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PHILIPS m3, m4 Patient Monitor Service Manual

1. DRAINWIRE 3 2 VA oa oe 88 uc A VA gm D a e gt LLIE VA 4 ma Z lt Wo o 3 Z oN N 2 21 5 LENGTH SEE DWG B 5021 7592 2 m o o WIRE PRESS IN WITH SPECIAL TOOL INSERTION TOOL S KRONE LSA Plus P N M3086 43801 L WIRING SCHEMATIC POS 1 16 PRESS IN WITH TOOL DRAINWIRE 2 DRAINWIRE 2 ee BLACK GREEN WHITE GRAY RED WHITE RED BROWN WHITE BROWN BLUE WHITE BLUE WHITE BLACK BLACK GRAY VIOLETT WHITE VIOLETT GREEN WHITE GREEN 12 9 8 8 Step 4 schematic above Installing the Instrument 9 10 112 13 4 5 16 17 12345678 BLACK GREEN WHITE GRAY RED WHITE RED BROWN WHITE BROWN BLUE WHITE BLUE e WIRE PRESS IN WITH SPECIAL TOOL 17 18 0000 12345678 9 10 11 12 13 4 16 gt INSERTION TOOL S KRONE LSA Plus P N M3086 43801 Use a small screwdriver to connect the two drain wires to the PCB see the wiring 113 MSL Cable Termination Step 5 Slide the PCB back on to the metallic mounting flange Step 6 Us
2. 20 Measurement Server Theory of Operation 21 Functional Description of the Measurement Server Hardware 22 Electrocardiogram Respiration ECG Resp Measurement 23 DESCHIPUOM EE 23 IVIC MOMS uo ecco tue eoe aot rct psu Wiel ark acetic a ea Wid ae scabies 23 FEOIR SPE CaS a TITIO TO TTL T TR 24 block Diasram ot the i ok eaa d ore A 25 Theon ob ees ME de det dad Ae ee 25 Non invasive Blood Pressure Measurement 29 DOSCPIDUODD Died ota hie deben d nci 29 Me dS Uere Ds ee a ditus 29 29 Block Di sram TOL NBP 24 dx rra bun d deg rasa as 3l Sonn heres 31 Measurement 5 32 Theory Of s buen de 52 Arterial Oxygen Saturation and Pleth SpO PLETH Measurement 33 15 ei urat eite dn ey techs 33 Measure MENS ernea ILIO OTI OI TI 33 SPOJPLELH Features Gasp tea adele SURE ToR RUE wate EODD ead wee 33 Block Diagram of the SpO PLETH Circuit 0 0 00 eee ee ee ee 34 Th
3. 273 Battery and Battery Related 274 Batic Pats 274 Battery EF xchanee ESE dod VICI DR RE ICE de id 274 Battery Charger and Conditioner Parts eee ees 274 XE 50p Recorder Exchange Parts 274 Contents Introduction to the Instrument Objectives In order to meet this chapter s goals you should become familiar with the Monitor Measurement Server and the Measurement Server Extensions and be able to identify their component parts in some detail As well you should be able to explain how the Measurement Server and Measurement Server Extensions acquire and process physiological measurements and how the Monitor displays the data The following topics are covered in this chapter Introducing the Instrument Components e Section 1 Monitor Description Functional Description of the Monitor Hardware e Section 2 Measurement Server Description and Features Measurement Server Theory of Operation Functional Description of the Measurement Server Hardware Electrocardiogram Respiration ECG Resp Measurement Non invasive Blood Pressure NBP Measurement Arterial Oxygen Saturation and Pleth SpO2 PLETH Measurement Temperature and Invasive Blood Pressure Temp Press measurement Section 3 Measurement Server Extensions Description and Features M
4. 155 Temperature ACCUEIOY eda ace ert bat 155 Perlormanee pa 155 Contents xi Invasive Pressure Performance 5 cece rs 156 SpOs Petlonmance Test 4506 220 ace e Dis 157 Mainstream C O5 Performance Test IE Eb 157 Nurse Call Relay Performance Test 157 BCG Syne Perormance Vest ux wuss 158 Patient Safety Bo ee e oin o n Gh we 159 Warnings Cautions and Safety Precautions 159 Salety Test Procedures ete debat Nb iae od noe ur t oh bd eck a ee a ate 159 Tutorial tor Tesune the Instrument 12a weet ele eee hee 163 Answers to the Tutorial for Testing the 164 5 Troubleshooting the Instrument 165 165 CONCEDIS Gees uud SH eae eh ote 165 Part 1 Troubleshooting 5i u 222605 Gio de ROO e Mica DE 166 Checks for Obvious Problems 166 Checks Before Opening the Instrument 166 HU SC DS eed 173 Initial Instrument Boot Phase 173 Isolating Problems to the Correct Subassembly 175 Part 2 Isolating
5. 8 ES LED Current current Source Rtype RCode Rlambd Measurement To amp From SpO2 Transducer Theory of Operation The signals progress through the circuit as follows LED Current Source This generates the LED current from a constant voltage provided by the power supply A bridge consisting of four transistors switches the LED current for driving the red and infrared LEDs These switching transistors are controlled by the SpO CPU Photo Amplifier The photo amplifier is an active input current to voltage converter The input signal is filtered by alow pass filter to eliminate higher frequencies generated for example by electro surgery units Then the input current from the photo diode of the sensor is converted to a voltage Clipping Detector A comparator detects clipping of the photo amplifier signal caused by for example ambient light The clipping detection is connected directly to the SpO CPU to generate an INOP if necessary Introduction to the Instrument Arterial Oxygen Saturation and Pleth SpO PLETH Measurement Bandpass The bandpass stage contains a bandpass filter for the modulated signals coming in from the photo amplifier This filters out noise outside a passband centred on the modulation frequency Variable Gain This section amplifies the incoming signals The gain is set by a digital to analog converter DAC which allows 512 gain sett
6. 5 Theory of Operation for M3015A Sidestream CO 0 51 M3016A Measurement Server Extension Theory of Operation 53 Functional Description of the M3016A Measurement Server Extension Hardware 54 Hardware Block Diagrami uui die cer 55 Mainstream Vleasure melt 2s ecce mtt Ro ESL RP AS ERAS sees ex 56 DESCEDEO tur uS TA cct ane a E 56 US dor ica t uod dope eerte Ehe hol nett ete oes ue 56 Mainstream CO Features scio d exe bye ceed heehee SASS reese eee iss d LEES 57 Block Diagram of the Mainstream measurement 59 Theory of Operation for the M3016A Mainstream CO 60 Tutorial for the Introduction to the Instrument 61 Answers to the Tutorial for the Introduction to the Instrument 62 2 Installing Che 1 lt amp amp 63 e a ums saut MUI he ue a M Mc a he EM d eek 63 OMG SPs athe eme DPA a Gs Gh ee a 63 Das geo ib as ee re es oe 64 Pale erroen eene utatur A a rc deere 64 Patient Leakage Current 2212554 x termes Exe exse EY ecu 64 Prepare to Install the Montor os pci piro dE acp d e OR pr CE d Oe 64 Power Source Reque melts n ue Ea ERE qe aie Mansit 64 Protecting against Electric Shock a0 ess usu
7. 40 XM Measurement Mode Wave Range Calibration Marks In the measurement mode the Extension continuously measures concentration calculates medical parameters and exchanges information with the Server via FELP Correction This can be turned on or off If 0 correction is off only oxygen cor rection to CO is made In this case it is assumed that the gas mixture consists mainly of and respiratory intensive care unit conditions If N5O correction is on oxygen and 0 correction to the CO value is made In this case it is assumed that the gas mixture consists mainly of O5 and 0 operating room condi tions Introduction to the Instrument 49 Sidestream Measurement 50 0 correction is required only on M3015A Measurement Server Extensions with CO Data Acquisition hardware revision 01 09 or lower Correction This can be turned on or off If N5O correction is off only oxygen cor rection to is made In this case it is assumed that the gas mixture consists mainly of and N respiratory intensive care unit conditions If correction is on oxygen and 0 correction to the CO value is made In this case it is assumed that the gas mixture consists mainly of O and N5O operating room condi tions e O Correction There is a fixed correction of 45 Humidity Correction This correction is selectable between
8. Go into the Status Log and check whether either the Monitor or the Server reports a fatal error Troubleshooting the Instrument Using Service Mode Print out the Status Log in which the error is reported To ensure the fault is not a single sporadic fault you should rerun the coldstart sequence including clearing the Status Logs If a fatal error is again reported either the System Board or the Server should be replaced Please include the printed Status Log with the exchanged parts Display Test This test is a non destructive visual test of the SGRAM video memory From left to right top to bottom a small square consisting of colored bars moves over the whole screen during approximately 30 seconds During this test the memory content of the video display consisting of small blocks of memory is read into other memory and stored Then the memory blocks are filled with a colored bar pattern cleared again and then recovered with the previously stored data The tested display then reverts to the pre test state The test continues until either it is switched off or Service Mode is exited Success The test is passed if the display has reverted to the pre test state once the test has passed over the whole screen once Be aware that numerics are updated also during a running display test This should not be considered a fault Failure tThe test is failed if the display has not reverted to the pre test state once the t
9. H31V3H NOILISOd YOLVYVdNOO 3SVHd HOLOIN YOLOW NOILVIND3Y svig x ZV 305 390 any 3401 Ad INdNI OO YOLOALAC dl Svo t CS AOYNOS ul 59 Introduction to the Instrument Mainstream CO Measurement Theory of Operation for the M3016A Mainstream CO The signals progress through the circuit as follows Microprocessor This is in overall control of the mainstream measurement functions As well it performs the following functions e Serial communication via optocouplers Calculation of the calibration constants Calculation of the raw data of the mainstream CO waveform Temperature Sensor Amplifier AIO Heater Control and Heater The temperature of the transducer is maintained at approximately 43 C to prevent condensation and to negate any discrepancies due to temperature changes Signals from the temperature sensor in the transducer are amplified and then passed through an Analog to Digital converter The microprocessor then adjusts the output of the heater control accordingly Sense Coil Motor Phase Comparator Counters Motor Drive Drive Coil The rotations of the chopper wheel in the transducer are regulated to 40 rotations per second The sense coil together with the motor phase comparator and the counters are used to measure the actua
10. M3016A Measurement Server Extension The Measurement Server Extension for mainstream CO measurement M3016A includes Measurements of mainstream CO and Press Temp e Signal and alarm processing M3016A A01 only Features The Measurement Server Extensions have the following general features Data Management The combination of the Measurement Server and the Measurement Server Extension features also Patient Data Management for CO and the second Pressure Temp This consists of continuous 4 hour storage of patient related measurement information This allows you to do the following Manage patient information View patient data in graphs or tables via the Monitor Print patient information reports to a local printer via the Monitor Transfer data between Monitors Introduction to the Instrument M3015A Measurement Server Extension Theory of Operation Settings Transfer The combination of the Measurement Server and the Measurement Server Extension can be transported from one Monitor to another and still keep its measurement settings The settings such as alarm limits are stored in the Measurement Server This behaviour permits fast and easy transport Alarms Reset The Measurement Server Extension responds to the Silence Reset key on the Measurement Server which allows you to silence alarm tones while retaining visual alarm messages depending on your Monitor s configuration Server to Monitor Lin
11. HR Limit gt gt 2 Alarm vo ECG Controls ECG User From Controls S ECG Resp CPU Resp Artifact Wave Suppression e Resp Rate B _ gt Detector A Resp Alarming c Resp Controls gt Display Filter and Scaling This software receives the raw ECG wave with pace pulse information from the ECG Resp CPU The pace pulse spikes are removed from the ECG before filtering and re inserted after filtering with their original shape the filtering would distort them otherwise Software filters remove line frequency 50 60Hz high frequency noise artifacts and baseline wander The waves are scaled automatically or manually as set by the user The defibrillator marker is superimposed on the ECG wave to be displayed ECG waves are communicated to the display unit via the operating system Cardiotach This software derives the averaged value of the heart rate Pace pulses and undershoots are removed from the signal The multi channel QRS detector generates beat identification tags for the cardiotach The detection algorithm weights noisy ECG channels less than channels with clear signals The cardiotach measures the time between two detected QRS complexes and calculates a beat to beat and averaged heart rate The heart rate is communicated to the ECG Alarming software and to the display unit via the operating system Introdu
12. scrubber if After 15 000 to 20 000 hours of required units with serial number use max 20 000 hours or as prefix DEO20xxxxx only needed typically 3 6 years of use Replace both parts at the same time if both have gt 15 OOO hours of continuous use Calibration Procedures Once a year Testing Procedures See Testing the Instrument Preventive Maintenance for the M3016A Measurement Server Extension e Cleaning procedures Clean as needed e Testing Procedures See Testing the Instrument Battery conditioning Approximately every 50 charge dis completely discharge the battery charge cycles 120 Maintaining the Instrument Maintenance Checklist Maintenance Checklist Check E See Topics in this Chapter Inspecting the Instrument FC Inspect Cables Cords and Housing 122 Maintenance Tasks __ Replacing the Backlight Tube Assembly Replacing the Backlight Tube Assembly Backlight Tube Assembly M3000A M3001A NBP Calibration and Perform ance tests M3015A e Replacement of the Pump and CO2 Scrubber units with serial number prefix DEO20xxxxx only e Sidestream CO Performance Test General Cleaning of the Instrument ee eee Battery Handling Maintenance and Good Practices Oneness 0 ome eoo Instrument Tests for Functionality Assurance Preventive Maintenance Performance and Safety Tests Testing the Instrument Maintaining the Instrument 121
13. Intermittent connection to Recorder or faulty cable Communication error Intermittent connection to Recorder or faulty cable Frame error in RS232 protocol due to a connection problem or effects of interference from external electrical equipment such as flourescent lighting Software problem not correctable in the field Replace the Recorder Check cable connection 15 secure between the Monitor and the Recorder Check cable and replace if necessary Check cable connection 15 secure between the Monitor and the Recorder If connection is sound but the problem persists replace the cable Check cable connection 15 secure between the Monitor and the Recorder If connection 1s sound but the problem persists replace the cable If there 15 electrical interference from external equipment try to isolate the cause and if possible repair or remove the cause of the interference 195 Part 2 Isolating and Solving Instrument Problems Local Recorder Recorder door is open Close the door door open sta The Recorder is availa tus message ble but 1s not ready for recording Local Recorder The Recorder 1 out of Load paper into the out of paper paper Recorder refer to the status message The Recorder 1s availa Operator 5 Manual for the ble but 1s not ready for XE 50p Chart Recorder recording for details No Local The printhead 1 too warm Switch off the Recorder
14. Step1 Slide the battery compartment door toward the rear of the Monitor and open it down Step2 While holding the battery extractor tape up and out of the way insert the battery with the battery guide groove facing up and the battery socket towards the inside of the Monitor Step 3 Push the battery all the way into the compartment making sure the socket is firmly engaged the battery can be pushed no further Step 4 Close the battery compartment door Repairing the Instrument 231 Disassembly Procedures for the M3015A Measurement Server Extension WARNING 232 Disassembly Procedures for the M3015A Measurement Server Extension Only units with serial number prefix DE020xxxxx can be repaired For later units with serial number prefix DE435xxxxx only the front bezel can be replaced and the repair strategy for a defective device is unit exchange It is recommended that you replace all the replaceable parts in the Extension CO Scrubber and Pump after 15 000 hours approximately 3 years of continuous use See Chapter 3 Maintaining the Instrument for more details on caring for the Extension Tools Required A thin bladed screwdriver A pair of large tweezers n addition for removing the Pump you will need a large bladed screwdriver There is high voltage inside the Instrument 800V Do not connect the Measurement Server Extension to a Monitor while the Extension housing is open As well parts inside the Instru
15. amp Safety Tests available on the Instrument including safety tests and checks for the Instrument Testing the Instrument 137 Test Reporting 138 Test Reporting The following table shows what must be recorded on the Service Record after completing the tests in this chapter What to record P NIBP PN P X1 X2 X3 X4 or PN F X1 X2 X3 X4 P CO PCO2 P X1 X2 X3 X4 X5 X6 X7 X8 or PCO2 F X1 X2 X3 X4 X5 X6 X7 X8 Safety S 1 P x1 x2 or 5 1 1 2 5 2 P x1 S 2 F x1 S 3 P x1 or S 3 1 Where P Pass Fail and X x are the measured values as defined in the tests described in this chapter Testing the Instrument Recommendations for Test Frequency Recommendations for Test Frequency The testing checklist appears in the next section of this chapter The listed procedures should be performed as indicated in the Suggested Testing Timetable below The checklist may be photocopied and should be completed by the tester It should be filed for future reference Functionality Assurance To verify proper operation when e Performance Assurance Test e the monitor has been installed e System Check e assembly has been replaced e System Self Test e to verify the operation any time the unit is suspect Preventive Maintenance Tests e NBP Calibration Once every two e Sidestream CO Calibration Once a year or following any Instrument repairs or the replacement of any Instrument parts applies to uni
16. Inspecting the Instrument Inspecting the Instrument Step 1 Step 2 Step 3 Step 4 Examine the exterior of the Measurement Server if present the Measurement Server Extension and the Monitor for cleanliness and general physical condition Ensure that plastic housings are intact that all hardware is present and tightly fitted and that there are no spilled liquids or other serious abuse Inspect Server to Monitor link for cleanliness and good condition Ensure that the Measurement Server and or Measurement Server Extension is locked into place and does not slide out without first releasing the locking plate on the top of the housing Ensure all labeling is present and legible Inspect all accessories external to the Instrument such as transducers referring to the manufacturer s documentation Verify that the backlight tube brightness is adequate Replace the backlight tube if necessary NOTE Philips recommends replacement of the backlight tube at the latest after 20 000 hours approximately 3 years of use Inspect Cables and Cords Step 1 Step 2 Step 3 Step 4 Step 5 122 Examine the line power plug for damage Ensure that the prongs of the plug do not move in the casing Inspect the line power cord for signs of damage If damaged replace the entire cord Ensure that any new line power cord or plug is fitted with the same polarity as the old one Inspect the interconnecting cables between the Measure
17. ment Server This is only likely to occur after a repair or upgrade 1 Verify power source 2 Perform calibration procedure again 3 Replace transducer and repeat calibration again 4 Replace the exten sion Check that calibration values are within speci fied limits by perform ing an accuracy check Calibrate if required Allow the sensor to warm up Place sensor on other cal cell and start the CAL 2 calibration cycle Wait for calibra tion to complete Initiate the calibration or switch off cal mode Increase the scale of the display channel Perform the Firmware update in CO Service Mode select Update Firmware and follow the instructions on the display In certain situations no update 1 possible in these cases continued operation is possible despite the INOP Troubleshooting the Instrument CO NO TUBING M3015A CO OCCLUSION M3015A CO OVERRANGE M3015A CO AUTOZERO Troubleshooting the Instrument Part 2 Isolating and Solving Instrument Problems The FilterLine 15 dis connected or an rect line is attached If you Silence this INOP the measurement will be switched off 1 The FilterLine or exhaust tube 1s blocked to the extent that a measurement sample cannot be taken or 2 The outlet is occluded at Power On 3 This INOP also appears after the Pump Op Time is reset The CO value is out side the measurement ran
18. ne Config Files Lx E ac E AP ProximAP2 1 4b5 V1 0 cFG i tools E SW 1900 8 01 02 v1 1 CFG L Contig ool FirmmwareFiles gu E sw HP2524 F 02 02 v1 3 CFG PagingT ool WB 792064 1 2b15 v1 D CFG E WE WirelessM3 1 2b15 V1 0 CFG Step 4 Copy the Viridia tools ConfigTool directory to the drive on the configuring PC to be used for storing this program as follows a Open the directory to be used on the configuring PC b Click on hold and drag the Viridia tools ConfigTool directory to the open PC directory NOTE The Viridia tools Config Tool directory file is less than 1 4 Mb so it can be stored on a 1 4 Mb floppy disk for later use or for transfer to a PC without a CD ROM drive Installing the Instrument 79 Installation of Wireless Infrastructure Making the Config Files Writeable The Config Files are read only and must be made writeable for the tool to be used for configuration The following steps describe the procedure after the files have been copied to the configuring computer Step 1 Open the ConfigFiles directory by clicking on the ConfigFiles folder in the tools menu on the configuring PC The files on the right of the previous figure will be displayed Step2 Click on the file labelled WB WirelessM3 1 2 15 to select it NOTE The selected file must be made writeable because settings used in the configuration process are saved to this file so they can be reused when t
19. s objectives you should be able to test the Monitor the Measurement Server and where present the Measurement Server Extension through the following types of tests Performance Assurance Checks and Tests Accuracy Calibration and Performance Procedures Patient Safety Checks This chapter provides a checklist of testing procedures for the Measurement Server the Measurement Server Extensions and the Monitor For inspection procedures preventive maintenance procedures cleaning procedures and battery handling maintenance and good practices used to maintain the Instrument in good working order see Maintaining the Instrument Concepts Functionality This refers to the combined Performance Assurance Test and Functionality Assurance Testing Procedures to be found in this chapter These tests verify correct Instrument function in general terms Preventive Preventive Maintenance refers specifically to the service calibration tests Maintenance required to make sure the Instrument measurement results are accurate When authorized Philips personnel service the Instrument they report these results back to Philips The collected data forms a database to be used in product development These specific tests are required for the NBP parameter and for the sidestream CO parameter It is not necessary however for hospital personnel to report results Performance This concept refers to all the remaining accuracy and performance tests
20. 1 on the clamp 2 as illustrated Use the visual guide 3 and the positioning notch 4 to ensure you have the cable correctly positioned Step 4 Squeeze open the side clips 5 and ease the cable into the clamp so that the clips grip the gray mouldings 6 Step 5 Press the cable down firmly to ensure that it is fully seated in the clamp NOTE Once fixed do not remove the cable from the MSL clamp Installing the Instrument 109 Installing the Measurement Server Mounting Options Step 6 Select two screws and suitable fixings appropriate to surface the material If necessary mark the screw positions on the surface and drill suitable holes Step 7 Insert the 2 screws through the screw holes provided in the plate Step 8 Tighten the screws Step 9 Align the feet on the MMS with the locating shoes 7 on the mounting plate and slide the MMS onto the mounting plate The Server snap fits onto the plate To release the Server press and hold the latch in the middle at the top of the mount away from the Server and slide it out 110 Installing the Instrument Mounting Options the Local Recorder Server Mounting Plate M3080A 02 This option is used for mounting the Server on a rail or pole The rotatable clamp gives 4 fixed positions It is delivered ready to use and does not require installing Step 1 Unpack the assembly and check all parts are available Step2 Ifapplicable fit the MSL cable clamp to the mou
21. 104 F 60 bpm in ADULT NEO mode 120 80 90 ADULT 100 60 80 PEDI 80 50 60 NEO EtCO 40 mmHg ImCO 0 mmHg AWRR 20 rpm EtCO 40 mmHg ImCO 0 mmHg AWRR 20 rpm Functionality Assurance Tests Test Waveform Simulated squarewave and numeric Simulated Resp wave and numeric Simulated squarewave and numerics Numeric only Simulated wave Numeric only Simulated squarewave and numerics Simulated squarewave and numerics Simulated squarewave and numerics a An appropriate transducer must be plugged into the Server or Server Extension in order to get the test reading b Appropriate tubing must be plugged into the Server Extension in order to get the test reading When in Neonatal mode the test signals are switched on a CO Equip Malf message will appear until the test signals are switched off action is required Testing the Instrument 145 Preventive Maintenance Tests NOTE 146 Preventive Maintenance Tests Preventive Maintenance refers specifically to the series of tests required to make sure the Instrument measurement results are accurate When authorized Philips personnel service the Instrument they will report these results back to Philips The collected data forms a database to be used in product development The measurements requiring these reported tests are and sidestream CO It is not necessary however for hospital personnel to report these results NBP Accu
22. 245 Compatibility Matrix Release A to Release 245 List of Replacement and Exchange 247 Momor a a Ae a ete 248 Contents xiii xiv POZE 248 Other Monor da En em p abe eausa oes 250 Monitor Ex hanoc Parts 25 dur uem dnd epo trente bapti oae Pto eee 251 I hye quern eet ee are 253 Multi Measurement Server 254 M3001A Part Numbers Front 1 254 M3001A MMS Part Numbers IntelliVue Software Revision A 05 xx and Lower 256 M3001A MMS Part Numbers IntelliVue Software Revision A 10 xx and Higher 259 M3015A Measurement Server Extension 266 INDO 266 M3SU1S A Exchange 2r eoe a Ste 268 M3016A Measurement Server Extension amp 270 54 2408 270 M3016A Measurement Server Extension Exchange Parts 271 Oeste an 272 Cables MSL Through Wall Installation 272 MMS Measurement Server Link MSL Cable Clamp 273 Wireless Assembly Exchange amp
23. A10 The Table Mount is intended for any flat level surface To mount the plate securely you need 4 screws These are not provided because the type of surface dictates the type of screw Step 1 Step 2 Step 3 Step 4 Unpack the Table Mount and check all parts are available Select 4 screws appropriate to surface material Insert the 4 screws through the screw holes provided in the plate Tighten the screws The Monitor snap fits onto the plate To release the Monitor press the button on the front of the plate This mount is also available as support part M3080 63201 used for the Rollstand mount M3080A A22 98 Installing the Instrument Installing the Universal Bed Hanger M3080A A11 Installing the Universal Bed Hanger M3080A A11 The hanging mount is used for hanging the Monitor on the bed footboard headboard or a rail It is delivered ready to use and does not require installing Step 1 Unpack the Bed Hanger and check all parts are available Step 2 Rotate the arms to their open position Step 3 Hang the hanger on the rail or as appropriate Step 4 If necessary adjust the bed hanger to a vertical position by pulling out the slider at the rear of the hanger Step 5 If necessary fix the bed hanger by hooking the rubber strap around a vertical bar as shown in the insert The Monitor snap fits onto the plate To release the Monitor press the button on the front of the plat
24. AC connected with Battery The LEDs behave the same as described the Checks with the Instrument Switched on AC Connected without Battery above except that the Battery LED does the following The Battery LED is initially on then switches first to yellow and then off for several sec onds Finally the Battery LED switches to its current status color Checks with the Instrument Switched On AC not Connected with Battery The LEDs behave the same as described in Checks with the Instrument Switched on AC Connected without Battery above except that the AC Power LED is permanently off Troubleshooting the Instrument 167 Part 1 Troubleshooting Checklists Troubleshooting the Front Panel LEDs When the Monitor is first switched on all the front panel LEDs and keys light up momentarily The meaning of the front panel LEDs under normal operation is given in the following table together with a brief summary of possible defect conditions Off Standby AC Power Battery e With the Instrument on observe the following Green The Monitor is on Off The Monitor 1s in standby mode Green The Monitor 1s connected to the mains power supply Green The battery is fully charged gt 95 Yellow The battery is charging Red and blinking The battery is empty e The backlight tube lights the LCD display No error messages are displayed Error messages indicate either software or hardware fault has occurred
25. Exchange the Measurement Server for an M3000A with option 06 Or A Measurement Extension M3015A or M3016A is connected to a standard M3001A Measurement Server noninvasive measurements only and an M3046A Monitor with software Rev E No measurements for example CO 2nd Press Temp from the Measurement Extension are available Exchange the Measurement Server for an M3001A with option 06 or C18 The M3046A Monitor does not support some of the measurements in a measurement extension Consider using a monitor that supports these measurements Either M3001 A Measurement Server 15 connected to M3046A Monitor with Rev D or lower soft ware This conbination does not allow monitor ing Use only M3000A Measurement Servers with M3046A Monitors with Rev D or lower software Or M3000A Measurement Server is connected to M3046A Monitor with Rev E software This conbination does not allow monitoring Use only M3001A Measurement Servers with M3046A Monitors with Rev E software Troubleshooting the Instrument Troubleshooting the Installed Instrument Troubleshooting When There is No Message on the Screen Symptom Some or all of the numerics or waves are missing from the screen Monitor screen dim Monitor screen blank Troubleshooting the Instrument No measurements connected No transducers connected Defective transducer Measurement Server defective Brightness controls not proper
26. June 2003 Seventh Edition March 2005 Responsibility of the Manufacturer Philips Medical Systems only considers itself responsible for any effects on safety reliability and performance of the equipment if assembly operations extensions re adjustments modifications or repairs are carried out by persons authorized by Philips and electrical installation of the relevant room complies with national standards and the instrument is used in accordance with the instructions for use To ensure safety use only those Philips parts and accessories specified for use with the Monitor If non Philips parts are used Philips Medical Systems is not liable for any damage that these parts may cause to the equipment WARNING CAUTION In this Book This Service Guide contains technical details on the Monitor Measurement Server and Measurement Server Extensions The purpose of this book is to provide a technical foundation for the monitoring system in order to support effective troubleshooting and repair The book is not intended to be a comprehensive in depth explanation of the product architecture or technical implementation Rather it is developed to offer enough information on the functions and operations of the monitoring systems so that engineers who repair them are better able to understand how they work It covers the physiological measurements that the products are designed to provide t
27. The procedure for replacing the Pump and CO Scrubber is found in Repairing the Instrument The effectiveness of the Pump and the CO Scrubber gradually decreases over time As a result periodic replacement is necessary Philips recommends replacement as follows After 15 000 hours of use check Pump Op Time See Checking and Resetting Time Counters on page 153 If the Instrument requires repairs check the time counters and replace the Pump and CO Scrubber if necessary in addition to any other repairs After fitting the new part s go to Service Mode and reset the counter for the part s you have replaced The procedure for resetting the counters is found in Repairing the Instrument When the PumpOpTime has been reset an INOP will be generated CO5 OCCLUSION To clear this INOP you must perform a flow check and store the flow in Service Mode select Store Flow Replacement of the Infrared Lamp The infrared lamp can be exchanged only in units with serial number prefix DE020xxxxx manufactured before June 2002 The support strategy for later units in case of an infrared lamp failure is M3015A unit exchange General Cleaning of the Instrument The Monitor the Measurement Server and the Measurement Server Extension should be kept free of dust and dirt In particular exterior cleaning of the Monitor s case and LCD screen is recommended Clean the case with a lint free cloth or sponge moistened with eithe
28. These types of errors might force the Monitor to go back to user defaults Fatal errors usually point to a defective System Board This will be reported to the user by the INOP alarm CHECK STATUS LOG The fatal error can be reviewed in the Status Log menu After the Status Log is reviewed the INOP is removed If a fatal error occurs which cannot be diagnosed download the Status Log into a file using the M3 Support Tool and send it to the Technical Marketing department at Philips Medical Systems Non Fatal Errors These indicate general errors that are not significant enough to affect normal Monitor operation Non fatal errors are errors that give some hints about an unexpected behavior of the system but that are not relevant to correct system function They do not cause the Instrument to reset or restart They are not reported during monitoring but can be seen in the Status Log if the Monitor is in Service Mode Monitor Measurement Server and Measurement Server Extension errors are reported separately in the Status Log Troubleshooting the Instrument 197 Part 3 Using Support Functions The following table explains the contents of the Status Log The first entry on the left side of the Status Log corresponds to the top entry under Field Title in the table H C or N C tThese denote fatal errors which have caused a Hot start like switching the Instrument off on or a Cold start like per forming a System Test N tThis d
29. Use extensions only with ments are not M3015A or M3016A 15 M3046A M4 monitors supported by the connected to an M3046A Monitor M3 monitor prompt message No measurements 2nd Press Temp from the Measurement Extension are available 186 Troubleshooting the Instrument Measurement Server Configu ration not sup ported status message Some measure ments in MMS Extension are not supported prompt message Troubleshooting the Instrument Part 2 Isolating and Solving Instrument Problems Either A Measurement Extension M3015A M3016A 15 connected to a standard M3000A Measurement Server noninvasive meas urements only and an M3046A Monitor with software Rev D or lower No measurements COs 2nd Press Temp from the Measurement Extension are available Or A Measurement Extension M3015A or M3016A 15 connected to a standard M3001A Measurement Server noninvasive meas urements only and an M3046A Monitor with software Rev E No meas urements 2nd Press Temp from the Measure ment Extension are availa ble The M3046A Monitor does not support some of the measurements Measurement Extension Use extensions only with Extended Measurement Servers C06 for M3000A 06 and C18 for M3001A 187 Part 2 Isolating and Solving Instrument Problems 188 Measurement Server not sup ported status message Either M3001A Measurement Server 1s conne
30. any batteries from the charger Step 2 Place the device upside down and remove the five cross head screws holding the chassis baseplate Step 3 Lift the front edge of the chassis baseplate then carefully pull it forwards slightly Note that some connected cables prevent you from completely removing the baseplate Repairing the Instrument 239 Disassembly Procedures for the M8043A Battery Charger and Conditioner Removing the Cooling Fans Step 1 Open the housing see Opening the Housing on page 239 Step 2 Carefully manouvre the baseplate to gain internal access to the left hand cooling fan Left hand Cooling Fan Step 4 Disconnect the two pin plug A connecting the cooling fan cable to the printed circuit board Free the cable from the cable guide B 240 Repairing the Instrument Disassembly Procedures for the M8043A Battery Charger and Conditioner Step 5 Remove the left hand cooling fan Note When reconnecting the two pin plug ensure that the red wire faces the left side of the housing A B Step 6 Remove the four screws holding the right hand cooling fan and grill Right hand Cooling Fan Step 7 Disconnect the two pin plug D connecting the cooling fan cable to the printed circuit board Free the cable from the cable guide C Heat Sink Repairing the Instrument 241 Reassembling the Battery Charger and Conditioner Step 8 Remove the right hand cooling fan Note When
31. should always check and clear the status log before starting an upgrade When the upgrade is complete recheck the status log and clear before normal operation is resumed Troubleshooting the Printer Connection Here 15 a list of some easily corrected troubleshooting cases If the fault is not described below investigate further as soon as possible For more information see Testing the Instrument and Repairing the Instrument Message You cannot find the print softkeys or the Print Screen SmartKey 15 inactive You do not get a printout What To Do Make sure that the printer is configured see Connecting a Printer in Installing the Instrument If printing via an infrared link Make sure that the printer 1s connected to the JetEye Make sure that the JetEye is positioned properly at the side of the Monitor see Installing the Wireless Infrared Printer Connector M3080A HO5 in Installing the Instrument Make sure that both the JetEye and the printer are switched on Troubleshooting the Instrument Data is missing from a print out and the printout is at lower resolution than normal Your printout is too big for the page REMOTE PRINTER NOT AVAILABLE mes Sage appears on the screen The printout does not appear at the network printer but there is no error message at the Monitor a No longer available b If applicable Troubleshooting the Recorder Connection If printing via a network li
32. to 5000 ppm sodium hypochlorite 1 10 dilution of household bleach are effective depending on the amount of organic material e g blood mucus present on the surface to be cleaned and disinfected Philips makes no claims regarding the efficacy of these chemicals or this method as means for infection control Consult your hospital s Infection Control Officer or Epidemiologist For comprehensive details on cleaning agents and their efficacy refer to Guidelines for Prevention of Transmission of Human Immunodeficiency Virus and Hepatitis B Virus to Health Care and Public Safety Workers issued by the U S Department of Health and Human Services Public Health Service Centers for Disease Control Atlanta Georgia February 1989 Maintaining the Instrument Battery Handling Maintenance and Good Practices Battery Handling Maintenance and Good Practices This section provides some information on how to handle and maintain the battery in order to get the best usage from it Additionally some good working practices are also given regarding the correct disposal of the battery About the Battery The rechargeable battery used in the Monitor is regarded as a Smart battery because it has built in circuitry This circuitry communicates battery status information to the Monitor If an unused battery does not communicate the LEDs do not light a MALFUNCTION message will appear when it is inserted in a monitor In this situation
33. 1 Check if the measure ment extension is sup ported by the system configuration hardware and software Check that no UPDATE FW mes sage 1s displayed 2 Check CO Data Acquisition hardware revision If the Measure ment Server Extension 15 incompatible with wire less network either use this Measurement Server Extension on a monitor without wireless network or upgrade the Measure ment Server Extension contact your service rep resentative 3 Check that a FilterLine 15 connected 4 Check that meas urement 1s switched on 5 Check whether the pump is running 6 Replace the FilterLine and check again 1 Check settings 0 correction BTPS or STPD Max Hold or standard averaging 2 Perform accuracy check and calibrate if necessary Troubleshooting the Instrument No wave dis played but chan nel is present Part 2 Isolating and Solving Instrument Problems Check for INOPS and fol low recommended actions Mainstream CO Measurement Server Extension related problems CHECK CAL INOP Accuracy prob lems No wave dis played and no channel present Incorrect 0 setting Incorrect humidity correc tion setting BTPS STPD Incorrect Max Hold set ting Invalid calibration 1 Measurement Extension is used with a monitor and or Measurement Server with Release A software 2 CO measurement switched off Invalid calibratio
34. 1 P x1 x2 or 5 1 1 2 where Pass Fail and x1 x2 are the values defined in the two tests described above 5 2 Protective Earth Continuity Instrument under test Insulating pad 50 Hz 25 Aor1 5Ir If equipotential connection present measure also with yellow green E P conductor connected Expected test results With mains cable maximum impedance x 100 mOhms IEC 60601 1 and UL2601 1 Measures impedance of Protective Earth PE terminal to all exposed metal parts of Instrument under Test IUT which are for safety reasons connected to the Protective Earth PE Test current 5 Amp applied for 5 to 10 seconds Testing the Instrument 161 Patient Safety Checks 162 Reporting safety test S 2 in the Service record S 2 P x or S 2 F x where P Pass Fail and x 15 the value defined in the test described above S 3 Patient Leakage current Single Fault Condition S F C mains on applied part Not present in Class 2 Instrument under test L N N L a T 54 ES Signal part in and or i output Expected test results Maximum leakage current x 250V IEC60601 1 and UL2601 1 Measures patient leakage current from applied Part to earth caused by external main voltage on applied Part with switch S5 open and closed Each polarity combination possible is tested using S2 and S6 This test is
35. 140 Testing the Instrument Testing Checklist Testing Checklist Performance Assurance Test Accuracy and Performance Procedures 160 160 61 162 Nurse Call Relay Performance Test ECG Sync Performance Test S 1 Part 1 System Enclosure Leakage Current NC normal condition S 1 Part 2 System Enclosure Leakage current Single Fault open earth S 2 Protective Earth Continuity S 3 Patient Leakage current Single Fault Condition S F C mains on applied part 1 Patient Safety Checks 1 Testing the Instrument 141 Serial Numbers 142 Serial Numbers When recording test results these are always associated with a particular instrument by means of the serial number The serial numbers for the Monitor and the Measurement Server can be seen in the Revisions window press Setup key then select Revisions However if a Measurement Server Extension M3015A or M3016A is in use the number will not appear and must be noted down from the back of the Extension To do this remove the Measurement Server and Extension from the Monitor so that the back of the extension is visible Passwords The following table show the passwords you need to enter to access the different modes Go to Operating Modes and use the TouchStrip to specify the password Press OK 42351 15251 25531 Visual Test Inspect the system for obvious signs of damage Also check external leads and accessories What to record on
36. 210 Checks before opening the instrument 166 Index Cleaning Agents 126 Cleaning agents 126 Cleaning of the System 125 clearance 66 CO Calibration Verification 153 Flow Rate Check and Calibration 151 Noise Check 152 Pump check 151 CO AUTOZERO INOP description 181 CO CAL FAILED INOP description 180 CO CAL MODE INOP description 180 CO CAL RUNNING INOP description 180 CO CHANGE SCALE INOP description 180 CO CHECK CAL INOP description 180 CO EQUIP MALF INOP description 179 CO Gas Measurement Check 152 CO NO TRANSDUCER INOP description 179 CO NO TUBING INOP description 181 CO OCCLUSION INOP description 181 CO OVERRANGE INOP description 181 CO PURGING INOP description 182 CO Scrubber replacement 125 CO SENSOR WARM UP INOP description 180 CO UPDATE FW INOP description 180 CO WAIT CAL 2 INOP description 180 Coldstart Test 206 combining equipment 65 Compatibility Matrix 245 Compatibility problems 186 condensation 66 configuration 87 connecting measurement server 71 connector AC Power 5 measurement 7 measurement server 6 7 92 nurse call 6 92 Quick Link 6 7 92 software update 6 92 transducer 7 corrosive gases 66 Calibration D default setting 10 Defib Data In 67 defib synch 5 defibrillation protection 64 defibrillator 67 Delta 46 54 Index Delta Temp 45 53 Delta Temp calculation feature 46 54 Di
