Marquette Eagle3000
Marquette Eagle3000
Marquette Eagle3000
TRADEMARKS AND COPYRIGHT 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.
ABOUT THIS MANUAL This manual reflects Eagle 3000 software version 3 type.
SCOPE OF THE MANUAL The content of this field service manual is aimed primarily at
biomedical equipment technicians and field service personnel.
The user of this field service manual is expected to have a solid
background in electronics, including strong backgrounds in
analog and digital electronics, as well as microcomputer
technology familiarity.
MANUAL CONTENT The field service manual is organized into sections, as follows:
Section 1: Section one describes the field service manual, manual
Introduction page layout, related documentation, manufacturer
responsibility, notes/cautions/warnings, and abbreviation.
Section 2: Section two describes the product, the Marquette Unity
Equipment Overview Network, technical specifications, preparation for use,
product part numbers and theory of operation.
PAGE LAYOUT
Section Topic: Each section is Section Title: The top line of
divided into topics. This line the page always indicates the
indicates what topic within the section of the manual. Section
section is covered on this and topics may also appear next to
possibly subsequent pages. the section title.
information from text found in Inspect all cable insulation, cable strain-reliefs and cable
connectors for damage, cracks or degradation. Refer
the left column. damaged equipment to qualified service personnel for repair
before using it again on a patient.
MANUAL REVISIONS
The following list gives the revision of each release of this
manual. As changes to the manual occur, the following list will
provide a reference to these changes.
RELATED DOCUMENTATION
WHAT THESE INDICATE Notes, cautions, and warnings all appear in a similar fashion
throughout the manual. These are designed to draw special
attention to particular relevant points of interest.
NOTE
A note conveys special instructions to highlight an
operating procedure, practice, etc. Notes may pre-
cede 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)
NOTE
Some symbols may not appear on all equipment.
Fuse
Equipotentiality
EQUIPMENT RATINGS FOR PATIENT The following describes the symbols for patient applied parts of
APPLIED PARTS patient monitoring equipment.
PRESS Indicates where to press to open the door on the 7160 DDW.
NOTE
The rating of protection against electrical shock
(indicated by symbol for Type B, BF or CF) is achieved
only when used with patient applied parts listed for
use in the Supplies section of the Operators Manual.
Do not test the dielectric strength directly at the CO2
connector.
Ordering Supply Items 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.)
Address orders or inquiries to:
Marquette Medical Systems Service and Supplies
P.O. Box 9100
100 Marquette Drive
Jupiter, FL 33468-9100
Attn: Supplies
Ordering Service Parts 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 order-
ing 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 (eg, R13, S12, U32).
Service Calls To open a service call with Marquette Medical Systems Service,
contact a Service Dispatcher at:
1-800-558-7044 (U.S. only)
1-407-575-5000 (outside the U.S.)
Service Contracts For any questions about Service Contracts, contact the service
contract operator at:
1-800-552-3248 (U.S. only)
1-407-575-5000 (outside the U.S.)
For All Hardware For technical information regarding Marquette patient monitor-
ing equipment, contact Monitoring Technical Support at:
1-800-558-7822 (U.S. only)
1-407-575-5000 (outside the U.S.)
Series 7000/7010 For technical advice concerning Series 7000/7010 patient moni-
toring equipment, contact Tech Support:
1-800-443-0980 (U.S. only)
1-407-575-5000 (outside the U.S.)
For Additional The service telephone operator can direct calls to personnel most
able to assist with information. For other Monitoring Technical
Information Support information, contact the service telephone operator at:
1-800-558-5120 (U.S. only)
1-407-575-5000 (outside the U.S.)
ABBREVIATIONS
A J
D
AAMI: Association for the JFET: junction field effect
DAC: digital-to-analog
Advancement of Medical transistor
converter
Instrumentation
dB: decibel
AC,ac: alternating current K
DC, dc: direct current
ADC: analog-to-digital kg: kilogram
converter DDW: Direct Digital Writer
kHz: kilohertz
Adj: adjustable DEFIB SYNC: defibrillator
synchronization kV: kilovolt
Al: aluminum
DMM: digital multimeter
Ampl: amplifier
L
ANSI: American National
Standards Institute, Inc. E LAN: local area network
ASIC: application specific ECG: electrocardiogram, lb: pound
integrated circuit electrocardiograph LCA: logic cell array
ASYNC COMM: asynchronous EEPROM: electronically
communication erasable programmable
read only memory M
AUI: attachment unit interface
ESD: electrostatic discharge M: mega, megohm
Ave: Avenue
mA: milliampere
AWG: American Wire Gage
F MHz: megahertz
ABBREVIATIONS (CONT)
O, P T Other
PC: printed circuit, personal Tant: tantalum (Cont): continued
computer TEMP: temperature C: degrees Celsius
pcb: printed circuit board TPU: time processing unit F: degrees Fahrenheit
pF: picoFarad Tram: Transport Remote z: impedance variation
PLCC: plastic leaded chip Acquisition Module : micro
carrier TTl: transistor-transistor logic A: microampere
PLL: phase locked loop
F: microfarad
pn: part number U V: microvolt
PNH: pan head UART: universal asynchronous : ohm
Pos: position receiver/transmitter
T: temperature difference
PPR: peripheral pulse rate UL: Underwriters Laboratories,
Inc. %: percent
PVC: premature ventricular
contraction
V
Q, R V: volt, voltage
RAM: random access memory Var: variable
Res: resistor VDE: Verband Deutscher
RESP: respiration Electrotechniker
S W
PRODUCT DESCRIPTION
ABOUT THE MONITOR The monitor provides the parameters needed in a single,
inexpensive, easy-to-use device. Its compact size and innovative
package allow it to fit in small, tight places making it an ideal
choice for patient monitoring in an operating room, recovery
room, emergency care area as well as outpatient care areas.
Cost-effective design Designed to provide high
reliability, long operational
life, minimal downtime,
and low maintenance cost,
the monitor is a cost-
effective solution to
general purpose patient
Standard monitoring monitoring needs. Monitor
configuration ... configurations include
simultaneous multi-lead
ECG, non-invasive blood
pressure, dual
temperature, pulse
oximetry monitoring.
... with options available Optional features that can
be added to all monitors
include an integral two-
channel two inch thermal writer, two invasive blood pressures
and end-tidal CO2.
Value-added features The monitor is equipped with a 9" diagonal high-contrast
electroluminescent (EL) display capable of showing four
waveforms and full digital data for all monitored parameters.
The Trim Knob control and a clinically logical software menu
structure assure ease-of-use and reduced inservice time. Multi-
lead ST-segment monitoring, high quality graphic and tabular
trends, and sophisticated algorithms (which may assist to reduce
false alarms and provide more accurate data) are "value-added"
Network compatibility features. In addition, the monitor is a member of a complete
family of critical care products from the manufacturer, and is
fully compatible with interconnection to the patient monitoring
network.
NOTE
The use of ACCESSORY equipment not complying with the equivalent safety requirements
of this equipment may lead to a reduced level of safety of the resulting system.
Consideration relating to the choice shall include: use of the accessory in the PATIENT
VICINITY; and evidence that the safety certification of the ACCESSORY has been
performed in accordance to the appropriate IEC 601-1 and/or IEC 601-1-1 harmonized
national standard.
ABOUT THE REMOTE ALARM The remote alarm (RMT ALRM) connector is for use with a
CONNECTOR Marquette/Hellige Isolation Relay (pn 303 555 77) which
provides a relay closure during the following alarms:
CRISIS Patient Status Alarms, and
WARNING System Status Alarms.
The signals provided at the RMT ALRM connector activate and
deactivate the Marquette/Hellige Isolation Relay (shown below).
When the monitor is powered up initially or rebooted, the relay
remains turned off until the monitor is finished with its power up
or reboot sequence. Once the monitor finishes powering up or
rebooting, the relay is then energized.
When a CRISIS Patient Status Alarm or a WARNING System
Status Alarm is detected, the relay is turned off by a signal from
the monitor. When the alarm has been cleared, the relay is
turned on once again.
The relay is turned off when AC power is removed from the
monitor.
NOTE:
Refer to the Installation Instructions that come with
the Marquette/Hellige Isolation Relay for proper
connection to your Nurse Call system.
MONITOR APPLICATIONS
STAND-ALONE MONITOR The Marquette Unity Network (hereafter referred to as the
APPLICATION network) provides a method for standardized communication
with various Marquette medical system devices. This versatile
monitor can operate both as a fully functional stand-alone device
and as a component on the network, depending upon the
application.
PATIENT MONITORING SYSTEM When connected to the network, the monitor provides access to
APPLICATION other devices for many purposes. Marquette patient monitoring
equipment such as Centralscope central station monitor; Series
7200/7260 direct digital writer; CDT-LAN patient telemetry
system; ADU-LAN; and, Solar or other Eagle patient monitors are
examples of devices that can be used in conjunction with the
monitor when connected to the network.
HOSPITAL-WIDE NETWORK There are various types of information management and data
APPLICATION base systems devices which may also be integrated with the
monitor via connection to the network. Marquette medical
systems equipment such as MUSE cardiology management
system; MARS UNITY workstation; MARS 24 clinical review
station; MRT II automated vital sign and arrhythmia data
collection system; MAC-Lab cardiac catheterization system; QMI
patient data management system; and, MUSE HIS interface are
examples of systems and data bases which can be integrated
with the monitor on the network.
