- Frank`s Hospital Workshop
Contents
1. 1 2 3 4 gt 6 EN 1 8 9 A 01 DGND 073 49 3V6 40A 10 1 100nC 220C 9 33 1 12 113 12Mhz 1 13 14 B lt E e Pu gt RE g 5 8 15 1 a 117 8 98 S BUB DS E 16 LRES 3V3 E R27 gt R63 1 5811 1 Pa Tour 16 0 2 3 4 5 TOOK 6 C40 100615 FRSEL 27 53 amp Al ARLON lt gt lt 0 Sscuk 5 100nC C41 C64 10K T 3 4 Rt aX si ono 2 LUE s 96 52 D D D 10 100nC AN BAT T E2. 2657 33 265V 650n 4 2 E 50 Fase 25 4 mw 3 ans 2XTO 5A TC 1 3 ra IAY TE 230 115 Vac TERRA 3 4 N 27145 amp 3 TROL 5 z oh 2 Rs D 8 6 1109 6 1 182 9 S Qn el NC MODE PE le Zol E z T 1 2 29 3 avstacros 7 ET OW gt So 3 TERM FASTON J45 5 4 4 0SCO yop 4132 OSCI VSS 2 1 FASTON J4 5 34 92 5 97r 5 oats ol 1 25V Seule 13 2201 15 14 10A_120vAQ BOCC EARTH 248 4 RE 0129 4 RELI 9069 X E 1900 06 R4 R3 EARTH DGND R166 4 6 81 FC8 Fi K ONO 36 3 SE 2 Ground GND2 mE T5A INTERNAL ACCU 521 160 ACCU id LIMITED 2 5A FEED 2 160uH 4A 3A 40V 1 0010 SWO 1 21 4 4 MC34167T 14 R8 011 20 2187 4 R9 dis 4 7 o ol R186 gt St 470uE o Le 8718 K t au Le we 5 ors 52 8 PAS 5 EN d 25 DUNG TAS 247002 35V ob 470uE LOS RTI TT CEG y 681 8188 5 8 VLC M
3. ACCU 4 3 1 VTPH VACCU um slag RT 33uH_5AS 042 5 is 1 03 10 2 2 1 1 4 1 2 S8url 1 44 53 Le 13 1010045 OUT 4 YYY 4 El 856 SS 8 1 gu la lx amp 3 em 1700 a Le al ly gis 5 BR idi 1012 3 LP2980 3v3 2 5 wb ce SFE e 470 e e 220 216 yO OE our LS E Soe S elo 100005 VIN 5 T ct EAB w GND TCT 4 2 e 2179 1 comp FEED 2 fs 5 2578 pa LM2587 ADJ 09 Dlal So 100UE 16 5 2K21 aiie GND 35 af 2178 ce mm dul el la 1000UE 884181 lo B ceso E me 1143 gt EN_VTPH ge x 8 i 2 21 8 s X BC847B Les 6 DGND JCt1 x 4 R163 8 2 1 1 Lb DGND TOK 209 4 5010 VACCU VBON VACCU 0 OGND DGND 41 5 1 1 134570 4A 30V SI3457DV 4A 30V 5VID 5 8 012 of Te AIT CE48 PGND 2 4 ads E 7 af Je 808478 RIZ Vs al C90 2219 ON OFF TOOK eel Le 80856 2234 41000 18 1 1 5 R VBON 10M0040 R30 R221 3 oeo 1 41 5 i 035 3832 16 19 16V DGND
4. LC555 1023 2 3 50 8 5 gs 5828 lt Ls a 9 C48 T 1 14 s0 22 550 2 52 1 1 100nC 5 OFF i TT DGND 2 ON OFF SN lt 3 5 1 16 150 VLC C A 52 lt 23 450 R89 CK 5 52 00 CE26 1043 lt R90 RD2 KEY y PEL lt A 450 6 52 XZ 1047 16 BAV99 R91 38 50 elo __ _ T 2136 ds de ala 81 52 PGND x 893 ala DATALIN x E 5 10 352 1017 4 4 18 4 RES cR KEY_BUS 4 0 TR LIND 00183 gt 15555 2 Lo a S Te 1807 8 8 5 STE TT C21 CE13 206 X 0050 FILE NAME IO_CONN CODE 3PCB16001808 A UNUSED GATE S POWER PINS POWER PINS DES REF DES DEVICE S3 T DD vob T VEE REF DES DEVICE VCC GND VOD VE MOTHER BOARD FOR AR 2100 VIEM NG 551 1023 748004 7 123 har medical 148684 7 20002 754 4 pet LA devices DATE DATE REV SHEET 8 ALL RIGHTS 0010 04 02 2003 10 04 2003 OF 12 RESERVED 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
5. UPPER HOUSING FUNCTIONAL EARTH TERMINAL AND EQUIPOTENTIAL TERMINAL MAINS TRANSFORMER MAINS PLUG INSULATION TRANSFORMER EARTH TERMINAL CONNECTION 5 THERMAL HEAD T CONNECTION Mm PRINTER FUSE T5A BATTERY CONNECTION WRITING SYSTEM CONNECTION 228 oooO E S H LB E arem i om He BA LT REB g 1 DE et B rs c d EE 29 11 B d goo m en gt 7 ub uu Gd Si amp RE El THROUGH 180 DEGRESS E ES EE E 84 84 A PER RE E 697 TOUT 5 E o o 3 p KEYBOARD KEYBOARD CONNECTION 1 PRINTER FIXING SCREWS MOTHER BOARD WRITING SYSTEM 7 SENSOR BOARD CONNECTION TO MOTHER BOARD FLAT 10 STROBOSCOPY SENSOR MOTOR FY GEAR SYSTEM MOTHER BOARD THERMAL HEAD SET PRINTER PRINT HEAD ASSEMBLY THERMAL HEAD MOUNTING WRITING SYSTEM
6. 57 10 11 NC4 2 4 12 02 gt EN VTPH T cE42 49 OTS 73 FOUT CE Ha 017 amp 5 FSEL Fg oe gt CLAMP GND FOE lg cR chp Ha gt 1048 1628 of DGND 4 FILE SERIAL _ INT CODE 3 16001808 DES UNUSED GATE S POWER PINS POWER PINS d REF DES DEVICE 3 3 VDD VEE DES DEVICE VCC GND VDD VEE MOTHER BOARD FOR AR 2100 VIEW ZN IC24 74HC08 14 7 COD S 1023 T4HC04 14 1 120002 164 A medical JW devices DATE DATE REV SHEET 5 ALL RIGHTS 04 02 200310 04 2003 OF 12 RESERVED 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 1 2 3 4 5 6
7. 2100 service manual CE 0470 english This Service Manual has been prepared with the objective of giving the user all the information necessary to obtain the best use of the cardiette ar2100 adv General information et medical devices SpA continuously in search of technological improvement and customer satisfaction reserves the right to modify this publication without prior notice at any time All rights reserved et medical devices SpA ITALY sm 00119 ar2100 adv 01 eng Rev 00 5 23 05 2003 Ref 66500119 Contents 1 1 2 1 2 2 2 3 2 4 2 5 3 1 4 1 5 1 5 2 5 3 5 4 5 5 6 1 6 2 6 3 6 4 6 5 8 1 8 2 8 3 8 4 8 5 8 6 8 7 8 8 8 9 9 1 Introduction Particular recommendations and warnings Description of the device Mother board Battery Keyboard card Printer unit IR Module RS232 Inputs and outputs Connection to the patient input port Testing the safety characteristics Leakage currents test Testing the main technical characteristics of the electrocardiograph Instruments necessary Sensitivity test Testing the ECG leads Testing the paper feed rate Frequency response test Functional blocks Mother board 1 Processor 2 Battery charger 3 Internal circuit power supply 4 ECG acquisition 5 Motor control 6 Input output circuits Battery Keyboard card Printer unit IR Module Trouble Shooting How to dismantle and reassemble the dev
8. Testing the battery charger circuit see sheet 9 el diag Ke lt 5 US Y If the mains on led does not light up check using the following procedure Disconnect the mains cable Check the externally accessible mains fuses Disconnect the battery from the device as indicated in chapter 8 4 Connect a voltmeter to the free terminal caps Connect a 1000 Ohm resistance in parallel with the voltmeter Connect the mains cable the reading should indicate a voltage of 13 65 5 If the reading is outside the range of values indicated replace the motherboard 6 1 3 Internal circuit power supply This consists of the following power supplies Y lt lt amp 5 V generated by a switching type voltage regulator 5 VI VL to supply the patient input analogue circuits on the hybrid circuit insulated part 3 3 V generated by a linear regulator to supply the control logic 3 V reference voltage for the A D converter VTPH voltage obtained from the battery to supply the thermal head This voltage is limited to a current of 5A and stabilised in voltage at 26 enabled only when printing Testing internal circuit power supplies ref sheet 3 el diag Y Y Check fuse 1 If no power is supplied to the internal circuits replace the motherboard 6 1 4 ECG acquisition This consists of the following parts Y Y 12 Patient input connector Protection against defibrillator discharges lt l
9. 1 TESTEN 144 ix Vis 031 GP100 22 amc 4 Np 115 4 q 12 J49 VEE aol P 84391 1040040 8 DGND J49 NC o 8 2 5 CNF2 Eg CLK_LCD aL 2 al 8 78 z lx _ CE19 22V ae J49 DISP OFF SFe af ses 1007 100 5 5 240 CP 35 35 51013784 T4HCI244 89 8 42 1 19 10043 448 LOAD X 14 J49 VSS DRDY 12 1 4 tot zoe 8 E LCDPWR ro 150 J49 FLM 2 Lb SHIFT 28 1 a GND VLC LINE 8 wes 9 0 5 5 to FRAME S js Di m 100nC M FPDO avt n Cs 08 2 7 gt FPD3 1 3 vec 4 4493 03 22 1020 X9315 2 7 10K Feos El d INC FPD7 100nC 3 165 R143 ERE a FPD10 124 E i M 6 TK 11062 19 FPD11 2 DND 55 vL _ a x S HALT 2157 ROT 9 3 amp i vo E ES TOK pia mE l 3 10 003 52 10uT E Da 100nC 29 YBON 1884 59 a 653 1555 re ocho 556 vss 9315 2 7 10 2 54 _INC_POT d INC vec X UD POT 3 m CSPINV des Ew Sedet 8 55 x 1K 4 54 8154 E 3 2 ul 3 554 8154 7 3 16uT Qu 16V 7 ON OFF 1 8 im 1001 1 54 10 J54 CE38 ER tol 2BC847B 2875 DGND 4 FILE NAME LCD INT CODE 3PCB16001808 A UNUSED GATE S POWER POWER PINS DES REF DES DEVICE 22V DGND DES DEVICE vet GND VDD MOTHER BOARD FOR AR 2100 VIEW S gt 165 TLOG2 8 4 DENNER C
