Home

Service Manual.book - Frank`s Hospital Workshop

1. Setting Name Default Value Possible Values Simulated Data Mode Off On Off Network Type Invivo Invivo ZNET 3 4 3800 Vital Signs Monitor Service Manual Revised October 2004 Configuring the Monitor Setting Name Default Value Possible Values Notch Filter 60 Hz Off 50 Hz 60 Hz NIBP Calibration Mode Off On Off SureTemp PLus Mode Normal Normal Monitor The Simulated Data Mode setting can be used to place the Escort M8 Vital Signs Monitor in a demo mode where simulated patient waveforms are displayed This setting should always remain Off during patient monitoring The Notch Filter setting should be set to match the AC mains frequency of the facility 50 or 60 Hz The NIBP Cal Mode setting can be used to place the NIBP algorithm in a calibration mode In this mode the valves are closed and the cuff pressure 1s displayed in 10ths of mmHg A mercury column can then be used to check the accuracy of the internal NIBP cuff pressure transducer as part of periodic maintenance 6 Factory To access the Setup Factory Menu rotate the Rotary Knob until the Factory option is highlighted then press the knob and enter the Service Password This menu provides access to the Factory setups for the monitor and is for the use of InvivoMDE factory personnel only Revised October 2004 3800 Vital Signs Monitor Service Manual 3 5 Battery Operation 4 Battery Operation An internal lithiu
2. C Enz European CE Mark according to Council Directive 93 42 EEC 2003191 ETL Listed Conforms to UL Standard 60601 1 Certified to CAN CSA Standard CSA C22 2 No 601 1 M90 3 For indoor use only A Attention Consult accompanying documents before using this device tad 05 2001 Manufacture date month year Type CF Equipment Defibrillation proof Antenna Latex free materials are used Alternating Current Single Patient Use Only Do not reuse Product Serial Number Product Part Number Off For part of the equipment On For part of the equipment Input Output Printer wiegen eoa Printer Paper Access P1 D1 Invasive Blood Pressure 3800 Vital Signs Monitor Service Manual Revised October 2004 Technical Data Escort M8 Vital Signs Monitor Device Markings Continued T1 Temperature Probe ECG EKG Electrocardiograph NIBP NIBD Non invasive Blood Pressure SpO Pulse Oximeter SpO Percent Oxygen Pulse Saturation 100 240 V 0 7A Max Input power rating 100 240 Volts ac 0 7 amperes max Battery Type Lithium lon Rechargeable Discharging Time 4 hours minimum 5 hours typical Charging Time 5 hours Charging Method Battery is charged while monitor is connected to the AC mains supply Environmental Cooling Conve
3. ECG Accessories Part Number Description SHIELDED ECG Cables and Lead Wires 9259 ECG Patient Cable 8 foot Shielded 5 lead U S Domestic Color Coded 9260 ECG Pinch 5 Lead Wires 40 inch Shielded U S Domestic Color Coded 9261 ECG Snap 5 Lead Wires 40 inch Shielded U S Domestic Color Coded 9259 A ECG Patient Cable 8 foot Shielded 5 lead IEC Color Coded 9260A ECG Pinch 5 Lead Wires 40 inch Shielded IEC Color Coded 9261A ECG Snap 5 Lead Wires 40 inch Shielded IEC Color Coded UNSHIELDED ECG Cable and Lead Wires 9201 ECG Patient Cable 3 lead 10 foot safety 9331N Neotrode II Neonatal Pediatric Electrode with Pre attached leadwires 1 set of 3 lead safety wires with pre attached electrodes per individual pouch Allows visualization of skin under electrode Highly resistant to electrode dry out Designed for long term usage Connection is a 0 060 1 5mm Safety socket Adhesion may be altered with water Latex free Box of 10 pouches ECG Cable P N 9201 required ECG Supplies 9391 ECG Electrodes Adult 3M M2246 Red Dot Micropore w prep 25 box 9330N Huggables Electrodes Neonatal Pediatric Perforated clear tape for comfort Gel pocket stabilizes the electrode Small size for easy placement Low chloride gel for sensitive skin 10 individual pouches 3 electrodes per pouch Latex free 9221 Adapter to enable usage of Phillips HP ECG cables with the monitor
4. 40 mmHg Static Cuff Pressure Accuracy 3 mmHg Overpressure Cutoff 290 3 mmHg normal means 300 30 mmHg back up Measurement Modes Single Measurement or Auto Interval Measurement Auto Measurement Settings Off 3 5 10 15 30 60 120 minutes Recorder Chart Speed 22 mm second Width 40 mm Paper Type and Size Non Grid Thermal Paper 50 mm wide Resolution 800 dots inch 13 6 3800 Vital Signs Monitor Service Manual Revised October 2004
5. 9009 ECG EEG Skin Prep Gel 1 tube 4 oz Revised October 2004 3800 Vital Signs Monitor Service Manual 8 1 Accessories Pulse Oximetry Accessories Part Number Description Masimo SET SpO2 Sensors Masimo Signal Extraction Technology SET substantially eliminates false alarms without sacrificing true alarms This technology is accurate during patient movement and is designed for accurate monitoring during low perfusion intense ambient light and electrocautery interference If the Patient monitor is equipped with Masimo SET use of the Masimo sensors and adapter cable will automatically enable the SET SpO2 technology Product Note Masimo Sensor Adampter Cable P N 9289A or 9289B required for use with Masimo Reusable and Single Patient Adhesive Sensors 9289B Masimo Sensor Adapter Cable Adapter cable required for use with Masimo Reusable and Single Patient Use SpO2 Sensors To activate the SET monitoring feature the monitor must be equipped with the Masimo SET technology 12 foot length 9289A Masimo Sensor Adapter Cable Adapter cable required for use with Masimo Reusable and Single Patient Use SpO2 Sensors To activate the SET monitoring feature the monitor must be equipped with the Masimo SET technology 8 foot length 9315 Masimo Reusable Adult Finger Sensor Adult size reusable SpO2 finger clip Cable P N 9289B or 9289A required for use with monitor 9315P Masimo Reusable P
6. 9500 Escort M8 Patient Monitor Service Manual InvivoMDE An Intermagnetics Company Invivo Research Incorporated Orlando FL 32826 Escort M8 Vital Signs Monitor Service Manual Part Number 9566 Release 1 Invivo Research 2004 All Rights Reserved Printed in the United States of America The information in this document is subject to change without notice This document contains proprietary information that is protected by copyright No part of this document may be reproduced in any manner in whole or in part except for brief excerpts in reviews and scientific papers without the prior written consent of Invivo Research Invivo Research makes no warranty of any kind on this material including but not limited to the implied warranties of merchantability and fitness for a particular purpose Invivo Research shall not be liable for errors contained herein or for incidental or consequential damages concerning the furnishing performance or use of this material Invivo Research monitoring devices are intended for use only by qualified medical personnel Before using any Invivo Research monitoring device be sure to read carefully and understand all manuals provided with the device CAUTION United States Federal law restricts this device to sale by or on the order of a physician Manufactured by InvivoMDE 12601 Research Parkway Orlando FL 32826 European Authorized Representative Invivo Research UK Ltd
7. o AAA a AAA m mn i i a ef Ye m Figure 7 2 M8 Overall Functional Block Diagram Revised October 2004 3800 Vital Signs Monitor Service Manual 7 3 7 3 Cable Interconnection Wiring Diagram ERTA S SS ee ee A P N 176 0001 Monitor Rear Case Assembly Input Panel Assembly P N 451 5012 A el Deere ee arsaa EU pre 1 i T SPO2 Recorder Masimo l Id Patient Hep ty Masimo hs Option 1 pp Board Pu Charger l Accessories 1 t oo i l Option 1 i Zi Board li nnn Si L i TEE TRU T TE TERREA RAI S SGT Battery Cover Assembly P N 451 5003 7 li 13 m m2 28 17 i i I i Speaker E Main Board l l i li i esce es 4 I ee ee eat I Monitor Front Bezel Assembly iz T P N 451 5011 i l e 420 1508 li CNI LCD Inverter Rotary Display Board Keypad Knob I a I i lj Ecc a a a ee l i a l EE LLLI d Figure 7 3 M8 Cable Interconnection Wiring Diagram 7 4 3800 Vital Signs Monitor Service Manual Revised October 2004 7 4 Major Assembly Views Front Bezel Assembly Input Panel Assembly Main Board Rear Case Assembly Master Processor Bitsy Board Battery Cover Assembly Figure 7 4 Monitor Major Assembly View Revised October 2004 3800 Vital Signs Monitor Service Manual 7 5 Monitor Battery Cover Assembly Figure 7 5 Battery Cover Major Ass
8. Quick Disconnect Fitting 9060S Pediatric BP Cuff Circumference range 18 to 26 cm Quick Disconnect Fitting 9050S Infant BP Cuff Circumference range 10 to 19 cm Quick Disconnect Fitting 9040S Small Infant BP Cuff Circumference range 8 3 to 15 cm Quick Disconnect Fitting Revised October 2004 3800 Vital Signs Monitor Service Manual 8 3 Accessories Temperature Accessories Part Number Description SureTemp PLu s Temperature Accessories 93001 SureTemp PLus Probe and Probe Well Kit 9 foot Oral Replacement Oral probe and well blue kit Welch Allyn Part Number 02893 100 93002 SureTemp PLus Oral Probe Well Blue Replacement Oral Probe Well Welch Allyn Part Number 02891 0000 93003 SureTemp PLus Calibration Key Calibration Key assembly for the SureTemp PLUS Temperature Measurement System Checks accuracy of the probe Welch Allyn Part Number 06138 000 93004 SureTemp PLus Probe Covers Single Use Disposable Covers Box of 1 000 Welch Allyn Part Number 05031 101 93005 SureTemp PLus Probe Covers Single Use Disposable Covers Case of 5 000 Welch Allyn Part Number 05031 105 93006 SureTemp PLus Probe Covers Single Use Disposable Covers Case of 10 000 Welch Allyn Part Number 05031 110 YSI Disposable Temperature Accessories 9200B Temperature Adapter Cable Reusable required for disposable probes Not sterilized Non autoclavable 9390B Dis
9. 220 240 VAC having a frequency of 50 or 60 Hz If the integrity of the earth ground conductor of the AC mains power cable is in doubt operate the monitor on internal battery power until proper earth ground connection is confirmed Patient Safety As with all medical equipment carefully route patient cabling to reduce the possibility of patient entanglement or strangulation ECG Pacemaker Patients Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias Do not rely entirely upon rate meter alarms Keep pacemaker patients under close surveillance See the Technical Data chapter for disclosure of the pacemaker pulse rejection capability of this instrument Arrhythmia Patients The Escort M8 Vital Signs Monitor is designed to operate in the presence of cardiac arrhythmias However the heart rate meter may be adversely affected in some cases An inoperative ECG monitor is indicated by absence of an ECG waveform and a simultaneous Lead Fail alarm For best ECG Heart Rate S T Segment and or Respiration monitoring always select the optimum lead configuration which has the least artifact and largest waveform s being detected for monitoring use NIBP Always use recommended NIBP cuffs and hoses Avoid compression or restriction of NIBP cuff hose When using the NIBP portion of this instrument to measure blood pressure remember that the patient s blood pressure readings are not
10. C Measurement Range 32 0 to 122 0 F 0 0 to 50 0 C Measurement Accuracy 0 1 F 20 1 C plus probe tolerance Revised October 2004 3800 Vital Signs Monitor Service Manual 13 5 Technical Data SureTemp Plus Temperature Compatibility SureTemp Plus Series Probes Display Units F and C user selectable Measurement Resolution 0 1 F 0 1 C Measurement Range 96 0 to 105 0 F 35 6 to 40 6 C Measurement Accuracy 0 2 F 0 1 C plus probe tolerance Non Invasive Blood Pressure Method Oscillometric Input Connector Single Lumen Hose Quick Disconnect fitting Cuffs Available Infant Pediatric Small Adult Adult Large Arm Refer to Section 15 Derived Parameters Systolic Diastolic and Mean Resolution 1 mmHg Measurement Range Systolic 30 to 250 mmHg Diastolic 10 to 210 mmHg Mean 20 to 230 mmHg Measurement Accuracy Systolic Within 5 mmHg 8 mmHg Diastolic Within 5 mmHg 8 mmHg Mean Within 5 mmHg 8 mmHg Pulse Rate Range 30 to 240 bpm Pulse Rate Accuracy 5 or 2 bpm whichever is greater Update Interval Upon measurement completion Measurement Time 30 seconds typical lt 135 seconds maximum Initial Cuff Pressure 160 mmHg user selectable over a range of 100 to 270 mmHg Repeated Cuff Pressure Previous systolic