37. 235 Disassembly Procedures for the M3015A Measurement Server Extension NOTE NOTE 236 Removing the Pump To remove the Pump do the following Step 1 Locate the Pump in the Extension Step 2 Being careful not to touch anything else in the Extension unscrew the screw holding the pump bracket in position Lift the top part of the bracket away and lift out the pump screw holding pump bracket Step 3 Gently disconnect the flow tubing attached to the Extension from the Pump Be sure to note which tube attaches to the inlet and which tube attaches to the outlet Step 4 Gently disconnect the power lead which attaches the Pump to the Extension Step5 Remove the Pump After replacing the Pump reset the value displayed on the Reset PumpOpTime selection to zero Service Mode gt CO Setup When the PumpOpTime has been reset an INOP will be generated CO OCCLUSION To clear this INOP you must perform a flow check and store the flow in Service Mode select Store Flow Repairing the Instrument WARNING WARNING Refit Procedures for the M3015A Measurement Server Extension Refit Procedures for the M3015A Measurement Server Extension Tools Required A thin bladed screwdriver A pair of large tweezers In addition for refitting the Pump you will need large bladed screwdriver There is high voltage inside the Instrument 800V Do not connect the Measurement Server Extension to a Monitor while the
38. 62233 453563332931 Monitor Bezel IrDA Interface German M3046 62234 453563332941 Monitor Bezel IrDA Interface Dutch M3046 62235 453563332951 Monitor Bezel IrDA Interface Spanish M3046 62236 453563332961 Monitor Bezel IrDA Interface Italian M3046 62237 453563332971 Monitor Bezel IrDA Interface Norwegian M3046 62238 453563332981 Monitor Bezel IrDA Interface Swedish M3046 62239 453563332991 Monitor Bezel IrDA Interface Finnish M3046 62240 453563333001 Monitor Bezel IrDA Interface Japanese M3046 62241 453563333011 Monitor Bezel IrDA Interface Danish M3046 62242 453563333021 Monitor Bezel IrDA Interface Traditional Chinese M3046 62243 453563333031 Monitor Bezel IrDA Interface Simplified Chinese M3046 62244 453563333041 Monitor Bezel IrDA Interface Portuguese M3046 62245 453563333051 Monitor Bezel IrDA Interface Greek M3046 62247 453563333061 Monitor Bezel IrDA Interface Russian M3046 62250 453563333071 Monitor Bezel IrDA Interface Polish Serial Interface for Local Recorder Connection M3046 62331 453563484941 Monitor Bezel Serial Recorder Interface English M3046 62332 453563484951 Monitor Bezel Serial Recorder Interface French M3046 62333 453563484961 Monitor Bezel Serial Recorder Interface German M3046 62334 453563484971 Monitor Bezel Serial Recorder Interface Dutch M3046 62335 453563484981 Monitor Bezel Serial Recorder Interface Spanish M3046 62336 453563484991 Monitor Bezel Ser
39. 71034 Boeblingen Germany 2003 05 NRTL C 2 D The printer port uses LED devices for infrared communication with the printer These LED devices are measured to be AEL Class 1 LED Products per IEC 825 1 and CENELEC EN60825 1 Standards 0366 0560 The Philips M3046A Compact Portable Patient Monitor complies with the D requirements of the Council Directive 93 42 EEC of 14 June 1993 Medical Device Directive and Council Directive 1999 5 EC of 9 March 1999 Radio and Telecommunications Terminal Equipment Directive Installing the Instrument Installing the Instrument Preparing to Install the Monitor The following are the markings on the back of the M3001A Measurement Server and the Measurement Server Extension Prod No TM XXXXXXXXXX Opt XXX XXX XXXXXX D 71034 Boeblingen Germany Shows date of manufacture Made in Germany 2003 05 NRTL C 0366 The M3001A Multi Measurement Server and M3015A M3016A Measurement Server Extension comply with the requirements of the Council Directive 93 42 EEC of 14 June 1993 Medical Device Directive 69 Unpacking the Monitor CAUTION 70 Unpacking the Monitor The box containing your Monitor comes with the following The Monitor A Power Cord The Instructions for Use and Quick Reference Guide printed Translation Reference for M3 M4 Monitor Texts non Roman 8 languages on
40. Body Temperature Pressure Saturated BTPS and Standard Pressure Temperature Dry STPD The Extension meas ures STPD and uses this correction formula BTPS z 0 94 x STPD Max Hold There are three possible selections Off The ETCO and IMCO2 numerics display the breath to breath value 10 seconds The ETCO and IMCO numerics display the highest lowest value within a moving window over a 10 second period 20 seconds The ETCO and IMCO numerics display the highest lowest value within a moving window over a 20 second period Introduction to the Instrument Sidestream Measurement Block Diagram of the Sidestream CO measurement Serial Controller interface and with Peripherals Analog Pressure Section Sensor Gas Outlet Flow System TI ump solenoid Exciter IR Detectors Source and Temp Sensor Sample Line Inlet Optical Code Recog nition Theory of Operation for M3015A Sidestream CO Sidestream CO is measured based on non dispersive infrared absorption of breathing gas samples Signals progress through the circuit as follows Flow System The flow system circulates the sidestream gas sample and pumps out waste gas Temperature Sensor The temperature of the detector is measured and used to compensate temperature drift of the CO reading Signals from the temperature sensor in the detector are amplified and then passed through an Analog to Digital
41. Front Bezel Portuguese M3016A Measurement Server Extension Parts 12 Digit Part Number Reordering Description Number M3016 44174 453563483051 M3016A Front Bezel Greek M3016A Measurement Server Extension Exchange Parts Product Exchange Part 12 Digit Option 5 Reordering Description Number Number M3016A A01 M3016 6801A 453563332581 Exchange M3016A Measurement Server Extension Pressure and Temperature with Mainstream CO English M3016A A02 M3016 6831A 453563483091 Exchange M3016A Measurement Server Extension Pressure and Temperature without Mainstream CO English a For all languages apart from French Danish And Chinese order also the local language bezel as shown under M3016A Parts on page 270 Replacement Parts 271 Support Related Parts Support Related Parts 12 Digit Part Number Reordering Description Number M3199 60104 UTP Patch Cable approx 2 1m 7 0ft Wireless Board The tool for the wireless board configuration is included on the Configuration Tool IntelliVue Information Center CD ROM M3080 10801 VPS Recovery CD Site Survey Tool N A Site Survey Tool is available from Connectronics www connectronics com The part number is 82 6332 7402 05 Range LAN2 PCMCIA Card One piece with Snap on antenna Cables and MSL Through Wall Installation Parts For further information on cabling refer also to the IntelliVue Service Guides 12 Digit Product Option Bare Number Reorder
42. If the transducer 15 replaced the new transducer must be calibrated Use only M3001A Server with a Monitor with Rev E software 1 Make sure the Server 15 connected to the Monitor 2 Replace the Server with a known good Server 3 Check link bar and cables 4 Replace the System Board 1 Check cable connec tions 2 Replace speaker 3 Replace the System Board Disconnect the unsup ported device Verify failure and replace the Extension with a known good Extension 1 Connect a transducer 2 Replace a defective transducer and recali brate the parameter 179 Part 2 Isolating and Solving Instrument Problems CO CAL FAILED M3016A CO CHECK CAL M3016A SENSOR WARM UP CO WAIT CAL 2 M3016A CAL RUN NING M3016A CO CAL MODE M3016A CO CHANGE SCALE CO UPDATE FW M3015A Calibration aborted due to power failure unsta ble signal during cali bration or transducer placed on the wrong calibration cell value is less than 4mmHg greater than 150 mmHg The sensor has not reached operating tem perature The CAL 1 calibration cycle is complete the CAL 2 calibration cycle must be started CO calibration is run ning Cal mode 15 set but the calibration has not been initiated ETCO wave is larger than the display chan nel The software in the Measurement Extension does not match the soft ware in the Measure
43. LCD Assembly and backlight tubes complete the steps for removing the LCD Assembly and backlight tubes in reverse When you push the Display Assembly back into the chassis make sure that the 6 clips around the cushion are still in place and are not bent Refitting the Connector Board To refit the Connector Board complete the steps for removing the Connector Board in reverse Refitting the Speaker To refit the Speaker complete the steps for removing the Speaker in reverse Refitting the Power Supply To refit the Power Supply complete the steps for removing the Power Supply in reverse Repairing the Instrument Refit Procedures for the Monitor NOTE When replacing the Power Supply make sure it slides into the guide rails provided in the chassis Be sure to refit the anti vibration screws Refitting the Wireless Assembly To refit the wireless assembly complete the steps for removing the wireless assembly in reverse Refitting the Chassis To refit the chassis complete the steps for removing the chassis in reverse When reconnecting the Antenna Cable observe the following Route the free end of the antenna cable through the middle hole 1 below in the right hand column of three holes as viewed from the back side of the sheet metal Connect the free end of the antenna cable to the connector on the corner of the wireless LAN board 2 above Refitting the Battery To refit the battery do the following
44. NBP Measurement 32 measurement Pressure Pump Inflates the cuff to preset limits once or repeatedly depending on the measurement method used Pressure Sensor Measures cuff pressure using solid state technology Overpressure Safety System Triggers alerts at given pressures and time limits and deflates the cuff Bandpass Filter Extracts arterial pressure oscillations from the cuff pressure Deflation System Automatically deflates the cuff at steps of a given magnitude NBP Measurement Characteristic See Selecting NBP Measurement Characteristic on page 87 Theory of Operation As NBP signals pass from the patient to the Monitor they progress through stages corresponding to logical sections of the circuit as shown in the block diagram Circuit related faults can generally be isolated to one of the stages 1 Acquisition Signals from the patient are received by the pressure sensor through the cuff which is connected to the circuit by a single tube The cuff is inflated deflated and monitored by a pump deflation system and safety system controlled by a microproces sor a Cuff Inflation During the initial cuff inflation the cuff is inflated by the pressure pump to a set pressure which is determined by the patient size Thereafter the cuff is inflated by the pressure pump to a cuff pressure above the patient s systolic pressure Depending on the measurement method used inflation occurs once
45. SpO Press Temp Czech Rel 0 0 Exchange Measurement Server M3000 6020B 453563485731 M3000 6820B 453563332081 ECG SpO Press Temp Polish Rel D 0 M3000A Rel D without Press Temp Exchange Measurement Server M3000 6031B 453563331771 M3000 6831B 453563332091 ECG 5 English Rel D 0 Exchange Measurement Server M3000 6032B 453563485741 M3000 6832B 453563332101 ECG SpO French Rel D 0 Exchange Measurement Server M3000 6033B 453563485751 M3000 6833B 453563332111 ECG SpO German Rel D 0 Exchange Measurement Server M3000 6034B 453563485761 M3000 6834B 453563332121 ECG SpO Dutch Rel D 0 Exchange Measurement Server M3000 6035B 453563485771 M3000 6835B 453563332131 ECG SpO Spanish Rel D 0 Exchange Measurement Server M3000 6036B 453563377801 M3000 6836B 453563332141 ECG SpO Italian Rel D 0 Exchange Measurement Server M3000 6037B 453563485781 M3000 6837B 453563332151 ECG SpO Norwegian Rel D 0 Exchange Measurement Server M3000 6038B 453563485791 M3000 6838B 453563332161 ECG SpO Swedish Rel D 0 264 Replacement Parts Multi Measurement Server Parts Exchange Parts Exchange Parts Description ENE HUM Digit 12 Digit Part Number Reordering Part Number Reordering Number Number Exchange Measurement Server M3000 6039B 453563485801 M3000 6
46. Use standard equipment link bar cable Server or Extension The link cable Switch off the monitor and contact your biomedical department bar connects the Server and where present the Extension to the Moni tor Update Software An M3000A Measurement Server with revision A software is connected to an M3046A Monitor with a software revision of B or later This combination does not allow monitoring BAD SERVER LINK plus Measurement Server Revision not supported status message in red Update Software BATTERY EMPTY Battery 1 almost empty 1 Change battery 2 Connect to AC power supply BATTERY LOW The battery has less Recharge the battery than 20 minutes charge left Troubleshooting the Instrument 177 Part 2 Isolating and Solving Instrument Problems BATTERY MAL FUNCT CHARGER MAL FUNCT CHECK INPUT DEVICE MEAS SERV UNPLUGGED 178 The status of the battery cannot be determined The presence of the bat tery is recognized but communication is not possible This may hap pen if the battery has been totally deep dis charged by leaving it in the Monitor too long Either the battery or the charging hardware within the Instrument is defective The Monitor has detected 5 minutes or more of constant user interface operation or the user interface 1s faulty No Server 15 connected or communication 1 not possible 1 Leave the battery in the Monito
47. and Features The Measurement Server is a highly flexible patient measurement unit which is the base for a variety of systems that enable easy customization to a hospital s requirements It provides a subset of the most important patient measurements in a convenient single part The Measurement Server is designed to monitor patients in most critical and acute patient care areas of the hospital Used at the bedside it is most commonly mounted to a Monitor It can also be mounted separately on a bed or a roller stand There are two different Measurement servers that are used with the M3046A Compatibility depends on the software revision of the Monitor see page 2 M3001A Measurement Server Standard Package The Measurement Server M3001A standard package includes e Measurements of ECG including derived EASI Resp and SpO e Signal and alarm processing Introduction to the Instrument 19 Section 2 Measurement Server Description and Features 20 M3001A Measurement Server Extended Measurements Packages All versions of the M3001A Measurement Server offer EASI lead placement using an EASI 5 electrode cable set The conventional 12 lead ECG capability of M3001A C12 and C18 only works with the IntelliVue family of monitors You can connect a 10 electrode lead set for example if a patient is transferred from an IntelliVue monitor but only the standard five electrodes RA LA RL LL and V are used for monitoring The
48. battery charges automatically The battery can be charged externally from the Monitor by using the Battery Charger and Conditioner 8043 Battery status level of charge is indicated several ways LEDs on the front panel of the Monitor Dattery gauge Dattery status menu NOP messages Maintaining the Instrument 127 Battery Handling Maintenance and Good Practices The AC Power LED is only on when the power cord is connected and AC power is available to the Monitor In this case the battery can be either charging or fully charged The battery LED can be green yellow or red depending on the following conditions ES IGI E battery no charging battery charging mm not applicable not _ operation left battery empty yellow red flash if On Off of no no battery battery malfunction 2 briefly red flash if On Off off Standby is pressed a Relative state of charge b Battery voltage less than 11 5 V c Restart is attempted if V bat gt 11 5V and battery is not registered as being empty or having a malfunction If the remaining battery operating time is only 5 minutes the LED flashes red at a repetition rate of 1 5 flashes per second When the battery is empty the Monitor switches off automatically including the green On Off Standby LED on the front panel This switch off event is memorized together with the serial number of the battery A restart of the
49. be done automatically triggered by alarms if the monitor is configured appropriately The types of data that can be captured are as follows All physiological values All current alarms The last 20 seconds of wave data Introduction to the Instrument 13 Monitor Theory of Operation 14 Printer Manager The printer manager formats and prints the following reports on either a locally attached printer or a remote printer connected to the Instrument via the M3 Print Server Tabular Trend Report The printer manager takes raw data from the trend module and generates a formatted report The user can specify whether to print short term or long term trend data and the period for which the data should be printed Event Report The printer manager takes raw data from the event module and generates a formatted event report The user can specify a manual event an alarm event or a print screen report Event List Report The printer manager takes the raw event list data from the events module and generates a formatted event list report A number of drawing functions support the printer manager and provide it with graphics capabilities The output from the printer manager is in PCL Printer Command Language format and is fed to the locally attached printer which is connected via an infrared data link or to a remote printer If the link to the printer is interrupted for a certain time the printer manager displays a pr
50. cae e ERES REESE REX E Ee REA 64 O PPPm 65 Equipotential Groundin uuu rer ro he Rr o re debe e e e dou we 65 Combinins EQuipinent apie Sq UM edt cq ume o dud 65 Eon tcs Oodd osos barred dese s Uae ey Psst ident aea ane dee eodd 66 Explanation ot symbols USC exibat odo beet dee eed oe 67 Unpackins the Monitor CR dede edes 70 Installhne the 6343244545 o oem RED AUF bade oem RR AUR epa ened 70 Connecting the Measurement Server 71 With the Measurement Server directly the Monitor 71 With the Measurement Server Separate from the Monitor 73 With the Measurement Server Attached to an M3015A M3016A Measurement Server Ex dub er aatis nist su eet mrt M mL S Le 74 Attaching the Monitor toa 74 Detaching the Monitor from a Mount 74 Attaching the Measurement Server toa 75 Detaching the Measurement Server from a 75 Positioning the Measurement Server on a Clamp Mount 75 Connecting to the Nurse Call Relay llle 76 Modification for Nurse Call Alarm Relays 0 0 0 0 ccc eens 76 Menticali
51. communication interface between the CO frontend and the application software module running on the main CPU of the Measurement Server Introduction to the Instrument M3016A Measurement Server Extension Theory of Operation M3016A Measurement Server Extension Theory of Operation The application specific software for the second pressure temp and CO runs on the main CPU in the Measurement Server see Measurement Server Theory of Operation on page 21 The pressure temperature and the CO frontends communicate the pre processed physiological data via the Frontend Link Protocol to the application specific software on the main CPU of the Measurement Server The Temp Press features available on the Extension are identical to those available on the Server The Temp Press selections specific to the Extension are T2 and P2 If you press the Zero key on the Server all invasive pressure channels in use are zeroed To set independent zero and labels for P2 however use the softkeys on the Monitor If two temperatures are measured one with the Server and one with the Extension the differential temperature Delta Temp is calculated by the Server For more information see the section Temperature and Invasive Blood Pressure Temp Press measurement on page 37 Introduction to the Instrument 53 Functional Description of the M3016A Measurement Server Extension Hardware Functional Description of the M3016A Measurement Serv
52. do not get a printout and the green Power LED does not light You do not get a printout and the green Power LED is lit Paper moves but Recorder does not print Local Recorder discon nected message appears on the screen Local Recorder Malfunction prompt message Local Recorder chaeck cable prompt message 216 Check cable connection is secure between the Monitor and the Recorder If connection is sound but the problem persists replace the cable Make sure that the printer is switched on Check that the fuses are intact and that the fuse drawer is properly and completely inserted Check if the Monitor power is Check the cables between the Monitor and the Recorder Check if the Recorder is out of paper Check if there are any paper scraps caught under the print head Paper is incorrectly loaded The Recorder is disconnected from the Monitor or switched off Ensure that the Recorder cable is securely connected to the sockets on the Monitor and on the Recorder and that the Recorder is switched on Recorder hardware fault Replace recorder Check cable connection 1s secure between the Monitor and the Recorder If connection is sound but the problem persists replace the cable If there is electrical interference from external equipment try to isolate the cause and if possible repair or remove the cause of the interference Troubleshooting the Instrument Tutori
53. gas p 5 the patient s intubation system CO respiratory gas measurements are an indication of the p y 2 resp ys patient s overall respiratory status Blood Gas concepts important to this section are e Airway Respiration Rate AwRR The number of inspirations and expirations per minute e End Tidal CO EtCO Highest partial pressure of measured during one expira tion Inspired Minimum CO ImCO Lowest partial pressure of during inspiration Instantaneous CO The CO measurement at any instant Ventilation The movement of air in and out of the lungs by inspiration and expiration Measurements The mainstream CO measurement produces respiratory CO gas readings in a real time waveform together with numerics for End Tidal CO EtCO gt Airway Respiration Rate AwRR and Inspired Minimum Carbon Dioxide ImCO gt Factors affecting accurate measurement of mainstream respiratory gas are as follows Correct cleaning of the windows on the airway adapter and the transducer Correct placement of the transducer on the airway adapter Temperature of the patient s breath Amount of water vapour in the patient s breath Barometric pressure at the site of measurement acquisition Other gases most notably N5O and in the gas mixture The End Tidal Carbon Dioxide measurement for Carbon Dioxide uses a technique based on the absorption of infrared radiat
54. gases extremes of temperature humidity and so on Allow at least 2 inches 5cm clearance around the Instrument for proper air circulation For a cabinet mounted installation allow sufficient room at the front for operation and sufficient room at the rear for servicing with the cabinet access door open Approximately 15 minutes after switch on the Monitor operates within specifications at the ambient temperatures shown in the tables given in Monitor Environmental Specifications and Measurement Server Environmental Specifications in the Specifications chapter of the User s Guide Ambient temperatures that exceed these limits could affect the accuracy of the Monitor and cause damage to the components and circuits Make sure that during operation the Instrument is free of condensation Condensation can form when equipment is moved from one building to another thus being exposed to moisture and differences in temperature Possible explosion hazard if used in the presence of flammable anaesthetics Installing the Instrument Installing the Instrument Preparing to Install the Monitor Explanation of symbols used T Standby for switching the Monitor on and off Attention consult accompanying documents Infra red Connector for connection to a printer On the Measurement Server Defib Data In that is the ECG marker pulse sent from the defibrillator to the Monitor The marker pulse is then processed with the ECG sign
55. monitor but only the standard five electrodes RA LA RL LL and V are used for monitoring The rest are automatically ignored 258 Replacement Parts Multi Measurement Server Parts M3001A MMS Part Numbers IntelliVue Software Revision A 10 xx and Higher Language Part Number 12 Digit Reordering Exchange Part 12 Digit Reordering Number Number Number Standard Version 5 Lead ECG no Pressure Temp Bus 4535648701 453563486951 Option WEOE ECG _ Replacement Parts 25 Multi Measurement Server Parts Language Part Number 12 Digit Reordering Exchange Part 12 Digit Reordering Number Number Number us 453563487031 3007 68602 453563486961 _ Option C12 Functionality as Standard Version with M3 M4 Conventional 12 Lead ECG with IntelliVue family only Rusan 453563487041 453563486971 M3001 60702 453563487041 M3001 68702 453563486971 260 Replacement Parts Multi Measurement Server Parts Language Part Number 12 Digit Reordering Exchange Part 12 Digit Reordering Number Number Number Option C18 Functionality as C06 with M3 M4 Conventional 12 Lead ECG with IntelliVue family only Italian M3001 60802 M3001 68802 Korean M3001 60802 453563487051 M3001 68802 453563486981 a All versions of the M3001A Measurement Server offer EASI lead placement using an EASI 5 electrode cab
56. or repeatedly When the cuff pressure is greater than the systolic pressure the artery is occluded the pressure sensor then detects only the cuff pressure b Cuff Deflation Cuff pressure is automatically released by the deflation system in steps until the artery is only partially occluded At that point measurement and processing of arterial pressure oscillations begin and continue as the cuff pressure is progressively released Detection The arterial pressure oscillations are superimposed on the cuff pressure They are extracted from the cuff pressure by a digital bandpass filter in the microcontrol ler Measurement As the cuff is deflated the magnitude of the oscillations as a function of cuff pressure increases until the mean arterial pressure is reached When cuff pressure falls below the mean arterial pressure oscillation magnitude begins to decrease The systolic and diastolic blood pressure values are deduced from the oscillometric sig nal by extrapolation Differences in the results with the standard stethoscope method can be expected The NBP accuracy complies with AAMI SP 10 Introduction to the Instrument Arterial Oxygen Saturation and Pleth 5 Measurement Arterial Oxygen Saturation and Pleth SpO PLETH Measurement Description The Measurement Server has a pulse arterial oxygen saturation and plethysmogram measurement Measurements The measurement produces numerics for the arterial o
57. or when Instrument parts are replaced Tools required Defibrillator with ECG Sync and Marker Output e Patient simulator Step 1 Connect the patient simulator to the ECG connector on the Measurement server and the defibrillator to the ECG Sync Output on the M3046A Step2 Setthe Patient simulator to the following configuration 100 bpm ECG sinus rhythm Step3 Switch the defibrillator to simulation mode Step 4 Check that the marker pulse is displayed before the T wave begins Testing the Instrument CAUTION NOTE Testing the Instrument Patient Safety Checks Patient Safety Checks Warnings Cautions and Safety Precautions The tests described in the following paragraphs are recommended to be performed every two years and following any installation major repair or upgrade procedure as a proven means of detecting abnormalities that if undetected could prove dangerous to either the patient or the operator All tests can be performed using commercially available Safety Analyzer test equipment Basic measurements may also be performed with widely available multifunction instru ments like the HP 3469A multimeter or equivalent The consistent use of a Safety Analyzer as a routine step in closing a repair or upgrade is emphasized as a mandatory step if approval agency status is to be maintained The Safety Analyzer also proves to be an excellent troubleshooting tool to detect abnormalities of line
58. reconnecting the two pin plug ensure that the red wire faces the heat sink Removing the Air Filters The air filters are located on the left and right side of the device Step 1 Open the housing see Opening the Housing on page 239 Step 2 Remove the plug from the five pin connector on the circuit board This allows better access to the inside of the charger Air Filter Air Filter Step 3 Remove the two screws holding the air filter Step 4 Remove the air filter cover Step 5 Remove the filter mat and clean the dust out or exchange the filter mat if required Step 6 Insert the mat and re fit the cover and screws Reassembling the Battery Charger and Conditioner Reassembly is the reverse of the disassembly procedure Following Reassembly Once you have reassembled the Instrument you must perform a safety and performance check on the Instrument Refer to Maintaining the Instrument and Testing the Instrument 242 Repairing the Instrument Tutorial for Repairing the Instrument Tutorial for Repairing the Instrument Question 1 What must be kept open when inserting the Monitor chassis a When inserting the chassis the Monitor Bezel and the link bar must not be kept open b When inserting the chassis the LCD assembly must be open and the backlight tubes must be exposed c When inserting the chassis always open the battery compartment door to avoid striking the door clip Question 2 Which of the follo
59. same time as the LEDs switch off the speaker is tested with an audible tone Shortly after the LEDs switch off the display backlight switches on and the M3 M4 logo displays The Three LEDs on the System Board come up as follows Green LED When the On Off Standby switches pressed the green LED switches on immediately Yellow LED The yellow LED blinks 2 times per second after the red Error LED switches off then slows down to blink 1 time per second when the first system boot phase finishes after approximately 2 seconds Red LED The red LED switches on for about 1 second after a power on RESET of the System Board then switches off If the boot process is not successful for any reason check for obvious problems Part 1 Troubleshooting Checklists What To do If the Display Remains Dark If the three LEDs on the System Board indicate that the first boot phase has finished green on red off yellow blinking once per second but the display remains dark check the following Check that the display cable is seated correctly Check in the Display Assembly that the video flex layer is snapped correctly onto the con nectors on the Display Adapter Board and check the TFT panel by pressing onto the flex layer at the connectors NOTE Do not try to remove the video flex layer because if snapped on correctly removing it can easily damage the SMT solder joints Check that the cables of the backlight tubes are seated
60. second after the red Error LED switches off then slows to blink 1 time per second after the red Error LED switches off when the system boot has finished approximately 2 seconds Red Error LED When on this LED If permanently on the Sys indicates an error tem Board is probably This LED switches for about defective second after the System Board has been reset then switches off Troubleshooting the Instrument 169 Part 1 Troubleshooting Checklists WARNING 170 An ECG OUT LED 1s also located on the System Board and can be viewed after removing the Power Supply cover The meaning of the ECG OUT LED is as follows When permanently on 220 seconds this LED indicates an error in the ECG_OUT section If a single fatal error in the ECG_OUT section is detected during power on ECG OUT LED switches on for up to 20 seconds The ECG OUT LED switches off if this fatal error cannot be detected again after 20 sec onds At power on the ECG OUT LED switches on for about 1 second then switches off Every time the OUT communicates with the Server the ECG OUT LED blinks twice Every time an error in the OUT communication to the Server is detected the ECG OUT LED switches on for 1 2 seconds Troubleshooting the Display Adapter Board LED High Voltage Voltages dangerous to life are present in the Instrument when it is connected to the mains power supply Do not attempt any adjustment or make
61. swivel angle Hang the bed hanger over the rail 104 Installing the Instrument Installing the Tilt Swivel Mount M3080A A14 Attached to the Monitor This option is used to attach the Tilt Swivel mount directly to the rear of the Monitor The Monitor can then be mounted on the GCX Wall Channel or can be used together with the Universal Pole Clamp Step 1 Unpack the Tilt Swivel mount and check all parts are available Step 2 Secure the tilt swivel mounting to the Monitor rear panel with the 2 screws provided Step Tighten the screws Installing the Instrument 105 Installing the GCX Wall Channel M3080A A15 Installing the GCX Wall Channel M3080A 15 This option 1s the GCX Wall Channel only To install it follow the documentation packaged with the channel 106 Installing the Instrument Installing the Universal Pole Clamp M3080A 05 Installing the Universal Pole Clamp M3080A 05 This option is used to mount the Monitor on a pole or rail Step 1 Unpack the clamp and check all parts are available Step 2 Decide whether the clamp is to be secured for vertical positioning on a pole or for horizontal positioning on a rail The rear of the Monitor is provided with 4 screw holes to cover both positioning possibilities Step3 Secure the clamp to the Monitor with the 2 screws provided Step 4 Tighten the screws Attach the clamp to the rail or pole as appropriate Installing the Instru
62. the Monitor If it is not tight against the back of the Monitor slip it away from the link bar until it 15 Step 3 Slip the Measurement Server forward until it clicks into place To remove the Measurement Server from the Monitor move the latch in the middle at the top of the Monitor toward the front of the Monitor and slide the Measurement Server away from the link bar Latch Installing the Instrument Connecting the Measurement Server With the Measurement Server Separate from the Monitor You can connect the Measurement Server to the Monitor using a server link cable MSL as follows Step 1 You can connect the cable to the plug on the link bar or directly to the Monitor as follows Link Bar To remove the link bar a Turn the latch guard away from the edge of the latch b Unlatch the link bar from the back of the Monitor c Slide the link bar away from the Monitor Step 2 Attach the socket end of the cable to the Monitor Step 3 Attach the other end of the cable to the Measurement Server or if present the M3015A M3016A Measurement Server Extension Installing the Instrument 73 Attaching the Monitor to a Mount 74 With the Measurement Server Attached to an M3015A M3016A Measurement Server Extension The Measurement Server can be used in conjunction with a Measurement Server Extension When the Measurement Server is used together with a Measurement Server Extension CO a second temp
63. the Server or the Extension Step 1 Make sure the Measurement Server 15 connected to the Monitor and the Monitor 15 switched on For SpO mainstream Pressure or Temperature an appropriate transducer must be plugged into the Measurement Server or for mainstream the Measurement Server Extension in order to get a test reading For sidestream appropriate tubing must be plugged into the Measurement Server Extension in order to get a test reading Step 2 Press the Setup button Step 3 Move the highlight to Test Signals Step 4 Press on the TouchStrip and observe the display An example test looks similar to the following illustration the shape of the test signals depends on the selected filter mode As well the table on the following page lists Self Test values ries ALARMS SUSPND 2 19 Vent Rhythm Test Signals active monitoring Press again to quit 44 Start Stop Stop ALL Jero Trends Store Screen Admit Dschrg PP 144 Testing the Instrument System Self Test Values Module ECG and ECG Resp ECG Resp Pressure Systolic Diastolic SpO Pleth 5 Pleth Temperature Pleth Pulse Rate NBP Sidestream CO Mainstream CO Test Numeric Limits 100 bpm in ADULT mode 125 bpm in NEO PEDI mode 15 rpm in ADULT mode 30 rpm in PEDI mode 55 rpm in NEO mode 120 mmHg ADULT 60 mmHg PEDI NEO 0 mmHg ADULT PEDI NEO 100 Wave on display 40 C
64. the Wireless Bedside Parameters window Installing the Instrument Installation of Wireless Infrastructure Step 16 Create a log file of the Wireless Bedside configuration The log file is a txt file that contains the menu dialog of the most recent configuration Near the end of this file is a summary of the device s configuration settings This file may be viewed in Notepad or printed for later reference There are several configuration settings for the M3 M4 monitor that are made by the configuration tool that are not site specific but are different from factory default settings These settings can be seen in the log file but are not displayed to the user when the tool is used If you want to create a log file with the Log file name given click Yes and log file containing the text of the menu dialog between the configuring PC and the Wireless Adapter will be created and stored in the C tools Config Tool directory of the configuring computer s hard drive If you want to specify a different filename a click Cancel and a window will open allowing the specification of a different filename b enter the new filename in the field provided c click Yes to create a logfile with the new filename If you do not want to create a log file click No to close this window If a filename is entered for which a configuration file already exists that file will be overwritten by the new file Confi
65. the pressure units mmHg kPa Change the pressure and pulse rate alarm limits e Select the input filter e Start zero and calibration procedures Select the scale of the displayed wave Select the displayed pressure label Temperature Software Module The Temperature module derives a temperature value from a YSI series 400 thermistor temperature probe The temperature label is selectable and temperature related alarm limits can be set An alarm message is displayed when the measured temperature is outside the set range or outside the measurement range 42 Introduction to the Instrument Temperature and Invasive Blood Pressure Temp Press measurement Block diagram of the Temperature Software Module Pressure Waveform p b gt gt Temp Value Calculation Temperature Alarming gt p gt Temp Alarms Temperature Mem Temp User Contrc Signal Acquisition Temperature software To amp From Invasive Pressure amp This module is responsible for the A D conversion of the analog signal from the temperature transducer The Signal Acquisition module provides a raw temperature value to the Average Calculation module The module also performs various self tests and consistency checks to ensure proper operation and reports errors and failures to the Alarming Module Average Calculation This component averages the raw measured temperature values over an interval of 1 second The averag
66. to analyse the mounting surface protects both the patient and the hospital staff Do not mount equipment unless the screws are adequate and safe for the purpose Installing the Instrument 63 Safety WARNING CAUTION 64 Safety Patient Safety To better secure patient safety become familiar with the details of the Monitor and Measurement Server Specifications chapter of the Instructions for Use Patient Leakage Current The patient leakage current is less than at 230V 50Hz The equipment has floating inputs Type CF that are protected against the effects of defibrillation and electrosurgery This symbol indicates that the Instrument is Type CF and is designed to have special protection against electric shocks particularly regarding allowable leakage currents having an F Type applied part according to the standards IEC 60601 1 EN60601 1 CSAC22 2 601 1 UL 2601 1 and is defibrillator proof Preparing to Install the Monitor To avoid contaminating or infecting personnel the service environment or other equipment make sure that equipment which has been used before has been appropriately disinfected and decontaminated Power Source Requirements See Electrical Specifications in the Specifications chapter of the Instructions for Use Protecting against Electric Shock The M3046A Monitor is classified as Class I Equipment with an internal power source according to IEC 60601 1 EN 60601 1 CSAC22 2 60
67. until it is Step 3 Slip the Measurement Server forward until it clicks into place Detaching the Measurement Server from a Mount Step 1 Press and hold the latch in the middle at the top of the mount away from the Measurement Server Step2 Slide the Measurement Server off the mount in the direction of the measurement connectors Positioning the Measurement Server on a Clamp Mount For convenience if you have your Measurement Server on the clamp mount you can position it with any one of the four edges facing upwards four positions Reposition it by completing the following steps Installing the Instrument 75 Connecting to the Nurse Call Relay WARNING 76 Step 1 Press and hold the mount latch toward the clamp screw Rotate the Measurement Server and mount until you get it to the position you want Step 2 Release the mount latch and make sure it is clicked into one of the four slots on the back of the mount Connecting to the Nurse Call Relay The nurse call relay is a 3 5mm mono phone jack socket It is completely isolated from the rest of the circuitry Under normal conditions the tip and sleeve are open not shorted together When an alarm is indicated the tip and sleeve are shorted together by a relay Do not rely exclusively on the Nurse Call Relay for the notification of alarm conditions The relay output cannot be checked by the Monitor and the Monitor cannot notify the user of any failure of the r
68. voltage and grounding plus total current loads For Europe and Asia Pacific according to 1 60601 1 1988 1 1991 A2 1995 EN60601 1 1990 A1 1991 A2 1995 For USA according to UL2601 1 e Additional tests may be required according to local regulations Normally a Safety Analyzer is used to perform these procedures Popular testers include the DEMPSEY 232D or for use in Europe testers like the Rigel Metron or Gerb Follow the instructions of the Instrument manufacturer If the Dempsey is used for an extended length of time it could be damaged by the high amp current draw of the system It is recommended that you file the results of annual tests This may help to identify a problem early particularly if the test results deteriorate over a period of time Safety Test Procedures The test procedures outlined in this appendix are to be used only for verifying safe installation or service of the product in question The setups used for these tests and the acceptable ranges of values are derived from local and international standards but may not be equivalent These tests are not a substitute for local safety testing where it is required for an installation or a service event If using the Metron Safety tester use your local regulation to perform the test for example in Europe IEC601 1 IEC601 1 1 and in the US UL2601 1 The Metron Report should print results with the names listed below along with other data 159 Patient Saf
69. window on the Monitor If two temperatures are measured one with the Server and one with the Extension the differential temperature Delta Temp is calculated by the Server For more information see the section Temperature and Invasive Blood Pressure Temp Press measurement on page 37 Introduction to the Instrument 45 Functional Description of the M3015A Measurement Server Extension Hardware Functional Description of the M3015A Measurement Server Extension Hardware The Extension receives information signals such as Temp Press and a sidestream sample from the patient then transmits the data through the Server to the Monitor via the Server to Monitor link bar See the Functional Description of the Measurement Server Hardware on page 22 for a description of the normal processing of measurement data The sidestream CO Extension is always used with a Server To function correctly both the Server and the Extension must have compatible software revisions WARNING Never use a Measurement Extension with a Measurement Server which contains Release A software A XX XX Since the software required to process data from the Extension is absent the additional measurements will not be displayed To view the software revision press the Setup key and select Revisions Pairing the Server with the Extension allows for the following Measurement of both temperature and invasive blood pressure for the same patient Two t
70. 0 battery usage time remaining in the battery The number is based on the average monitor loading during the previous minute Time to Full This refers to the approximate 10 time remaining to fully charge the battery The number is based on the average monitor loading during the previous minute Maintaining the Instrument Battery Handling Maintenance and Good Practices When the Time to Full shows 0 the battery charge LED on the front panel remains lit until battery calibration is complete Maintaining the Instrument 133 Battery Handling Maintenance and Good Practices Battery INOP Messages The following battery related INOP messages are issued by the Monitor All INOPs continue until the Monitor is plugged into the AC power or the INOP condition is fixed BATTERY LOW This is a hard INOP which indicates that the remaining battery operating time is less than approximately 20 minutes BATTERY EMPTY This is hard INOP which indicates that the resting state operating time for the Monitor is guaranteed for a further 5 min only this information is derived from the voltage of the battery The battery LED blinks at a rate of 1 5 red flashes per second A severe INOP switches the main alarms suspended status back to on and generates an INOP alarm If this alarm is silenced it recurs after 3 minutes The previous two INOPs are cleared if AC power is connected while the following INOP stays no matter whether AC power is c
