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1. Recover 1122 Muster Hans Ready 1 Exercise ECG Acquisition Page 1 17 Chapter 1 Operating Elements T SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 ical Exercise ECG Screens Final Report Stored ECG Main 200 View Exercise Patient Function View BE E Max HR Max BP Max BP x HR Min BP x HR Work time 6 36 Max Load Recovery time 6 38 PWC150 170 Total time 14 23 PWCrel Indication Break Reasons DI Paige Fatigue PYDVES Time Load HR mm s MAN Amin BP ST V5 mmHg mm ischemia Average amp ST Prot TrendS amp Rhythm Bj S Adequate increase in blood pressure No signs of 173 min 177 92 mmHg 28320 mmHg min 7744 mmHg min 200W 123 136 164 W 2 13 2 56 W kg STampl STslope v5 3 J50 0 2 5 vis 5 01 07 1998 13 10 1997 01 10 1997 15 07 1996 00 00 00 09 52 52 09 30 23 200858 Sulzer Waldemar 11 Average SEMA200 frmExecAvg Patient Function View REI Es ST Prot TrendS1 Rhythm i interp 16 07 1996 01 07 1998 13 10 1887 01 10 1337 00 00 00 03 52 52 03 30 23 200858 Sulzer Waldemar Page 1 18 ST Ampl ST Slope 6 avF SCHILLER CS 200 Diagnostic Workstation Chapter 1 SERVICE HANDBOOK Issue d October 2001 Operating Elements Typical Exercise
2. Security transformer LCD Monitor Chapter 1 Operating Elements Page 1 3 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Physical Layout 1 7 2 8 3 9 4 5 6 Display Monitor Mouse Trackball Floppy Disk Drive Storage Drawers Optional laser printer Thermal Printer Keyboard CD ROM drive I QN tA A WO N Page 1 4 SCHILLER CS 200 Diagnostic Workstation Chapter 1 SERVICE HANDBOOK Issue d October 2001 Operating Elements Keyboard Console keys F1 F2 F4 F5 F6 F7 F8 F9 F10 F11 F12 PC Keyboard 1 ON OFF key located on the console keypad 2 Power Indicators mains and battery The mains indicator shows that mains is connected the battery lamp indicates that the unit is running on battery power mains power disc
3. EMC Protection The CS 200 offers EMC protection when the mouse filter connector is inserted between the mouse connector on the unit COM 1 and the mouse DO NOT REMOVE THE FILTER CONNECTOR EMC Filter CS 200 Mains Supply The unit is set for the mains supply of your country When mains is connected the mains indicator on the console keypad is lit Backup Battery A backup battery is incorporated in the CS 200 for emergency use in the event of a mains power failure The backup battery allows the unit to complete a resting ECG recording If a power failure occurs the screen will go blank but the processor continues to function for a minimum period of three minutes This is enough time to complete a resting ECG and provide a complete printout Page 1 7 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Switching the System ON Switching the System ON Press the ON OFF key on the console keypad D 95 08 20 ON OFF 2 If the system is properly set the CS 200 main screen comes up 3 If the Windows desktop is displayed double click on the SDS 200 icon to get to the Login screen SDS200 Login Login Pik Login SCHILLER 4 Enter your User ID and Password to get into the main menu Patient Record Selection screen
4. 5 Use the Checklist menu to enter Institutes Departments etc by clicking on Start for each category If the Checklist menu is not displayed go to menu System Settings System Configuration and check the box Show Checklist after Restart Checklist Institutes Start Departments Sar Users Sant System Config iwf Printout Config ff Page 1 8 SCHILLER CS 200 Diagnostic Workstation Chapter 1 SERVICE HANDBOOK Issue d October 2001 Operating Elements Program Overview In addition to view screens the CS 200 has two main displays from which all settings measurements and functions are selected All of the displays have menu options on the top of the screen and icons for the main functions The two main displays are as follows Patient Record selection screen main menu gt enter the resting and exercise data acquisition and search and view screens from here Search screen gt select the record to be viewed Select a Patient recording in the main menu or the search screen prior to recording or to view a previous recording To enter the Resting ECG screen press the R ECG icon e R ECG To enter the Exercise ECG screen press the E ECG icon Ex ECG At all times to return to the main menu patient record selection press the return icon on the left of the icon bar In addition function keys or menu selections can be made to enter the different screens The function keys are detailed o