11. Escort M8 Vital Signs Monitor connects to a patient and monitors the patient s vital signs The Escort M8 Vital Signs Monitor contains the hardware and software needed to perform complex data gathering and signal processing tasks that allow it to produce measurements of physiological parameters such as heart rate which is labeled on the Escort M8 Vital Signs Monitor as HR The patient s physiological signals are shown as waveforms on the Escort M8 Vital Signs Monitor display and the physiological parameters are shown as numbers on the Escort M8 Vital Signs Monitor display The Escort M8 Vital Signs Monitor can be set up to generate an alarm when a physiological parameter goes beyond a preset limit The chapters in the Service Manual explain the details of all the main features of the Escort M8 Vital Signs Monitor These cover the basic monitoring tasks that may be required when using the Escort M8 Vital Signs Monitor The main features covered in this Service Manual are as follows Overview Installation and Checkout Configuring the Monitor Battery Operation Functional Verification Troubleshooting Revised October 2004 3800 Vital Signs Monitor Service Manual 1 5 Overview Repair Accessories Spare Parts Cleaning Maintenance and Storage Disposal Technical Data 1 6 3800 Vital Signs Monitor Service Manual Revised October 2004 Installation and Checkout 2 Installation and Checkout This chapter explains how to install
12. Halifax West Yorkshire United Kingdom Revised October 2004 3800 Vital Signs Monitor Service Manual i User Assistance If you have a question or need help operating the Escort M8 Vital Signs Monitor please contact InvivoMDE Technical Service US 888 221 1593 Int l 407 275 3220 For the latest information about InvivoMDE products please consult out web site www intermagnetics com ii 3800 Vital Signs Monitor Service Manual Revised October 2004 Table of Contents Paragraph Number Page Number ca Taoroa MEME A vi lac 000 MIN ix Paients and Lee M xiv L OVER sin M P PR 1 1 Ll Escort M8 Vital Signs Monitor Diastama ui e ERLP AYERS SN REr rU HE UK i0DUE 1 1 12 Escort M8 Vital Signs Monitor User Interface eese r inercia tanti enn 1 4 1 3 Main Features of the Escort M8 Vital Signs Monitor essere 1 5 2 INSTALLATION AND CHECKOUT anne 2 1 2 1 wur a NIME NP 2 1 2 2 How to Connect the Escort M8 Vital Signs Monitor to Power ooooocnnoccnocaconncioncnnncconnnnns 2 1 22 1 E o A A a A R E 2 2 3 CONFIGURING THE MONITOR coiir iinii ic 3 1 3 1 Riot fc or mM NN ER 3 1 ANNE OE o 3 1 SLE SEND Biomedical A ee 3 1 4 BATTERY OPERATION sa ae 4 1 5 FUNCTIONAL VERIFICATION esse een 5 1 6 TROUBLESHOOTING nenne 6 1 6 1 iue sn os lc MDC 6 1 6 1 1 Display Is Blank At Power Up No
13. Verification Monitor Function Procedure SpO2 Connect to Patient Simulator select appropriate sensor type Verify proper SpO2 value at 84 and 96 2 02 Verify proper PR value at 30 and 240 bpm 5 9 NBP Connect Patient Simulator and take an NBP measurement Verify proper NBP value at 120 80 5 bpm YSI Temperature None self checking Recorder Verify strip chart recording of waveform data followed by a parameter snapshot To place the 3800 Vital Signs Monitor back in service after functional verification has been performed connect the 3800 Vital Signs Monitor to a wall outlet ensuring that cables do not present a tripping hazard 5 2 3800 Vital Signs Monitor Service Manual Revised October 2004 Troubleshooting This chapter is meant to help you solve problems that you may encounter while operating the 3800 Vital Signs Monitor The Operations Manual InvivoMDE P N 9565 also contains troubleshooting tips in each of the physiological monitoring chapters These should be consulted for general monitoring problems that seem patient related 6 Troubleshooting If you are still experiencing a problem and none of these steps seem to help please contact InvivoMDE Technical Service US 888 221 1593 Int l 407 275 3220 Troubleshooting the 3800 Vital Signs Monitor consists of the following basic steps 1 Determine whether the problemis external i e a defective c
14. bristled brushes NIBP Hose Protective gloves and eyewear Power Supply Procedure Power Cord 1 Turn off power and disconnect the unit from the AC power wall outlet 25 Put on gloves and protective eyewear 3 Prepare the enzymatic detergent according to the manufacturer s instructions and also the disinfectant solution in separate containers 4 Apply detergent to product using a soft cloth If material is dried on allow to sit for 1 minute Wipe smooth surfaces with the cloth Use a soft bristle brush on visibly soiled areas and irregular surfaces T Remove detergent from product using cloth dampened in distilled water Repeat as necessary Apply disinfectant solution on affected area using a soft cloth Allow product to sit for 5 minutes 10 Wipe away excess solution and clean product again with cloth dampened in distilled water 11 Allow 2 hours for drying SpO2 Sensor and Reusable Materials YSI Temperature Probe 7096 Isopropyl Alcohol pad Procedure l Remove sensor probe from patient and disconnect from sensor probe cable Wipe off with alcohol pad Allow sensor probe to dry before placing it on a patient Disposable Temperature Probes and SpO2 Sensors Intended for single use only Refer to sensor probe manufacturer instructions Revised October 2004 3800 Vital Signs Monitor Service Manual 10 1 Part Recommended cleaning method SureTemp PLUS Temperature Probe Wipe
15. cable from the monitor and re assemble the monitor according to the monitor reassembly procedure 6 2 3800 Vital Signs Monitor Service Manual Revised October 2004 Troubleshooting 6 1 4 Power Up Banner Is Followed by A Blank Screen Desscription Upon power up the Invivo MDE M8 banner is displayed and a double beep tone is generated At this point the banner is replaced by a blank screen or by a screen with garbled blocks of symbols Possible Cause s l On earlier units this can occur if the monitor was powered off before the previous power up sequence was allowed to complete 2 Internal real time clock coin cell battery is depleted Troubleshooting Action s 1 Power down and then power up the monitor If the problem was an incomplete power up sequence then this problem will correct itself 2 If the problem still occurs then the coin cell battery may need to be recharged Leave the monitor powered on and connected to mains AC power for a minimum of 1 hour Then power cycle the monitor 6 1 5 Monitor Does Not Run on Battery Power Description The monitor runs on mains AC power but will not run on battery power Possible Cause s l Battery needs charging 2 Battery no longer holds a charge Troubleshooting Action s 1 Connect the monitor to mains AC power in order to recharge the battery The monitor may be powered on or off during this process 23 Verify that the green Power LED and the green Battery LED
16. device is required to issue visible and audible alarms when any or all of the following parameters exceed preset limits Heart Rate Respiration Rate Temperature Systolic Mean and Diastolic Blood Pressure Functional Oxygen Saturation of Arterial Hemoglobin SpO2 Pulse Rate 3800 Vital Signs Monitor Service Manual Revised October 2004 Precautions General Electrosurgery The Escort M8 Vital Signs Monitor is suitable for use in the presence of electrosurgical ESU equipment The following precautions should be taken To minimize the risk of patient burns only use ESU equipment that monitors the impedance of the ESU return wires e Users should be properly trained in the operation of the ESU equipment Keep patient applied cables e g ECG lead wires off of earth ground and away from the ESU knife and return wires e Only use Invivo Research recommended accessories e While cutting use the SpO2 parameter instead of the ECG parameter to determine heart rate Alarm Monitoring Failure to respond to alarms that are annunciated by the Escort M8 Vital Signs Monitor will cause a lapse in patient monitoring Always respond promptly to alarms Flammable Anesthetics An explosion hazard exists if the monitor is used in the presence of flammable anesthetics Anesthesia Patients Constant attention by a qualified individual is needed whenever a patient is under anesthesia or connected to a ventilator Device Interconnections Thr
17. followed by the NBP Needs Service message then the internal pneumatics tubing may be disconnected Follow the monitor disassembly procedure to gain access to the master processor bitsy board Thewhite pneumatic tubing should connect to two valves the pump on the lower of the two ports the two black transducers on the main board below the master processor and the external NBP fitting Check these fittings and reassemble the monitor according to the monitor reassembly procedure If the problem persists then one of the transducers may be faulty Contact InvivoMDE Technical Service for instructions 6 3 Non Physiological Monitoring Malfunctions 6 3 1 Optional Recorder Not Working Description Paper will not feed out of the recorder Possible Cause s 1 Paper is bound up in the recorder assembly 2 Recorder is out of paper 3 No power to the recorder Troubleshooting Action s 1 Check M8 Alarm Message for possible recorder message 2 Open recorder door and check to see if paper is jammed 3 Open recorder door and check to see if paper is loaded into the recorder If recorder needs to be replaced refer back to monitor disassembly instructions Revised October 2004 3800 Vital Signs Monitor Service Manual 6 5 Troubleshooting 6 3 2 Missing Rows or Sections of Display Pixels Description The display is missing entire rows or sections of pixels Menus are still displayed in response to key presses Possible Cause
18. s 1 The display board is faulty Troubleshooting Action s 1 Power cycle the monitor Ze Ifthe problem persists then the display board needs to be replaced See replacing the display section of the Repair chapter for details 6 3 3 Other Technical Messages Description The monitor displays one of the following messages PPM overheating PPM disk space low PPM CPU overloaded Supply voltage too low Supply voltage too high Possible Cause s le PPM Overheating internal monitor temperature too high 2 PPM Overheating communication problem with the main board 3 PPM disk space low Flash Card file system is full 4 PPM CPU overloaded internal logic error 3 Supply voltage too low high problem with main board Troubleshooting Action s 1 Power cycle the monitor 2 If the Supply Voltage too low problem persists there may be a problem with the connector between the master processor bitsy board and the main board Disassemble the monitor according to the monitor disassembly procedure Confirm that master processor is firmly seated into the main board below it Reassemble the monitor according to the monitor reassembly procedure and power cycle the monitor 3 If any of these problems persist take the monitor out of service and contact InvivoMDE Technical Support for instructions The main board may need to be replaced in some cases 6 4 Reducing EMI The 3800 Vital Signs Monitor complies with regulatory s