10. FIXING SCREWS THERMAL HEAD TEST POINT 210 mm 4 389 NSEC gt CLOCK 3MHz PIN 6 DI J49 DATA PIN 24 DI J49 tsetup LATCH pla sr La thold LATCH LATCH PIN 7 DI J49 T P STROBE 182 PIN di J49 384 22 e 23 dl J49 setup DATA min 50 nsec thold DATAS min 50 nsec tsetup LATCH min 200 nsec LATCH min 50 nsec 16 Page intentionally left blank cardiette Marketing amp Sales Head Office via Pisa 250 20099 Sesto S Giovanni MI ITALY tel 439 02 22476861 fax 39 02 22476872 e mail et service etmed biz www cardiette biz
11. 072 8203 3y3 5 J51 08 R CN OFF MOD lt 15 C n py 412 DGND sf lo 51 81 ul B 8 103 0313 5 5 y E ON OFF _ 8 5 501105 a 51 8 8 UT o RES_LCD 81162550 8 T ze RITSA 29101 os td ra vec 44 R109 Lu E X o s cest 5 2 ee OPA pS ss DRA 7 050 124 H E 2100 TNTA 33 gt R110 q 13 T 1023 02 TxA E 10 51 he BRA ET T E T DSRA CN ai R112 lt ADDR 19 0 D7 _DSRA 41 5 DCDA 3 3 8 31 E T eis 12 J51 1 30 E 100nC 1 244 22 CTSA 3751 e R114 16 15 4 1 T a gt INTUARTB TOR R115 Gu 14HC138 ZA TON me 1 se m 1 Ag 5 RES B138 BS R116 dd 2 IN pr RXRDYA lt I RXRDYA 10 14151 f RISB NT RXRDYB RXB 18 551 084 ids ELIO RES SSMUS EM em a 5 TXRDYA 3 4 79 mE DTRB lt 5 u51 E 6 9 lt gt WRST TXRDYB lt 1 RB 201581 74HC08 RIIS 10 Lo E 1 0988 751 ei WRO 10 1024 0610 X R106 6 27551551 R107 ae CS8 3 51 R120 3y3 1 EU RB Fa 51 100nC E a H 57 1 14 2173 11 5 gt MUX_SP5 LM gt _RES_IR 7 1 1 au 05 05 7 NC GND R160 3i NCS rz I ps 042 gt 16 16y 8 32 DATA We HT 16 1 03 BH im 1007
12. 3 3 3 3 10 0 10 5 10 5 33 33 3 3 3 3 3 3 3 3 0 10 10 5 5 10 3 3 3 3 3 3 3 3 3 3 3 3 C1 0 0 0 0 0 0 10 0 0 0 0 0 C2 0 0 0 0 0 0 0 10 0 0 0 0 C3 0 0 0 0 0 0 0 0 10 0 0 0 C4 0 0 0 0 0 0 0 0 0 10 0 0 C5 0 0 0 0 0 0 0 0 0 0 10 0 C6 0 0 0 0 0 0 0 0 0 0 0 10 Table 5 3 10 5 4 Testing the paper feed rate switch on the device and connect the patient cable connect terminals C1 f C6 of the patient cable to the positive pin of instrument 5 1 a connect all the other cable terminals to the negative pin of instrument 5 1 a using the instrument with a square wave of 1 Hz and an amplitude of 1 mVpp record the signal on leads Vi 8 V6 SS SN 5 SS measure the length of the wave cycle recorded on the paper The results should be as follows Period 50 mm 5 for a feed rate of 50 mm s Period 25 mm 5 for a feed rate of 25 mm s Period 5 mm 10 for a feed rate of 5 mm s 5 5 Frequency response test Y switch on the device and connect the patient cable Y connect terminals C1 of the patient cable to the positive pin of instrument 5 1 a connect all the other cable terminals to the negative pin of instrument 5 1 a v set the sine wave generator to 10Hz with an amplitude of c 1mVpp Y select leads V1 f V6 and a sensitivity of 10 mm mV make a recording and adjust the amplitude of the generator so as to obtain a 10 mm excursion of the signal
13. R240 OEG BEI RI43 C134 98171 feiss Dried oo cese 9 ce26 2 9 Tag 7 UT R74 CE37 E 8 o Lez B apoa 405 Mar ll tn E emp 2 ma J8l Bos ps 030 1046 1 C74 c75 C76 4 Doss PO cn7 208 cess Hf ita 5 o cos 5 Deos TUS 1 8235 57 OT 48 1047 ES 155 R157 2 E la riss zl lz 399 css 016 J50 a 3 i a 8 3 pus n JP5 JP4 E 0 E cio D E se LJ 5 m 8 5 nes D CE13 D R26 22 R25 E R68 R193 1 25 1 ciog 859 CE53 0 pe D J cas Ds 1 2190 a at R70 car N 56 225 2229 d 0 0 8 z 1 0133 Fis al sa Dae Des lt gt TAs 0 Riss Mr 1 0 de jr ges 5 res El Ire 11 072 9 Des 202 2 rss 1 1 11 kso 147 ci2 C55 26 d i
14. n E 1007 25 ce 44 T a4 EN w 9 Son 88240 FES 87 8 ces ER 5 Ma D 8 gt ON_KEY amp a 1 1 045 ml 220UE 6 55 eV Ses 2 ON OFF 51 B FGND 2 E M 2105 1090 221 f LM3478MM 99 034 1 2222 ET BC847B 100nC ISEN VIN mm 4 8 S Zlcom H 05 t A as gt C91 pozo l y 206 4 5 lu EFS T sl 5V 100nC X aoc 19 SIT RS DGND 8 E eu 1618 IRLLO24N S x Iz 0050 T Se 4 alle 5 HCNW137 RH R200 1000C ells und 1 tox AE 50 355 ot Su 07 0 K 14 5 2519 ea R164 GND NC2 100nC 453 11385803 ze DGND IAGND 11 ou 7 716 1 M 7 DGND 8715 1 16V i NC4 Nese 16y 1007 m FGND wu R127 CE43 077 T 51 T M lu 21K g 4 IAGND 4 1 302 gt FILE NAME POWER SUPPLY AGND CODE 3 16001808 DES a UNUSED GATE S REF DES DEVICE FOWER EINE REF DES DEVICE POWER PINS MOTHES i H A F A 1 VIEW GND VDD VEE vec GND VDD VEE BOARD FOR AR 2160 VI COD CF medical 120002 764 A AW devices DATE DATE REV SHEET 3 ALL RIGHTS 04 02 200310 04 2003 OF 12 RESERVED 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
15. M 100nC 192 DATA OUT p 48 MBM29LV800T A n 2 E210 PNM0 lt 21 DACK i Eu gt 9 o BYTE vec 13 18 Nn 108 Ed PE 7 0cPAQe ATG INS INC POT Lt 4 2 Tm kd 14 TX IR 2 84 PE Be DC PART Sos EOPO A24 1 CAU p POT 1 0015 5 5 mm HE 2 ro ee A 1 07 At 5 19 d 9011 39 KEY BUS 4 BT PE SHS 11e TRG 85 0012 BS J35 16 8 Ma 4 9 CLK TPH I RD ES I RETE gg 280 m 2 UL 4 xls S L IU 3 2145 008 0 23143 oo 28121 z 3 313006 5 5 P de CS4 5 2 M2 06 Tan D DOUT _TPH lt T C35 Saut DOS Bg 10 ANT 1 07 Bs 7 R2T3 10 El Mo 004 35 9 3149 1 05 100 p 3 1 A9 ae 83 3 13 hg 1 0 E 4 1 02 18 1 04 790 CRI T uni 515 Le SB 74HC161 P Que Es i 11 na 8 1 161 z 8410 Cm CLKO i 23 3 21 et 24 se mo ME E nx 44 nea 24 100nC o L4 Y 120 1047 0 1 NC5 e 13 D 2 on CLK LCD C CSLCD LCR 2 00 DGND 8 3382 gt 654 CYC1049_3V3_15n DGND 272 gt RD_AD ADDR 19 6 UNUSED GATE S 121 REF D gt RD DES DEVICE POWER PI ps NS FILE WRO 148604 14 04 VDD VEE REF DES PCB C MEM sos M 7 DEVICE POWER ODE DCN 123 VCC CND PINS DES 1
16. T7A Writing system T7B Print head assembly T8 Thermal head test point 27 17 Revision Sheet 28 Page intentionally left blank 29 1 2 3 4 5 6 7 8 9 1 11 12 13 14 15 16 5 5VL 140 814 6 TOOK 1 4 R81 She Lol Sr BE Gg Bape gy Lo 8 1uC JP2 INS WINS WINS 278 WINS WINS 8 N8 860 ve REN RENE RON IS 82 2V5REF amp 8 amp 818 Sg 812 18 2 amp 81 8 8 PATINC9 1 062 Ns ol TLOG2 TAGND AGND 1 4 1 4 1 4 4 4 R64 9 1 L
17. en 17 RAB 5 Pe ya E i Pri CE47 DES MOTHER BOARD FOR AR 2100 VIEW Medical LAYER 4 m Devices 5 De fi R135 40 181 Pos HET ci 2 ris FILE 2100 3PCB Spa PCB REFERENCE 3PCB16001808 A CAVARENO TN 1TALY all rights reserved DRAWER CHECK DATA 04 02 2003 SHEET 11 OF 12 SCALA 1 I caf Jos 6 5 fJ DATA REV 10 04 2003 COD 20002764 pom ooo og qnomm R2 9V ABSENT ADT s gt ESD H 16 D4 1961 F any 67 o 2 540 05 J1 10 gt L DGND T 20V WR_KEY R57 2u2 1 JIL7 gt CEG DGND IN 16 Ji 8 gt 2021 20V DY CEA ON_OFF SWITCH wm 2u2T 20V 11 Y E 20V 2021 VACCU 9 eo 7 ON OFF _SH gt 5 tul 16 e luT 16 2 16 BATTERY CHARGE 1uT 16 7 tuT 16 DL1 DGND 114800 52 15 __ 0 CLOCK KEY 55 ER p gt CLK_SH 160 169 DL lt 014 DGND FILE TAST 2100 ADV 2PCB PCB CODE 16001812 DES UNUSED GATE S POWER PINS POWER PINS N REF DES DEVICE REF DES DEVICE SEHE y 2100 ADV
18. 7 8 10 11 12 13 14 15 16 5 R85 R173 R125 R55 R131 R58 J53 1 PWMO T 1 49 9 28 2201 200 156 TIK TM ocho m 303 453 10 y 1088 ces Ez R48 ziss C30 1 5 0680 LE aim C ST 52 Clee 3 Cm prot 2 R62 1358 af NSS R185 T gt 13 1 R59 2 F 10nC Eo E ux LA K MT IC7 80534 M_PIU 5 E uu 8133 099 41 53 MOTOR D amp R181 E 2201 8 3 1862 s 2 553 2 C114 el 1021 aris Inc 378 LS a ass 82 9 E R132 R32 z 4 8 2020 CE23 5 x 01 MGND DGND 5313 E TE DGND Pu eal 221 4 5 53 BAV199 NC7S83157P6X ae Tour _ 1631 0080 R95 48 MUX_SP5 Md 100nC 3 6 553 4 C34 DGND ely R149 41268 amp S T 6 gt ANA_IM 9315 2 7 10 E INC POT ifm vec IC4 U_D_POT 2 fy pM 3 SENSOR RIBO RASE _ 1 5 3 NUAXAIZ6ESA 5 10K 40K2 5 CSPTC al ME Ts _ tone of lx 2714 C125 C126 H 33 8153 1 gt _ DGND ST 215 10nC M 21 SI 51 DGAD R182 298 1K33 51 53 128 3 DH gt _ 24930 54 EN 10nC ocho DGND J NM NOT MOUNTED FILE NAME M_SPEED CODE 3PCB16001808 A UNUSED GATE S POWER PINS POWER