5. CHECK BP SETTINGS AND DURATION INITIATE A BP MEASURMENT MANUALLY EXTERNAL INTERNAL BP UNIT FUNCTIONING MODULE REMOVAL AND REPLACEMENT INSTRUCTIONS ARE DETAILED IN CHAPTER 4 IF AN EXTERNAL UNIT CHANGE THE UNIT NO TF AN INTERNAL UNIT CHANGE BP MODULE 12V AND 12V SUPPLIES TO MAIN BOARD BP MEASUREMENT SUCCESSFUL CHANGE ECG PROCESSOR BOARD MK 13 1 YES CHANGE ECG PROCESSOR BOARD 13 1 Page 3 8 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks Fault Diagnosis Chart o CHECK FILTER IN FLOW SENSOR REPLACE FILTER CHECK THAT THE CORRECT FLOW SENSOR IS SET SPIRO WORKING TN THE PROGRAM FOR THE SENSOR CONNECTED INSTALLED CONNECTIONS TOTIIE FLOW SENSOR ENSURE THAT CALIBARTION IS CORRECT RECHECK ALL SETTINGS RE INSTALL PROGRAM CAN CALIBRATION REPLACE FLOW SENSOR BE CARRIED CHECK 12V AND 12V SUPPLIES OUT TO ECG PROCESSOR BOARD REPLACE ECG PROCESSOR BOARD 13 1 POSSIBLE OPERATOR ERROR CHECK THAT ALL SETTINGS BAUD PARITY STOP BIT ARE THE SAME IN BOTH RECIEIVING AND TRANSMITTING DEVICES IF TRANSMITTING TO SEMA ENSURE BLOCKS AND NOT RECORD IS SET CHECK THE MODEMILINE SETTING CHECK ALL CONNECTIONS CHECK 12V AND 12V SUPPLIES TO MAIN BOARD CLIANGE MAIN BOARD MK 13 1 CAN A RECORDI
6. Remove the print mechanism sheet In order to remove the print mechanism sheet the back covering should be pushed lightly towards the back 1 1 Disconnect the cable to the power suppl board P2 12 Loosen the two screws visible on the top of the ECG amplifier 13 Remove the two screws on the back panel holding the amplifier to the case 14 Remove the ECG amplifier Page 4 12 Mounting screws ECG amplifier e o Mains In Out Relay Board ECG amplifier g Mounting screws 7 E 5 ECG amplifier gt gt Mains e S B Transformer O Gacy Layout of modules under the print mechanism sheet SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement ECG Amplifier MK 7 20 cont OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Assemble ECG amplifier MK 7 20 1 2 Insert the new ECG amplifier Fit the connector through the hole in the back panel Replace the two screws on the back panel Secure the two screws on the top of the ECG amplifier Connect the ECG amplifier to the power supply board P2 Insert print mechanism sheet Replace the four screws for the print mechanism sheet Replace the printer assembly and fasten the six screws in the paper tray Reconnect the cables for the printhead papermark sensor and printer motor to
7. 3 Note Before assembling the new CPU the data sheets of the old and the new CPU have to be compared It is important to note the CPU voltage the clock frequency the processor type Note Any changes have to be set on the main board using jumpers if applicable The jumper settings can be found on the data sheet of the main board If these settings are incorrect the CPU could be destroyed Newer main boards are automatically configured i e no jumper settings are necessary Installing a new CPU 1 Set the new CPU into the CPU frame Pin 1 of the CPU and of the frame have to be conform In the frame a hole is missing in the outer row of holes this marks Pin 1 On the CPU Pin 1 is marked by the slanted corner 2 Ensure that all legs are straight and are set correctly in the frame 3 Push the ZIF handle down until it snaps into the fixation 4 Reassemble the CPU ventilator 5 Connect the DC supply for the PC main board at the power supply P8 6 Plug in the console keys cable to the interface card 7 Switch on CS 200 and check functionality 8 Switch off CS 200 and reassemble RELAY BOARD MK 13 5 MAINS TRANSFORMER ECG AMPLIFIER MK 7 20 BATTERY PACK UNDER PAPER TRAY THERMAL PRINT Em HEAD Eun dan 13 1 a optional ER MT 200 BOARD du 4 a PC MAIN a HARD DRIVE FLOPPY DRIVE i RAM MODULES CPU AND CPU VENTILATOR Page 4 24 SCHILLER