19. the use of cellular phones or other unintended radio frequency transmitters in the proximity of the monitoring system Portable and mobile RF communications equipment can affect medical electrical equipment This monitor uses rechargeable batteries that contain lithium These batteries must be recycled or disposed of properly For proper disposal methods contact your local InvivoMDE representative or distributor Dispose of the monitor and parts thereof according to local regulations Battery Handling The Escort M8 Vital Signs Monitor contains a lithium ion coin cell battery and a transport battery pack The following precautions should be taken regarding these batteries Do not immerse in water Do not heat or throw in fire Do not leave in conditions over 60 9C or in a heated car e Do not attempt to crush or drop Follow the instructions in the disposal section of this manual when the Escort M8 Vital Signs Monitor is taken out of service For continued operation always connect the monitor to a wall outlet when a Low Battery alarm indication occurs Failure to do this can lead to an interruption of monitoring The battery may need to be recharged if the Escort M8 Vital Signs Monitor has been powered off for an extended period of time See the Battery Operation section of this manual for details regarding charging the battery Revised October 2004 3800 Vital Signs Monitor Service Manual xiii Patents and Licensing T
20. 0 C Storage Humidity gt 10 to lt 80 non condensing Storage Altitude 0 to 9 000 m 0 to 29 520 ft CAUTION The battery should be removed from the monitor if the monitor is to be stored for an extended period of time CAUTION The monitor may not conform to all of its performance specifications if stored outside these environmental specifications or used outside of the environmental specifications in theTechnical Data section of this manual 11 3 Warranty InvivoMDE warrants this product other than its expendable parts to be free from defects in materials and workmanship for a period of twelve 12 months from the date of original delivery to the buyer or to buyer s order provided that same is properly operated under conditions of normal use and that periodic maintenance and service is performed This same warranty is made for a period of thirty 30 days on expendable parts This warranty shall become null and void if product has been repaired other than by InvivoMDE or if the product has been subject to misuse accident negligence or abuse InvivoMDE s sole obligation under this warranty is limited to repairing a product which has been reported to InvivoMDE s Technical Service Center during normal business hours and shipped transportation prepaid InvivoMDE shall not be liable for any damages including but not limited to incidental damages consequential damages or special damages This warranty is in lieu of any ot
21. 3 The internal display cable has become unseated Revised October 2004 3800 Vital Signs Monitor Service Manual 6 1 Troubleshooting Troubleshooting Action s 1 Connect the monitor to mains AC power Power cycle the monitor If the monitor now starts then the battery needs to be recharged Leave the monitor connected to mains AC power for a minimum of 4 hours If the monitor does not start then continue on 2 Disassemble the monitor according to the monitor disassembly procedure up to the point where the battery pack is removed from the rear case assembly Connnect the power cable into the back of the monitor If the monitor now runs through its complete power up sequence and displays the Normal screen then the battery needs to be replaced If the monitor still exhibits the problem continue on 3 Continue to disassemble the monitor according tothe monitor disassembly procedure up to the point where the monitor rear case assembly is unscrewed from the monitor front bezel assembly but the internal connectors are still attached 6 Ensure that the 32 pin ribbon display cable is firmly attached to the main board and LCD display in the monitor front bezel assembly a At this point connect the power cable into the back of the monitor The battery pack need not be reattached 8 Confirm that the monitor runs through its complete power up sequence and displays the Normal screen If so disconnect the power cable fro
22. CQUIRE2 PRESS2 SINEWAVE2 CF 2 0 157 X Jan 28 2004 Cancel Figure 3 3 Setup Configuration Menu Setup Configuration Menu To view the monitor configuration rotate the Rotary Knob until the Configuration option is highlighted then press the knob The Setup Configuration screen will appear which provides the operator with information about the monitor Rotating the Rotary Knob to highlight either OK or Cancel then pressing the knob will return the monitor to normal monitoring mode Enter Password Dial 1 Dial 2 Dial 3 Cancel Figure 3 4 Enter Password Menu If Alarms or System is selected in the Setup Biomedical menu the Escort M8 Vital Signs Monitor will first bring up the Enter Password Menu To continue on the the Setup Alarms or Setup System Menu the correct password must be entered The password is located at the end of the Maintenance and Storage section of this document 3800 Vital Signs Monitor Service Manual Revised October 2004 Configuring the Monitor Setup Alarms Alarm Silence Time Alarm Suspend Time Alarm Validation HR Alarms Off Message SpO2 Alarms Off Message Second Speaker Time OK Cancel Figure 3 5 Setup Alarm System Menu 3 Setup Alarm System Menu To access the Alarm System Setup Menu rotate the Rotary Knob until the Alarms option is highlighted then press the knob This menu provides the operator with options to select the Alarm Silence Time select the Alarm
23. G lead set to see if there is an internal lead wire break If so replace the lead set 4 Power cycle the monitor If the problem persists contact InvivoMDE Technical Service 6 2 2 Monitor Displays Constant ECG Pacer Annotations Description The monitor is displaying nearly continual ECG pacer annotations at the top of the waveform channel Patient may or may not have a pacemaker Probable Cause s l Electrodes have dried out 2 Inoperable ECG circuit Troubleshooting Action s 1 Replace the electrodes see M8 Operations Manual for instructions 2 Power cycle the monitor If the problem persists contact InvivoMDE Technical Service 6 2 3 Monitor Displays an SPO2 Replace Sensor Message Description The monitor displays an SpO2 Replace Sensor message when the probe is attached Probable Cause s 1 Faulty sensor 2 Faulty sensor adapter cable Troubleshooting Action s 1 Connect a known good sensor and adapter cable to the monitor 6 2 4 Monitor Displays a Temp Needs Service Message Description The monitor displays a Temp Needs Service message Probable Cause s 1 One fo the reference resistors on the main board is out of tolerance Troubleshooting Action s 1 Power cycle the monitor 2 If the problem persists then the main board needs to be replaced This board can be obtained as a replacement part see Spare Parts chapter 6 2 5 Monitor Displays an NBP Needs Service Mes
24. Inc The user of this product shall have the sole responsibility for any malfunction which results from improper use faulty maintenance improper repair damage or alteration by anyone other than Invivo Research Inc or its authorized service personnel This monitor is equipped with a demonstration mode which displays simulated electronic patient data for training or demonstration purposes Do not attach a patient to the monitor whenever this simulation is present on the monitor display Simulated data can also be seen in the message area of the normal screen Failure to properly monitor the patient could result Access is only available with the use of the Service Passord To exit this mode the Simulation Mode is set to Off in the Setup Service menu then the monitor must be powered off The patient connector inputs for all parameters are protected against the use of a defibrillator by internal circuitry and when the recommended patient cables or accessories are used The use of this circuitry and these recommended cables and accessories also protects against the hazards resulting from use of high frequency surgical equipment There are no known electromagnetic or other hazardous interference between the monitor and other devices Medical equipment requires special precautions regarding EMC and must be installed and put into service according to the EMC information provided in the Operations Manual However care should be taken to avoid
25. Power LED Illuminated 6 1 6 1 2 Display Is Blank At Power Up with Power LED Illuminated 6 1 6 1 3 Monitor Only Displays the Power Up Invivo MDE M8 Banner 6 2 6 1 4 Power Up Banner Is Followed by A Blank Screen netten 6 3 61 5 Monitor Does Not Run on Battery Power nennen enges rennen 6 3 62 Physiological Monitoring Malfunctions nes 6 3 6 2 1 Monitor Won t Display an ECG or Respiration Signal esses 6 3 6 2 2 Monitor Displays Constant ECG Pacer Annotations eese 6 4 62 3 Monitor Displays an SPO2 Replace Sensor Message 6 4 6 2 4 Monitor Displays a Temp Needs Service Message 6 4 6 2 5 Monitor Displays an NBP Needs Service Message nennen 6 4 6 3 Non Physiological Monitoring Malfunctions esses 6 5 631 Optional Recorder Not Working usa 6 5 632 Missing Rows ar Sections of Display Fire una 6 6 63 3 Other Technical P ken EE iE 6 6 CO 0 Qo nmm 6 6 Ti REPAIR e 7 1 ul External Chassis Components isc issccsaccnentsecescsscacanensesnsvnedsacenucesvecsncessucspsessecssanveacatenseansss 7 2 Fea BCR Block DD i eese b PROS ROI Ex pH N c Y Xd kn 7 3 T2 Cable Interconnection Wiring DIRE sii rco ren Cop nen 7 4 Revised October 2004 3800 Vital Signs Monitor Service Manual 111 Table of Contents Continued Paragraph Number Page Numb
26. RNING FOLLOW SAFETY INSTRUCTIONS AS INDICATED IN THE MANUAL FOR THE ANALYZER e Verify Patient Lead Leakage to ground lt 10 uA e Verify Patient Lead Leakage inter lead lt 10 uA Verify Patient Lead Leakage mains applied to leads 50 uA e Verify Leakage to ground normal lt 500 uA Verify Leakage to ground reversed polarity lt 1000 uA e Verify Leakage to ground neutral opened lt 1000 uA Di electric Withstand WARNING FOLLOW SAFETY INSTRUCTIONS AS INDICATED IN THE MANUAL FOR THE DI ELECTRIC WITHSTAND TESTER e Connect ECG Leads and monitor power input to tester e Apply 1500 Vdc for 1 second No isolation breakdown should be detected e Connect monitor power supply input and output to tester e Apply 1500 Vdc for 1 second No isolation breakdown should be detected Recorder Verify strip chart recording of waveform data followed by a parameter snapshot In order to prevent the Escort M8 Vital Signs Monitor s risk current from increasing beyond safe limits the ECG cable should be cleaned according to the instruction in the Cleaning section of this manual To place the Escort M8 Vital Signs Monitor back in service after maintenance has been performed connect the Escort M8 Vital Signs Monitor to a wall AC outlet ensuring that cables do not present a tripping hazard 11 1 Battery Replacement If the battery is no longer holding a charge it may need to be replaced This sho
27. Suspend Time turn Alarm Validation On or Off turn HR Alarms Off Message On or Off turn the SpO2 Alarms Off Message On or Off and set the Second Speaker Time Setting Name Default Value Possible Values Alarm Silence Time 1 minute 1 4 minutes Alarm Suspend Time 1 minute 1 4 minutes Alarm Validation On Off On HR Alarms Off Message On Off On SpO2 Alarms Off Message On Off On Second Speaker Time 2 minutes 0 3 minutes Revised October 2004 3800 Vital Signs Monitor Service Manual 3 3 Configuring the Monitor Setup System Set Date and Time Speaker Volume LEN Figure 3 6 Setup System Menu 4 System To access the Setup System Menu rotate the Rotary Knob until the System option is highlighted then press the knob This menu provides the operator with the ability to set the Date and Time as well as to adjust the volume of the Speaker Setting Name Default Value Possible Values Speaker Volume 4 1 10 Setup Service Simulated Data Mode Network Type Notch Filter NIBP Cal Mode SureTemp Plus Mode Show Event Log Recorder Diagnostics Cancel Figure 3 7 Setup Service Menu 5 Service To access the Setup Service Menu rotate the Rotary Knob until the Service option is highlighted then press the knob and enter the Service Password This menu provides service related information and is for the use of InvivoMDE qualified service personnel only