19. Atmospheric pressure from 500 to 1060 hPa Dimensions 325 x 80 x 345 mm length x height x depth Weight 4800 grams with battery without paper 24 Conformity to standards EN 60601 1 1990 EN 60601 1 A1 1992 EN 60601 1 A2 1995 EN 60601 1 A13 1995 General standards for safety of electromedical equipment EN 60601 1 2 1993 Standards on electromagnetic compatibility of electromedical equipment EN 60601 2 25 1995 EN 60601 2 25 A1 2000 Particular safety standards for electrocardiographs EN 60601 2 51 Ed 1 2001 Particular standards on essential recording and analysis performance safety of single and multichannel electrocardiographs 25 15 15 1 Procedures for manipulating and storing components ESD modern electronic components particularly those based on CMOS technology may be irreparably damaged by even modest electrostatic discharges Precautions must be taken against electrostatic discharges when handling and working on electronic components sensitive to electrostatic discharges ELECTROSTATIC SENSITIVE DEVICE ESD Staff involved in checking warehousing shipping and assembly operations must be earthed through a suitable conductive bracelet compliant with safety standards If this precaution cannot be taken the operator must wear suitable antistatic shoes or boots Work equipment must be earthed Tables work surfaces and other surfaces on which components are handled must be cove
20. PINS DES DES DEVICE 3 3 VBON MOND DES DEVICE VCC GND VDD VEE MOTHER BOARD FOR AR 2100 VIEW Si 102 104 4126 8 4 COD M358 8 4 medical CHECK 20002 75474 devices DATE REV 6 ALL RIGHTS 04 02 2003 10 04 2003 OF 12 RESERVED 1 2 3 4 5 6 7 8 10 11 12 13 14 15 16 5 m 8 9 11 13 14 15 16 J49 VOD m BCP51 E R183 t B 03 Aoc J49 VSS 139 8 5 1 3y3 I i 1 4ToC 1258 la R46 IC35 C138 218
21. et utes 15 58 7 ser 46 sou Pes 1 0 los PAPER COMPARTMENT LID MARK SEN Fes PAPER TOP VIEW ISOR gt 909090900009 Se ue O PRINTER FIXING SCREWS 2 PAPER LID FIXING KEYBOARD MEMBRANE 11 SIDE VIEWS FUNCTIONAL EARTH TERMINAL AND EQUIPOTENTIAL TERMINAL MAINS PLUG INTERFACE PATIENT INPUT RESET KEY 12 BOTTOM VIEW ID LABEL 1 eO MOTHER BOARD AND LOWER HOUSING FIXING SCREWS LOWER HOUSING o O 2 1 BATTERY BRACKET FIXING SCREWS 2 BATTERY BRACKET 14 UPPER HOUSING FUNCTIONAL EARTH TERMINAL AND EQUIPOTENTIAL TERMINAL MAINS PLUG RESET KEY PATIENT INPUT MOTHER BOARD 05 12 pay qm BE quy a a ea E m A APO A A 7e a E HE E E HO mi EH tea del 8 e e G KEYBOARD 1 MOTHER BOARD FIXING SCREW e 2 CLUTCH PAPER COMPARTMENT LID FIXING SCREWS KEYBOARD FIXING SCREW
22. hours Disconnect the mains cable Activate printing of an ECG in manual mode on 6 channels at 5 mm s if the device shows the battery is flat within the first 5 minutes the battery should be replaced 6 3 Keyboard card The keyboard consists of 5 5 55 lt 13 function keys 32 alphanumeric keys 1 mains on LED 128 x 32 pixel graphic display LCD CPU connection through bi directional synchronous serial port Testing the keyboard card circuits Y Y Execution of keyboard self test Execution of display self test 6 4 Printer unit This consists of the thermal printer head support and the mechanical elements required to position it correctly Y Y Y 1728 dot high resolution printer head 8 dots per mm support paper feed unit consisting of 2 direct current reduction gears connected in parallel one of which equipped with stroboscopic speed control mark detection sensor 13 Testing the print unit Y Execution of printer self test 6 5 IR Module Y The function of the IR module is to transmit and receive data from an external PC The IR module can be used to perform the following functions Y Updating firmware Loader Batch ECG transmission L E M S Y Real time ECG transmission R T E ir Consult the specific manual for further information 14 7 Trouble Shooting Defect Possible cause symptom Remedy The device does not switch on in any mode Mother boa
23. to user instructions e any accessories in use are those approved by the manufacturer 2 Description of the device The device consists of the following basic elements 2 1 Mother board This is a Fine line multilayer printed circuit board for mounting SMD components It houses most of the electronic circuits of the device 2 2 Battery Lead battery 2 3 Keyboard card The keyboard card consists of the device functional keys and LED display messaging devices 2 4 Printer unit This consists of the thermal printer head support and the mechanical elements required to position it correctly 2 5 IR Module RS232 The function of the IR module is to transmit and receive data from an external PC 3 Inputs and outputs Direct connections from the ar2100 adv to external equipment may only be made using the IR serial port not by cable 3 1 Connection to the patient input port OOOOOOOO 9101910109100 Port from connection side Pin 1 IN C2 electrode C2 Pin 2 IN C3 electrode C3 Pin 3 IN electrode C4 Pin 4 5 electrode C5 Pin 5 IN C6 electrode C6 Pin 6 AGND analogue ground 7 8 digital ground Pin 9 IN R electrode R Pin 10 IN L electrode L Pin 11 2 IN F electrode F Pin 12 IN C1 electrode C1 Pin 13 NC non connected Pin 14 IN N electrode N Pin 15 NC non connected 4 Testing the safety characte
24. 00 Mb 1 5 5 IDGND T TAGND y 0578186 SR HCNW137 8 Id I0DC15 0 MC NCTLL AA 109nC ANA ECG n NOH 8218 ix bs 2 E nC o 2 Y Vos JE 27163 18 1 ne 1042 anle 2 F gue 57 elg QE A conv 100 55 8 00 4 137 1 19 9 R54 5VID 995002 2 3 IAEND 108 R25 1026 ES X 100nC 3R32 IAGND CLOCK DGND al ls 226 HCNM137 D Pri 221 3382 100T 16 gt 239 zw Le lt m 4 2 y 100nc R228 33R2 8 8 RIST 31 KID DERC2 1 14 595 po MC te BL ie 2 ATETSOCL 1 Mise TENE m Wm E CPLD ATF750CL PLCC28 H 1012 START C58 T 5V 3 0085 E zs mn B icone m RE x Mer c TNT 16 85 X 100 3832 3y3 1 INS 1 07 al ne CB5RE 12 INg Tos E amp DGND al S 0 4 0 l NI Dm CNW137 12 IN 010 152 HCNW 4 CE em 5 80 8 R230 1 5 NCTSZ08 not 3 3 ae CLK 1643 R231 Sy 277 gt EOC AD 2 3382 3 1625 CBACE lt ntRcg IDCND IDGND 20 f e 3382 LNC2 0 T gt RES hi DERC1 DGND Faa 2 25 DERC2 1 0050 RD AD 5VID 1 R24 m E LATCH 3832 lt 100nC 2 8 HCNW137 9 Two 110 Ici RESET 1 RES AD rc IDEND tee FILE NAME AD_CONV PCB_ CODE 3 160
25. 01808 UNUSED GATE S POWER PINS POWER PINS DES l REF DES DEVICE ava DGND REF DES DEVICE vec VDD VEE MOTHER BOARD FOR AR 2100 VIEW DNP 303 103 4126 8 4 COD US 1025 T4HC04 14 1 medical 1025 14 7 m 20002 IG4 A P IM devices DATE DATE REV SHEET 2 ALL RIGHTS 04 02 2003 10 04 2003 OF 12 RESERVED 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