8. Corporation SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Where to Obtain Service WELCH ALLYN SCHILLER Inc 7420 Carroll Road San Diego CA US 92121 2334 USA USA Canad Canada Tel 1 858 635 6023 Fax 1 858 635 6611 Home Page www welchallyn com SCHILLER Asia Pacific 10 Jalan SS 3 33 Taman Universiti 47300 Petaling Jaya Selangor Asia Pacific Malaysia Tel 603 7877 5336 Fax 603 7877 5744 SCHILLER HmbH Kampmiillerweg 24 A 4044 Linz Austria Austria Tel 43 732 709 90 Fax 43 732 757 000 SCHILLER Medical S A BP 50 19 Avenue de la Gare F 67162 Wissembourg Cedex France France Tel 33 3 88 63 36 00 Fax 33 3 88 94 12 82 Germany EU SCHILLER Medizintechnik GmbH Rudolf Diesel Strasse 14 D 85521 Ottobrunn Germany authorized representative Tel 4989 629 981 0 Fax 4989 609 509 0 SCHILLER Healthcare India Pvt Ltd D C Silk Mills Compound A Wing Ist floor 5 Chunawala Estate Kondivitta Lane Andheri Kurla Road Andheri E Mumbai 400 059 India India Tel 9122 826 3520 Fax 9122 826 3525 ESAOTE Spa SCHILLER Via di Caciolle 15 I 50127 Firenze Italy Italy Tel 39055 4229 201 Fax 39055 4229 208 SCHILLER Reomed AG Riedstrasse 14 CH 8953 Dietikon Switzerland Switzerland Tel 4411 744 3000 Fax 411 740 3710 SCHILLER AG Altgasse 68 CH 6341 Baar S
9. FOR MEDICAL PRODUCTS WHICH AFFORDS PROTECTION AGAINST EMISSIONS AND ELECTRICAL INTERFERENCE HOWEVER SPECIAL CARE MUST BE EXERCISED WHEN THIS UNIT IS USED WITH HIGH FREQUENCY EQUIPMENT IT MUST BE ENSURED THAT NEITHER THE PATIENT NOR THE ELECTRODES INCLUDING THE NEUTRAL ELECTRODE COME INTO CONTACT WITH OTHER PERSONS OR CONDUCTING OBJECTS EVEN IF THESE ARE EARTHED THERE IS NO DANGER WHEN USING THE ECG UNIT FOR A PACEMAKER PATIENT OR WITH SIMULTANEOUS USE OF OTHER ELECTRICAL STIMULATION EQUIPMENT HOWEVER THE STIMULATION UNITS SHOULD ONLY BE USED AT A SUFFICIENT DISTANCE FROM THE ELECTRODES IN CASE OF DOUBT THE PATIENT SHOULD BE DISCONNECTED FROM THE RECORDER SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Safety Notices THIS UNIT IS 1 CLASSIFIED ACCORDING TO 601 1 THIS MEANS THAT THE PATIENT CONNECTION IS FULLY ISOLATED AND DEFIBRILLATION PROTECTED SCHILLER CAN ONLY GUARANTEE PROTECTION AGAINST DEFIBRILLATION VOLTAGE HOWEVER WHEN THE ORIGINAL SCHILLER PATIENT CABLE IS USED IF SEVERAL UNITS ARE COUPLED THERE IS A DANGER OF SUMMATION OF LEAKAGE CURRENTS WHEN OPERATING SEVERAL DEVICES FOR MEDICAL AND NON MEDICAL APPLICATION DO NOT USE ANY EXTENSION CABLES OR DISTRIBUTION BOXES FOR THE CONNECTION WHEN NON MEDICAL DEVICES ARE CONNECTED TO THE RS 232 INTERFACE ENSURE THAT BOTH UNITS ARE SECURELY CONNECTED TO THE SAME EARTH POTENTIAL WHEN OPERATING THE UNIT ON BATT
10. HANDBOOK Issue d October 2001 Power Supply Board OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Removing the Power Supply Board 1 Switch off the CS 200 and disconnect mains supply remove mains plug 2 Disconnect all cables on the back panel 3 Remove paper tray lid and paper 4 Remove top cover 5 Dismantle the shield covering the PC part 6 Dismantle front shield 7 Dismantle printer mechanism panel see Exchange Battery 8 Dismantle Hard Disc 9 Dismantle CD ROM drive On the Power Supply board MK 13 6 disconnect the following connections 10 transformer cable P11 11 relay board cable P10 12 battery cables P12 and P15 13 ECG amplifier board cable P2 14 reset cable P38 15 interface board cable P17 16 ECG processor board cable P1 17 DC supply cables to floppy drive P4 CD ROM P5 hard disk P6 CPU ventilator P7 and PC main board P8 18 ventilator cable P9 19 Remove the screws from the power supply board 20 Remove power supply board Page 4 20 SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement Power Supply Board cont OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Inserting a Power Supply Board 1 9 Place power supply into the casing and replace screws On the Power Supply board MK 13 6 reestablish the following connections ventilator cable P9 DC supply cables to floppy drive P4 CD