28. able or internal to the monitor 25 If external replace the defective cable and then functionally verify proper operation before returning the monitor to service 3 If internal replace the defective part sub assembly where appropriate and functionally verify all monitoring functions before returning the monitor to service 6 1 Power up Malfunctions 6 1 1 Display Is Blank At Power Up No Power LED Illuminated Description Upon power up the display is blank even after several minutes The green Power LED is not illuminated in the front key panel Pressing the NBP Start Stop key doesn t cause the NBP pump to start Possible Cause s 1 No power at facility wall outlet 2 The monitor s power switch is set to Off 3 Internal system error Troubleshooting Action s 1 Check facility wall outlet power with a voltmeter or known good piece of equipment 2 Confirm that the green Power LED is illuminated when the monitor is plugged into the wall outlet 3 Confirm that the monitor s power switch is in the On position The switch is located on the rear of the monitor 6 1 2 Display Is Blank At Power Up with Power LED Illuminated Description Upon power up the display is blank even after several minutes The green Power LED is illuminated in the front key panel Pressing NBP Start Stop causes the NBP pump to start though not necessarily Possible Cause s 1 Battery needs charging 2 Battery is non functional
29. and check out the monitor 2 1 Preinstallation Refer to Chapter 13 for a description of facility environmental and power requirements dimensions weight and other specifications for the monitor 2 2 How to Connect the Escort M8 Vital Signs Monitor to Power WARNING For safety reasons it is important that the Escort M8 Vital Signs Monitor be powered from an outlet where the ground plug receptacle is connected to earth ground Do not remove the grounding conductor from the power plug or use electrical power without proper grounding To connect the Escort M8 Vital Signs Monitor to power perform the following procedure 1 Plug the power cord into a hospital grade AC outlet 2 Plug the other end of the power cord into the power connector on the back of the Escort M8 Vital Signs Monitor 3 Observe that the green Charge LED is now illuminated Flip the power switch on the back side of the Escort M8 Vital Signs Monitor to the ON position 5 Observe that the green POWER LED is now illuminated and that the monitor screen lights up and then goes though the power up routine NOTE Upon monitor power on it may take as long as 30 seconds before the monitor display is visible 6 The waveforms and parameter values are not displayed until the Escort M8 Vital Signs Monitor is connected to a patient To power down the Escort M8 Vital Signs Monitor perform the following procedure 1 Flip the power switch on the back side of the Escort M8 Vi
30. and disinfection CAUTION Do not reuse single use items Revised October 2004 3800 Vital Signs Monitor Service Manual 10 3 Maintenance and Storage 11 Maintenance and Storage The following table shows the recommended maintenance procedure for the Escort M8 Vital Signs Monitor and its accessories These procedures should be carried out every 12 months and can be performed by qualified service personnel Alternatively the unit may be returned to the factory Before returning a Escort M8 Vital Signs Monitor for maintenance checks or repairs please contact InvivoMDE Technical Service to get a return authorization number Phone 800 331 3220 407 275 3220 If there is a failure in one of the checks the unit must be returned to the factory for repair In order to perform some of these checks the following equipment is needed e ECG Respiration Simulator e g Bio tek Instruments Lionheart 3 e SpO2Simulator e g Bio tek Instruments Index 2 Blood Pressure Simulator e g Bio tek Instruments BP Pump e Safety Analyzer e g Bio tek Instruments 505 Series SureTemp PLus Calibration Key Welch Allyn Part Number 06138 000 Monitor Function Procedure Mechanical Integrity Check for cracks abrasive edges and other signs of damage Front Panel Keys Rotary Knob e Verify turning the rotary knob clockwise and counter clockwise allows the monitor to scroll to the right and left Pushing the knob causes sele
31. are illuminated on the front of the monitor If the Power LED is not illuminated then either the power supply needs to be replaced or there is no mains AC power at the wall outlet 3 If the Battery LED is not illuminated then the battery charger board needs to be replaced This can be obtained as a replacement part see Spare Parts chapter Otherwise continue on 4 After 4 hours disconnect the monitor from the wall outlet and power it On If the monitor still does not power up then the battery needs to be replaced See the battery replacement section of the Maintenance and Storage chapter for instructions 6 2 Physiological Monitoring Malfunctions 6 2 1 Monitor Won t Display an ECG or Respiration Signal Description There is no ECG or respiration signal on the display when the lead wires are connected to the patient Possible Cause s 1 The monitor is not configured to display the desired waveform 2 The electrodes have dried out 3 Broken lead wire 4 Inoperable ECG or respiration circuit Revised October 2004 3800 Vital Signs Monitor Service Manual 6 3 Troubleshooting Troubleshooting Action s 1 Via the Setup Waveforms menu ensure that the desired waveform is selected for display NOTE With a 3 wire ECG cable only ECG Lead II is available Respiration is available across Lead II on both the 3 and 5 wire cables 2 Replace the electrodes see M8 Operations Manual for instructions Try a different EC
32. attery it lifts out Say ae er Detach the monitor rear case assembly from the monitor front bezel assembly 7 screws 6 Turn the monitor upright so that the display is facing towards you Carefully separate the front bezel from the rear case assembly 7 Disconnect the 2 wire speaker connector from the main board at J22 Disconnect the battery charger connector from the main board at J17 Disconnect the ground connection from the recorder board 10 Disconnect the SPO2 Masimo cable from the main board at J11 11 Disconnect the Masimo input cable from the SPO2 Masimo board at J1 12 Detach the front bezel assembly from the monitor rear case assembly 7 6 Monitor Reassembly Procedure The monitor can be reassembled by following the disassembly steps in reverse order as a guide Remember to functionally verify all monitoring functions before returning the monitor to service See chapter 5 for details A leakage current and di electric withstand test should be performed if the monitor was disassembled see chapter 11 for details 7 Replacing the Display Before getting started please refer to the figure that shows the monitor front bezel assembly view located earlier in this chapter 1 Obtain a replacement LCD display see Spare Parts chapter 2 Disassemble the monitor according to the Monitor Disassembly Procedure This should be done in a static and dust free environment in order to maintain cleanliness of the display
33. ber 2004 3800 Vital Signs Monitor Service Manual 12 1 Technical Data 13 Technical Data General Dimensions 11 6 W x 7 5 H x 5 D 290mm x 188mm x 126mm Weight 6 25 Ib 2 8 Kg Finish IPX0 ABS Power Requirements 100 240 VAC 0 7 A max Mains Frequency Range 50 60 Hz Power Consumption 11 watts nominal 25 watts maximum when charging battery Standards Conformance UL 60601 1 FCC Part 15 CSA C22 2 No 601 1 M90 IEC 60601 1 IEC 60601 1 1 IEC 60601 1 2 IEC 60601 1 4 IEC 60601 2 27 IEC 60601 2 30 IEC 60601 2 49 Patient Risk Current AAMI ES1 1993 Electromedical Apparatus with Isolated Patient Connection Meets the following limits Enclosure Risk Current 100 uA Patient applied Risk Current 10 uA Patient Isolation Risk Current 50 uA Earth Risk Current 500 uA EMC Emissions Class Class A Type of Protection Electrical Class I Degree of Protection Electrical Type CF Defibrillation proof Degree of Protection Water No protection IPX0 Disinfecting Method Per the instructions in the Cleaning section Degree of Safety Flammable Anesthetic Mixture Not suitable for use in the presence of a Flammable Anesthetic Mixture Mode of Operation Continuous Revised October 2004 3800 Vital Signs Monitor Service Manual 13 1 Technical Data Escort M8 Vital Signs Monitor Device Markings
34. ch Allyn disposable probe cover Doing so can cause patient discomfort patient cross contamination and erroneous temperature readings Long term continuous monitoring beyond five minutes is not recommended Biting the probe tip while taking a temperature may result in damage to the probe To ensure patient safety and accurate temperature measurement use only Welch Allyn accessories and supplies This equipment is not suitable for use in the presence of a flammable anesthetic mixture with air oxygen or nitrous oxide The probe and connector are not waterproof Do not immerse or drip fluids on these items Should immersion or wetting occur dry the device with warm air and then check all functions for proper operation The Welch Allyn SureTemp PLus probe consists of high quality precision parts Protect it from severe impact and shock A qualified service technician must check any SureTemp PLus probe which is dropped or damaged to ensure proper operation prior to further use Do not use the probe if you notice any signs of damage Do not autoclave To prevent damage to the module probe and accessories refer to the cleaning procedures described in Section 10 xii 3800 Vital Signs Monitor Service Manual Revised October 2004 Precautions Other This product or any of its parts should not be repaired other than in accordance with written instructions provided by InvivoMDE or altered without prior written approval of Invivo Research
35. continuous but are updated each time a blood pressure measurement is taken Set a shorter interval for more frequent updating of the patient s blood pressure Do not attach the cuff to a limb being used for infusion Cuff inflation can block infusion possibly causing harm to the patient Frequent NIBP measurements can cause pooling of the blood in the limb hemostasis and peripheral tissue nerve damage Allow sufficient time between measurements for blood recirculation to prevent pooling of the blood in the limb x 3800 Vital Signs Monitor Service Manual Revised October 2004 Precautions NIBP Continued Arrhythmic and or erratic heart beats or severe motion artifact such as tremors or convulsions can result in inaccurate readings and or prolonged measurements If questionable readings are obtained re check patient s vital signs by alternate means before administering medication To prevent possible nerve damage to the limb apply the NIBP cuff as recommended by current American Heart Association AHA guidelines for blood pressure monitoring To ensure accurate and reliable measurements use only recommended patient cuffs hoses For best accuracy use the appropriate cuff size for each patient as recommended by the current AHA guidelines for blood pressure monitoring Some reusable NIBP cuffs contain a medical grade latex rubber Patients sensitized to latex rubber can have an allergic reaction when exposed to this material Avo
36. creen to the regular monitoring display The STANDBY key is used to place the monitor into the STANDBY mode of operation The ALARM SILENCE key is used to silence active alarms 4 3800 Vital Signs Monitor Service Manual Revised October 2004 Overview HR PULSE 80 15 SPO PR gO GPM Parameter Waveform LIN NN UP Area 96 Area a 120 707 370 Time Area Message Area Figure 1 6 Example of Escort M8 Vital Signs Monitor Normal Screen The Normal Screen of the Escort M8 Vital Signs Monitor has four areas one each for displaying messages the time waveforms and parameters The message area is at the bottom of the display Alarm and Technical Condition messages are displayed here One message is displayed at a time If multiple messages are active the messages rotate with each message displayed for approximately three 3 seconds at a time The time area is at the bottom right corner of the display This area displays the current time and battery status The waveform area has four 4 channels Menu selections allow the operator to choose which waveform to display in the lower three 3 channels The first channel is dedicated to the ECG waveform The parameter area is actually in two 2 parts one to the right of the waveform area and one below it The parameter area displays the current values of the monitored parameters in a numerical format 1 3 Main Features of the Escort M8 Vital Signs Monitor The