PERFORMANCE SPECIFICATIONS
Display
Size: 9-inch diagonal
Type: Monochrome, electroluminescent, flat panel
Resolution: 640 by 400 pixels
Number of waveform traces: 4
Length of trace: 5.7 seconds
Sweep speed: 22.9 mm/s (with erase bar), all waveforms except CO2
Waveform display options: Full or individual
Information window: Displays all non-real-time information without obstructing the
display of real-time information
Display organization: Prioritized by parameter
Processing
Main processor: MC68EN360 (32-bit microprocessor), 23.4936 MHz clock
frequency
Data acquisition processor: MC68332 (32-bit microprocessor), 15.7248 MHz clock frequency
Program memory: 2MB flash EEPROM
Data memory: 2MB RAM
Alarms
Classification: 4 levels (Crisis, Warning, Advisory, Message)
Notification: Audible and visual
Setting: Default and individual
Silencing: 1 minute, current alarm only
Pause
Adult mode: 5 minutes
Neonatal ICU mode: 3 minutes
OR mode 5 minute, 15 minute, or permanent
Volume: Default 70%, 70 dB measured at 1 meter
User Interface:
Trim Knob control: Provides access to all menu-based operations
Hard keys
Silence Alarm: Controls alarm silencing
Graph Go/Stop: Start and stop manual graph operation
NBP Go/Stop: Start and stop non-invasive blood pressure measurement
Zero All: Zero BP transducers
Display On/Off: Blanks the display and disables alarms, for use as screen saver
ECG
Standard leads available: I, II, III, V, aVR, aVL, and aVF
Leads analyzed simultaneously: I, II, III, and V (multi-lead mode)
Lead fail: Identifies failed electrodes
Lead fail sensing current
Active electrodes: <25 nA each
Reference electrode: <100 nA
Waveform display aspect ratio: 0.34 s/mV
Input specifications
Voltage range: 0.5 mV to 5 mV
Signal width: 40 ms to 120 ms (Q to S)
Input impedance
Common mode: >10 M at 50/60 Hz
Differential: >2.5 M from dc to 60 Hz
Output specifications
Display frequency response
Adult ICU mode: 0.05 to 40 Hz
Neonatal Mode: 0.5 to 40 Hz
OR Mode: 0.05 to 25 Hz
Paper Recorder frequency response
Standard Mode: 0.05 to 100 Hz
Neonatal: 0.5 to 40 Hz
OR Mode: 0.05 to 25 Hz
Common mode rejection: 90 dB minimum at 60 Hz
Gain: 1000 3%
Linearity deviation: 3% (maximum)
Noise: <30 V (referred to input)
Heart Rate
Heart rate range: 30 to 300 beats per minute
Heart rate averaging: 8 beats
Display update interval: 2 seconds
Response time: <6 seconds (per AAMI EC13)
Limit alarm display: <10 seconds after alarm condition exceeded
ST Segment analysis
Measurement description: ST segment deviation measured and displayed for all acquired
leads, and averaged for anterior, lateral and inferior lead groups
ST display: Three 30-minute trends, or ECG complexes for leads I, II, and V,
and a summation trend
Measurement point: Measures at 60 ms following the J point
Measurement range
Adult: -12.0 mm to + 12.0 mm
Neonatal: -10.0 mm to + 10.0 mm
Display resolution: 0.1 mm
ST measurement averaging: 16 beats
Display update interval: 2 seconds
Pacemaker detection/rejection
Input voltage range: 2 mV to 700 mV
Input pulse width: 0.1 ms to 2 ms
Rise time: 10 s to 100 s
Over/under shoot: 2 mV (maximum)
Baseline drift: <0.5 V with a 700-mV, 2-ms pacemaker pulse applied
Arrhythmia detection
Adult mode: Asystole, ventricular fibrillation/tachycardia, ventricular
tachycardia
Neonatal mode: Asystole, ventricular fibrillation/tachycardia, ventricular
bradycardia
Alarms: Selectable upper and lower heart rate limits, arrhythmia
detection; lead-failure
Temperature
Number of channels: 2
Input specifications
Probe type: YSI Series 400 or 700 (determined by input cable)
Temperature range: 0C to 45C (32F to 113F)
Resolution: 0.1C
Output specifications
Parameters displayed: T1, T2
Linearity deviation: 1% (maximum)
DC drift: 1 mV/C (maximum)
Error: (independent of source)
0.1C for YSI series 400 probes
0.3C for YSI series 700 probes
Noise: 20 mV (maximum) from dc to 100 Hz
Alarms: Selectable upper and lower limits for T1, T2
Respiration (optional)
Measurement technique: Impedance variation detection
Respiration rate measurement specification
Range: 0 to 200 breaths per minute (for variation of 1.0 to 10)
Accuracy: 1 breath per minute
Base impedance: 100 to 1000
Detection sensitivity: 0.4 to 10 variation (for 0 to 120 breaths per minute)
Excitation current: 250 ARMS at 52.6 kHz
Averaging: 8 breaths
Display update interval: 2 seconds
Waveform display bandwidth: 0.1 to 1.8 Hz (-3 dB)
Lead fail: Indicated when base impedance exceeds 1750 250
Apnea detection: Indicated when impedance variation is less than selected
sensitivity or 0.2, whichever is greater
Alarms: Selectable upper and lower respiration rate limits, and user
selectable apnea limit
Environmental Specifications
Power Requirements: 90132 VAC 50/60 Hz
190264 VAC 50/60 Hz
Power consumption: 90132 VAC 2A
(maximum) 190264 VAC 50/60 1A
Heat dissipation: 500 Btu/hr
Cooling: Convection
Operating Conditions:
Ambient temperature: 10 to 40C (50 to 104F)
Relative humidity: 30 - 70%
Storage Conditions: Do not exceed:
Maximum: 50C (122F) at 50% relative humidity
70C (158F) at 15% relative humidity
Minimum: 25C (13F)
Physical Specifications
Height: 24.13 cm (9.5 inches)
Width: 31.11 cm (12.25 inches)
Depth: 21.59 cm (8.5 inches)
Weight: 7.3 kg (16 lb)
Certification
UL: UL2601-1 Listed
CSA: C22.2 No. 601.1-M90
IEC: IEC 601-1 Certified
Electromagnetic Compatibility
CISPR Publication 11 Class B Radiated, Class B Conducted
Classifications The Eagle 3000 Patient Monitor is classified, according to IEC 601-1.
Degree of protection against ECG, Respiration, and Invasive Blood Pressure are type CF
electrical shock: equipment. Non-Invasive blood pressure, SpO2, and CO2 are type BF
equipment.
Degree of protection against Ordinary Equipment (enclosed equipment without protection against
harmful ingress of water: ingress of water)
Degree of safety of application Equipment not suitable for use in the presence of a flammable
in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.
anesthetic mixture with air or
with oxygen or nitrous oxide:
WARNING
Loss of power to the monitor results in the loss of all
monitoring functions.
EQUIPMENT GROUND The ground pin of the wall receptacles and all exposed metal
REQUIREMENTS
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.
MONITOR VENTILATION The monitor is capable of producing as much as 170 BTu per
REQUIREMENTS 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 condi-
tions which may endanger the patient being moni-
tored.
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.
CAUTION
The monitor must be located no closer than 4 inches
(10 cm) from any partition or wall. The monitor
should be approximately 12 inches (30 cm) from any
overhead partition or the ceiling.
ORDERING INFORMATION
PART NUMBERS AND Below is a breakdown of the product part number used for
DESCRIPTIONS ordering the monitor.
EGL3107=A
0: No options
1: Defib Sync/Analog Out
2: End-tidal CO2 (Defib Sync/Analog Out included/required)
3: STAR writer (Defib Sync/Analog Out included/required)
4: End-tidal CO2 / STAR writer (Defib Sync/Analog Out included/required)
5: Dual invasive BP
6: Dual invasive BP / Defib Sync/Analog Out
7: Dual invasive BP / End-tidal CO2 (Defib Sync/Analog Out included/required)
8: Dual invasive BP / STAR writer (Defib Sync/Analog Out included/required)
9: Dual invasive BP / End-tidal CO2 / STAR writer (Defib Sync/Analog Out included/required)
0: Without respiration
1: Respiration
How the order numbers are Using the sample product order number provided (EGL3107=A),
broken down the following information regarding the monitor configuration
can be determined:
The 1 in the numeric portion of the order number (3107)
indicates that the monitor includes respiration along with
all of the standard vital sign monitoring functions included
with all monitors: ECG, non-invasive blood pressure, pulse
oximetry and dual temperature.
The 0 in the numeric portion of the order number (3107)
indicates the monitor is configured with Level 7015
operating software enabled. Level 7015 operating software
includes only basic monitoring functions. Level 7020
operating software includes lethal ECG arrhythmia
detection (V-Fib and V-Tach) along with basic monitor
operating functions.
The 7 in the numeric portion of the order number (3107)
indicates the monitor also is configured with the following
optional vital sign monitoring functions:
two invasive blood pressure ports, and
end-tidal CO2 monitoring which requires the use of an
option interface board. The option interface board
also provides defibrillator synchronization and analog
output jacks.
THEORY OF OPERATION
OVERALL MONITOR BLOCK
DIAGRAM
J3 EL Display
Power J4 Speaker
AC Power & Switch J1
Supply J3 J2
J7 5 Hard Keys
Board
J9 Ethernet
J10 RS-422
Debug J13 J12 Debug
J25 Trim Knob
ECG/Resp W15 Data Main
Acquisition Processor
SpO2 J16
System J8 J8 Board
Temp 1/Temp 2 J17 J21 Defib Sync/Analog Output
(DAS)
BP1 J18 Board Interface J22 Remote Alarm
BP2 J19
Option
J6 J6 Board STAR
NBP J23
Recorder
J5 J14
NBP
Subsystem J11
EtCO2 EtCO2
Board
GENERAL MONITOR BLOCK The theory of operation for the monitor, as covered in this part of
THEORY the section, is intended to provide an overall block level overview
of the monitor for service technicians. A general understanding
of the theory of operation is required to effectively install,
maintain or repair the monitor.
Detailed circuit theory More detailed theory of operation can be obtained by attending
manufacturer formal technical training classes. Regularly
scheduled technical training classes are held throughout the
year at the manufacturer training facility located in Jupiter,
Florida. If warranted, technical training classes may be
scheduled at customer sites or other locations in the field as
well.
About the DAS board The data acquisition system (DAS) board, 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.
About the main processor board The processor pcb provides signal processing, system control,
user interface, and communications functions for the monitor.
It receives and processes digitized patient data from the isolated
DAS board, text and waveform information for the display,
interfaces with the operator via the front panel switches and
Trim Knob, and communicates with other products on the
network using a built-in Ethernet interface. Additional
capabilities include an asynchronous communications port for
devices like a DDW or remote control.
About the interface option board The development of the interface option board allows the cost of
the main processing board to be reduced by incurring the cost of
additional circuitry and connectors not required in many
monitoring applications. This board provides the electrical
hardware required to interface and control optional monitoring
features. The options available include analog output,
defibrillator synchronization, remote nurse alarm control, an
integrated thermal recorder and an end-tidal CO2 subsystem.
About the EtCO2 option board The EtCO2 subsystem connects electrically and mechanically to
the interface option board. An asynchronous communications
port is used to communicate to the main processor board.
MAINTENANCE SCHEDULE
MANUFACTURER To make sure the monitor remains in proper operational and
RECOMMENDATION functional order, a good maintenance schedule must be adhered
to. The manufacturer's recommendations in this regard are 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,
every 12 months thereafter, and each time the monitor is
serviced.
Leakage Current Tests: These should be performed by
qualified service personnel upon receipt of the equipment,
every 12 months thereafter, and each time the monitor is
serviced.
Hi-Pot Tests: High-potential tests should be performed by
qualified service personnel whenever any component of the
isolated data acquisition system (DAS) 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 receiv-
ing 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.
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.
WARNING
Do not spray glass cleaner or general cleaning solu-
tions directly onto the display. Do not use hospital
disinfectants, like Cidex, on the display.
CLEANING THE EXTERNAL Clean the external surfaces of the monitor before each time a
SURFACES 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).
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.
CHECKOUT PROCEDURES
ABOUT THE CHECKOUT The following pages contain the checkout procedures for the
PROCEDURES monitor. The purpose of the checkout procedures is to provide
service personnel with a method which can be used to verify
operational and functional performance of the monitor. Failure
to attain any of the listed results indicates a potential
malfunction of the monitor.
Perform the checkout procedures upon receipt of the monitor,
every 12 months 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 all test equipment required for the checkout
procedures. For more information concerning the operation of
these components, refer to the respective operator manual.
MANUFACTURER RECOMMENDED The following table lists the manufacturer's recommended test
TEST EQUIPMENT 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.
RESPIRATION TESTS (OPTIONAL) 1. With the ECG patient cable still connected to the ECG/
RESP connector of the monitor, set up the patient simulator
as follows:
Respiration (RESP) baseline impedance - 750,
RESP R - 0.5,
RESP lead select - I & II,
RESP rate (respirations per minute) - 30.
2. Set up the monitor as follows:
RESP waveform - on,
RESP waveform lead select - lead II (RESP waveform
derived from ECG lead II).
3. 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.
4. Change the RESP waveform lead select of the monitor to
lead I (RESP waveform derived from ECG lead I).
