setup menu and press the Trim Knob control to select it.
MAIN MENU PRINT CRG PLUS
WAVEFORMS ON/OFF DISPLAY: INDIVIDUAL COLOR: CLINICAL LEARN THE MONITOR PARAMETERS ON/OFF SOFTWARE REVISION GRAPH SETUP SOFTWARE COMPATIBILITY MONITOR DEFAULTS SERVICE MODE
5.
SERVICE MODE
A service menu password window will appear on the monitor display, as shown in the figure at the left. A password is required to prevent non-service personnel from accessing the service menus. The password is four numbers that represent the date that currently resides in a memory circuit within the monitor (please note that this may or may not be the correct date). In the password, the first two numbers, starting from the left, represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor. For example, the seventh day of the third month (March 7th) would be represented in the password as 0703 (ddmm). Note the date that is currently on the monitor display and follow these steps to enter the password; Rotate the Trim Knob control to highlight the password number that you would like to change. To change the highlighted number, press the Trim Knob control. Rotate the Trim Knob control until the correct number is displayed in the selected field. To enter the number, press the Trim Knob control. Repeat these steps until all password numbers are correctly displayed. Once you have entered the correct password numbers, rotate the Trim Knob control to highlight SERVICE MODE in the enter password window. Press the Trim Knob control one more time to enter the password and access the service menus of the monitor. EAGLE 4000 PATIENT MONITOR 407300-123 3 - 23
REVISION E
CALIBRATION
CALIBRATE
CALIBRATE NBP
CO2 SERVICE
7.
Rotate the Trim Knob control to highlight CALIBRATE BARO PRESS, and press the Trim Knob control to select it.
MAIN MENU PREVIOUS MENU CALIBRATE BARO PRESS CO2 SERVICE
8. 9.
Use the 10 cc syringe to create a 35 1 mmHg reading on the manometer. Rotate the Trim Knob control to highlight ENTER HIGH BARO PRESS, and press the Trim Knob control to select it. The ENTER HIGH BARO PRESS pop-up window will appear on the display.
CONFIRM CALIBRATION
MAIN MENU
PREVIOUS MENU
700
3 - 24
REVISION E
CALIBRATION
NOTE 785 mmHg is the maximum barometric pressure value which can be entered into the monitor. Low barometric pressure calibration 10. 11. Use the 10 cc syringe to create a -100 1 mmHg reading on the manometer. Rotate the Trim Knob control to highlight ENTER LOW BARO PRESS, and press the Trim Knob control to select it. The ENTER LOW BARO PRESS pop-up window will appear on the display.
CONFIRM CALIBRATION
MAIN MENU
PREVIOUS MENU
600
12.
Take the current atmospheric barometer reading (local weather service can provide this data if a laboratory grade barometer is not available) and subtract 100 mmHg. Rotate the Trim Knob control until the correct number (mmHg) is displayed and press the Trim Knob control to enter the value into the monitor.
NOTE 530 mmHg is the minimum barometric pressure value which can be entered into the monitor.
CAUTION The high and low barometric pressures must have a 100 mmHg differential minimum for calibration to be successfully confirmed.
REVISION E
3 - 25
CALIBRATION
CONFIRM CALIBRATION
CONFIRM CALIBRATION
14.
Rotate the Trim Knob control to move the cursor so it points at CONFIRM in the pop-up window, and press the Trim Knob control to confirm the calibration.
MAIN MENU PREVIOUS MENU ENTER LOW BARO PRESS ENTER HIGH BARO PRESS CONFIRM CALIBRATION
15.
Rotate the Trim Knob control to highlight PREVIOUS MENU, and press the Trim Knob to move to the CO2 SERVICE menu. Remove the 10 cc syringe from the test setup. Rotate the Trim Knob control to highlight CO2 SERVICE, and press the Trim Knob to select it.
MAIN MENU PREVIOUS MENU CALIBRATE BARO PRESS CO2 SERVICE
16. 17.
18.
Verify the displayed barometric pressure listed in the popup window on the monitor is the same as the current atmospheric barometric pressure reading 5 mmHg.
3 - 26
REVISION E
CALIBRATION
21.
22. 23.
REVISION E
3 - 27
CALIBRATION
3 - 28
REVISION E
CONFIGURATION
Monitor Configurations ..................................................... 4-2 Setup for use .............................................................. 4-2 Stand-alone ................................................................ 4-2 Network interface ........................................................ 4-2 Installing Software ............................................................ 4-3 Methods for downloading software ............................... 4-3 Intended use ............................................................... 4-4 Available software ....................................................... 4-4 Summarized download procedures .............................. 4-5 Summarized download procedures (Cont) .................... 4-6 Load Software For Update .................................................. 4-7 Use the Correct Loading Procedure .............................. 4-7 Load software onto a central station ............................ 4-7 Download from a central station to the monitor ......... 4-10 Use the Correct Loading Procedure ............................ 4-11 Download from memory card to the monitor .............. 4-11 Load the Version 6 Conversion Tool ................................. 4-12 Download the version 6 conversion tool ..................... 4-12 Download the boot code software .............................. 4-13 Download the Software Components ................................ 4-15 Download monitor software components ................... 4-15 Completing the procedure ......................................... 4-18 Update Software From Diskettes Using A PC .................... 4-20 About the procedure .................................................. 4-20 Connect the PC to the monitor .................................. 4-20 Update program start-up ........................................... 4-21 Download from the PC to the monitor ........................ 4-22 Download files to the monitor .................................... 4-23 Completing the procedure ......................................... 4-25 Set French or German Defaults ........................................ 4-27 Defaults for French or German monitors ................... 4-27 Enable (Version 6) Software Features ............................... 1-29 Procedure .................................................................. 1-29 Completion ............................................................... 1-31 Setup For Use .................................................................. 4-32 About setup .............................................................. 4-32 Procedure summary .................................................. 4-32 Display features ........................................................ 4-33 Software revision menu ............................................. 4-34 Enter into the service mode menu ............................. 4-35 Unit name ................................................................. 4-36 Bed number .............................................................. 4-38 Graph locations ......................................................... 4-40 Time and date setup ................................................. 4-43 EAGLE 4000 PATIENT MONITOR 407300-123
REVISION E
4-1
CONFIGURATION
MONITOR CONFIGURATIONS
SETUP FOR USE
The last part of this section is devoted to setup or configuration of the monitor. Also refer to the Marquette Unity Network User's Manual (pn 403799-023), for information relative to setup or configuration of other patient monitoring system components. The monitor is fully functional with respect to patient monitoring capabilities when operating without connection to a network or any other devices for that matter. Refer to the Eagle 4000 Monitor Operator's Manual, pn 407300145 (version 5 software), for more information regarding all patient monitoring functions of the monitor.
STAND-ALONE
NETWORK INTERFACE
The monitor can be connected to many peripheral devices, other patient monitoring devices, diagnostic devices, as well as other hospital-wide network systems by direct connection to The Marquette Unity Network.
4-2
REVISION E
CONFIGURATION
INSTALLING SOFTWARE
METHODS FOR DOWNLOADING
SOFTWARE
This part of the section describes three procedures for downloading software to the monitor flash memory circuits. Following is a brief description of each procedure: Update from Network One procedure is for downloading software to the monitor from a Centralscope Central Station in networked patient monitoring system configurations. Using floppy disks, software is loaded to a central station hard disk drive. The central station then acts as a file server for downloading software over the network to each monitor. This procedure is only for monitors networked with a Centralscope Central Station; Update from Memory Cards This procedure is for downloading software to the monitor from a memory card plugged directly into the PCMCIA card slot on the side of the monitor. This is for monitors that operate in one of the following patient monitoring system configurations: Stand-alone monitors not connected to a networked patient monitoring system, or Monitors connected to a networked patient monitoring system without Centralscope Central Station monitors. In either case, a memory card is plugged into the PCMCIA memory card slot and software is download directly to permanent memory circuits in the monitor;
Update from Diskette In this procedure the monitor is connected directly to a personal computer (PC) or PC laptop. This is for monitors that operate in one of the following patient monitoring system configurations: Stand-alone monitors not connected to a networked patient monitoring system, or Monitors connected to a networked patient monitoring system without Centralscope Central Station monitors.
NOTE The monitor being updated must already be running software version 6a or later in order to update from diskettes. Refer to the Update from Diskette section later in these instructions. In either case, the Update Program is run off the update disketes and the software is downloaded to the monitor via serial communication.
REVISION E
4-3
CONFIGURATION
INTENDED USE
AVAILABLE SOFTWARE
Disk 2
So
Disk 1
ftw
ar
Memory cards are available from the manufacturer to download software to the monitor if: the monitor is stand-alone, or a Centralscope central station is not connected or available to the monitor in a networked patient monitoring system configuration, or a PC or PC laptop is not connected or available to the monitor via serial communication.
4-4
REVISION E
CONFIGURATION
The following summary is for service personnel already experienced in downloading software to the monitor.
NOTE The serial download option using a PC is only available for updating monitors already running software version 6a or later. Refer to the section Update Software from Diskette later in these instructions for more information on the serial download process. 1. Disconnect any DDW cables or remote controls from the monitor. If using the memory card to download software to the monitor, disconnect the attachment unit interface (AUI) cable from the ETHERNET rear panel connector on the monitor. Verify that the monitor has AC power. If using a central station monitor to download software to the monitor, load the software from the diskettes onto a central station first. If using a memory card to download software to the monitor, insert it into the PCMCIA card slot on the right side of the monitor. Start the monitor boot loader. Select the appropriate option (the care unit name of the central station, Memory Card, or localHost) from the file server selection menu. If you are updating from software version 5c or earlier, a conversion procedure must be done before updating the software: Select /update.net/eagle from the mount pt selection menu. Select tool.scr from the script name selection menu. Select YES when prompted LOAD THESE tool.scr PARTS?. When the conversion process is complete, the screen will return to the file server selection menu. Continue with step 6.
2. 3.
4.
5.
6.
If you have already loaded the conversion tool, continue by loading the boot code (boot.scr) from the script name selection menu. If you are updating a monitor already running software version 6a or later, you do not need to load the boot code. Continue with step 7. Load the acquisition processor code (das.scr) from the script selection menu. If the monitor being updated is equipped with option CO2, load the CO2 main code (co2main.scr) from the script selection menu. Load the main code (main.scr) from the script selection menu.
7. 8.
9.
REVISION E
4-5
CONFIGURATION
11.
12. 13.
4-6
REVISION E
CONFIGURATION
Disk 1
Disk 2
4.
5.
6.
7.
REVISION E
4-7
CONFIGURATION
NOTE A message is displayed in the upper left corner of the central station display: LOADING DISK EAGLE E4_6X #2 OF 3... . Diskette #2 will take approximately 510 minutes to download. Load software from disk #3 onto a central station 10. When diskette #2 is finished loading, the central station will automatically eject the disk and display the message: INSERT DISK EAGLE E4_6X #3 OF 3... . Insert Disk #3 into the floppy disk drive on the front panel of the central station monitor.
NOTE A message is displayed in the upper left corner of the central station display: LOADING DISK EAGLE E4_6X #3 OF 3... . Diskette #3 will take approximately 510 minutes to download. When downloading of diskette #3 is complete, the central station floppy disk drive will automatically eject the diskette and display the message: LOAD FROM FLOPPY COMPLETE.
4-8
REVISION E
CONFIGURATION
CAUTION Central station monitoring functions will be disrupted for approximately 90 seconds while the device reboots. If it is possible to reboot the central station without interrupting patient monitoring, by moving monitored patients to another central station for instance, do that before proceeding. If a monitor has never downloaded software from a central station via the network before, and the central station is busy monitoring patients, follow these steps: Rotate the Trim Knob control until SERVICE MONITOR from the service menu is highlighted and press the Trim Knob control to make the selection. The right side of the central station display will turn into an area for command entry with a prompt at the bottom of that part of the display screen; it appears very similar to a DOS-prompt on a PC display screen. Type: ps eaglefs (note the space between the command parts; this command is upper/lower case sensitive) and press the Enter key on the keyboard to enter the command into the central station. The central station responds in one of two ways: If the central station is not running eaglefs, it responds with an invalid process id or name message. If this is the case, start eaglefs to teach the central station how to download software to the monitor. If the central station lists eaglefs as a running process, you can just press the MAIN MENU key on the front panel to exit the service mode and proceed to step 12.
a.
b.
REVISION E
4-9
CONFIGURATION
When the diskettes have finished loading onto the central station, complete the remaining steps. 12. 13. 14. 15. If a memory card is installed in the monitor, remove it. If there are any remote controls or DDWs connected to the monitor, disconnect them. Apply AC power to the monitor. Turn the rear panel power switch to the on (1) position and make sure that the PWR AC indicator on the front panel lights up. To start the monitor Boot Loader program: Hold down the NBP GO/STOP and ZERO ALL front panel controls on the monitor, Press and release the Trim Knob control. Continue to hold the NBP GO/STOP and ZERO ALL front panel controls until the Eagle Boot Loader menu appears on the monitor display.
16.
ma
rq
ue
tte
B KNO TRIM
O ZER
ALL
. SYNC
DEFIB
SAO
TEMP
ECG
17.
Observe the monitor display. In less than ten seconds a FILE SERVER SELECTION menu appears on the display. At the FILE SERVER SELECTION menu: Find the care unit name of the appropriate central station (the one that has the monitor software on its internal hard disk drive) in the file server selection menu, NOTE If the care unit name of the central station you are using doesnt appear in the file server selection menu, use the Search for fileserver option to look for the appropriate care unit name again. Rotate the Trim Knob control until the correct number of the appropriate central station is displayed in the file server selection menu, and Press and release the Trim Knob control to make the selection.