71. 1 1 UL 2601 1 which means that it is an instrument included in the protective grounding protective earth system of the room by way of grounding contacts in the power plug To protect the patient and hospital personnel when operating from an AC source the cabinet of the Monitor must be grounded The Monitor is equipped with a detachable 3 wire cable which grounds the Instrument to the power line ground protective earth when plugged into an appropriate 3 wire receptacle The Monitor uses DOUBLE POLE NEUTRAL FUSING Installing the Instrument WARNING WARNING WARNING Preparing to Install the Monitor Disconnect the Monitor from the AC source by unplugging the power cable from the AC source receptacle or from the AC power connector at the side of the Monitor The On Off Standby button does not disconnect the Monitor from the AC mains supply Do not operate the M3046A Monitor on a 2 wire AC supply Connect the grounding wire to the equipotential grounding post on the Monitor RT Equipotential Grounding Post Equipotential Grounding To eliminate potential differences between different pieces of equipment in the medically used room for internal examinations on the heart or the brain the Monitor must have a separate connection to the equipotential grounding system One end of the equipotential grounding cable potential equalization conductor is connected to the equipotential grounding post on the side of the In
72. 3 Using Support Functions Table 3 Error Codes for Release C Device Error ID Code EN EN Severity Information Required Action Dum ow e e oe eco zm Seco Table 4 Error Codes for Release D as a Device Error ID Code Information Required Action Severity M3046A Monitor 17312 20064 Software Condition 17315 20016 Software Condition 16400 Ol Software Condition 17207 20009 Software Condition Condition H 16400 _ Condition see FCO 86200134 and FCO 86200185 LX 16400 502 Software Condition see FCO 86200185 Software Condition see FCO 86200185 Condition see FCO 86200185 Troubleshooting the Instrument 203 Testing Wireless Network Connectivity Testing Wireless Network Connectivity Using the Site Survey Tool you can check the antenna functionality Antenna Check This test gives a Received Signal Strength Indication RSSI and will indicate if the antenna is in order Setup 1 The M3046A should be approximately 15 feet away from the test PC 2 Configure the Wireless LAN assembly of the M3 M4 and the Site Survey amp Configura tion Tool for the same Domain and Security ID Configure using the Wireless Configura tion Tool available on the Philips Information Center CD ROM 3 Check that the RangeLANG2 Site Survey and Configuration tool is running if not double click on the RangeLAN2 Configuration Icon to start i
73. 3000 6002A M3000 6003A M3000 6004A M3000 6005A M3000 6006A M3000 6007A M3000 6008A M3000 6009A N A M3000 6011A M3000 6012A M3000 6013A M3000 6014A N A N A N A 453563331761 453563485471 453563485481 453563485491 453563485501 453563485511 453563485521 453563485531 453563485541 N A 453563485551 453563485561 453563485571 453563485581 N A N A N A M3000 6801A M3000 6802A M3000 6803A M3000 6804A M3000 6805A M3000 6806A M3000 6807A M3000 6808A M3000 6809A M3000 6810A M3000 6811A M3000 6812A M3000 6813A M3000 6814A M3000 6815A M3000 6817A M3000 6820A 453563331781 453563331801 453563331821 453563331841 453563331861 453563331881 453563331901 453563331921 453563331941 453563331961 453563331981 453563332001 453563332021 453563332041 N A N A N A Replacement Parts Description Multi Measurement Server Parts Exchange Parts 12 Digit 12 Digit Part Number Reordering Number Reordering Number M3000A Rel D with Press Temp Exchange Measurement Server ECG SpO Press Temp English Rel D 0 Exchange Measurement Server ECG SpO Press Temp French Rel D 0 Exchange Measurement Server ECG SpO Press Temp German Rel D 0 Exchange Measurement Server ECG SpO Press Temp Dutch Rel 0 Exchange
74. 3015A Measurement Server Extension Theory of Operation Functional Description of the M3015A Measurement Server Extension Hardware Sidestream CO2 Measurement M3016A Measurement Server Extension Theory of Operation Functional Description of the M3016A Measurement Server Extension Hardware Mainstream CO2 Measurement Concepts The following section contains information that you need to understand in order to competently maintain and repair an M2 M3 or MA Monitor and Measurement Server with or without a Measurement Server Extension Theory of The theory of operation for a component describes the processing of signals Operation within the component Introduction to the Instrument 1 Introducing the Instrument Components Functional The functional description of a component uses a diagram of the circuitry Description followed by short written explanations of the component circuitry Introducing the Instrument Components The M3046A Compact Portable Patient Monitor together with the Multi Measurement Server M3000A or M3001A and the M3015A and M3016A Measurement Server Extensions forms a flexible portable battery or line powered patient monitor The combined devices are referred to as the Instrument in this manual The M3000A Multi Measurement Server can be used with M3046A patient monitors up to and including Release D but is incompatible with Release E monitors All equipment from Release C and D M3046A monitors and the Releas
75. 34 Wire 7 2 E ET D Video Flat Cable v yp 4 40 Wire E m E cs NNNM 7 Flat Cable La DOSE i Display Assembly Keyboard LEDs Standby On Off PIC On Off 5V X Bell HIF 4 hardkeys HIF AC Power PIC red alarm HIF Battery PIC yellow alarm HIF Display Adapter Board 31 Pin LCD Flex Display Y n TouchStrips Inverter Board Backlight cable IrDA Infrared or Serial Interface ud mc eet 16 Introduction to the Instrument Functional Description of the Monitor Hardware The main functional areas are summarized in the following System Board Comprising a 68360 Controller the Memory System the Video System LAN network connector link to Server ECG Out Human Interface and DC DC Converter Connector Board Connecting the System Board to the AC Power Supply and battery The LAN network filter and connector the VGA connector and the Alarm Relay Output Nurse Call are located on the Connector Board The Connector Board has a 48 pin connector to the System Board Display Assembly Comprising a 6 5 inch TFT color LCD display including 2 backlight tubes the Display Adapter Board and the associated backlight inverter board generates the high voltage for the tubes These parts are packed into a soft rubber based holder sometimes refer
76. 453563332291 M3015A Front Bezel with Pressure and Temperature English also for French Danish Traditional Chinese and Simplified Chinese M3015 44133 453563332301 M3015A Front Bezel with Pressure and Temperature German M3015 44134 453563332311 M3015A Front Bezel with Pressure and Temperature Dutch M3015 44135 453563332321 M3015A Front Bezel with Pressure and Temperature Spanish M3015 44136 453563332331 M3015A Front Bezel with Pressure and Temperature Italian M3015 44137 453563332341 M3015A Front Bezel with Pressure and Temperature Norwegian M3015 44138 453563332351 M3015A Front Bezel with Pressure and Temperature Swedish M3015 44139 453563332361 M3015A Front Bezel with Pressure and Temperature Finnish M3015 44140 453563332371 M3015A Front Bezel with Pressure and Temperature Japanese M3015 44144 453563332381 M3015A Front Bezel with Pressure and Temperature Portuguese M3015 44145 453563332391 M3015A Front Bezel with Pressure and Temperature Greek M3015 44147 453563332401 M3015A Front Bezel with Pressure and Temperature Russian M3015 44149 453563471561 M3015A Front Bezel with Pressure and Temperature Czech M3015 44150 453563332411 M3015A Front Bezel with Pressure and Temperature Polish M3015 44161 453563402591 M3015A Front Bezel without Pressure and Temperature English also for French Danish Traditional Chinese and Simplified Chinese M3015 44163 453563402601 M3015A Front Bezel wit
77. 5A Replacement Parts 267 M3015A Measurement Server Extension Parts M3015A Exchange Parts Description 12 Digit 12 Digit Part Number Reordering Part Number Reordering Number Number Hardware Revision A with Serial Number Prefix DE020xxxxx M3015A unit old hardware with M3015 6001A 453563332421 M3015 6801A 453563332431 Eoo M3015A unit old hardware M3015 6031A 453563477861 M3015 6831A 453563477871 without Pressure and Hardware Revision B with Serial Number Prefix DE435xxxxx M3015A unit new hardware M3015 6002A 451261005321 M3015 6802A 451261005311 eco i NN NE EN M3015A unit new hardware M3015 6032A 451261005341 M3015 6832A 451261005331 without Pressure and a For all languages apart from English French Danish And Chinese order also the local language bezel as shown under M3015A Parts on page 266 Both hardware revisions A and B use the same bezels 268 Replacement Parts M3015A Measurement Server Extension Parts M3015A Showing Front Bezel with Press Temp and Mounting Pin Replacement Parts 269 M3016A Measurement Server Extension Parts Part Number M3016A Measurement Server Extension Parts The M3016A Measurement Server Extension does not contain any servicable parts and can only be replaced in its entirety M3016A Measurement Server Extensions are shipped with English front bezels only If you require a bezel in another language compare the part numbers of your language to the Engli
78. 839B 453563332171 SpOs5 Finnish Rel D 0 Exchange Measurement Server M3000 6040B 453563485811 M3000 6840B 453563332181 5 Japanese Rel D 0 Exchange Measurement Server M3000 6041B 453563485821 M3000 6841B 453563332191 SpO Danish Rel D 0 Exchange Measurement Server M3000 6042B 453563485831 M3000 6842B 453563332201 NBP SpO Traditional Chinese Rel D O Exchange Measurement Server M3000 6043B 453563485841 M3000 6843B 453563332211 ECG SpO Simplified Chinese Rel 0 Exchange Measurement Server M3000 6044B 453563485851 M3000 6844B 453563332221 ECG SpO Portuguese Rel 0 Exchange Measurement Server M3000 6045B 453563485861 M3000 6845B 453563332231 ECG SpO Greek Rel D 0 Exchange Measurement Server M3000 6047B 453563377811 M3000 6847B 453563332241 ECG SpO Russian Rel D 0 Exchange Measurement Server M3000 6049B 453563485871 SpO Czech Rel D 0 Exchange Measurement Server M3000 6050B 453563485881 M3000 6850B 453563332251 SpOs5 Polish Rel D 0 Replacement Parts 265 lt OJ e gt lt fo 2 c m D D 2 et NY S lt D m X ct D 5 S ct 7 M3015A Measurement Server Extension Parts M3015A Parts 12 Digit Part Number Reordering Number Description M3015 44131
79. 995 2005 Koninklijke Philips Electronics N V Rights Reserved Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder Philips Electronics North America Corporation reserves the right to make changes in specifications or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication Microsoft Windows NT and Windows 2000 are trademarks of Microsoft Corporation in the USA and other countries Printing History New editions of this document will incorporate all material updated since the previous edition Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page Note that pages which are rearranged due to changes on a previous page are not considered revised The documentation printing date and part number indicate its current edition The printing date changes when a new edition is printed Minor corrections and updates which are incorporated at reprint do not cause the date to change The document part number changes when extensive technical changes are incorporated First EGITUOT July 1997 Second Edition February 1999 Third ELO June 2000 Fourth Edition April 2001 EdIGOR February 2002 Sixth
80. ARES Rae eR eee 4 A Quick Description ot the Monitor vane e e a UE RES a ode Sp an ed s D LFronpPaueb Ie Sois oeste dieu dva d e co bu 5 Fron OF ote irt Me b duke E A E 5 e e E 6 A Quick Description of the Measurement 7 Overview ot the Measurement Server eec dade aware 7 Measurement Connectors for the M3000A 06 M3001A C06 and C18 Measurement Servers sudeste 7 Measurement Connectors for the Standard M3000A and M3001A Measurement Server 7 A Quick Description of the Measurement Server 1 9 Overview of the Measurement Server Extensions M3015A amp M3016A 9 Measurement Connectors for the M3015A Measurement Server Extension 9 Measurement Connectors for the M3016A Measurement Server Extension 10 A Quick Description of the Main 10 Theories of Operation and Functional Descriptions 11 Section 1 Monitor 11 Monitor Theory of Operation RE Eee ELE 12 Display and User Interface Software 13 Alarm Manager Software Module 13 Admi
81. CCONCGDIS 219 Contents Warnings Cautions and Safety Precautions 220 General Reassembly Refitting 220 Disassembly Tor the 221 Reme vins the Battery 229 s ceno ee rk ELM a anis 221 Removing the Power SUDDIY sese CER IESUS RENE CS IS S 22 Removing the Chassis dde m c boc o cerra e ecd o MD er qe oos 222 Removing the System Board d uu 224 Removing the Wireless Assembly for Monitors with Wireless LAN Interface only 226 Removing the LCD Assembly and Backlight Tubes 226 Removing the Connector Board hee bts bee bes sete es 228 Remove the Speaker 229 Refit Procedures for the 230 Renting the System BoI d a uae aci UR Eolo de bold hae ead i ea 230 Refitting the LCD Assembly and Backlight Tubes 230 Refitting Connector Board 230 the Speaker s s di Pd olg Rams EAR 230 the Power Supply AC VER cad de E quee 230 Refitting the Wireless Assembly 0 0 ccc cece nee teenies 231 the Cassis 231 Renting the Batlety coco Doo vb devant 231 Disassembly Procedures for the M3015A Measurement Se
82. CPU also detects INOP and error information and handles communication with the system CPU Introduction to the Instrument 35 Arterial Oxygen Saturation and Pleth SpO PLETH Measurement 36 SpO Algorithm Software on the System CPU p gt Pleth Wave i o E m pO Value CPU m o Pulse Rate Nal N SpO m pO Alarms SpO Alarming CoN pO Controls The SpO Algorithm receives the demodulated and filtered red and infrared signals and the transducer coding information from the SpO measurement frontend The red and infra red wave is transformed into the frequency domain An adaptive signal analysis of the frequency information eliminates artifact and noise from the patient signal that is then used to calculate the SpO and Pulse numeric values The SpO algorithm also detects non pulsatile or noisy signals and generates the appropriate INOPs The wave is communicated to the Monitor via the operating system the SpO and pulse rate are communicated to the average calculation software and INOPs are communicated to the alarming software The Average Calculation software receives the SpO value for each beat from the 5 algorithm and calculates the average over the time interval configured by the user This value is communicated to the Monitor via the operating system and to the Alarming software The SpO Alarming software gets the average SpO value from the average calculation so
83. D remain off check if the Monitor Bezel and display cables are connected properly to the System Board Check the display cable is seated correctly particularly if it is offset by one row too low in this case the 5V is shorted to ground and the Instrument remains off If the AC power LED still remains off check the AC power supply If necessary replace the fuses on the Power Supply board or replace the complete Power Supply If the AC power LED still remains off and or the Monitor still cannot be switched on the Monitor Bezel might be defective Try a known good Monitor Bezel If the AC Power LED still remains off and or the Monitor still cannot be switched on replace the System Board What To Do if the Monitor Cannot Be Switched On Battery powered Connect AC power to the Monitor and make sure it can be switched on and operates prop erly Make sure that the battery is adequately charged press charge indicator on battery at least one green LED should switch on Insert the battery into the Monitor AC power still connected the Battery LED should switch on green yellow or red If the Battery LED remains off or is red replace the battery with a known good one If the Battery LED still remains off either the LED is defective or the battery control circuit on the System Board 15 defective To check whether the Battery LED is defective disconnect AC power and switch on the Monitor If the Monitor works most lik
84. Extension housing is open As well parts inside the Instrument may be contaminated with bacteria Protect yourself from possible infection by wearing examination gloves during these procedures Refitting the CO Scrubber The CO Scrubber contains lithium hydroxide monohydrate This is a strong base Do not open or damage the CO Scrubber If you come into contact with the CO Scrubber material flush the area immediately with water and consult a doctor To refit the Scrubber do the following Step 1 Feed the end of the CO Scrubber through the bracket to meet the Extension intake tube Step 2 Push the intake tube firmly into the scrubber end to connect it Step 3 Holding the body of the CO Scrubber with tweezers feed the CO Scrubber fresh air intake under the second bracket and position it Repairing the Instrument 237 Refit Procedures for the M3015A Measurement Server Extension NOTE NOTE NOTE 238 Refitting the Pump To refit the Pump do the following Step 1 Gently connect the power lead to the Extension The power lead can only be connected one way Do not try to force the power lead into position Instead align it correctly and connect it gently Step 2 Connect the flow tubing to the Pump Be sure to reconnect the inlet tube to the inlet valve and the outlet tube to the outlet valve Step 3 Being careful not to touch anything else in the Extension insert the pump into the bracket on the PC board
85. If error messages are displayed refer to error codes later in this chapter The brightness of the LCD display is adequate If not adjust it accordingly The green LED on the System Board is on see the following section 168 Normal Operation Defect Condition The LED remains off Suspect 1 Monitor Bezel cable connec tion 2 System Board Go to the troubleshooting sec tion The LED remains off Suspect 1 Power Supply 2 Monitor Bezel cable connec tion 3 System Board Go to the troubleshooting sec tion Same as for AC Power condi tion Troubleshooting the Instrument Part 1 Troubleshooting Checklists Troubleshooting the System Board LEDs Switch the Monitor off then on again to observe the System Board LEDs These can be viewed through the top left corner of the rear panel You need to remove the Server to view these LEDs View x3 System Board View x1 System Board LED ECG OUT Remove Power Supply Cover The meaning of the System Board LEDs is given in the following table together with a brief summary of possible defect conditions Green 5V power LED When on indi Off Check Power Supply cates the presence of 5V and associated cabling Yel Main CPU status LED When If permanently on or off low and blinking this LED indicates indicates a hung CPU normal CPU operation Reload software This LED starts to blink 2 times per Exchange system board
86. LED Green Battery full gt 95 AC Power LED Yellow Battery charging Green when AC Power Blinking Red is Connected Front of Monitor Menu Highlight Up Key gt p Out Marker In lt 12V Key 7 Equipotential qe Grounding Post Menu AC Power Highlight Down Key a ER Battery Compartment TouchStrips Infrared Printer Port or Serial connector for local recorder depending on option Introduction to the Instrument 5 A Quick Description of the Monitor Back of Monitor Connector to the Measurement Server lt 48V Catches for attaching the Measurement Server LAN Software Update Connector lt 5 Connector for an additional display VGA Interface lt 3 3V Mounting Plate Protective earth connector point for additional display 6 Introduction to the Instrument A Quick Description of the Measurement Server A Quick Description of the Measurement Server Overview of the Measurement Server Measurement Connectors for the M3000A C06 M3001A C06 and C18 Measurement Servers Note Press and Temp cannot be used at the same ti me Measurement Connectors for the Standard M3000A and M3001A Measurement Server Introduction to the Instrument 7 A Quick Description of the Measurement Server M3001A Connectors and Keys White ECG Resp connector NBP Start Stop ke
87. Make sure that the pump is horizontal and does not touch the PC board Vibration from the pump in operation will damage the Extension if the pump touches the PC board Step 4 Replace the top part of the bracket and screw firmly into position After replacing the Pump reset the value displayed on the Reset PumpOpTime selection to zero Service Mode gt CO Setup When the PumpOpTime has been reset an INOP will be generated CO OCCLUSION To clear this INOP you must perform a flow check and store the flow in Service Mode select Store Flow Refitting the Extension Bottom Cover To refit the Extension bottom cover do the following Step 1 Latch the link bar end into place then press click the bottom cover back into place covering the interior of the Extension Step 2 Holding the bottom cover firmly in place thread the two long mounting pins back into the Extension making sure to thread them all the way to the end 2 ded d dep d SS SS S NN NN NN NN NN NN UN UN 2 Long Mounting Pins Refitting the Front Cover To refit the front cover press click it back into place over the measurement connector hardware Repairing the Instrument Disassembly Procedures for the M8043A Battery Charger and Conditioner Disassembly Procedures for the M8043A Battery Charger and Conditioner Opening the Housing Step 1 Disconnect the Battery Charger and Conditioner from AC mains power Remove
88. Measurement Server ECG SpO Press Temp Spanish Rel 0 Exchange Measurement Server ECG SpO Press Temp Italian Rel D O Exchange Measurement Server SpO Press Temp Norwegian Rel D 0 Exchange Measurement Server SpO Press Temp Swedish Rel 0 0 Exchange Measurement Server SpO Press Temp Finnish Rel D O Exchange Measurement Server ECG SpO Press Temp Japanese Rel 0 0 Exchange Measurement Server ECG 5 Press Temp Danish Rel D O Exchange Measurement Server ECG SpO Press Temp Traditional Chinese Rel 0 0 Exchange Measurement Server SpO Press Temp Simplified Chinese Rel 0 0 Replacement Parts M3000 6013B M3000 6813B 26 W Multi Measurement Server Parts Description 12 Digit Part Number Reordering Number Exchange Parts 12 Digit Part Number Reordering Number Exchange Measurement Server M3000 6014B 453563485701 M3000 6814B 453563332051 ECG SpO Press Temp Portuguese Rel D 0 Exchange Measurement Server M3000 6015B 453563485711 M3000 6815B 453563332061 ECG SpO Press Temp Greek Rel 0 Exchange Measurement Server M3000 6017B 453563377791 M3000 6817B 453563332071 ECG SpO Press Temp Russian Rel D 0 Exchange Measurement Server M3000 601 9B 453563485721 N A N A ECG
89. Measurement Server and if present the Measurement Server Extension inserted correctly Checks Before Opening the Instrument You can isolate many problems by observing indicators on the Instrument before it is necessary to open the Instrument Checks with the Instrument switched Off AC connected without battery AC Power LED is on green AC connected with battery AC Power LED is on green Battery LED is on green if fully loaded yellow if being charged Battery LED red and blinking signals battery malfunction No AC connected with battery All LEDs are off It takes several seconds for the AC Power LED to switch on off after the mains power cord has been connected disconnected Troubleshooting the Instrument Part 1 Troubleshooting Checklists Checks with the Instrument Switched On AC connected without Battery AC Power LED is on green After pressing the On Off Standby switch the following sequence occurs The On Off LED switches on immediately The Alarm LED and the Suspend LED both switch on red and the Battery LED switches on yellow After 1 second the Alarm LED switches to yellow then after 1 second more all three LEDs Alarm Suspend amp Battery switch off As the LEDs switch off the speaker test occurs with an audible tone Shortly after the LEDs switch off the display backlight switches on and the M3 logo dis plays Checks with the Instrument Switched On
90. Measurements and Monitoring f John C 12 ww ua n v o ng dn 1 SERVICE GUIDE EE M3 M4 Monitors M3046A Measurement Server M3001A and M3000A Measurement Server Extensions M3015A and M3016A PATIENT MONITORING PHILIPS Printed in Germany 03 05 Sixth Edition Part Number M3046 9300F 4512 610 07711 PHILIPS M3046A M2 M3 M4 Monitors M3000A M3001A Measurement Servers M3015A M3016A Extensions to the Measurement Servers Service Guide M3046 9300F Reordering Number 4512 610 07711 Printed in Germany March 2005 Seventh Edition Notice This document contains proprietary information which is protected by copyright All Rights Reserved Reproduction adaptation or translation without prior written permission 1s prohibited except as allowed under the copyright laws Philips Medizin Systeme B blingen GmbH Cardiac and Monitoring Systems Hewlett Packard Str 2 71034 B blingen Germany Printed in Germany Warranty The information contained in this document is subject to change without notice Philips Medical Systems makes no warranty of any kind with regard to this material including but not limited to the implied warranties or merchantability and fitness for a particular purpose Philips Medical Systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing performance or use of this material 1
91. Monitor with this battery is inhibited to prevent deep discharge Attempts to restart the Monitor by pressing the On Off Standby causes the red LED to emit a single flash The flash may have a delay of up to 2 5 sec after pressing the On Off Standby key Exchanging the battery causes one of the following to happen If the new battery is partly or fully loaded the Monitor starts operating If the new battery is empty If the battery voltage no load is below 11 5V a single red flash is emitted assuming that there is still enough power to emit this single flash If the battery voltage is higher than 11 5V no load the Monitor tries to restart If the bat tery voltage falls below 10 5 V during charging the Monitor registers the batttery as empty and the Monitor switches off automatically Any attempt to restart the Monitor by pressing the On Off Standby causes the red LED to emit a single flash No more restarts can be attempted with this battery 128 Maintaining the Instrument Battery Handling Maintenance and Good Practices Charging the Battery Battery charging should be done in stable temperature conditions within the range 0 35 C in order to ensure correct and full loading of the battery Battery status is displayed by the battery gauge in the bottom right corner of the resting display The inner white bar shows the charge status of the battery The longer the bar the more charge there is in the battery NO
92. NBP Measurement NBP Modes The measurement offers adult pediatric and neonatal modes The following table lists the cuff inflation limits for each mode Subsequent Inflations Mode First Inflation Above Syst lic Pressure Stat Mode Adult 165 25 15 Pediatric 130 20 15 Neonatal 100 15 15 The following table lists the measurement ranges for each mode Mode Systolic Diastolic Mean Adult 30 270 10 245 20 255 Pediatric 30 180 10 150 20 160 Neonatal 30 130 10 100 20 120 Safety The following table lists the maximum limits that ensure patient safety Mode Maximum Maximum Time Over pressure Measurement Time Pressure Maximum Adult 180 seconds 180 seconds for 300 mmHg for gt 2 pressure gt 15 seconds mmHg Pediatric 180 seconds 180 seconds for 300 mmHg for gt 2 pressure gt 15 seconds mmHg Neonatal 90 seconds 90 seconds for pres 150 mmHg for gt 2 sure gt 5 mmHg seconds If any one of these safety limits is violated an INOP is generated and the valve opens 30 Introduction to the Instrument Non invasive Blood Pressure NBP Measurement Block Diagram for NBP x gt i c o o gt PRESSURE PUMP PRESSURE SENSOR PRESSURE SENSOR DEFLATION SYSTEM LL LL O Components The following components carry out the major signal processing functions within the Introduction to the Instrument 31 Non invasive Blood Pressure
93. Power supply defective System board is defective Poor connection to dis play Display backlight tubes worn Display defective Display cable may be incorrectly seated The display cable has two rows of connectors It is possible although extremely unlikely that the connector has been fit ted one row too high Connect to AC power sup ply or fit charged battery and switch on the Moni tor Check and replace defec tive fuse the Power Sup ply contains two fuses Check if the AC power lamp on the front panel is on or off Check System Board LEDs see Troubleshoot ing the System Board LEDs Check the ribbon cable connection from the Sys tem Board to the Monitor Bezel Replace backlight tubes Replace display Refit the display cable making sure that the two rows of connectors fit together correctly It is mechanically not possible for a left right misalign ment Troubleshooting the Instrument No response when touching or pressing the TouchStrip or panel keys All patient data is lost or cor rupted indi cated in the error log Printing is not possible No sound from Monitor No marker pulse on screen Out of sync ECG Analog Output Troubleshooting the Instrument Part 2 Isolating and Solving Instrument Problems Poor connection between the TouchStrip and the System Board Defective System Board Defective System Board Data is stored on the
94. Recording gt 68 C and allow it to cool down Printhead Tem for a few minutes then try perature sta again If the problem per tus message sists replace the Recorder The printhead is too The ambient temperature cold lt 0 in the room where the For instance the Recorder is used should Recorder may have been be above 0 C Allow the tranferred from storage Recorder to warm up for a where the temperature few minutes then try was below 0 again If the problem persists replace the Recorder Local Recorder The Recorder 15 discon e Ensure the Recorder disconnected nected from the Monitor cable is securely status message or switched off connected to the sockets on the Monitor and on the Recorder Ensure that the Recorder 1 switched on Local Recorder The Recorder is connected connected and available No local alarm Local alarm recording has Ensure that the Recorder recording avail been selected but the is switched on and con able status Recorder is not available nected to the Monitor message 196 Troubleshooting the Instrument Part 3 Using Support Functions Part 3 Using Support Functions There are various support functions available in the monitor to assist in fault diagnosis These are described below If diagnostic and error information is to be communicated to Philips this should always associated with a particular instrument by means of the serial number The
95. Results Test Expected Test Results What to record on service record Barometric Pres X difference between the reference pressure and the 2 1 2 3 4 5 6 sure Check measured ambient pressure displayed on the M3046A X7 x8 X1 12 mmHg or PCO2 F X1 X2 X3 X4 X5 x6 Leakage Check X2 Value of part 1 leakage check on Flowmeter XT X8 parts 1 and 2 X2 lt 4 0 ml min P passed F failed X3 Value of part 2 leakage check on Flowmeter X3 lt 4 0 ml min X1 xx two digits Me RX Pump Check X4 difference in pressure between cell pressure and x ambient pressure displayed the M3046A during occlu sion X4 gt 120 mmHg XXX Flow Check X5 difference between measured value and 50 0 ml min X6 x x X5 lt 7 5 ml min X8 Noise Check X6 Noise Index displayed on M3046A X6 lt 3 0 CO Gas Calibra X7 difference between measured CO value and calcu tion Check lated value based on 5 cal gas 7 lt 2 6 mmHg CO Cal Verifica XS difference between measured CO value and calcu tion lated value based on 10 cal gas X8 lt 0 07 x value calculated 154 Testing the Instrument Accuracy and Performance Procedures Accuracy and Performance Procedures The following accuracy calibration and performance procedures are designed to be completed to verify the accuracy and performance of the Instrument They must be performed once every
96. TE The battery gauge shows the charge status of the available capacity remaining in the battery It does not indicate the condition of the battery For example for an older battery with an available capacity of only half of its original theoretical capacity the battery gauge will indicate a full charge status after a charge cycle Whenever you need to rely on accurate indication of battery operating time access the Battery Status Window and check the TimeToEmpty field see Accessing the Battery Status Window on page 132 Low level of charge If the battery 15 empty the inner bar 15 gray High level of charge If the Monitor cannot access the battery because of a battery or hardware malfunction the text string Mal function is displayed on a black background inside the battery gauge and severe INOP alarm is issued Malfunction Battery conditioning is necessary when the text string Condit Battery 1 displayed ery In this case we recommend you remove the battery from the monitor and replace it with a different battery Condition the battery you removed The gray bar indicates how much operating capacity remains in the battery even if it requires conditioning You can also charge the battery using an external Battery Charger and Conditioner M8043A Refer to the documentation that accompanies the charger for details on charger use Maintaining the Instrument 129 Battery Handling Maintenance a
97. Wireless Assembly with US country code for countries Argentina Brazil Canada Chile China Columbia Dominican Republic Hong Kong Malaysia New Zealand Panama Taiwan Thailand US M3046 69564 453563333491 Exchange Wireless Assembly for Singapore country code France Mexico Singapore M3046 69566 453563333501 Exchange Wireless Assembly for Spain M3046 69567 453563333511 Exchange Wireless Assembly for ETSI countries with a UK country code Austria Belgium Czech Republic Denmark Finland Germany Greece Iceland India Ireland Italy Luxembourg Netherlands Norway Portugal Russia Sweden Switzerland Turkey UK M3046 69568 453563333521 Exchange Wireless Assembly for Japan M3046 69569 453563333531 Exchange Wireless Assembly for South Korea Replacement Parts 273 Battery and Battery Related Parts Battery and Battery Related Parts Battery Parts 12 Digit Part Number Reordering Description Number M3080 C32 12V Adapter Battery Exchange Parts 12 Digit Reordering Description Number M3046 68302 453563333321 Exchange Battery 06 Battery Charger and Conditioner Parts Exchange Part Number 12 Digit Part Number Reordering Description Number M8043 60000 453563498901 Smart Battery Charger and Conditioner New M8043 60010 451261001281 Replacement Kit 2 Air Fans 2 Filter Mats M8043 60011 451261001291 Replacement Kit 2 Filter Mats M8043 68000 453563498911 S
98. a few times then the red and green LEDs will turn off and the yellow LED will turn on during self test If everything is operating properly the yellow LED will go off and only the green LED will be on If the red status LED turns on during self test there is a hardware problem with the wireless assembly includes a CPU board and a radio card If a hardware failure is found during operation the red LED will blink repeatedly The Status LEDs are yellow directly after Power On during initialization During normal operation they are green If a problem occurs during operation the LEDs blink red in a repeating pattern Radio LED The radio LED blinks yellow when the wireless assembly 15 transmitting data packets over its radio Sync LED This LED should be on solidly during normal operation It indicates that the M3 is synchronized with an Access Point NOTE This LED may blink occasionally even when the unit is synchronized to a master Internal Link LED This LED indicates that there is an internal connection to the M3 System Board This LED blinks when the wireless assembly sends packets through the internal connection to the system board NOTE This LED may blink on occasion even if the link between the Ethernet Adapter and the System Board is defective Troubleshooting the Instrument 171 Part 1 Troubleshooting Checklists 172 Troubleshooting the Measurement Server LEDs The Measurement Server LEDs can be seen from the re
99. aking the Config Files Writeable If the serial cable connecting the configuring PC to the device or the PC s COM port is inaccessible or not working one of the following windows will be displayed WirelessT ool Input line 0 matchText e Communication Timeout has occured while processing the following input inputT ester waikT inme 1500 Make sure the cable is plugged in and the device is powered Then configure again For Wireless Adapter Check the serial cable and its connections carefully to assure that a good interconnection is being made e Ensure that no other applications in the configuring PC have control of its Serial Port e g Hyperterminal Close all other applications Ensure that the proper COM port is selected in the Configuration Tool window If configuring a Wireless Adapter Turn the Wireless M3 M4 Monitor Off and then On and ensure that it passes its self test Restart the Configuration Tool and try the procedure again 86 Installing the Instrument Connecting to the ECG Output Marker Input Connecting to the ECG Output or Marker Input See the specifications for the ECG Output and for the Marker Input under Interfaces in the Monitor Performance Specifications section of the Specifications chapter of the Instructions for Use and the documentation for the device you are connecting Configuring the Monitor See the Basic Operation chapter and the Configuration chapter of t
100. al Troubleshooting the Instrument Tutorial for Troubleshooting the Instrument Question According to this chapter what troubleshooting support functions are built in to the Instrument a The Status Log and error codes are the only built in troubleshooting support functions b The Coldstart Test Display Test Backlight Test Reset PumpOpTime Reset IRSourceTime Self Test Cycles OpTimeMon OpTimeMeasS and Cycles are the only built in troubleshooting support functions c The Status Log error codes Coldstart Test Display Test Backlight Test Reset PumpOp Time Reset IRSourceTime Self Test Cycles OpTimeMon OpTimeMeasS and Cycles are all built in troubleshooting support functions Question 2 Which of the following support functions display information only either operating time or number of cycles for parts or features of the Instrument and cannot be modified a The Self Test Cycles OpTimeMon OpTimeMeasS and NBP Cycles are selections which display this type of information and cannot be modified b The Coldstart Test Display Test Reset PumpOpTime Reset IRSourceTime and Backlight Test display this type of information and cannot be modified c The Line Frequency indicator displays this type of information and cannot be modified d None of the above examples are correct Question 3 There are LEDs available for visual observation during troubleshooting Where are they located a On the fro
101. al and displayed on the Monitor On the M3015A Measurement Server Extension Gas Input On the Measurement Server ECG Data Out is the analog ECG signal sent out from the Monitor to a defibrillator or other external device such as an intra aortic balloon pump On the M3015A Measurement Server Extension Gas Outlet Exhaust On the Monitor Data Output to serial recorder Serial interface socket for connection to recorder M30464A J16 only Alternating Current Equipotential Grounding Post see Equipotential Grounding earlier in this chapter Battery Compartment Type CF Applied Part and defibrillator proof with special protection against electric shocks for intracardiac application regarding allowable leakage currents by having an F Type isolated or floating section Indicates a Monitor with Wireless LAN Interface symbol appears on carrying handle Class 2 Radio equipment identifier 1999 5 EC 67 Preparing to Install the Monitor 68 The following are the markings on the back of the Monitor CLASS 1 LASER PRODUCT This device complies with FCC part 15 of the FCC rules Operation is subject to the following two conditions 1 this device may not cause harmful interference and 2 this device must accept any interference received including interference that may cause undesired operation Prod No M3046A Opt SN XXXXXXXXXX TAA RAI ES TT Radio module inside FCC ID IMKRL2630M D
102. all the Monitor you must make sure it has an adequate power supply see Preparing to Install the Monitor on page 64 for information about AC power and the Using Your Monitor in Patient Transport chapter in the nstructions for Use for information about using batteries Installing the Instrument Connecting the Measurement Server Switch the Monitor on using the On Off Standby button On Off Standby cu LL Making the Altitude Setting A correct altitude setting is important to ensure accurate CO readings Step 1 Step 2 Enter Config Mode and press the Setup key Select Altitude Step Select the value from the list which is closest to the altitude of the hospital Connecting the Measurement Server With the Measurement Server directly on the Monitor You can connect the Measurement Server to the Monitor by mounting it directly on the Monitor Step 1 sure that your Monitor has a link bar Installing the Instrument Link Bar Plug to Measurement Server If your Monitor does not have a link bar a Position the link bar as shown in the diagram above Make sure that the guide is in the slot under the plug which connects to the Measurement Server b Press the Link Bar into position until it clicks 71 Connecting the Measurement Server 72 c Turn the latch guard to lie perpendicular across the edge of the latch Step 2 Place the Measurement Server on the back of
103. an Additional Display An additional display must be installed by an Philips Medical Systems service engineer or authorized Service Representative By the addition of a display the M3 M4 Monitor becomes a system and must be safety tested as such after installation The required tests are described in Testing the Instrument on page 137 Displays In situations where the additional display is situated outside of the medically used room see IEC 60601 1 1 the additional protective earth connection is a requirement or alternatively electrical isolation must be provided by using a separation device depending on the value of the measured enclosure leakage current Any display which meets the specifications for the VGA interface may be used with your monitor When connected to the patient monitor these displays along with any other Class I non medical equipment must comply with IEC 60950 and with IEC 60601 1 1 when connected to the M3 M4 Monitor If the resulting enclosure leakage current of the display exceeds the value laid down by IEC 60601 1 60601 1 1 then certain action needs to be taken to ensure that the system as a whole meets safety standards that are equivalent to those contained in IEC 60601 1 60601 1 1 What action to take depends on the measured enclosure leakage current of the display and where the display is located is it in the patient vicinity outside the patient vicinity but still in the medically used room or outsi
104. and Solving Instrument Problems 177 177 Isolating the Defective Component 183 Part 3 Using Support Functions 0 0 0 ccc eee ene eens 197 The Status Log and Error 197 ELCO ENO C ec eae drca ub eee 199 Testing Wireless Network Connectivity 204 peed ae hae mdr Ph eed ae 204 Set VCO 206 Service Mode Hardware Vests 2 cree ER oe uber ede ERE re 206 How To Access the Monitor and Server Revision Screen 209 Troubleshooting the Installed 210 Troubleshooting with Self Test Alarm Messages When You Switch the Monitor 210 Troubleshooting When There 15 No Message on the Screen 213 Troubleshooting During After a Software Upgrade 4 214 Troubleshooting the Printer Connection 214 Troubleshooting the Recorder Connection 215 Tutorial for Troubleshooting the 217 Answers to the Tutorial for Troubleshooting the Instrument 218 6 Repairing the Instrument 219 iu TT 219
105. ansducer being used can be determined by recognising the coding in the connector This is done by the transducer detection circuitry A window comparator checks the input voltages provided by the transducer against specified limits Current Source The current source generates a constant current for the resistor array that 15 used to measure the temperature Resistor Array The constant current is fed through four resistors in series A test resistor the externally connected temperature probe a gain calibration resistor and an offset resistor The voltage drop across each resistor is sequentially measured and digitized The CPU controls the measurement of the different voltage drops and the ADC Analog to Digital Converter ADC The ADC receives the pressure signal from the Input Protection Network and the temperature signal from the Resistor Array The ADC amplifies filters and digitizes the received pressure or temperature signal The CPU controls the A D conversion and accesses the digitized data for further processing Central Processing Unit CPU The CPU controls the ADC and receives the digitized pressure or temperature data from the ADC The CPU calculates the temperature values and scales the raw pressure waveform using stored pressure calibration data The CPU stores pressure calibration data and user settings into a non volatile read write storage device The scaled pressure waveform and temperature data are communicated to t
106. any contact with the monitor while AC power is connected The green LED on the Display Adapter Board can be seen if the chassis is removed from the plastic housing It is located on the left side speaker side looking through the lower hole of the metal display holder and can be seen below the brown flex cable which connects the Display Adapter Board and the TFT panel Its conditions are as follows The Display Adapter Board LED switches on for approximately 3 seconds following a reset of the System Board If the Display Adapter Board LED does not switch on after a reset this is an indication that the flat ribbon cable to the Display Assembly is not seated correctly Troubleshooting the Wireless Assembly LEDs The Wireless Assembly LEDs can be seen when the gray cover on the right side of the monitor above the link bar is open R Status Radio c Y Sync r3 G Link Service Connector J13 Troubleshooting the Instrument Part 1 Troubleshooting Checklists Status LEDs NOTE If all three status LEDs the Radio LED and the Internal Link LED are on continuously and the Sync LED is off then this indicates that the Monitor has turned off the radio and is communicating over the hardwired LAN connection a cable is plugged into the LAN RJ 45 connector on the rear of the Monitor There are three status LEDs one red one yellow and one green At power up all three LEDs flash on and off