5. 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.
Respiration tests completion 6. Disconnect the ECG patient cable from the ECG/RESP
connector of the monitor. Proceed to the next steps in
these checkout procedures.
INVASIVE BLOOD PRESSURE The invasive blood pressure (BP) tests provide a method of
(OPTIONAL) TESTS verification for both BP connectors (BP1 and BP2) of a monitor
equipped with this optional function. Follow these steps:
1. Set up the patient simulator as follows:
Blood pressure (BP) polarity - POS,
BP output - 0 mmHg.
BP1 connector (AR1) tests 2. 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.
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.
4. Press the ZERO ALL push-button on the front panel of the
monitor to zero-reference the AR1 BP waveform.
5. Change the patient simulator BP output to 200 mmHg.
6. Observe a reading of 200/200 (200) 4 mmHg in the AR1
parameter window on the monitor display.
7. Change the patient simulator BP output to WAVE
(simulated BP waveform).
8. Set the AR1 BP waveform gain on the monitor to auto.
9. Observe a distortion-free AR1 BP waveform and a reading of
approximately 120/80 (93) in the AR1 parameter window
on the monitor display.
BP1 test completion 10. Disconnect the BP simulator cable from the BP1 connector
of the monitor. Continue to the next step for the BP2 test.
11. Again, set up the patient simulator as follows:
BP polarity - POS,
BP output - 0 mmHg.
BP2 connector (PA2) tests 12. Connect the BP simulator cable to the BP2 (right-most BP)
connector of the monitor.
13. Verify a PA2 parameter window, waveform label and
corresponding graticules appear on the monitor display,
along with a PA2 BP waveform requiring zero reference.
14. Press the ZERO ALL push-button on the front panel of the
monitor to zero reference the PA2 BP waveform.
15. Change the patient simulator BP output to 200 mmHg.
16. Observe a reading of 200/200 (200) 4 mmHg in the PA2
parameter window on the monitor display.
17. Change the patient simulator BP output to WAVE
(simulated BP waveform).
18. Set the PA2 BP waveform gain on the monitor to auto.
19. Observe a distortion-free PA2 BP waveform and a reading of
approximately 120/80 (93) in the PA2 parameter window on
the monitor display.
Invasive blood pressure tests
completion 20. Remove the BP simulator cable from the BP2 connector of
the monitor. This completes the BP tests.
PULSE OXIMETRY TESTS 1. Set the pulse oximetry (SpO2) simulator power switch to the
off position.
2. Connect the Nellcor-style SpO2 simulator cable between the
SpO2 connector of the monitor and the SpO2 simulator.
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. Verify a SPO2 parameter window, waveform label and
corresponding graticules appear on the monitor display.
5. 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:
NONINVASIVE BLOOD PRESSURE 1. Attach the digital manometer, noninvasive blood pressure
TESTS: PRE-TEST SETUP (NBP) cuff, tees and tubing, as shown below, to the NBP
connector of the monitor.
Coupling,
pn 46100-002:
Connects manometer
tubing to NBP tubing.
3-way tee,
pn 4745-101:
Connects manometer
tubing, NBP tubing
and NBP cuff tubing.
NONINVASIVE BLOOD PRESSURE To perform the noninvasive blood pressure (NBP) tests, current
TESTS software is assumed to be installed in the monitor.
1. From the main menu of the monitor, rotate the Trim Knob
control to highlight MONITOR SETUP and press the Trim
Knob control to select it.
ALARM PATIENT MONITOR PATIENT:
CONTROL DATA SETUP DISCHARGED
Enter the service menus of the 2. Rotate the Trim Knob control to highlight SERVICE MODE,
monitor and press the Trim Knob control to select it.
SERVICE
0 1 0 6 MODE
SOFTWARE PATIENT-MONITOR TYPE: SET UNIT SET BED SET INTERNET TIME AND
LEVEL ADULT-ICU NAME NUMBER ADDRESS DATE
PREVIOUS
MENU
Start the NBP calibration test 6. Rotate the Trim Knob control to highlight START and press
the Trim Knob control to select it.
V
X/ X 140
40
N
B
CUFF 250 mmHg
ADT P
V
X/ X 140
40
N
B
CUFF 236 mmHg
ADT
P
Noninvasive blood pressure tests 10. Remove the NBP test setup apparatus from the monitor.
completion The NBP tests are complete.
DEFIBRILLATOR 1. Use the figure at the left as a reference for connecting the
SYNCHRONIZATION TESTS oscilloscope to the DEFIB SYNC connector, located on the
front panel of the monitor, for performing these tests.
ECG - 1
DEFIB. SYNC.
6 - Arterial BP
2. Test the ECG, Arterial BP and Marker Out signals from the
DEFIB SYNC connector. They should closely resemble the
Ground - 2 5 - Analog Ground
waveforms in the figures below. Note that there are two
Marker Out - 3 4 - Marker In
Marker Out traces shown below. The upper Marker Out
figure references the frequency aspects of the signal. The
lower Marker Out figure references the pulse width aspects
of the signal.
X X X X
Defibrillator synchronization tests 4. Remove the jumper wire installed in the previous step from
completion the DEFIB SYNC connector. This completes the
defibrillator synchronization tests.
Checkout procedure tests This completes all tests associated with the checkout procedures.
completion Disconnect the monitor from all test equipment in the following
manner:
1. Set all test equipment power switches to the off position.
2. Set the monitor rear panel power switch to the off (0)
position.
3. Remove all test equipment from the monitor.
WARNING
Failure to perform leakage current tests may cause
undue equipment failure and potential health haz-
ards 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 indi-
vidual or institution using the equipment. Manufac-
turer service representatives may, at their discre-
tion, use this procedure as a helpful guide during
visits to the equipment site.
Test conditions Leakage current tests may be performed under normal ambient
conditions of temperature, humidity, and pressure.
Test equipment The Manufacturer recommended test equipment required to
perform leakage current tests is listed below. Equivalent
equipment may be substituted as necessary.
WALL RECEPTACLE TESTS Before starting the tests, the wall receptacle from which the
monitor will get electrical power must be checked. This test
checks the condition of the wall receptacle to ensure correct
results from leakage tests.
Connect the leakage tester to the wall receptacle. Observe the 0,
K, and R lamps with the GND switch in the down position. For
safe conditions, the lamps should reflect normal polarity and
ground as shown below.
0 K R Condition
On On Off Normal polarity and ground
Off On On Reverse polarity
Off On Off No ground
On Off Off No neutral
Off Off On No neutral/reverse polarity
Off Off Off No power
If other than normal polarity and If other than normal polarity and ground is indicated, corrective
ground is indicated 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.
SURFACE CONTINUITY TESTS 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. Disconnect the monitor (unit under test) from any wall
receptacle.
2. Connect the negative lead of a digital multimeter (DMM) to
the ground pin of the unit under tests power cord plug.
Ground The figure to the left shows the location of the ground pin
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.
Power cord plug (120 Vac) 3. Set the DMM to the milliohms (m) range.
4. Connect the positive lead of the DMM to any exposed metal
surface on the unit under test.
5. 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 WIRE TO GROUND TESTS Perform this test to measure leakage current through the ground
wire of the monitor during normal operation.
1. Set the leakage tester switches as follows:
Selector knob - 1,
GND switch - OPEN,
Polarity switch - NORM,
Power switch - OFF.
2. Connect the DMM to the METER jacks on the leakage
tester. Set the DMM to measure AC millivolts.
3. Connect the power cord of the monitor to the power
receptacle on the rear of the leakage tester.
4. Set the leakage tester power switch to ON.
5. Set the rear panel power switch of the monitor to ON.
6. 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. Set the polarity switch on the leakage tester to RVS
(reverse).
8. 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. Set the leakage tester power switch to OFF.
Electrical diagram: Leakage Tester
ground wire to ground tests
POWER CORD
HIGH NORM
POWER CORD
LOW
GND
RVS
UNIT
UNDER
GND TEST
0.15F
1K
V* 10
CHASSIS TO GROUND TESTS Perform this test to measure leakage current through exposed
conductive surfaces on the monitor during normal operation.
1. Set the leakage tester switches as follows:
Selector knob - 2,
GND switch - OPEN,
Polarity switch - NORM.
2. 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.
3. Set the leakage tester power switch to ON.
4. 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.
5. Set the polarity switch to RVS and observe the same meter
readings as in the previous step.
6. Set the GND switch on the leakage tester to CLOSED.
7. 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. Set the polarity switch to RVS and observe the same meter
readings as in the previous step.
9. Set the leakage tester power switch to OFF and remove the
meter lead connected in step 2.
HIGH NORM
POWER CORD
LOW
GND
RVS
UNIT
UNDER
GND
TEST
PATIENT SOURCE TESTS This test checks leakage current from the ECG/RESP connector
of the monitor relative to ground.
1. Set leakage tester switches as follows:
Selector knob - 3,
GND switch - GND OPEN,
Polarity switch - NORM,
Power switch - OFF.
2. Connect an ECG test body to the ECG/RESP connector of
the monitor.
3. 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.
4. Set the leakage tester power switch to ON.
5. Set the rear panel power switch of the monitor to ON.
6. 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.
7. Change the leakage tester polarity switch to the RVS
position.
8. 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. Change the GND switch to the CLOSED position.
HIGH NORM
POWER CORD
LOW
GND
RVS
UNIT
UNDER
GND
TEST
PATIENT JACKS
TEST BODY
(TOP)
0.15F
1K
V* 10
Patient source tests (Cont) 10. 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.);
11. Change the leakage tester polarity switch to the RVS
position.
12. 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. Set the power switch of the leakage tester to OFF.
PATIENT SINK TESTS This tests ECG connector leakage current from a 115 or 220 Vac
source into the ECG/RESP connector of the monitor.
1. Set the leakage tester switches as follows:
Selector knob - 5,
GND switch - CLOSED,
Polarity switch - NORM.
2. 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.
HIGH NORM
POWER CORD
LOW
GND
RVS
UNIT
UNDER
GND
120K TEST
TEST BODY
0.15F PATN JACK
1K (FRONT)
Patient sink tests (Cont) 5. Change the leakage tester polarity switch to the RVS
position.
6. Read the leakage current indicated on the 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.
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 recep-
tacle. Disconnect the leakage tester from the wall receptacle.
HI-POT (DIELECTRIC The high potential (Hi-Pot) tests provide a method of checking
WITHSTAND) TESTS patient isolation circuits and protect patients connected to the
monitor from potential electrical health hazards. These tests are
recommended for direct patient-connected medical devices to
check the integrity of the patient isolation circuitry after any
isolated component in the device has been repaired.
Manufacturer recommendation The manufacturer recommends that hi-pot tests be performed
whenever a circuit board in the patient-isolated portion of the
monitor is removed, repaired, or replaced. Examples of patient-
isolated components include, but are not limited to, the front
panel patient cable connectors, the isolated power supply, or any
patient data acquisition assemblies.
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 These tests may be performed under normal ambient conditions
of temperature, humidity, and pressure.
Test equipment Equipment required to perform these tests is listed below.
Equivalent equipment may be substituted as necessary.
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:
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.
2. Connect the ground pin on the power cord connector of the
monitor to the ground of the AC/DC Hi-Pot Generator.
High Potential Tests (Cont) Perform the AC hi-pot tests only on the ECG/RESP front panel
connector of the monitor.
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.