A network communication path between the monitor and the central station is established. The central station is acting as a file server for downloading software from its hard disk drive to the monitor via the established network communication path. 18. Continue the update process by following the Load the version 6 conversion tool procedure described on page 11.
4 - 10
REVISION E
CONFIGURATION
2.
3. 4.
ma
rq
ue
tte
B KNO TRIM
O ZER
ALL
. SYNC
DEFIB
SAO
TEMP
ECG
5.
6.
Insert the first memory card into the PCMCIA card slot on the right side of the monitor. The side of the memory card with the purple stripe and the word Flash should face the rear of the monitor and Marquettes label should face the front of the monitor. Insert the edge of the memory card with the connector interface into the PCMCIA card slot first. Observe the monitor display. In less than ten seconds a FILE SERVER SELECTION menu appears on the display. If the FILE SERVER SELECTION menu does not appear after 10 seconds, use the Search for Fileserver option to look for it again. At the FILE SERVER SELECTION menu: Find the localHost or Memory Card option in the file server selection menu, Rotate the Trim Knob control until the number corresponding to the localHost or Memory Card menu item is displayed, and Press and release the Trim Knob control to make the selection.
7.
8.
Continue the update process by following the Load the version 6 conversion tool procedure described on the next page.
REVISION E
4 - 11
CONFIGURATION
Monitors running software version 5C or earlier must have a special software conversion tool loaded in order to update the software to version 6a or later. The procedure below describes how to load this conversion tool.
NOTE If the monitor being updated is already running software version 6a or later, you do not need to load the conversion tool. Proceed to the Download the Software Components section on page 14. Load update.net/eagle 1. When the MOUNT PT SELECTION menu appears on the monitor display: Find the /update.net/eagle option in the mount pt selection menu, Rotate the Trim Knob control until the number corresponding to the /update.net/eagle menu item is displayed, and Press and release the Trim Knob control to make the selection.
Load tool.scr 2.
When the SCRIPT NAME SELECTION menu appears on the monitor display: Find the tool.scr option in the script name selection menu, Rotate the Trim Knob control until the number corresponding to the tool.scr menu item is displayed, and Press and release the Trim Knob control to make the selection.
The monitor then displays the part number, version, and date of the conversion tool about to be installed. A prompt appears on the monitor display requiring verification of the software about to be installed. This prompt allows the user to either continue with the download or abort. Rotate the Trim Knob control until YES appears, and press and release the Trim Knob control to make the selection.
4 - 12
REVISION E
CONFIGURATION
CAUTION Do not reboot or power down the monitor unless the download is successfully completed, or the monitor shows no indication of download activity for over 5 full minutes.
Once the conversion tool (tool.scr) has been loaded, download the monitor boot code (boot.scr) using the following procedure. Do NOT reboot the monitor in between the two procedures. 1. At the FILE SERVER SELECTION menu, choose one of the following: If you are downloading the software from a Centralscope central station, find the care unit name of the appropriate central station (the one that has the monitor software on its internal hard disk drive) in the file server selection menu. Rotate the Trim Knob control until the number of the appropriate central station is displayed in the file server selection menu, then press and release the Trim Knob control to make the selection.
NOTE If the care unit name of the central station you are using doesnt appear in the file server selection menu, use the Search for fileserver option to look for the appropriate care unit name again. Occasionally, the monitor must search the network more than once before it finds all the care units on the network. If you are downloading the software from memory cards, find the Memory Card option in the file server selection menu. Rotate the Trim Knob control until the number corresponding to the Memory Card menu item is displayed, then press and release the Trim Knob control to make the selection.
REVISION E
4 - 13
CONFIGURATION
The monitor then displays the part number, version, and date of the boot code about to be installed. A prompt appears on the monitor display requiring verification of the software about to be installed. This prompt allows the user to either continue with the download or abort. Rotate the Trim Knob control until YES appears, and press and release the Trim Knob control to make the selection. Various messages appear on the monitor display. These messages indicate how the download is going. Be patient during this part of the procedure it can take a couple of minutes.
4.
CAUTION Do not reboot or power down the monitor unless the download is successfully completed, or the monitor shows no indication of download activity for over 5 full minutes. Continue downloading the other software update components 5. When the conversion tool and the boot code have been successfully loaded, proceed to the Download the Software Components section for instructions on how to download the other software components needed for this update.
4 - 14
REVISION E
CONFIGURATION
The monitor requires certain software to make it operational as a fully capable patient monitor. The procedure below describes how to load this software. There are four different software components that may need to be updated. The components must be downloaded in the following order: Boot code (boot.scr)
NOTE If the conversion tool for updates from pre-version 6 software has been downloaded, it is not necessary to download the boot code. Begin the software component download with the acquisition processor code. Acquisition processor code (das.scr) CO2 main code (co2main.scr)
NOTE CO2 is an optional feature. If the monitor being updated is not equipped with the CO2 feature, the CO2 main code cannot be updated. Download procedures are the same for each software component Start the monitor boot loader program Main processor code (main.scr)
The procedure for downloading the software components is the same for each component. Follow the directions below for each component that needs to be updated. 1. To start the monitor Boot Loader program: Hold down the NBP GO/STOP and ZERO ALL front panel control keys on the monitor, Press and release the Trim Knob control, and Continue to hold the NBP GO/STOP and ZERO ALL front panel control keys until the Eagle Boot Loader menu appears on the monitor display.
REVISION E
4 - 15
CONFIGURATION
NOTE If the care unit name of the central station you are using doesnt appear in the file server selection menu, use the Search for fileserver option to look for the appropriate care unit name again. Occasionally, the monitor must search the network more than once before it finds all the care units on the network. If you are downloading the software from memory cards, find the Memory Card option in the file server selection menu. Rotate the Trim Knob control until the number corresponding to the Memory Card menu item is displayed, then press and release the Trim Knob control to make the selection.
NOTE When updating the main processor code (main.scr), you must remove memory card #1 and insert memory card #2 at this point. For instructions on inserting or removing the memory card, refer to page 10. Load /update.net/egl4000/6x 3. When the DIRECTORY SELECTION menu appears on the monitor display: Find the /update.net/egl4000/6X option in the directory selection menu, Rotate the Trim Knob control until the number corresponding to the /update.net/egl4000/6X menu item is displayed, and Press and release the Trim Knob control to make the selection.
4 - 16
REVISION E
CONFIGURATION
The monitor then displays the part number, version, and date of the software components that are about to be installed. A prompt appears on the monitor display requiring verification of the software about to be installed. This prompt allows the user to either continue with the download or abort. Rotate the Trim Knob control until YES appears, and press and release the Trim Knob control to make the selection. Various messages appear on the monitor display. These messages indicate how the download is going. First, the program erases flash memory. Then it downloads each software component to the monitor flash memory circuits. Be patient during this part of the procedure it can take a couple of minutes.
6.
CAUTION Do not reboot or power down the monitor unless the download is successfully completed, or the monitor shows no indication of download activity for over 5 full minutes. Errors may occur during download. For most errors, try starting the procedure over again. If you continue to experience problems, contact Marquette Service (refer to How to Reach Us at the beginning of this manual). 7. Repeat steps 2 through 6 for each additional software component that needs to be updated. Keep the following in mind as you update: The software components must be updated in order. See page 14 for the update order. The boot code (boot.scr) does not need to be loaded if the conversion tool (tool.scr) has been downloaded. It is loaded as part of the conversion tool. CO2 is optional, so co2main.scr does not need to be loaded if the monitor being updated is not equipped with CO2. To load the main processor code (main.scr) from memory cards, the second memory card must be inserted. Refer to Step 2 for more details. 4 - 17
REVISION E
CONFIGURATION
9.
10.
From the graph location menu option items, use the Trim Knob to scroll to and select: The MANUAL GRAPH LOCATION option item (the monitor may take up to a minute to poll the network for available writers), then choose one of the manual graph locations from that list of writers; then The ALARM GRAPH LOCATION option item, then choose one of the alarm graph locations from that list of writers; and finally, The PRINT WINDOW LOCATION option item, then choose one of the print window locations from that list of writers.
11.
Connect a patient simulator to the monitor. Admit and generate patient waveforms at the monitor with the simulator powered up. Perform the following steps to test the communication paths between the monitor and each selected writer. Press the GRAPH GO/STOP button on the monitor front panel and verify the graph output arrives at the selected manual graph location. Press the GRAPH GO/STOP again to stop the manual graph. Cause a CRISIS alarm by switching the simulator power off and verify the graph output arrives at the selected alarm graph location. Bring up a non-real-time window on the monitor display and print the window. Verify the print output arrives at the selected print window location.
4 - 18
REVISION E
CONFIGURATION
If software was downloaded for the purpose of updating the monitor to a new version of software, documentation will be supplied by the manufacturer in a software update kit. Completely fill out all documentation as required by the manufacturer. Go to each monitor in the system that requires software downloading and repeat the entire procedure, beginning with the Load Software for Update section.
14.
REVISION E
4 - 19
CONFIGURATION
NOTE This procedure can only be used if the monitor being updated is already running software version 6a or later. It is recommended that either the network or memory card method be used when possible for all software boot code update procedures, since these methods are more reliable. Refer to the Load Software for Update section in the procedures for more information. This update procedure requires the following: 1. PC or PC laptop, to download software, with the following minimum requirements: 2. MS-DOS compatible, 1.4M, 3.5-inch floppy disk drive, and RS-232C serial port. RS-232C to RS-422 converter, monitor cable assembly, and PC cable assembly.
NOTE Contact your regional Marquette sales representative for the download kit part numbers. 3. Manufacturer software update diskettes.
Connect the PC to the monitor by following these steps: 1. Attach the monitor cable assembly to the 9-pin D-type connector labeled Async Comm (the connector closest to the Ethernet connector) on the monitor rear panel. Connect the other end of the monitor cable assembly to the RS-232C to RS-422 converter. Note the RS-232C to RS-422 converter is powered by the monitor and does not require a separate power source. Connect the PC cable assembly from the RS-232C to RS422 converter to the D-type connector labeled COMMS or COMM 1 at the rear of the PC.
2.
3.
4 - 20
REVISION E
CONFIGURATION
CAUTION The manufacturer recommends operating the PC (or PC laptop) on AC power for the duration of the update process. This will prevent inadvertent power interruptions to the PC or PC laptop. Interruption of power will cause the update process to fail. While downloading the boot code components, interruptions in the update process may result in monitor malfunction or being rendered completely useless. The monitor may require factory service as a result.
NOTE If the PC being used for this procedure automatically launches any version of Windows, perform the necessary steps to quit Windows and return to DOS. Insert diskette #4 Run the update program from the PC 5. 6. Insert diskette #4 into the PC floppy disk drive. Type a: at the c:\> prompt and press the ENTER key on the PC keyboard to change directories to the floppy drive. Then type update at the a:\> prompt and press the ENTER key on the PC keyboard to launch the update program. The UPDATE UTILITIES menu will appear on the PC display. Select UPDATE BEDSIDE from the update utilities menu by pressing the F2 key on the PC keyboard. The UPDATE BEDSIDE utilities menu will appear on the PC display.
7.
REVISION E
4 - 21
CONFIGURATION
The PC and the monitor are serially linked, communication-wise. The following steps describe how to download a specific file into monitor memory. In order to proceed, the monitor must be enabled to receive update files. Follow these steps to enable the monitor for download, then select and load a specific file to the monitor. 8. 9. 10. 11. If a memory card is installed in the monitor, remove it. If there are any remote controls or DDWs connected to the monitor, disconnect them. Apply AC power to the monitor. Turn the rear panel power switch to the on (1) position and make sure that the PWR AC indicator on the front panel lights up. To start the monitor Boot Loader program, follow these steps: Hold down the NBP GO/STOP and ZERO ALL keys, Press and release the Trim Knob control, Continue holding the NBP GO/STOP and ZERO ALL keys until the Boot Loader menu appears on the monitor display. For a monitor not connected to a patient monitoring network, the Boot Loader will take approximately 30 seconds to activate and the Service Menu will appear on the monitor display. If this is the case, proceed to the next step. For a monitor connected to a patient monitoring network, the File Server Selection menu will appear in approximately 10 seconds. Use the Trim Knob to scroll to and select the number corresponding to Service Menu from the file server selection menu list. The service menu will then appear on the monitor display.
12.
ma
rq
ue
tte
B KNO TRIM
O ZER
ALL
. SYNC
DEFIB
SAO
TEMP
ECG
13.
14.
Select the code to be updated. Refer to the addendum at the beginning of these instructions to identify which components need to be updated. The code must be updated in the following order: Acquisition processor code (DAS) Boot code (Boot) CO2 main code (CO2 Main)
NOTE CO2 is an optional feature. If the monitor being updated is not equipped with this feature, the CO2 main code cannot be updated. 4 - 22 Main processor code (Main) REVISION E
CONFIGURATION
NOTE A warning message and prompt will appear on the monitor display. Use the Trim Knob to scroll to and select YES to proceed with the download only if the selected code that currently resides in the monitor is an earlier version as compared to the software contained on the update diskettes.
At this point, the monitor is ready to start accepting download files and the PC has been set up to provide the files for download. Follow the next steps once the PC and monitor have been set up for download. 16. Moving back to the PC, find and select (highlight) the file requiring download from the UPDATE BEDSIDE utility menu list of files. If the list does not include the necessary file, eject the diskette from the floppy drive and insert the correct diskette. Press the HOME key on the PC keyboard to refresh the UPDATE BEDSIDE utility menu list. Use the up/down arrow keys on the PC keyboard to scroll through the list of files contained on the update diskettes.
17.
To begin the process of downloading the selected file, simply press the ENTER key on the PC keyboard.