37. ction e Setup key verify access to Setup menu e Alarms Setup key verify access to the Setup Alarms menu e Clear Trends key verify access to the Clear Trends menu e NIBP START STOP key verify NIBP measurements start and stop e Trends key verify access to the Trends menu e NIBP Interval key verify access to the Setup NIBP Interval menu e Record key verify recording strips start and stop e Normal Screen key verify return to Normal Screen from any popup menu e Standby key verify Standby mode e Alarm Silence key verify silencing of alarm Power LED Verify that the green power LED is illuinated on the 3800 Vital Signs Monitor Battery Charging LED Verify that the green charging LED is illuminated on the 3800 Vital Signs Monitor when plugged into mains power Speaker Power cycle the 3800 Vital Signs Monitor and verify that the power up speaker test tones are generated One low pitched tone followed by one medium pitched tone followed by two high pitched tones Revised October 2004 3800 Vital Signs Monitor Service Manual 11 1 Maintenance and Storage Monitor Function Procedure ECG Respiration Connect ECG leads to Patient Simulator e Verify proper heart rate at 30 and 300 bpm 2 bpm or 1 9 0J e Verify proper respiration rate at 15 and 120 bpm 43 bpm SpO2 e Connect to Patient Simulator select appropriate sensor type e Verify proper SpO2 valu
38. ction no fan Operating Temperature 59 to 104 F 15 to 40 C Storage Temperature 4 to 122 F 20 to 50 C Operating Humidity gt 30 to lt 80 non condensing Storage Humidity gt 10 to lt 80 non condensing Operating Altitude 0 to 9842 ft 0 to 3000 m Storage Altitude 0 to 29 520 ft 0 to 9000 m Display Type Active matrix Color LCD Area 6 925 x 5 3 inches 8 4 inches diagonal 176 x 134 6 mm 213 35 mm diagonal Matrix 640 x 480 pixels Pixel Pitch Dimension 0 27 mm Number of Channels 4 Sweep Speed 6 25 12 5 25 mm s Display Mode Eraser Bar Revised October 2004 3800 Vital Signs Monitor Service Manual 13 3 Technical Data ECG Accessories 3 lead cable 5 lead cable Refer to Section 15 Input Connector AAMI Standard ECG Input Connector Displayable Leads 3 lead cable II 5 lead cable I II IH V HR Resolution 1 bpm beats per minute Measurement Range 15 to 300 bpm Measurement Accuracy 2 bpm or 1 whichever is greater Response Time Step change from 80 to 120 bpm lt 7 seconds Step change from 80 to 40 bpm lt 11 seconds Per AAMI EC13 2002 4 1 2 1 f response time is measured from the onset of the first QRS at the new rate to the time the measurement reads a value that is the original rate plus 63 of the change Report Interval 1 second HR Ave
39. ctor Probe Probe Well Input Figure 1 3 Escort M8 Vital Signs Monitor Right Rear View 1 2 3800 Vital Signs Monitor Service Manual Revised October 2004 Overview Recorder Door YSI TEMP Figure 1 4 Escort M8 Vital Signs Monitor Left Side View Revised October 2004 3800 Vital Signs Monitor Service Manual 1 3 Overview 1 2 Escort M8 Vital Signs Monitor User Interface The Escort M8 Vital Signs Monitor user interface makes use of a set of keys and rotary knob on the front panel The front panel keypad looks like the following diagram AURIS Y EE Sn SETUP TRENDS Figure 1 5 Front Panel Keypad The Rotary Knob is used to select and rotate through the various monitoring features of this monitor The SETUP key is used to bring up the SETUP Menu to allow for the configuration of the different features of this monitor The ALARMS SETUP key is used to bring up a menu to allow for the adjustment of the Alarm Limits The CLEAR TRENDS key is used to clear the stored trends The NIBP START STOP key is used to either start an NIBP determination or stop one in progress The TRENDS key is used to display the stored trends The NIBP INTERVAL key is used to set the time interval of the automatic NIBP determination feature The RECORD key is used to output a manual strip chart to the recorder or to stop a recording in progress The NORMAL SCREEN key is used to return the monitor s
40. e at 84 and 96 2 02 e Verify proper PR value at 30 and 240 bpm 5 NBP Connect to Patient Simulator and take a NIBP measurement e Verify proper NIBP value at 120 80 5 bpm e Enter NIBP Calibration Mode e Setup gt Biomedical gt Service gt Password gt NIBPCalibration gt O n gt OK gt Close e Set the Patient Simulator to read as a pressure gauge e Inflate the cuff to 250 5 mmHg e Do not allow system to remain pressurized and stable below 20 mmHg The monitor will remove this pressure as a zero offset and this will affect the validity of the calibration check e Verify that the NIBP parameter value is within 2 mmHg of the simulator Release pressure e Inflate cuff to 300 mmHg e Verify that the pressure is automatically dumped at 300 t 30 mmHg e Inflate the cuff to 150 mmHg Allow cuff pressure to settle thermal effect e Verify that the pressure drops less than 4 mmHg in 1 minute Release pressure e Inflate cuff to 50 mmHg e Verify that the pressure is automatically dumped after 180 seconds Power cycle the monitor YSI Temperature None self checking SureTemp PLus Temperature Attach Cal key to monitor Remove probe from well Temperature should read 36 3 0 1 C 97 3 0 2 F 3800 Vital Signs Monitor Service Manual Revised October 2004 Maintenance and Storage Monitor Function Procedure Leakage Current e Connect to Safety Analyzer WA
41. ediatric Finger Sensor Pediatric size reusable SpO2 finger clip Cable P N 9289B or 9289A required for use with monitor 9315E Masimo Reusable Ear Sensor Cable P N 9289B or 9289A required for use with monitor 9310N Masimo Adult SpO2 Sensor gt 30 kg Box of 20 Single Patient Adhesive Sensor Cable P N 9289B or 9289A required for use with monitor 9310AN Masimo Pediatric Slender Digit SpO2 Sensor lt 50 kg Box of 20 Single Patient Adhesive Sensor Cable P N 9289B or 9289A required for use with monitor 8 2 3800 Vital Signs Monitor Service Manual Revised October 2004 Accessories Pulse Oximetry Accessories Part Number Description Nellcor Adapters 9398 Nellcor Probe Connection Adapter Cable 9 foot length to enable use of Nellcor Sensors with the monitor Includes Nellcor sensor adapter P N 9472 9472 Nellcor Adapter to enable use with the Nellcor sensors and InvivoMDE Connection Cable P N 9398 sold separately Non Invasive Blood Pressure Accessories Part Number Description AIR HOSE For use with the Escort M8 Monitor 9010S Single Lumen NIBP Air Hose Quick disconnect fitting REUSABLE Single Lumen Infant to adult thigh For use with the Escort M8 Monitor 9080S Adult BP Cuff Large Arm Circumference range 33 to 47 cm Quick Disconnect Fitting 9070S Adult BP Cuff Standard Circumference range 25 to 35 cm
42. embly View 7 6 3800 Vital Signs Monitor Service Manual Revised October 2004 7 4 1 Assembly Subassembly Views Speaker Figure 7 6 Battery Cover Assembly View Revised October 2004 3800 Vital Signs Monitor Service Manual 7 7 Inverter Optical LCD Board Encoder Display Rear View Figure 7 7 Monitor Front Bezel Assembly View A Rear 7 8 3800 Vital Signs Monitor Service Manual Revised October 2004 Front Case Rotary Knob Keypad Front View Figure 7 8 Monitor Front Bezel Assembly View B Front Revised October 2004 3800 Vital Signs Monitor Service Manual 7 9 Battery Rear Case SPO2 Masimo Assembly Power Entry Power Supply Module Board Battery Charger Board Figure 7 9 Monitor Rear Case Assembly View 7 10 3800 Vital Signs Monitor Service Manual Revised October 2004 Recorder Subassembly Input Panel Subassembly Figure 7 10 Input Panel Assembly View Revised October 2004 3800 Vital Signs Monitor Service Manual 7 11 Printer Recorder Board Roller Figure 7 11 Recorder Subassembly View 7 12 3800 Vital Signs Monitor Service Manual Revised October 2004 Figure 7 12 Input Panel Subassembly View Revised October 2004 3800 Vital Signs Monitor Service Manual 7 13 7 5 Monitor Disassembly Procedure Disconnect the power cord from the monitor Place the monitor face down on a padded surface Remove the battery cover assembly 2 screws Remove the b
43. er Ta Major Assembly VIEWS AMA 7 5 TAT Assembly Subassembly VR ini 7 7 TS Monitor Disassembly Proc d f Em 7 14 Lb Master Reassembly PROS anna ne 7 14 7 Replacing th DISPlay ee en nes ee 7 14 7 5 Replacing the Optional Recorder AR e proide uei bertus Ness ur Oe bbs NE 7 14 7 9 Replacing the SPO2 Masimo Board nennen nie in nn 7 15 T140 Replacing the Power Supply Board anna au a a 7 15 DII Replies The Battery Chorrer Ball otitis 7 15 FAZ Replacing Cracked Gase Ple nissen 7 15 8 ACCESSORIES E 8 1 9 SPARE PARES einen 9 1 IEEE P o nio 10 1 11 MAINTENANCE AND STORAGE nee 11 1 LI Battery Replicoment een ee 11 3 A nein 11 4 US o a 11 4 1a PR aa 11 4 12 DISPOSAL cin ARA 12 1 Lh IECHNICAL DA Ticas id 13 1 iv 3800 Vital Signs Monitor Service Manual Revised October 2004 List of Figures Figure Number Page Number l 1 Escort M8 Vital Signs Monitor Front Vin en 1 1 12 Escort ME Vital Signs Monitor Left Rear View u 1 2 1 3 Escort M8 Vital Signs Monitor Right Rear View ccccssecsseceseeeseeceeceseeeeeeeeseeeeeees 1 2 l 4 Escort MS Vital Signs Monitor Left Side View uni 1 3 l 5 Front Panel 5 oT A 1 4 1 6 Example of Escort M8 Vital Signs Monitor Normal Screen esses 1 5 2 1 Escort M8 Vital Signs Monitor Normal Screen essere 2 2 3 1 Semp Menti sen 3 1 22 Setup B
44. eric measurement values are updated every 1 second on the monitor display A pulse oximeter should be considered an early warning device As a trend towards patient deoxygenation is indicated blood samples should be analyzed by a laboratory co oximeter to completely understand the patient s condition Use of this monitor may interfere with magnetic resonance imaging MRI procedures The pulse oximeter feature in this monitor is designed to display functional SpO2 values The pulse oximeter pulsatile waveform is not proportional to the pulse volume but adjusts the waveform amplitude as needed for proper viewing Arrhythmic and or erratic heart beats or severe motion artifact such as tremors or convulsions can result in inaccurate readings and or prolonged measurements If questionable readings are obtained re check patient s vital signs by alternate means before administering medication Revised October 2004 3800 Vital Signs Monitor Service Manual xi Precautions Temperature SureTemp PLus To obtain accurate and reliable temperature measurements and to ensure patient safety it is important that this manual be read thoroughly prior to use of the module probe and accessories Use single use Welch Allyn disposable probe covers to limit patient cross contamination The use of any other probe cover may produce temperature measurement errors or may result in inaccurate readings Do not take a patient s temperature without using a Wel
45. es 13 4 3800 Vital Signs Monitor Service Manual Revised October 2004 Technical Data Respiration Method Impedance Pneumography Input Connector Same as ECG Sweep Rate Fixed at 6 25 mm second Sensing Lead II RR Resolution 1 bpm breaths per minute Measurement Range 2 to 120 bpm Measurement Accuracy 3 bpm Measurement Sensitivity 0 25 ohms minimum Report Interval 1 second Bandwidth 0 17 to 3 3 Hz 3dB Impedance Measuring Current lt 10 uA 44 kHz square wave across Lead II Pulse Oximetry Method Absorption Spectrophotometric dual wavelength Functional oxygen saturation of arterial hemoglobin Input Connector 7 pin Limo connector See Accessories for probe information SpO2 PR Resolution SpO2 1 02 PR 1 bpm beat per minute Measurement Range SpO2 1 to 100 PR 25 to 240 bpm Measurement Accuracy SpO2 from 70 to 100 2 02 70 unspecified PR 3 bpm beats per minute Measurement Test Method BioTek Instruments Index2 SpO2 Simulator Report Interval 1 second Numeric values held lt 30 seconds per EN 865 Pulse Tone Yes pulse tone pitch tied to SpO2 parameter value YSI Temperature Compatibility YSI 400 series probes Input Connector 2 pin connector Display Units F and C user selectable Measurement Resolution 0 1 F 0 1