WARNING
The following step will cause high voltage (4000 Vac)
to appear at the test body.
NOTE
During this test, watch the analog meter to ensure
the current level never exceeds 1 mA. If it does, the
unit has failed the test and must be repaired then
tested again.
CAUTION
Do not check the ground-neutral loop resistance
unless the wall receptacle is correctly wired.
POWER CORD AND PLUG Verify the power cord being used with the monitor is good. The
following are a couple of things to check for in this regard:
Failure of the power cord strain relief is very common.
Often times users of the equipment will pull on the power
cord itself, rather than the power cord plug, to unplug the
monitor from a wall receptacle. If in doubt, test for
continuity through each conductor of the power cord
connector and plug.
Verify line, neutral, and ground conductors are properly
connected to the power cord plug and are not short-
circuited. Rewire and tighten these, or replace the power
cord, as necessary.
MAIN POWER AND DISPLAY Turn the rear panel main power switch of the monitor to the on
POWER CONTROL (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.
II
III
ECG WAVEFORMS ARE DISPLAYED If the calibration pulses were not correct, test the patient
INCORRECTLY simulator using a working monitor. If the patient simulator is
functioning as designed, calibration of the acquisition pcb may
be necessary. Refer to Section 5: Calibration information in this
regard.
1. If displayed ECG waveforms contain a significant amount of
noise (see figure at left), check the ECG patient cables.
2. Test the patient simulator and ECG patient cables on a
working monitor to verify the ECG signal.
3. If the ECG signal, patient simulator and ECG patient cables
are good, the acquisition pcb is suspect and may need to be
ECG waveforms are not displayed replaced.
at all 4. Test the ECG patient cables on a working monitor.
5. Test the patient simulator on a working monitor.
6. Swap the acquisition pcb into a working monitor. If the
symptoms follow the pcb into the working monitor, replace
the acquisition pcb.
7. If none of these first three steps provide any results, swap
the processor pcb and/or power supply pcb into a working
monitor.
Lead fail functions Perform the following steps to test lead fail detection function:
1. With the monitor displaying leads I, II, III, and V from the
patient simulator, remove the RA leadwire from the patient
simulator.
2. The monitor should display a RA FAIL message. Lead fail
detection is functioning properly if this is the case. Lead
fail detection is not functioning, if this is not the case. The
acquisition pcb is suspect. Swap the pcb with a working
monitor to verify the malfunction.
3. Reattach the RA leadwire to the patient simulator.
PACE DETECT FUNCTIONS 1. With the monitor displaying leads I, II, III, and V, set the
patient simulator to output a VP1 (ventricular pacemaker
simulation #1) waveform.
2. Enable the pacemaker detection function of the monitor:
select ECG from the display main menu,
select DETECT PACE and set to PACE 1.
3. Verify the heart rate remains at approximately 80 bpm.
4. 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.
5. Disable the pacemaker detection function of the monitor.
Verify the displayed pacemaker spikes have a different
amplitude than in the previous step.
6. Select the AVS output (A/V sequential pacemaker
simulation) on the patient simulator. Again, verify the
displayed pacemaker spikes are at different amplitudes.
7. Enable the pacemaker detection function of the monitor
once again.
8. Verify a stable heart rate display of approximately 80 bpm.
Verify the pacemaker spikes are again at the same
amplitude.
9. Disable the pacemaker detection function of the monitor.
Pace detect functions are not If the pacemaker detection test results are not correct, as
working properly described above:
Verify the patient simulator is functioning correctly by
testing it on a working monitor,
The acquisition pcb is suspect. Swap a working
acquisition pcb into the monitor and perform these
test to verify correct operation.
INVASIVE BLOOD PRESSURE The invasive blood pressure (BP) test procedure requires the use
FUNCTIONS of the following patient simulator: Marquette Multifunction
Microsimulator, pn. MARQ1. If use of a different patient
simulator is necessary, adjust the procedure steps/readings
accordingly.
Setup BP1 1. Connect the BLOOD PRESSURE 1 output of the patient
simulator to the P1 patient connector on the front panel of
the monitor.
Setup BP2 2. Connect the BLOOD PRESSURE 2 output of the patient
simulator to the P2 patient connector on the front panel of
the monitor.
Zero-reference both BP's 3. Properly zero-reference each BP input:
Set the patient simulator BP output to 0 mmHg
Press the ZERO ALL front panel control on the
monitor.
Generate dynamic BP waveforms 4. Set the patient simulator BP output to WAVE.
5. 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.
Verify dynamic BP results 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 in the following list:
BP Parameter: AR1 PA2
Systolic (mmHg) 116 124 28 32
Diastolic (mmHg) 78 82 9 11
NOTE
These tests are designed for use with a MEI Multi-
function Microsimulator, pn. MARQ1. Accuracy
specifications of the patient simulator in combina-
tion 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 poten-
tially change these test results.
Generate static BP waveforms 6. Set the patient simulator BP output to 200 mmHg, static
pressure.
Verify static BP results 7. 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.
BP WAVEFORMS DO NOT APPEAR If the BP waveforms displayed on the monitor appear noisy or
CORRECTLY ON THE DISPLAY distorted (example shown on the left), test the Patient simulator
and simulator test cables and on a working monitor to determine
the source of the problem.
1. If the static pressure test results were inaccurate, test the
Patient simulator and simulator test cables and on a
working monitor to determine the source of the problem.
2. If the patient simulator and associated test cables are
determined to be functioning correctly, the acquisition pcb
is suspect. Swap the acquisition pcb into a working
monitor to determine if replacement is necessary.
BP waveforms do not appear on 3. If the AR1 or PA2 parameter labels, readings and associated
the display at all waveforms do not display on the monitor, verify the patient
simulator and associated test cables on a working monitor.
4. Inspect the BP front panel connectors on the monitor for
bent or broken pins.
5. 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.
6. 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.
No respiration waveform or rate If the respiration waveform or rate does not appear on the
appear on the display monitor display, perform the following steps to isolate the
problem:
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.
NOTE
Usually, a lower respiration sensitivity % level recti-
fies this problem.
Respiration functions work Refer to the Operators Manual for detailed information regarding
properly when using a patient patient preparation relative to respiration monitoring functions.
simulator but not on an actual Achieving optimum results for respiration waveforms and
patient 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.
NON-INVASIVE BLOOD PRESSURE Perform the non-invasive blood pressure (NBP) Checkout
FUNCTIONS Procedure found in Section 3: Maintenance. This procedure will
determine whether or not 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 If the monitor is not configured properly, a variety of NBP
problems may occur. To determine monitor configuration, rotate
Cannot get NBP readings from a then push the Trim Knob to:
patient in under 3 minutes Scroll to and select MONITOR SETUP from the main
menu of the monitor,
NBP displayed readings are
inaccurate Scroll to and select SERVICE MODE from the monitor
setup menu of the monitor and enter the two-digit
numeric day and month shown in the upper-left
corner of the monitor display,
Scroll to and select PATIENT-MONITOR TYPE from
the service mode 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.
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 re-
lated 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 service-related functions of the monitor:
REVIEW ERRORS - For troubleshooting difficult equipment
problems or network problems on a software engineering
level,
ADMIT MENU - For setup or configuration of the monitor to
admit a patient with one of the following network
configuration features enabled:
Standard, or
Rover.
CALIBRATE - For checkout or calibration of the non-
invasive blood pressure and CO 2 functions of the monitor,
STAR TEST PATTERN - Generates a print test for an
optional built-in thermal array printer,
SOFTWARE LEVEL - If enabled for 7020 feature, the menu
allows you to select 7020 or 7015.
PATIENT - MONITOR TYPE - For 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 - For setup or configuration of the monitor
care unit name,
SET BED NUMBER - For setup or configuration of the
monitor bed number or bed name,
SET INTERNET ADDRESS - For setup or configuration of
the monitor Internet address for the network,
TIME AND DATE - For entering or changing the monitor
time and date.
Access to the service mode Begin setup by entering into the service mode menu of the
menu monitor. Follow these steps:
1. Make sure all cables are properly connected to the monitor.
2. 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.
Select monitor setup from the 3. Use the Trim Knob control to scroll to MONITOR SETUP in
main menu the monitor main menu and press the Trim Knob control to
select it.
ALARM PATIENT MONITOR PATIENT:
CONTROL DATA SETUP DISCHARGED
Select service mode from the 4. Use the Trim Knob control to scroll to SERVICE MODE in
monitor setup menu the monitor setup menu and press the Trim Knob control
to select it.
MAIN WAVEFORMS DISPLAY: TIME AND PARAMETERS GRAPH MONITOR
MENU ON / OFF INDIVIDUAL DATE ON / OFF SETUP DEFAULTS
UNIT ALARMS: BRIGHTNESS: LEARN THE SOFTWARE SOFTWARE SERVICE
OFF 100% MONITOR REVISION COMPATIBILITY MODE
Enter the service menu password 5. A service menu password window will appear on the moni-
tor 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
0 1 0 6
SERVICE
MODE
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 moni-
tor. For example, the seventh day of the third month (June
1st) would be represented in the password as 0106 (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 pass-
word 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.
ABOUT SERVICE MODE MENU Service mode menu option items are used for many purposes in
OPTION ITEMS 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, unnec-
essary tampering with service mode menu option
items for experimentation purposes is not recom-
mended by the manufacturer and may cause a
malfunction of the monitor.
REVIEW ERRORS The REVIEW ERRORS menu option item is mostly used as an
advanced troubleshooting technique by manufacturer
engineering personnel. Some of the information recorded in the
monitor error log can be useful for field service troubleshooting.
About the monitor error log Details included in this part of the section will provide an
introduction to error log usage and meaning. Because the
information contained in the error log is engineering-oriented,
the intent of the manual is to simply provide a general
understanding of this monitor function.
Downloading the error log A method for downloading error log data over the network to a
central station is included in this part of the section. Once
downloaded to a central station, the error log data can be loaded
onto floppy diskettes, or reviewed on the central station.
Accessing the review errors menu To access the error log and learn more about the REVIEW
option item ERRORS menu option item, follow these steps:
1. Rotate and press the Trim Knob control to scroll to and
select REVIEW ERRORS from the service mode menu
option items.
MAIN REVIEW ADMIT MENU: CALIBRATE STAR TEST
MENU ERRORS STANDARD PATTERN
SOFTWARE PATIENT - MON ITOR TYPE: SET UNIT SET BED SET INTERNET TIME AND
LEVEL ADULT - ICU NAME NUMBER ADDRESS DATE
Viewing output errors 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.
Run time error log pop-up 3. The RUN TIME ERROR LOG pop-up window appears on the
window left side of the monitor display. One time-dated output
software error appears in the pop-up window at a time.
415230-002 2A 11JAN96
Use the Trim Knob to navigate The Trim Knob control can be used to scroll through each
through the error log 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.
Selecting QUIT closes the run time error log pop-up
window and returns to the review errors menu option
items.
Status Register : 0
Program Counter : 22234
User Stack Pointer : 0
Super Stack Pointer : 0
Heap Pointer : 20EFB6C
Process Name : dasmsg_in
Error Code : 2001
Severity : Continue
Date : JUN 25 1995
Time : 09: 37: 06
Error Number : 5
Parameter : 4F7
415230-002 2A 11JAN96
Clearing the error log 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 VIEW OUTPUT VIEW INPUT
MENU ERRORS ERRORS
PREVIOUS CLEAR OUTPUT CLEAR INPUT
MENU ERRORS ERRORS
MORE ABOUT REVIEW ERRORS This part of the section describes in greater detail what
information the error log contains and what can be learned from
error logs.