CAUTION In the process of loading update software into the monitor, the update download program first erases all of the memory locations associated with each file. Problems in the download process may cause the monitor to be rendered useless. Do not interrupt the download process once it has begun. If problems are encountered, rendering the monitor useless, contact the appropriate technical support group listed in the beginning of this document.
REVISION E
4 - 23
CONFIGURATION
NOTE The main processor code is on two diskettes. When downloading the main processor code, the PC will prompt you to insert the second diskette at the proper time.
CAUTION Do not reboot or power down the monitor while downloading boot code files. The monitor will be rendered useless and require factory service. Verify PC-to-monitor communication Messages will appear on the monitor and PC displays indicating how the update is going. Verify that the Received bytes advance. When the selected file has finished downloading, the monitor will return to the Boot Loader program and display the Service Menu, and the PC will give an audible indication (a "beep") as well as indicate a completed download process on the PC display. The monitor automatically restarts itself after any main processor code (MAIN or BOOT) is finished loading. For most errors, simply press the RETURN key on the PC or repeat the download procedure. If the byte numbers stop advancing for more than two minutes, contact the appropriate technical support group listed in the beginning of this document. 18. Perform steps 12 through 17 for each file that requires updating before proceeding to the next steps. When all code has been loaded, turn monitor power off, then on.
4 - 24
REVISION E
CONFIGURATION
20.
21.
From the graph location menu option items, use the Trim Knob to scroll to and select: The MANUAL GRAPH LOCATION option item (the monitor may take up to a minute to poll the network for available writers), then choose one of the manual graph locations from that list of writers; then The ALARM GRAPH LOCATION option item, then choose one of the alarm graph locations from that list of writers; and finally, The PRINT WINDOW LOCATION option item, then choose one of the print window locations from that list of writers.
22.
Connect a patient simulator to the monitor. Admit and generate patient waveforms at the monitor with the simulator powered up. Perform the following steps to test the communication paths between the monitor and each selected writer. Press the GRAPH GO/STOP button on the monitor front panel and verify the graph output arrives at the selected manual graph location. Press the GRAPH GO/STOP again to stop the manual graph. Cause a CRISIS alarm by switching the simulator power off and verify the graph output arrives at the selected alarm graph location. Bring up a non-real-time window on the monitor display and print the window. Verify the print output arrives at the selected print window location.
REVISION E
4 - 25
CONFIGURATION
If software was downloaded for the purpose of updating the monitor to a new version of software, documentation will be supplied by the manufacturer in a software update kit. Completely fill out all documentation as required by the manufacturer. Go to each monitor in the system that requires software downloading and repeat the entire procedure, beginning with the Load Software for Update section.
25.
4 - 26
REVISION E
CONFIGURATION
2.
Observe the monitor display. The FILE SERVER SELECTION menu appears on the display. At the FILE SERVER SELECTION menu: Find the Service Menu option in the file server selection menu, Rotate the Trim Knob control until the correct number of the Service Menu selection is displayed in the file server selection menu, and Press and release the Trim Knob control to select the Service Menu. Find the Set Configuration option in the service menu, Rotate the Trim Knob control until the number corresponding to the Set Configuration menu item is displayed, and Press and release the Trim Knob control to make the selection.
When the Configuration Menu appears on the monitor display: Find the Country Selection option in the set configuration menu, Rotate the Trim Knob control until the number corresponding to the Country Selection menu item is displayed, and Press and release the Trim Knob control to make the selection.
REVISION E
4 - 27
CONFIGURATION
7.
8.
When this step is complete, the screen will flash and the monitor will reboot into normal monitoring mode.
4 - 28
REVISION E
CONFIGURATION
Follow these instructions to enable features in the monitor: Start the boot loader program 1. Start the Eagle 4000 Boot Loader program. To do this, press and hold the NBP GO/STOP and ZERO ALL front panel control keys. Press and release the Trim Knob control while continuing to hold the NBP GO/STOP and ZERO ALL keys until the Eagle 4000 Boot Loader menu appears on the monitor display. Within approximately 30 seconds, one of the two following menus will be displayed: the SERVICE MENU, or the FILE SERVER SELECTION menu (if this menu appears, rotate and press the Trim Knob to select SERVICE MENU at the prompt).
2.
From the SERVICE MENU, rotate and press the Trim Knob to select the number corresponding to the Options Menu item from the SERVICE MENU list. Enabling features 3. Use the Trim Knob to select one of the features from the Options Menu list.
NOTE Individual passwords are required for each optional feature. Have the Ethernet address, serial number and software revision available for each monitor when requesting passwords from the manufacturer.
REVISION E
4 - 29
CONFIGURATION
NOTE Select the < character to erase or change the previous character, if an error is made. Repeat this procedure until the correct characters for the password have been selected, then select the ^ character. Selecting the ^ character serves as a carriage return and terminates the password entry sequence. Features, brief explanations and passwords Following is the list and brief explanation of each feature: Display Type: Select either standard or enhanced. Password: Password: Password: ________________________________________ ________________________________________ ________________________________________ NIBP: Enabled or disabled as required. Respiration: Requires password to enable. Invasive BPs: Requires password to enable. This option can be enabled on monitors with BP (red ) patient connectors only. Password: ________________________________________ Hires Trends: If enabled, this feature also requires a memory card to be inserted into the slot on the side of the monitor. Password: ________________________________________ 12 Lead ST: Disabled (this feature is only shown for monitors running Version 6A software and does not appear in subsequent software versions). Password: Password: ________________________________________ ________________________________________ 12SL Analysis: Enabled or disabled as required (see note below).
NOTE Processor PCB assembly, pn 800704-003 (or later), and DAS PCB assembly, pn 800376-002 (or later), are required as a minimum configuration to enable 12SL Analysis.
4 - 30
REVISION E
CONFIGURATION
WARNING Select and enable only the software level that operators have been trained for. The 7025 software feature level replaces the 7030 software feature level that was available in early production units. Program Genesis Card Used for manufacturing/service purposes (do not alter). Change Ethernet Address Select this to configure the network address in the monitor. Password: ________________________________________ Clear Configuration Memory Select this to clear the erasable memory in the monitor. Password: ________________________________________ Enable Trial Options Select this to temporarily configure all of the features for demonstration purposes only. After 5 days, the monitor will default to the previous configuration. Password: ________________________________________ Save Changes and Exit Select this to make the feature settings permanent and exit the Options Menu. Enabling selected features 5. When the Options Menu has been properly configured, select Exit to return to the SERVICE MENU. Restart the monitor to enable the selected features. If any labels are included in the service kit, apply them to the appropriate location on the monitor.
6.
COMPLETION
After the software feature level has been changed, it may be necessary to configure the monitor for the feature that was selected.
REVISION E
4 - 31
CONFIGURATION
Both configurations require some initial setup before the monitor can be used to full potential on patients. The following is a description of each area requiring setup or configuration: UNIT NAME: This a general identification parameter (seven characters in length) for the monitor to establish communication links between other devices on the network. The unit name acts as a means of separating groups of patient monitoring devices on the network. BED NUMBER: This is also an identification parameter (five characters in length) for the monitor to establish communication links between other devices on the network. The bed number acts as a means of separating each monitor within groups of patient monitoring devices on the network. GRAPH LOCATION: This is a setup parameter for the monitor to establish communication links between graph devices directly connected to the monitor or those located on the network. The graph location must be setup or configured for each of the following types of graphs: MANUAL GRAPH LOCATION: Where the manual graph will print, ALARM GRAPH LOCATION: Where the alarm graph will print, and PRINT WINDOW LOCATION: Where windows (displayed by the operator for various purposes) will print.
Unit name
Bed number
Graph locations
Although information in this part of the section relates to a specific version of software, the process generally remains similar from version to version of software.
PROCEDURE SUMMARY
Below is a summary of the procedure to setup the monitor for normal operation: 1. 2. 3. 4. Determine the current monitor software revision level. Setup the monitor care UNIT NAME. Setup the monitor BED NUMBER. Configure graph locations for: 6. 5. Select MANUAL GRAPH LOCATION; Select ALARM GRAPH LOCATION; and, Select PRINT WINDOW LOCATION.
Verify setup or configuration of the above items. EAGLE 4000 PATIENT MONITOR 407300-123
4 - 32
REVISION E
CONFIGURATION
2. 3.
The center part of the display shows each of the monitored patient parameters in both a graphic and text format. Along the bottom of the display (shown below is an ECG Menu) are menu option items.
Bed Number
MARTIN
70
AUTO
150 50
E C G N B P A R 1 S P O 2 R R
160 AR1 0
10:15
200 80 S
mmHg
200 80 S
mmHg
SPO2
PPR
RRII II
DETECT PACE OFF ECG LIMITS
*** 70
98 20
105 90 % 30 5
Patient Name
DISPLAY LEAD II
ECG SIZE 1X
ST: OFF
RELEARN
LD ANALYSIS: MULTI-LEAD
DISPLAY ON/OFF
ISOLATED
PWR BAT
AC FAIL CHRGNG BP
BATT FAIL BP
NBP GO/STOP
SPO 2
ZERO ALL
DEFIB. SYNC
SILENCE ALARM
NBP
GRAPH GO/STOP
!
ECG
TEMP/CO
TRIM KNOB
The topmost level (master directory) of the monitor operating system software is the main menu; the menu that normally remains displayed when there is no operator intervention on the monitor. The main menu includes a normal patient monitoring display plus five menu option items. In lower levels (sub-directories) of monitor operating system software are menu option items. These are used for further navigation through monitor operating system software for purposes that are specific to previous menu selections. Note that these may sometimes be referred to as menu "buttons." When most groups of menu option items are displayed on the monitor, an option item labeled MAIN MENU allows the user to immediately step back to the main menu, or topmost menu, on the monitor display. The only Main Menu option item discussed in this section is MONITOR SETUP. EAGLE 4000 PATIENT MONITOR 407300-123
REVISION E
4 - 33
CONFIGURATION
2.
Scroll to and select SOFTWARE REVISION from the monitor setup menu.
MAIN MENU PRINT CRG PLUS WAVEFORMS ON / OFF DISPLAY: INDIVIDUAL BRIGHTNESS: 100% COLOR: CLINICAL LEARN THE MONITOR PARAMETERS ON / OFF SOFTWARE REVISION GRAPH SETUP SOFTWARE COMPATIBILITY MONITOR DEFAULTS SERVICE MODE
The software revisions of the monitor, in general, as well as the software revisions of each processing circuit within the monitor are displayed in a pop-up window similar to the one shown below.
MAINuP:
409258-002 5B 7MAY96 6E
DASuP:
409259-001 5B 7MAY96
CO2 BOOT:
415225-001 1A 11JAN96
The PRODUCT software revision is the first item listed in the pop-up window. This is the overall software revision level of the monitor. The various processing circuits listed below PRODUCT, each may have different revision levels. A part number for the software (409263-018), the version of the software (5B), and the software release date (22MAY96) immediately follow each item in the list.
4 - 34
REVISION E
CONFIGURATION
Begin setup by entering into the service mode menu of the monitor. Follow these steps: 1. 2. Make sure all cables are properly connected to the monitor. Apply AC power to the monitor. Plug the power cord into a working AC power wall receptacle and turn the monitor rear panel main power switch to the on (1) position, Press the DISPLAY ON/OFF front panel control on the monitor. The display should be on.
Use the Trim Knob control to scroll to MONITOR SETUP in the monitor main menu and press the Trim Knob control to select it.
ALARM CONTROL VIEW OTHER PATIENTS PATIENT DATA MONITOR SETUP PATIENT: DISCHARGED
4.
Use the Trim Knob control to scroll to SERVICE MODE in the monitor setup menu and press the Trim Knob control to select it.
MAIN MENU PRINT CRG PLUS WAVEFORMS ON / OFF DISPLAY: INDIVIDUAL BRIGHTNESS: 100% COLOR: CLINICAL LEARN THE MONITOR PARAMETERS ON / OFF SOFTWARE REVISION GRAPH SETUP SOFTWARE COMPATIBILITY MONITOR DEFAULTS SERVICE MODE
5.
SERVICE MODE
A service menu password window will appear on the monitor display, as shown in the figure at the left. A password is required to prevent non-service personnel from accessing the service menus. The password is four numbers that represent the date that currently resides in a memory circuit within the monitor (please note that this may or may not be the correct date). In the password, the first two numbers, starting from the left, represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor. For example, the seventh day of the third month (March 7th) would be represented in the password as 0703 (ddmm). Note the date that is currently on the monitor display and follow these steps to enter the password; Rotate the Trim Knob control to highlight the password number that you would like to change. To change the highlighted number, press the Trim Knob control. Rotate the Trim Knob control until the correct number is displayed in the selected field. To enter the number, press the Trim Knob control. Repeat these steps until all password numbers are correctly displayed. Once you have entered the correct password numbers, rotate the Trim Knob control to highlight SERVICE MODE in the enter password window.
REVISION E
Press the Trim Knob control one more time to enter the password and access the service menus of the monitor. EAGLE 4000 PATIENT MONITOR 407300-123 4 - 35
CONFIGURATION
2.
The SET UNIT NAME pop-up window appears on the monitor display as shown below.
MAIN MENU SOFTWARE LEVEL REVIEW ERRORS PATIENT - MON ITOR TYPE: ADULT - ICU SET UNIT NAME A B C 4 5 6 7 TIME AND DATE
The UNIT NAME pop-up window displays either the current care UNIT NAME or is completely blank. The software supports up to seven alphanumeric characters to be used in the UNIT NAME field.
NOTE It is important that the correct UNIT NAME be entered with regard to spelling, spaces and special characters programmed into the field. If a mistake is made in programming the UNIT NAME field, the monitor will not be available on the network for display at central stations within the same care unit.
WARNING Never use the word "none" as a care UNIT NAME. This name can be very confusing to users and make network troubleshooting extremely difficult.