107. applicable for every measurement input ECG RESP Invasive Pressure CO SpO Temperature Reporting safety test S 3 in the Service record S 3 P x Or S 3 F x where P Pass Fail and x 15 the value defined in the test described above Testing the Instrument Testing the Instrument Tutorial for Testing the Instrument Tutorial for Testing the Instrument Question 1 According to this chapter which of these statements correctly identifies the distinction between Preventive Maintenance and Performance Testing a Performance testing includes safety testing and checks It refers to all accuracy and performance tests to be made on the Instrument other than NBP calibration_ and sidestream CO calibration b When authorized Philips personnel service the Instrument they report the results of Preventive Maintenance testing back to Philips The collected data forms a database to be used in product development It is not necessary for hospital personnel to report results c Preventive Maintenance can be defined as service calibration testing required to make sure the Instrument measurement results are accurate These specific tests are required for the parameter and for the sidestream parameter d All of the above answers are correct Question 2 In the case of all testing procedures done either by hospital staff or by authorized Philips personnel what should be done with the results a File them for re
108. ar view of the Instrument Measurement Server LEDs Red Yellow Green The functions of the three LEDs in the Server are identical to the three LEDs on the Instrument System Board 5V power LED When on this LEd indicates the presence of 5 Main CPU status LED When on and blinking this LED indicates normal CPU operation Starts to blink 2 times per second after the red Error LED switches off then slows down to blink 1 time per second after the red Error LED switches off when the system boot has finished approximately 2 sec onds Error LED When on this LED indicates an error This LED switches on for about 1 second after a System Board reset then switches off Off Check Power Supply and associated cabling Go to the troubleshooting section If permanently on or off indicates a hung CPU Reload software Exchange system board If permanently on the Server is probably defec tive Troubleshooting the Instrument Part 1 Troubleshooting Checklists First Steps The first two steps are to make sure that the paths AC power supply and battery to 5V System Board supply voltages work correctly What To Do if the Monitor Cannot Be Switched On AC powered Remove the battery Connect AC power The AC Power LED should switch on within several seconds e Switch the Instrument on The On Off Standby LED should switch on If either the AC Power LED or the On Off Standby LE
109. atient Monitor Texts for a translation of the English text into the localized language Site Preparation Guidelines Although the Instrument Monitor and Measurement Server or where present Measurement Server Extension is primarily a portable Monitor some site preparation must be done before using it in certain locations Additionally good operating practices are also recommended e Check that the operating environment is reasonably free from dust vibration corrosive or explosive gases and is within specified temperature and humidity ranges e Position the Instrument so that the display is clearly visible and the controls are easy to reach e The M3046A MUST be grounded during operation If a three wire receptacle is not availa ble then a hospital electrician must be consulted to ensure that proper grounding is available on installation NEVER attempt to use a three wire to a two wire adapter with the M3046A The Instrument must be grounded whenever it is connected to the mains power using a 3 pin plug Installing the Instrument 97 Mounting Solutions Mounting Solutions The mounting solutions described in this manual are subject to change For the latest information please visit the Patient Monitoring section of the Philips Medical Systems website and follow the links to mounting solutions For detailed mounting instructions refer to the documents supplied with the mounting hardware Installing the Table Mount M3080A
110. be exchanged Checking and Resetting Time Counters The time counters on the sidestream CO Extension must be checked before calibrating the Instrument As well when parts are replaced the appropriate counters must be reset to zero applies to units with serial number prefix DEO20xxxxx only To check the counters do the following Step 1 Select the counter you want to check either Reset IRSourceTime or Reset PumpOpTime Step 2 Press and hold lightly on the TouchStrip The counter time will display Step 3 Release to view or press harder to reset In addition always observe the following guidelines When calibrating the CO Extension if no parts have been replaced check the val ues displayed on the Reset PumpOpTime and Reset IRSourceTime selections to make sure that they are within suggested guidelines for use 15 000 hours of use If the counter time is greater than 15 000 hours replace the appro priate part See Repairing the Instrument When calibrating the CO Extension if parts have been replaced reset the appropriate values displayed on the Reset PumpOpTime and Reset IRSourceTime selections to zero See Repairing the Instrument Testing the Instrument 153 Preventive Maintenance Tests NOTE When PumpOpTime has been reset an INOP will be generated CO OCCLUSION To clear this INOP you must perform a flow check and store the flow in Service Mode select Store Flow Documenting CO Test
111. be exchanged Disconnect the flowmeter from the Part 1 setup and connect the flowmeter inlet to the M3015A gas outlet Leave the Filterline connected to the M3015A inlet Testing the Instrument Preventive Maintenance Tests Step 10 Block the inlet of the FilterLine using your fingertip and observe the flowmeter display The value on the flowmeter x3 should decrease to between and 4 ml min accompanied by an audible increase in pump noise Do not block the inlet for longer than 25 seconds as this will lead to an Occlusion INOP If the value is within the tolerance limits there are no leakages and the leakage check is completed proceed to the Pump Check Step 11 If the value 15 not within the tolerance limits there is a leakage between the FilterLine inlet and the pump inlet Step 12 Check the FilterLine connections and open the M3015A to check the tubing connections at the pump inlet and the M3015A gas inlet If the connections are good try replacing the FilterLine and repeating the leakage check If the situation remains there is a leakage in the tubing and the M3015A must be exchanged Pump Check Step 1 Connect the flowmeter inlet to the M3015A gas outlet Step 2 Connect the FilterLine to the M3015A inlet Step 3 Block the inlet of the FilterLine using your fingertip and observe the cell pressure on M3046A display The cell pressure x4 should be more than 120 mmHg below the ambient pressure shown If the press
112. ble to isolate and solve problems which may occur in the Instrument Symptom Cause of Failure System related problems The battery symbol is not displayed Some or all numerics or waves are not displayed Monitor screen appears dim Troubleshooting the Instrument A battery is not present in the Monitor the battery is defective or there 1s a bad connection Parameters are switched off No transducers are con nected Defective transducer Unsupported server Server defective Brightness not properly adjusted Display backlight tubes worn Install a charged battery If a battery is already present remove it and check the charge level press the button on the battery Refit the battery making sure to push it completely into position Switch parameters on Connect the required transducers Replace the suspect trans ducer Check for message No Measurements or Meas urement Server Not Sup ported See previous remedy Exchange the Server Adjust brightness Replace backlight tubes 183 Part 2 Isolating and Solving Instrument Problems 184 Monitor screen is blank Monitor screen is blank but the Instrument appears to boot as it should alarm LEDs switch on off successful test sound and yel low LED on the System Board blinks Power not connected or not switched on Battery is not installed 15 empty battery fuse is blown AC Fuse 15 blown
113. bove No action required No action required It is recom mended to 5 Sepa ration device even if the measured enclosure leakage current does not exceed the value laid down by IEC 60601 1 1 Additional protective earth OR separation device required Additional protective earth OR separation device required Separation device between the medical device and the non medical device required Separation device required Separation device required Separation device between the medical device and the non medical device required gt lt Separation device 91 Installing an Additional Display WARNING CAUTION 92 Where separation transformer is required the power cable connection to the display must be secured so that the transformer cannot be disconnected by hand Where an additional protective earth is required the grounding cable must be screwed to the protective earth connector on the rear of the Monitor see the illustration below under Installation on page 92 The other end of the grounding cable must be connected to ground earth with a screwed connection Safety Specification Enclosure leakage current for the combination of M3046A monitor additional display and isolation transformer must meet the following requirements IEC 60601 1 500 microamps uA rms at 264V 50 60 Hz UL 2601 1 300 microamps uA rms at 240V 60 Hz CSA 22 2 601 1 500 m
114. cc cece creer cc eccee 119 CIT 119 Oe dug oma ee ete ee oe 119 Recommendations for Maintenance Frequency 120 Maintenance Clhiec KESE uo Ld tat an ii ene eee Sn eod e oe ad RE tae 121 Contents Inspecting osos a on etn EG a ee EIER eee d 122 Inspect Cables and Cords e e tex abr dod QE SU A 122 Preventive Maintenance dte wd 123 hub D TP rr uec 123 123 Replacement of Pump and CO 125 Replacement of the Infrared Lamp 0 0 ccc ccc 125 General Cleaning of tie Instre rtie BiE des ss 125 Cleans ae the ee c 125 Cleans aub Ma CC al PA CCS Go Sta bibe db ESL RSS Od 126 Battery Handling Maintenance and Good 127 About the Balteky 2424205 am ct RE HR S ar SOR eo ee ee ea 127 Checkins the Battery Status uda reb e ox dep e onde Badd wae aea te aes 127 Charen The esce te ru Ine oak FE d DAE oe a da aha Sept ee 129 Conditioning a Battery Jen ah So ASR n ox cava qud ob do Rem a diae ied BO us 130 Accessing the Battery Status Window 132 Battery INOP Messages Ea bx cite deeb AER ER EE S ESAE ERA EE 134 Tuto
115. cessing module A special test mode and a zero procedure can be enabled and preformed on request The module also performs various self tests and consistency checks to ensure proper operation and reports errors and failures to the Acquisition Module Introduction to the Instrument 41 Temperature and Invasive Blood Pressure Temp Press measurement Acquisition Control This component receives the hardware related information from the signal acquisition component This includes status data and error failure reports Wave Processing The raw waveform from the Signal Acquisition module is filtered Gain and offset values of the raw waveform are corrected so that the wave sample values represent absolute values according to the selected scale Beat Detector The Beat Detector determines the position of a beat in the pulsatile pressure waveform This information is used to calculate systolic diastolic and mean beat pressure values and to calculate pulse rate Average Calculation The calculated beat pressure and pulse values are averaged and converted to the user selected measurement unit mmHg or kPa Pressure Alarming This component generates the appropriate alarm when the averaged pressure or pulse values exceed the user selected alarm limits Technical alarms are generated when the Acquisition Control component detects errors or failures Pressure Pulse User Controls This component controls the user selected settings Change
116. con nector board If it is lost after 3 hours the buffer 1s defective Defective printer Infrared connection 1 not correctly aligned Defective sender Tone 1s switched low or off ECG Analog Output is defective Defib sync input circuit is defective Replace the front panel Monitor Bezel Replace the System Board Go to the Service Mode and perform the extended test If the extended test fails replace the System Board If a battery is in remove it and put in new data Replace the connector board and put in some patient data If this does not correct the fault replace the System Board Try printing with another Monitor Line up the sender and receiver Try another Monitor Bezel and replace if necessary Check cable Check exchange the Sys tem Board Switch Monitor off then on again Tone should sound when Monitor first boots up Check cable and connec tions to the speaker Replace the System Board See ECG Sync Perform ance Test 185 Part 2 Isolating and Solving Instrument Problems Incorrect Time The Instrument s real time Power on for a few min Stamps clock 1s defective utes then reset the time and date Replace the System Invalid data Board stored showing wrong times for data Cannot repro Defective System Board Replace the System gram the time Board and date correctly Compatibility related problems Some measure A measurement extension
117. converter Exciter and Infrared Source The exciter generates a high frequency high voltage signal to ignite the infra red source and to generate the infrared radiation needed to measure the CO concentration in the measurement cell Introduction to the Instrument 51 Sidestream Measurement 52 Detectors The detectors are used to detect the reference signal the signal which comes directly from the IR source and the main signal the signal which passes through the sample cell Pressure Sensor The pressure sensor is used to measure the ambient pressure during the auto zero process and to measure the pressure in the measurement cell during measurement mode Analog Section The analog section amplifies and digitizes the main reference pressure and temperature signals Controller and Peripherals The controller reads the digitized values from the analog section and calculates the wave and numerics based on the measured main reference pressure and temperature signals The controller also controls the CO frontend based on the control information received from the Measurement Server the Optical Code Recognition and the measured cell pressure Gas Inlet with Optical Code Recognition The gas inlet allows the connection of Microstream FilterLines The Microstream FilteLines are detected by the Optical Code Recognition Serial Interface with FELP The Serial Interface and Frontend Link Protocol FELP provide the
118. correctly into the backlight inverter Check the backlight tubes are working correctly broken damaged or worn f the display still remains dark either the Display Assembly or the System Board is defec tive It is recommended to replace the Display Assembly first 174 Troubleshooting the Instrument Part 1 Troubleshooting Checklists What To Do if the Alarm and Suspend LEDs Are Not Working Correctly If the Monitor boots until the display is switched on but the Alarm LED and the Suspend LED have not switched as described previously red red yellow then off suspect the following Check that the Monitor Bezel cable 15 seated correctly Replace the Monitor Bezel Replace the System Board Isolating Problems to the Correct Subassembly WARNING High Voltage Voltages dangerous to life are present in the Instrument when it is connected to the mains power supply Do not perform any disassembly procedures other than Server and Extension removal with power applied to the Instrument Failure to adhere to this warning could cause serious injury or death Troubleshooting the ECG OUT If no marker pulse is displayed on the Monitor assuming the defibrillator and defibrillator cable are in working order check the following Disconnect the Server and Defib cable e Switch the Monitor off then on again Observe the red LED in the ECG OUT section The Instrument Self Test is performed f the red LED does not switch on fo
119. cover Step 5 Release the cover Step 6 Prise open the clip on the Server to Monitor link bar and slide it off On newer monitors just turn the catch holding the link bar into the vertical position 222 Repairing the Instrument Disassembly for the Monitor Step 7 Lay the Monitor on its rear panel and pull out the two latches there is on each side of the Monitor Bezel Step 8 Stand the Monitor up again and gently lift the Monitor Bezel up and out Gently let it rest in front of the Monitor Be careful It still has a cable attached Step 9 Remove the white plastic clamp securing the ribbon cable connections To remove push the latch at the top left corner to the left Step 10 Use a small screwdriver to remove the Monitor Bezel assembly cable NOTE Do not touch the LCD display Repairing the Instrument 223 Disassembly for the Monitor Step 11 Remove the four screws from the rear panel Step 12 Slide the chassis slowly out from the front of the housing the battery compartment cover must be open and lay the chassis on the Monitor Bezel For Monitors with a Wireless LAN Assembly To avoid antenna damage slide the chassis very carefully out from the front of the housing disconnect the antenna cable and lay the chassis on the Monitor Bezel Removing the System Board To remove the System Board do the following Step 1 Remove the Power Supply as described previously in this chapter Step 2 Remove t
120. cted to an M3046A Monitor with Rev D or lower software This conbination does not allow monitoring Or M3000A Measurement Server 1s connected to an M3046A Monitor with Rev E software This con bination does not allow monitoring Use only M3000A Meas urement Servers with M3046A Monitors with Rev D or lower software Use only M3001A Meas urement Servers with M3046A Monitors with Rev E software Power Supply related problems See Troubleshooting the Front Panel LEDs earlier in this chapter Display and LCD Adapter Board related problems Monitor screen is blank Fluid dripping or appearing below Instru ment Decrease in light intensity on display Brightness decreases from top to bottom or bottom to top Instrument appears to boot as it should alarm LEDs switch on off successful test sound and yellow LED on the System Board blinks Display and other cables not seated correctly LCD assembly damaged or cracked One of the two backlight tubes is worn See Troubleshooting the System Board LEDs ear lier in this chapter Refit cables correctly If this does not work replace the LCD Display Assembly Replace the LCD Display Assembly Replace both backlight tubes Although it is unu sual for both tubes to need replacing at the same time you are recom mended to do so since replacement is not easy Troubleshooting the Instrument Part 2 Isolating and Solving Ins
121. ction to the Instrument 27 Electrocardiogram Respiration ECG Resp Measurement 28 ECG Alarming This software receives the averaged heart rate from the cardiotach software and derives alarms by comparing this rate against the limits and the asystole condition Heart rate alarms are communicated to the display unit via the operating system ECG Controls This software handles selection of ECG leads setting of heart rate alarm limits selection of ECG display filter characteristics Respiration Artifact Suppression This software receives the respiration and ECG waves from the ECG Resp CPU A software filter removes any potential ECG overlay from the respiration wave The filtered respiration waveform is communicated to the display unit via the operating system Breath Detector This software detects the respiration rate using a trigger threshold that is dynamically adjusted according to the amplitude of the wave The time between breaths is measured and the respiration rate is calculated This is communicated directly to the Resp alarming and via the operating system to the display unit Resp Alarming This software receives the respiration rate from the breath detector and derives alarms by comparing this rate against the limits and the apnea condition Respiration rate alarms are communicated to the display unit via the operating system Respiration Controls This software handles setting of respiration rate alarm limits sca
122. ctions support the recorder manager and provide it with graphics capabilities The output from the recorder manager suports the GSI Lumonics XE 50p specific serial protocol and output is fed to the local recorder which is connected via a dedicated serial cable The recorder manager displays prompt and status messages on the monitor s color LCD display Introduction to the Instrument Monitor Theory of Operation IrDA Serial Communication Manager The IrDA Serial Communication manager is responsible for sending raw data to the local recorder serial protocol or printer in a format that complies with the IrDA Infrared Data Association standard The IrDA Serial Communication manager provides a general printer or recorder device interface to the printer or recorder manager and maps the general printer recorder services to the device protocol The general printer services are as follows Establishing and terminating the printer recorder connection Transferring data to the printer recorder Retrieving the printer recorder status The IrDA Serial Communication manager feeds the printer recorder status time out paper out and so on back to the printer or recorder manager which in turn notifies the user of any errors in the print record process Communication Software Module The communication module maintains a data link between the Monitor the Measurement Server and the Measurement Server Extension and controls the exchange of
123. d When the PumpOpTime has been reset an INOP will be generated CO OCCLUSION To clear this INOP you must perform a flow check and store the flow in Service Mode select Store Flow The effectiveness of the Pump gradually decreases over time As a result periodic replacement is necessary applies to units with serial number prefix DEO20xxxxx only Philips recommends replacement of the Pump as follows e After 15 000 to 20 000 hours max 20 000 hours If the flow cannot be adjusted to the desired value If the Pump makes considerably more noise than new Pumps After replacing the pump perform a CO calibration check as described in CO2 Gas Measurement Calibration Check on page 152 When replacing the pump in the M3015A Measurement Server Extension sidestream CO you should also replace the CO scrubber at the same time Recorder Status Check You can check the status of the recorder by entering Service Mode then pressing the Local Record SmartKey The firmware version FV voltage V and gt temperature at the printhead T are printed out Local Recorc FV4 1 V11 9 T 36 Self Test Cycles information only The number of executed Self Test cycles since the last reboot is displayed but cannot be modified OpTime Mon information only The cumulative time that the Monitor has been operated is shown but cannot be modified Op TimeMeasS information only The cumulative time the Measurement Server
124. d on Power Supply Board Only type SCHURTER SPT0001 2506 M3046 60101 453563332701 Metal Chassis assembly N A Standard Plastic Housing N A Wireless Plastic Housing USA Canada N A Wireless Plastic Housing rest of world IA i i IA i i M3046A A10 M3046A A20 M3046A 21 M3046 60202 453563332721 Display assembly Monitor Display Backlight tube for display ass M3046 60201 Monitor Display Backlight tube for display ass M3046 60202 2090 0577 N 2090 0380 N M3046 66521 M3046 66522 M3046 44107 M3046 44109 M3046 64105 M3046 61601 M3046 44103 M3046 47411 M3080 61602 M3080 61603 M3046 55900 M3046 42310 M1022 60170 N 50 Replacement Parts Monitor Parts 12 Digit Part Number Reordering Description Number M3046 60601 453563334651 Shield for wireless LAN operation M3046 61301 453563332741 Loudspeaker M3046 44102 453563332611 M3 cover power supply M3046 66502 453563333141 Monitor System Board English software preloaded Rev A M3046 60001 453563332681 Monitor Power Supply assembly old M3046 60002 453563332691 Monitor Power Supply assembly new M3046 63201 453563484761 Table top mount also adapter plate for rollstand M3080A A10 M3046 44110 453563484821 Removable Frame for the serial connector M3046 64102 453563333091 Small Parts Kit See separate table on page 253 a Use the M3 M4 Support Tool to configure the software a specific release language if necessa
125. data between them This data includes the following Measurement data e status information e Control information Configuration data Support Services The support services software module contains miscellaneous functions that both the Monitor the Measurement Server and the Measurement Server Extension require These functions are as follows Date and Time e Settings Handler e Status Revision and Display Heart Rate Selector Introduction to the Instrument 15 Functional Description of the Monitor Hardware Functional Description of the Monitor Hardware The Monitor receives data from the Measurement Server and Measurement Server Extension via the Server to Monitor link bar and presents this data on the color LCD display The following block diagram shows the main functional areas Alarm LAN Relay VGA Network 48V AC AC present Optional Smart Battery Power Supply 6 Pin 5 Pin Connector Connector E Optional Vbat 48V present Wireless LAN e ltem 8 D Connector 140 Pin System Board Vies ee T Ventilator DC DC Converter Fan 48V current limiter CPU System 360 Battery charger oe Flash SRAM DRAM SRL to Controller Measurement z Server 4 M3000A 48Vlim 45V Vbuf E A HIF 83C552 TouchStrip Keys Sound M LEDs Alarm Relay Video ECG Battery Controller Marker I Out 5 Controller 3 8 4 d 3 Vom
126. de of the medically used The following two tables show what action to take Resulting Earth Leakage Current of the Non Medical Device Normal Single Fault Condition Condition Installing the Instrument Medically Outside Patient Vicinity Y Medically Used Room Used Room Here the patient monitor is connected to a non medical device display and both pieces of equipment are within the patient vicinity within 1 5m of the patient Here the patient monitor is connected to a non medical device display that is outside the patient vicinity but within the medically used room PE Hazardous situations may occur if the signal line of the patient monitor is connected to equipment outside of the medically used room for example in another building with a different mains supply circuit A separation device for example an separation transformer included in the signal line prevents a hazard to the patient or user It should be placed as near as practicable to the medical electrical equipment The inclusion of a separation device also helps to avoid hazards through malfunction of equipment caused by unwanted ground loop currents flowing through the signal line Key PE Protective V Potential difference Earth between different localities Installing the Instrument Installing an Additional Display Action Required Following Earth Leakage Current Measurement See Table a
127. details The Monitor and Measurement Server Extension can be disassembled see Repairing the Instrument on page 219 e There is no metal moulded into the plastic case and no metal sprays on the plastic All plastic parts with a weight greater than 10g 0 35 ounces are marked with the ISO code for identification All labelling on the product has been done by laser printing so no separation 15 necessary before recycling The sheet metal card cage uses only one kind of steel The handle is a 2 compound moulding separable by the application of force The screen has a touch resistor laminate separable by the application of force User documentation and Service documentation are wire o bound The binding is separable by the application of force No heavy metals were used in printing the documentation The cardboard and foam used in packaging are 10046 recyclable No heavy metals were used in printing the packaging Installing the Instrument 115 Tutorial for Installing the Instrument Tutorial for Installing the Instrument Question 1 For patient safety where and how should monitoring equipment be mounted a Do not mount any portion of monitoring equipment over a patient s bed b Lead expansion bolts are neither adequate nor safe to use when mounting equipment on plaster board walls c It is important not to remove the channel safety stop on the GCX Wall Channel while the mount is supporting monitoring equipmen
128. e Installing the Instrument 99 Warnings Cautions and Safety Precautions Relating to Wall Mount Installation Warnings Cautions and Safety Precautions Relating to Wall Mount Installation Make sure that you have read all applicable instructions before attempting to install the wall mount Wall mounts that are intended to support monitors must be capable of supporting four times the weight of the Monitor when properly installed If wall mounts are to be installed on plaster board walls we recommend that the mounts be installed using steel or plywood plates sufficient to distribute the load over a large section of the wall Lead expansion bolts are neither adequate nor safe for this purpose It is the responsibility of the hospital institution or its designated representatives to deter mine that the wall is adequate to safely mount monitoring instrumentation This includes the selection of and proper installation of the appropriate fasteners and mounts In a new construction or in a remodelled construction where the wall can be completely or partially removed a 16 gauge steel stud should be mounted for the purpose of attaching the wall channel This design safety factor is based on four times 4x the maximum rated load GCX Wall Channel Always reposition the adjustable channel safety stop under the adapter plate when the height of the Instrument is changed The channel safety stop prevents the mounting device from inadvertently
129. e 2 o enable a printer connected through the network Remote 3 o enable a printer connected through the network a The remote printer option is only available when the Monitor is con nected to the M3 Print Server b If any Remote printers are available there will always be three printers shown irrespective of the actual number of printers connected via the Print Server The correlation to actual printers on the network is configured at the M3 Print Server Installing the Wireless Infrared Printer Connector M3080A H05 If the Monitor is to be used within the patient vicinity when it is connected to a printer the connection must only be made using the Wireless Infrared Printer Connector To use this you need a Centronics printer extension cable The Wireless Infrared Printer Connector provides an infrared printer connection from the infrared equipped Monitor to a parallel printer by attaching to the standard parallel printer connector and providing both a parallel and an infrared interface To find out how to install the Wireless Infrared Printer Connector software refer to the accompanying documentation Install the device support tray supplied with kit and connector as follows Infrared Access Point to Power Supply Support Tray Distance A Distance between the Patient and the Monitor Distance B Distance between the Wireless IR Printer Connector and the Infrared Port on the Monitor 0 1 0 Distance C Dista
130. e Operation Failed in the status line on the Monitor Wait until the Monitor has completed the current operation then restart the service procedure 148 Testing the Instrument Testing the Instrument Preventive Maintenance Tests This test checks the performance of the CO measurement for the sidestream Extension The CO performance test 15 required once per year and when the Instrument is repaired or when parts are replaced This test uses calibration equipment that can be ordered see Replacement Parts for the part number The procedure is summarised in the following steps Refer to the documentation accompanying the equipment for detailed instructions Tools Required e Standard tools e g screwdriver tweezers Electronic flowmeter M1026 60144 Gas calibration equipment Cal 1 gas 15210 64010 5 CO Cal 2 gas 15210 64020 10 Cal gas flow regulator M2267A Cal tube 13907A In addition you will need a local barometric pressure rating received from a reliable local source airport regional weather station or hospital weather station which is located at the same altitude as the hospital The CO calibration for the sidestream Extension consists of the following steps Barometric Pressure Check and Calibration if required Leakage Check Pump Check Flow Check and Calibration if required Noise Check CO Cal Check and Calibration if required CO Cal Verificatio
131. e connector 6 92 Speaker Assembly 193 SPEAKER MALFUNCTION INOP description 179 Performance Test 157 SpO NOISY SIGNAL message 180 SpO PLETH theory of operation 33 Standby 67 Start Stop button 7 Status Log 197 Support Functions 197 Index Suspend button 5 Symptoms 183 System PCB related problems 183 System Self Test 144 T TEMP EQUIP MALF message 211 Temp Press Extension setting P2 zero and labels 45 53 Temperature Accuracy check 155 theory of operation 37 temperature extremes operating environment 66 Tests Index checklist 141 reporting in service record 138 time 10 Time counters resetting 153 touchstrip 5 TouchStrip problems 189 TouchStrip related problems 189 transducer connector 7 trickle charging 132 Troubleshooting Checklists 166 U unpacking 70 UNSUPPORTED LAN INOP description 179 vibration 66 Visual Test 142 W wave 10 label 10 Z Zero button 7 Zero key 45 53 277
132. e discharge of a charged battery by allowing it to die out while in non critical use The empty battery may then be recharged and put back into use The rechargeable battery used in the Instrument must be conditioned every 50 cycles to prepare it for further charge discharge cycles Question 2 According to this chapter which of the following statements are part of inspecting the Instrument a Replaceable parts should be monitored for duration of continuous use After approximately 15 000 hours of continuous use the parts should be replaced b All cables and cords should be inspected for damage and wear on a daily basis c All Instrument labeling should be present and legible d All of the above statements are correct according to this chapter Question 3 Which of the following cleaners are acceptable for cleaning the Instrument a Dilute ammonia dilute sodium hypochlorite dilute formaldehyde 35 37 hydrogen peroxide 3 ethyl alcohol and isopropyl alcohol b Steel wool c Povodine Sagrotan and Mucocit cleaning agents and acetone Maintaining the Instrument 135 Answers to the Tutorial for Maintaining the Instrument Answers to the Tutorial for Maintaining the Instrument 1 c See pages 119 and 127 for more details 2 d See page 122 for more details 3 a See pages 125 and 126 for more details 136 Maintaining the Instrument 4 Testing the Instrument Objectives In order to meet this chapter
133. e 40 rpm The value should be 40 rpm 2 rpm Invasive Pressure Performance Test This test checks the performance of the invasive pressure parameter The Invasive Pressure performance test is required once every two years Tools required Patient Simulator Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Connect the Patient Simulator to the Pressure connector on the Measurement Server or the Measurement Server Extension Set Patient Simulator to O pressure Make a zero calibration Configure the Patient Simulator as follows P static 200 mmHg Wait for the display The value should be 200 mmHg 5 mmHg If the value is outside these tolerances calibrate the Measurement Server or Measurement Server Extension If the Measurement Server was calibrated with a dedicated reusable catheter check the calibration together with this catheter Testing the Instrument Accuracy and Performance Procedures SpO Performance Test This test checks the performance of the SpO parameter The SpO performance test is required once every two years Tools required none Step 1 Connect an adult SpO transducer to the SpO connector on the Measurement Server Step 2 Measure the SpO value on your finger this assumes that you are healthy Step3 The value should be between 95 and 100 Mainstream CO Performance Test This test checks the performance of the mainstream CO parameter The mainstream CO performance t
134. e C M3000A Measurement Server must be used in monitoring configurations where only Release B C or D software equipment is included None of these parts are compatible with Release A software The M3001A Multi Measurement Server is compatible only with the Release E M3046A monitors and is incompatible with any earlier releases The Hemodynamic Extension M3012A is for use together with the Multi Measurement Server M3001A This combination supports the transfer of patient data between IntelliVue M80xxA and M3 MA M3046A Revision E monitors The M3012A s Pressure Temperature channel works in the same way as that of the M3001A with which the M3012A shares all specifications as documented in the M3 MA Instructions for Use except for the weight which is 450g 0 9916 See the table below for supported parameters The M3012A is not further covered in this Service Guide To check which software revisions are on your equipment enter Setup and select Revisions The Multi Measurement Server and Server Extensions acquire the following physiological signals which M3046A Release Measurement Server Server Extension ithOption EASI derived 12 Lead ECG Respiration Non Invasive Blood Pressure Oxygen Saturation SpO Invasive Blood Pressure M3000A M3000A 06 M3001A 9 E d c M e LEL EL A Introduction to the Instrument Introducing the Instrument Componen
135. e same Extension MAINSTREAM Option A01 only A Quick Description of the Main Screen Monitor Label QuickSet Time Patient Size 2 Non Paced Symbol Patient Name N ouickset 1 23 11 Alarms Alarm Message ANDREAS Adult Ed Wi sian toe 7 0 100 Spo 5 fee eg iu a f Wave Label NZS BT y 3 7 DE Alarm Limits TA Numeric 91 Label Auto 60min 17 15 Resp 135 101 12 Alarm Off Symbol measurement e c Start St 204 St 220 ar op NBP STAT op ore D SmartKey Label Icon You can return to the display with the waves and the numerics at any time by pressing the blue Main Screen key 10 Introduction to the Instrument Theories of Operation and Functional Descriptions Theories of Operation and Functional Descriptions The theories of operation and functional descriptions are presented in three sections Section 1 Monitor Description M3046A Monitor Theory of Operation Functional Description of the Monitor Hardware Section 2 M3001A M3000A Measurement Server Description and Features Measurement Server Theory of Operation Functional Description of the Measurement Server Hardware Hlectrocardiogram Respiration ECG Resp Measurement e Non invasive Blood Pressure Measurement Arterial Oxygen Saturation and Pleth SpOZ PLETH Measurement Temperature and Invasive Blood Pressure Tem
136. e screws to fasten the mounting flange to the wall NOTE US version only Fasten the rectangular wall mounting plate to the wall Attach the mounting flange to the wall mounting plate Step 7 Mount the plastic cover The plastic cover consists of two pieces Frame Angled cover Put the frame over the mounting insert and the PCB Place the angled cover on top and fasten with two screws Step 8 Connect the monitor and the measurement server to the wall installation Step 9 Perform the following tests as described in the Testing the Instrument section of this manual Power on test blocks Safety test blocks ECG Sync Performance Test 114 Installing the Instrument WARNING Disposing of the Monitor Measurement Server and Measurement Server Extensions Disposing of the Monitor Measurement Server and Measurement Server Extensions To avoid contaminating or infecting personnel the service environment or other equipment make sure the equipment has been appropriately disinfected and decontaminated before disposal The battery can be easily removed see Maintaining the Instrument on page 119 as well as the Using Your Monitor in Patient Transport chapter in the Instructions for Use for information on using batteries and can be recharged for use with another machine or when no longer rechargeable can be returned free of charge to the worldwide recycling program run by the battery manufacturer contact your local supplier for
137. e self discharge of NiMH batteries is in the range of 20 25 per month Trickle charging accelerates the aging of the battery and is not recommended for batteries that are only used occasionally In such cases the battery should be kept separate from the monitor and charged every three to four months to prevent deep discharge Deep discharge occurs when the battery has a relative state of charge of 096 If you cannot avoid trickle charging use the Battery Charger and Conditioner 8043 to recondition the battery once a month See the instructions that accompany the charger for details on charger use Trickle charging only takes place for batteries stored in a monitor connected to AC mains You can leave batteries in the Battery Charger and Conditioner M8043A as no trickle charging takes place Accessing the Battery Status Window The Battery Status window shows additional information about the battery To access this window press the Setup key on the front panel and select Battery from the list The Monitor displays a screen similar to the following Battery Status Duracell TR36 12 0V SN 00292 0721 98 SBM 1 0 imeToEmpt 112 min um 10 est 1 min apacity i Current 284 0 wah remaining 1247 mAh Voltage fullCharge 1852 mAh Temperature 23 0 C designed 2400 mAh Cycles 234 The meaning of the messages are described in the following paragraphs Time to Empty tThis refers to the approximate 1
138. e the Measurement Server Extension or for mainstream CO the transducer BAD SERVER LINK You cannot use this combination of Monitor Measurement Server and cable Switch off the monitor and contact your biomedical department BAD SERVER LINK An M3000A Measurement Server with revision plus software is connected to an M3046A Monitor with Measurement Server a software revision of B or later This combination Revision not supported does not allow monitoring status message in red Some measurements are A measurement extension M3015A or M3016A 15 not supported by the connected to an M3046A M3 monitor Monitor prompt message No measurements for example CO 2nd Press Temp from the Measurement Extension are available If the extra measurements are required consider using a monitor that supports these measurements Troubleshooting the Instrument 211 Troubleshooting the Installed Instrument Message Measurement Server Configuration not supported status message Some measurements in MMS Extension are not supported prompt message Measurement Server not supported status message 212 What To Do Either A Measurement Extension M3015A or M3016A is connected to a standard M3000A Measurement Server noninvasive measure ments only and an M3046A Monitor with soft ware Rev D or lower No measurements for example CO 2nd Press Temp from the Meas urement Extension are available
139. ed values are converted to the user selected unit Temperature Alarming This component generates high low alarms if an alarm limit is exceeded Additionally a technical alarm is generated if no temperature can be measured Temperature User Controls This component controls the user selected settings e Set temperature alarm limits Select the temperature measurement units Introduction to the Instrument 43 Section 3 Measurement Server Extensions Description and Features 44 Section 3 Measurement Server Extensions Description and Features The Measurement Server Extensions M3015A and M3016A are flexible patient measurement units which partner with the Measurement Server to form the base for a variety of systems that enable easy customization to a hospital s requirements Extensions as convenient parts expand on the important patient measurements provided by the Measurement Server Used with the Measurement Server the Measurement Server Extension is designed to Monitor patients in most critical and acute patient care areas of the hospital For bedside use the Server and Extension are most commonly seen mounted on a Monitor The Server and an Extension can also be mounted on a bed or a roller stand M3015A Measurement Server Extension The Measurement Server Extension for sidestream CO measurement M3015A includes Measurements of sidestream CO and Press Temp e Signal and alarm processing M3015A 06 only
140. een Configuration e Numerics and Wave Presentation Key and TouchStrip Processing e Alarm and Status Presentation Alarm Manager Software Module The visual and audible alarms generated by the Measurement Server the Measurement Server Extension or by the Monitor software modules are assigned priorities by the Alarm Manager The Alarm Manager also e Monitors the alarm suspended alarm silence and alarm reminder functionality Manages alarm latching alarms remain in effect until reset or turned off by the user Triggers the Nurse Call Relay Generates alarm event triggers for any user defined trigger conditions Admit Discharge Transfer ADT Software Module This module maintains the patient s demographics and controls the upload of trend data from the Measurement Server and the Measurement Server Extension It allows the user to Admit a new patient Transfer a patient to another Monitor Discharge a patient Trend Software Module This module manages a trend database It stores physiological values from the Measurement Server and from the Measurement Server Extension in two separate databases a short term and a long term database The contents of these databases is battery buffered so that no data is lost in the event of a power failure Events Software Module The events software module allows the user to take snapshots of the Monitor state and store them for later viewing or printing This can
141. elay See the specifications for the Nurse Call Relay in the Monitor and Measurement Server Specifications chapter of the Instructions for Use and the documentation for the device you are connecting Modification for Nurse Call Alarm Relays Some customers may want to have an Open On Alarm relay instead of a Closed On Alarm for their Nurse Call system Qualified Philips service personnel can modify the connector board part number M3046 66522 The modification should be done only on request in the field factory supplied connector boards or monitors have the original board including the Close On Alarm Relay To make the Open On Alarm relay modification complete the following steps Installing the Instrument Modification for Nurse Call Alarm Relays Step 1 Cut the existing conductor path on the upper side of the connector board with a sharp implement P e Dt 1 Cut connector path 2 Remove Shavings Step 2 Very carefully remove all copper or plastic shavings from the board Step 3 Turn board over Step 4 Build the new connection to the Open On Alarm contact shown below Using a piece of wire and solder connect the three 3 points on the bottom of the circuit board as illustrated in the following photographs C be x 31 7 3 Turn board over 4 Build new connection Installing the Instrument 77 Installation of Wireless Infrastructure NOTE 78 V