How much data actually is in the An error log in the monitor is constructed as a circular file (not
error log referring to a wastepaper basket). This circular file can hold up
to 50 events. As an event occurs, error information is stored in
the log. Subsequent events are stored sequentially as they occur.
When the 50-event limit is reached, the next error (the 51st
error) is written over the first event that was logged, erasing that
event and replacing it with the latest event. The 52nd event is
written over the second event, and so on. If errors occur
infrequently the error log could span a period of weeks and
months, maybe even years. For example; if a problem with the
network begins, repeating frequently, the error log might consist
only of errors from the last few hours. In any case the error log
will contain the most recent 50 errors that were detected and
recorded.
Using information in the error log A sample of the monitor error log pop-up window appears as
follows:
415230-002 2A 11JAN96
Error log categories of greatest When using the error log to troubleshoot a problem with the
interest for troubleshooting monitor, the following parameters from the pop-up window that
purposes are of greatest interest are:
Process Name: The task that was operating when the event
or problem occurred,
Error Code: A software code for the type of event or
problem that occurred,
Severity: Indicates the level of impact of the event or
problem on the system,
Date: The date the event or problem occurred,
Time: The time the event or problem occurred,
and
Error number: A sequential number (0-50) used to identify
each event or problem.
ERROR LOGS Something to remember about the error log is that it contains
more than just operating system errors. Many events that occur
that might have an impact upon the system are entered into the
log. The 700-series of error codes include many such events.
Error code descriptions Some of the event/error codes you might find useful are
described in the following table:
Severity of the error Severity is a measure of how the event/error affected the system.
There are three levels of severity. The following is a list of these
levels accompanied by a brief 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.
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 Reason: The +5 Vdc supply voltage is in an over-current
flashes every 2 seconds condition.
Replace the main processor board. 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 board. This board can be bench-
tested as per the Calibration section of this manual.
Video problem - the patient Reason: The graphics processing (video) circuitry on the
waveforms are displayed correctly processor pcb has problems attempting to "clock-out" the text
but the alphanumerics are information data that is stored in video memory circuits (VRAM).
displayed improperly or are not Replace the main processor board. This is the only area of
displayed at all or vice-versa the monitor where text (alphanumerics) information and
graphics (patient waveforms) information is processed
separately.
Video problem - there are bars/ Reason: The active matrix display has a defective row or column
strips of pixels missing on the driver. If the entire driver has failed, the display will have a
display in rows/columns. Or only whole missing strip of display area. If just a part of the driver
one row/column of pixels on the has failed, the display will have only a single missing line of
display is missing or never turned display area.
on. The remaining portion of the Replace the display assembly. This is an EL
display functions properly. (electroluminescent) monochrome display assembly. This
type of display has specific drivers for rows and columns
integrated into the display assembly and, therefore, cannot
be repaired.
DAS BOARD SYMPTOMS 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.
POWER SUPPLY BOARD SYMPTOMS The power supply pcb assembly provides power that is used
throughout the 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 a list of functions for each of the supply voltages
generated on the power supply pcb:
+12 Vdc (+12 MAIN) supply DAS board - main power source
applications Ethernet transceiver - power source
Display assembly - 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
+5 Vdc (+5) supply applications Main processor board - logic power source
Display assembly - logic power source
12 Vdc (12 ANALOG) supply Analog ECG/blood pressure - signal generation for defib
applications sync jack
Is more
than one CS having N
a problem?
Y
NOTE- If there is only one
CS on the network,
A 'A' may pertain only if a
network problem exists.
Is more
than one BS display N
missing at the
CS?
Is there a
Y NO PARAMETERS N
message at the
CS?
Is there a
Refer to the N
Is there
troubleshooting
Y NO COMM
any display at all at N Verfiy the BS is message at the
section in the CS
the CS? operating. Also CS? Under LISTWHAT,
service manual.
verfiy BS is under check to see if the
AC power and not in Y BS in question is on
Y battery fail. Under LISTWHAT, the network.
check to see if the
Under LISTWHAT,
Is there a BS in question is on
N the BS's on the
NO COMM the network. BS should be
message at the
network should be
present. Possible
End present. The UNIT
CS? name at the BS
incorrect UNIT.
BS should not be should be incorrect.
Y present. There is a
Under LISTWHAT problem at the BS.
no BS's should be End Go to the BS and
check the AUI cable.
At the BS, enter the
available. Only CS correct UNIT name.
is.
Connect AUI cable
to the ETHERNET Is the AUI
Attempt to view
NOTE- You should N cable connected at
be able to view BS's port at the BS. The
BS's on another BS should appear the BS? The BS should
on another CS. appear on the
CS. on the network.
network.
Y
End
Possible problem at
CS. Defective LAN B
pcb, AUI cable or
MAU (Transceiver).
End
Replace MAU.
If BS's ID
themselves, it's a
defective MAU.
End
Under LISTWHAT,
Is there a
N the BS's should be
NO COMM
listed.
message at the
CS?
Y
Probable incorrect
Under LISTWHAT,
UNIT name at either
there should not be
the BS or the CS.
any BS's listed.
Only the CS itself
should be listed..
Verify with
ocilliscope proper End
network signal
voltage levels
( 0 Vdc to -2Vdc)
Do
NO COMM
voltage
N message at CS
levels swing from
indicates possible
0Vdc to -4Vdc?
short in the network
cable.
Isolate shorted
Using an ohmmeter,
section of network
measure from shield End cable. Replace
to center conductor.
defective section or
High indicates an
defective connector.
open in the cable.
For Thin-net:
Reinstall the 50 End
terminator. Break
the network at mid-
point. 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
End
defective connector.
Possible defective
MAU or AUI cable.
Also check for a bad
connection on the
MAU.
Possible incorrect
internet address.
On ETHERNET
connector at BS,
check if 12Vdc is
present at pin 13.
Possible defective
N processor pcb
Is 12Vdc present?
Y
Possible defective
MAU or AUI cable. End
ADJUSTMENTS
ABOUT CALIBRATION This section summarizes the calibration for the monitor.
Noninvasive blood pressure (NBP) is the only function that
requires software calibration. The manufacturer recommends
performing the NBP software calibration upon receipt of the
monitor initially, and once each year thereafter. The NBP soft-
ware 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.
Safety tests Leakage current tests, checkout procedures and hi-pot tests are
recommended by the manufacturer if a circuit board has been
repaired or replaced in the monitor. These can be found in
Section 3: Maintenance.
TEST EQUIPMENT The following items are required to successfully complete the
NBP calibration procedure:
Manometer (Sensym PDM200M or mercury manometer),
NBP tube, pn. 414873-001,
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:
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.
CALIBRATION PROCEDURE 1. Remove all cables except for the power cord from the
monitor.
2. Apply 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.
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 PATIENT MONITOR PATIENT:
CONTROL DATA SETUP DISCHARGED
Enter the proper password to 5. A service menu password window will appear on the
access the service menu 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
SERVICE
memory circuit within the monitor (please note that this
0 1 0 6 MODE 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 (June 1st) would be represented in the password as
0106 (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.
SOFTWARE PATIENT-MONITOR TYPE: SET UNIT SET BED SET INTERNET TIME AND
LEVEL ADULT-ICU NAME NUMBER ADDRESS DATE
PREVIOUS
MENU
NBP zero calibration 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.
Coupling,
pn 46100-002:
Connects manometer
tubing to NBP tubing.
3-way tee,
pn 4745-101:
Connects manometer
tubing, NBP tubing
and NBP cuff tubing.
Set up the manometer 10. Turn the manometer on and adjust the range switch to the
1000 mmHg setting.
12. Rotate the Trim Knob control to highlight CAL GAIN OFF,
and then press the Trim Knob control to select it.
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.
Perform the software calibration 15. Rotate the Trim Knob control to highlight ENTER CAL
of the monitor PRESSURE and press the Trim Knob control to select it.
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.
19. Rotate the Trim Knob control to highlight START and press
the Trim Knob control to select it.
Verify pressure readings are 20. The text on the menu item will change from CHECK CAL
accurate 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.
V
X/ X 140
40
N
B
CUFF 250 mmHg
ADT P
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.
V
X/ X 140
40
N
B
CUFF 236 mmHg
ADT
P
Calibration procedure completion 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.
END-TIDAL CO2
ABOUT THE PROCEDURE The overall accuracy of sidestream end-tidal CO2 (EtCO2)
readings by the monitor depend on the following:
the flow calibration,
the barometric pressure calibration, and
the null and gain of the CO2 sensor in the monitor.
FLOW CALIBRATION This procedure provides a method of doing a Flow calibration.
FLOW CALIBRATION TEST The following items are required to successfully complete the flow
EQUIPMENT
calibration procedure:
PRETEST SETUP Connect tubing as shown and follow the steps for calibrating the
flow of the end-tidal CO2 functions of the monitor.
Sensor
Cable
Reference and
Sidestream Zero Cells
Adapter Tubing
(12 inches)
Capnostat Sensor
(upright position)
Tubing 2 cu in
Inline Volume
Sidestream Assembly
Airway
Adapter
Sample Aqua-Knot
Line Water Trap Flow
Meter
CALIBRATION PROCEDURE Follow these steps to calibrate the flow function of the monitor.
1. Apply 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,
2. With the monitor main menu displayed, select the CO2
parameter label and press the Trim Knob control to display
the CO2 main menu.
Enter the proper password to 7. A service menu password window will appear on the monitor
access the service menu 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
SERVICE date). In the password, the first two numbers, starting from
0 1 0 6 MODE
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
first day of the sixth month (June 1st) would be
represented in the password as 0106 (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.
Enter the CO2 service menu 8. Rotate the Trim Knob control to highlight CALIBRATE and
press the Trim Knob control to select it. Next, rotate the
Trim Knob control to highlight CO2 SERVICE and press the
Trim Knob control to select it.
CO2 service calibration MAIN REVIEW ADMIT MENU: CALIBRATE STAR TEST
MENU ERRORS STANDARD PATTERN
SOFTWARE PATIENT-MONITOR TYPE: SET UNIT SET BED SET INTERNET TIME AND
LEVEL ADULT-ICU NAME NUMBER ADDRESS DATE
PREVIOUS
MENU
Pump Voltage (Flow) calibration 10. Observe the reading of the Flowmeter is 190 ml 10 ml.
If necessary rotate the Trim Knob control to adjust the PUMP
VOLTAGE, and press the Trim Knob control to select it.
NOTE:
The PUMP VOLTAGE and flow will not change until
the Trim Knob control is pressed.
11. When the PUMP VOLTAGE (Flow) has been adjusted and set,
return to the Main Menu.
END-TIDAL CO2
BAROMETRIC PRESSURE / CO2 This procedure provides a method of verifying these items are
SENSOR CALIBRATION accurate.
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. Remove the 4 screws on the side connector panel of the
NOTE monitor to gain access to the EtCO2 calibration tube located
Connector panel was removed for behind the panel.
clarity of illustration. You may 2. Connect the 3-way tee fitting to the EtCO2 calibration tube.
find it not necessary to completely
remove the side connector panel See picture below.
to do this calibration. 3. Connect one length of silicone tubing between one of the
unused tee fittings and the mercury manometer.