4 - 36
REVISION E
CONFIGURATION
4.
Repeat step 3 for each character to be entered as part of the UNIT NAME. Up to seven characters may be setup or configured. The manufacturer recommends UNIT NAME fields that are less than seven characters to be left-justified, leaving unused character positions (immediately to the right of the user-entered unit name) blank. When finished making each character entry, use the Trim Knob control to select the SET UNIT NAME menu option item. Press the Trim Knob control. This programs the newly entered UNIT NAME into the monitor memory and closes the pop-up window.
5.
REVISION E
4 - 37
CONFIGURATION
Setup or configure the BED NUMBER of the monitor by following these steps: 1. Use the Trim Knob control on the front panel of the monitor to scroll to and select SET BED NUMBER from the service mode menu option items.
MAIN MENU SOFTWARE LEVEL REVIEW ERRORS PATIENT - MON ITOR TYPE: ADULT - ICU ADMIT MENU: STANDARD SET UNIT NAME CALIBRATE SET BED NUMBER SET INTERNET ADDRESS TIME AND DATE
2.
The SET BED NUMBER pop-up window appears on the monitor display as shown below.
MAIN MENU SOFTWARE LEVEL REVIEW ERRORS PATIENT - MON ITOR TYPE: ADULT - ICU A B C 4 5 SET BED NUMBER TIME AND DATE
The SET BED NUMBER pop-up window displays either the current BED NUMBER or is completely blank. The software supports up to five alphanumeric characters to be used in the BED NUMBER field.
NOTE It is important that the correct BED NUMBER be entered with regard to other monitors within the same care unit. If a mistake is made in programming the BED NUMBER field, the worse-case being a duplicate BED NUMBER on two different monitors within the same care unit, the monitor will not communicate properly on the network and will present problems when the monitor is setup or configured for display at central stations.
4 - 38
REVISION E
CONFIGURATION
CAUTION It is very difficult to visually detect spaces ("spaces" are characters) when programmed into the BED NUMBER. The manufacturer recommends avoiding the use of spaces in the BED NUMBER. Use the Trim Knob to initially setup or change the monitor bed number 3. Two sets of arrow icons appear in the BED NUMBER popup window. Rotate the Trim Knob to highlight one of the sets of arrows and press it to enable each function: The horizontal (left/right) arrows, when highlighted and enabled, allow the user to select a specific character for change by rotating the Trim Knob control. A press and release of the Trim Knob while a specific character is highlighted, enables that specified character for change. The vertical (up/down) arrows, when highlighted, allow the user to scroll through all of the alphanumerics available for each character in the BED NUMBER. Rotating the Trim Knob control at this point allows the user to select a specific alphanumeric to be entered into the specified character position within this field. To enter the chosen character into memory, press and release the Trim Knob control one more time.
4.
Repeat step 3 for each character to be entered as part of the BED NUMBER. Up to five characters may be setup or configured. The manufacturer recommends that userdefined BED NUMBER consisting of less than five characters, be left-justified and leave unused character positions (those to the right of the user-defined bed number) blank. When finished making each character entry, use the Trim Knob control to select the SET BED NUMBER menu option item. Press the Trim Knob control. This programs the newly entered BED NUMBER into the monitor memory and closes the pop-up window.
5.
REVISION E
4 - 39
CONFIGURATION
Three separate graph locations can be setup or configured in the monitor. The following describes each GRAPH LOCATION: MANUAL GRAPH LOCATION: The graph device that prints patient waveforms and annotation. Manual graphs are generated by the monitor whenever the GRAPH GO/STOP front panel control on the monitor is pressed. ALARM GRAPH LOCATION: The graph device that prints patient waveforms and annotation. Alarm graphs are automatically generated by the monitor whenever a Crisis Alarm or Warning Alarm is sensed. PRINT WINDOW LOCATION: The graph device that prints patient information displayed in various types of screens on the monitor. Print windows are generated by the monitor whenever a menu option item for each specific function is displayed and selected by an operator.
NOTE Graphs can be sent to locations other than the writer directly connected to the monitor.
4 - 40
REVISION E
CONFIGURATION
2.
Use the Trim Knob control on the front panel of the monitor to scroll to and select GRAPH SETUP from the monitor setup menu option items.
MAIN MENU PRINT CRG PLUS WAVEFORMS ON / OFF DISPLAY: INDIVIDUAL BRIGHTNESS: 100% COLOR: CLINICAL LEARN THE MONITOR PARAMETERS ON / OFF SOFTWARE REVISION GRAPH SETUP SOFTWARE COMPATIBILITY MONITOR DEFAULTS SERVICE MODE
3.
Use the Trim Knob control on the front panel of the monitor to scroll to and select GRAPH LOCATION from the graph setup menu option items.
MAIN MENU PREVIOUS MENU ECG 1 LEAD II SPEED: 25 WAVEFORM 2: OFF CRG PLUS OPTIONS WAVEFORM 3: OFF WAVEFORM 4: OFF GRAPH LOCATION ALARM GRAPH: ON
4.
Use the Trim Knob control on the front panel of the monitor to scroll to and select either MANUAL GRAPH LOCATION, MANUAL GRAPH LOCATION, or PRINT WINDOW LOCATION from the graph location menu option items.
MAIN MENU PREVIOUS MENU MANUAL GRAPH LOCATION: ICU BED1 WRITER ALARM GRAPH LOCATION: ICU CS -1 WRITER PRINT WINDOW LOCATION: ICU LW1 WRITER
NOTE The graph location menu has menu option items for programming the manual graph location, the alarm graph location and the print window location. All three must be setup and configured individually for full functional use of the monitor. Select one of the graph location menu option items on the monitor to display a pop-up list of all available writers.
REVISION E
4 - 41
CONFIGURATION
MANUAL GRAPH
SELECT A LOCATION: > RETURN ICUCS-1WRITER ICUCS-1LASER ICUBED2 WRITER ICUBED14WRITER
The pop-up list includes the unit name (or care unit name), the bed number (or central name), as well as the type of graph device for: 6. The writer (DDWs) connected directly to the monitor itself, and/or Writers connected to devices that have an identical care UNIT NAME on the network.
Rotate the Trim Knob control to scroll (move the cursor) to a desired graph location and press the Trim Knob control to program the selected writer graph location into the monitor flash memory. The graph location menu option item will change to show the selected graph location and the pop-up list will close.
MAIN MENU PREVIOUS MENU MANUAL GRAPH LOCATION: ICU BED2 WRITER ALARM GRAPH LOCATION: ICU CS -1 WRITER PRINT WINDOW LOCATION: ICU LW1 WRITER
7.
When finished making each graph location selection, use the Trim Knob control to scroll to MAIN MENU from the graph location menu option items. Press the Trim Knob control to exit all of the menus and return to the main menu. EAGLE 4000 PATIENT MONITOR 407300-123
4 - 42
REVISION E
CONFIGURATION
CAUTION For networked monitors, changing the TIME AND DATE field on the monitor causes the new time and date to be broadcast over the network. All other devices on the network will change the time and data to match the newly entered TIME AND DATE on the monitor. This may cause other monitors on the network to change time-dated patient data stored in each monitor. Procedure for time/date setup From the service mode menu, select time and date Follow these steps to setup or configure the TIME AND DATE of the monitor: 1. From the service mode menu, use the Trim Knob control to scroll to and select the TIME AND DATE menu option item.
MAIN MENU SOFTWARE LEVEL REVIEW ERRORS PATIENT - MON ITOR TYPE: ADULT - ICU ADMIT MENU: STANDARD SET UNIT NAME CALIBRATE SET BED NUMBER SET INTERNET ADDRESS TIME AND DATE
2.
Use the Trim Knob control to scroll to and select one of the time and date menu option items.
MAIN MENU PREVIOUS MENU SET TIME SET DATE
WARNING TIME AND DATE parameters are actively enabled for change each time the SET TIME or SET DATE menu option items are selected. If time and date information on the monitor is correct, do not select these menu option items. For monitors connected to the network, changing time and date parameters will cause this information to change on all monitors and central stations connected to the same network.
REVISION E
4 - 43
CONFIGURATION
4.
To enter or change a SET TIME or SET DATE parameter, rotate the Trim Knob control to select a parameter for change. Press the Trim Knob control to enable the selected parameter for change.
MAIN MENU PREVIOUS MENU SET TIME 18 : 25
5.
Rotate the Trim Knob control to enter or change the selected time or date parameter. Press the Trim Knob control to enter new time or date parameters into temporary memory in the monitor.
MAIN MENU PREVIOUS MENU SET TIME 18 : 37
NOTE Changes are written to memory in the monitor when SET TIME or SET DATE is selected and set. Enter the changes into the monitor 6. When each desired time or date entry has been made, immediately rotate the Trim Knob control to select SET TIME or SET DATE in the time and date menu on the monitor. Press the Trim Knob control to enter the new time or date into the monitor.
MAIN MENU PREVIOUS MENU SET TIME 18 : 37
4 - 44
REVISION E
TROUBLESHOOTING
Battery Failure .................................................................. 5-2 Battery replacement .................................................... 5-2 The BATT FAIL indicator ............................................. 5-2 Power Source Tests ........................................................... 5-4 Wall receptacle ............................................................ 5-4 Power cord and plug .................................................... 5-5 Main power and display power control ......................... 5-5 Data Acquisition Tests ....................................................... 5-6 ECG functional tests ................................................... 5-6 ECG test failure solutions ........................................... 5-7 Lead fail functional tests ............................................. 5-8 Lead fail test failure solutions ...................................... 5-8 Pacemaker pulse detection functional tests ................. 5-9 Pace detect test failure solutions ................................. 5-9 Invasive BP functional tests ....................................... 5-10 BP test failure solutions ............................................ 5-11 Respiration functional tests ....................................... 5-12 Respiration test failure solutions ............................... 5-13 NBP functional tests and test failure solutions .......... 5-14 Service Mode Menu ......................................................... 5-15 About the service mode menu ................................... 5-15 Access to the service mode menu .............................. 5-16 About service mode menu option items ..................... 5-17 Review errors ............................................................ 5-18 More about review errors ........................................... 5-21 Error logs .................................................................. 5-22 Service Tips .................................................................... 5-23 Fault/symptom analysis ........................................... 5-23 Acquisition PCB symptoms ........................................ 5-24 Processor PCB symptoms .......................................... 5-24 Power supply PCB symptoms and applications .......... 5-25 End-tidal CO2 messages ........................................... 5-26 Network Troubleshooting ................................................ 5-27
REVISION E
5-1
TROUBLESHOOTING
BATTERY FAILURE
THE BATT FAIL INDICATOR
While the monitor is running on power from the wall receptacle, the battery is being continuously charged. The monitor internally checks the battery voltage at 30-second intervals. After the monitor attempts to charge the battery for 30 minutes, the battery voltage must reach a minimum of 11.7 volts or the monitor determines the battery has failed. When this occurs, the BATT FAIL indicator will illuminate. When the BATT FAIL indicator illuminates, immediately remove the monitor from service and replace the battery. The BATT FAIL indicator, when illuminated, indicates the battery will not reliably power the monitor during patient transport , emergency power testing, or AC power failure.
PWR BATT
AC RDY CHRGNG
BATT FAIL
WARNING Attempting to use a monitor for patient transport while the BATT FAIL indicator is illuminated, will result in complete loss of all monitoring functions. Use during emergency power testing or during AC power failure with this pending condition , will also result in complete loss of all monitoring functions for as long as AC power is removed.
BATTERY REPLACEMENT
Follow this procedure to replace a defective battery pack in the monitor. 1. Apply AC power to the monitor. This is necessary due to the fact that the main processor PCB only senses the presence of a battery while the monitor is powered on.
NOTE If you insert a replacement battery while it is turned off, the monitor will assume the failed battery is still installed, and will not charge the replacement battery properly. This situation is rectified with a cold start after you install the replacement battery, but all memory used for storing trends, histories and settings in the monitor, will be erased. To perform a cold start, simply press and hold the GRAPH GO/STOP front panel control while turning the monitor on, using the rear panel main power control switch. 2. 3. Turn the rear panel power switch on. The PWRAC indicator will illuminate. Remove the two screws which secure the battery cover.
MOD EL
NO. MAR QUE TTE ELEC SER TRO IAL NICS NO. INC. MILW
WA AUK CAU EE REPRN TIO WI. ING LAC N USA : 7020 POW E FUS 6-004 E(S RIS ER ) AS K OF MA FIR V RKE E 100 D I 120V 220V 240V V
50-60 Hz
ETH ER NE T RM T VID AS YN C RM CO T AL MM RM AS
WARNING Do not insert these screws without the battery cover. The screws are long enough to potentially cause damage to the PCB located nearest the rear of the monitor if inserted without the battery cover. 4. Remove the battery cover. EAGLE 4000 PATIENT MONITOR 407300-123
YN C RM CO T AL MM RM
5-2
REVISION E
TROUBLESHOOTING
6.
MOD EL MAR NO. TTE ELEC TRO NICS INC. SERI AL NO.
QUE
MILW
WA AUK CAU EE REPRN TIO WI. ING LAC N USA : 7020 POW E FUS 6-004 E(S RIS ER ) AS K OF MA FIR V RKE E 100V D I 120V 220V 240V
C CO T ALRMM M
PWR BATT
AC RDY CHRGNG
BATT FAIL
NOTE It is necessary to wait for the above condition because the main processor PCB in the monitor only checks for battery presence at 30-second intervals. Because battery voltage does not change rapidly, microcomputer circuitry on the main processor performs many other tasks before returning to test the battery voltage level. If a replacement battery is installed while one of the BATT indicators is still illuminated, the main processor PCB will assume the failed battery is still installed, and the replacement battery will not be properly charged. 7. Carefully mate the connector of the replacement battery with the connector on the power supply PCB. Depending on the voltage level of the battery, a small spark may occur when the connectors are mated together. Do not be alarmed by this. Install the replacement battery into the battery compartment, folding the cable harness so that it will not be crimped by the battery cover or associated screws. Attach the battery cover to the rear housing of the monitor with the screws that were removed in step 3 (see WARNING after step 3).