11. Il V2 HI v3 ua EE n LEE aF YG 00 00 00 01 00 02 00 03 00 04 00 05 00 00 00 01 00 02 00 03 00 04 00 05 01 12 1998 30 11 1998 1304111998 30 11 1998 30 11 1998 30 11 1998 14 18 06 15 57 28 04 14 30 30 141551 14 02 04 1122 Muster Hans 1 Page 1 20 SCHILLER CS 200 Diagnostic Workstation Chapter 1 SERVICE HANDBOOK Issue d October 2001 Operating Elements Exiting a Display Switching the Unit Off The icon on the extreme left of the icon bar has two functions 1 When in any display other than the main menu clicking on this icon returns you to the main menu Pat rec selection 2 When the main screen is displayed clicking on this icon returns to the Login screen SDS200 Login Login Lil Login SCHILLER Switching the Unit Off 1 Click the program icon in the top left corner of the screen gt gt 505200 PATIENT and select CLOSE OR 2 Click the OFF cross x in the right hand side of the title bar eroont El Screen 41 3 Shut down Windows as usual 3 When given the Windows prompt It is now safe to turn off your computer press the ON OFF button on the keyboard to shut down the system ON OFF Page 1 21 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Page 1 22 SCHILLER CS 200 Diagnostic Workstation Chapter 2 SERVICE HANDBOOK Issue d October 200
12. PC main board DC supply cable to the main board Ensure the correct polarity for the DC supply cable The two cables both have a black mark on one side These black sides have to be lying against one another in the centre of the plug 11 Replace all insert cards into the same slots as they occupied before 12 Set the CS 200 onto the trolley 13 Connect the cables to the back 14 Connect the console keys cable to the interface card 15 Switch on the CS 200 and test its correct function 16 Switch off the CS 200 and reassemble the unit Page 4 27 Chapter 4 SCHILLER CS 200 Diagnostic Workstation Physical Overview amp Module Replacement SERVICE HANDBOOK Issue d October 2001 Page 4 28 SCHILLER CS 200 Diagnostic Workstation Chapter 5 SERVICE HANDBOOK Issue d October 2001 Spare Parts Chapter 5 Spare Parts Contents Ordering Information 5 3 Service Department 22 ECG System 5 4 ECG System Options 5 2 Spare Parts 5 6 Documentation 5 8 Software Options 5 9 Exercise Testing Accessories 5 11 24 Hour ECG Holter Accessories 5 12 Page 5 1 Chapter 5 SCHILLER CS 200 Diagnostic Workstation Spare Parts SERVICE HANDBOOK Issue d October 2001 Page 5 2 SCHILLER CS 200 Diagnostic Workstation Chapter 5 SERVICE HANDBOOK Issue d October 2001 Spare Parts Ordering Information Your local representative stocks all the disposables and accessories available for the CS 200 In case of difficulty or to obtain the address of your loca
13. PM Extended Data Management Software SDS 200 a management and data storage and retrieval system for virtually unlimited storage From S N 030 00504 standard Serial Comparison of ECG measurements ECG validation and comments on screen archiving communication e g modem transfer EXEC analysis program for exercise ECGs real time average complexes real time ST analysis beat to beat real time rhythm analysis ST HR trends VES detection rhythm classification enlarged RS presentation predefined protocols to control bicycle or treadmill user defined protocols to control bicycle or treadmill EXEC Plus analysis program for exercise ECGs 12 channel full disclosure of complete exercise test re analyse possibility of complete exercise test parameter changes e g J point SCHILLER 24 hour ECG Holter Software MT 200 2 channel recording and analysis opto transmission cable Built in AT card operating manual 5 030 003 5 030 007 5 030 006 5 030 004 5 030 005 5 030 O11 Page 5 9 Chapter 5 SCHILLER CS 200 Diagnostic Workstation Spare Parts SERVICE HANDBOOK Issue d October 2001 Software Options cont DESCRIPTION PART NUMBER Late Potential analysis available later TBA RR variability analysis available later TBA Vector cardiography TBA Spirometry Module TBA BM 110 blood pressure measurement module available later TBA Remote control software pcANYWHERE German Base version 1 remot