46. her warranties guarantees or conditions including merchantability or fitness for a particular purpose The remedies under this warranty are exclusive and InvivoMDE neither assumes nor authorizes anyone to assume for it any other obligation in connection with the sale or repair of its products InvivoMDE PRODUCTS CONTAIN PROPRIETARY COPY WRITTEN MATERIAL ALL RIGHTS ARE RESERVED BY InvivoMDE 11 4 Password Control To access the Setup Alarms or Setup System Menu perform the following steps when presented with the Enter Password Menu 11 4 3800 Vital Signs Monitor Service Manual Revised October 2004 Maintenance and Storage Set Dial 1 to 49 Set Dial 2 to 48 Set Dial 3 to 46 Select OK Revised October 2004 3800 Vital Signs Monitor Service Manual 11 5 The disposal of accessories such as electrodes blood pressure cuffs temperature probes and SpO2 sensors should be carried out according to the manufacturer s recommendations At the end of its useful life the Escort M8 Vital Signs Monitor should be properly disposed of as well In particular the Escort M8 Vital Signs Monitor contains a lithium coin battery an lithium ion battery pack and electronic circuit boards which should not be incinerated or exposed to extreme heat See warnings at the start of this manual for further precautions 12 Disposal Contact your local waste disposal agency for guidance on the proper recycling or disposal of these components Revised Octo
47. his device is covered under one or more of the following U S Patents 5 482 036 5 490 505 5 632 272 5 685 299 5 758 644 5 769 785 6 002 952 6 036 642 6 067 462 6 206 830 6 157 850 6 277 081 and international equivalents U S A and international patents pending Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device XIV 3800 Vital Signs Monitor Service Manual Revised October 2004 Overview 1 Overview This chapter provides a basic overview of the Escort M8 Vital Signs Monitor user interface and a list of the Escort M8 Vital Signs Monitor s main features 1 1 Escort M8 Vital Signs Monitor Diagrams Display M Power Dee mae Recorder ja f Keypad Parameter Input Panel Rotary Knob s AC Power M LED invivo MDE Battery Charge LED Figure 1 1 Escort M8 Vital Signs Monitor Front View Revised October 2004 3800 Vital Signs Monitor Service Manual 1 1 Overview Recorder Door Button b Recorder Door Open Input Panel y Figure 1 2 Escort M8 Vital Signs Monitor Left Rear View Switch CF Card USB Access Door Network Connector SureTemp PLUS Sure Tempe PLUS Temperature SureTemp PLUS AC Probe Conne
48. i 3800 Vital Signs Monitor Service Manual Revised October 2004 Typographical Conventions in this Service Guide This guide contains warnings cautions and notes to help call your attention to the most important safety and operational aspects of the system To help identify these items when they occur in the text they are shown using the following typographical conventions WARNING Statements that call attention to the possibility of injury death or other serious adverse reactions associated with the use or misuse of the device CAUTION Statements that call attention to the possibility of a problem with the device associated with its use or misuse Such problems include device malfunction device failure damage to the device or damage to other property NOTE Statements that provide supplemental information Revised October 2004 3800 Vital Signs Monitor Service Manual vil Indications for Use The Escort M8 Vital Signs Monitor is indicated for use in adult and pediatric patient populations in an environment where patient care is provided by healthcare professionals e g Physician Nurse Technician when Vill l And The professional determines that a device is required to measure any or all ofthe following patient parameters Heart Rate Respiration Rate Temperature Systolic Mean and Diastolic Blood Pressure Functional Oxygen Saturation of Arterial Hemoglobin SpO2 Pulse Rate The professional determines that a
49. id the use of cuffs which contain latex rubber on patients who are allergic to this material Routinely inspect the cuff and hose assemblies for proper attachment and orientation Replace cuff and or hose assemblies with cracks holes tears cuts etc that could cause leaks in the system If cuff and or hose assemblies with damage which could result in leaks are used prolonged and or inaccurate patient readings could result SpO2 Avoid placement of the SpO2 sensor on the same limb with an inflated blood pressure cuff Cuff inflation could result in inaccurate readings and false alarm violations SpO2 monitoring requires the detection of valid pulses to correctly determine SpO2 and Heart Rate values During conditions of gross artifact or in the absence of valid pulses the SpO2 rate values may not be correct The SpO2 monitoring portion of this monitor is intended to measure arterial hemoglobin oxygen saturation of functional hemoglobin saturation of hemoglobin functionally available for transporting oxygen in the arteries Significant levels of dysfunctional hemoglobins such as carboxyhemoglobin or methemoglobin may affect the accuracy of the measurement Also Cardiogreen and other intravascular dyes may depending on their concentration affect the accuracy of the SpO2 measurement Always shield the SpO2 sensor from extraneous incident light sources Such extraneous light can cause SpO2 reading or pulse detection errors The num
50. il the Yes option is highlighted then press the knob 4 Rotate the Rotary Knob until the OK option is highlighted then press the knob 5 Apply the SpO2 sensor to your finger and wait for the SpO2 reading to be displayed 6 Disconnect the SpO2 sensor from the monitor 7 After ten 10 seconds verify that the monitor sounds a low grade Alarm Tone flashes the SPO2 Icon the box that contains the SpO2 measurements and displays the message SpO2 unplugged 8 Press the ALARM SILENCE key 9 Reconnect the SpO2 sensor to the monitor If installed Press the RECORD key and confirm that the Recorder starts If installed Press the RECORD key and confirm that the Recorder stops Unplug the power connector from the back of the monitor and confirm that the monitor continues to operate on battery power 3800 Vital Signs Monitor Service Manual Revised October 2004 Installation and Checkout 10 Reconnect the power connector to the back of the monitor Revised October 2004 3800 Vital Signs Monitor Service Manual 2 3 Configuring the Monitor EN Configuring the Monitor This chapter explains how to configure the monitor 3 1 System Setup The Escort M8 Vital Signs Monitor Setup Menu System provides access to operational and parameter settings The Operational Menus are configured for easy access through the use of a keypad on the monitor front panel The Parameter Menus are configured also for easy access through the use
51. iomedical I ee een 3 1 Ss Bel Conheiraton Mei 3 2 o Bea 3 2 3 5 Setup Alarm System o MM 3 3 o WORDEN Me E 3 4 A 200 oo 3 4 4 1 Normal Screen Showing Battery kan rd 4 1 Fl Exi mol Chassis Renten 7 2 7 2 MB Overall Functional Block Diagram une nannten 7 3 7 3 M8 Cable Interconnection Wiring DIN aka 7 4 7 4 Monitor Major Assembly View cccsccsscsscsssccsseessccssscssecssncsesossnesssnspectsessserssceanenontens 7 5 7 5 Battery Cover Major Assembly View neuen 7 6 70 Boltery Cover Assembly VRR nennen 7 7 7 7 Monitor Front Bezel Assembly View A Bear 7 8 7 9 Monitor Front Bezel Assembly View B Fon 7 9 79 Monitor Rear Case Assembly View casccsscccccsseascrcsscnsssacesienssessncsinctesonsvncensboniasbencseeasnansone 7 10 7 10 Input Panel Assembly Viw ee 7 11 T L Recorder 52i sido 7 12 T2 Input Panel Subassembly VIEW ii is 7 13 Revised October 2004 3800 Vital Signs Monitor Service Manual V General Information This Service Guide provides information for the Invivo Research Escort M8 Vital Signs Monitor The Escort M8 Vital Signs Monitor is a small lightweight patient monitor designed to acquire and display physiological waveforms and parameters Before using the Escort M8 Vital Signs Monitor be sure to read carefully and understand all sections of this Service Guide Failure to read and understand the instructions may lead to misuse of the Escort M8 Vital Signs Monitor which could result in harm to the patients v
52. lens 3 Remove the damaged display from the monitor front bezel assembly being careful not to scratch the lens that is mounted in front of the display 4 Install the new display These screws should be backed off until they line up with the already formed threads in order to avoid stripping the threads They should be tightened to 3 4 inch pounds 0 34 0 45 newton meters 7 8 Replacing the Optional Recorder Assembly 1 After monitor disassembly is performed remove the main board 2 Disconnect the recorder cable from the recorder board at J3 3 Disconnect the Masimo cable from the SPO2 Masimo board at Jl remove the NBP hose from the NBP input connector behind the input board 4 Disconnect 2 plastic screws from the backside of the main board and remove the input panel assembly with recorder assembly and input board attached 3 Remove 4 screws securing the patient input board to the input panel assembly 7 14 3800 Vital Signs Monitor Service Manual Revised October 2004 6 Remove 4 screws from the recorder housing and remove the recorder from the input panel assembly for replacement 7 9 Replacing the SPO2 Masimo Board 1 After monitor disassembly is performed the SPO2 Masimo board can be removed by removing the one screw securing the assembly to the rear chassis and then sliding the assembly out of the rear chassis 2 The SPO2 Masimo board can now be removed from the assembly bracket by removing the 3 plastic hold down
53. ly five 5 hours to fully recharge The green LED on the front of the Escort M8 Vital Signs Monitor indicates that the battery is being charged To determine when the battery is full charged disconnect the battery from the wall power and check the battery icon on the Escort M8 Vital Signs Monitor home screen The toggle switch on the back of the Escort M8 Vital Signs Monitor allows you to turn the Escort M8 Vital Signs Monitor on and off See the Maintenance section for details on how to replace the battery WARNING Consult the safety instructions at the front of this manual regarding the proper use and disposal of the battery Revised October 2004 3800 Vital Signs Monitor Service Manual 4 1 Functional Verification 5 Functional Verification This chapter discusses the recommended functional verification checks for the 3800 Vital Signs Monitor and its accessories The following is a list of test equipment that you will need to perform the functional verification Test Equipment Description Patient ECG Respiration Simulator Bio Tek Instruments LH 3 or equivalent Patient SpO2 Simulator Bio Tek Instruments Index 2 or equivalent Patient NBP Simulator calibrated Bio Tek Instruments BP Pump or equivalent The functional verification procedures are listed below Monitor Function Procedure Mechanical Integrity Check for cracks abrasive edges and other signs of damage Front Panel Key
54. m ion battery allows the Escort M8 Vital Signs Monitor to be disconnected from the wall power and use it for applications where mobility is required When the battery is fully charged it provides for at least 5 hours of normal operation When the Escort M8 Vital Signs Monitor is operating on battery power a battery icon appears on the normal screen The battery icon is designed to give an approximate sense of how much battery life is remaining HR PULSE 80 15 sPO2 PR BO BPN wa 120170 370 Figure 4 1 Normal Screen Showing Battery Icon When the battery is running out of charge the battery icon starts to blink a Low Battery alarm message is displayed and an alarm tone is annunciated When this happens as little as five 5 minutes of battery charge is remaining and the Escort M8 Vital Signs Monitor should be connected to a wall outlet in order to prevent a loss of patient monitoring When the battery power is too low to continue normal operation the Escort M8 Vital Signs Monitor display will go blank except the for message Battery Nearly Depleted and a constant low grade tone will be generated When the Escort M8 Vital Signs Monitor is reconnected to the wall power it will begin recharging Battery charging occurs regardless of whether the Escort M8 Vital Signs Monitor is powered on For every hour of battery use it takes approximately one hour to recharge the battery A fully depleted battery takes approximate