50-60 Hz
8.
9.
PWR BATT
AC RDY CHRGNG
BATT FAIL
PWR BATT
AC RDY CHRGNG
BATT FAIL
After you install the replacement battery, the BATT CHRGNG indicator will illuminate. This may take as long as 30 seconds, for reasons explained in previous steps. The BATT CHRGNG indicator will remain illuminated for a duration of time necessary to fully charge the replacement battery (approximately 12-16 hours) before the BATT RDY indicator illuminates. Do not use the monitor on a patient with or without AC power until the BATT RDY indicator illuminates.
MOD EL NO. MAR QUE TTE ELEC SER TRO IAL NICS NO. INC. MILW
WA AUK CAU EE REPRN TIO WI. ING LAC N USA : 7020 POW E FUS 6-004 E(S RIS ER ) AS K OF MA FIR V RKE E 100 D I 120V 220V 240V V
50-60 Hz
ETH ER NE T -
RM T VID
AS
YN C RM CO T AL MM RM AS
YN C RM CO T AL MM RM
REVISION E
5-3
TROUBLESHOOTING
Ground Line
Neutral
Voltage tests
Wall receptacles consist of three connections: line, neutral and ground. The figure at left indicates the location of each on a 120 Vac hospital grade wall receptacle commonly used in the United States. The location and shape of pins may be different on wall receptacles used in countries other than the United States. Perform the following tests: 1. Use a DMM to measure the voltage between the three connections. Select the AC voltage scale on the DMM. Measure the voltage from line to neutral, line to ground, and neutral to ground and make sure these are correct. With a correctly wired wall receptacle used in the United States, the following readings should be obtained: Line to neutral: 120 Vac Line to ground: 120 Vac Neutral to ground: < 3 Vac Readings other than these indicate improper wiring. Have the wall receptacle checked by an electrician.
2.
CAUTION Do not check the ground to neutral loop resistance if the wall receptacle is wired improperly. Select the milliohms (m) scale on the DMM. Measure resistance across the power cord ground and neutral.
Measure from the ground lug on the rear power connector to any exposed metal of the monitor. The resistance between the ground and neutral connections, after the ohmmeter is nulled, must be less than 100 m. If not, have the wall receptacle checked by an electrician.
5-4
REVISION E
TROUBLESHOOTING
Turn the rear panel main power switch of the monitor to the on (1) position. During normal operation, the main power switch is typically left in the on position. The DISPLAY ON/OFF front panel control on the monitor is used for turning the display on or off, depending on whether a patient is admitted to the monitor or not. The position of the main power switch determines if battery power or AC power from the wall receptacle is the monitor power source. The following describes the main power switch functions: In the on (1) position, the main power switch enables AC power from a wall receptacle. If, for whatever reason, AC power is not available from the wall receptacle, the monitor will automatically sense this condition and enable battery power. In the off (0) position, the main power switch enables battery power when the DISPLAY ON/OFF switch is on.
NOTE The battery does not charge when the main power switch on the rear panel of the monitor is in the off (0) position. Because of this, the manufacturer recommends use of the DISPLAY ON/OFF front panel control for turning the monitor off and on during normal use. This will allow the battery to remain fully charged for continued patient monitoring during transport or any AC power loss.
REVISION E
5-5
TROUBLESHOOTING
2.
5-6
REVISION E
TROUBLESHOOTING
II V I III
Following are symptoms and solutions for ECG functional test failures. 1. If the calibration pulses were not correct, test the patient simulator using a working monitor. If the patient simulator is functioning as designed, calibration of the acquisition PCB may be necessary. Refer to Chapter 5: Calibration information in this regard. If displayed ECG waveforms contain a significant amount of noise (see figure at left), check the ECG patient cables. Test the patient simulator and ECG patient cables on a working monitor to verify the ECG signal. If the ECG signal, patient simulator and ECG patient cables are good, the acquisition PCB is suspect. Swap a working acquisition PCB into the monitor to verify the malfunction. Test the ECG patient cables on a working monitor. Test the patient simulator on a working monitor. Swap the acquisition PCB into a working monitor. If the symptoms follow the PCB into the working monitor, replace the acquisition PCB. If these three steps do not provide positive results, the processor and/or power supply PCB are suspect. Swap a working processor and/or power supply PCB into the monitor to verify the malfunction.
2. 3. 4.
1. 2. 3.
4.
REVISION E
5-7
TROUBLESHOOTING
2.
3.
Lead fail detection is not functioning properly if the criteria above is not successfully achieved. The acquisition PCB is the most likely suspect component. Swap a working acquisition PCB into the monitor to verify the malfunction.
5-8
REVISION E
TROUBLESHOOTING
Follow these steps to test the pacemaker pulse detection functions of the monitor. 1. With the monitor configured to display ECG Leads I, II, III, and V, set the patient simulator to output a VP1 (ventricular pacemaker simulation #1) waveform. Enable the pacemaker detection function of the monitor: 3. 4. select ECG from the display main menu, select DETECT PACE and set to PACE 1.
2.
Verify the heart rate remains at approximately 80 BPM. Select the VP2 output (ventricular pacemaker simulation #2) on the patient simulator. The heart rate number may disappear from the display for a few seconds and return to the screen shortly thereafter. Verify the heart rate is at approximately 80 BPM. Verify the pacemaker spikes display at the same amplitude. Disable the pacemaker detection function of the monitor. Verify the displayed pacemaker spikes have a different amplitude than in the previous step. Select the AVS output (A/V sequential pacemaker simulation) on the patient simulator. Again, verify the displayed pacemaker spikes are at different amplitudes. Enable the pacemaker detection function of the monitor once again. Verify a stable heart rate display of approximately 80 BPM. Verify the pacemaker spikes are again at the same amplitude. Disable the pacemaker detection function of the monitor.
5.
6.
7. 8.
9.
If the pacemaker detection test results are incorrect as described above, follow these steps to determine the problem. 1. 2. Verify the patient simulator is functioning properly by performing the above tests on a working monitor, If the patient simulator is determined to be operating correctly, the acquisition PCB is most likely suspect component to have failed. Swap a working acquisition PCB into the monitor to verify the malfunction.
REVISION E
5-9
TROUBLESHOOTING
Setup BP1
Setup BP2
2.
3.
Set the patient simulator BP output to WAVE. Setup the BP scales on the monitor for auto gain: Select AR1 from the main menu of the monitor Select ART SCALES from the AR1 menu Select AUTO gain from the ART SCALES menu Return to the main menu of the monitor and setup auto gain for the PA2 waveform as you did for AR1.
6.
Once the BP waveforms are setup as described above verify the following: Both the AR1 and PA2 BP waveforms are noise-free, as shown in the figure at the left. BP displayed parameters are within tolerance as indicated here: BP Parameter: Systolic (mmHg): Diastolic (mmHg): AR1 116 124 78 82 PA2 28 32 9 11
NOTE These tests are designed for use with a MEI Multifunction Microsimulator, pn. MARQ1. Accuracy specifications of the patient simulator in combination with the monitor ( 2% or 1 mmHg, whichever is greater) is how the parameter values listed above, were derived. Use of any other manufacturer patient simulator and associated specifications, will potentially change these test results. Generate static BP waveforms Verify static BP results 7. 8. Set the patient simulator BP output to 200 mmHg, static pressure. Verify the BP channels are working correctly if systolic, diastolic, and mean pressure values for both AR1 and PA2 are displaying parameter readings between 194 and 206 mmHg. EAGLE 4000 PATIENT MONITOR 407300-123 REVISION E
5 - 10
TROUBLESHOOTING
3.
Follow these steps if the AR1 or PA2 parameter labels, readings and associated waveforms do not display on the monitor at all. 1. 2. 3. Verify the patient simulator and associated test cables on a working monitor. Inspect the BP front panel connectors on the monitor for bent or broken pins. Perform continuity tests between the front panel connectors of the monitor, front panel flex circuit assembly located behind the front panel connectors and connection to the acquisition PCB. If the patient simulator and associated test cables are determined to be functioning correctly and the continuity tests yield no malfunction, the acquisition PCB is suspect. Swap the acquisition PCB into a working monitor to determine if replacement is necessary.
4.
REVISION E
5 - 11
TROUBLESHOOTING
2.
4.
Expiration Markers
5 - 12
REVISION E
TROUBLESHOOTING
Perform the following if any part of the previously described respiration functional test has failed to yield the desired results. If the respiration waveform or rate does not appear on the monitor display, perform the following steps to isolate the problem: 1. 2. 3. Vary the baseline impedance on the patient simulator Vary the R on the patient simulator. Test the patient simulator and appropriate patient cables on a working monitor to determine the source of the problem. If none of the previous recommendations corrects the problem, the acquisition PCB is suspect. Swap the PCB into a working monitor to determine the source of the problem and replace as necessary.
4.
If the markers on the respiration waveform do not appear on the display or the respiration rate count is inaccurate, try changing the respiration sensitivity level on the monitor. To do this, use the Trim Knob on the monitor to: 1. 2. 3. Scroll to and select RR (respiration parameter) from the monitor main menu, Scroll to and select SENSITIVITY from the respiration parameter menu, and Scroll to and select a different sensitivity percentage (%) from the sensitivity menu
Respiration functions work properly when using a patient simulator but not on an actual patient
Refer to the Operators Manual for detailed information regarding patient preparation relative to respiration monitoring functions. Achieving optimum results for respiration waveforms and accurate respiration rate detection by the monitor, requires proper preparation for ECG electrode placement on the patient. An example of a noisy respiration waveform, usually due to bad patient preparation, is shown at the left.
NOTE With patients that exhibit excessively high baseline chest impedance, proper respiration monitoring will be extremely difficult, if not impossible.
REVISION E
5 - 13
TROUBLESHOOTING
Perform the non-invasive blood pressure (NBP) Checkout Procedure found in Section 3: Maintenance. This procedure will determine whether the NBP functions of the monitor are working as designed or whether the monitor requires NBP calibration. If, after performing the prescribed checkout procedure, it is determined that there are potential problems that NBP calibration does not cure, try the following: 1. If calibration is unsuccessful and cannot be properly performed, there could be leaks in the pneumatic circuit plumbing. The following steps will assist you in determining this: The NBP cuff and tubing is the easiest area to inspect for leaks and is also the most likely area for failure in this regard. Closely inspect these items for cracks or leaks. Test the NBP cuff and tubing on a working monitor to determine the source of the problem. If the NBP cuff and tubing are determined to be good after testing them on a working monitor, the leaks are probably internal to the monitor. Disassemble the monitor and check inspect all internal tubing and connections in the pneumatic circuit plumbing.
2.
If no leaks are found after performing the previous step, the NBP pump assembly is suspect. Swap the NBP pump assembly with one from a working monitor and/or replace as necessary.
NBP alarms occur continuously Cannot get NBP readings from a patient in under 3 minutes NBP displayed readings are inaccurate
If the monitor is not configured properly, a variety of NBP problems may occur. To determine monitor configuration, rotate then push the Trim Knob to: Scroll to and select CUSTOMIZE MONITOR from the main menu of the monitor, Scroll to and select PATIENT-MONITOR TYPE from the customize monitor menu of the monitor.
Verify the configured monitor type matches the environment in which the monitor is being used. If it is set to a neonatal ICU when the monitor is used for the adult ICU application or vice versa, problems listed to the left may occur.
5 - 14
REVISION E
TROUBLESHOOTING
WARNING The Service Mode menu is intended for use only by qualified service technicians. Experimentation with service mode menu option items can be detrimental to the monitor. Lost patient data, damaged operating system software for the monitor, even network related problems are but a few examples of problems that can be induced as the result of tampering with service mode menu option items. Service mode menu option items Access to the service mode menu option items is necessary for the following functions of the monitor: REVIEW ERRORS - Troubleshooting difficult equipment problems or network problems on a software engineering level, ADMIT MENU - Setup or configuration of the monitor to admit a patient with one of the following network configuration features enabled: Standard, Rover, Combo, or Rover Combo.
CALIBRATE - Checkout or calibration of the non-invasive blood pressure and end-tidal CO2 functions of the monitor, SOFTWARE LEVEL - For setup or configuration of one of four monitor operating system software feature levels. The three feature levels of the monitor are: 7015, 7020, or 7025,
PATIENT - MONITOR TYPE - Setup or configuration of one of three monitor operating modes. The three modes of operation for the monitor are: Adult ICU, Neonatal ICU, or Operating Room.
SET UNIT NAME - Setup or configuration of the monitor care unit name, SET BED NUMBER - Setup or configuration of the monitor bed number or bed name, SET INTERNET ADDRESS - Setup or configuration of the monitor Internet address for the network, TIME AND DATE - Set or change time and date information in the monitor. EAGLE 4000 PATIENT MONITOR 407300-123 5 - 15
REVISION E
TROUBLESHOOTING
Begin setup by entering into the service mode menu of the monitor. Follow these steps: 1. 2. Make sure all cables are properly connected to the monitor. Apply AC power to the monitor. Plug the power cord into a working AC power wall receptacle and turn the monitor rear panel main power switch to the on (1) position, Press the DISPLAY ON/OFF front panel control on the monitor. The display should be on.
Use the Trim Knob control to scroll to MONITOR SETUP in the monitor main menu and press the Trim Knob control to select it.