14. Page 6 6 SCHILLER CS 200 Diagnostic Workstation Chapter 7 SERVICE HANDBOOK Issue d October 2001 Glossary Chapter 7 Glossary Contents 8 2 8 3 Introduction Acronyms Page 7 1 Chapter 7 SCHILLER CS 200 Diagnostic Workstation Glossary SERVICE HANDBOOK Issue d October 2001 Introduction The following list provides a glossary of the important signals and acronyms used in the circuit diagrams for the SCHILLER instruments They will not all apply to the CS 200 Only abbreviations that are specific to SCHILLER equipment are included here General electrical and electronic abbreviations are not included Page 7 2 SCHILLER CS 200 Diagnostic Workstation Chapter 7 SERVICE HANDBOOK Issue d October 2001 Glossary Acronyms OS Offset signal on the ECG amplifier A 1 n CPU Address Bus ALBEEP Alarm beeper signal to the audio amplifier The frequency of this signal is about 1000 Hz ANA2 Analog input from the experimental inputs DC1 and DC2 AS Address strobe BATT signal to CPU indicating battery operation BATTLC Analog signal to the processor giving the charge condition of the battery BATTV Battery voltage analog signal from the power supply used by the processor to assess battery or mains operation BLOW Battery less than 11 3 V LCD flashes when this signal is acrive When the battery drops to below approximately 9 4 V the unit is switched off These values apply to equipment with 12 V battery For othe
15. ROM P5 hard disk P6 CPU ventilator P7 and PC main board P8 ECG processor board cable P1 interface board cable P17 reset cable P38 ECG amplifier board cable P2 battery cables P12 and P15 relay board cable P10 10 transformer cable P11 11 Assemble CD ROM drive 12 Assemble Hard Disc 13 Assemble printer mechanism plate with the printer see Exchange Battery 14 Connect all cables to the back panel 15 Connect the console keys cable to the interface card 16 Switch the CS 200 on and test correct function 17 Switch CS 200 off and reassemble Page 4 21 Chapter 4 Physical Overview amp Module Replacement SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 CPU Ventilator OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Removing the CPU Ventilator 1 Switch off CS 200 and disconnect mains supply remove mains plug and all other connectors on the back panel Remove paper tray lid and paper Remove top cover Dismantle the shield covering the PC part Dismantle front shield Remove fixing spring in the middle of the CPU Pull ventilator upwards and out Disconnect DC supply cable from power supply P7 Installing a CPU Ventilator Page 4 22 l 2 Spread heat conduction paste onto the cooling element of the new ventilator Set the ventilator onto the CPU The DC supply cable is towards the hard disk drive Push fixation spring through
16. ROM drive onto the drive holder Screw the CD ROM drive with the drive holder onto the cover Plug data cable and power cable into the CD ROM drive The data cable is marked on one side Pin 1 is on the marked side of the cable In the CD ROM drives Pin 1 is usually on the side that is closer to the power plug Connect the console keys cable at the interface card Switch on CS 200 and test correct function Switch off CS 200 and reassemble SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement Hard Disk Drive OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Removing the Hard Disk 1 2 3 9 Switch off CS 200 and disconnect mains supply remove mains plug Disconnect all cables on the back Remove paper tray lid and paper Remove