4. Connect the other length of silicone tubing between the
remaining unused tee fitting and the 10 cc syringe.
EtCO2
Calibration Tube
CALIBRATION PROCEDURE Follow these steps to calibrate the EtCO2 function of the monitor.
1. Turn the manometer on and adjust the range switch to the
200 mmHg setting. Remove all cables from the monitor
except for the AC power cord and the EtCO2 sensor.
2. Apply power to the monitor.
Plug the power cord into a working AC power wall recep
tacle 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.
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.
Enter the proper password to 5. A service menu password window will appear on the monitor
access the service menu 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
SERVICE date). In the password, the first two numbers, starting from
0 1 0 6 MODE
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 (June 1st) would be repre
sented in the password as 0106 (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 cor
rectly displayed.
SOFTWARE PATIENT-MONITOR TYPE: SET UNIT SET BED SET INTERNET TIME AND
LEVEL ADULT-ICU NAME NUMBER ADDRESS DATE
PREVIOUS
MENU
Enter the barometric pressure 7. Rotate the Trim Knob control to highlight CALIBRATE BARO
calibration menu PRESS, and press the Trim Knob control to select it.
High barometric pressure 9. Rotate the Trim Knob control to highlight ENTER HIGH
calibration BARO PRESS, and press the Trim Knob control to select it.
The ENTER HIGH BARO PRESS pop-up window will appear
on the display.
Enter the high barometric MAIN ENTER LOW ENTER HIGH CONFIRM
pressure value into the monitor MENU BARO PRESS BARO PRESS CALIBRATION
PREVIOUS
MENU
Low barometric pressure 10. Take the current atmospheric barometer reading (local
calibration weather service can provide this data if a laboratory grade
barometer is not available) and add 35 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
785 mmHg is the maximum barometric pressure
value which can be entered into the monitor.
Enter the low barometric 12. Rotate the Trim Knob control to highlight ENTER LOW BARO
pressure value into the monitor PRESS, and press the Trim Knob control to select it. The
ENTER LOW BARO PRESS pop-up window will appear on the
display.
PREVIOUS
MENU
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.
Select confirm from the pop-up 14. Rotate the Trim Knob control to highlight CONFIRM CALI
menu BRATION, and then press the Trim Knob control to select it.
PREVIOUS
MENU
15. 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.
18. Rotate the Trim Knob control to highlight CO2 SERVICE, and
press the Trim Knob to select it.
22. Use the Trim Knob control to select the CO2 parameter
menu. Rotate the Trim Knob control to highlight
CAL SENSOR TO ZERO CELL, and press the Trim Knob to
select it. Select READY and press the Trim Knob.
A CALIBRATING message will appear in the CO2
parameter box.
23. After zero calibration is complete, put the sensor into the
reference (REF) cell mode.
MONITOR CONFIGURATIONS
SETUP FOR USE The last part of this section is devoted to setup or configuration
of the monitor.
LOADING SOFTWARE
METHODS FOR LOADING OR The process of loading or updating software in the monitor is
UPDATING SOFTWARE described in this part of the section. Manufacturer software can
be loaded into the monitor using these methods:
Load from diskette Load Software From Diskette The monitor is connected
directly to a personal computer (PC) or PC laptop. The
Update Program is run off of the update diskettes and the
software is downloaded to the monitor via serial
communication.
Load over the network Load Software Over The Network For the monitor
connected to a patient monitoring network, the software is
loaded from the update diskettes onto a Centralscope
central station (hereafter referred to as "the central
station"). The central station then acts as a network file
server and software is downloaded to the monitor over the
network.
Read these instructions over Each method of downloading software to the monitor is distinctly
completely before attempting to different. The manufacturer recommends completely reading all
load software of this part of the section prior to any attempt to load or update
software. This is particularly important if this is a first attempt
to load or update software in the monitor.
INTENDED USE This part of the section is for the purpose of loading
manufacturer software into the monitor initially, reloading
software when the possibility of corrupted software exists, or
updating software in the event of a release of a new software
revision.
NOTE
The current version of software may vary from that
version referred to in the text of this section.
Example: This section refers to software version 2A
while you may actually have 3B. In this case
substitute 3B wherever 2A is referred to in the text.
SOFTWARE COMPATIBILITY Write down or print out software code part numbers from the
SOFTWARE REVISION window for each monitor in the system.
To print the SOFTWARE REVISION table from each monitor, use
the Trim Knob to scroll to and select the following menu option
items from the monitor main menu display:
MONITOR SETUP,
SOFTWARE REVISION,
press the GRAPH GO/STOP key.
NEXT, then
press the GRAPH GO/STOP key.
If there is a previous revision of software residing in monitor
memory, update the monitor as necessary (see software
compatibility chart below). Keeping the monitor at current levels
of manufacturer software will maintain proper network
communication and provide the user with all of the latest
operational features that the manufacturer offers.
The boot codes (main boot, DAS boot, etc.), which reside in
various monitor memory locations, play a minor role with regard
to actual patient monitoring functions. These boot codes are
designed to be updated very infrequently if ever.
NOTE
Boot code components of the monitor software should
be updated only when absolutely necessary.
CAUTION
If a failure occurs in the update process while loading
one of the boot code components, full or partial
patient monitoring capability will be lost. The moni-
tor will be rendered useless and will require service
by a manufacturer technical support engineer.
Software compatibility chart Below is the software compatibility chart for current revisions.
Product 1A (8 June 95) 2A (11 Jan 96) 3A (5 Sep 96) 3B (18 Feb 97)
MAINuP: 1A 2A 3A 3B
DASuP: 1A 2A 3A 3B
STARS: 1A or later 1A or later 1A or later 1A or later
REMOTE CONTROL: 1A or later 1A or later 1A or later 1A or later
CO2uP: n/a 1A 1C 1E
BOOTCODE: 1A 1A or 2A 3A 3A
DAS BOOT: 1A 1A or 2A 2A 2A
CO2 BOOT: n/a 1A 1A 1A
MONITOR SOFTWARE FILES All software files for the monitor are contained on 4 diskettes
included with a manufacturer software update kit. The func-
tional characteristic of files that can be updated is listed below
(in the order by which these must be downloaded to the monitor)
along with the respective representation from the monitor SOFT -
WARE REVISION table:
Main processor operational code (MAINuP):
Acquisition processor operational code (DASuP):
End-tidal CO2 operational code (CO2uP):
Main processor boot code (BOOTCODE):
Acquisition processor boot code (DAS BOOT):
End-tidal CO2 boot code (CO2 BOOT):
MAINTAIN PATIENT MONITORING The monitor is not capable of downloading code while connected
to a patient. Inform medical staff responsible for patients
connected to the monitor that the equipment is going to be
updated so they may take appropriate actions.
WARNING
There will be a temporary loss of monitoring func-
tions throughout various parts of the patient moni-
toring system until the update is complete on each
monitor in the system. Medical staff should be
prepared to cover patients in need during these
periods of lost monitoring functions.
PROBLEMS WHILE LOADING If problems result while loading software into the monitor:
SOFTWARE Restart the procedure from the beginning, or
Contact manufacturer technical support at one of the
following telephone numbers:
1-800-558-7044 within the United States, or
1-407-575-5000 outside of the United States.
CONNECT THE PC TO THE Connect the PC to the monitor by following these steps:
MONITOR 1. Attach the monitor cable assembly to the 9-pin D-type
connector labeled ASYNC COMM (RS-422) on the monitor
rear panel.
2. 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
connection to a power source.
3. Connect the PC cable assembly from the RS-232C to RS-
422 converter to the D-type connector labeled COMMS or
COMM 1 at the rear of the PC.
SOFTWARE DISKETTES The software media consists of four 3.5-inch high density (HD)
floppy diskettes.
Diskettes 1 and 2 contain programs and files for downloading
software to the monitor over the network. Refer to Load Software
Over The Network for that procedure.
Diskette 3, used for this procedure, contains the update program
utility along with update files for:
Main processor boot code,
Acquisition processor boot and operational code, and
End-tidal CO2 boot and operational code.
Diskette 4, also used for this procedure, contains the update
program utility along with the update file for:
Main processor operational code. This part of the update
software includes monitor software in various languages.
UPDATE PROGRAM START-UP Start the update download program from an update diskette to
begin loading software into the monitor by following these steps:
Boot up the PC to a DOS 1. Apply power to the PC and wait for the C:\> prompt to
operating system appear on the PC display.
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 inter-
ruptions to the PC or PC laptop. Interruption of
power will cause the update process to fail. While
downloading the boot code components, interrup-
tions 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 nec-
essary steps to quit Windows and return to DOS.
Update operational code that is 2. Compare the SOFTWARE REVISIONS window, printed
outdated; boot code components previously in this procedure (see Introduction), with the file
do not require updating for this names from the table below. Only load the files that cur-
revision rently reflect earlier revisions, as compared with the SOFT-
WARE REVISIONS printout, into the monitor. Generally,
the main processor operational code (MAINuP), acquisition
processor operational code (DASuP) or end-tidal CO2 opera-
tional code (CO2uP) will need to be updated. Depending on
the vintage of the monitor, boot code may need to be up-
dated as well but this is generally not the case.
Files must be updated in a certain 3. Following is the order in which the update files are to be
order downloaded (reference the compatibility chart on page 3 for
more information):
Main processor op-code (MAINuP),
Acquisition processor op-code (DASuP), and
*End-tidal CO2 op-code (CO2uP).
Then, only if necessary:
Main processor boot code (BOOTCODE), and
Acquisition processor boot code (DAS BOOT), and
*End-tidal CO2 boot code (CO2 BOOT).
*Only used for monitors with this option
Files on diskette 4 Below is a list with the update file typically found on Diskette 4.
Diskette 4
File Name Bytes Used Description
41495700.2A1 1277544 MAIN P (English)
NOTE
The update file included on diskette 4 for other
language update kits will reflect a different file name
than that shown in the list for each language of
update kit ordered.
Insert the diskette containing the 4. Insert the diskette containing the specific software to be
file which requires update loaded or updated in the monitor into the PC floppy disk
drive.
Run the update program from the 5. Type a: at the c:\> prompt and press the ENTER key on the
PC 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 the update bedside utility 6. 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.
SETUP THE MONITOR TO ACCEPT The PC and the monitor are serially linked, communication-wise.
The following steps describe how to download a specific file into
DOWNLOAD FILES
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.
Start-up the monitor boot loader 7. At the monitor, activate the BOOT LOADER program by
program following 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.
Bring up the service menu on the 8. In this step, one of two situations will be present:
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, 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 appear on the monitor display.
Select and download code to the 9. Decide which code is to be downloaded to the monitor
monitor based on software revision comparisons made earlier in the
procedure. Use the Trim Knob to scroll to and select the
number corresponding to the SERIAL DOWNLOAD routine
for the file requiring update.
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 con-
tained on the update diskettes.
CAUTION
Do not update any of the boot code components
unless absolutely necessary.
DOWNLOAD FILES TO THE At this point, the monitor is ready to start accepting download
files and the PC has been setup to provide the files for download.
MONITOR
Follow the next steps once the PC and monitor have been setup
for download.
Select the file for download from 10. Moving back to the PC, find and select (highlight) the file
the PC 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 (see lists on pages 6-8). 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.
Download the selected file 11. 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.
If incorrect files are chosen, a The monitor will indicate a warning if the file name from
prompt appears on the monitor the PC does not match the file name residing in monitor
display memory.