ALARM CONTROL VIEW OTHER PATIENTS PATIENT DATA MONITOR SETUP PATIENT: DISCHARGED
4.
Use the Trim Knob control to scroll to SERVICE MODE in the monitor setup menu and press the Trim Knob control to select it.
MAIN MENU PRINT CRG PLUS WAVEFORMS ON / OFF DISPLAY: INDIVIDUAL BRIGHTNESS: 100% COLOR: CLINICAL LEARN THE MONITOR PARAMETERS ON / OFF SOFTWARE REVISION GRAPH SETUP SOFTWARE COMPATIBILITY MONITOR DEFAULTS SERVICE MODE
5.
SERVICE MODE
A service menu password window will appear on the monitor display, as shown in the figure at the left. A password is required to prevent non-service personnel from accessing the service menus. The password is four numbers that represent the date that currently resides in a memory circuit within the monitor (please note that this may or may not be the correct date). In the password, the first two numbers, starting from the left, represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor. For example, the seventh day of the third month (March 7th) would be represented in the password as 0703 (ddmm). Note the date that is currently on the monitor display and follow these steps to enter the password; Rotate the Trim Knob control to highlight the password number that you would like to change. To change the highlighted number, press the Trim Knob control. Rotate the Trim Knob control until the correct number is displayed in the selected field. To enter the number, press the Trim Knob control. Repeat these steps until all password numbers are correctly displayed. Once you have entered the correct password numbers, rotate the Trim Knob control to highlight SERVICE MODE in the enter password window. Press the Trim Knob control one more time to enter the password and access the service menus of the monitor. REVISION E
5 - 16
TROUBLESHOOTING
Service mode menu option items are used for many purposes in the monitor. The majority of the functions of these menu option items are for initial setup and configuration. Some of the functions are for troubleshooting as well. Caution should always be exercised when using any of these password-protected functions. Service mode menu option items are used by service technicians to: relay software information to design engineers; calibrate and troubleshoot NBP functions of the monitor; set admit menu options, software feature levels and operating mode of the monitor; configure the monitor unit name, bed number and Internet address for use on the network; and enter or change the time and date on the monitor. None of these options should be used unless specifically instructed to do so.
WARNING Some of the service mode menu option items are to be used only by qualified service technicians and others are for general use. Because of this, unnecessary tampering with service mode menu option items for experimentation purposes is not recommended by the manufacturer and may cause a malfunction of the monitor.
REVISION E
5 - 17
TROUBLESHOOTING
2.
The review errors menu option items include four possible selections; one each for viewing output or input errors along with one each for clearing output or input errors. Rotate and press the Trim Knob control to scroll to and select VIEW OUTPUT ERRORS from the review errors menu option items.
MAIN MENU PREVIOUS MENU VIEW OUTPUT ERRORS CLEAR OUTPUT ERRORS VIEW INPUT ERRORS CLEAR INPUT ERRORS
5 - 18
REVISION E
TROUBLESHOOTING
The Trim Knob control can be used to scroll through each logged error, perusing all of the parameters associated with each output software error. Rotate the Trim Knob control to move the cursor ( > ) to a position for viewing the NEXT or PREVIOUS error as well as the position that allows the user to QUIT viewing output errors.
REVISION E
5 - 19
TROUBLESHOOTING
5.
To clear out the stored run time error logs, use the Trim Knob to scroll to and select the CLEAR OUTPUT ERRORS or CLEAR INPUT ERRORS menu option item, respectively.
OUTPUT SOFTWARE ERRORS HAVE BEEN CLEARED MAIN MENU PREVIOUS MENU VIEW OUTPUT ERRORS CLEAR OUTPUT ERRORS VIEW INPUT ERRORS CLEAR INPUT ERRORS
Immediately following the assertion of the Trim Knob to clear one of the error logs, a message appears directly above the menu option items, on the right side of the display. The message verifies the actuation of the Trim Knob for this function.
5 - 20
REVISION E
TROUBLESHOOTING
REVISION E
5 - 21
TROUBLESHOOTING
Severity of errors is an indication of how the event (error) affected the system. There are three levels of severity. The following table provides a list of the levels including a description of each: CONTINUE The event or error was logged, the task may or may not have completed, but the system was able to continue operating. Most error log entries will have this severity level. FATAL The event or error was logged, the task did not complete, and the system was unable to continue operating as recovery was not possible. This level of severity in an event or error is always followed by an automatic warm start. FORCED RESTART The operating system restarted normally after a known condition, such as an Internet address change, patient discharge, etc.
5 - 22
REVISION E
TROUBLESHOOTING
SERVICE TIPS
FAULT/SYMPTOM ANALYSIS
This information is provided for the benefit of service technicians responsible for the maintenance and repair of the monitor. The symptoms covered in this part of the Troubleshooting section represent only a select number of faults that you may encounter and by no means are intended to cover every possible failure that may occur. A systematic approach to the diagnosis of problems as well as a general understanding of the architecture, both hardware and software, of the monitor are essential to ensure successful troubleshooting of this device. The manufacturer recommends formal service training before repairs are attempted on the monitor. The Service Tips listed below combined with formal training should provide the service technician with skills necessary to service and repair a monitor, in the event of a malfunction. The power LED on the front panel flashes every 2 seconds Reason: The +5 Vdc supply voltage is in an over-current condition. Replace the processor PCB assembly. This is the only board that uses the +5 Vdc supply voltage. The power supply PCB assembly is working properly by the fact that it is restarting after detection of the over-current condition, thus causing the front panel LED to flash at a regular interval. Check the power supply PCB assembly. This board can be bench-tested as per the Calibration section of this manual.
The LED's on the front panel continually flash and the monitor never boots-up
Reason: The monitor is stuck in its boot-up sequence due to the lack of processor-to-processor communication. Replace the acquisition PCB. Typically, with a fault of this type, the processor PCB has successfully booted-up but is unable to boot-up the acquisition PCB assembly. This fault is verified if the display flashes the monitor main menu intermittently during the boot-up process. Replace the processor PCB if replacing the acquisition PCB does not fix the problem.
Video problem - the patient waveforms are displayed correctly but the alphanumerics are displayed improperly or are not displayed at all or vice-versa
Reason: The graphics processing (video) circuitry on the processor PCB has problems attempting to "clock-out" the text information data that is stored in video memory circuits (VRAM). Replace the processor PCB. This is the only area of the monitor where text (alphanumerics) information and graphics (patient waveforms) information is processed separately.
REVISION E
5 - 23
TROUBLESHOOTING
Symptoms relative to patient signal acquisition such as missing parameter text and waveform(s) may be associated with acquisition PCB assembly failure. It is important that you are able to distinguish the difference between the general format of the display, which is generated by the processor PCB assembly, versus the patient signals and data that is associated with these patient signals, a function of data acquisition, which is generated by the acquisition PCB assembly. Symptoms with network communications, asynchronous communications, NBP control, PCMCIA communications, analog output, audio/sound generation, and remote video signals/ communications as well as other display-related problems all may be associated with processor PCB assembly failure. All of these are functions controlled by microcontroller or graphics processing circuitry located on the processor PCB assembly.
5 - 24
REVISION E
TROUBLESHOOTING
The power supply PCB assembly provides power that is used throughout the Eagle monitor. All of the supply voltages are distributed to the processor PCB assembly for various application. Below is a list of the supply voltages and where and how these voltages are applied. Problems in any of the following areas may be associated with power supply PCB assembly failure. Following is the list of applications for each supply voltage generated by the power supply PCB:
Acquisition PCB - main power source Ethernet transceiver - power source Display assembly - backlight power source Expansion interface - flash memory programming power source Memory card (PCMCIA) slot - programming power source Defib marker out - power source for Defib Sync jack Audio amplifier - power source (speaker) NBP compressor (pump assembly) and solenoid valves power source Main memory - flash memory programming power source Processor PCB - logic power source Display assembly - logic power source Expansion interface - logic power source Memory card (PCMCIA) slot - logic power source Remote display - logic power source Remote display - analog signal power source Expansion interface - analog power source Analog ECG/blood pressure - signal generation for Defib Sync jack
REVISION E
5 - 25
TROUBLESHOOTING
5 - 26
REVISION E
TROUBLESHOOTING
NETWORK TROUBLESHOOTING
Start
Is more than one CS having a problem?
NOTE- If there is only one CS on the network, 'A' may pertain only if a network problem exists.
N
Is there a NO PARAMETERS message at the CS?
N
Is there a NO COMM message at the CS?
Y
Verfiy the BS is operating. Also verfiy BS is under AC power and not in battery fail.
N
Under LISTWHAT, check to see if the BS in question is on the network.
Y
Is there a NO COMM message at the CS?
Y
Under LISTWHAT, check to see if the BS in question is on the network.
Under LISTWHAT, the BS's on the network should be present. Possible incorrect UNIT.
End
Y
Under LISTWHAT no BS's should be available. Only CS is.
End
NOTE- You should be able to view BS's on another CS. Connect AUI cable to the ETHERNET port at the BS. The BS should appear on the network.
BS should not be present. There is a problem at the BS. Go to the BS and check the AUI cable.
Y
Possible problem at CS. Defective LAN pcb, AUI cable or MAU (Transceiver).
End
End
NOTE-If the MAU or AUI cable do not solve the problem, the CS LAN Controller pcb may be defective. Check status LEDs and event log. Reboot system and check for errors.
End
EAGLE 4000 PATIENT MONITOR 407300-123
REVISION E
5 - 27
TROUBLESHOOTING
A
Is there a NO COMM message at the CS?
Y
Under LISTWHAT, there should not be any BS's listed. Only the CS itself should be listed.. Verify with ocilliscope proper network signal voltage levels ( 0 Vdc to -2Vdc) Do voltage levels swing from 0Vdc to -4Vdc?
End
NO COMM message at CS indicates possible short in the network cable. Remove all AUI cables from each MAU. Remove one 50 terminator from the network cable. Using an ohmmeter, measure from shield to center conductor. 0 ohms indicates a short in the cable. For Thin-net: Reinstall the 50 terminator. Break the network at midpoint. Measure resistance each way. For Thick-net: A time domain reflectometer (TDR) is necessary to scope the cable. Isolate shorted section of network cable. Replace defective section or defective connector.
Y
Excessive collisions across the network. Possible hardware failure. BS's/CS's 'talking' too much. NOTE-A device 'talking' too much on the network may cause dropout at the CS. A possible ground-loop or an excessive ground potential difference may exist. Normal ground potential difference is 1Vac or less. Under LOG directory at the CS, list and read the contents from the current and/or previous day. Inspect SCOPE ER -RORS under REVIEW ERRORS at BS. If errors are ex -cessive, reboot BS. Unsuccessful boot indicates BS failure.
N
Possible open in network cable. NO COMM message appears in all BS windows at CS. Remove all AUI cables from each MAU. Remove one 50 terminator from the network cable. Using an ohmmeter, measure from shield to center conductor. High indicates an open in the cable. For Thin-net: Reinstall the 50 terminator. Break the network at midpoint. Measure resistance each way. For Thick-net: A time domain reflectometer (TDR) is necessary to scope the cable. Isolate opened section of network cable. Replace defective section or defective connector.
NOTE-You can check the network cable for a short using an o'scope. With the system still connected, scope one end of the cable monitoring the network activity. If the data signal swings above and below the dc baseline, there is a short in the cable. The data signal should swing from 0 to -2Vdc since it is ECL logic.
End
End
End
EAGLE 4000 PATIENT MONITOR 407300-123
5 - 28
REVISION E
TROUBLESHOOTING
B
Possible defective MAU or AUI cable. Also check for a bad connection on the MAU. Possible incorrect internet address.
Is 12Vdc present?
Y
Possible defective MAU or AUI cable.
End
NOTE-There is a possibility that the MAU is defective. On a busy network, it may be difficult to determine whether the MAU is detecting carriers properly. The MAU may be continually detecting carriers and will not allow the BS to transmit.
REVISION E
5 - 29
TROUBLESHOOTING
5 - 30
REVISION E
ASSEMBLY DRAWINGS
Assembly Drawings ............................................................ 6-2 About this section ....................................................... 6-2 About the assembly drawings ...................................... 6-2 Pn D412186e - Color ......................................................... 6-3 About the assembly drawings ...................................... 6-3 Packing materials ........................................................ 6-4 NBP pneumatic circuit diagram ................................... 6-5 Exploded view (detail G) .............................................. 6-5 Exploded view (rear) .................................................... 6-6 Exploded view (detail B) ............................................... 6-7 Fuse replacement/voltage settings .............................. 6-8 Exploded view (detail C) ............................................... 6-9 Exploded view (detail F) ............................................... 6-9 Exploded view (front) ................................................. 6-10 Exploded view (detail A) ............................................. 6-11 Processor PCB dip switch settings ............................. 6-11 Electrical connectors ................................................. 6-12 Electrical diagram ..................................................... 6-13 Pn. 412186-023e/-024e Parts List - Color ........................ 6-14 Pn 412185m - Monochrome/Non-Invasive ....................... 6-17 About the assembly drawings .................................... 6-17 Packing materials ...................................................... 6-18 NBP pneumatic circuit diagram ................................. 6-19 Exploded view (detail G) ............................................ 6-19 Exploded view (rear) .................................................. 6-20 Exploded view (detail B) ............................................. 6-21 Fuse replacement/voltage settings ............................ 6-22 Exploded view (detail C) ............................................. 6-23 Exploded view (detail F) ............................................. 6-23 Exploded view (front) ................................................. 6-24 Exploded view (detail A) ............................................. 6-25 Processor PCB dip switch settings ............................. 6-25 Electrical connectors ................................................. 6-26 Electrical diagram ..................................................... 6-27 Pn 412185-021l/-022e Parts List - Monochrome .............. 6-28 Pn. 412185-012l/-023e Parts List - Non-Invasive ............. 6-31
REVISION E
6-1
ASSEMBLY DRAWINGS
ASSEMBLY DRAWINGS
ABOUT THIS SECTION
Two sets of drawings Included in this section is a complete set of engineering assembly drawings. These drawings provide reference for components of the monitor in the form of mechanical and electrical diagrams. There are two complete sets of assembly drawings (6 individual drawings per set) included in this section. The two sets include assembly drawings for the following: Monitors with a TFT color display, and Monitors with a monochrome EL display (standard and/or non-invasive configurations).