26. 1 Self test The device is pre set to execute self testing of the main functions the access sequences for the various menus are guided on the display Two types of self testing may be performed USER 1 and SERVICE 2 according to the tests to be executed USER To enter the self testing menu switch on the device press the MENU key and select and confirm the TOOLS SELF TEST USER 1 submenu using the arrow key DOWN The following tests are available in the operator section o Display pixel scan The presence of blank areas signifies faulty operation of the display o Keyboard the position of the single keys is simulated in the display Pressing a given key the corresponding area of the display is highlighted in reverse A lack of response in any one area indicates that the relative key is faulty o Printer the system prints two triangular waves the character set in the memory and signals with different speeds and sensitivities Irregularities in the printing system are indicated by the presence of non continuous lines burnt dots o Memory a non destructive test is performed on the memories the data in the memory are not cancelled and a report of the following type is then printed all tests OK 2100 adv MEMORY TEST Boot CRC OK Application CRC OK Language CRC OK Ram Memory o Info The following items of information are printed model identification serial number of the device deta
27. 109 74000 4 7 AAA HH CF 20002 13 ete y ALL RIGHTS PLE Ll LL RESERVED ll T T T ll T T DATE REV SHEET L 1 EE 99 OF 5 2 3 4 5 6 1 8 9 10 1 2 3 4 1 p uc aa 1 oo co 5 UR oi o C6 C8 100nC 3y3 160nC S v T x LO x O N Ml x DGND 3y3 BE ks 15 129 8 ks Ji ED DATA_OUT kc CLK_SH gt FILE NAME TAST 2100 ADV 2PCB CODE 2 6001812 DES SCHEDA TASTIERA AR2100 ADV CN DRAWER COD eti CF 20062 113 RIGHTS RESERVED DATE DATE REV SHEET 2 L 15 10 2002 OF 5 e 3 4 5 6 T 8 9 10 11 12 13 14 15 16 0 2 g m 0 T 905 887 CE 1544 CEA U Me h c 15 ir L Jos R2 R5 R50 56 7 0 852 DISEGNO CIRCUITO VISTA LATO COMPONENT I DES SCHEDA TASTIERA 2100 ADV TN LAYER me ical devices FILE NAME TAS 2100 2 PCB REFERENCE 2PCB16001812 CAVARENO TN IT LY all rights reserved DATA 15 11 2002 SHEET 30F5 SCALA 1 1 00 20002773 sin O ENT DISEGNO CIRCUITO VISTA LATO SALDATURE DES SCHEDA TASTIERA AR 2100 ADV LAYER 2
28. 1K 4 4 4 4 4 4 4 4 4 4 JC8 FILE 117 220vac CODE 3PCB16001808 A UNUSED GATE S POWER PINS POWER PINS DES REF DES DEVICE REF DES DEVICE vee MOTHER BOARD FOR AR 2100 VIEW ZA S DRAWER COD lt 20002 164 A ned ical devices DATE DATE REV SHEET 9 ALL RIGHTS 04 02 2003 10 04 2003 OF 12 RESERVED 1 2 3 4 13 14 15 16 2 3 6 8 10 11 13 14 15 16 KEY BUS 4 0 SHEET_8 VLC SHEET_1 SHEET_2 SHEET 9 E ANA_ECG 117_220VAC 5 2 8 CLK TPH a DERCO ANA ECO AD CONV DERCO DERC1 RES AD DERC1 DOUT_TPH PAT_IN SPLY 2 LA_TPH DERC2 _RD_AD DERC2 4 nom IO_CONN CLAMP CLK AD I0D 15 0 j EN_ECG EOC_AD ON_OFF_
29. 6 R65 R 9 2 l FL ICS Vale 510 100K C2 vaa 8 3 3 JL 1 ts VAR 16 C37 e 1 100K R67 d vsa 14 a Reg TO 5 ir Y 100K 869 N dH 8 e IDGND al 18 E C4 R70 1096 HCNW137 4 SVL ve 3 8 m ND CLAMP yla 3 12 Y 2 4 3 s es 4 R p ve 21 4 060 2 TAHCO ui TOK MENDI 23 mp JI 7 gt T 22 Jt 8 gt 8 ido C 5 x B 2188 18 218 2782782 8 a J1 15 gt 100K y 1 Goss s 5 o o o o S amp 2378 Elo 24 giv gle amp A L 5VI EE IAGND 8 ak 5VL SVI IAGND 918 PATSAT 8 1 al 2 2 PATDER 8 1 EARTH IAGND M TAGND 1 T 6 6 5VID 5 8 3 10 gt ANA_ECG 1 5VID 1 VE 00 p 90 C36 m o CD405 54 0465 ta t 8 om 8 5 Xo 100nC TOGNO 5V1 IND 2g HCNW137 nc16200 ls glyco wen P 4 5 TI 2 161 op 4 4 thane 0813 EN_ECG 138 p rc IDGND res ID ND 5 FILE PAT_IN CODE 3PCBI6001808 A UNUSED GATE S POWER PINS POWER PINS DES REF DES DEVICE 5vL 3v3 DOND REF DES DEVICE vec GND VDD VEE MOTHER BOARD FOR AR 2100 VIEW em NOTE INPUT DYNAMICS 10 mV ICE TLOS2 8 2 DRAWER COD go INPUT CUTOFF FREQUEN
30. 6001808 E DRAWER 2100 VIEW d 1 COD Ex 2 20002 G4 4A medi 6 1 8 DATE E e 3 10 04 02 2003 ped 12 04 2003 OF 12 LL RIGHTS 3 14 RESERVED 15 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 VACCU 5 1 J51 100 15 0 lt gt zT 109nC pi 847 26 551 T 1M DGND 16 J51 0 Ho 1 8432Mhz EN 232 3 ust 74HC273 EN 2 BE ot 15 ig VCC 19
31. CY 190Hz 101 1402 34 13 CF GAIN 390 cx 120002 7164 4 medical AW devices DATE DATE REV SHEET 1 ALL RIGHTS 04 02 200310 04 2003 OF 12 RESERVED 1 2 3 4 5 6 1 8 8 18 11 12 13 14 15 16 1 2 3 4 5 6 1 8 9 10 11 12 13 14 15 16 CE24 MAX4126ESA NRE lt P 1 1 1 T Ic Sem 2418 cep R22 T R23 AN sT 875 STS 1 t i p 100nC 3R32 3R32 1
32. OD US CHECK 20002 64 medical JM devices DATE DATE REV SHEET 7 ALL RIGHTS 04 02 2003 10 04 2003 OF 1 RESERVED 5 1 8 9 11 13 14 15 16 1 3 4 5 6 7 8 9 10 11 12 13 14 15 16 5 LATCH T 1 20 450 244115 131 28 50 amp X 2 X DOUT TPH 228 lt so TS 4ToC CLOCK i 1 p Sa TX IR i C3 410 1 2 0 RX IR lt J 39 gt 135 ze IR 4 440 1 4106 lt 7 s0 RES_IR i R237 150 J42 10uT 16y 0010 100 22 lt 19 56 JCS R137 IRGND 10 50 X 112801244 Ress 81 50 el le 2 4 us Ejes g A 1018 8 102 Nr eee 4 18 1 9 O _WRST 2458 1031 TE me 207
33. SW 5 _RES_IR RX_IR RES ADDR 19 0 SIGNAL 6 0 CLOK_BUS 3 0 E SHEET 5 SHEET 4 5 666 E CLAMP on ADDR 19 0 8 EN ECG 28 RD_AD SEELS 5 RESAD sy CLK_AD ADDR 19 0 5 RD KEY CLK LCD CLK LCD SHEET_6 CPU MEM exo CLKO MUX SP5 MUX_SP5 EOC_AD INC_POT M SPEED RX_IR aus 1 MR PT WRI ai LCD INT _URST U_D_POT ANA_BAT ANA_BAT RD RD LA TPH _CSPT ANA_TAC as SERIAL _ INT PHMO ANA IM ANAL IM 1 1 RES RES INTUARTA INTUARTA CLK_TPH 8 INTUARTB INTUARTB 9 _CSPLC DOUT_TPH ADDR 19 0 RXRDY _RXRDYA 2 1 CSPINV RXRDYB RXRDYB 2 INC POT RES _TXRDYA _TXRDYA m 3 0 0 U_D_POT RD _TXRDYB _TXRDYB 4 ON_OFF_INY _CSPT WRO WR IR SHEETS 5 _RES LCD RDT CSPLC m 054 RES_IR SPLY E POWER SUPPLY ON OFF INV ON KEY ON_OFF ON OFF _RES_LCD RDT PWMO EN_VTPH EN_VTPH _CS4 ON OFF SW ON KEY LCD 80866 0 FILE TOP_LEVEL CODE 3PCB16001808 A DES 7 MOTHER BOARD FOR AR 2100 VIEW ZP DRAWER COD L 3 medical ck 2000 754 4 JW devices DATE DATE REV SHEET 10 ALL RIGHTS 04 02 200310 04 2003 OF 12 RESERVED 2 3 6 8 10 11 12 13 14 15 16 442 J38 Jaz 44133944 CE27 0 vo pU n HE _ of 7 lt 69 C78 1 1238 9 239 8
34. a 153 727 88 8 g VBH29LV860TA BAT O gt Ls eC 4 o ee D ate 87 ANA MC Mo Seal 1 7 e al 26 NC4 12 10K 222 018 E 2 5 5 90 m ANA NI XH ig cao Ed A 15 a 5 4 cs 16 SP MEER Xm m i de 1 R28 C59 TRANG 054155 2 16 2 009 82 5 38 M5 AE 4 C60 ANS 1049 025131 3 22 15 21415 88 4 281114 ve Be 3832 12 0528 18 E 2144 A 100nC 3 355 13 mr 027 39 1 3 A13 poc 2 2 27142 19016 SC i gt 3 3 14 0288 2 5 pos 9 J4 8 26 1 07 86 15 Xo Soy VRL 02992 811 004 E Mo roe pa E So M E 1 088 D gt dne IM al BE He HE LO 2 soot 4 8 1 181 17 5 AG 72 13 m mo He DAT 5 45 21 5 5 1 TXRDYB Der f xD Rs MP LK 4 NCt 55 DWO PB3 16515 A2 2 5 05 24 928 5 3 2 RXRDYAC gt Hs D 5 EH _TXRDYA xag RAS 2 Aog 2 2 06 44 Ks 25 WRK 1 25 RE 5 1046 3 3 223 m _RXRDYB 57 CE35 Jat 8 ul cto 4ToC ane TUARTA 7 1H PBS DACK2 CYC1049_3V3_15n 1 INTQ 60 3 10uT 343 zm 5 INT2 PE2 SC1 6 2 g _ 5 lt OC ADE 522 1 17 23 J34 ie SINE dM
35. ace thermal head unit if some dots are missing Does not print automatically or does not paginate the trace correctly Paper not suitable without black page recognition mark Clean mark sensor Perform mark sensor calibration Replace print unit Paper feed defective paper finished message with paper present Check paper damaged Clean rubber roller Replace print unit guides are not EC signal disturbed or anomalous Error message on display on printout See user manual The device stops during use No functions operational commands accepted no Press reset button on right side of device 8 How to dismantle and reassemble the device 8 1 General precautions Disconnect the mains cable before opening the unit See chapter 15 procedures for handling ESD components To reassemble the device perform the operations described below in reverse order ensuring that all subassemblies and connections are performed correctly 8 2 Opening and closing the device table T3 Y Remove the 9 fixing screws from the mobile base T3 Ref 1 Y Lift the mobile base of the device Y Disconnect the two battery connections Y Remove the lower mobile part Warning Respect the correct polarity of the battery connection if the polarity should be inverted check the Pico SHF T5A fuse on the motherboard 8 3 Removing the mother board table T5 Y Proceed following t