142. ely the Battery LED 15 defective In this case replace the Monitor Bezel To check whether the System Board is defective disconnect AC power and switch on the Monitor If the Monitor remains off either the battery fuse surface mounted on the Con nector Board is blown or the System Board is defective If necessary replace the Connector Board If the Monitor still remains off the battery control circuit on the System Board is defective Replace the System Board Initial Instrument Boot Phase The following steps are to ensure that the Monitor finishes its first boot phase and the application software starts running The application software is running when the yellow LED blinks slowly 1 time per second For these steps it is assumed that the Monitor is powered correctly and the 4 5 V System Board supply voltage is okay This is indicated by the On Off Standby LED and the green LED on the Main Board upper left both on Troubleshooting the Instrument 173 Part 1 Troubleshooting Checklists What Happens During a Regular Boot AC powered without Battery The Monitor Bezel LEDs tone and display come up as follows The AC Power LED is on When the On Off Standby switch is pressed the On Off Standby LED switches on imme diately The Alarm LED and the Suspend LED both switch on red and the Battery LED switches on yellow After 1 second the Alarm LED switches to yellow after 1 second all three switch off At the
143. emoved the backlight tubes can be removed and replaced Although you need to remove the chassis you do not need to remove the System Board or the Power Supply To remove the LCD Assembly do the following Step 1 Step 2 Step 3 Remove the chassis as described previously in this chapter Use a small screwdriver to remove the Display Assembly cable Push the complete assembly including the rubber cushion the LCD display and the cables out from the rear of the chassis Start pushing from the top being careful not to damage or bend the 6 clips around the cushion Repairing the Instrument Disassembly for the Monitor Never touch the front of the display assembly the screen or the backlight tubes with your fingers Doing so can reduce the lifetime of the parts Step 4 Then push from the sides Step 6 Unplug the backlight tube cables Repairing the Instrument 227 Disassembly for the Monitor Step 7 Press down the retaining lever to release the backlight tube acklight Tube ress Lever Down to Release Step 8 Slide out the tube and repeat for the second tube Removing the Connector Board To remove the Connector Board do the following Step 1 Remove the chassis as described previously in this chapter Step 2 Remove the Power Supply as described previously in this chapter Step3 The Connector Board VGA is fixed with a screw and can no longer be taken out by removing the Connector Board cover and p
144. emperature measurements for the same patient including a Delta Temp calculation feature Two invasive blood pressure measurements for the same patient For more information see the section Temperature and Invasive Blood Pressure Temp Press measurement on page 37 46 Introduction to the Instrument Functional Description of the M3015A Measurement Server Extension Hardware Hardware Block Diagram Power Sync to Measurement Server 36 60 Volt SRL Connector RxD TxD FEL Addresses MSL connector Microstream CO BOARD Carine Gas Outlet z2 PRESS Pressure or 22 TEMP Temperature S65 Transducer 205 2 3 o Main Functional Areas Microstream CO Board consisting of an 80C552 Controller the memory system Flash ROM RAM PLA etc the Flow system FilterLine recognition system Inlet solenoid valve Measurement Cell Exciter IR Source Detectors and Temp Sensor and an analog section with ADC DC DC Converter Board connecting to the Floating Non floating isolation area on the Front End Board Consisting also of a multiplexer for Front End Link communication to the Measurement Server PRESS TEMP Front End Board consisting of the PRESS TEMP Front End and the Floating Non floating Isolation area all feeding signals to the DC DC Board Introduction to the Instrument 47 Sidestream Measurement 48 Sidestream CO Measurement Description The M3015A Measurement Server Exten
145. enotes a non fatal error Device ID Code This number refers to a software module and Is used to indicate the location of a fault n This number 1s the internal software module number This number describes the type of fault identi fied Date Time This indicates the date time the error occurred 198 Troubleshooting the Instrument Part 3 Using Support Functions List of Error Codes If a code labelled Software Condition occurs once it requires no action If it occurs repeatedly pass the information on to your Philips representative for analysis When reporting an error code always provide information on the monitor revision the number of instances the code appears in the status log and any symptoms or problems seen on the monitor Table 1 Error Codes for Release A Device Error ID Code Information Action required Severity M3046A Monitor ON omm ome wma em ON pomme mu wma em Ow omm omm emat 0 ow omm smart 0 ON ate oec omm mer wma edm _ ow omm mas wma edm _ 2 7 7 7 7 7 7 7 7 7 17316 12000 Software Condition oN 17316 12100 Software Condition CH 16400 Software Condition Anz i Troubleshooting the Instrument 199 Part 3 Using Support Functions 200 Table 1 Error Codes for Release A Severity Information Action required ae ooms iaa ete sever _ we ur Soa at wre If a code labelled Software Co
146. ension The Monitor displays the data in numerics and waves on the screen The Monitor is prepared with a number of software modules which communicate with each other as shown in the diagram below The Monitor software communicates with the Measurement Server and where present the Measurement Server Extension via a normal local area network LAN link Data from the Monitor can be output to a printer via an infrared serial link or via the LAN connector to a central print server The Monitor can communicate with an Philips Information Center via the LAN Connector wired network or via the Wireless LAN Assembly wireless network when the appropriate options are present M3046 CPU System Inter process Communications Communication Manager Trend Module IrDA Serial IrDA Serial Communication Interface Events Recorder lt gt Manager ADT Module Display Controller Display and Support Operator Interface Alarm Operating HIF LEDs Controller Battery controller Alarm Relay Loudspeaker Each of these modules is described in the following sections 12 Introduction to the Instrument Monitor Theory of Operation Display and User Interface Software Module The Display and User Interface Software displays measurement data and status information on the color LCD display and processes the operator inputs from the HIF Controller The interface consists of the following sub modules e Scr
147. eory Or i 34 Temperature and Invasive Blood Pressure Temp Press measurement 37 AES 37 IVIG AS UTE MEN co ibt cote dis di sts ences 37 Temp Press Re ura eaa rd ai qi eau e d 37 ISOC Ke Ed donee cto ose tasto gt sod statera fe 38 xo trc nno qb Ra bi ens eod Cabos obs aed x eme 38 Temperature and Invasive Pressure Software clle 39 Block Diagram of the Temp Press Software 40 Invasive Pressure 5ottware Module e bes SERE e ee 4 Temperature Software Module 42 Section 3 Measurement Server Extensions Description and Features 44 PC AUC ok hed tite yaad ORE 44 M3015A Measurement Server Extension Theory of Operation 45 Functional Description of the M3015A Measurement Server Extension Hardware 46 Hardware Block Diagram 47 sidestream 05 Neasurenient 3 2 05 ses at i PEEL EN SEE 48 pUON 48 IMeasure Hie DS 48 Contents srdestream CO Peaures ean 49 Block Diagram of the Sidestream CO
148. er 60 seconds The leakage test value should be less than 6 mmHg Testing the Instrument 147 Preventive Maintenance Tests NBP Linearity Test Step 1 Reduce the manometer pressure to 150 mmHg Step 2 Wait 10 seconds for the measurement to stabilize Step3 After these 10 seconds compare the manometer value with the displayed value Step 4 Document the value displayed by the M3046A x3 Step5 If the difference is greater than 3 mmHg calibrate the Server see steps 10 to 12 in the Accuracy Test procedure Valve Test Step 1 Raise the pressure again to 280 mmHg Step 2 Select Close valves Off Step 3 Wait 5 seconds then document the value displayed The value should be less than 10 mmHg Step 4 Document the value displayed by M3046A x4 Test Expected test results What to record on the Service record Accuracy test 1 value displayed by M3046A Difference lt 3mmHg Leakage test 2 leakage test value x2 lt 6 mmHg Linearity test x3 value displayed by M3046A Difference lt 3mmHg Valve Test x4 value lt 10 mmHg PN P x1 x2 x3 x4 or PN F x 1 2 3 4 where P Pass and F Fail Sidestream CO Performance Test NOTE 1 Allow 5 seconds between individual service procedures in order to ensure stable equipment conditions 2 When certain Monitor procedures are running for example AutoZero or purging service procedures are not possible and trying to start them will result in a message Servic
149. er Extension Hardware The Extension receives information signals such as Temp Press and mainstream from the patient then transmits the data through the Server to the Monitor via the Server to Monitor link bar See the Functional Description of the Measurement Server Hardware on page 22 for a description of the normal processing of measurement data The mainstream CO Extension is always used with a Server To function correctly both the Server and the Extension must have compatible software revisions WARNING Never use a Measurement Extension with a Measurement Server which contains Release A software A XX XX Since the software required to process data from the Extension is absent the additional measurements will not be displayed To view the software revision press the Setup Key and select Revisions Pairing the Server with the Extension allows for the following Measurement of both temperature and invasive blood pressure for the same patient Two temperature measurements for the same patient including a Delta Temp calculation feature Two invasive blood pressure measurements for the same patient For more information see the section Temperature and Invasive Blood Pressure Temp Press measurement on page 37 54 Introduction to the Instrument Functional Description of the 3016 Measurement Server Extension Hardware Hardware Block Diagram 36 60 Volt Power Sync SRL Connector RxD TxD to Measure
150. erature TEMP and or a second invasive pressure PRESS may be measured An M3015A M3016A Measurement Server Extension must be used with a M3000A M3001A Measurement Server The Extension does not function alone Attach the Measurement Server to the Measurement Server Extension by sliding it into the grooves on the Measurement Server Extension and clicking it into place Attach the combination of Measurement Server Extension and Measurement Server to the Monitor exactly as described above for the Measurement Server by sliding the Extension into the grooves on the Monitor and clicking it into place Attaching the Monitor to a Mount Step 1 Make sure the front of the Monitor is facing the front of the mount The front of the mount has a blue button in the center Step2 Lower the Monitor onto the mount until the feet of the Monitor click into the mount Detaching the Monitor from a Mount Step 1 Press and hold in the button indicated by the arrow on the front of the mounting Step2 Lift the Monitor away from the mount Step Release the button Installing the Instrument Attaching the Measurement Server to a Mount Attaching the Measurement Server to a Mount Step 1 sure the Measurement Server is oriented correctly relative to the mount see the picture below Step 2 Place the Measurement Server on the back mount If it is not tight against the mount slip it in the direction of the measurement connectors
151. erification Procedure Perform the following tests Step 1 Power on test see page 142 Step 2 Nursecall Performance test see page 157 Step 3 Safety test see page 159 You must document the modification for a particular unit including the verification tests in the CSO You must add a printed dated and signed installation note to the Service documentation of the modified Monitor For convenience we suggest that you attach a label to the instrument next to the output and using permanent black or blue ink add localized text similar to Nurse Call is Open On Alarm Relay or Nurse Call is open Installation of Wireless Infrastructure See the IntelliVue Clinical Network Service Manual Please also consult the configuration section of the monitor s Instructions for Use for information on assigning a label to the monitor Configuring the Radio Frequency of the M3 M4 Monitor The configuration tool for this procedure is contained on the IntelliVue Information Center Application Software CD ROM that corresponds to your revision of the monitor and Information Center and must be copied to the PC used for the configuration procedure The configuring PC must meet the following requirements Microsoft Operating System software Windows 98 or Windows NT 200 MHz or higher clock speed RS 232 serial interface port 9 Pin D type connector contain CD ROM drive M3 M4 monitors have two IP Addresses one for
152. es dangerous to life are present in the Instrument when it is connected to the mains Power Supply Do not perform any disassembly procedures other than Server and Extension removal with power applied to the Instrument Failure to adhere to this warning could cause serious injury or death Residual High Voltage There may be hazardous voltages stored in capacitors on the Power Supply board even when the Instrument is not connected to the mains Power Supply High voltages are present on the Power Supply board for up to 20 seconds after disconnecting the mains power cord so always disconnect the Power Supply cord and wait at least 20 seconds before removing or refitting the Power Supply board Battery Warning Never insert a battery without the Power Supply board being present You may blow the battery fuse on the Connector Board Power Cord Warning Do not connect a mains power cord to a Power Supply that has been removed from the Monitor General Reassembly Refitting Comments Battery Door When inserting the Monitor chassis always open the battery compartment door to avoid striking the door clip Ribbon Connections Make sure male female ribbon connections are correctly lined up e Open Component Do not allow anything to fall into the open component 220 Repairing the Instrument Disassembly for the Monitor Disassembly for the Monitor Removing the Battery To remove the battery do the following Step 1 Slide t
153. est has passed over the whole screen once If the test fails repeat the test to make sure that it is not a single sporadic fault If it fails again exchange the System Board The advantage of this test compared to the SGRAM video memory test executed in the coldstart test 1s that the patient database is not erased and the active default set is not reset to user defaults Backlight Test The cumulative time the backlight has been operating is shown When replacing backlight tubes this counter must be reset reset of the backlight time must be confirmed If the backlight tubes have been on for an estimated time of typically 25 000 hours brightness might be reduced by about half and the tubes should be replaced Since the reduction of effective brightness depends on a number of factors the decision to replace the tubes should be determined on a case by case basis rather than the total number of operating hours Examples of factors that contribute to reduced backlight brightness are as follows Cumulative operating hours Operating interval time or user set brightness level Troubleshooting the Instrument 207 Using Service Mode NOTE 208 Reset PumpOpTime The cumulative time the pump in the M3015A Measurement Server Extension sidestream CO has been operating is shown When replacing the pump applies to units with serial number prefix DEO20xxxxx only this counter must be reset A reset of the pump time must be confirme
154. est is required once per day and when the Instrument is repaired or when Instrument parts are replaced This mainstream CO performance test is a User task and is described in the nstructions for Use There is no requirement for additional tests to be performed by the Service Engineer or Biomedical Engineer Nurse Call Relay Performance Test This test checks the operation of the Nurse Call Relay The Nurse Call Relay test is recommended for customer sites where the nurse call is in use It should be performed once every two years and when the Instrument is repaired or when Instrument parts are replaced The Nurse Call relay functions as follows Standard Operation Relay open Alarm Condition Relay closed Tools required Ohmmeter Step 1 Plug a phono connector into the Nurse Call Relay connector Step 2 Connect the ohmmeter Step 3 If no alarm occurs the relay contacts are open NOTE When an alarm occurs the relay contacts close NOTE The conditions described above are the unmodified conditions Please check accordingly if the Nurse Call Alarm relays have been modified see Modification for Nurse Call Alarm Relays on page 76 Testing the Instrument 157 Accuracy and Performance Procedures 158 ECG Sync Performance Test This test checks the performance of ECG synchronization between the Monitor and a defibrillator The ECG sync performance test is required once every two years and when the Instrument is repaired
155. ety Checks S 1 Part 1 System Enclosure Leakage Current NC normal condition L S1 o O O O 0 9 N L innu Expected test results Medical electrical system Instrument under test Signal parts Signal parts in and or in and or output Other Instrument Not present in Class 2 Can be multiple different connections to different equipment at same time Normal condition maximum leakage current x1 Measures leakage current of exposed metal parts of Instrument under Test IUT and between parts of the system within the patient environment normal and reversed polarity using 52 Safety test according IEC 60601 1 UL2601 1 S 1 Part 2 System Enclosure Leakage current Single Fault open earth 160 Medical electrical system Instrument under test Signal parte Signal parts in and or in and or output Other Instrument Can be multiple different connections to different equipment at same time Testing the Instrument Patient Safety Checks Expected test results Single Fault maximum leakage current x2 lt 500UA IEC 60601 1 lt 300uA UL2601 1 Measures leakage current of exposed metal parts of Instrument under Test with Protective Earth PE open circuit S4 open and between parts of the system within the patient environment normal and reversed polarity using S2 Reporting safety test S 1 in the Service record S
156. ew Power Supply can be used with all new parts except the old Main System Board If an old Power Supply is replaced or exchanged for a new Power Supply the new Main System Board is also required A new Power Supply cannot be used with an old Main Board Old Chassis and Housing An old version Chassis and Housing can be used with all new parts except the new Connector Board VGA and cover New Chassis and Housing A new Chassis and Housing can be used with all new parts Old Monitor Bezel An old version Monitor Bezel can be used with all new parts New Monitor Bezel A new Monitor Bezel can be used with all old parts Replacement Parts List of Replacement and Exchange Parts List of Replacement and Exchange Parts The Part Numbers in the list of parts below are used to order parts from your Philips representative The Item numbers where applicable correspond to the illustration which follows Exchange parts are parts that have been returned to Philips and reconditioned for further use Parts offered as exchange parts are in excellent service order according to rigorous Philips standards but offer a considerable price advantage to the user Replacement Parts 247 Monitor Parts Monitor Parts Bezel Parts 12 Digit Part Number Reordering Description Number IrDA Interface M3046 62231 453563332911 Monitor Bezel IrDA Interface English M3046 62232 453563332921 Monitor Bezel IrDA Interface French M3046
157. falling or being pulled out of the wall channel Do not remove this stop while the mount ts supporting an Instrument Do not mount any portion of a monitoring instrument over a patient s bed Do not exceed the maximum rated load specified for each wall mount Ensure that no electrical wiring utilities or piping interfere with the selected wall mount ing location Do not install wall channel onto solid brick or brick veneer walls Do not attempt to install wall mounts onto crumbly wall material Check the mounting hardware holding the wall channel or bracket to the wall every 12 months Tighten if necessary 100 Installing the Instrument Installing the Wall M3080A A13 Installing the Wall Rail M3080A A13 The wall rail is intended for use with the Universal Bed Hanger A11 To mount the rail securely you need 3 screws These are not provided because the type of surface dictates the type of screw used Step 1 Step 2 Step 3 Step 4 Step 5 x Sony aS IAPS U Ud Bue es e An 2 ya P r H ARE EM n E 32 oa Dm LA Ue M oye Rrra ssi Sty A E T CN KN TAN Unpack the Wall Rail and check all parts are available Select 3 screws appropriate to surface material Insert the 3 screws through the screw holes provided in the plate Tighten the screws Hang the bed
158. ference to help identify problems early if test results deteriorate over time b Discard them c File them but do not consult them in case of problems Question 3 Which is the one parameter that requires daily calibration testing SpO performance b Temperature performance c Mainstream CO performance 163 Answers to the Tutorial for Testing the Instrument Answers to the Tutorial for Testing the Instrument 1 d See page 137 for more details 2 a See entire chapter for more details 3 c See page 157 for more details 164 Testing the Instrument 5 Troubleshooting the Instrument Objectives In order to meet this chapter s objectives you should be able to diagnose and isolate hardware failures to the level of the field replaceable part In addition this chapter describes how to troubleshoot problems using error codes and other support functions including How to use the Status Log to check for error codes and other service information How to interpret error codes and how to use them to isolate faults Use this chapter when you suspect you have a problem with your Monitor your Measurement Server or your Measurement Server Extension or whenever you are referred to this chapter from another part of the Service Guide This chapter is divided as follows Part 1 Troubleshooting Checklists This part provides check for the obvious hints and tips Part 2 Isolating and Solving Instrume
159. from the ECG and for the respiration rate RR You can use either standard or EASI lead placements with the M3046A Release E together with the M3001A Using a standard 5 electrode set in EASI lead placement you can monitor three out of 12 standard ECG leads simultaneously and continuously at the bedside EASI derived 12 lead ECGs and their measurements are approximations to conventional 12 lead ECGs As the 12 lead ECG derived with EASI is not exactly identical to the 12 lead conventional ECG obtained from an electrocardiograph it should not be used for diagnostic interpretations Respiratory monitoring is also possible with the EASI placement respiration is measured between the I and A electrodes Introduction to the Instrument 23 Electrocardiogram Respiration ECG Resp Measurement ECG Resp Features This illustration shows the user controls and connectors for the ECG Resp This standard 12 pin connector will accept either a 3 lead or a 5 lead ECG cable Features of the ECG Resp measurements are described in the following paragraphs ECG Modes The QRS complexes are detected automatically In non paced mode no pace pulses are expected and no pace pulse rejection occurs In paced mode pace pulses of channel and 2 are annotated with a small dash on the screen Resp Modes In auto mode the Monitor measures respiration and adjusts the detection level automatically In manual mode the user sets the detection level for
160. ftware and compares it against the limits set by the user This software also gets INOP messages from the SpO algorithm software Alarms are communicated to the Monitor via the operating software The SpO Controller software receives the red and infrared signals the transducer coding information the INOP and error messages and the status information from the SpO CPU It receives the operating controls and the user settings from the Monitor The user settings are stored in non volatile memory Introduction to the Instrument Temperature and Invasive Blood Pressure Temp Press measurement Temperature and Invasive Blood Pressure Temp Press measurement Description The Measurement Server has a measurement channel which can measure invasive pressure or temperature Measurements The measurement produces a numeric for temperature or a real time pressure wave together with the pulse rate and numeric readings for the systolic diastolic and mean blood pressure values Temp Press Features This illustration shows the user controls and connector for the Temp Press Connectors for use with a Temp or a Press transducer Press Wave Blood pressure is depicted as a pressure wave with the numerics for systolic diastolic and mean pressure values The blood pressure shows the cycles of contraction and release within the heart and the resultant pressure that is generated to move the blood through the vessels This illustrati
161. ge An AutoZero is in progress An AutoZero will be done at the fol lowing intervals 5 min utes after connecting the FilterLine 1 hour later 12 hours later and every 12 hours from there on Attach a FilterLine Remember that only Microstream accesso ries may be used with the M3015A 1 and 2 Check the Fil terLine and exhaust tube then disconnect and reconnect the Fil terLine If the INOP 15 still displayed use new FilterLine 3 If Pump Op Time has been reset perform a flow check and store the flow 1n Service Mode select Store Flow 181 Part 2 Isolating and Solving Instrument Problems CO PURGING NO CENTRAL MONITORING 182 Check for an occlusion and remove If necessary replace the FilterLine The Measurement Extension 1 purging the FilterLine This occurs when an occlusion 15 detected in the line or airway adapter If the occlusion 15 not removed by purging the Measurement Extension will go into Standby Mode and a CO OCCLUSION INOP will be displayed With a wireless net work Check that the Monitor has not been moved out of range of an access point and that no microwave oven or other non monitoring wireless device 1s inter fering with the Monitor Central monitoring has been interrupted Troubleshooting the Instrument Part 2 Isolating and Solving Instrument Problems Isolating the Defective Component You can use the following ta
162. ger M3080A 11 99 Warnings Cautions and Safety Precautions Relating to Wall Mount Installation 100 Installing the Wall Rail M3080A 13 101 Installing the Tilt Swivel Mount M3080A 14 101 screwed Directly Wall eet holla 102 Mounted to the GCX Wall Channel M3080A 15 103 Attached to a Universal Pole Clamp is aeuo qtd CR PAGO OPE PECUNIAS 104 Attached to the Monitor 0 0 ccc ccc eee eee eee een 105 Installing the GCX Wall Channel M3080A 15 4 106 Installing the Universal Pole Clamp M3080A 05 107 Installing the Measurement Server Mounting Options 108 Server Mounting Plate M3080A 01 108 Server Mounting Plate M3080A A02 111 Mounting Options for the Local 111 Termina on v s eraot ee HR 112 Disposing of the Monitor Measurement Server and Measurement Server Extensions 115 Tutorial for Installing the Instrument 116 Answers to the Tutorial for Installing the 117 3 Maintaining the Instrument c
163. ger monitors the remaining battery capacity and indicates the status of the battery Refer to the documentation that accompanies the charger for details on charger use You can leave batteries in the Battery Charger and Conditioner 8043 as no trickle charging takes place Conditioning a Battery Using the Monitor If you do not have access to a Battery Charger and Conditioner M8043A you can condition the batteries using the monitor We recommend two full charge and discharge cycles to ensure proper conditioning independent of the initial condition of the battery If you need to continue battery powered monitoring replace the battery in the monitor with a different charged and conditioned battery Do not condition a battery in a monitor that is being used on patients 1 Insert the battery that is to be conditioned into a monitor that is not currently being used 2 Disconnect the monitor from the AC power supply Maintaining the Instrument 131 Battery Handling Maintenance and Good Practices NOTE 132 3 Turn on the monitor and leave it on until it switches off automatically 4 Turn the monitor off using the On Off Standby switch 5 Reconnect the monitor to the AC power supply 6 Charge the battery until it is full the battery LED on the monitor is green 7 Repeat steps 2 to 6 A Note on Trickle Charging Trickle charging means a low current is applied to a fully charged battery to keep the charge at 100 Th
164. gmomanometers ANSI AAMI SP 10 1992 in relation to mean error and standard deviation when compared to intra arterial measurements in a representative patient population Installing the Instrument Configuring the Monitor Rel C 2 Rel 27 Intra arterial E I c 150 Intra arterial Pressure mmHg Figure 1 Systolic readings of NBP Measurement Characteristics for M3 Release B and M3 Release C compared to readings obtained using the manual auscultatory method Korotkoff and direct arterial measurement Rel C 2 Rel Intra arterial DUT mmHg 100 150 Intra arterial Pressure mmHg Figure 2 Diastolic readings of NBP Measurement Characteristics for M3 Release B and M3 Release C compared to readings obtained using the manual auscultatory method Korotkoff and direct arterial measurement The data for Figure 1 and Figure 2 was derived from Clinical Evaluations and Auscultatory Measurement of Arterial Pressure During Anesthesia a Reassessment of Korotkoff Sounds E Pereira et al European Journal of Anesthesiology 1985 2 20 The setting of NBP Measurement Characteristic is stored in the Measurement Server If the Measurement server is moved between monitors the setting will travel with the Measurement Server Installing the Instrument 89 Installing an Additional Display WARNING 90 Installing
165. guage 12 Digit Reordering Number Standard Version and Option C12 Conventinal 12 Lead ECG with IntelliVue only English M3001 64101 453563462481 French 453563462491 453563462501 Dutch 453563462511 453563462521 Italian 453563462381 Norwegian 453563462391 453563462401 Finnish 453563462411 apanese 453563462481 Danish 453563462421 Traditional Chinese 453563462481 Simplified Chinese 453563462481 Portuguese 453563462431 453563462441 453563462481 453563462451 Hungarian 453563462481 453563462461 Polish 453563462471 453563462481 Korean M3001 64101 453563462481 Cn Cn Cn N s D lt a 5 e O 0 Q 3 7 A n D gt gt gt 5 54 Replacement Parts Multi Measurement Server Parts Option C06 Pressure Temp Extension and Option C18 Pressure Temp Extension Conventional 12 Lead ECG with IntelliVue only versions of the M3001A Measurement Server offer EASI lead placement using an EASI 5 electrode cable set The conventional 12 lead ECG capability of M3001A C12 and C18 works only with the IntelliVue family of monitors You can connect a 10 electrode lead set for example if a patient is transferred from an IntelliVue family monitor but only the standard five electrodes RA LA RL LL and V are used for monitoring The rest are automatically ignored Replacement Parts 255 Multi Measurement Server Parts M3001A MMS Part Number
166. guration of this Wireless Adapter 15 now complete Step 17 Remove the phono plug from the rear of the Wireless Adapter and replace the cover Step 18 If there are additional Wireless M3 M4 Monitors to be configured repeat Step 1 through Step 12 for each monitor The Configuration Tool retains the parameter values entered when it was previously run For each Wireless Adapter configured enter the parameters for that Wireless Adapter in the Wireless Bedside Parameters window It is possible that all of the Wireless M3 M4 Monitors in a system will have the same configuration parameters When all Wireless M3 M4 Monitors have been configured Step 19 Click Close in the upper right corner of the Configuration Tool window Troubleshooting If an error should occur during the configuration process one of the following troubleshooting procedures may resolve the problem Installing the Instrument 85 Installation of Wireless Infrastructure If the Read only attribute has not been removed from the configuration tool files the following error message will be displayed Wireless Tool fi Error opening configuration file D tools Wyireless T ool ContigFiles4P1_ 465 cfg For writing Error Access to D staalsswrelessT ool onfigFilezP1 465 was denied 5 The Configuration File i not updated with last user entered parameters Click OK to exit the tool and remove the Read only attribute following the procedure described in M
167. h of the four electrodes They are then passed to a digital to analog converter D A Converter for offset compensation and then to an analog to digital converter A D Converter The input output logic which is controlled Introduction to the Instrument 25 Electrocardiogram Respiration ECG Resp Measurement 26 from the CPU controls the analog to digital conversion and reads out the digitized ECG data The CPU communicates with the ECG ASIC via a built in serial link To prevent interference from the 50 60Hz power line the common mode signal is used to drive the right leg RL drive amplifier The output from the amplifier is then returned to the patient via the RL electrode Excitation Current Source The excitation current source feeds a small current into the right arm and left leg electrodes This results in a voltage drop between the right arm and left leg which 15 proportional to the thorax impedance Bridge amp Amplifier The bridge subtracts an offset from the voltage between right arm and left leg The amplifier amplifies the remaining signal The Central Processing Unit CPU ECG ASIC Pace Pulse Controller pue Data Gan Processing System CPU System Acquisition amp Filtering Communication The CPU performs the following functions Controls the ECG ASIC and stores ASIC specific calibration and error log data This initializes the intended ASIC configurations s
168. hanger over the wall rail Installing the Tilt Swivel Mount M3080A A14 The Tilt Swivel mount can be used in the following situations Screwed directly to a wall Mounted to the GCX Wall Channel A15 described in the following section e Attached to the Universal Pole Clamp Attached directly to the Monitor Installing the Instrument 101 Installing the Tilt Swivel Mount M3080A A14 102 Screwed Directly to a Wall This option is used to mount the Monitor on a wall but to also provide tilt and swivel capability To mount the assembly securely you need 3 screws These are not provided because the type of surface dictates the type of screw used Adapter Plate w X lt lt 9 2 2 Step 1 Unpack the Tilt Swivel mount and check all parts are available Step 2 Remove the adapter plate this is only necessary for the GCX Wall Channel Step 3 Secure the rail to the Tilt Swivel mount with the 2 screws provided Step 4 Select 3 screws appropriate to surface material Step 5 Insert the 3 screws through the screw holes provided in the plate Step 6 Tighten the screws to secure the mount to the wall Step 7 Use adjustment knobs to adjust to the required tilt swivel angle Hang the bed hanger over the rail Installing the Instrument Installing the Tilt Swivel Mount M3080A A14 Mounted to the GCX Wall Channel M3080A A15 This option is used to mount
169. has been operated is shown but cannot be modified Troubleshooting the Instrument Using Service Mode NBP Cycles information only The cumulative number of NBP cycles completed is shown but cannot be modified Line Frequency When operating on mains power supply the line frequency indication 1 used to switch between 50 Hz and 60 Hz for the ECG filtering frequency CAUTION Make sure that the Line Frequency is set correctly for the country option ordered The factory default is 60 Hz for all units regardless of country option How To Access the Monitor and Server Revision Screen 1 Press Setup 2 Move the highlight to Revision 3 Depending on which screen you want to display toggle between Monitor Revision and MeasServ Revision Troubleshooting the Instrument 209 Troubleshooting the Installed Instrument Troubleshooting the Installed Instrument Here 15 a list of some easily corrected troubleshooting cases If the fault is not described below investigate further without delay For more information see Testing the Instrument and Repairing the Instrument Troubleshooting with Self Test Alarm Messages When You Switch the Monitor On Message What To Do Battery Low approxi Connect to AC power to charge the battery or fit a mately 20 minutes remain fully charged battery within next 15 minutes ing Check Status Log This indicates a non critical problem in the Monitor There is a defect but the Monitor can sti
170. he Measurement Server that acquires those measurements and the monitoring system that displays them Who Should Use this Book If you are a biomedical engineer or a technician responsible for troubleshooting repairing and maintaining Philips s patient monitoring systems this book is designed for you If you are new to Philips s product line or monitoring systems you may find this book helpful as an orientation to the equipment If you have already worked on the systems and now want further details on how they work you are likely to find much of the information you need here Conventions Used in this Book A warning alerts you to a potential serious outcome adverse event or safety hazard Failure to observe a warning may result in death or serious injury to the user or patient A caution alerts you to circumstances where special care is necessary for the safe and effective use of the product Failure to observe a caution may result in minor or moderate personal injury damage to the product or other property and possibly in a remote risk of more serious injury vi Contents 1 Introduction to the 5 amp 1 Te 1 CONCE Dis uos Sene ohare eas ERE A ERE MEE SN Ee REM e a REIN QE 1 Introducing the Instrument Components 2 Instr ment Components oae Seb enano e How eee DER
171. he Instructions for Use as well as the setup sections for each of the measurements for more information on Monitor setup There is a second level of configuration for the Monitor which is only available after entering a password See the Installation chapter and Configuration chapter of the User s Guide for more information Selecting NBP Measurement Characteristic Only software revisions D and later allow the NBP Measurement Characteristic to be changed WARNING Consult technical support before changing the NBP measurement characteristic in Adult or Pediatric mode Changing the NBP measurement characteristic will significantly change the NBP readings especially in the elevated pressure range The setting of NBP Measurement Characteristic is not transferred as part of a cloning operation with the cloning tool It has to be set on each monitor separately NOTE This setting changes the NBP measurement characteristic in adult and pediatric mode It has no influence to the NBP measurement characteristic in neonatal mode In neonatal mode always the intraarterial method is used as reference standard to validate the overall accuracy For the M3046A Monitor with software revision E Step1 Highlight the NBP numeric and press on the TouchStrip OR Step 1 Press hte Setup key Step 2 Move the highlight to NBP Step 3 Press on the TouchStrip When you are finished with the NBP Setup press the Main Screen key Installing the Instrume
172. he Max Error see diagram below When the Max Error is greater than 20 a message is displayed prompting the user to condition the battery as described in Conditioning a Battery Using the Monitor on page 131 Never use a monitor that is monitoring a patient to perform battery conditioning You can reset the value for the Max Error before the battery needs conditioning by discharging the battery completely and then recharging it in a monitor that is plugged in but turned off A conditioning message may also appear if the battery has been stored in a monitor that has not been in use for several weeks Refer to Conditioning a Battery on page 130 Maintaining the Instrument Battery Handling Maintenance and Good Practices 100 Charge Trickle Charging es se a des gest Discharging S C o iT M g Charging B 2 gt amp o Max Error Ea em Charge time Conditioning a Battery Using the Battery Charger and Conditioner M8043A We recommend you use the Battery Charger and Conditioner M8043A for all your battery maintenance needs The M8043A analyses the battery status and then charges and or conditions the battery automatically as required with no input from the user necessary You can also start a conditioning cycle manually After a conditioning cycle the char
173. he System CPU via a serial interface The CPU receives calibration data and user settings from the System CPU Temperature and Invasive Pressure Software The CPU contains software that performs communication with the System CPU data acquisition of the invasive pressure signal or temperature control of the A D converter pressure wave and temperature numeric filtering switching between temperature and pressure measurement depending on the connected transducer NOP and error detection and self tests The CPU receives control information from the System CPU and transmits the pressure wave or a temperature numeric INOPs and error and status messages to the System CPU The CPU software functionality is structured into the following modules see block diagram Introduction to the Instrument 39 Temperature and Invasive Blood Pressure Temp Press measurement e System CPU communication ADC controller and data acquisition Wave numeric processing and filtering Pressure temperature mode detection Block Diagram of the Temp Press Software 2 iz ZL Pressure Temperature un m Mode Detector Sus 2 E ES 29 2s 5 52 sas 2 E gt s system i amp lt r CPU oS Data Acquisition Communication e RO System CPU Communication The pressure temperature measurement section of the CPU contains a
174. he battery compartment door toward the rear of the Monitor and open it down Step 2 Locate the battery extractor tape and pull it to disengage the battery socket Step 3 Pull the battery out Removing the Power Supply Read the warnings at the beginning of this chapter You must remove the Power Supply to access the fuse To remove the Power Supply do the following Step 1 Remove the Measurement Server and where present the Measurement Server Extension Step 2 Remove the battery Step 3 Switch on the Instrument and disconnect the AC power cord from both the Instrument and the mains power source after 20 seconds the capacitors on the Power Supply board are drained Step 4 Push a thin bladed screwdriver into the hole next to the cover LU ab Step 5 Release the cover Step 6 Remove the two anti vibration screws These are the only anti vibration screws and must be refitted Do not lose these screws Repairing the Instrument 221 Disassembly for the Monitor Step 7 Slide out the Power Supply Removing the Chassis Read the warnings at the beginning of this chapter To remove the chassis do the following Step 1 Remove the Server Step 2 Remove the battery Step3 Switch the Instrument on and disconnect the AC power cord from the Instrument and the mains power source after 20 seconds the capacitors on the Power Supply board are drained Step 4 Push a thin bladed screwdriver into the hole next to the
175. he chassis as described previously in this chapter 224 Repairing the Instrument Disassembly for the Monitor Step Remove the screw which secures the connector board then pull out the Connector Board 4 Step 5 Lay the chassis face down on a clean scratch free surface Step 6 Disconnect the loudspeaker cable 1 For Monitors with Wireless LAN assembly Disconnect the ventilator wires 2 from the system board Unclip the fan assembly from the metal sheet 3 and pull forwards to remove Step 7 Remove the 4 System Board screws 4 Repairing the Instrument 225 Disassembly for the Monitor 226 Step 8 Withdraw the board from the chassis towards and slightly to the right of you to avoid hitting the chassis Removing the Wireless Assembly for Monitors with Wireless LAN Interface only Step 1 Step 2 Step 3 Step 4 Step 5 Remove the Server as described previously this chapter Remove the battery as described previously in this chapter Remove the chassis as described previously in this chapter Remove the system board complete with the wireless LAN assembly as described previously in this chapter Lift the wireless assembly up to release the connector then remove the assembly from the system board Removing the LCD Assembly and Backlight Tubes This procedure describes how to remove the LCD Assembly which includes the LCD screen and rubber anti vibration cushion Once the assembly has been r
176. he configuration tool is used again Step 3 Place the cursor over either of the highlighted fields and right click the mouse to display a menu listing Properties as shown below WEB wwirelessM3 1 2b15 C Open With Scan with Marten Antivirus Quick View Plus Quick Print Add to zip Add to WB wirelessM3 1 2b15 zip zip and E Mail wB wirelessM3 1 2b15 zip Send d Cut Copy Create Shortcut Delete Rename Properties 80 Installing the Instrument Installation of Wireless Infrastructure Step 4 Click on Properties to display the selected file s Properties window WB WielessM3_1 2615 CFG Properties General wB wireless 3 1 2b15 CF Type CFG File Location A Stoole ConfigT ool Size 3 TBKB 3 243 bytes MS DOS name WE Created Wednesday March 14 2001 1 59 00 Modified Wednesday March 14 2001 2 25 04 Accessed Thursday March 15 2001 Attributes Hidden Archive Sustem Click in the Attributes box preceding Read only to remove the check This removes Read only from the selected file If the configuration tool is run with this file set as Read only the following error message will be displayed Clicking OK will exit the tool and the Read only attribute must be removed to clear this condition Wireless T ool Error opening configuration file D tools Wireless T aol C anf