CAUTION
Do not reboot or power down the monitor while
downloading boot code files. The monitor will be
rendered useless and require factory service.
SOFTWARE MEDIA The manufacturer software media consists of four 3.5-inch high
density (HD) floppy diskettes.
Diskettes 1 and 2, used for this procedure, contain the update
program utility along with update files for (listed in order by
which these files must be downloaded to the monitor):
Main processor operational code (MAIN.SCR) this part of
the update software includes monitor software in various
languages, when available,
Acquisition processor operational code (DASMAIN.SCR),
End-tidal CO2 operational code (CO2MAIN.SCR),
Main processor boot code (BOOT.SCR),
Acquisition processor boot code (DASBOOT.SCR), and
End-tidal CO2 boot code (CO2BOOT.SCR).
Diskettes 3 and 4 contain code and programs and files for
downloading software to the monitor from a PC or PC laptop
floppy disk drive. Refer to Load Software From Diskette for that
procedure.
COPY UPDATE FILES ONTO A The following steps describe how to copy files from update
diskettes 1 and 2 onto the central station hard disk drive. The
CENTRAL STATION
central station will act as a file server for downloading update
files to the monitor over the patient monitoring network.
Insert diskette 1 into the floppy 1. Insert diskette 1 (usually found in a software update kit)
drive into the central station floppy disk drive.
Copy diskette 1 files onto the 2. At the central station, execute the following menu option
central station hard drive item selection sequence. Beginning from the MAIN MENU
of the central station display, use the Trim Knob to scroll to
and select:
CENTRAL SETUP,
SERVICE ,
using the central station keyboard, type the service
menu PASSWORD (mei cs 123),
LOAD SOFTWARE (Wait 10 seconds), and
FLOPPY.
Observe status messages in the upper left corner of the
central station display. Verify the following messages:
LOADING FROM...FLOPPY, (then)
LOADING 2A DISK #01 OF 02.
NOTE
The central station may display status messages
other than those described in these instructions. If,
after waiting at least 20 minutes, diskette 1 is ejected
from the floppy drive and diskette 2 is requested to be
inserted, continue with the next step. Otherwise, you
will have to reboot the central station and start over.
Insert diskette 2 into the floppy 3. When loading of diskette 1 is complete, the central station
drive and load its contents onto will automatically eject the diskette and display the
the hard drive as well message:
INSERT DISK MONITOR 2A DISK#02 OF 02.
4. Insert diskette 2 (from the software update kit). Diskette 2
will take approximately 5 minutes to copy onto the central
station hard drive. Once again, observe status messages in
the upper left corner of the central station display. Verify
the following messages appear:
LOADING FROM...FLOPPY, (then)
LOADING 2A DISK #02 OF 02.
5. When loading of diskette 2 is complete, the central station
will automatically eject the diskette and display the
message:
LOAD FROM FLOPPY COMPLETE.
6. Once the process of loading update files onto the central
station is complete, it is important to note (write down if
necessary) the central station CARE UNIT NAME and
CENTRAL NUMBER of that particular central station for
use later in this procedure.
DOWNLOAD FILES TO THE After copying the contents of update diskettes 1 and 2 onto the
MONITOR
central station hard drive, download the files from the central
station, which will now act as a file server, to the monitor over
the network. Verify the monitor is on the network by selecting
LIST NETWORK from the SERVICE MONITOR menu of the
central station.
Start the monitor boot loader 7. At the monitor, start the BOOT LOADER program by
program following these steps:
Hold down the NBP GO/STOP and ZERO ALL keys,
Press and release the Trim Knob control, and
Continue holding the NBP GO/STOP and ZERO ALL
keys until the BOOT LOADER menu appears on the
monitor display.
Select the file server (central 8. Use the Trim Knob to scroll to and select the following at
station where the update files the FILE SERVER SELECTION menu:
have been stored) for the monitor In the menu list, identify and scroll to the central
station which has the update files stored on it, this
should have been noted or written down earlier in the
procedure. This central station, upon being selected,
will act as a file server to download files to the monitor
over the network.
Select the number corresponding to the central
station containing the update files.
Select the update file directory on 9. Use the Trim Knob to scroll to and select the number from
the file server the MOUNT PT SELECTION menu corresponding to:
/update.net/egl3000/2a
Determine which files need to be 10. Using the compatibility chart on page 3, compare the
updated in the monitor revision of the file to be updated with the software revision
of the corresponding area of the monitor. Perform the
following steps only if a file existing in the monitor is an
earlier version as compared to the update files just copied
onto the central station hard drive.
Select and download files to the 11. From the SCRIPT NAME SELECTION menu list, use the
monitor as necessary Trim Knob to scroll to and select the number corresponding
to the file (script) requiring update. Following is a list of
files that appear in the SCRIPT NAME SELECTION menu
(listed in sequential order for each script to be loaded):
*MAIN.SCR,
DASMAIN.SCR,
CO2MAIN.SCR (optional),
*BOOT.SCR,
DASBOOT.SCR, and
CO2BOOT.SCR (optional).
*Monitor reboots when loading these scripts.
Download only the files that require update based on
comparison of file revisions made previously. Once a file
has been selected, the monitor will begin the download
process.
NOTE
A warning message and prompt will appear on the
monitor display. Use the Trim Knob to scroll to and
select YES if the file selected for download is correct.
Files must be updated in proper 13. The order in which the files are updated in the monitor is
order important (see Step 11). If update of the main processor
operational code (MAIN.SCR) or main processor boot code
(BOOT.SCR) components is required, the monitor will
reboot automatically upon completion of each of those
updates.
CAUTION
Do not reboot or power down the monitor while
downloading boot code components (BOOT.SCR,
DASBOOT.SCR, etc.). The monitor will be rendered
useless and manufacturer factory service will be
required.
PROCEDURE SUMMARY Below is a summary of the procedure to setup the monitor for
normal operation:
1. Determine the current monitor software revision level.
2. Setup the monitor care UNIT NAME.
3. Setup the monitor BED NUMBER.
4. Setup a MANUAL GRAPH LOCATION for the monitor.
5. Setup an ALARM GRAPH LOCATION for the monitor.
6. Setup a PRINT WINDOW LOCATION for the monitor.
7. Verify setup or configuration of the above items.
DISPLAY FEATURES The monitor display shows features that are mentioned in this
part of the section. Use the figure below to locate these three
features.
1. Along the top of the display are three text fields.
The first text field is the TIME AND DATE. These both
must be setup correctly on the monitor before initial
use.
The second text field consists of a care UNIT NAME
followed by a BED NUMBER. These both must be
setup or configured on the monitor before initial use.
The third text field is the PATIENT NAME. This may
be entered by the user (optionally) each time a patient
is admitted to the monitor.
2. The center part of the display shows each of the monitored
patient parameters in both a graphic and text format.
3. Along the bottom of the display (shown below is an ECG
Menu) are menu option items.
160
AUTO
120 80 140
40
N
B
AR1
10:15 (94) mmHg
ADT P
Menu Option 0
120 80 200 A
80 R
Items SPO2 (94) S
mmHg
1 Patient
105 S Name
98 90 P
O
PPR 70 %
2
The main menu of the monitor 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 four menu option items.
Menu option items of the monitor 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."
More about the menus 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 part of this section is MONITOR SETUP.
SOFTWARE REVISION MENU To determine the software revision under which the monitor is
currently operating, follow these steps:
1. Use the Trim Knob control to scroll to and select MONITOR
SETUP from main menu on the monitor display.
ALARM PATIENT MONITOR PATIENT:
CONTROL DATA SETUP DISCHARGED
About the software revision pop- The software revisions of the monitor, in general, as well as the
up window software revisions of each processing circuit within the monitor
are displayed in two pop-up windows similar to those shown
below.
PRODUCT: BOOTCODE:
415230-002 2A 11JAN96 414958-002 2A 11JAN96
MAINuP: DAS BOOT:
414957-002 2A 11JAN96 f 30 415105-002 2A 11JAN96
DASuP: CO2 BOOT:
414959-002 2A 11JAN96 415225-001 1A 11JAN96
STARS:
415257-002 2A 14AUG95
REMOTE CONTROL:
CO2uP
415226-001 1A 11JAN96
ENTER INTO THE SERVICE MODE Begin setup by entering into the service mode menu of the
MENU monitor. Follow these steps:
1. Make sure all cables are properly connected to the monitor.
2. 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.
Select monitor setup from the 3. Use the Trim Knob control to scroll to MONITOR SETUP in
main menu the monitor main menu and press the Trim Knob control to
select it.
ALARM PATIENT MONITOR PATIENT:
CONTROL DATA SETUP DISCHARGED
Select service mode from the 4. Use the Trim Knob control to scroll to SERVICE MODE in
monitor setup menu the monitor setup menu and press the Trim Knob control
to select it.
MAIN WAVEFORMS DISPLAY: TIME AND PARAMETERS GRAPH MONITOR
MENU ON / OFF INDIVIDUAL DATE ON / OFF SETUP DEFAULTS
UNIT ALARMS: BRIGHTNESS: LEARN THE SOFTWARE SOFTWARE SERVICE
ON 100% MONITOR REVISION COMPATIBILITY MODE
Enter the service menu password 5. 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
SERVICE may or may not be the correct date). In the password, the
0 1 0 6 MODE
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 (June 1st) would be represented in the password as
0106 (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.
UNIT NAME From the service mode menu option items which appear on the
monitor display, follow the next steps of the procedure to setup
or configure the UNIT NAME of the monitor.
About the monitor unit name The monitor UNIT NAME provides a means of differentiating
groups of devices on the network. Groups of devices with similar
care unit names auto-segment themselves from other groups of
devices with different care unit names on the network. The care
UNIT NAME is part of a software address that is integrated into
electronic packets of information which are transmitted or
received to or from the network. The UNIT NAME is
programmable and therefore allows users to define groups of
devices on the network.
Setup the unit name of the Setup or configure the UNIT NAME of the monitor by following
monitor these steps:
1. Use the Trim Knob control on the front panel of the monitor
to scroll to and select SET UNIT NAME from the service
mode menu option items.
MAIN REVIEW ADMIT MENU: CALIBRATE STAR TEST
MENU ERRORS STANDARD PATTERN
SOFTWARE PATIENT - MON ITOR TYPE: SET UNIT SET BED SET INTERNET TIME AND
LEVEL ADULT - ICU NAME NUMBER ADDRESS DATE
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.
Using the word "none" as a care UNIT NAME will
cause the monitors alarms and patient information
not to appear at the Central Station. This name can
also be very confusing to users and make network
troubleshooting extremely difficult.
BED NUMBER From the service mode menu option items which appear on the
monitor display, follow the next steps of the procedure to setup
or configure the BED NUMBER of the monitor.
About the monitor bed number The monitor BED NUMBER is manually programmed into
monitor. The monitor has flash memory which stores the user
programmed BED NUMBER. This acts as a software
identification code for the following applications:
For networked monitors, the BED NUMBER provides
unique network identification for each monitor from groups
of devices sharing the same unit name on the network. The
monitor BED NUMBER software is integrated into
electronic packets of information which are either sent to or
received from other devices on the network.
General identification: The BED NUMBER also is used for
annotation purposes on all graphs generated by the
monitor.