36. at 230 V 10 Mains protection Fuse 0 5 Internal power source 12 V 2Ah rechargeable lead battery Internal power supply protection Pico fuse SHF SLO BLO T 5A Littelfuse Applied part CF type Defibrillation protection Internal Input dynamic 300 mV 0 Hz 10 mV in the passband Input impedance 100 MO on each electrode Common mode rejection 100 dB with electrode impedance balanced Frequency response 0 5 150 Hz 3dB with anti drift filter Time constant 3 3 5 Acquisition 12 bit 1000 samples s channel printing and filters 500 samples s channel in calculation and filters Resolution 5 uV bit Leads 12 STANDARD leads 12 CABRERA leads 8 acquired 4 derived III aVR aVL aVF Signal memory 10 seconds for each lead in auto isochronous Recording sensitivity 5 10 20 mm mV 5 auto 2 5 5 10 20 mm mV 5 dependent on number of channels printed Writing system Thermal printer 8 dot mm Usable print height 210 mm Print channels 3 6 12 Paper feed rate 5 mm s 1096 25 50 mm s 5 Heat sensitive paper roll in 210x280 mm width x length sheets gridded length 17 mm Z fold pack in 210x150 mm width x length sheets gridded length 30 mm Z fold pack in 210x300 mm width x length sheets gridded length Pacemaker recognition Records impulse in compliance with IEC 60601 2 51 Ed standards 1 Filters Mains interference Modified notch digita
37. ck paper speed 12 check keys and keyboard 12 check keyboard membrane 12 clean paper compartment and mark presence sensor 12 check patient cables and electrodes 12 check whole amplification chain sensitivity test 12 check battery 12 calibrations 12 check leakage currents 24 Table 9 20 11 Cleaning disinfection 11 1 Cleaning the device electrodes and patient cable Device use a cloth dampened with water or denatured ethyl alcohol Do not use other chemical products or household detergents Electrodes remove the electrodes from the patient cable and wash under running water Do not scratch the electrodes and do not wash the leads box and the patient socket A Patient cable do not immerse in water use a cloth dampened with alcohol or an equivalent solvent Note the device cannot be sterilized The electrodes can be sterilized with ethylene oxide 11 2 Clean thermal head To clean the printer thermal head correctly use a cloth slightly dampened with alcohol or an equivalent solution with the device off Proceed as follows Y open the paper guide door pass the cloth over the dots of the thermal head without pressing too hard Warning the printer thermal head is extremely sensitive to electrostatic potentials Do not touch it for any reason If necessary handle it after connecting to a mass via a suitable protective bracelet or belt 11 3 Cleaning the paper guide rolle
38. he instructions in chapter 8 2 Y Remove 2 screws T5 Ref 1 Y Lift the patient connector side of the board and disconnect the following the keyboard flat the thermal head flat the motor and mark sensor card flat the earth connector Warning Replacing the motherboard means that the paper feed speed and mark presence sensor must be recalibrated 8 4 Removing the battery table T4 Y Proceed following the instructions in chapter 8 2 Y Remove the 2 screws attaching the battery to the housing T4 Ref 1 Y Remove the battery support T4 Ref 2 Y Remove the battery and replace 8 5 Removing the keyboard card table T5 Proceed as described in chapter 8 2 Remove 8 screws T5 Ref 3 Y Replace the keyboard card 8 6 Removing the print unit table T7A T7B Y Proceed as described in chapter 8 3 Y Remove 2 screws T1 Ref 1 Y Remove 2 screws T6 Ref 1 Y Remove the print unit from door side Warning Replacing the print unit means that the paper feed speed and mark presence sensor must be recalibrated 8 7 Removing the print unit thermal head table 7 Proceed as described in chapter 8 6 Y Remove 2 screws T7B Ref 1 Warning The thermal head is extremely sensitive to electrostatic potentials and the work procedures described in appendix A should be closely followed The thermal head is aligned in the factory and requires no further calibration 8 8 Disman
39. herboard the following data must be supplied Y device code number REF Y serial number SN Y language options purchased et medical devices will send the corresponding firmware binary file to load through the Loader application which will install the correct S N and enable the options previously purchased Warning Once the firmware has been reloaded with a specific S N it cannot be further modified Note The data requested can be printed out directly by the instrument using the info function on the self test menu 22 13 Interconnections with medical systems The device has an RS232 infrared interface to communicate with a PC equipped with specific programmes This type of connection guarantees the insulation required for connection with medical systems The communication with a PC occurs through a proprietary protocol a standard IRDA protocol cannot be used et medical devices has validated the following IR interface devices for installation on the COM port of a PC e Extended System mod ESI 9680B JETEYE e ACTiSYS ACT IR220L Note Do not install the drivers on the cd rom supplied on the PC If the drivers should have been inadvertently installed uninstall them 23 14 2100 adv technical characteristics mains power supply Device with Class I power supply 230 V 10 50 60 Hz 115 V 10 50 60 Hz Maximum current absorbed 0 5 mA at 115 V 10 0 25 mA
40. ice General precautions Opening and closing the device table T3 Removing the mother board table T5 Removing the battery table T4 Removing the keyboard card table T5 Removing the print unit table T7A T7B Removing the print unit thermal head table T7B Dismantling the paper guide door table T1 Dismantling and replacing the keyboard membrane table T1 Calibration and setting General information 9 1 1 Self test 9 1 2 Mark calibration 9 1 3 Speed calibration 9 1 4 Metres of paper printed 9 1 5 Firmware upgrades 10 10 1 11 Periodic maintenance Inspection frequency Cleaning and disinfection pa pa w N NN PA js UR WwW Ww pa 0 400000007 N N 11 1 11 2 11 3 11 4 12 13 14 15 15 1 16 16 1 17 Cleaning the device electrodes and patient cable Clean thermal head Cleaning the paper guide roller Cleaning the mark recognition sensor Spare parts list Interconnections with medical systems ECG ar 2100 adv technical characteristics APPENDIX A Procedures for manipulating and storing components ESD APPENDIX B Figures and illustrated tables Revision Sheet 21 21 21 21 22 23 24 26 26 27 27 28 1 Introduction ar2100 adv epitomises the reliabil