The assembly drawings for all of the monitors configurations are broken down as follows: Packing materials: These diagrams provide reference to the manufacturer shipping container used for the monitors. Electrical diagrams: These diagrams provide a reference to electrical assemblies in the monitors. Interconnect diagrams: These diagrams provide a reference to electrical signals used for all of the assemblies in the monitor. The diagrams show connector to connector pin designations for each wiring harness, cable and flex circuit. Exploded views: These diagrams provide an exploded view of the monitor with itemized reference to the parts lists. Parts Lists: These lists provide part numbers and descriptive cross-reference to parts and subassemblies found in the exploded views.
6-2
REVISION E
ASSEMBLY DRAWINGS
PN D412186E - COLOR
ABOUT THE ASSEMBLY DRAWINGS
The TFT color monitor assembly drawings provide reference for components of the monitor in the form of mechanical and electrical diagrams. The following assembly drawings for monitors with TFT color displays can be found in this part of the section: Packing materials: This diagram provides a reference to the manufacturer packing materials used for shipping the monitor from the factory. Exploded views: These diagrams provide reference to the individual parts and assemblies used in the monitor. Electrical connectors: This diagram provides a reference to electrical signals for each cable or wiring harness used for interconnection of electrical assemblies in the monitor. Electrical diagram: This diagram provides a reference for the electrical assemblies in the monitor and respective interconnections. Parts List: This list provides part numbers and a descriptive cross-reference to parts and subassemblies found in each of the drawings.
REVISION E
6-3
ASSEMBLY DRAWINGS
77 2 PLS
76
NOTES: 1. PLACE INSTRUCTION CARD, ITEM 84 AND CONNECTOR COVERS, ITEM 81, IN BAG, ITEM 91, FOR SHIPPING. 2. PLACE INSTRUCTION CARD, ITEM 92, IN BAG, ITEM 93, FOR SHIPPING. LOOSE ITEMS MAY BE SHIPPED WITH THE UNIT IF SPACE PERMITS OR PACKAGED AND SHIPPED SEPARATELY. -010 & -021 ASSEMBLIES: PLACE INSTRUCTION SHEET, ITEM 130, AND ASSEMBLED PNEUMATIC CIRCUIT IN BAG, ITEM 93, FOR SHIPPING.
3.
4.
6-4
REVISION E
ASSEMBLY DRAWINGS
M IN-LINE FILTER
VALVE L2
VALVE L1
.03 DIA RESTRICTOR DUAL TUBE PATIENT CUFF PNEUMATIC CONNECTOR A1 DAS PCB
PNEUMATIC SCHEMATIC
37
B1
71 2.50
36
41
30
PIN 1 .03 RSTR SOLENOID L1 .06 RSTR SOLENOID L2 PRESS SWITCH SW2
BLACK BLACK BLACK BLACK BLUE BLACK YELLOW N/C N/C N/C BLACK RED
PUMP B1
DETAIL G
NBP PLUMBING ASSEMBLY
REVISION E
6-5
ASSEMBLY DRAWINGS
132
L L1 2
112 4.50 LG 66
64
5 PLS
51
MARK LABEL WITH: MODEL NO. PER TABLE A, 48 SERIAL NUMBER AND BARCODE 28 55 122 114 12 36 REF 2 PLS A7
98 97
113
13 6 104 120 TORQUE TO 17.0 IN-LBS 115 8 83 2 PLS 63 2 PLS 65 57 4 PLS REF
103
121
APPLY LOCTITE ITEM 89 TO LAST FEW THREADS TORQUE TO 5.0 IN-LBS 2 PLS
56 2
4 PLS
6-6
REVISION E
ASSEMBLY DRAWINGS
55
4 PLS 26 A5
58 55
2 PLS
25 A3
SWIJ1 55 4 PLS
T1
P3 W6
50
29
16
P2
60
39 59 102
2 PLS
APPLY TO ITEM 38 T1
DETAIL B
POWER SUPPLY ASSEMBLY
REF 39
W6P2
60
E1
58
REVISION E
6-7
ASSEMBLY DRAWINGS
COVER
FUSE BLOCK/COVER ASSY TO CHANGE TO 5 X 20 MM FUSES REMOVE FUSE BLOCK BY LOOSENING SCREW AND INVERT BLOCK. INSTALL FUSES AND REPLACE INTO HOUSING. NOTE:THE FUSE(S)THAT GO INTO HOUSING FIRST ARE THE ACTIVE FUSE(S).
12
0V 22 0V 0V 24 0V
10
VOLTAGE SELECTOR CARD ORIENTATION: ROTATE WHITE KEYING PIN TO POSITION SHOWN. FOR CORRESPONDING VOLTAGE INSTALL WITH PRINTED SIDE FACING IEC CONNECTOR (AS SHOWN)
FUSE/VOLTAGE SETTING
SCALE 1:1
6-8
REVISION E
ASSEMBLY DRAWINGS
10 3.75 LG 2 PLS 31
66
72 2 PLS
67 27 53 5 REF 3 PLS
95
20 88 55 3 PLS
DETAIL C
CONTROL PANEL ASSEMBLY
H 125 A11
15
REF H
H 127
H 126 2 PLS
BLUE 33
RED 32
DETAIL F
CONN FRAME FLEX CKT ASSY SCALE 1:1 21 A4
34 BROWN
REVISION E
6-9
ASSEMBLY DRAWINGS
7.00 LG 3 131 LOCATE AGAINST SIDE WALL AND APPROXIMATELY 4.25 DOWN FROM TOP WALL OF RECESS
22
REF
4 49 1
REF
18
82
3 PLS
62
55 106
3 PLS
109
110
6 - 10
REVISION E
ASSEMBLY DRAWINGS
42
W1
W8
45
W4
W5 44
40
A9
85 124 A10 ASSEMBLE FLEX HARNESS TO DISPLAY AND SECURE TO BACK OF DISPLAY USING TWO 3 IN. STRIPS OF TAPE, ITEM 85, LOCATED APPROXIMATELY AS SHOWN.
47
55
4 PLS
NORMAL SWITCH SETTINGS: SWITCHES 1-4 & 6-8 OFF (Open) SWITCH 5 ON (Closed)
REVISION E
6 - 11
ASSEMBLY DRAWINGS
BP1 BP1_EXCI+ 1 BP1_SIG+ 2 NC 3 AGND1 ISOAGND 4 NC 5 FSHIELD 6 BP1_EXCI7 BP1_SIG8 9 BP1_ID 10 NC 11 A4J2 27 31 35 39,41 29 33 37 ** ** **
A3J1 1 2 3 4 5 6 BTIP1
BP2 BP2_EXCI+ 1 BP2_SIG+ 2 NC 3 AGND2 ISOAGND 4 NC 5 FSHIELD 6 BP2_EXCI7 BP2_SIG8 NC 9 BP2_ID 10 NC 11 A4J3 43 47 51 55 45 49 53
A2J7 1 2 SP1P1
SAO2 RESENSE 1 RED_LED 2 IR_LED 3 LED_PWR 4 POX+ 5 FSHIELD 6 RSENSE_COMMON 7 POX_ID* 8 POX9 OHMEDA/NELCOR* 10 ISOGND 11 A4J4 71 69 67 65 61 57 73 75 59,63 77 79 A4J5 * AGND1 & AGND2 ARE COMMONLY TIED TO ISOAGND AT THE CKT BD
SW1GND
E1
W6P1
W6P2
SW1J1 A B C D E F T1P4
AC SOURCE
W7P2
E2 CHASSIS T1P3 T1
6 - 12
REVISION E
ASSEMBLY DRAWINGS
A1J2 A1U21 B1 NBP PUMP A3J1 BT1P1 A1P1 BT1 BATTERY 12V
ECG
A1 DAS PCB A4J1 TEMP/CO A4 FLEX CKT CONN PANEL A4J5 A1J1
L1 SOLENOID
A5J4
ASYNC 1
A5J3
SW2 PRESSURE SWITCH A3J3 W4P1 A3J4 W5P1 A3J2 T1P1 A5 COMMUNICATIONS PCB
ASYNC 2
A5J5
BP 2
A4J3
W1
REMOTE VIDEO
A4J4
A2J2
A2J6 A7P2
W8
W8P1 A2J15
GRN/YEL
SW1 AC INLET/FUSEHOLDER
A9J1 A2J8
A9J2
A2J7
T1P4 SW1J1
A6 COLOR DISPLAY
A6P1 A2J13
A7P1 A5J1
SAO2
W4
A5J2
W1P2 A2J4
W2P1 A2J5
ETHERNET
A8J3
DEFIB SYNC
A8J2 A2J9
A2J12
W6 T1P3 W6P2
E2 CHASSIS
E1 CHASSIS
ETCO2
A11J1 A10J3
A11J2
MEMORY CARD
REVISION E
W6P1 SW1GND
6 - 13
ASSEMBLY DRAWINGS
6 - 14
REVISION E
ASSEMBLY DRAWINGS
REVISION E
6 - 15
ASSEMBLY DRAWINGS
6 - 16
REVISION E
ASSEMBLY DRAWINGS
PN 412185M - MONOCHROME/NON-INVASIVE
ABOUT THE ASSEMBLY DRAWINGS
The monochrome EL/non-invasive monitor assembly drawings provide reference for components of the monitor in the form of mechanical and electrical diagrams. The following assembly drawings for monitors with monochrome EL displays, including non-invasive monitors, can be found in this part of the section: Packing materials: This diagram provides a reference to the manufacturer packing materials used for shipping the monitor from the factory. Exploded views: These diagrams provide reference to the individual parts and assemblies used in the monitor. Electrical connectors: This diagram provides a reference to electrical signals for each cable or wiring harness used for interconnection of electrical assemblies in the monitor. Electrical diagram: This diagram provides a reference for the electrical assemblies in the monitor and respective interconnections. Parts List: This list provides part numbers and a descriptive cross-reference to parts and subassemblies found in each of the drawings.
REVISION E
6 - 17
ASSEMBLY DRAWINGS
77 2 PLACES
76
NOTES: J 1. -001, -021 & -022 ASSEMBLIES: PLACE ITEMS 84 AND 81 INTO ITEM 91 AND SEAL. 2. PLACE INSTRUCTION CARD, ITEM 92, IN BAG, ITEM 93, FOR SHIPPING. 3. LOOSE ITEMS MAY BE SHIPPED WITH THE UNIT IF SPACE PERMITS OR PACKAGED AND SHIPPED SEPARATELY. J 4. -010 & -038 ASSEMBLIES: PLACE INSTRUCTION SHEET, ITEM 128, AND ASSEMBLED PNEUMATIC CIRCUIT IN BAG, ITEM 93, FOR SHIPPING.