177. he settings such as alarm limits are stored inside the server This behaviour permits fast and easy transport Alarms Reset The Silence Reset key on the Measurement Server allows you to silence alarm tones while retaining visual alarm messages depending on your Monitor s configuration Server to Monitor Link Bar A single connector sometimes referred to as the Server to Monitor connector or link bar allows quick and easy connection to a Monitor This allows the Monitor to show waves and alarms from the Measurement Server The interface subsystem consists of the physical interface to the Monitor or the Measurement Server Extension and controlling software Digitized patient information transmitted over the link bar may be waves for ECG pressure respiration pleth numeric information for heart rate pulse pressure values SpO and respiration rate or alert information for alarms and assorted status information For Service Procedures there is a special Service Link Bar which is used in place of the standard Link Bar Measurement Server Theory of Operation The Measurement Server is prepared with software divided into four major conceptual layers The Measurement Server software communicates with the Monitor via a normal local area network LAN link The four conceptual layers of the Server software are divided as follows The First Layer tThis consists of the operating system which passes messages between the vari
178. hout Pressure and Temperature German M3015 441 64 453563402611 M3015A Front Bezel without Pressure and Temperature Dutch M3015 44165 453563402621 M3015A Front Bezel without Pressure and Temperature Spanish N 66 Replacement Parts M3015A Measurement Server Extension Parts 12 Digit Part Number Reordering Description Number M3015 44166 453563402631 M3015A Front Bezel without Pressure and Temperature Italian M3015 44167 453563402641 M3015A Front Bezel without Pressure and Temperature Norwegian M3015 44168 453563402651 M3015A Front Bezel without Pressure and Temperature Swedish M3015 44169 453563402661 M3015A Front Bezel without Pressure and Temperature Finnish M3015 44170 453563402671 M3015A Front Bezel without Pressure and Temperature Japanese M3015 44174 453563402681 M3015A Front Bezel without Pressure and Temperature Portuguese M3015 44175 453563402691 M3015A Front Bezel without Pressure and Temperature Greek M3015 44177 453563402701 M3015A Front Bezel without Pressure and Temperature Russian M3015 44180 453563402711 M3015A Front Bezel without Pressure and Temperature Polish M3015 29303 453563332261 M3015A Pump Kit including scrubber Can only be exchanged in units with serial number prefix DEO20xxxxx M3015 29314 453563332281 CO Infrared Lamp Can only be exchanged in units with serial number prefix DEO20xxxxx manufactured before June 2002 5041 8114 453563100081 Mounting Pin for M301
179. ial Recorder Interface Italian M3046 62337 453563485001 Monitor Bezel Serial Recorder Interface Norwegian N 48 Replacement Parts Part Number M3046 62338 M3046 62339 M3046 62340 M3046 62341 M3046 62342 M3046 62343 M3046 62344 M3046 62345 M3046 62347 M3046 62349 M3046 62350 Replacement Parts 12 Digit Reordering Number 453563485011 453563485021 453563485031 453563485041 453563485051 453563485061 453563485071 453563485081 453563485091 453563485101 453563485111 Monitor Parts Description Monitor Bezel Serial Recorder Interface Swedish Monitor Bezel Serial Recorder Interface Finnish Monitor Bezel Serial Recorder Interface Japanese Monitor Bezel Serial Recorder Interface Danish Monitor Bezel Serial Recorder Interface Traditional Chinese Monitor Bezel Serial Recorder Interface Simplified Chinese Monitor Bezel Serial Recorder Interface Portuguese Monitor Bezel Serial Recorder Interface Greek Monitor Bezel Serial Recorder Interface Russian Monitor Bezel Serial Recorder Interface Czech Monitor Bezel Serial Recorder Interface Polish 249 Monitor Parts Other Monitor Parts 12 Digit Part Number Reordering Description Number 453563333141 Monitor System Board English software preloaded Rev A 453563332681 Monitor Power Supply assembly old 453563332691 Monitor Power Supply assembly new M3046 66502 M3046 60001 M3046 60002 2110 0495 N A Fuse mounte
180. icroamps uA rms at 264V 50 60 Hz Installation Do not touch the patient when connecting or disconnecting the cable to the Video Out connector When an additional display is connected and an additional protective earth connection is needed to be made to the Monitor this protective earth connection may only be used if the leakage current does not exceed the limits of IEC 60601 1 in normal condition A Video Out connector is provided on the rear of the Monitor for connection to an additional display as shown below LAN Software Update Connector 5V Video out Connector for an additional Nurse Call Relay Connector 36V Screw connector for protective Installing the Instrument Installing the 12V Adapter Installing the 12V Adapter The 12V adapter option number M3080A C32 is used with a vehicle 12V supply to power an M3 M4 Monitor The Adapter must be connected to ground or to the vehicle chassis Detailed instructions can be found in the Instruction sheet delivered with the Adapter M3080 9011A After installation a safety test must be performed as described in Chapter 4 Testing and Inspecting Using the Battery Charger and Conditioner The Battery Charger and Conditioner M8043A part number M8043 60000 is an external device used to recharge and condition the monitor s battery To use the Battery Charger and Conditioner follow the instruction sheet delivered with it For more information on bat
181. ifferent A D converter controls and wave processing algorithms depending on the connected transducer Pressure or Temperature To recognize the presence of a pressure transducer a coding within the transducer is checked To recognize the presence of a temperature transducer the transducer s resistance 15 measured and must be within specified limits This is only done when no pressure transducer is present Invasive Pressure Software Module The Invasive Blood Pressure Module derives three numerical pressure values systolic diastolic and mean a blood pressure waveform and a pulse rate The module is designed to be used with DC pressure transducers 5 uV V mmHg only Alarm limits can be set for pressure and pulse values Alarm messages are issued if the calculated values are outside the set range or outside the measurement range Block diagram of the Invasive Pressure Software Module Wave o B Pressure Waveform e Processing c un E Beat Average Pulse Rate m Calculation Pressure Values v EB Acquisition systolic diastolic mean S Control l LR 2 Pressure Alarming Pressure Alarms S Lui Pressure Pulse User Controls Signal Acquisition This module is responsible for the A D conversion of the analog signal from the pressure transducer The Signal Acquisition module provides a raw pressure waveform to the Wave Pro
182. igFiless amp P1 455 For writing Error Access to wireless T aal ConfigFiless amp P1 4b5 cfg was denied 5 The Configuration File is not updated with last user entered parameters Running the Configuration Tool Once the tool has been copied and made writeable it can be run The first step is to select which device Access Point Switch or M3 M4 Monitor to configure Step5 Run the configuration tools as follows a select Start in the lower left of the Windows Main Menu b select Run in the Windows Workstation menu Installing the Instrument 81 Installation of Wireless Infrastructure click Browse to access the Browse application d select ConfigTool in the tools menu of the stored configuration tools files e locate the file ConfigTool exe in the ConfigTool directory f double click ConfigTool exe to enter it into the Open field of the Run window g click OK to open the Configuration Tool window ContigT ool Select Device to Configure Firmware Select Serial Port Revision and Port then click OK COMI COM Device ToContiqgure_FirmnwareRew WB_WirelessM3_1 2b1 5 CFG browse a The Configuration Tool Window is used to select the Serial Port COM1 or COM2 on the configuring PC that will be used to perform the configuration and the configuration file for the device being configured Access Point Network Switch or Wireless Bedside Step 6 Select the Serial Port to be
183. in sync with ECG Defib synchronization fails Low light transmission of SpO sensor LEDs to the sensor photo diode Patient has low peripheral perfusion Replace the System Board Exchange the Server and try again Check the defib cable Check Transmission and Perfusion Index as fol lows 1 Fit SpO gt sensor on your finger 2 Enter Config Mode 3 Select 5 4 Switch SpO On Lightly press the Touch strip until text appears at the bottom of the screen Perfusion Index xx x Transm red Transm infrared 7777 The Perfusion Index should gt 1 and both Transmission indexes should be greater than 10 191 Part 2 Isolating and Solving Instrument Problems 192 Sidestream CO Measurement Server Extension related problems No wave dis played and no channel present Accuracy prob lems 1 Measurement Extension is used with a monitor and or Measurement Server with Release A software 2 CO Data Acquisition hardware is incompatible with wireless network major revision number 10 and minor revision number 30 and Meas urement Server Extension is used on a monitor with wireless network option 3 No FilterLine attached 4 gt measurement switched off 5 Pump defective 6 Incorrect or defective FilterLine Incorrect N5O setting Incorrect humidity correc tion setting BTPS STPD Incorrect Max Hold set ting Invalid calibration
184. ing Description Number Number Cables with both ends terminated with straight MSL connectors M3081A A11 M3081 61602 453563377851 2m Measurement Server to Monitor M3081A A12 M3081 61603 453563402731 4m Measurement Server to Monitor M3081 61626 453563474781 0 75m Measurement Server to Monitor compatible IntelliVue cable Unterminated cables M3081A A15 M3081 61615 453563484481 15m MSL Istallation Cable Through Wall M3081A A25 M3081 61625 453563484491 25m MSL Istallation Cable Through Wall Face Plates M3081A C06 M3081 68708 453563484531 MSL Face Plate US Version pair of connector boxes M3081A 07 M3081 68708 453563484541 MSL Face Plate US Version pair of connector boxes Tools M3086 43801 453563484771 Insertion Tool LSA Plus Tool for connecting cables Local Recorder Serial Cable M3000 61 613 453563484751 Serial interface cable for connecting the XE 50p local recorder 272 Replacement Parts MMS Measurement Server Link MSL Cable Clamp Kit MMS Measurement Server Link MSL Cable Clamp Kit 12 Digit Part Number Reordering Description Number M8000 6001 2 451261006611 MMS Measurement Server Link MSL Cable Clamp Kit Kit contains 1 x MSL cable clamp 1 x Screw 1 x Installation Note Wireless Assembly Exchange Parts Exchange 12 Digit Part Reordering Description Number Number M3046 69562 453563333471 Exchange Wireless Assembly for Australia M3046 69563 453563333481 Exchange
185. ings Analog to Digital Converter ADC This is a 12 bit converter Oversampling is used to get the required resolution To optimize the ADC input voltage the variable gain adapts accordingly to the signal quality Digital Signal Processor DSP The DSP demodulates and filters the signal from the ADC and passes it on to the 5 ASIC Self Test Signal Generator This generates a wave that is similar to a patient signal It is processed through the complete circuitry starting at the photo amplifier stage Just before the processing of the patient signal begins the test signal is switched on to check correct functioning of the circuitry RCode Measurement Circuit This circuit measures the coding resistor of the transducer digitizes it and sends it to the SpO CPU Each transducer has coding resistors in the connector so that it can be identified by this measurement CPU ROM RAM and ASIC The ASIC is the interface between the digital signal processor and the SpO CPU The ASIC also acts as an interface to the ADC and contains all the frequency generators for the ADC clock the sampling frequency and the modulation frequencyThe main clock for the ASIC is provided by a Pierce oscillator circuit external to the chip The CPU gets the processed SpO gt signal from the ASIC and controls the LED current source the RCode measurement the variable gain stage the clipping detection the power supply and the Self Test circuit The
186. inter Port You can use the JetEye holder which comes with the M3080A Option 5 for optimal positioning of the JetEye Read the documentation supplied with the JetEye for information on the JetEye power supply the correct connection and so on If you are using a printer with a built in infrared port position the printer according to the following guidelines Installing the Instrument 95 Connecting a Remote Printer within 100cm 40 of either infrared port and within 15 of the line perpendicular to the plane of the port Connecting a Remote Printer For remote printing on a network printer the Monitor must be connected to the M3 network The network cable is connected to the LAN socket on the back of the Monitor WARNING The Monitor must be connected to the dedicated M3 network only The special network 96 cables supplied by Philips Medical Systems for this purpose must be used see the IntelliVue Clinical Network Service Manual for details Connecting a Local Recorder You can connect a standalone strip chart recorder option M3080 20 GSI Lumonics XE 50p to your monitor via the serial recorder interface available as option M3046A J16 A dedicated cable 1 supplied with the recorder Details of how to set up use and care for the recorder are given in the Operator 5 Manual that accompanies it Additional information can be found in the Monitor s Instructions for Use Secure screw fasteners Monito
187. ion by certain gases Infrared light is absorbed by CO The amount of absorption varies according to the concentration in the gas mixture By using an infrared detector to measure the absorption the CO concentration in a gas can be derived Introduction to the Instrument Mainstream CO Measurement Mainstream CO Features This illustration shows the user controls on the Server and the connector for the mainstream CO measurement transducer on the Extension The parts are described in the paragraphs following the illustration 7 Connector for a mainstream CO transducer Mainstream CO Wave The two calibration marks are located at 10 and 60 of wave channel height The lower calibration mark is labelled 0 mmHg 0 0 kPa on all scales The upper is adjustable from 20 mmHg 2kPa to 100 mmHg 13 kPa in steps of 10 mmHg 1 CO 40 OK MK MEM Wave Range Calibration Marks Measurement Mode In the measurement mode the Extension continuously measures CO concentration and calculates medical parameters 0 Correction This can be turned on or off If N5O correction is off only oxygen cor rection to CO is made In this case it is assumed that the gas mixture consists mainly of and respiratory intensive care unit conditions If N5O correction is on oxygen and 0 correction to the CO value is made In this case it is assumed that the gas mixture consists mai
188. it means that the smart battery is really empty and cannot communicate Normally the battery is in good order and the message will disappear after 5 to 10 minutes of charging To get the most out of a battery observe the following guidelines IMPORTANT Leaving the battery in a monitor running on AC mains power will shorten the life of the battery ALWAYS remove the battery from the monitor when it is not being used regularly as the main source of power for the monitor Recharge the battery every 3 to 4 months The shelf life of a fully charged battery is about 6 months Once a battery has been activated keep it charged If it is not in use recharge it every 3 to 4 months Condition the battery approximately every 50 recharge cycles f the battery shows damage or signs of leakage replace it immediately Do not use a faulty battery in the Monitor Charging rate of the battery Monitor Off 1 4 Amps Monitor On 200 mAmps Battery maintenance We recommend you use the external Battery Charger and Condi tioner M8043A to maintain and condition your batteries Battery disposal Batteries should be disposed of in an environmentally responsible man ner see also page 115 Consult the hospital administrator or your local Philips representa tive for local arrangements Do not dispose of the battery in normal waste containers Checking the Battery Status When the Monitor is connected to the AC mains power supply the
189. k Bar A double connector version of the Server to Monitor link bar allows quick and easy connection to a Monitor on one side and a Measurement Server on the other This allows the Monitor to show waves and alarms of interest from both the Measurement Server and the Measurement Server Extension The interface subsystem consists of the physical interface to the Monitor and the Measurement Server and controlling software Digitized patient information transmitted over the link bar may be waves e g for ECG pressure respiration etc numeric information for heart rate pulse pressure values and respiration rate or alert information for alarms and assorted status information M3015A Measurement Server Extension Theory of Operation The application specific software for the second pressure temp and CO runs on the main CPU in the Measurement Server see Measurement Server Theory of Operation on page 21 The pressure temperature and the CO frontends communicate the pre processed physiological data via the Frontend Link Protocol to the application specific software on the main CPU of the Measurement Server The Temp Press features available on the Extension are identical to those available on the Server The Temp Press selections specific to the Extension are T2 and P2 If you press the Zero key on the Server all invasive pressure measurements in use are zeroed To set independent zero and labels for P2 however go into the Setup
190. l number of rotations per second The microprocessor reads the values out of the counters and adjusts the motor drive output accordingly Infrared Detector CO Input Amplifier Dual Slope A D AZ Pulse Monoflop and Bias Regulation Signals from the infrared detector are amplified and passed through a dual slope Analog to Digital converter This converter is controlled by the microprocessor via the counters The conversion is started at a predefined time and is performed synchronously with motor rotation The following signals are produced and used as the input values for the mainstream CO algorithm e Zero GZ e Sample GS Reference GR An auto zero signal AZ which is derived from the output of the motor phase comparator controls the bias regulation of the infrared detector The AZ signal is enabled or disabled by the microprocessor 60 Introduction to the Instrument Tutorial for the Introduction to the Instrument Tutorial for the Introduction to the Instrument Question 1 Which is the complete list of what the Measurement Server measure The Multi Measurement Server acquires the physiological signals respiration invasive and non invasive blood pressure oxygen saturation of the blood and temperature b The Multi Measurement Server acquires the physiological signals ECG respiration non invasive blood pressure and oxygen saturation of the blood c The Multi Measurement Server acquires the physi
191. layed values Step 8 Document the value displayed by the M3046A x1 Step 9 Ifthe difference between the manometer and displayed values is greater than 3 mmHg calibrate the Server If not proceed to the Leakage test Step 10 To calibrate select Close Valves off then Calibrate NBP and wait for the Instrument to pump up the expansion chamber Step 11 When pumping has stopped wait a few seconds until EnterPrVal is highlighted and then move the cursor to the value shown on the manometer NOTE If one of the following prompt messages appears during this step check whether there is leakage in the setup NBP unable to calibrate cannot adjust pressure NBP unable to calibrate unstable signal Step 12 Press Confirm NOTE If the INOP NBP Equipment Malfunction message occurs in Monitoring Mode go back to Service Mode and repeat the calibration procedure NBP Leakage Test This test checks the integrity of the system and the valve The NBP leakage test is required once every two years and when the Instrument is repaired or when Instrument parts are replaced Step 1 If you have calibrated repeat steps 2 to 6 from the Accuracy test procedure so that you have 280 mmHg pressure on the expansion chamber Step 2 Watch the pressure value for 60 seconds Step 3 Calculate and document the leakage test value x2 PLSP where 1 is the pressure at the beginning of the leakage test and P2 is the pressure displayed aft
192. le set The conventional 12 lead ECG capability of M3001A C12 and C18 only works with the IntelliVue family of monitors You can connect a 10 electrode lead set for example if a patient is transferred from an IntelliVue monitor but only the standard five electrodes RA LA RL LL and V are used for monitoring The rest are automatically ignored Replacement Parts 261 Multi Measurement Server Parts M3000A Measurement Server Parts Description M3000A Rel A Part Number 12 Digit Reordering Number Exchange Parts Part Number 12 Digit Reordering Number Exchange Measurement Server English Rel A Exchange Measurement Server French Rel A Exchange Measurement Server German Rel A Exchange Measurement Server Dutch Rel A Exchange Measurement Server Spanish Rel A Exchange Measurement Server Italian Rel A Exchange Measurement Server Norwegian Rel A Exchange Measurement Server Swedish Rel A Exchange Measurement Server Finnish Rel A Exchange Measurement Server Japanese Rel A Exchange Measurement Server Danish Rel A Exchange Measurement Server Traditional Chinese Rel A Exchange Measurement Server Simplified Chinese Rel A Exchange Measurement Server Portuguese Rel A Exchange Measurement Server Greek Rel A Exchange Measurement Server Russian Rel A Exchange Measurement Server Polish Rel A 262 M3000 6001A M
193. ling of the display wave for the best fit for the display channel Introduction to the Instrument Non invasive Blood Pressure NBP Measurement Non invasive Blood Pressure NBP Measurement Description The Measurement Server has a non invasive blood pressure measurement for the Monitor monitoring device It is designed to be used with adult paediatric or neonatal patients in ICU and OR environments Measurements The measurement produces numerics for the systolic diastolic and mean blood pressure values No wave is associated with this measurement Three different methods can be used to obtain the measurements as follows Manual For each request one measurement of systolic diastolic and mean pressures is taken Auto Repeated measurements of the three values are taken at timed intervals specified by the user e Stat Measurements of the three values are taken immediately and repeatedly over period of five minutes This method uses a faster measurement procedure but produces a less accurate reading NBP Features This illustration shows the user controls and connector for the measurements The parts are described in the paragraphs following the illustration Start Stop Stat Key A single press key used to start or stop a manual measurement or start an automatic measurement cycle A standard NBP connector connects to the cuff Introduction to the Instrument 29 Non invasive Blood Pressure
194. ll be used The Monitor should be investigated technically however as soon as possible ECG EQUIP MALF Measurement defective Exchange the Measurement Server The Measurement Server should be investigated technically as soon as possible NBP EQUIP MALF Measurement defective Exchange the Measurement Server The Measurement Server should be investigated technically as soon as possible Pressure Zero amp Check Pressure must be zeroed or calibration required Cal Zero the Pressure or check the calibration If unsuccessful exchange the Measurement Server PRESS EQUIP MALF Measurement defective Exchange the Measurement Server or Measurement Server Extension The Measurement Server or Measurement Server Extension should be investigated technically as soon as possible RESP EQUIP MALF Measurement defective Exchange the Measurement Server The Measurement Server should be investigated technically as soon as possible 210 Troubleshooting the Instrument Troubleshooting the Installed Instrument Message What To Do SpO EQUIP MALF Measurement defective Exchange the Measurement Server The Measurement Server should be investigated technically as soon as possible TEMP EQUIP MALF Measurement defective Exchange the Measurement Server or Measurement Server Extension The Measurement Server or Measurement Server Extension should be investigated technically as soon as possible CO EQUIP MALF Measurement defective Exchang
195. lling the Instrument 117 Answers to the Tutorial for Installing the Instrument 118 Installing the Instrument 3 Maintaining the Instrument Objectives In order to meet this chapter s objectives you should be able to perform light maintenance and preventive maintenance for the Monitor the Measurement Server and where present the Measurement Server Extension through the following tasks nspection of the Instrument Cleaning of the Instrument Replacement of Preventive Maintenance Parts Battery Handling Maintenance and Good Practices This chapter provides an overall maintenance frequency timetable as well as a checklist of maintenance procedures which include for the sake of completeness comprehensive reference to the repair procedures found in Repairing the Instrument and to the testing procedures found in Testing the Instrument The tests included in Testing the Instrument are functionality assurance tests performance assurance tests preventive maintenance tests accuracy and performance procedures and patient safety checks used to verify that the Instrument is operating properly Concepts Light Light maintenance tasks can be defined as those tasks required to maintain Maintenance the Instrument in clean functional working order These include inspection cleaning practice and battery maintenance as well as the continuous observation of replaceable parts for wear Battery A rechargeable battery mus
196. ly Documentation CD ROM including Instructions for Use Quick Reference Guide and Service Guide The box containing your Measurement Server contains only the Measurement Server The box containing an M3016A Measurement Server Extension contains only the Measurement Server Extension The box containing an M3015A Measurement Server Extension contains the Measurement Server Extension and the associated accessories In addition you should receive all of the options and accessories that you have ordered If anything is missing contact your Philips Medical Systems representative immediately If anything has been damaged in transit keep the packing material for inspection and contact your Philips Medical Systems representative immediately Do not use the Monitor if the casing has been damaged If the Monitor is damaged make sure that the screen is not leaking There is no known danger from the fluid of irritation to skin or eyes or by inhalation The median lethal dose if taken orally is 2 0g kg There are no special procedures necessary for cleaning spilled fluid Installing the Monitor Avoid placing the Monitor Measurement Server or Measurement Server Extension underneath an infusion bag Make sure that infusion liquid cannot get into any of the Measurement or Monitor connectors Be sure to read the sections on Preparing to Install the Monitor on page 64 and Unpacking the Monitor on page 70 before continuing To inst
197. ly adjusted Power is not connected or switched on Battery not installed or empty Battery LED flashes red or flashes red when you press the On Off Standby switch Possible Cause What To Do Check that a Measurement Server and all the required transducers are connected Connect a Measurement Server Connect the required transducers Replace the suspect transducer Exchange the Measurement Server The Measurement Server should be investigated technically as soon as possible Adjust brightness controls The screen may not be as bright when the Monitor is operating from the battery Connect power and switch on the Monitor Fit a charged battery and switch on the Monitor 213 Troubleshooting During After a Software Upgrade 214 Troubleshooting During After a Software Upgrade Message Link Bar detected please apply Please remove service Link Bar after service Error codes 20210 20307 20002 20102 206nn 20nnn What To Do The service Link Bar must be directly connected to the Measurement Server Make sure that no Measurement Extension M3015 16A is attached and that the Measurement Server is not attached by cable to the Link Bar The service Link Bar has been left connected reconnect the standard link bar before continuing Several error codes will occur as a result of an upgrade and do not require any action In order to assess which codes result from an upgrade you
198. mart Battery Charger and Conditioner Exchange XE 50p Recorder Exchange Parts Exchange Part 12 digit Reordering Number Number Description M3080 60100 453563485281 Exchange XE 50p Local Recorder 274 Replacement Parts AC Power connector 5 LED 5 Accuracy and Calibration Procedures 155 Accuracy and Performance Procedures 155 adjustments iv alarm limit 10 message 10 analog ECG signal 67 anesthetics operation in presence of flammable 66 Arterial Oxygen Saturation and Plethysmog raphy SpO PLETH Module Block Diagram 34 38 Description 33 37 Features 33 PLETH Waveform 33 Safety 33 Measurements 33 37 Theory of Operation 34 38 assembly iv Backlight Test 207 Backlight Tube Assembly 123 BAD SERVER LINK INOP description 177 Barometric Pressure Calibration 149 Battery charging 129 battery charging battery conditioner 131 compartment 5 conditioning 131 LED 5 trickle charging and care 132 BATTERY EMPTY INOP description 177 Battery Handling 127 Battery handling 127 Battery Level Low message 210 BATTERY LOW INOP description 177 BATTERY MALFUNCT INOP description 178 Battery Status checking 127 window 132 brain examination 65 Check and cabinet grounding 64 cabinet installation 66 Cause of Failure 183 CHARGER MALFUNCT INOP description 178 Check for Obvious Problems 166 CHECK INPUT DEVICE INOP description 178 Check Status Log message
199. measuring respiration 24 Introduction to the Instrument Electrocardiogram Respiration ECG Resp Measurement Safety To ensure the safety of the patient the patient applied parts are isolated from ground by optical isolators and a transformer The circuit is also encapsulated in plastic Block Diagram of the ECG Resp RA Input CPU LA Protection ECG ROM RAM LL gt Network ASIC mm To From RL lt gt System CPU ECG A A Electrodes p Y From Patient Bridge amp Demodulator Amplifier t Respiration Excitation Current Source Theory of Operation As ECG and Resp signals pass from the patient to the Monitor they progress through stages corresponding to the logical sections of the circuit as shown in the block diagram Circuit related faults can generally be isolated to one of the stages Transducer Signals are received through patient electrodes and lead cables via the input connector Input Protection Network The Input Protection Network and ESU filter eliminate extraneous signals This protects the rest of the circuitry from defibrillator voltages high frequency interference signals and electrostatic discharges ECG ASIC The signals are processed by the ECG Application Specific Integrated Circuit ECG ASIC which has an input amplifier with a fixed gain for eac
200. ment 107 Installing the Measurement Server Mounting Options 108 reinforcement Installing the Measurement Server Mounting Options To allow the Measurement Server to be mounted remotely from the Monitor special mounting plates are available One plate can be used to mount the Server to a wall or other fixture The second type can be used for vertical or horizontal mounting on a pole or rail New mounting plates are supplied with a MSL cable clamp and are reinforced by a metal plate at the rear The MSL cable clamp ensures a secure fit between the MSL cable and the mounting plate It is important for the customer to decide whether the MSL cable clamp is to be used or not at installation time as once the decision is taken to fit the clamp the MSL cable should not be removed from the clamp You cannot fit the MSL cable clamp to earlier versions of the mounting plate Server Mounting Plate M3080A A01 This option includes a pack of 5 mounting plates To mount the plate securely you need two screws per plate These are not provided because the type of surface dictates the type of screw MSL cable clamp Rear view new version Step 1 Unpack the plates and check all parts are available Step2 Select a mounting plate and if applicable fit the MSL cable clamp to the mounting plate using the supplied Torx T 10 screw Installing the Instrument Installing the Measurement Server Mounting Options Place the cable
201. ment Server FEL Addresses MSL connector Opto coupler and Power Mainstream CO Transducer Transformer Floating Non floating J isolation oO E PRESS Pressure or PEN Temperature TEMP P Transducer 435 5 5 Main Functional Areas Front End Board consisting of the Front End PRESS TEMP Front End and the Floating Non floating isolation area all feeding signals to the DC DC Converter Board DC DC Converter Board connecting to the Floating Non floating isolation area on the Front End Board Consisting also of a multiplexer for Front End Link communication to the Measurement Server Introduction to the Instrument 55 Mainstream CO Measurement 56 Mainstream CO Measurement Description The M3016A Measurement Server Extension has a mainstream carbon dioxide respiratory gas measurement for the Monitor monitoring device It is designed to be used with the M3000A Measurement Server for adult pediatric or neonatal patients in a hospital environment and during patient transport in and outside hospitals by clinical users CO respiratory gas measurements indicate the efficiency of the transfer of oxygen from alveolar air into pulmonary capillary blood and the elimination of carbon dioxide from pulmonary capillary blood and its transfer into alveolar air CO respirato as measurements are evaluated as eas passes through the airway adapter on 2 resp ry 8
202. ment Server the Measurement Server Extension and the Monitor for general condition Clean or replace contacts or housings that are damaged corroded or dirty Examine them carefully to detect breaks in the insulation Ensure that the cable connectors are properly engaged Inspect the patient cables and leads and their strain reliefs for general condition Examine cables carefully to detect breaks in the insulation and to ensure that they are gripped securely in the connectors of each end to prevent rotation or other strain Flex the patient cable near each end to verify that there are no intermittent faults Maintaining the Instrument Preventive Maintenance Tasks Preventive Maintenance Tasks M3046A Preventive maintenance for the Monitor comprises the following activities e Perform visual inspection see Inspecting the Instrument on page 122 Replace the Backlight Tube Assembly if required Replacing the Backlight Tube Assembly The intensity of the fluorescent tube used for backlight illumination of the LCD Display gradually decreases over time As a result periodic replacement is necessary Philips recommends replacement of the Backlight Tube Assembly after 3 years 20 000 hours of continuous use or if there is noticeable decrease in the display illumination Display illumination decreases by about half after 3 years of continuous use The procedure for replacing the Backlight Tube Assembly is found in Re
203. ment may be contaminated with bacteria Protect yourself from possible infection by wearing examination gloves during these procedures Removing the Front Cover To remove the front cover do the following Step 1 Remove the Server and the Monitor from the Extension Step 2 Use thin bladed screwdriver to prise the grey front cover the console covering the measurement connector hardware gently from the bottom of the Extension Position the screwdriver in the small slits provided for this purpose The front cover then clicks away from the Extension Step 3 Remove the front cover Repairing the Instrument Disassembly Procedures for the M3015A Measurement Server Extension Removing the Extension Bottom Cover To remove the Extension bottom cover do the following Step 1 Position the Extension on the dual link bar with the measurement connector hardware facing upwards and the arm of the dual link bar towards you There are four long mounting pins threaded into the Extension in each of the four corners under the cover Locate the heads of the two long mounting pins on the side away from you Step 2 Use tweezers to prise the pins gently out enough to be removed by hand Step3 Remove the two pins and set them aside for refitting Do not lose these long mounting pins since the Extension will not function unless they are in place Step 4 Using your hands gently pry the bottom cover away from the Extensio
204. n Follow the recommended actions from INOP table 1 Check Settings 0 correction BTPS STPD Hold or standard averaging 2 Perform accuracy check on calstick and calibrate if necessary 1 Check if the Measure ment Extension is sup ported by the system configuration hardware and software 2 Check that meas urement 1s switched on Audio Speaker related problems Buzzing noise accompanying alarm INOP or QRS sound No tone alarms Speaker will not Work Troubleshooting the Instrument Speaker mounting prob lem for example the speaker 1 ajar due to being dropped Make sure audible tones are switched on Cable disconnected Defective speaker Defective Audio Circuit Mount speaker properly or replace speaker Reconnect cable Replace speaker Replace the System Board 193 Part 2 Isolating and Solving Instrument Problems Buzzing noise Defective Audio Circuit Replace the System in Instrument Board Defective Power Supply Replace the Power Sup ply 194 Troubleshooting the Instrument Part 2 Isolating and Solving Instrument Problems Recorder Problems refer also to the Operator s Manual of the XE 50p Chart Recorder Message Local Recorder Malfunction prompt message Local Recorder check cable prompt message Troubleshooting the Instrument Command error Syntax error in either the Recorder or Monitor software
205. n System Board is replaced or exchanged for a new one a new Power Supply is also required The old Power Supply is not compatible with the new Main System Board Old Connector Board and Cover An old version Connector Board and cover no VGA can be used with all new parts This part will remain available for replacement use in existing Monitors New Connector Board and Cover A new Connector Board VGA and cover can be used with the old Power Supply and the old Monitor Bezel It cannot be used with the old Main System Board or the old Chassis and Housing If an old version Connector Board no VGA and cover is replaced or exchanged for a new Connector Board VGA and cover a new Main System Board and a new Chassis and Housing are also required The new Connector Board VGA is fixed with a screw and can no longer be taken out by removing the Connector Board cover and pulling the Connector Board out The Plastic Housing must be completely removed see Repairing the Instrument to allow the Connector Board to be unscrewed from the side of the Monitor Old Power Supply An old version Power Supply can be used with all new parts except the new Main System Board If an old Power Supply is replaced or exchanged it must be replaced with the old version Power Supply which is still available A new Power Supply cannot be used with an old Main Board This part will remain available for replacement use in existing Monitors New Power Supply A n
206. n at the link bar end first The bottom cover is press latched at the link bar end Remove it gently making sure not to bang or touch the inside of the Extension If you accidentally try to remove the wrong side of the bottom cover you will notice that it is attached to the inside of the Extension with a ribbon connector and that the dual link bar prevents you from removing it completely Do not try to forcibly remove the wrong side of the M3015A cover you cannot access replaceable parts from this side Repairing the Instrument 233 Disassembly Procedures for the M3015A Measurement Server Extension The following illustration shows the location of the replaceable parts in the M3015A Measurement Server Extension Brackets holding the Pump Scrubber CO Scrubber 234 Repairing the Instrument Disassembly Procedures for the M3015A Measurement Server Extension Removing the CO Scrubber To remove the CO Scrubber do the following Step 1 Locate the CO Scrubber in the Extension Step 2 Being careful not to touch anything else in the Extension use tweezers to pull the body of the CO Scrubber out of the bracket Step 3 Holding the body of the CO Scrubber with your fingers carefully disconnect the Extension intake tube from the scrubber end and remove the Scrubber from the Extension Step 4 Dispose of the CO Scrubber according to local legal requirements for low volume chemical waste Repairing the Instrument
207. n using 2nd cal gas steps should be performed in the same session Barometric Pressure Check and Calibration Check the barometric pressure value in the sidestream CO Extension as follows Step 1 Go into Service Mode and select Step 2 Connect a FilterLine to the sidestream CO input This activates the pump in the sidestream CO Extension Step 3 Check the status line at the bottom of the screen It will display CO pressure reading ambient cell xxx yyy where xxx is the ambient pressure and yyy is the measured cell pressure The values are displayed with a resolution of 2 mmHg up to 475 mmHg and a resolution of 1 mmHg from 475 mmHg to 825 mmHg Check whether the ambient pressure value x1 matches within the acceptable tolerance of 12mm Hg the reference value you have received If so proceed to Leakage Check If the value 1 not correct calibrate as follows 149 Preventive Maintenance Tests NOTE 150 Step 4 Step 5 Step 6 Step 7 Step 8 Select CO then select Barom Press A table of values is activated Select the value in the table which matches the reference value received from a reliable local source airport regional weather station or hospital weather station The selected value must be within 10 of the current measured ambient pressure otherwise an error message will occur at restarting the Monitor Confirm the barometric pressure setting Check that the ambient pressure di
208. nce between the Printer and the Wireless IR Printer Connector this distance can be a maximum of 1 2m due to cable length Distance A B C must be a minimum of 1 5m 4 9ft Installing the Instrument Connecting a Local Printer Step 1 Attach the support tray to the front right corner of the table mount The plastic support tray push fits over the lip of the table mount Make sure the dove tail slot on the tray engages with the table mount correctly Step 2 Remove the adhesive protection strip from the support tray and attach one half of the velcro fixing onto it Attach the other half of the velcro to the bottom of the Wireless Infrared Printer Connector by peeling off the protective label Step 3 Attach the Wireless Infrared Printer Connector firmly onto the support tray ensuring that the velcro fixings align It may be helpful to place the Monitor in position to line up the infrared devices Connecting a Local Printer WARNING The printer and any other non medical equipment such as the infrared to parallel converter are not allowed to be used within the patient vicinity 1 5m 4 9 ft If you are using an infrared to parallel converter do the following Step 1 Connect the parallel port to the printer Step 2 Position the converter according to the following guidelines e within 100cm 40 of the infrared port and within 15 of the line perpendicular to the plane of the port E 40 Pr
209. nd Good Practices WARNING 130 Conditioning a Battery What is Battery Conditioning Battery conditioning recalibrates the battery to ensure that it has accurate information on the actual battery capacity Why is Battery Conditioning Necessary The capacity of a battery decreases gradually over the lifetime of a battery Each time a battery is charged its capacity decreases slightly Therefore the operating time of a monitor running off the battery also decreases with each charge cycle Battery conditioning ensures that the value stored in the battery for its full capacity takes account of this decrease so that the remaining battery charge can be calculated accurately and the low battery warning given at the right time When Should Battery Conditioning be Performed Battery conditioning should be performed Every 50 charge discharge cycles or every three months which ever comes first When indicated by the Battery Status What Causes the Conditioning Message on the Monitor In addition to the value for the full capacity the battery also stores a value for the Max Error The Max Error tracks the maximum possible deviation of the estimated charge of a battery from the actual charge If a battery is charged or discharged partially or if it is charged while the monitor is being used the accuracy of the reference points for the fully discharged and fully charged states decreases causing an increase in the value for t
210. ndition occurs once it requires no action If it occurs repeatedly pass the information on to your Philips representative for analysis T as Table 2 Error Codes for Release Device Error ID Code Information Required Action Severity M3000A Measurement Server 17300 20001 Software Condition 17300 20046 Software Condition Troubleshooting the Instrument Part 3 Using Support Functions Table 2 Error Codes for Release B Severity Information Required Action 17300 20307 Results from an upgrade to another monitor option no action required 32749 20002 Measurement Extension has been exchanged no action required M3046A Monitor Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Software Condition Troubleshooting the Instrument 20 Part 3 Using Support Functions 202 Table 2 Error Codes for Release B Device Error ID Code Severity Information Required Action Table 3 Error Codes for Release C Device Error ID Code Information Required Action Severity M3000A Measurement Server 17300 20096 Software Condition H 17300 20307 Can occur during or after upgrades no action required M3046A Monitor MM Troubleshooting the Instrument Part