41. ils of software installed version and language code reference of any options installed SERVICE To enter the self testing menu switch on the device press the MENU key and select and confirm the TOOLS SELF TEST SERVICE 2 submenu using the arrow key DOWN When the access code is requested press the following keys FILTER AMPLITUDES SPEED START and confirm the following tests are available in the service section 9 1 2 Mark calibration Confirm the submenu MARK CALIBRATION 1 position the mark at a distance from the sensor visible near the exit from the device and confirm enter The microprocessor automatically reads the sensor output voltages voltage with white paper and black mark and then sets the digital trimmer that regulates the photodiode current to the optimal settings and then stores them The mark calibration voltages are shown on the display as is the numerical position of the digital potentiometer 9 1 3 Speed calibration Testing and setting Select and firm the SPEED CAL 2 submenus and the speed to calibrate The following messages then appear on the display Output PWMO Output Freq xxxx Hz with the possibility of selecting from test change exit Confirming the test command enables the paper feed and the print unit emits a 1 impulse per second signal If the speed has to be calibrated select change and increase or decrease the frequency to set the paper feed speed entered When the s
42. ity modularity versatility and capacity to be updated which characterise the latest generation of cardiette electrocardiographs ar2100 adv is a portable electrocardiograph with dual power supply mains and rechargeable internal batteries which in the basic configuration will Y Y In record an ECG exam in automatic or manual mode reproduce the ECG signal on 210 mm paper in 3 6 12 channel format thanks to the high resolution thermal printer storage of the most recent recording in automatic mode and print additional copies just a few minutes your ar2100 adv can be equipped with memory option to store up to 40 full ECG exams with no need to print out immediately on paper paper saving mode ECG measurements option automatic ECG parameter measurement program ECG signal interpretive option a useful and dependable diagnostics support provided by the HES program arrhythmia option program enabling detection of arrhythmia events during continuous recording HRV analysis option program enabling detection of variations in heart rate L E M S PC archive option to store the exam to archive on a Personal Computer running L E M S Local ECG Management System software R T E PC ECG option for real time display of the twelve leads on your computer screen to allow management of patient medical records and archiving of exams in digital format using R T E Real Time ECG software R T E has an opti
43. l filter 50 60 Hz with response 32 Hz 3dB linear phase on off filter Anti drift 0 5 2 high pitch linear phase filter always on cannot be switched off Serial interface Infrared Keyboard Membrane keyboard with 13 function keys 32 alphanumeric keys 1 power on indicator Led Display 120x32 dot backlit graphic LED Optional programmes ECG HES interpretation and parameter calculation Developed at the Medizinische Hochschule Hanover Germany Type of use continuous Operating modes manual acquisition and printing in real time Automatic simultaneous acquisition ECG Autotimer acquisition at user defined intervals Optional Paper Saving signal acquisition in simultaneous mode with possibility of copying or storing on PC PC ECG signal transmission in real time to Personal Computer with R T E programme Arrhythmia Monitor signal monitoring with recognition of arrhythmic events HRV analysis analysis RR interval variability in a specific period Battery capacity Internal battery 1hour with printing in 6 channels mode Recharging time Internal battery 24 hours or more 100 Housing protection category IP 20 Environnemental conditions operation Environment temperature from 10 to 40 Relative humidity from 25 to 95 without condensation Atmospheric pressure from 700hPa to 1060 hPa transport and storage Environment temperature from 10 to 40 Relative humidity from 10 to 95 without condensation
44. nditions described in detail under the Technical specifications heading Periodically check the efficiency of all accessories and of the device itself Use the built in test function to perform an initial efficiency check Contact the Authorized Assistance Centre whenever the device seems to be operating irregularly To prolong the life of your ar2100adv have it periodically checked at an Authorised Assistance Centre Warning do not use the device in the presence of anaesthetics or volatile gases Warning the indications obtained using automatic interpreting programs or other diagnostic aids must be reviewed and countersigned by a qualified medical person Warning the device is provided with an IR interface for the transfer of data to other devices The IR interface must not be masked even accidentally as this will adversely affect its capability and its operation interrupting and preventing the correct flow of data Warning Environmental protection When no longer in use the device must be disposed of according to local regulation do not dispose as ordinary refuse The manufacturer will acknowledge liability for the safety reliability and functional efficiency of the device only if e modifications and repairs are performed by the manufacturer or by an Authorized Assistance Centre the a c mains power supply of the premises in which the device is used corresponds to current regulations the device is operated according
45. onal HES module for automatic interpretation of the ECG signal By updating the firmware Contact your distributor for further details 1 1 Particular recommendations and warnings Y Y Y This service manual is for the use of competent technical staff only Always use the equipment according to the instructions in this manual The device is equipped with a set of standard accessories For reasons of safety reliability and conformity with the Medical Devices Directive 93 42 EEC use only original accessories or accessories approved by the manufacturer The device is equipped with a special long life thermal head writing system which allows maximum writing precision To avoid frequent and costly replacements and repairs always use the original paper or paper approved by the manufacturer The manufacturer will not accept liability for any damage to the device or any other adverse effect caused by the use of unsuitable paper Do not subject the device to impact or excessive vibrations Do not allow liquids to penetrate inside the device If this should accidentally occur have the device tested by an Authorized Assistance Centre to verify its functional efficiency before using it again Make sure that the value of the supply voltage corresponds to that indicated on the data plate of the device If you are using the device in connection with others ensure that all connections are made by skilled persons all connections comply wi