55. m the monitor and re assemble the monitor according to the monitor reassembly procedure 9 Otherwise the display may need to be replaced See the replacing the display section of the Repair chapter for details 6 1 3 Monitor Only Displays the Power Up Invivo MDE M8 Banner Description Upon power up the power up banner is displayed and a single beep tone is generated At this point the power up sequence stalls and the main monitoring Normal screen is never displayed Possible Cause s 1 Internal Compact Flash card or interface board has become unseated 2 Bad Compact Flash card Troubleshooting Action s 1 Disassemble the monitor according to the monitor disassembly procedure 2 In the middle of the Master Processor Bitsy board is an adapter board that contains a Compact Flash card Ensure that the card is firmly seated in the adapter board Ensure that the adapter board is fully seated in the Bitsy board 3 Reattach the keypad display speaker and Power LED connectors to the main board 4 At this point connect the power cable into the back of the monitor The battery pack need not be reattached 5 Confirm that the monitor runs through its complete power up sequence and displays the Normal screen If this doesn t occur then the Compact Flash card may need to be replaced This can be obtained as a replacement part see Spare Parts chapter 6 If the power up sequence now works disconnect the power
56. of a Parameter Icon system and a Rotary Knob Menu options are selected by using the Rotary Knob To select an option turn the Rotary Knob until the desired option is highlighted then press the knob to select Menus have a two 2 minute timeout feature If no action is taken for two 2 minutes this menu will automatically close and return the monitor to the normal monitoring mode To manually return to normal monitoring mode press the NORMAL SCREEN key Parameters Waveforms Recorder Alarm Suspend Save Restore Biomedical Close Figure 3 1 Setup Menu 3 1 1 Setup Menu To access the Setup Menu press the SETUP key on the monitor front panel The Setup options available are Parameters Waveforms Recorder Alarm Suspend Save Restore and Biomedical there is also a Close option that will return the monitor to normal monitoring mode Setup Biomedical Configuration Alarms System Service Factory oK Cancel Figure 3 2 Setup Biomedical Menu 3 1 2 Setup Biomedical Menu To access the Setup Biomedical Menu rotate the Rotary Knob until the Biomedical option is highlighted then press the Knob This menu allows the operator to view the monitor configuration configure the alarm system parameters configure the system set the monitor up for service and perform factory setups Revised October 2004 3800 Vital Signs Monitor Service Manual 3 1 Configuring the Monitor Setup Configuration Serial number A
57. ough its Network Connector port the Escort M8 Vital Signs Monitor can be connected to external devices The following precautions should be taken The Network Connector cable should not be applied to the patient e Connected devices should be located outside of the patient vicinity greater than 1 5 meters if they do no comply with IEC 60601 1 e The Escort M8 Vital Signs Monitor should not be connected to devices that are not described in this manual The over all system leakage current should be tested and should comply with IEC 60601 1 1 Do not operate the Escort M8 Vital Signs Monitor near high frequency emissions e g microwaves Single use devices should not be reused The accuracy of the measurements can be affected by the position of the patient the patient s physiological condition and other factors Always consult a physician for interpretation of measurements made by this monitor If any system failure occurs e g an unexplained continuous audible alarm remove the monitor from use and refer it to qualified service personnel Perform operational checkout before each use If monitor fails to function properly refer to qualified service personnel For safe and accurate operation use only recommended Invivo Research patient cable lead wires cuffs hoses sensors tubing etc A listing of these can be found in the Accessory Listing within this manual or by contacting Invivo Research directly The system may no
58. posable Esophageal Rectal Probe Sterile disposable vinyl probe with a flexible 3 foot lead Adapter Cable P N 9200B is required 9390D Disposable Skin Surface Sensor Probe Sterile disposable vinyl probe with a flexible 3 foot lead Sensor comes with adhesive foam pad for ease in attachment to skin 1 inch diameter Adapter Cable P N 9200B is required YSI Reusable Temperature Accessories 9390H Reusable Esophageal Rectal Probe Rugged vinyl probe for adult or pediatrics Non detachable 10 foot vinyl covered cable plugs directly into monitor temperature jack Gas sterilizable YSI Series 400 compatible 9390J Reusable Skin Surface Probe Stainless steel cup tapes to skin Non detachable 10 foot vinyl covered probe plugs directly into temperature Jack Gas sterilizable YSI Series 400 compatible 8 4 3800 Vital Signs Monitor Service Manual Revised October 2004 Accessories Miscellaneous Supplies and Accessories Part Number Description 9055 Escort M8 Rechargeable Battery 11 1V 9180T Thermal Array Recorder Paper Box of 10 rolls HE103 Power Supply 1000240V replacement For use with AS18 Power Cord AS18 AC Power Cord Hospital Grade 8 foot UL an CSA approved Escort M8 Manuals 9665 Escort M8 Operations Manual 9566 Escort M8 Service Manual Carts and Mounts 9003L Escort M8 Mounting Bracket Allows monitor to be mounted on an IV or simila
59. r pole GCX roll stand P N 9003J or GCX wall mount P N 9401L Includes all mounting hardware 9401L Escort M8 GCX Wall Mount This polymount bracket installs on any wall and permits the monitor to swivel allowing viewing from any angle and smoothly tilt from 0 to 28 degrees avoiding glare on the monitor and permitting easy access to controls Variable height adjustment permits optimal vertical positioning of the monitor Includes all mounting hardware but requires P N 9003P Escort M8 Mounting Bracket to be purchased separately 9003 Escort M8 GCX Roll Stand Allows monitor to be mounted on a rolling cart Mobile Stand Sturdy lightweight ideal for applications where portability and space savings are important considerations Features non tip base with casters handle and a basket for storage All hardware is included but requires P N 9003P Escort M8 Mounting Bracket to be purchased separately Revised October 2004 3800 Vital Signs Monitor Service Manual 8 5 9 Spare Parts Spare Parts ZOE Medical Part Number Description Major Assemblies 451 5011 Monitor Front Bezel Assembly 451 5012 Monitor Rear Case Assembly 451 5008 Input Panel Assembly Assemblies Subassemblie S 325 2404 Membrane Keypad Switch Panel 325 0004 Optical Encoder w Rotary Knob 2779 3003 8 4 LCD Display 725 1000 In
60. raging Scheme Average of the 10 most recent valid R R intervals discarding the shortest and longest interval Time To Alarm Tachycadia lt 10 seconds 5 seconds typical for 150 bpm ventricular tachycardia or 3 5 Hz sinusoidal ventricular fibrillation Notch Filter Frequency 50Hz 60Hz or Off Monitor Bandwidth 0 4Hz to 50Hz 3dB Dynamic Range AC 20 mV Dynamic Range DC 300 mV Electrode Impedance gt 2 5 Mohm at 10 Hz Defibrillation Protection Complies with IEC 60601 2 27 Pacer Pulse Detection Lead II Pacer Pulse Rejection Rejects all pulses of amplitude 2mV to 700mV and duration 0 1 to 2 ms with no tail per AAMI EC13 2002 4 1 4 1 Rejects all pulses of amplitude 2mv to 700mV and duration 0 1 to 2 ms with 10 ms time constant tail of lt 2mV per AAMI EC13 2002 4 1 4 2 Method A AAMI EC13 2002 4 1 4 3 1 54 v s Tall T Wave Rejection Rejects all T Waves less than or equal to 120 of a ImV QRS and a Q T interval of 350 ms per AAMI EC 13 2002 4 1 2 1 c HR Response to Irregular Rhythm HR is 82 bpm for a bigeminy rhythm consisting of 0 51 and 0 96 second R R intervals HR is 76 to 82 for a trigeminy rhythm consisting of 0 51 0 81 and 0 96 second R R intervals HR is 76 to 80 for a frequent multifocal rhythm consisting of 0 63 0 65 0 75 0 95 and 1 03 second R R intervals Active Noise Suppression RL drive lt 500 nA Pulse Tone Y
61. s Monitor Service Manual Revised October 2004 Cleaning CAUTION If monitor becomes accidentally wet during use discontinue operation of the monitor until all affected components have been cleaned and permitted to dry completely Contact your local InvivoMDE representative if additional informatioin is required CAUTION Always disconnect the Escort M8 Vital Signs Monitor from AC mains power before cleaning CAUTION Do not use harsh chemicals for cleaning in particular do not use disinfectants that contain phenol as they can spot plastics Do not steam autoclave gas sterilize irradiate subject to intense vacuum or immerse in water or cleaning solution Be careful to avoid getting cleaning liquids into connectors or the monitor If this occurs allow the unit to dry in warm air for 2 hours then check to make sure all monitoring functions are still working properly CAUTION Take particular care when cleaning the NIBP cuff NIBP hose and NIBP connector on the Escort M8 Vital Signs Monitor to prevent fluid from entering the connectors Fluid in the NIBP airway may affect blood pressure determination accuracy and damage the monitor CAUTION Accessories that fall on the floor should be inspected for contamination and proper functionality If contamination is observed then this cleaning procedure should be followed CAUTION The user has the responsibility to validate any deviations from the recommended method of cleaning
62. s Rotary Knob e Verify turning the rotary knob clockwise and counter clockwise allows the monitor to scroll to the right and left Pushing the knob causes selection e Setup key verify access to Setup menu e Alarms Setup key verify access to the Setup Alarms menu e Clear Trends key verify access to the Clear Trends menu e NIBP START STOP key verify NIBP measurements start and stop e Trends key verify access to the Trends menu e NIBP Interval key verify access to the Setup NIBP Interval menu e Record key verify recording strips start and stop Normal Screen key verify return to Normal Screen from any popup menu e Standby key verify Standby mode e Alarm Silence key verify silencing of alarm Power LED Verify that the green power LED is illuinated on the 3800 Vital Signs Monitor Battery Charging LED Verify that the green charging LED is illuminated on the 3800 Vital Signs Monitor when plugged into mains power Speaker Power cycle the 3800 Vital Signs Monitor and verify that the power up speaker test tones are generated One low pitched tone followed by one medium pitched tone followed by two high pitched tones ECG Respiration Connect ECG leads to Patient Simulator e Verify proper heart rate at 30 and 300 bpm 2 bpm or 1 e Verify proper respiration rate at 15 and 120 bpm 43 bpm Revised October 2004 3800 Vital Signs Monitor Service Manual 5 1 Functional