211. nk Make sure that the printer is connected to the Philips LAN or the MG Print Server network see Connecting a Remote Printer in Installing the Instrument Make sure that the printer 1s switched on The laser printer was switched off but the Jet Eye was left on This results in the described behaviour Users should be advised always to switch the printer and Jet Eye off together This can happen if the JetEye is switched on but the printer is switched off when you start printing Make sure both the printer and if necessary the JetEye are switched on then print again Check that the Monitor is connected to the Philips LAN or the MG Print Server network If it is not connect it see Connecting a Remote Printer in Installing the Instrument If it is connected contact the M3 Print Server system administrator Check that the network printer is switched on and not in an error condition If it is both switched on and in an error free condition contact the M3 Print Server system administrator Troubleshooting the Recorder Connection Here 15 a list of some easily corrected troubleshooting cases See also page 195 and the Operator s Manual of the XE 50p Chart Recorder Message You cannot find the record softkeys Troubleshooting the Instrument What To Do Make sure that the Recorder is configured see Connecting a Local Recorder on page 96 215 Troubleshooting the Recorder Connection You
212. nly of O5 and 0 operating room condi tions Introduction to the Instrument 57 Mainstream CO Measurement O5 Correction There is a fixed correction of 45 Humidity Correction This correction is selectable between Body Temperature Pressure Saturated BTPS and Standard Pressure Temperature Dry STPD The Extension meas ures BTPS and uses this correction formula Psrpp Parps Pabs P 2 where Pipo 47mmHg Max Hold There are three possible selections Off The numerics display the breath to breath value 10 seconds The numerics display the highest value within a moving window over a 10 second period 20 seconds The EtCO numerics display the highest value within a moving window over a 20 second period Safety To ensure the safety of the patient the patient applied part is isolated from ground by opto couplers and a transformer The circuit is also encapsulated in plastic 58 Introduction to the Instrument Mainstream CO Measurement Block Diagram of the Mainstream CO measurement SYALNNOO V09t HAODNGSNVEL 1 HOSN3S due OldO MOO ASNAS MOO INOud33
213. nt 189 Part 2 Isolating and Solving Instrument Problems 190 Central duplicate moni tor label prompt message Assigned Cen tral 1s not avail able prompt message No Central software incom patible prompt message Central can not identify this bed prompt message Monitor label configura tion 1s 1n conflict with another monitor The Information Center 1s switched off or not acces sible The location of this bed 1s not clear Measurement Server related problems Check that the monitor label assigned to this mon itor has not been changed locally Check the assign ment at the Information Center Ask Biomed department to check software revi SIONS Check the bed assign ments at the Information Center No waves No ECG data or waveform dis played when both defib sync and balloon pump are done together Measurement Server defective LEDs on display unit blink but Server LED does not 2 circuit cable used in a 3 circuit ECG output jack Check green LED on Server Exchange the Server Connection between the Server and the display 15 lost Exchange the Server Use a bud box when set ting up Troubleshooting the Instrument Red ECG LED 1S On SpO values appear unstable or unreliable Troubleshooting the Instrument Part 2 Isolating and Solving Instrument Problems System Board is defec tive Defib synchronization is not
214. nt 87 Configuring the Monitor Step 4 Select Reference Step 5 Select Auscult or Invasive For versions of the M3046A Monitor with software revision D or lower do the following In service mode Step 1 Select Setup Step 2 Select Mode Step Select desired measurement characteristic according to the table and graphs below Selection Factory Default 2 NBP measurement characteristic of M3 M4 Rel B and earlier Recommended if customer prefers calibration against manual auscultatory reference method 3 NBP measurement Factory characteristic of M3 M4 Rel Default C and D 88 Recommended if customer prefers calibration against intra arterial reference method Description Auscultatory according to ANSI AAMI SP10 1992 The blood pressure measurements determined with this device and measurement characteristic set to 2 comply with the American National Standard for Electronic or Automated Sphygmomanometers ANSI AAMI SP 10 1992 in relation to mean error and standard deviation when compared to auscultatory measurements in a representative patient population For the auscultatory reference the 5th Korotkoff sound was used to determine the diastolic pressure Intra arterial according to ANSI AAMI SP10 1992 The blood pressure measurements determined with this device and measurement characteristic set to 3 comply with the American National Standard for Electronic or Automated Sphy
215. nt Problems This part provides the following Tables that list Instrument symptoms as well as causes and remedies for Instrument faults Techniques for troubleshooting the Instrument before you disassemble it Checks you can make to isolate problems down to a specific replaceable part for example the Power Supply You can often determine whether a failure has occurred simply by referring to the troubleshooting table in Part 2 Isolating and Solving Instrument Problems Part 3 Using Support Functions This part describes support features available to the Measurement Server and the Measurement Server Extension as follows Information on how to use error codes A description of the boot process Concepts Trouble This is the essential diagnostic step to be taken prior to any repair shooting INOPs and These are the types of messages that generate and display to inform the user Error Codes when the Instrument has been unable to perform an operation Troubleshooting the Instrument 165 Part 1 Troubleshooting Checklists NOTE 166 Part 1 Troubleshooting Checklists Checks for Obvious Problems When first troubleshooting the Instrument check for obvious problems by answering basic questions such as the following 1 Is the power switch turned on 2 1 the battery adequately charged 3 Ifrunning from mains power supply is the AC power cord connected to the Instrument and plugged into an AC outlet 4 Are the
216. nt panel b On the Measurement Server c On the System Board in the M3046A visible from the rear of the monitor d On the M3046A located on the bottom of the monitor e a b and c Question 4 Non fatal error codes are only available in a Monitoring Mode b Configuration Mode c Service Mode d Operating Mode Troubleshooting the Instrument 217 Answers to the Tutorial for Troubleshooting the Instrument Answers to the Tutorial for Troubleshooting the Instrument 1 See page 197 for more details 2 a See page 208 for more details 3 e See pages 5 2 to page 175 for more details 4 See pages 197 for more details 218 Troubleshooting the Instrument Repairing the Instrument Objectives To meet the goals of this chapter you should be able to disassemble the Instrument down to replacement part level The main replaceable assemblies for the Monitor are as follows The Power Supply e The System Board The Connector Board The LCD Assembly The Display Backlight Tubes The removal and replacement procedures for the Monitor are easy to complete when you follow the step by step procedures in this chapter The main replaceable assemblies for the M3015A Measurement Server Extension units with serial number prefix DEO20xxxxx only are as follows The CO Scrubber The Pump The removal and replacement procedures for the M3015A Measurement Server Extension are eas
217. nting plate using the supplied Torx T 10 screw as described for the server mounting plate M3080A A02 starting on page 108 steps 2 to 5 Step3 Secure the clamp to a pole or rail The Server snap fits onto the plate To release the Server press and hold the latch in the middle at the top of the mount away from the Server and slide it out To rotate the plate press and hold the lever on the clamp away from plate while rotating the plate Mounting Options for the Local Recorder Two mounting solutions are available for the optional XE 50p strip chart recorder Roll Stand including Down Pole M3080A A30 Wall Mount M3080A A31 Please refer to the installation instructions that accompany the mounting hardware for details of how to mount the recorder Installing the Instrument 111 MSL Cable Termination NOTE 112 MSL Cable Termination The following installation procedure describes how to install the wall installation cable kit when the patient monitor and the measurement server are not located at the same site The kit consists of two connector boxes and a cable 15m or 25m For this procedure you need the Insertion Tool M3086 43801 and a small screwdriver Step 1 Draw the MSL cable through the wall from the site of the monitor to the site of the measurement server Each MSL face plate kit contains two connector boxes one in going and one out going The US version contains an additional rectangular wall mo
218. ntroller The Display Video Controller runs the software that controls the display This software processes the high level display command to generate and format the screen characters graphics and wave plots and also generates the video control signals for the LCD display The software continuously checks the functionality of the hardware in the Display Controller and issues an error indication the event of a hardware malfunction Introduction to the Instrument 17 Functional Description of the Monitor Hardware 18 Human Interface Controller The Human Interface Controller HIF is the interface between the operator and the Monitor itself It monitors the operator controls and the Battery Controller formats the data and routes it to the Display amp Operator Controls Manager from which it receives commands and status also As well the HIF controls the features listed below Visual Indicators The Instrument is fitted with the following front panel indicators Yellow LED This flashes in addition to the visual indication on the LCD display when a yellow alarm situation occurs medium severity alarm e Red LED This flashes in addition to the visual indication on the LCD display and the audible tone from the loudspeaker when a red alarm situation occurs high severity alarm e Crossed Bell LED This is illuminated when all alarms have been suspended Alarm Relay In addition to the audible and visual alarms an ala
219. olerance Open the valve on the flow regulator to allow 10 CO gas to flow into the Extension Allow the value to stabilize Check that the value on the instrument x8 matches the calculated mmHg value within the calculated tolerance If so the Measurement Extension is correctly calibrated If the value is outside the tolerance calibrate as follows If not already connected connect the 5 calibration gas Select Cal Testing the Instrument Preventive Maintenance Tests Step 11 Select the value for the calibration gas The default value is 5 0 Step 12 Open the valve on the calibration gas to allow CO gas to flow into the Extension Allow the value to stabilize before the start of the calibration Leave the valve open until the instrument gives a prompt that gas can be removed Step 13 The Extension calibrates and prompts when calibration is successful Calibration Verification Step 1 Reopen the 5 gas valve and allow the value to stabilize Step 2 Check that the value displayed on the Monitor is correct within the tolerance see Step 2 above Step 3 Disconnect the 5 calibration gas and connect the 10 calibration gas Step 4 Open the valve on the flow regulator to allow 10 CO gas to flow into the Extension Allow the value to stabilize Step 5 Check that the value displayed on the Monitor is correct within the tolerance see Step 6 above If one or both values are not within tolerances the M3015A must
220. ological signals ECG invasive and non invasive blood pressure oxygen saturation of the blood and temperature Question 2 What is wireless printing Does the M3046 Monitor support it a A wireless interface functions in the same way as a normal serial interface except that a modulated infrared beam is used to exchange data and status information instead of a wire connection Wireless printing is not presently supported on the M3046 Monitor b A wireless interface functions in the same way as a normal serial interface except that a modulated infrared beam is used to exchange data and status information instead of a wire connection The IrDA interface in the M3046 Monitor provides a wireless interface to an external printer c A wireless interface functions in the same way as a normal serial interface except that a modulated infrared beam is used to exchange data and status information instead of a wire connection There is no such product as yet Question 3 According to this Service Guide how many layers is the Measurement Server software divided into a 12 b 2 4 Introduction to the Instrument 61 Answers to the Tutorial for the Introduction to the Instrument 62 Answers to the Tutorial for the Introduction to the Instrument 1 a See page 2 for more details 2 b See page 15 for more details 3 c See page 21 for more details Introduction to the Instrument 2 Installing the Instrument Objec
221. ometric Pressure Check and Calibration on page 149 Perform leakage check see Leakage Check page 150 Perform Pump Check Perform flow check and calibrate if necessary see Flow Rate Check and Calibration on page 151 e Perform Noise Check Perform calibration check check the date of the last calibration and calibrate if neces sary see CO Gas Measurement Calibration Check on page 152 f calibration done perform CO calibration verification using 2nd calibration gas f M3015A has been opened perform a system safety test see Patient Safety Checks on page 159 Tools Required e Standard tools e g screwdriver tweezers ESD protection equipment e Electronic flowmeter M1026 60144 Gas calibration equipment Cal 1 gas 15210 64010 5 CO Cal 2 gas 15210 64020 10 CO Cal gas flow regulator M2267A Cal tube 13907A Required Replacement Part Pump assembly and CO scrubber M3015 29303 Maintaining the Instrument General Cleaning of the Instrument Replacement of the Pump and CO Scrubber Replacement of the Pump and Scrubber is supported for units with serial number prefix DE020xxxxx only Where a recommendation is made to replace the Pump and CO Scrubber this applies only to these earlier units If the Pump and CO Scrubber are defective in later units with serial number prefix DE435xxxxx repair is effected by M3015A unit exchange
222. ompt of the color LCD display notifying the user Recorder Manager The recorder manager formats and records the following on a local recorder Real time or Delayed Recording The user can select between a real time local recording or a delayed recording A real time recording is started by pressing the Local Record SmartKey When a recording is running you can stop it by pressing the key again A delayed recording can be started by pressing the Local Delayed SmartKey Pressing the key again will extend the recording Tabular Trend Report tThe recorder manager takes raw data from the trend module and generates a formatted report The user can specify whether to record short term or long term trend data and the period for which the data should be recorded Event Report The recorder manager takes raw data from the event module and generates a formatted event report and this is recorded on the local recorder e Alarm Recording a local recorder is connected to the monitor via the optional serial interface you can make local alarm recordings In configuration mode you can select the local recorder or the Information Center or both to record alarms If one of the configured alarms occurs a recording for that alarm is started automatically at the local recorder and or requested form the Information Center See Chapter 2 Installing the Instrument for more details on connecting to a recorder A number of drawing fun
223. on Procedure aes eee 78 Contents ix Installation of Wireless 78 Configuring the Radio Frequency of the M3 M4 Monitor 78 Connecting to ECG Output or Marker 87 the MONO 3544240 87 Selecting NBP Measurement 15 87 Installing an Additional Display 90 BILL 90 2 52 ues 92 ashe Beh ve bre iti Be va ocak atin ar ate Ee Ava el ain 92 Installing the 12V Adip is de SEDE cond SU coe cem vs 93 Using the Battery Charger and Conditioner 93 Connecting a Printers Su ee her SLE cathe 93 SCICCIING gt 93 Installing the Wireless Infrared Printer Connector M3080A 0 5 94 Connecting ded DUE RED Re d acuti a Re Ree Sep UR ed 95 Connecting Remote ehh 96 Connecting Local Becor et ea 96 Site Preparation Guidelines e RS d CN oes S dde 97 Solons s sau d Rep RR Reed pO SH ees 98 Installing the Table Mount M3080A 10 98 Installing the Universal Bed Han
224. on is an example of a typical invasive pressure wave ABP Introduction to the Instrument 37 Temperature and Invasive Blood Pressure Temp Press measurement Temp Mode Measurement Range 1 to 45 C 30 to 113 F Safety To ensure the safety of the patient the patient applied part is isolated from ground by opto couplers and a transformer The circuit is also encapsulated in plastic Block Diagram This illustration shows the block diagram of the Temp Press circuit Excitation Voltage E Q 5 T Transducer Y E e Ts To and from cn E gt System CPU gt Protection Ca lt gt Network MD Co Resistor To and from Array Current Source Temperature Theory of Operation Sensor The signals progress through the circuit as follows Excitation Voltage This supplies 5Vpc to a connected transducer If a short circuit is detected by this circuit the CPU switches the voltage source off to reduce power consumption Input Protection Network This provides protection for the rest of the circuit against defibrillator voltage electrostatic discharge and any electromagnetic interference The signal is passed on to the analog to digital converter and to the transducer detection circuit 38 Introduction to the Instrument Temperature and Invasive Blood Pressure Temp Press measurement Transducer Detection The tr
225. onnected BATTERY MALFUNCTION This is a severe INOP which indicates a malfunction of the hardware or the battery A severe INOP switches the main alarms suspended status back to on and generates an INOP alarm If this alarm is silenced it recurs after 3 minutes NOTE If this INOP occurs after a new battery has been inserted it may indicate the battery cannot yet communicate because it is still too deeply discharged In this case the message will disappear after 5 to 10 minutes of charging 134 Maintaining the Instrument Tutorial for Maintaining the Instrument Tutorial for Maintaining the Instrument Question 1 What is battery conditioning and how often must it be performed a Conditioning a battery refers to the complete discharge of a charged battery by allowing it to die out while in non critical use The empty battery may then be recharged and put back into use The battery used in the Instrument cannot be conditioned Discard it after use b Conditioning a battery refers to the complete discharge of a charged battery by allowing it to die out while in non critical use The empty battery may then be recharged and put back into use The rechargeable battery used in the Instrument must be conditioned every 10 cycles to prepare it for further charge discharge cycles c A rechargeable battery must be conditioned at regular intervals to prepare it for further charge discharge cycles Conditioning a battery refers to the complet
226. ous major sections of the software As well the operating system performs system initialization background error checking and checking while the software is running The Second Layer This consists of the monitoring management system This layer includes the following software Alarm software Record software Trend database software Introduction to the Instrument 21 Functional Description of the Measurement Server Hardware Heart rate software The Third Layer This consists of the interface management and interface controllers This layer contains the date time and Server to Monitor link managers The Fourth Layer This consists of the monitoring algorithms and software to acquire the physiological signals Functional Description of the Measurement Server Hardware The Server receives information signals such as ECG etc from the patient performs some data processing then transmits the data to the Monitor via the Server to Monitor link bar The following block diagram shows the main functional components of the Measurement Server Front End Board 6Vac ECG Resp Front End CPU System SO Floating Patient 6Vac CPU Flash ROM SpO Front End Non Floating SRAM DRAM Isolation ASIC RTC 6Vac Press Temp Front End Serial Link Link Bar 14Vac lt gt From NBP DC DC To From Patient l Conver
227. p Press measurement Section 3 Measurement Server Extensions Description and Features M3015A Measurement Server Extension Theory of Operation Functional Description of the M3015A Measurement Server Extension Hardware Sidestream CO2 Measurement M3016A Measurement Server Extension Theory of Operation e Functional Description of the M3016A Measurement Server Extension Hardware e Mainstream CO2 Measurement Section 1 Monitor Description The M3046A Patient Monitor is a small size lightweight monitor with a TouchBar human interface The monitor has a color display with a wide viewing angle and excellent visibility from a distance so that data can easily be recognized For applications where a larger display is required an additional display can be connected to the monitor via the standard VGA output Trend data and manual and automatic event storage together with a range of report styles are available for tracking and documenting the patient s progress The Monitor receives the processed data from the Measurement Server and the Measurement Server Extension examines it for alarm conditions and displays it The Monitor also provides operating controls for the user and interfaces to other devices Introduction to the Instrument 11 Monitor Theory of Operation Monitor Theory of Operation The Monitor receives data passed from the patient through the Measurement Server and where present the Measurement Server Ext
228. pairing the Instrument After fitting new tubes go to Service Mode and reset the Backlight Tube counter to zero M3000A M3001A NBP Calibration and Performance tests The preventative maintenance for the Non invasive blood pressure measurement consists of the following tests Accuracy Test Leakage Test Linearity Test Valve Test The tests are described in Testing the Instrument see also NBP Accuracy Leakage Linearity and Valve Test on page 146 Maintaining the Instrument 123 Preventive Maintenance Tasks NOTE 124 M3015A 1 Allow 5 seconds between individual service procedures in order to ensure stable equipment conditions 2 When certain Monitor procedures are running for example AutoZero or purging service procedures are not possible and trying to start them will result in a message Service Operation Failed in the status line on the Monitor Wait until the Monitor has completed the current operation then restart the service procedure Preventive maintenance comprises the following activities Perform visual inspection see Inspecting the Instrument on page 122 Check the operating time for the pump and CO scrubbers Pump OpTime If required operating time gt 15 000 hours replace the pump and the scrubber units with serial number prefix DE020xxxxx only and reset the operating time counter Perform barometric pressure check and calibrate if necessary see Bar
229. pply the 5 Calibration Gas and wait until the value is stable Step 4 Check the Noise Index displayed next to the CO value on M3046A display this indicates the level of noise on the CO wave If the value exceeds 3 mmHg the M3015A unit must be replaced CO Gas Measurement Calibration Check After switching the Measurement Extension on wait at least 20 minutes before checking the calibration Check the calibration of the CO Gas Measurement as follows Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Check that the 5 calibration gas and flow regulator are connected Calculate the expected measurement value in mmHg as follows 0 05 x ambient pressure value mmHg e g 0 05 x 736 36 8 mmHg with an ambient pressure of 736 mmHg Open the valve on the flow regulator to allow 596 CO gas to flow into the Extension Allow the value to stabilize Check that the value on the instrument measurement value on the Main Screen x7 matches the calculated mmHg value 2 6 mmHg If the value is outside the tolerance calibrate as described in Step 9 onwards Disconnect the 5 calibration gas and connect the 10 calibration gas Calculate the expected measurement value and tolerance in mmHg as follows 0 1 x ambient pressure value mmHg 0 07 x value mmHg tolerance e g 0 1 x 737 mmHg 73 7 mmHg with an ambient pressure of 737 mmHg 0 07 x 73 7 mmHg 5 16 mmHg t
230. r soap and water a diluted non caustic detergent or one of the cleaning agents listed in this chapter Universal Display Cleaner or window cleaner is recommended for the cleaning of the LCD screen Full cleaning instructions are given in the Instructions for Use Cleaning Guidelines To avoid damage to the Instrument follow these cautionary guidelines Maintaining the Instrument 125 General Cleaning of the Instrument NOTE 126 Do NOT use any Povodine Sagrotan Mucocit cleaning agents or strong solvents for example acetone or Kohrsolin e Dilute cleaning agents Most cleaning agents must be diluted before use Always dilute according to the manufacturer s instructions Never use abrasive materials such as steel wool or silver polish Do not allow any liquid to enter the case Never submerge any part of the Instrument Do not pour liquid onto the Instrument during cleaning Do not allow any cleaner to remain on any of the equipment surfaces Wipe cleaners off immediately Cleaning Agents Any solution categorized under the following generic products apart from those listed in the cautionary guidelines above can be used as a cleaning agent Dilute ammonia Dilute formaldehyde 35 37 Hydrogen peroxide 3 Ethyl alcohol sopropyl alcohol Dilute sodium hypochlorite laundry bleach Concentrations ranging from approximately 500 ppm sodium hypochlorite 1 100 dilution of household bleach
231. r about 1 second at power on replace the System Board If the red LED switches on and remains on for more than 20 seconds replace the System Board Use a known good link bar and connect a Defib Defib cable and the Measurement Server again Check marker pulse again Use a known good Measurement Server Check marker pulse again f both of the above fail replace the System Board If there is no ECG OUT signal to the Defib repeat the above checks Troubleshooting the Instrument 175 Part 1 Troubleshooting Checklists Data Flow Marker In and ECG Wave The following illustrates the data flow for Marker In and ECG Wave Defib lt gt Monitor lt gt Measurement Server ECG Wave Marker Display Assembly Monitor System Board Marker In Data Path toe ECG Wave Data Path Marker merged to ECG Wave here Application MEASUREMENT SERVER 176 Troubleshooting the Instrument Part 2 Isolating and Solving Instrument Problems Part 2 Isolating and Solving Instrument Problems INOP Messages The following table explains the technical INOP messages that the Monitor can issue and suggests a course of action Where actions are numbered always try them in the order given and only proceed to the next action if the current one 1 not successful in solving the problem BAD SERVER LINK You cannot use this combination of Monitor Measurement Server and
232. r for at least two hours communi cation may restart with out further action If the message is still dis played after this time replace the battery 2 Change the System Board 3 Change the Connec tor Board 1 Change battery 2 Change the System Board 1 Make sure nothing is pressing on the keys or the TouchStrip 2 Check that the Moni tor Bezel is mounted securely and for dam age 3 Check the Monitor Bezel assembly cables 4 Replace the Monitor Bezel 5 Replace the System Board 1 Make sure the Server 15 connected to the Monitor or if present to the Extension 2 Replace the Server with a known good Server 3 Check link bar and cables 4 Replace the System Board Troubleshooting the Instrument MEASSERV UNSUPPORTD SERVERLINK SPEAKER MAL FUNCTION UNSUPPORTED LAN CO EQUIP MALF M3015A and M3016A CO NO TRANS DUCER M3016A Troubleshooting the Instrument Part 2 Isolating and Solving Instrument Problems An incompatible Meas urement Server includ ing any M3000A 15 connected to a Monitor with Rev E software Either the current 1s too high or the voltage 15 too low Defective speaker or cables An unsupported device has been connected to LAN port of the Moni tor Malfunction in the hardware or the M1460A transducer hardware M1460A Transducer not connected Silenc ing this INOP switches the parameter off
233. r r NIE n Connect 4 pin Connect 9 pin female male connector of connector of serial cable 2 serial cable to monitor s to the socket on rear of serial interface port recorder Step 1 Connect the 9 pin female connector of the serial interface cable to the socket on the rear of the recorder Ensure that the DB9 connector is firmly fitted to the socket and secure it by tightening the screw fasteners Step 2 Connect the 4 pin male connector of the serial interface cable to the serial interface port on the monitor marked with the 5 symbols Installing the Instrument Site Preparation Guidelines Order the Roll Stand M3080A Option A30 or the Wall Mount M3080A Option A31 for a dedicated mounting solution for your recorder See Mounting Options for the Local Recorder on page 111 The following recordings are supported e Start Stop real time e Start Extend delayed e Alarm e Vital signs e Trends and stored events The recordings always show the first three displayed wave forms The height of the wave channels is automatically adjusted according to the number of waves displayed Number of Waves Wave Channel Channel 1 Channel 2 1 cm Only Roman 8 characters are shown on the recorder Monitor texts are sent to the local recorder printer or Information Center in English for monitors marketed in some East European and Asiatic countries Refer to the booklet Translation Reference for M3 M4 P
234. racy Leakage Linearity and Valve Test NBP Accuracy Test This test checks the performance of the non invasive blood pressure parameter The NBP accuracy test is required once every two years and when the Instrument is repaired or when Instrument parts are replaced Connect the equipment as shown in the following To NBPI Expansion Chamber o NBP Input C gt Tubing gt Manometer Tools required Reference manometer includes hand pump and valve accuracy 0 2 of reading e Expansion chamber volume 250 ml 10 Or alternatively an NBP cuff can be used When using a cuff take care not to move it or touch it during the procedure as this can cause the calibration to fail Appropriate tubing In Service Mode the systolic and diastolic readings indicate the noise of NBP channels one and two respectively When static pressure 15 applied the reading in NBP channel should be below 50 The value in parentheses indicates the actual pressure applied to the system Step 1 Connect the manometer and the pump with tubing to the NBP connector on the Measurement Server and to the expansion chamber Step 2 Goto Service Mode Step Select the setup Testing the Instrument Preventive Maintenance Tests Step 4 Select Close Valves On Step 5 Raise the pressure to 280 mmHg with the manometer pump Step 6 Wait 10 seconds for the measurement to stabilize Step 7 Compare the manometer values with the disp
235. red to as the cushion The LCD display uses thin film technology and 1 sometimes referred to as a TFT display The Display Assembly connects to the System Board via a 40 wire flat ribbon cable Bezel Assembly Comprising the U shaped TouchStrip the Keyboard which includes operating keys alarm LEDs On Off switch and AC and battery indicator LEDs and the IrDA Board infrared printer interface recorder interface board The Bezel Assembly connects to the System Board via a 34 wire flat ribbon cable Speaker Connected to the System Board with a 2 wire cable The loudspeaker provides the audible output for alarms and audible feedback when the user presses a manual control AC Power Supply Connected to the Connector Board to power the Instrument and or charge the battery depending on the operating mode Smart Battery As an option a standard intelligent battery with an I2C interface to the DC DC controller Wireless LAN Assembly Comprising the Wireless LAN CPU Board and the radio frequency RF Board The Wireless LAN Assembly connects to the System Board via a 140 pin extension connector The RF Board connects to the antenna which is built into the monitor handle via a coax cable Ventilator Fan Connected to the System Board with a 2 wire cable The fan controls the temperature inside the Monitor when the Wireless LAN option is installed Detailed descriptions are given in the following sections Display Video Co
236. rest are automatically ignored M3001A C06 e Standard package plus Press and Temp M3001A C12 As standard package for M3 M4 Conventional 12 Lead ECG when used with IntelliVue M3001A C18 As standard package plus Press Temp for M3 M4 Conventional 12 Lead ECG when used with IntelliVue M3000A Measurement Server Standard Package The Measurement Server M3000A standard package includes e Measurements of ECG Resp and SpO e Signal and alarm processing M3000A C06 Measurement Server Extended Measurements Package The Measurement Server M3000A 06 optional package includes e Measurements of ECG Resp SpO Press and Temp e Signal and alarm processing Features The Measurement Server has the following general features Data Management The Measurement Server features Patient Data Management This consists of continuous 4 hour storage of patient related measurement information This allows you to do the following Manage patient information View patient data in tabular form via the Monitor e Print patient information reports via the Monitor Introduction to the Instrument Measurement Server Theory of Operation Transfer data between Monitors The M3001A supports data transfer to and from the Intel liVue family of patient monitors Settings Transfer The Measurement Server can be transported from one Monitor to another and still keep its measurement settings T
237. rial for Maintaining the Instrument 135 Answers to the Tutorial for Maintaining the 136 4 Testing the Instrument eere ertt tnn 137 Beate ae 137 137 Re No 138 Recommendations for Test 139 ee 140 esting Oe wr Dm 141 142 P NO ah un de neers d tcn i tino a 142 142 Power On Test ue a bees SQUE Cae eS Sad 142 Functionality Assurance 143 PertormaHce Assurance Test abe wee bed LED S ERE E ER 143 OE is Sle Il GNC Che asa Sa ae ait a thee st ne sere gd wine saree is ee ae 143 Sy stent De Ue hah e eke eee t det ae Unc ce 144 System Sell Pest Ales e ze ed sdb 54er b dated 145 Preventive Maintenance Tests 146 Accuracy Leakage Linearity and Valve Test 146 sidestream C O5 Perormance Lest a isa rb DEP 148 Checking and Resetting Time Counters 153 Documen npg C O5 Test Resulls sae case ERA tae ERA DOE WEE duae E 154 Accuracy and Performance
238. rm relay is provided which energizes when an alarm condition occurs This enables a remote alarm indicator such as a Nurse Call to be connected to the device Battery Controller The battery controller is the interface to the Smart battery Signals from the battery inform the battery controller of the most effective charging current with which to load the battery Two LEDs are mounted on the Battery Controller Battery LED This is illuminated green if the battery is fully charged and yellow if the battery is charging If the remaining battery operating time is only 5 minutes the LED flashes red at a repetition rate of 1 5 flashes per second AC LED This is illuminated green when the power cord is connected and AC power is available Otherwise it is extinguished The AC LED is fed directly from the AC power supply For a detailed description of the battery see chapter 3 Maintaining the Instrument ECG Out Marker In Controller The ECG Out Marker In Controller is the interface between the Monitor and any defibrillator that might be connected It converts a digital waveform signal received from the Measurement Server ECG Respiration module into an analog ECG signal which it feeds to the defibrillator in order to synchronize it The ECG Out controller also processes the marker information from the defibrillator and feeds the data back to the Measurement Server ECG Respiration measurement module Introduction to the Instr
239. rve that there is a screen display and that no error codes are displayed Step If any error codes are displayed or the screen remains black refer to Troubleshooting the Instrument The Instrument has a Self Test routine which generates and displays test waveforms and corresponding numerics for the Measurement Server and or Measurement Server Extension that is connected The test signals are displayed for about 30 seconds and then the display returns to monitoring mode The test signal will display only if the system Self Test is successful and the Measurement Server and where present the Measurement Server Extension is plugged into the Monitor Perform the following quick system check to verify that the System Board and the Measurement Server and where present the Measurement Server Extension are communicating properly Quick System Check You can verify that the System Board in the Monitor and Measurement Server and where present the Measurement Server Extension are communicating properly by completing the following test Testing the Instrument 143 Functionality Assurance Tests The Test Press the Setup button move the highlight to ECG and press on the TouchStrip The Result The ECG window should appear verifying that the System Board and Measurement Server are communicating with each other System Self Test CAUTION The Self Test ensures that the Instrument is functioning correctly it does not test the accuracy of
240. rver Extension 252 Removine the Front COVSE 208 gs dp soe 96 252 Removing the Extension Bottom Cover 233 Removing the COs ScpUDDGE 235 the PMP aeu wea ut osos 236 Refit Procedures for the M3015A Measurement Server Extension 237 Retitting the CO SCEUDDOE oes ioe ee sae eee aus iuit dtes PA we 237 RMU the he iins rie Sete eth us Ducted dh dt E ea ai 238 Refitting the Extension Bottom Cover 238 the Pron COVER Etc dra gt oan es 238 Disassembly Procedures for M8043A Battery Charger and Conditioner 239 Openine the Houssine Liven oto a oen Lo lot spetta Lat ttr ea 230 Removing the Coolmi Pans sic ier bbs a ha d bad ed ew bred 240 Removing the Ate Millers 242 Reassembling the Battery Charger and 242 Following Reassembly 22 3703 3 n Eu eR RS A ebd ook e RS RA ib E es 242 Tutorial for Repairing the Instrument 243 Answers to Tutorial for Repairing the 244 1 Replacement ts i IHRER HIR RR 245 et deer
241. ry b Order only through the Sales channel stating the serial number Monitor Exchange Parts 12 Digit Reordering Description Number Exchange Part Number M3046 68502 453563333331 Exchange Monitor System Board English software preloaded Rel A a Use M3 M4 Support Tool to configure the software for a specific release language if necessary Replacement Parts 251 Monitor Parts Monitor Parts 252 Replacement Parts Monitor Parts Small Parts Kit _ M3046 64102 Small Parts Kit includes See illustration on page 253 Qty Part number Description 4 5041 5125 Foot Bumper Fits all Measurement Servers and Server Extensions 4 3046 41001 Foot Bumper 1 5041 8116 Rubber key 1 5041 8118 Hook 3 0515 0886 Screw E 2 Pins for Battery Compartment Door T 1 3046 48102 IR window 5 o D Small Parts Kit M3046 64102 Replacement Parts 253 Multi Measurement Server Parts Multi Measurement Server Parts The Multi Measurement Server MMS does not contain any servicable parts and can only be replaced in its entirety Multi Measurement Servers are shipped with English front bezels only If you require a bezel in another language compare the part numbers of your language to the English ones to check this the front bezel has to be ordered additionally Attach the appropriate bezel before putting the MMS into operation M3001A Part Numbers Front Bezel Lan
242. s The tests described below are accessible in Service Mode only In Service Mode press the Setup key and select Hardware Test to display the Hardware Test selection menu Coldstart Test Before executing a coldstart test be aware that the patient database will be erased by the test and that the Monitor defaults will be reset to user defaults This coldstart test executes a reboot with a more intensive system Self Test than a normal reboot The coldstart test is also executed in the Server and in the Extension if either one is connected Executing the coldstart test automatically returns the Instrument to Monitoring Mode To execute a coldstart test do the following Step 1 Switch the Monitor into Service Mode Step 2 Press the Setup key Step 3 Select Status Log Step 4 Clear the Status Log and Confirm for both Monitor and Server Step 5 Press Exit Step 6 Select Hardware Test Step 7 Select Coldstart Step 8 Press Confirm The Monitor and Server if connected perform a reboot The coldstart reboot is the same as described in What Happens During a Regular Boot AC powered without Battery except that the time taken from the switch off of the Alarm and Suspend LEDs to the switch on of the backlight and display of the M3 logo is extended The whole reboot takes about 10 seconds After the system has come up again check whether CHECK STATUS LOG 15 displayed If not the test is successful If yes do the following
243. s IntelliVue Software Revision A 05 xx and Lower Language Part Number 12 Digit Reordering Exchange Part 12 Digit Reordering Number Number Number Standard Version 5 Lead ECG no Pressure Temp us 45356460091 MXLGMOi 453563460631 _ Option WEOE ECG _ N 56 Replacement Parts Multi Measurement Server Parts Language Part Number 12 Digit Reordering Exchange Part 12 Digit Reordering Number Number Number us 453563460641 Option C12 Functionality as Standard Version with M3 M4 Conventional 12 Lead ECG with IntelliVue family only Rus 001 453563460651 _ M3001 60701 453563460711 M3001 68701 453563460651 Replacement Parts 257 Multi Measurement Server Parts Language Part Number 12 Digit Reordering Exchange Part 12 Digit Reordering Number Number Number Option C18 Functionality as C06 with M3 M4 Conventional 12 Lead ECG with IntelliVue family only Norwegian M3001 68801 453563460591 Korean M3001 60801 M3001 68801 a All versions of the M3001A Measurement Server offer EASI lead placement using an EASI 5 electrode cable set The conventional 12 lead ECG capability of M3001A C12 and C18 only works with the IntelliVue family of monitors You can connect a 10 electrode lead set for example if a patient is transferred from an IntelliVue
244. s for all field replaceable components The Measurement Server the M3016A Measurement Server Extension and later versions Revision B of the M3015A Measurement Server Extension with serial number prefix DE020xxxxx do not contain any serviceable parts If defective these pieces must be returned to the factory Compatibility Matrix Release A to Release B New hardware starts with serial date code DES850X XXX as well as with the serial date codes in the range DE71305620 to DE73105823 Main System Metal Chassis amp Monitor M3046 66502 Plastic Housing Bezel exchange M3046 66522 M3046 60002 M3046 60101 M3046 M3046 M3046 6410A 622YY 68502 M3046 44109 Main System Board M3046 68XXA Connector Board amp cover M3046 66521 M3046 44107 Monitor Power Supply M3046 60001 Metal Chassis amp Plastic Housing M3046 6410A Monitor Bezel M3046 622XX Replacement Parts 245 Compatibility Matrix Release A to Release NOTE 246 Compatibilities and Incompatibilities Old Main System Board An old version Main System Board can be used with the new Chassis and Housing and the new Monitor Bezel It cannot be used with the new Connector Board VGA and cover or the new Power Supply This part will remain available for replacement use in existing Monitors New Main System Board A new Main System Board can be used with all old parts except the old Power Supply If an old Mai
245. sassembly Procedures 221 Display Assembly related problems 186 188 Display Test 207 disposal 115 E earthing 64 EASI lead placements 23 ECG data out 67 EASI 23 signal analog 67 ECG EQUIP MALF message 210 ECG Sync Performance Test 158 ECG synch 158 ECG Resp Performance check 155 theory of operation 23 Electrocardiogram Respiration SP Module Block Diagram 25 Components 25 Description 23 Features 24 ECG Modes 24 RESP Modes 24 Safety 25 Measurements 23 Theory of Operation 25 electrosurgery protection 64 equipment combining 65 equipotential grounding post 5 Error Code Description 198 Error Codes 197 listing 199 explosive gases 66 extensions 1V ECG RE F floating inputs Type CF 64 Front Panel LEDs troubleshooting 168 fuse 221 fuse part number 250 G gases explosive 66 grounding 64 cabinet 64 grounding post 5 H heart examination 65 Human Interface Controller 18 275 Infrared Lamp replacement 125 INOP Messages 177 inputs floating 64 Inspect the Cables and Cords 122 Inspect the System 122 installation iv cabinet 66 Installing the Instrument 63 Instrument Components 4 intra aortic balloon pump 67 Isolating and Solving Problems 177 Isolating problems to the subassembly 175 Instrument correct L label numeric 10 wave 10 leakage current patient 64 LED AC Power 5 battery 5 LEDs System Board 169 Line Frequenc
246. serial bi directional data communication link to the pressure temperature modules of the system CPU The following data is transmitted to the system CPU Pressure wave Temperature numeric INOP and error messages e Status messages The following data is received from the CPU Control messages messages in both directions are secured by checksums ADC Controller and Data Acquisition The data exchange between the A D converter and the CPU is based on serial communication link The calibration information is periodically refreshed to ensure proper operation of the converter The converter generates an interrupt each time new data is 40 Introduction to the Instrument Temperature and Invasive Blood Pressure Temp Press measurement available This forces the CPU to retrieve the data and to calculate the scaled pressure waveform of temperature value Wave Processing and Filtering Pressure measurement Data from the A D converter is sent to a single pole digital filter which generates the specified frequency response Additionally the transducer zero value is subtracted from the signal Temperature measurement This is referenced against a high precision calibration resistor Each temperature value consists of 16 averaged samples and the test resistor verifies the linearity of the measurement With an offset resistor all offsets are eliminated Pressure amp Temperature Mode Detector The CPU switches between two d