46. peed has been set correctly select and confirm with exit The permitted tolerance values for the various paper feed speeds are as follows 50 mm s 5 25 mm s 5 5 mm s 10 18 9 1 4 Metres of paper printed Displays the number of metres of paper printed 9 1 5 Firmware upgrades Enables upgrading of the instrument s internal firmware The firmware upgrade menu can be accessed from the main menu pressing the Shift S keys together Note Refer to the Loader programme manual for further information 19 10 Periodic maintenance The ar2100 adv electrocardiograph has been designed to assure a high degree of reliability during the life cycle of the product Any incorrect conditions of use or anomalous operation will be signalled by messages on paper and on the display 10 1 Inspection frequency To guarantee a long and safe duration the instrument and its accessories must be periodically inspected and checked Table 9 indicates the type and frequency of controls required based on normal use of the electrocardiograph about 4000 ECG recordings per year Warning Check immediately if events occur that are not attributable to normal use General and safety tests months full discharging and charging of battery 2 check and clean printer head 3 visual inspection of the device patient cable and accessories 6 execution of self test 6 check and clean paper roller 12 che
47. r To clean the paper guide roller correctly open the door and use a soft cloth lightly dampened with alcohol or an equivalent solvent turning the roller to clean the whole surface 11 4 Cleaning the mark recognition sensor To clean the mark recognition sensor correctly use a cloth slightly dampened with alcohol or an equivalent solution with the device off Proceed as follows Y open the paper guide door Y pass the cloth over mark recognition sensor without pressing too hard 21 12 Spare parts list The code numbers of the spare parts are listed in table 12 1 The spare part code is also indicated on the label identifying the main subassemblies inside the device To order a spare part use the corresponding code number List of spare parts for the ar2100 adv device code 80600061 Spare part code Description Ref Note 69701022 12V 2Ah battery 69700788 0 5 AT 5x20 mm fuse 10 pieces Installed on mains plug 69701148 5 A SMF SLO BLO SMD fuse 10 pieces Installed on mother board 69701404 Case Complete Excluding keyboard membrane 69701405 Printer sensor and motor unit 69701406 Print head with frame 69701034 Paper guide 69701064 Paper spindle 69701407 Mother board 69701408 Keyboard with display 69701018 Mains plug 69701409 Keyboard membrane Table 12 1 The replacement motherboard is supplied complete with basic software in English and S N 00000000 To reinstall the configuration before the replacement of the mot
48. rd keyboard card Holding down the ON OFF key measure 12Vdc on 152 keyboard connector 3 if absent replace the keyboard card if not replace the motherboard The device does not switch on when in mains mode Mains LED indicator off Check mains fuses if OK replace motherboard The device does not switch on when in battery mode Check T5A fuse on motherboard Check efficiency of battery and replace if necessary The battery does not charge The device has not been charged for long enough Mains LED indicator off Defective battery Leave the device charging for at least 24 hours Check mains fuses if OK replace motherboard Check efficiency of battery and replace if necessary Check T5A fuse on motherboard Keyboard keys not working The key pressed not enabled for the specific function Execute keyboard self test and if it fails replace keyboard card The paper feeds through without printing Paper not suitable without black page recognition mark Check that original paper is being used Check the paper has been inserted correctly Check that the 26 Vdc VTPH power supply to the thermal print head is present when printing is active if not replace the mother board Check signals on test point table T8 are present If good replace thermal head unit otherwise replace motherboard Anomalous printout Clean thermal head Execute printer self test repl
49. recorded Y vary the generator frequency from 0 5Hz to 100Hz with constant amplitude Y check that the frequency response is in accordance with the values in table 5 5 Amplitude of signal in Unfiltered sinusoidal Relative tolerance of mVpv input signal in Hz signal 10 Hz 10mm 1 From 0 67 to 40 t 10 1 From 40 to 100 10 30 0 5 From 100 to 150 10 30 Table 5 5 Note 0 5 Hz pitch linear phase anti drift filter is always and cannot be switched off The 50 or 60 Hz filter eliminates modified notch digital type mains disturbances in the linear phase with a frequency response of 32 Hz 6 Functional blocks 6 1 Mother board The motherboard is based on the following principal components 6 1 1 Processor Y 5 5 5 5 lt lt lt 32 bit Fujitsu MB91101 RISC microprocessor with 12 MHz clock 2 8 Mb flash memories installed These memories house boot code operating system software applications software calibration data ecg archive The device also has 2 x 4 Mb static rams Testing the mother board circuits Y Execution of ram self test 6 1 2 Battery charger The battery charger section consists of the following parts Y Y Y Autosense AC mains adapter circuit 230 115Vac out 22 Vac fuse protected and PTC protection against overheating Mains filter against electromagnetic disturbances Rectification voltage stabilisation and current limitation circuits
50. red in conductive material and earthed tables and work surfaces must be covered with a layer of conductive material and earthed The person performing the repair must be earthed with a suitable protective bracelet compliant with safety regulations The material must be contained in suitable antistatic bags or containers and labelled according to MIL STD 1297 The containers must guarantee adequate protection against impact and handling during transport E S D components must be stored in their original boxes and kept in special metal containers While stored in the warehouse electronic components must be kept in their original packaging Any containers used must be exclusively in metal and or conductive material If handled directly the personnel must adopt the precautions specified above During handling cards must be stored in suitable antistatic containers Each component sensitive to electrostatic discharges will be identified by the abbreviation ESD In the Warehouse area containers are labelled with a suitable symbol Follow all the instructions in this procedure when dealing with E S D components Warning The manufacturer is not responsible for any damage to the device caused by insufficient or inadequate treatment handling or work methods 26 16 APPENDIX 16 1 Figures and illustrated tables T1 Top view T2 Side view T3 Bottom view T4 Lower housing T5 Upper housing T6 Upper housing
51. ristics The safety regulations envisage two important tests The leakage currents test measures the value of the currents lost in relation to the safety of the patient and the operator Warning All safety tests must be performed according to standards EN 60601 1 1990 paragraphs 19 20 EN 60601 2 25 1995 unless otherwise specified in the local safety regulations 4 1 Leakage currents test Warning This test must be performed every time the device has been opened for inspection and or repair and in any event every two years unless otherwise specified by the local safety regulations Connect the electrocardiogram to the battery charger and then connect this assembly to the measuring instrument according to the instrument s manual recalling that 1 The leakage current to the casing is measuring between the mains supply circuits and a metal sheet no greater than 20 x 10 cm pressed against the casing of the device 2 The leakage current in the patient is measured between the mains and the applied part For connection to the applied part use the patient lead itself 3 The leakage current in the patient with mains voltage directly on the applied part first failure condition is measured between the meta sheet connected to the device and the applied part 4 The auxiliary current in the patient is measured singly on each electrode excluding the reference electrode compared to all the other electrodes connected