63. sage Description The monitor displays an NBP Needs Service message at either startup or during a measurement an NBP measurement isnot started when the NBP Start Stop key is pressed 6 4 3800 Vital Signs Monitor Service Manual Revised October 2004 Troubleshooting Probable Cause s li 2 3 4 5 6 7 Overpressure test failed at startup Internal communication problem between the master processor and NBP hardware controller Cuff pressure transducer problem Pressure not releasing from cuff for more than 2 1 2 minutes Pump not responding Internal pneumatic tubing has a leak or has become disconnected Internal software logic error Troubleshooting Action s 1 Power cycle the monitor If the NBP Needs Service message occurs during the startup tests i e during the first 60 seconds then contact InvivoMDE Technical Service for instructions If the NBP Needs Service and NBP Zeroing messages are no longer displayed after powerup then the startup tests have passed Continue on If the NBP Needs Service message occurs when an NBP measurement is started then listen when the NBP Start Stop key is pressed If the valves can be heard to close a clicking sound but the pump doesn t start running then the pump may be bad or the control line to the pump has a break Contact InvivoMDE Technical Service for instructions If the pump does start running but shuts off after 2 seconds
64. screws 7 10 Replacing the Power Supply Board 1 After monitor disassembly is performed the power supply can be removed from the rear of the chassis 2 Remove P2 connector from the power supply board 3 Remove 4 screws securing the power supply board to the chassis 7 11 Replacing the Battery Charger Board 1 After monitor disassembly is performed the battery charger board can be removed by carefully breaking the glue seal on top and bottom of charger board with a small screwdriver 2 Slide the battery charger board out of the rear chassis 7 12 Replacing Cracked Case Pieces 1 Obtain the replacement parts for the cracked case as appropriate see chapter 9 NOTE It is important to specify the monitor serial number in order to get case pieces that match the monitor gt Disassemble the monitor according to the Monitor Disassembly Procedure 3 Replace the damaged assemblies 4 Re assemble the monitor according to the Monitor Reassembly Procedure Revised October 2004 3800 Vital Signs Monitor Service Manual 7 15 Accessories 8 Accessories The following table shows the accessories recommended by InvivoMDE for use with the Escort MS Vital Signs Monitor WARNING Use only recommended accessories with the Escort M8 Vital Signs Monitor Using unrecommended accessories may result in damage to the monitoring equipment or in harm to the patient Using unrecommended accessories may also void the warranty coverage
65. t conform to all performance specifications if stored or used outside the environmental specifications identified in Section 12 For proper equipment maintenance perform the service procedures at the recommended intervals as described in the monitor s service manual Revised October 2004 3800 Vital Signs Monitor Service Manual ix Precautions Electrical Safety If monitor becomes accidentally wet during use discontinue operation of the monitor until all affected components have been cleaned and permitted to dry completely Contact your local Invivo Research Inc representative if additional information is required Shock hazard exists if operated without chassis cover Refer servicing to qualified service personnel only For continued protection against fire hazard replace fuses with same type and rating only Connect the monitor only to a three wire grounded hospital grade receptacle The three conductor plug must be inserted into a properly wired three wire receptacle if a three wire receptacle is not available a qualified electrician must install one in accordance with the governing electrical code Do not under any circumstances remove the grounding conductor from the power plug Avoid use of electrical power extension cords Electrical power extension cords may create a safety hazard by compromising the grounding integrity of the monitor This monitor and its listed accessories may be safely powered by the voltages 110 120
66. tal Signs Monitor to the OFF position gt Observe that the green POWER LED is no longer illuminated and that the monitor screen goes blank NOTE The monitor should remain connected to the hospital grade AC outlet even when the Escort M8 Vital Signs Monitor is not in use as this allows the battery to be recharged The battery charge indicator will remain illuminated under these conditions Revised October 2004 3800 Vital Signs Monitor Service Manual 2 1 Installation and Checkout HR PULSE 80 RESP 15 SPOZ PR 80 EPM ma 120 70 370 Figure 2 1 Escort M8 Vital Signs Monitor Normal Screen 2 2 1 Operational Checkout Procedure Before connecting the Escort M8 Vital Signs Monitor to a patient connect the NIBP Hose Cuff and SpO2 sensor to the monitor then perform the following procedure 2 2 1 oS ee Power up the unit and confirm that the startup tones sound before the Normal Screen appears approximately 10 to 15 seconds after initial power up Confirm that the power on LED is illuminated on the front keypad Confirm that the display shows the Normal Screen Press NIBP Start Stop key and confirm that the pump starts and inflates the cuff Press NIBP Start Stop key and confirm that the pump stops Test the Parameter alarm System as follows 1 Press the ALARMS SETUP key 2 Rotate the Rotary Knob until the SPO2 Alarms On option is highlighted then press the knob 3 Rotate the Rotary Knob unt
67. tandards regarding electromagnetic compatibility IEC 60601 1 2 The following is a list of actions that should be taken to reduce problems that are caused by electromagnetic interference EMI Only use accessories that are listed in chapter 8 of this manual 2 Ensure that other products in the area comply to accepted emissions standards EN 55011 3 Maximize the distance between electromedical devices Strictly limit the use of partable radio frequency sources e g cellular phones and radio transmitters 6 6 3800 Vital Signs Monitor Service Manual Revised October 2004 Troubleshooting 5 Maintain good cable management Try not to route cables over electrical equipment Revised October 2004 3800 Vital Signs Monitor Service Manual 6 7 This chapter describes the procedures for disassembling and re assembling the 3800 Vital Signs Monitor T Repair WARNING Consult the safety instructions at the front of this manual regarding the proper servicing of this monitor WARNING SHOCK HAZARD The 3800 Vital Signs Monitor s display board utilizes high voltages Use caution when servicing this component The following is a list of tools and test equipment that you will need Tools amp Test Equipment Description Screwdriver 2 Phillips Head Torque Limiting Scsrewdriver 2 Phillips Head Revised October 2004 3800 Vital Signs Monitor Service Manual 7 1 7 1 External Chassis Components Moni
68. the probe and cord regularly with a cloth dampened with warm water and a mild detergent solution As needed clean the probe and cord with a 70 isopropyl alcohol solution a 10 chlorine bleach solution or a nonstaining disinfectant Do not immerse or soak the probe in any type of fluid Do not use steam heat or gas sterilization of the probe Do not autoclave the probe SureTemp PLus Temperature Probe Well Remove the probe well from the unit Unplug the latching probe connector to prevent the SureTemp PLus system from consuming power while the probe well is being cleaned Clean the inner and outer surfaces of the probe well by swabbing them with a cloth dampened with a mild detergent solution a 70 isopropyl alcohol solution a 10 chlorine bleach solution or a nonstaining disinfectant Immerse the probe well in mild detergent solution if necessary Do not use hard or sharp objects to clean the probe well Hard or sharp objects can damage the probe well which could cause the SureTemp PLus system to fail Do not use steam heat or gas sterilization on the probe well Do not autoclave the probe well Thoroughly dry all surfaces before reassembling the instrument Reconnect the latching probe connector to the thermometer Ensure that the connector snaps into position Reinstall the probe well in the monitor and snap the probe well into position Insert the probe into the probe well 10 2 3800 Vital Sign
69. tor Rear Case Assembly P N 451 5012 Monitor Front Bezel Assembly P N 451 5011 Battery Cover Assembly ER Optional Recorder P N 451 5003 a Door Open Input Panel Assembly P N 451 5008 Figure 7 1 External Chassis Components 7 2 3800 Vital Signs Monitor Service Manual Revised October 2004 7 2 Functional Block Diagram The following is a functional block diagram of the 3800 Vital Signs Monitor Facility Power 100 240 VAC 50 60 Hz MEAT US a MN else EN 176 0001 Monitor Rear Case Assembly En A nm d ower Entry Module Input Panel Assembly d i P N 451 5012 Power Line Filter li P N 451 5008 j Switch i I l via i Recorder Lithium Ion 11 Vdo Battery a no Option 1 i Rechargeable Charger ccessories T Battery 11V Board I Y MEER Vo Rieti t DIS quM 10 15 MEN FERN Eine ete A sss Wee i P E i Battery Cover Assembly i RA T i P N 451 5003 I Board ji i i li I j Option 1 ir Main Board i I l i in i i Coin Master Processor i I mop O eminem Bitsy Board D E 2 wire I Pump Battery gt USB I Speaker fi cable i p CF Card i Port l I Valves I li ii I I A AC ex ass as ER ae ae eh id Monitor Front Bezel Assembly l P N 451 501 1 20 pin ribbon cable 2 wire i cable 8 pin p 1 I flex cable i li LCD l l Display Keypad I I i li l
70. uld only be done by qualified service personnel To replace the battery l Purchase a replacement battery see Accessories section for part number 2 Power off the monitor 3 On the back of the monitor disconnect the AC power cord 4 If SureTemp PLus is installed perform the following if not continue to step 5 Remove the SureTemp PLus Probe and Blue Probe Well from the monitor Disconnect the SureTemp PLus connector from the connection located in the center rear of the monitor 5 Remove the cover with the CE Mark as follows e Hold the cover in place while removing the two screws from the top left and right of the panel Once screws are removed carefully rotate the panel toward the AC power connector and lay flat on working surface Revised October 2004 3800 Vital Signs Monitor Service Manual 11 3 Maintenance and Storage 6 Remove the battery by pulling on the black pull tab located on the right of the battery Insert new battery ensuring that the black pull tab is accessible for future removal Carefully reinstall back cover and screws If SureTemp PLus is installed Reconnect the SureTemp PLus connector to the back of the monitor and reinstall the Blue Probe Well and Probe 10 Properly dispose of the old battery see Disposal section WARNING RECOMMENDED BATTERIES Only use batteries that are listed in the Accessories and Spare Parts chapters 11 2 Storage Storage Temperature 20 C to 5
71. verter DC AC Board 210 5100 T Main Board 410 2000 Power Entry Module w Line Filter 725 0011 Power Supply Board 210 5103 T Battery Charger Board 666 2002 11 1 Vdc Battery 210 5101 T Input Board 320 0308 Speaker 210 5108 SPO2 Masimo Board 2779 5000 Recorder Kit w Recorder Board Printer Roller 451 5016 Recorder Door w o Label 661 1002 Foot Pad 377 1003 16MB Compact Flash Memory Cable Assemblies 420 1001 FCC 31 Pos Cable w Ferrite 420 1516 Recorder Ribbon Cable 420 1515 AC Power Cable 420 1518 Masimo Power Comm Ribbon Cable 420 1002 SPO2 Input Cable Revised October 2004 3800 Vital Signs Monitor Service Manual 9 1 Spare Parts ZOE Medical Part Number Description 420 1508 Inverter Control Cable 9 2 3800 Vital Signs Monitor Service Manual Revised October 2004 10 Cleaning The following table provides instructions about how to clean the Escort M8 Vital Signs Monitor and its accessories Accessories should be cleaned after each use Before cleaning please refer to the cautions listed below the table Part Recommended cleaning method Escort M8 Vital Signs Materials Monitor e Enzymatic detergent such as ENZOL US or ECG Cables CIDEZYME outside the US Distilled water TEMP Cable ae f UE Disinfectant solution such as CIDEX OPA or a SpO2 Cable 10 solution of household bleach 5 25 sodium NIBP Cuff hypochlorite in distilled water Soft cloths and or soft

Service Manual.book - Frank`s Hospital Workshop

Contents

Download Pdf Manuals

Related Search

Related Contents