6 - 18
REVISION E
ASSEMBLY DRAWINGS
M IN-LINE FILTER
VALVE L2
VALVE L1
.03 DIA RESTRICTOR DUAL TUBE PATIENT CUFF PNEUMATIC CONNECTOR A1 DAS PCB
PNEUMATIC SCHEMATIC
37
B1
71 2.50
36
41
30
PIN 1 .03 RSTR SOLENOID L1 .06 RSTR SOLENOID L2 PRESS SWITCH SW2
BLACK BLACK BLACK BLACK BLUE BLACK YELLOW N/C N/C N/C BLACK RED
PUMP B1
DETAIL G
NBP PLUMBING ASSEMBLY
REVISION E
6 - 19
ASSEMBLY DRAWINGS
43 SP1 TORQUE TO 5.0 IN-LBS 2 PLACES REF 37 WRAP THRU FRAME, ITEM 3, AND AROUND PUMP MOTOR, ITEM 37 86 54
132
L L1 2
112 4.50 LG 66
64
5 PLS
51 MARK LABEL WITH: MODEL NO. PER TABLE A, 48 SERIAL NUMBER AND BARCODE 28 A7 122 12 55 2 PLS
98 97
113
36 REF
19 24 A1
103
121
APPLY LOCTITE ITEM 89 TO LAST FEW THREADS TORQUE TO 5.0 IN-LBS 2 PLS
56 2
4 PLS
6 - 20
REVISION E
ASSEMBLY DRAWINGS
INSTALL AROUND TRANSFORMER LEADS AND POWER AND SIGNAL HARNESSES (ITEM 44 AND 45)
73
55 4 PLACES 26 58 A5
55 25 A3
2 PLACES
SWIJ1 55 4 PLACES
T1
P3 W6
50
29
16
P2
60 39 2 PLACES
APPLY TO ITEM 38
DETAIL B
POWER SUPPLY ASSEMBLY
REF 39
W6P2
60
E1
58
REVISION E
6 - 21
ASSEMBLY DRAWINGS
FUSE 99
FUSE BLOCK
COVER
12
0V 22 0V 10 0V 24 0V
FUSE/VOLTAGE SETTING
6 - 22
REVISION E
ASSEMBLY DRAWINGS
72 2 PLACES
31 REF 117 TO BULKHEAD FITTINGS ON IT. 3 5 J TORQUE NUT TO 10.0 IN-LBS 20 88 55 3 PLACES APPLY TAPE TO INSIDE OF BRACKET AS REQUIRED REF 67 27 53 3 PLACES 95
DETAIL C
CONTROL PANEL ASSEMBLY
125 A11
15
REF
127
126 2 PLACES
35 33 BLUE 32
APPLY A BEAD OF LOCTITE, ITEM 107, ON ALL FOUR SURFACES OF ITEM 81 BEFORE INSERTING INTO ITEM 5. 81 -013 ONLY RED 81 J
DETAIL F
CONN FRAME FLEX CKT ASSY 21 A4
34
BROWN
REVISION E
6 - 23
ASSEMBLY DRAWINGS
82 3 PLACES
62
55
3 PLACES
-013 ONLY: REMOVE "NBP GO/STOP" KEY AND ASSEMBLE PLUG, ITEM 119
110
6 - 24
REVISION E
ASSEMBLY DRAWINGS
85 4 PLACES
124 A10
47 2 PLACES
40
A9
55 4 PLACES 44 J 66 REF 55 W5
REVISION E
6 - 25
ASSEMBLY DRAWINGS
TEMP/CO 1 2 3 4 5 6 7 8 9 10 11
+0.25VREF DT/CO_IN1 CO_OFFSET NC 700*/400_ID FSHIELD ISOAGND DT/CO_IN2 CO_PROBE_ID* TEMP_PROBE_ID* ISOGND
A2J6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
LAN_RX+ N/C LAN_TX+ LAN_RXLAN_CD+ LAN_TXRMT_BLUE_VID LAN_CDRMT_GREEN_VID RMT_BLUE_VID_RTN RMT_RED_VID
A5J1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
SOLENOID BLK BLK L1 SOLENOID BLK BLK L2 PRESS SW BLUE BLK YEL SW2 N/C N/C PUMP BLKRED+ B1
PUMP_DRV +V_PUMP OVP 300* OVP RTN OVP 150* +12V_VAL1 VAL1_DRV +12V_VAL0 VALO_DRV
A2J5 1 2
3 4
A4J1
BP1 1 2 3 4 5 6 7 8 9 10 11 A4J2
BP1_EXCI+ BP1_SIG+ NC AGND1 ISOAGND NC FSHIELD BP1_EXCIBP1_SIGNC BP1_ID NC
N/C
5 6 7 8 9 10 11 12 W2P1
27 31 35 39,41 29 33 37
** ** **
COMM_TX1+ COMM_TX2COMM_RX2 COMM_TX1COMM_RX1 VGND +5VID VGND RELAY1 RELAY2 EE_DIO VGND +12VMAIN EE_CLK +12VMAIN +12VMAIN_RTN +12VMAIN +12VMAIN_RTN +12VMAIN_RTN +12VMAIN_RTN
BATTERY
PWRGND PWRGND BAT+ BAT+ P_RESH P_RESL
A3J1 1 2 3 4 5 6 BTIP1
BP2 1 2 3 4 5 6 7 8 9 10 11 A4J3
BP2_EXCI+ BP2_SIG+ NC AGND2 ISOAGND NC FSHIELD BP2_EXCIBP2_SIGNC BP2_ID NC
43 47 51 55 45 49 53
BT1
SPEAKER + SP1
SPEAKER+ SPEAKER-
A2J7 1 2 SP1P1
SAO2 1 2 3 4 5 6 7 8 9 10 11 A4J4
RESENSE RED_LED IR_LED LED_PWR POX+ FSHIELD RSENSE_COMMON POX_ID* POXOHMEDA/NELCOR* ISOGND
71 69 67 65 61 57 73 75 59,63 77 79 A4J5
SW1GND
CHASGND
E1
TRANSFORMER
RED
SW1J1 A B C D E F T1P4
SW1J2 L N GD W7P1
HOT NUETRAL GND
AC SOURCE
* AGND1 & AGND2 ARE COMMONLY TIED TO ISOAGND AT THE CKT BD FOR A1J1 EVEN NO. PINS TO BE FSHIELD 2,4...78,80
W7P2
T1P3
T1
6 - 26
REVISION E
ASSEMBLY DRAWINGS
ECG
A1 DAS PCB
A4J1
TEMP/CO
A4J5 A1J1
L1 SOLENOID
A5J4 A5 COMMUNICATIONS PCB A5J3 A5J5 A5J2 A5J6 SW1 AC INLET/FUSEHOLDER A3J3 W4P1 A3J4 W5P1 A3J2 T1P1 A7P1 A5J1 W5 T1 TRANSFORMER GRN/YEL T1P4 SW1J1
ASYNC 1
ASYNC 2
BP 2
A4J3
W1
REMOTE VIDEO
A4J4
W2P1 A2J5
SAO2
W4
ETHERNET
A2 PROCESSOR PCB
A2J15
REMOTE ALARM
A2J6 A7P2
A9J2
A9J1 A2J7
A2J8
A6 MONOCHROME DISPLAY
A2J13
A8SW1
SP1P1 A2J1
W6P2 T1P3
W6
TRIM KNOB
SP1 SPEAKER
E1 CHASSIS
A11J1 A10J3
A11J2
CO2
MEMORY CARD
REVISION E
W6P1 SW1GND
DEFIB SYNC
A8J3
A8J2 A2J9
A2J12
6 - 27
ASSEMBLY DRAWINGS
6 - 28
REVISION E
ASSEMBLY DRAWINGS
REVISION E
6 - 29
ASSEMBLY DRAWINGS
6 - 30
REVISION E
ASSEMBLY DRAWINGS
REVISION E
6 - 31
ASSEMBLY DRAWINGS
6 - 32
REVISION E
ASSEMBLY DRAWINGS
REVISION E
6 - 33
ASSEMBLY DRAWINGS
6 - 34
PAGE REV D
REVISION E
7-1
MANUAL CONTENT
Section 1: Equipment Overview Section 2: Maintenance Section 3: Calibration
Section 4: Configuration
7-2
REVISION E
PAGE LAYOUT
Section Topic: Each section is divided into topics. This line indicates what topic within the section is covered on this and possibly subsequent pages. Section Title: The top line of the page always indicates the section of the manual. Section topics may also appear next to the section title.
Left Column: Most pages are split into two columns. The left column text indicates topic sub-titles and summeries of text found in the right column.
MAINTENANCE
VISUAL INSPECTION
INSPECTING THE MONITOR
The monitor should be carefully inspected prior to each patient being admitted to the monitoring system. Follow these guidelines when inspecting the equipment: Carefully inspect the monitor for obvious physical damage to the outer case, display screen and controls. Do not use the monitor if physical damage is determined. Refer damaged equipment to qualified service personnel for repair before using it again on a patient. Inspect all external connectors, front and rear, for degraded pins, prongs and connector housings. Refer damaged equipment to qualified service personnel for repair before using it again on a patient. Inspect all cable insulation, cable strain-reliefs and cable connectors for damage, cracks or degradation. Refer damaged equipment to qualified service personnel for repair before using it again on a patient.
5 -BED SICU
70
O BP
DIS
CHA
RGE
D ZER
II
ZER
ITOR T MON LIGH en) HIGHof scre to side en). Knob of scre right Trim om the s (far r ATE r label ns (bott mete ns ROTmete optio para optio . u CT menu paramen g the layed SELE and to Related ribin is disp Knob ns. desc n Trim optio line u optio u. the u sage men men SS menmes ed u. main PRE s and A light ar. high men n to label appeof a ious an retur lay will tion prev ct to disp lay func Sele disp u will MAIN ct to p men MENU Sele SE OUS a popu CLO PREVI DOW from MENU WIN HELP ow. wind ctingon Sele mati infor OPE RAT ING THE
O BP
P 60 A 10 2 Dg 42 30 C O
mmH
V
160
32
C .4
Right Column: The right column text provides topic substance and elaborates on information from text found in the left column.
AR1
0 60
30 5
R R
20
II I
PA2
0
RRI
B KNO
WIN
T NEX DOW
M TRI
ALL
C B. SYN
DEFI
2
GO/
SAO
AC PWR RDY
ECG
Section & Page Number: The number on the left indicates the section, the number on the right indicates the page within the section. Product Name - Manual Title: This is found on each page of the manual. Page Revision: As changes to the manual occur, this letter indicates the current revision for each page of the manual.
PAGE REV A
3-3
REVISION E
7-3
RELATED DOCUMENTATION
OPERATOR INFORMATION
Eagle 4000 Patient Monitor Operator's Manual Part number: 407300-163 Describes complete operation for monitors with version 6 software installed
Cleaning Your Eagle Monitor's Display Part number: 407300-054 Describes manufacturer recommendation for cleaning a monochrome EL monitor display screen
Charging Your Eagle Monitor Battery Pack Part number: 407300-064 Describes monitor battery management procedures.
SERVICE INFORMATION
Tram X00 Modules/Eagle Monitor Termination Instructions for BP, CO, and TEMP Cables Part number: 403799-016 Describes how to properly terminate the listed patient cable connectors.
Eagle 4000 Patient Monitor - Version 6 Update Instructions Part number - 407300-170 Describes the procedure for updating software in the monitor.
Marquette Unity Network User's Manual Part number - 403799-023 Describes configuration and network related service information for all products on the network.
7-4
REVISION E
MANUFACTURER RESPONSIBILITY
LIABILITY DISCLAIMER
The manufacturer is responsible for the effects on safety, reliability, and performance of the monitor only if: installation, maintenance, extensions, calibration, modification, repair and any other general service requirements of the monitor are conducted by manufacturer field service engineers, certified biomedical equipment technicians (CBET) or other qualified service personnel formally trained by the manufacturer; the electrical installation, relevant to main AC power from the wall receptacle for the monitor, complies with all associated regulations; and the monitor is used in accordance with the manufacturer's recommended operational instructions.
REVISION E
7-5
NOTE A note conveys special instructions to highlight an operating procedure, practice, etc. Notes may precede or follow the applicable text, depending on the material to be highlighted.
CAUTION The purpose of a caution is to inform users of this manual of operating procedures, practices, etc., which if not strictly observed, could result in possible damage to the equipment.
WARNING A warning provides instructions to users of the manual that operating procedures, practices, etc., if not followed, may result in personal injury.
PARTS LISTS
DIMENSION SPECIFICATIONS
Hardware dimensions in parts lists use either metric or American standards. Metric standards are indicated as items that include the letter M as a prefix (example: Screw, M 2.0 x 4) American standards are indicated as items without a letter as a prefix (example: Screw, 4-40 x 5/16)
7-6
REVISION E
ABBREVIATIONS
A AAMI: Association for the Advancement of Medical Instrumentation AC: alternating current ADC: analog-to-digital converter Adj: adjustable Al: aluminum Ampl: amplifier ANSI: American National Standards Institute, Inc. ASIC: application specific integrated circuit ASYNC COMM: asynchronous communication AUI: attachment unit interface Ave: Avenue AWG: American Wire Gage B B/M: beats per minute BDGH: binding head BP: blood pressure bpm: beats per minute BT: blood temperature C Cap: capacitor cc: cubic centimeter Cer: ceramic CMOS: complimentary metal-oxide semiconductor CO: cardiac output CSA: Canadian Standards Association D DAC: digital-to-analog converter dB: decibel dc: direct current DDW: Direct Digital Writer DEFIB SYNC: defibrillator synchronization DMM: digital multimeter E ECG: electrocardiogram, electrocardiograph EEPROM: electronically erasable programmable read only memory ESD: electrostatic discharge F FCC: Federal Communication Commission FDA: Food and Drug Administration FET: field-effect transistor FL: Florida G GND: ground H hi-pot: high potential Hz: Hertz I ID: inside diameter IEC: International Electrotechnical Commission IEEE: Institute of Electrical and Electronic Engineers in: inch J IT: injectate temperature JFET: junction field effect transistor K kg: kilogram kHz: kilohertz kV: kilovolt L LAN: local area network lb: pound LCA: logic cell array M M: mega, megohm mA: milliampere MHz: megahertz mm: millimeter mmHg: millimeter of mercury MOSFET: metal-oxide semiconductor field-effect transistor MPP: metallized polypropylene MRT: Monitoring Review Terminal mV: millivolt
REVISION E
7-7
ABBREVIATIONS (CONT)
N NBP: non-invasive blood pressure No: number nS: nanosecond Ntwk: network O, P PC: printed circuit, personal computer PCB: printed circuit board pF: picoFarad PLCC: plastic leaded chip carrier PLL: phase locked loop pn: part number PNH: pan head Pos: position PPR: peripheral pulse rate PVC: premature ventricular contraction Q, R RAM: random access memory Res: resistor RESP: respiration Rgltr: regulator S SM: surface mount SPDT: single-pole, double-throw SpO2: pulse oximetry (arterial oxygen saturation) SPST: single-pole, single-throw SST: stainless steel T Tant: tantalum TEMP: temperature TPU: time processing unit Tram: Transport Remote Acquisition Module TTl: transistor-transistor logic U UART: universal asynchronous receiver/ transmitter UL: Underwriters Laboratories, Inc. V V: volt, voltage Var: variable VDE: Verband Deutscher Electrotechniker Volt: voltage W W: watt, West w/: with WI: Wisconsin WW: wire wound X, Y, Z YSI: Yellow Springs Instrument Other (Cont): continued C: degrees Celsius F: degrees Fahrenheit z: impedance variation : micro A: microampere F: microfarad V: microvolt : ohm T: temperature difference %: percent
7-8
REVISION E
PAGE CHANGES
LIST OF PAGE CHANGES
Following is a list of page changes, page revision and document date. The list provides a reference of changes to the manual. This page is updated as page changes are updated in the manual. Page Changes Initial release. All pages. Title/T-2, ix, x, 1-9, Section 7. All pages. All pages. C D E 13 November 1996 20 December 1996 9 May 1997 Page Rev A B Document Date 22 November 1995 21 August 1996
REVISION E
7-9
7 - 10
REVISION E
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