52. s Y check that the amplitude of the recorded signal is 20mm 5 on all channels 5 3 Testing the ECG leads Y switch the device on Y connect the patient cable to the device Y connect the red termination of the patient cable to the positive pin of the instrument specified in point 5 a a and the remaining wires to the negative pin Y start recording and check that the amplitude in mm of the signal and its polarity positive or negative comply with the values indicated in table 5 3 Y repeat the measurements in sequence with the remaining active terminations G V C2 C3 C5 C6 of the patient cable using the method described in c and check that the values correspond to those indicated in table 5 3 PATIENT CABLE AND LEADS TEST CONNECTIONS FOR THE TEST INSTRUMENT PATIENT CABLE CONNECTIONS Connector Patient cable terminations N 1 Termination to positive apart from black D N 4 Terminations to negative with 5 wire cable 2 89 40 5 O d 9 Terminations to negative with 10 wire cable Square wave signal from Electrocardiograph amplification 1mV 10mm 1 Hz 1 1 mVpp 3 signal recorded mm 5 TABLE OF VALUES Term LEADS AND VALUE OF IMPULSE to 11 111 aVR aVL V1 v2 v3 V4 V5 V6 positive mm mm mm mm mm mm mm mm mm mm mm mm R 10 10 0 10 5 5 33 3 3 3 3 3 3
53. t OS Y Signal polarisation circuit Hybrid circuit for amplification filter and clamp 12 bit Ad converter 5 microvolts per bit Insulation photocoupler double insulation 6 1 5 Motor control This consists of the following parts Y Y Y Stroboscopic sensor control Phase comparator between reference frequency and motor feedback Current amplifier for motor power supply 6 1 6 Input output circuits 6 2 Battery Lead battery Y Y Y The battery 15 protected against short circuits by a Pico SHF T5A fuse voltage 12 Vdc and capacity 2000 mAh supplied by the manufacturer of the device Complete recharging requires at least 24 hours or longer The battery can be partially recharged in this case to prolong the life of the battery it should be fully discharged and recharged every 2 months Replace the battery with one of equivalent type voltage and capacity Warning The battery must only be removed if the device is off and the mains supply cable disconnected Do not dispose of a spent battery as ordinary refuse or litter Note The operation of the device is not guaranteed if the battery is flat or missing Note The configuration parameters and any stored ECGs are not lost when the battery is changed Note Update the system date and time after replacing the battery Battery check Proceed as follows to check the efficiency of the battery Y Y Y Leave the battery on charge for at least 24
54. th safety regulations all other devices connected respond likewise to regulations Non compliance with these regulations can cause physical harm to the patient connected and to the person operating the device Should it be difficult to obtain the necessary information for assessing the risk of the individual connections apply directly to the manufacturers concerned or avoid making the connections In the event of other equipment being connected directly or indirectly to the patient check for the possible risks caused by the sum of the leakage currents on the body of the patient The device is protected against defibrillation discharges in accordance with standard 601 1 25 to ensure that the signal is restored use only original electrodes or electrodes responding to IEC and AAMI standards If an electrosurgical scalpel is in use the patient cable should be disconnected from the device In any event the greatest care should be taken when using defibrillators or high frequency surgical devices at the same time as the ECG If you have any doubts while using such devices disconnect the patient from the electrocardiograph temporarily The device recognizes the impulses generated by a pacemaker and does not interfere with its operation as prescribed by standards in use at the time of drafting this manual Avoid exposing the equipment to extreme temperatures excessive dust or dirt and very salty or damp environments observe the ambient co
55. tling the paper guide door table 1 Proceed as described in chapter 8 2 Y Loosen the 2 clamp screws T5 Ref 2 Y Position the paper guide door in a vertical position and remove the 2 locking nuts from the studs T1 Ref 2 remove the studs Y Replace the paper guide door Warning tighten the 2 screws table T5 Ref 2 until fully tight then unscrew one turn Note If the roller is not clean and the paper door is on or incorrectly locked the paper feed will not operate properly and the device will malfunction 8 9 Dismantling and replacing the keyboard membrane table T1 The keyboard membrane T1 ref 3 is an elastic membrane over the keyboard card that allows the keys to be pressed This self adhesive plate is glued to the upper part of the device To replace it when worn lift one corner with a sharp blade and tear off the case Remove any adhesive left on the case To fit a new membrane centre it with the corners in its housing and press lightly over the whole surface ensuring the display protection window is correctly positioned Note A broken or cracked keyboard membrane compromises the safety of the device 17 9 Calibration and setting 9 1 General information This device has a system to automatically set the paper feed speed and mark detection sensor The device does not require further setting The calibration system may be accessed from the service menu as described below 9 1
56. together Note Make the measurements following the indications in the instrument user manual and check that the leakage current values measured are less than or equal to those listed in table IV Table IV Admissible permanent values for leakage and auxiliary currents in the patient in mA milliamperes Current path CF type N C S F C Leakage current to earth 0 5 1 Leakage current in case 0 1 0 5 Leakage current in the patient d c a c 0 01 0 05 Leakage current the patient 0 05 mains voltage in applied part Auxiliary current in patient d c a c 0 01 0 05 N C Normal condition S F C First failure condition 5 Testing the main technical characteristics of the electrocardiograph Warning All tests must be performed in compliance with the provisions of the related general detailed and performance safety regulations listed in the technical characteristics section 5 1 Instruments necessary a sample mV generator with the following characteristics b low frequency sine wave generator C ECG simulator 5 2 Sensitivity test set the device up to record 6 channels on leads V1 to V6 with sensitivity of 20 mm mV Y connect the patient cable to the device Y connect terminals C1 of the patient cable connected to the device to the positive pin of instrument 5 1 a connect all the other cable terminals to the negative pin of instrument 5 1 a record the signal for a few second
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