Setup the bed number of the Setup or configure the BED NUMBER of the monitor by following
monitor 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 REVIEW ADMIT MENU: CALIBRATE STAR TEST
MENU ERRORS STANDARD PATTERN
SOFTWARE PATIENT - MON ITOR TYPE: SET UNIT SET BED SET INTERNET TIME AND
LEVEL ADULT - ICU NAME NUMBER ADDRESS DATE
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.
WARNING
The manufacturer recommends avoiding the use of
spaces in the BED NUMBER. It is very difficult to
visually detect spaces ("spaces" are read as charac-
ters) when programmed into the BED NUMBER.
Using spaces in the BED NUMBER will cause the
monitors alarms and patient information not to
appear at the Central Station.
Use the Trim Knob to initially 3. Two sets of arrow icons appear in the BED NUMBER pop-
setup or change the monitor bed up window. Rotate the Trim Knob to highlight one of the
number 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.
There are five characters in the 4. Repeat step 3 for each character to be entered as part of the
monitor bed number BED NUMBER. Up to five characters may be setup or
configured. The manufacturer recommends that user-
defined 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.
5. 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.
GRAPH LOCATIONS One area of monitor setup or configuration that most often is
overlooked, is the setup or configuration of each GRAPH
LOCATION for the monitor. Three types of graphs can be
generated by the monitor: manual, alarm and print windows.
Monitor application determines The application of the monitor plays an important role in the
which writer/printer may be selection of GRAPH LOCATIONS. The following describes each
selected application:
For a networked monitor, each type of graph is setup or
configured individually and can be directed to various
writer/printer locations on the network. Each type of graph
can be sent to a stand-alone printer, an internal (built-in)
writer, or an external writer directly connected to the
ASYNC rear panel connector of a monitor or central station.
Each type of graph can be setup or configured on the
monitor to print at one of the following destinations:
1. Centralscope Central Station with internal or external
writer,
2. Solar 7000/8000 Patient Monitor with external writer,
3. Eagle 4000 Patient Monitor with external writer,
4. Eagle 3000 Patient Monitor with internal or external
writer, and/or
5. Network laser printer.
For a stand-alone monitor, each type of graph is setup or
configured individually and can be directed to an internal
writer (optional) or external writer (also optional) directly
connected to the ASYNC rear panel connector on the
monitor.
Three graph locations must be Three separate graph locations must be setup or configured in
setup on the monitor 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.
Setup the graph locations of the Setup or configure the GRAPH LOCATIONS of the monitor by
monitor following these steps:
Select monitor setup 1. Use the Trim Knob control on the front panel of the monitor
to scroll to and select MONITOR SETUP from the main
menu option items.
ALARM PATIENT MONITOR PATIENT:
CONTROL DATA SETUP DISCHARGED
Select graph setup 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 WAVEFORMS DISPLAY: TIME AND PARAMETERS GRAPH MONITOR
MENU ON / OFF INDIVIDUAL DATE ON / OFF SETUP DEFAULTS
UNIT ALARMS: BRIGHTNESS: LEARN THE SOFTWARE SOFTWARE SERVICE
ON 100% MONITOR REVISION COMPATIBILITY MODE
Select graph location 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 ECG 1 WAVEFORM 2: WAVEFORM 3: WAVEFORM 4: GRAPH ALARM
MENU LEAD II OFF OFF OFF LOCATION GRAPH: ON
PREVIOUS SPEED: TIMED GRAPH:
MENU 25 CONTINUOUS
Setup each graph or print window 4. Use the Trim Knob control on the front panel of the monitor
location to scroll to and select either MANUAL GRAPH LOCATION,
ALARM GRAPH LOCATION, or PRINT WINDOW LOCATION
from the graph location menu option items.
MAIN MANUAL GRAPH LOCATION: ALARM GRAPH LOCATION: PRINT WINDOW LOCATION:
MENU ICU BED1 WRITER ICU CS -1 WRITER ICU LW1 WRITER
PREVIOUS
MENU
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 a writer from the pop-up The graph location pop-up list appears in the upper left portion
list on the monitor display of the monitor display.
MANUAL GRAPH
SELECT A LOCATION:
> RETURN
ICU CS-1 WRITER
ICU CS-1 LASER
ICU BED5 STAR
ICU BED14 WRITER
Unit Name
or Type of
Care Unit Name graph device
Bed Number
or
Central Name
MAIN MANUAL GRAPH LOCATION: ALARM GRAPH LOCATION: PRINT WINDOW LOCATION:
MENU CCU BED7 WRITER ICU CS -1 WRITER ICU LW1 WRITER
PREVIOUS
MENU
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:
The internal writer of the monitor or a writer
connected to the monitor ASYNC port, and/or
Writers connected to or part of devices that have an
identical care UNIT NAME on the network.
5. 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 MANUAL GRAPH LOCATION: ALARM GRAPH LOCATION: PRINT WINDOW LOCATION:
MENU ICU BED2 WRITER ICU CS -1 WRITER ICU LW1 WRITER
PREVIOUS
MENU
TIME AND DATE SETUP The TIME AND DATE function of the monitor provides a means
for the real time clock circuit to be setup correctly or changed by
the user. The TIME AND DATE setup or configuration of the
monitor is used mainly for the purpose of documentation of
patient events and history files stored in the monitor each time a
patient is admitted. Therefore, it is important that the correct
time and date be entered into the monitor.
Leap years and daylight savings The internal real time clock circuit of the monitor will
time automatically compensate for leap years, but will not
automatically compensate for daylight savings time changes.
The latter requires manual setup or configuration of the monitor
TIME AND DATE field each spring and fall.
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 date
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 Follow these steps to setup or configure the TIME AND DATE of
the monitor:
1. Use the Trim Knob control to scroll to and select the TIME
AND DATE menu option item.
For a monitor connected to the For monitors connected to the network, select the
network... menu option from the SERVICE MODE menu.
MAIN REVIEW ADMIT MENU: CALIBRATE STAR TEST
MENU ERRORS STANDARD PATTERN
SOFTWARE PATIENT - MON ITOR TYPE: SET UNIT SET BED SET INTERNET TIME AND
LEVEL ADULT - ICU NAME NUMBER ADDRESS DATE
Select set time or set date 2. Use the Trim Knob control to scroll to and select one of the
time and date menu option items.
MAIN SET
MENU TIME
PREVIOUS SET
MENU DATE
CAUTION
TIME AND DATE parameters are actively enabled for
change each time the SET TIME or SET DATE menu
option items are selected.
MAIN SET 18 : 25
MENU TIME
PREVIOUS
MENU
Enter or change the desired time/ 4. To enter or change a SET TIME or SET DATE parameter,
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 SET 18 : 25
MENU TIME
PREVIOUS
MENU
Use the Trim Knob to scroll and 5. Rotate the Trim Knob control to enter or change the
select selected time or date parameter. Press the Trim Knob
control to enter new time or date parameters into
temporary memory in the monitor.
MAIN SET 18 : 37
MENU TIME
PREVIOUS
MENU
NOTE
Changes are written to the real time clock IC in the
monitor when SET TIME or SET DATE is selected and
set.
Enter the changes into the real 6. When each desired time or date entry has been made,
time clock IC 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 program the new
time or date into the real time clock IC in the monitor.
MAIN SET 18 : 37
MENU TIME
PREVIOUS
MENU
PACKING MATERIALS
33
49
30
31
58
29
NOTES:
1) LOOSE ITEMS MAY BE SHIPPED WITH THE UNIT IF
SPACE PERMITS OR PACKAGED SEPERATELY.
2) MARK LABEL WITH THE FOLLOWING; "MODEL NAME",
SERIAL NUMBER AND APPROPRIATE BARCODE.
EXPLODED VIEWS
36 4 PLACES
9
8 NOTE: 36 4 PLACES
INSERT THESE TWO SCREWS,
BUT DO NOT TIGHTEN UNTIL
THE BEZEL AND DAS ASSEMBLIES
HAVE BEEN SECURED.
36 2 PLACES 25 A5
38
2 PLACES
A3 16
36
2 PLACES
21 A4
13
37
2 PLACES
36 2 PLACES
E 61
REFER TO ASSEMBLY
NOTE: DETAIL A, SHEET 3
CABLE MUST BE THREADED 42 4 PLACES
THRU THE SLOT, IN THE 36
4 W2 4 PLACES 36 2 PLACES
WRITER MOUNTING AREA APPLICABLE ONLY
OF THE FRAME. IF ITEM 14 IS NOT
PRESENT
42 NOTE: 50
INSERT THIS
35
SCREW FIRST
42
32
51
W3
36 4 PLACES
A8 15 A1 46
42
NOTE:
INSERT THIS 42 2 PLACES
SCREW SECOND
58
4 PLACES 40
47 A2
NOTE:
NUT AND WASHER ARE PART 11 52
OF INLET PORT FITTING. NOTE:
REMOVE WASHER AND DO NOT USE. INSTALL PARTS SHOWN, 39 2 PLACES
10 TORQUE NUT TO 10 in-LBS 19 SCRAP REMAINING PARTS
APPLY ITEM 62 TO THREADS IN PACKAGE.
OF ITEM 34.
56
5
34 NOTE:
MOUNT LABEL ON VERTICAL
SURFACE, JUST BELOW THE 41 2 PLACES
FLANGE. SEE NOTE 2 26 23 2 PLACES
HAND TIGHTEN
45 2 PLACES
5.0 REF.
.38 REF.
54 REF.
TOP VIEW
48
2.7 REF
2.5 REF
60
54
2
1
BOTTOM VIEW
NOTE:
53 TORQUE 17 in-LBS
LABELS TO BE PLACED APPROX. AS SHOWN.
DIMENSIONS ARE FOR REFERENCE ONLY. NOTE:
CENTER LABEL AROUND
DIMPLE
NOTE:
REMOVE ADHESIVE
BACKING 2 PLACES
15
57 A9
17 REF.
NOTE:
HARDWARE ITEMS INCLUDED
WITH SWITCH ASSEMBLY.
TORQUE 10 in/lbs.
12 17 A10
W1
36
4 PLACES
A7 18
3 PLACES
SEE DETAIL BELOW
FOR PUMP POSITIONING
ASSEMBLY DETAIL A
22
24
36
11 REF.
6.00 10 3
3 2.25 .10
3 1.75 .10
E
.700 .10
FLOW
ELECTRICAL DIAGRAM
FLEX WA
A A
3 11
W3 P J ETCO2 SUBSYSTEM 11 12
PUMP
J P
1 3 A11 4 1
A12
A11J14
4 REF.
A1J10 A1J9 A2J14
A1J12
A
ECG/RESP 4
A A
ELECTRODES W WA
1 2 A W
15
J J OPTION PCB 2 2 2 8
WRITER
A 6 6 J P W2 P J A8
PULSE OX 4 A2 3 1 2 1
PROBE J
16
A A A
TEMP 4
DAS 4 1 CPU
SENSORS J J
J
A1
17 A4 8 8
A A A
PRESSURE 4 1 3
TRANSDUCER J J J
18
A
2 3
POWER SUPPLY
PRESSURE
TRANSDUCER
4 A3
J
19 A1J7 A1J25 A1J3 A1J5 A1J4
A9P1 A10P1 W1P2 A6P1 A5P1
NBP CUFF
SWITCH
SPEAKER
PANEL
A5
A9
W1
TRIM
NBP PUMP
KNOB
A6
A10
W1P1
A7J3
DISPLAY
A7