247. serial numbers for the Monitor and the Measurement Server can be seen in the Revisions window press Setup key then select Revisions However if a Measurement Server Extension M3015A or M3016A is in use the number will not appear and must be noted down from the back of the Extension To do this remove the Measurement Server and Extension from the Monitor so that the back of the extension is visible The Status Log and Error Codes One possible line of fault isolation is in the error codes However some error codes cannot provide diagnostic information at the repair site and must be analyzed in the factory if they appear repeatedly Whenever one of the subsystems is unable to perform an operation an error code is generated Error codes are assigned to fatal and non fatal errors Error codes can be found in the Status Log while in the operating modes In the Configuration Demonstration and Monitoring modes the Status Log only displays fatal error codes In the Service Mode the Status Log displays both fatal and non fatal error codes with a blank line separating the two Errors that occur during start up or regular monitoring are logged in the Status Log The Status Log can be printed and cleared If fatal errors occur repeatedly send a printout of the Status Log Service Mode to Philips There are two categories of error Fatal Errors These errors indicate major problems that cause the Monitor to reset and re start
248. sh ones to check this the front bezel has to be ordered additionally Attach the appropriate bezel before putting the M3016A into operation M3016A Parts 12 Digit Reordering Description Number M3016A A01 Press Temp with Mainstream CO M3016 44131 M3016 44133 M3016 44134 M3016 44135 M3016 44136 M3016 44137 M3016 44138 M3016 44139 M3016 44140 M3016 44144 M3016 44145 M3016 44147 M3016 44150 M3016A Front Bezel English also for French Danish Traditional Chinese and Simplified Chinese M3016A Front Bezel German M3016A Front Bezel Dutch M3016A Front Bezel Spanish M3016A Front Bezel Italian M3016A Front Bezel Norwegian M3016A Front Bezel Swedish M3016A Front Bezel Finnish M3016A Front Bezel Japanese M3016A Front Bezel Portuguese M3016A Front Bezel Greek M3016A Front Bezel Russian M3016A Front Bezel Polish M3016A A02 Press Temp without Mainstream CO NA M3016 44161 M3016 44162 M3016 44163 M3016 44164 M3016 44165 M3016 44166 M3016 44167 M3016 44168 M3016 44169 M3016 44170 2 je 3 5 ct 0 je d 70 M3016A Front Bezel English also for French Danish Traditional Chinese and Simplified Chinese M3016A Front Bezel German M3016A Front Bezel Dutch M3016A Front Bezel Spanish M3016A Front Bezel Italian M3016A Front Bezel Norwegian M3016A Front Bezel Swedish M3016A Front Bezel Finnish M3016A Front Bezel Japanese M3016A
249. sion has a sidestream carbon dioxide respiratory gas measurement for the Monitor monitoring device It is designed to be used with the M3000A M3001A Measurement Server for adult pediatric or neonatal patients in a hospital environment and during patient transport in and outside hospitals by clinical users The patients can be intubated or non intubated CO respiratory gas measurements indicate the efficiency of the transfer of oxygen from 2 resp ys y yg alveolar air into pulmonary capillary blood and the elimination of carbon dioxide from pulmonary capillary blood and its transfer into alveolar air CO respiratory gas measurements are evaluated as gas passes through the airway adapter on the patient s intubation system CO respiratory gas measurements are an indication of the 2 resp 5 patient s overall respiratory status Blood Gas concepts important to this section are e Airway Respiration Rate AwRR The number of inspirations and expirations per minute End Tidal CO EtCO The highest partial pressure of measured during one expi ration Inspired Minimum CO ImCO The lowest partial pressure of during inspira tion Instantaneous CO The CO measurement at any instant Ventilation The movement of air in and out of the lungs by inspiration and expiration Measurements The sidestream measurement produces respiratory CO gas readings in a real time CO waveform together wi
250. splayed in the status line at the bottom of the screen is the same as the value which you selected from the list in step 5 Leakage Check The leakage check consists of two parts Check of tubing between the pump outlet and the M3015A outlet Check of tubing between the pump inlet and FilterLine inlet Check the User s Guide of the flowmeter for details on how to make a correct flow reading Part 1 Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Part 2 Step 8 Step 9 Go into Service Mode and highlight Connect a FilterLine to the sidestream CO input to start the pump running Check the ambient and cell pressure shown in the status line on the screen The cell pressure should be approximately 20 mmHg lower than ambient pressure Connect the flowmeter outlet to the FilterLine inlet using a flexible connecting tube Block the M3015A outlet using your fingertip and observe the flowmeter display The value on the flowmeter x2 should decrease to between 0 and 4 ml min accompanied by an audible increase in pump noise If the value is within the tolerance limits continue with Part 2 of the leakage check If the value is outside the tolerance limits there is a leakage between the pump outlet and the M3015A gas outlet Open the M3015A and check the tubing connections at the pump outlet and the M3015A gas outlet If the connections are good then there is a leakage in the tubing and the M3015A must
251. ss Bedside Parameters window Wireless Bedside Configuration OF x Tool expects RengeLAN Bed 1 2 B15 cart Configure Clear Fields Modify values as needed ar use Clear Fields Domain security 10 m3150 Status Step 15 Modify the domain field according to your design requirements Refer to Appendix A of the M3185A IntelliVue Clinical Network Service Manual for the appropriate wireless configuration worksheets Security ID Keep the default entry m3150 If an error message appears see Troubleshooting in the Access Point section This configuration process takes about 1 minute During configuration status messages will be displayed in the field at the bottom of the Wireless Bedside Parameters window as the tool resets the configuration to factory default values sets the configuration parameters and then resets the Wireless Adapter When the tool has successfully completed the configuration the Wireless Bedside Configuration is completed successfully window is displayed ConfigT ool IN Wireless Bedside Configuration is completed successfully Do vou want to save Logs to file A toalssConfigT ool BedO0 log 7 Click Cancel to specify a different file The configuration tool will write the configuration dialog and summary information to a file if you wish It will create a Log file name by combining Bed and the 2 digits of the Domain entered in
252. strument and the other end is connected to one point of the equipotential grounding system Examinations in or on the heart or brain should only be carried out in medically used rooms incorporating an equipotential grounding system according to national standards Combining Equipment combinations of medical equipment with non medical equipment must comply with IEC 60601 1 1 If instruments are combined the summation of the leakage currents can be hazardous to the patient or hospital personnel If it is not evident from the Instrument specifications whether a particular instrument combination is hazardous or not service personnel must apply measurements and install appropriate IEC 60601 1 compliant means to make sure the combination is safe see Chapter 4 Testing the Instrument In a likely case the user must consult the manufacturers to ensure that the summation of leakage currents does not jeopardize patient safety Installing the Instrument 65 Preparing to Install the Monitor WARNING 66 Apart from the possible danger caused by leakage currents no other hazards are known to result from the simultaneous use of the Monitor with other patient connected equipment Environment To ensure a completely safe electrical installation follow the instructions described later in Installing the Monitor The environment where the system will be used should be reasonably free from vibration dust corrosive or explosive
253. t d All of the above examples are correct Question 2 When organising power supply for monitoring equipment which of the following does not contribute to patient safety a Do not touch the patient when connecting or disconnecting a cable to a Video Out connector b It is important to read and become familiar with the Monitor and Measurement Server Specifications chapter in the nstructions for Use c When connected to an AC power supply either mains or vehicle the cabinet of the monitor must be grounded d If other patient connected equipment is used simultaneous to the Monitor the summation of leakage currents can be hazardous to the patient or to hospital personnel e All of the above examples are correct Question 3 How can you eliminate potential differences between different pieces of equipment for internal examinations on the heart or on the brain a Do not mount monitoring equipment over the patient s bed b Connect the Monitor by a separate connection to the equipotential grounding system of the medically used room c The Instrument must be kept clear of condensation d There is nothing in particular that needs to be done 116 Installing the Instrument Answers to the Tutorial for Installing the Instrument Answers to the Tutorial for Installing the Instrument 1 b See page 100 for more details 2 e See entire chapter for more details 3 b See page 65 for more details Insta
254. t The main window appears as shown below AN Site Survey amp Configuration Tool OR XI Checking for HangeL MZ driver HangeLAMZ diver version SA 1 3 B5 accessed successtullu Made address 002026352942 version V1 8ET 20 Synchronized to 0020 635284 MASTER Help Configuration E xit E ELEM aci Site Survey 1 The recommended Site Survey Tool is available from Connectronics www connectronics com The part number is 82 6332 7402 05 Range LAN2 PCMCIA Card One piece with Snap on antenna 204 Troubleshooting the Instrument Testing Wireless Network Connectivity Procedure 1 Click on the Site Survey button in the main window to bring up the Site Survey window which appears as shown below BL Surrey In this example the Node Address shows one unit this 15 the MAC address of the radio board 0020a6338fdb with a Received Signal Strength of 90 The number to the right of the bar graph is the indicator Acceptance Criteria The RSSI should be greater than 80 If it is less than 80 check the antenna cable connection to the Radio board inside the M3046A to see that it is mated properly When the test is completed click on Done inthe Site Survey window then on Exit inthe RangeLAN2 Site Survey and Configuration Tool window Troubleshooting the Instrument 205 Using Service Mode CAUTION 206 Using Service Mode Service Mode Hardware Test
255. t Discharge Transfer ADT Software Module 13 Trend Sottware Mod le 93 ier ore ae oe oe eRe eho CRUS ra SERA 13 Events Soltware aeta nat 108 ROS ndr e EE 13 Printer Mana CCE edo oos Soler d y eod Soe at aS a feeit en 14 Recorder Manager EX Rb E Rao ond 14 IrDA Serial Communication Manager 15 Communication Software Module 15 SUPPO BESSER NER dau nd 15 Functional Description of the Monitor Hardware 16 Display Video CoOlFOllet 17 Human Interlace Controller Seb d d qp 18 Battery 18 ECG OuuMarker In Controller 18 Infrared IL DA Dnterideeu oa us ead oir do e CIR S E SE 19 cha Qa cce dur ee ee eeu eek wae 19 Wireless 9 19 Section 2 Measurement Server Description and 5 19 M3001A Measurement Server Standard Package 19 M3001A Measurement Server Extended Measurements Packages 20 Contents Vii viii M3000A Measurement Server Standard Package 20 M3000A C06 Measurement Server Extended Measurements Package 20
256. t be conditioned at regular intervals to prepare it Conditioning for further charge discharge cycles Conditioning a battery refers to the complete discharge of a charged battery by allowing it to die out while in non critical use The empty battery may then be recharged and put back into use Maintaining the Instrument 119 Recommendations for Maintenance Frequency Recommendations for Maintenance Frequency The maintenance checklist appears in the next section of this chapter The listed procedures should be performed as indicated in the Suggested Maintenance Timetable below The checklist may be photocopied and should be completed by the maintainer It should be filed for future reference The owner of the equipment is responsible for the performance of the maintenance activities in line with the schedule below Suggested Maintenance Timetable Inspect the Instrument and inspect the Daily cables and cords for the entire Instrument Preventive Maintenance for the M3046A Monitor e Cleaning procedures Clean as needed e Testing Procedures See Testing the Instrument Preventive Maintenance for the M3000A M3001A Measurement Server e Cleaning procedures Clean as needed e Non invasive Blood Pressure Cali Once every two years bration test e Testing procedures See Testing the Instrument Preventive Maintenance for the M3015A Measurement Server Extension e Cleaning procedures Clean as needed e Replace pump and
257. ter 48y Monitor _ Pneumatic 1 Assembly Pneumatic 12 12V Power Switches AD Converters LEN CU E l The main functional areas are summarized below e CPU Board Consisting of a 68360 Controller the Memory System Flash ROM SRAM DRAM ASIC etc the NBP A D Converters and a connector link to a Monitor or an Extension 22 Introduction to the Instrument Electrocardiogram Respiration ECG Resp Measurement e Front End Board Consisting of the ECG Resp Front End the SpO Front End the Press Temp Front End and the Floating Non Floating Isolation area all feeding signals to the CPU Board NBP Pneumatic Assembly Connecting to the DC DC Converter Board the Pneumatic Power Switches housed the DC DC Converter Board and to the NBP A D Converters DC DC Converter Board Connecting to the Floating Non Floating Isolation area on the Front End Board to the NBP Pneumatic Assembly and to the CPU System Electrocardiogram Respiration ECG Resp Measurement Description The Measurement Server has a three channel electrocardiogram and respiration measurement It is designed to be used with adult neonatal or pediatric patients in ICU and OR environments Measurements The ECG Resp measurement produces continuous real time waves for both cardiac and pulmonary activity It also generates numerics for the average heart rate HR derived
258. tery use see the Using Your Monitor in Patient Transport chapter in the Instructions for Use Connecting a Printer Selecting a Printer If you are printing locally you can use either of the following accessories e PCL 3 PCL 5 compatible printer with an infrared to parallel converter J etEye Printer wireless infrared connector which you can order as M3080A Option 5 or a PCL3 or PCL 5 compatible with a built in infrared interface You can also use the LaserJet with the JetEye but then you will also need a Centronics printer extension cable Installing the wireless infrared printer connector is covered on page 94 Make sure that the infrared printer port is at least 50cm 20 inches from any SpO transducer while you are printing to avoid disturbing the SpO measurement Note that the M3 Print Server is no longer available but is mentioned here for those who still use it Step 1 Press the Setup key Step 2 Move the highlight to Printer Step 3 Press the strip to select the Printer window Step 4 Move the highlight to Printer Step 5 Press on the strip Step 6 Select the appropriate setting according to the following table None there is no printer printing operations are disabled Installing the Instrument 93 Installing the Wireless Infrared Printer Connector M3080A 5 94 Local o enable a local printer Remote 1 o enable a printer connected through the network Remot
259. th numerics for End tidal CO EtCO Airway Respiration Rate AwRR and Inspired Minimum Carbon Dioxide ImCO Factors affecting accurate measurement of sidestream CO respiratory gas are as follows Proper connection between the Extension and patient s respiratory system Temperature of the patient s breath Amount of water vapour in the patient s breath Barometric pressure at the site of measurement acquisition Other gases most notably N5O and in the gas mixture The End Tidal Carbon Dioxide measurement for Carbon Dioxide uses a technique based on the absorption of infrared radiation by certain gases Infrared light is absorbed by CO The amount of absorption varies according to the CO concentration in the gas mixture By using an infrared detector to measure the absorption the CO concentration in a gas can be derived Introduction to the Instrument Sidestream Measurement Sidestream CO Features This illustration shows the user controls on the Server and the connector for appropriate tubing for the sidestream CO measurement on the Extension sidestream CO tubing Sidestream CO Wave The two calibration marks are located at 10 and 60 of wave channel height The lower calibration mark is labelled 0 mmHg 0 0 kPa on all scales The upper one is adjustable from 20 mmHg 2kPa to 100 mmHg 13 kPa in steps of 10 mmHg 1 CO
260. the Monitor to GCX Wall Channel but to also provide tilt and swivel capability Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Rail Unpack the Tilt Swivel mount and check all parts are available Make sure the wall channel end stop has been fitted Secure the rail to the Tilt Swivel mount with the 2 screws provided Slide the adapter plate down the wall channel Adjust the assembly to the correct height with the adjustable channel stop Use adjustment knobs to adjust to the required tilt swivel angle Hang the bed hanger over the rail Installing the Instrument 103 Installing the Tilt Swivel Mount M3080A A14 Attached to a Universal Pole Clamp This option is used to attach the Tilt Swivel mount to a Universal Pole clamp The Monitor can then be mounted on a pole or rail and can provide tilt and swivel capability Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Unpack the Tilt Swivel mount and check all parts are available Remove the adapter plate this is only necessary for the GCX Wall Channel Secure the rail to the Tilt Swivel mount with the 2 screws provided Decide whether the tilt swivel mounting 1 to be secured for vertical positioning on a pole or for horizontal positioning on a rail Secure the pole clamp to the tilt swivel mounting with the two screws provided Tighten the screws Attach the clamp to a pole or rail Use adjustment knobs to adjust to the required tilt
261. the monitor itself and one for the Wireless Adapter card that transmits data to the Access Point The M3 M4 monitor IP Address is set dynamically by the Information or Surveillance Center displaying its monitoring data This procedure describes how to configure the Wireless Adapter card and set its IP Address Installing the Instrument Installation of Wireless Infrastructure The following cable is required to interconnect the configuring PC to the Wireless LAN adapter in the M3 M4 patient monitor 9 pin D female 1 8 in male stereo phono cable PN M1360 61675 Copying the Configuration Tools to the Configuring PC The first step in the procedure is to copy the configuration tool software from the IntelliVue Information Center Application Software CD ROM to the configuring PC Step 1 Turn on the configuring PC to display the Windows Main Menu Step2 Insert the IntelliVue Information Center Application Software CD ROM into the CD ROM drive of the configuring PC Step 3 Open Windows Explorer as follows a Click on Start in the lower left of the Windows Main Menu to open the Windows Workstation menu b Click Programs to display the Programs menu c Click Windows Explorer to display folders in the PCs CD ROM drive Find the Viridia directory on the CD ROM shown in the figure below and click on it to display the tools directory 21 2 990208 1245 F sw cisco1900 9 00 04 V1 2 CFG 41 Viridia Hg ansfiles
262. the service record V P or V where P pass i e the system has no obvious signs of damage and F fail Power On Test Step 1 Switch on the monitor and connect the Measurement Server to the M3046A Step 2 Observe whether the monitor boots up successfully without displaying an error code and if an ECG wave appears on the screen What to record on the service record Testing the Instrument Functionality Assurance Tests PO P or PO F where P pass 1 e the monitor boots up displaying no error codes and displays an ECG wave and F fail Functionality Assurance Tests The following functionality assurance checks are recommended to verify proper operation daily before the Instrument is used to Monitor a patient Functionality assurance checks fall into two parts 1 Verification of overall operation by completing the Performance Assurance Test 2 Verification of the Measurement Server and where present the Measurement Server Extension operation by completing the System Check and the System Self Test You can perform these checks in any order you choose They are divided up here for organizational purposes Performance Assurance Test To verify your Instrument works properly perform the following test Step 1 Connect the power cord to the Monitor and plug it into an AC power source Switch the Monitor on by pressing the ON OFF button Step 2 After approximately one minute the Monitor should complete its boot up process Obse
263. tives In order to meet this chapter s goals you should be able to complete the installation of the Monitor with a Server and an Extension including all of the following tasks Install the Instrument Configure the hardware Perform post installation checks Connect a printer Connect a local recorder Comply with safety requirements As well you should be able to perform site preparation and assemble any of the following mounting options Table Mount Universal Bed Hanger Wall Rail Tilt Swivel Mount Universal Pole Clamp Measurement Server Mounting Plate nfrared Printer Connector The appropriate installation procedures are described in this chapter Concepts The following section contains information that you need to understand before attempting an installation of an M3046A Monitor an M3000A M3001A Measurement Server and where present M3015A M3016A Measurement Server Extensions Instrument The detachable three wire power cable grounds the Instrument to the power Grounding line ground when plugged into an appropriate three wire receptacle This cable protects both the patient and the hospital staff Do not use any other power cable Line Voltage Switch mode power supply automatically selects the necessary line voltage Selection for the system Mounting Sur The mounting surface frequently dictates the type of screw to be used when face Analysis mounting the equipment Ability
264. trument Problems Display waves Radio frequency interfer Turn off or move away are noisy not ence RFI from other from the Monitor the showing a instruments such as ultra instrument causing RFI smooth QRS sound ESU Defib or problems wave telemetry is causing noisy waveforms Message The display has been Use the Upgrade Tool to appears New exchanged and the Moni upgrade the monitor with display tor needs the new specifi the latest display specifi detected please cations cations enter new dis play specs TouchStrip related problems TouchStrip dis Cleaning agents abrasive Replace the Monitor colored cracked material or strong sol Bezel and clean the Instru or surface 1s vents were used to clean ment in the future with deformed the Instrument only isopropyl alcohol Wipe cleaning agents off surfaces immediately Lack of user Cable from the System Refit cable correctly control of dis Board to the Monitor play Bezel not connected prop erly Check Status Log for mes Defective TouchStrip sage CHECK INPUT DEVICE Replace the System Defective System Board Board Network related problems Central Wrong monitor label or Check the bed assign assigned to this Information Center incor ments at the Information bed prompt rectly configured Center and that the moni message tor label assigned to this monitor has not been changed locally Troubleshooting the Instrume
265. ts Measurements Compatible with which M3046A Release D and lower Measurement Server Server Extension c 9 e 5 49 d ithOption 5 60 gt x EASI derived 12 Lead ECG Respiration Non Invasive Blood Pressure SpO Invasive Blood Pressure M3001A C06 lt lt lt M3001A C12 lt ES M3001A 18 M3016A A02 supported not supported a Using a standard 5 electrode lead set You can connect 10 electrode lead set for example if a patient is transferred from an IntelliVue monitor but only the standard five electrodes RA LA RL LL and V are used for monitoring The rest are automatically ignored b Only Pressure Temperature supported in M4 monitors c Support for the CO measurement depends on the monitor option and software revision Compatible with M3 lt lt ES S SS NL PS lt S M4 with software revision E and D later than D 11 Compatible with M4 only with software revision B to D 11 No support for CO for earlier monitors with software revision A The signals are converted into digital data and processed before being communicated to the Monitor The server device is referred to as the Measurement Server or simply the Server in this manual versions of the M3000A and M3001A Measurement Servers are covered by this manual When using the M3015A and M3016A all the signals are con
266. ts with serial number prefix DEO20xxxxx only Performance and Safety Tests Once every two years Temperature Accuracy ECG Resp Performance Invasive Pressure Performance SpO Performance Mainstream CO Performance Nurse Call Relay Performance ECG Sync Performance including Safety Checks in Once every two years accordance with IEC 60601 1 e System Enclosure Leakage Current Protective Earth Patient Leakage Current Testing the Instrument 139 Test Test The test map shows which tests are required in which situations Service Event Test Blocks Required When performing Complete these tests Installation of M3 M4 with no display Perform Visual and Power On test connected to the VGA output blocks Installation of M3 M4 with a display Perform Visual Power On and connected to the VGA output Safety 1 test blocks Installation of M3 M4 with a recorder Perform Visual Power On and connected to the serial interface Safety 1 test blocks Perform test print on recorder Repairs where the power supply in the M3 Perform Power On and Safety 2 M4 is replaced Test blocks Repairs where the monitor has been Perform Power On and Safety 2 dropped and 3 Test blocks All other M3046A repairs Hardware or Perform Power On test block Software Upgrades Preventative Maintenance Perform all Preventative Maintenance Tests Safety and Performance Perform all Safety and Performance Test blocks
267. two years and when the Instrument is repaired or when Instrument parts are replaced Temperature Accuracy This test checks the performance of the temperature parameter The temperature accuracy test is required once every two years Tools required Patient simulator with 0 1 C or 0 2 F Step 1 Connect the patient simulator to the temperature connector on the Measurement Server or Measurement Server Extension Step 2 Configure the patient simulator to 40 C or alternatively 100 F Step3 The value should be 40 0 2 C or 100 F 0 4 F If the displayed value is not within the tolerances given above refer to Troubleshooting the Instrument ECG Resp Performance This test checks the performance of the ECG and respiration parameters ECG Resp performance test is required once every two years Tools required Patient Simulator ECG Performance Step 1 Connect the Patient Simulator to the ECG Resp connector on the Measurement Server Step 2 Configure the Patient Simulator as follows ECG sinus rhythm 100 bpm Step 3 Check the displayed ECG wave and HR value against the simulator configuration Step 4 The value should be 100bpm 2bpm Testing the Instrument 155 Accuracy and Performance Procedures NOTE 156 Respiration Performance Step 5 Step 6 Change the Patient Simulator configuration to Base impedance line 1500 Ohm Delta impedance 0 5 Ohm Respiration rat
268. uch as gain A D sampling rate and DAC operation Acquires the digitized ECG and Resp signals Digitized ECG signals are used to calculate 3 ECG leads which are then passed on to the Pace Pulse detecting software and the wave processing and filtering software Performs ECG wave filtering The waves are digitally filtered and scaled then passed to the software that communicates with the system CPU Performs pace pulse detection A digital high pass filter acts as a slope detector for the received ECG waves The output of the slope detector is fed into two comparators comparing the signal to a positive and negative threshold The output of the comparators indicate the absence or presence of a pace pulse The threshold of the comparators is moving and adapts itself to the amount of noise present in the ECG wave Detected pace pulses are communicated to the wave processing and filtering software Communicates with the system CPU Communication is via a serial bi directional data link The ECG Resp CPU sends the following data to the system CPU 3 ECG waves Introduction to the Instrument Electrocardiogram Respiration ECG Resp Measurement respiration wave Pace pulse data INOP messages and Status messages The ECG Resp CPU receives control messages from the system CPU ECG Software on the System CPU Display Filter ECG Wave amp Scaling Heart Rate Cardiotach Ds gt ECG Alarming
269. ulling the Connector Board out The Plastic Housing must be completely removed to allow the Connector Board to be unscrewed from the side of the Monitor 228 Repairing the Instrument Disassembly for the Monitor Removing the Speaker To remove the speaker do the following Step 1 Remove the chassis as described previously in this chapter Step 2 Remove the Power Supply Step 3 Remove the Connector Board Step 4 Disconnect the speaker cable running to the System Board Step 5 Rotate the two plastic holders retaining the speaker Step 6 Remove the speaker Repairing the Instrument 229 Refit Procedures for the Monitor NOTE 230 Refit Procedures for the Monitor Refitting the System Board To refit the System Board complete the steps for removing the System Board in reverse When refitting the System Board please observe the following Be careful not to strike the metal chassis with parts Make sure the speaker cable is not trapped when the System Board is inserted Wait until the System Board is in place before positioning the screws otherwise they may fall out when you do the next step e Slightly raise the end of the System Board and push down and forward to engage the retain ing clips on the chassis Make sure the bottom edge of the System Board sits correctly in the clips to give a good electrical contact _ System Board Cli Stop Refitting the LCD Assembly and Backlight Tubes To refit the
270. ument Section 2 Measurement Server Description and Features Infrared IrDA Interface The IrDA interface provides a wireless interface to an external printer This interface functions in the same way as a normal serial interface except that a modulated infrared beam is used to exchange data and status information instead of a wire connection Both the Monitor and some printers are equipped with infrared transmitter receiver units When using a printer without a built in infrared interface an infrared to parallel converter Jet Eye orderable under M3080A Option 5 is needed See the Instructions for Use Installation chapter for details on how to connect the printer using this converter Serial Interface The serial interface allows a local recorder to be connected to the Monitor using a serial cable that supports the GSI Lumonics XE 50p Chart Recorder specific protocol Wireless LAN Interface The Wireless LAN interface provides a wireless connection to the Philips LAN The Wireless LAN CPU connects to the wired LAN inside the Monitor and provides the software drivers for the RF Board The RF Board transforms wired LAN signals into 2 4 GHz signals for transmission The modulation technique FHSS frequency hopping spread spectrum ensures optimum transmission performance The 2 4 GHz band is available worldwide for industrial scientific and medical purposes and is called the ISM band Section 2 Measurement Server Description
271. unting plate The installation procedure is the same for both connector boxes This means you must perform steps 3 to 8 of this procedure twice The connectors on each box are different so you must ensure that the correct box is placed at the correct location The symbol on the plastic angled cover indicates at which site you should install the box Symbol is connector box in and must be placed at the monitor site Symbol ub is connector box out and must be placed at the measurement server site The correct connector cable M3081 61601 M3081 61602 or M3081 61603 has the opposite symbol Connector Box in Cable Connector Box out Symbols on Cable At Monitor Site Connector At Measurement Server Site If there are no symbols on the cover dots are used lt and lt Step2 Detach the PCB assembly in out from the metallic mounting flange Installing the Instrument Step 3 MSL Cable Termination the following wiring schematic where each color corresponds to a number NOTE Use the Insertion Tool M3086 43801 to position each wire on the PCB according The Insertion Tool should be set to cutting mode 9 The Insertion Tool automatically removes the insulation at the connection site clamps the wire in the correct position and cuts off the excess wire
272. ure difference is less than 120 mmHg the pump is not strong enough and should be replaced irrespective of the Pump OpTime Flow Rate Check and Calibration Check the flow rate in the sidestream CO Extension as follows Step 1 Connect the flowmeter to the CO FilterLine Step 2 Check on the flowmeter the flow that the sidestream CO Extension Pump draws x5 It should be 50 ml min 7 5 ml min If the value is within tolerance proceed to the CO Gas calibration check If the value is not within tolerance calibrate as follows Step3 Adjust the flow in the Instrument by selecting Increase Flow or Decrease Flow until it is as close as possible to 50 ml per minute as indicated on the flowmeter gauge Step 4 When you are satisfied that the flow is set as close as possible to 50 ml per minute select Store Flow and confirm the setting NOTE If the adjusted flow is not stored within 60 seconds of the adjustment the old flow setting will be restored If the flow cannot be adjusted to within tolerance the pump should be replaced If the flow adjustment still cannot be made this indicates a fault in the M3015A Measurement Extension which must be replaced Testing the Instrument 151 Preventive Maintenance Tests 152 Noise Check Step 1 Check that the Monitor is in Service Mode and in the CO window Step 2 Disconnect the flowmeter and connect the 5 calibration gas and flow regulator in its place Step 3 Open the valve to a
273. used COM1 or COM2 in the Select Serial Port field by clicking in the circle preceding the appropriate port Step 7 Select the appropriate Device to Configure in the drop down list in the Configuration Tool window of the configuring PC See previous figure Step8 Select the file tools ConfigTool WB_WirelessM3_1 2b15 cfg in the Configuration File fields NOTE If this file does not automatically appear in the Configuration File field click Browse and find this file on the computer drive directory where it was stored Step 9 Turn OFF the power of the Wireless M3 M4 Monitor and disconnect any cable connected to the RJ 45 port on its rear panel 82 Installing the Instrument Installation of Wireless Infrastructure Step 10 Unsnap the gray cover on the upper right side of the M3 M4 Monitor housing to expose the female stereo phono plug on the Wireless Adapter as shown in the next figure Step 11 Connect the phono plug end of the 9 Pin D female 1 8 in male Stereo Phono cable into the phono plug connector on the Wireless Adapter as shown above and the 9 pin D end of the cable into the 9 Pin D Serial Port connector on the configuring PC Step 12 Turn ON the M3 M4 Monitor and insure that it passes its self test Step 13 Select the WB_WirelessM3_1 2b15 cfg item in the drop down list in the Configuration Tool window Installing the Instrument 83 Installation of Wireless Infrastructure NOTE 84 Step 14 Click OK to open the Wirele
274. v Passwords 142 patient leakage current 64 name 10 safety 64 Patient safety checks 159 performance iv Performance Assurance Test 143 Power On Test 142 Power Supply related problems 188 PRESS zero button 7 Press performance check 156 Press Temp Extension 45 53 Pressure theory of operation 37 Pressure Zero amp Check Cal message 210 Preventative Maintenance 123 Preventive Maintenance Tests 146 printer connecting 95 port 5 selecting 93 Printer Connection troubleshooting 214 Printer Manager 14 protection class IEC 601 1 class 1 64 protective earth 64 protective grounding 64 Pump replacement 125 Q Quick Link connector 6 7 92 R Recorder troubleshooting 195 reliability iv Remedy 183 Removing the Backlight Tubes 226 230 Removing the Battery 221 Removing the Chassis 222 Removing the Connector Board 228 Removing the LCD Assembly 226 Removing the Power Supply 221 Removing the Speaker 229 Removing the System Board 224 repairs iv Reset PumpOpTime 208 RESP EQUIP MALF message 210 Revision Screen 209 S safety iv patient 64 Safety Analyzer 159 Safety Tests Procedures 159 Serial Numbers 142 SERVERLINK MALF INOP description 179 Service Mode 206 setting default 10 Setup button 5 Sidestream CO Measurement 48 Sidestream CO Performance Test 148 Silence Reset button 5 7 Site Preparation Guideline 97 214 215 SmartKey label 10 software updat
275. verted into digital data and processed before being communicated to the Monitor Server extension devices are referred to as the Measurement Server Extensions or simply Extensions in this manual The M3046A Compact Portable Patient Monitor receives the processed data from the Measurement Server and the Measurement Server Extension examines it for alarm conditions and displays it The Monitor also provides operating controls for the user and interfaces to other devices This monitoring device is referred to as the Monitor in this manual The M3080A C32 12V adapter allows use of a vehicle power supply for the instrument and the M8043A Battery Charger and Conditioner allows the recharging and conditioning of batteries of the instrument Introduction to the Instrument 3 Instrument Components Instrument Components The Monitor the Measurement Server and Measurement Server Extensions are shown in the following diagram Measurement Server M3000A and M3001A M3000A has a gray bezel M3001A has a white bezel Measurement Server Extensions M3016A M3015A Monitor M3046A Functional descriptions of these components are to be found later in this chapter 4 Introduction to the Instrument A Quick Description of the Monitor A Quick Description of the Monitor Front Panel Keys Alarm Alarm Suspend Indicator Key amp Indicator Setup Main Screen Alarm Key Ke Silence Reset Key On Off Standby Battery
276. wing are correct statements according to the warnings cautions and safety procedures in this chapter a Do not perform any disassembly procedures other than Server and Extension removal with power applied to the Instrument b High voltages are present on the Power Supply board for up to 20 seconds after disconnecting the mains power cord c Never insert a battery without the Power Supply board being present d of the above are correct according to this chapter Question 3 What must be removed to access the fuse a When accessing the fuse all Instrument assemblies must be removed b When accessing the fuse the Server the Extension the battery and the Power Supply must be removed c When accessing the fuse the battery compartment cover and the battery must be removed Repairing the Instrument 243 Answers to Tutorial for Repairing the Instrument Answers to Tutorial for Repairing the Instrument 1 c See pages 222 231 and 245 for more details 2 d See pages 219 and 220 for more details 3 b See page 221 for more details 244 Repairing the Instrument 7 Replacement Parts Objectives After reading this chapter you will be able to identify the replaceable components and know which subassemblies you can order for the Instrument The Instrument is comprised of several components which may be replaced or exchanged if they break This chapter provides you with exploded views and part number
277. xygen saturation value and the pulse rate along with a real time wave for the plethysmogram SpO PLETH Features This illustration shows the user controls and connector for the SpO PLETH The parts are described following the illustration below This is a standard 8 pin connector for use with an SpO PLETH transducer Safety To ensure the safety of the patient the patient applied part is isolated from ground by opto couplers and a transformer The circuit is also encapsulated in plastic PLETH Wave The circuit automatically and continuously adjusts the size of the wave which represents the quality of the SpO measurement signals Manual wave adjustments in this mode are not possible If the signal quality becomes weak the wave becomes progressively smaller If the signal degrades below an acceptable level the wave becomes flat and an INOP alarm results A poor signal may be caused by poor perfusion at the transducer site or by the transducer it is not related to low oxygen saturation Introduction to the Instrument 33 Arterial Oxygen Saturation and Pleth SpO PLETH Measurement 34 This illustration contains an example of a typical wave in SpO Pleth Block Diagram of the SpO PLETH Circuit Self Test Signal v Clipping Y Detector Q Digital CPU 5 photo Photo Variable 5 current Amplifier Gain ADC Signal ROM RAM A Processor A 5 E
278. y starts or stops NBP measurements Blue SpO connector Either NBP STAT key starts NBP STAT series of measurements 07 Zero key initiates a zero procedure for the connected pressure transducer when pressed and held for a second EN Red NBP connector 8 Alarm Silence Reset Combined pressure red and temperature brown MSL cable connector to the monitor connector connect either invasive pressure transducer or temperature probe M3000A C06 M3001A C06 and 18 only Press and temp cannot be used at the same time You might have a version of the Measurement Server that does not have this connector 8 Introduction to the Instrument A Quick Description of the Measurement Server Extension A Quick Description of the Measurement Server Extension Overview of the Measurement Server Extensions M3015A amp M3016A Catches for wy attaching the i Measurement Server Connectors Qus to Monitor amp Measurement Server Measurement 7 Connectors Measurement Connectors for the M3015A Measurement Server Extension Press Note Press and Temp M3015A C06 only Temp cannot be used at the same time on the same Extension gas inlet IDESTREAM CO gas outlet exhaust Introduction to the Instrument 9 A Quick Description of the Screen Measurement Connectors for the M3016A Measurement Server Extension Note Press and Temp cannot be used at the same time on th
279. y 209 M M3000A Measurement Connectors 7 M3015A Measurement Connectors 9 Theory of Operation 45 M3016A measurement connectors 10 theory of operation 53 Main Screen button 5 Mainstream CO Performance Test 157 Mainstream Measurement 56 Maintenance Frequency 120 NBP calibration and tests 123 preventive 123 Maintenance Checklist 121 marker pulse ECG 67 MEAS SERV UNPLUGGED INOP description 178 measurement connector 7 Measurement extensions description and features 44 Measurement Server description 19 theory of operation 21 measurement server connecting 71 connector 6 7 92 mounting 6 92 Measurement Server LEDs troubleshooting 172 modifications iv Monitor performance 276 hardware functional description 16 Rear Panel 6 theory of operation 11 Monitor Revisions Screen 209 monitor overview 3 11 mounting measurement server 6 92 monitor 6 92 mounting options 63 N NBP Accuracy Test 146 Leakage Test 147 Linearity Test 148 start stop button 7 valve test 148 Non invasive Blood Pressure NBP Mod ules Block Diagram 31 Components 31 Description 29 Features 29 NPB Modes 30 Safety 30 Measurements 29 Theory of Operation 32 numeric 10 numeric label 10 nurse call connector 6 92 Nurse Call Relay connecting 76 modification 76 Performance Test 157 On Off Standby button 5 P Parts listing 247 parts and accessories i
280. y to complete when you follow the step by step procedures in this chapter The main replaceable parts of the M8043A Battery Charger and Conditioner are The Air Filters left hand and right hand The Cooling Fans left hand and right hand Follow the step by step removal and replacement procedures starting on page 239 The M3000A and M3001A Measurement Servers and the extensions M3016A and M3015A serial number prefix DE435xxxxx only cannot be repaired and must be exchanged if defective Concepts Before starting disassembly of the Monitor remove the rubber bezel protector if fitted Disassembly Disassembly refers to the removal of cover chassis and other parts in order to access and replace parts in the M3046A Monitor and the M3015A Measurement Server Extension Disassembly does not refer to a complete Repairing the Instrument 219 Warnings Cautions and Safety Precautions breakdown of the entire Instrument since the Measurement Server and the M3016A Measurement Server Extension cannot be disassembled High Voltage This concept refers to voltages dangerous to life High voltages can be found in the Instrument when it 1 connected to the mains Power Supply and in the capacitors on the Power Supply board even when the Instrument is not connected to the mains Power Supply Warnings Cautions and Safety Precautions Do NOT disassemble the product past the point described in these procedures High Voltage Warning Voltag

PHILIPS m3, m4 Patient Monitor Service Manual

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