top cover Dismantle the shield covering the PC part Dismantle front shield Disconnect power cable from the power source P6 Disconnect data cable from HD Release the two screws on the HD holder 10 Remove HD from the casing Installing a Hard Disk l 2 2 Place HD into the HD casing Assemble HD holder Connect data cable to HD Connect power cable to power supply P6 Connect console keys cable to the interface card Switch CS 200 on and test correct function Switch CS 200 off and reassemble Page 4 19 Chapter 4 SCHILLER CS 200 Diagnostic Workstation Physical Overview amp Module Replacement SERVICE
17. SP SRAM STRB1 2 SYSEN TGATE TM TPC TPCLK TPD TPDUR TPCSEL TPL TPRES TPS 0 amp 1 TPTH TS TXD uPOFF 01 2 3 4 UB UCAS UD1 UD2 UDS UOE USRAM Screen inversion Serial output from the CPU to the ECG amplifier via opto isolators Spirometry control and data signals Static RAM memory Timing signals for printer control System enable active when the Program Pack is inserted The CPU will not work if this signal is not active Gate pulse for programmable timer This signal sets the TPDUR signal Thermal printer temperature dc voltage from the print head pulse width modulation of signal TPTH Thermal printer clock This is not a continuous clock signal but is active when loading a line of printer data into shift registers Thermal printer clock Thermal printer data serial data for the printer Thermal printer duration duration of the strobe pulse dependant on the ambient temperature of the print head and the resistance of the print head Thermal printer controller select control of thermal printer FIFO input memory buffer Thermal printer latch print strobe control and data latch signal Thermal printer reset FIFO reset for thermal printer controller Thermal printer strobe Thermal printer temperature dc voltage from the print head to ADC approximately 3 7 V at room temperature Temperature sense from battery Outgoing serial data Off control signa
18. Start File Transfer Wait For Connection Delete Rename What s This Page 3 16 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks Remote Diagnosis Network e Activate the remote control PC by clicking on Connect in the right click menu or in the Action menu or just double click on the Network icon Note Right click means activating the right key on the mouse The hosts available on the network are shown g7 pcANYWHERE Waiting CE x Hosts a e 25 Host 52001 Host Available cs2004 Host Busy In Conference Unknown Cancel Waiting for selection e Select the proper equipment The screen first goes black and then the screen of the host appears You can now control the host with your own mouse and keyboard as if you were sitting in front of the unit Perform functional tests and trouble shooting on the host as described earlier in this chapter cel S ae ele slag SCHILLER DIAGNOSTIC SYSTEM 200 Patient Function System Page 3 17 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 2001 Remote Diagnosis Modem 2 Remote Control via Modem 2 1 Host Settings e Start p ANY WHERE select Be a Host PC click on Add Be a H
19. amp Functional Checks Disk Errors cont 3 ScanDisk reports any errors found ScanDisk Results Disk c C ScanDisk did not find any errors on this drive 1 612 021 750 bytes total disk space D bytes in bad sectors 3 473 408 bytes in 106 folders 5 570 560 bytes in 56 hidden files 280 002 560 bytes in 1 858 user files 1 322 975 232 bytes available on disk 32 768 bytes in each allocation unit 49 195 total allocation units on disk 40 374 available allocation units 4 Close this window and the previous one You should now be back in the Windows desktop 5 Re start the SDS 200 application Page 3 23 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 2001 Page 3 24 SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement Chapter 4 Physical Overview amp Module Replacement Contents CS 200 Exploded View Paper Feed 4 4 CS 200 Exploded View Printer assembly 4 5 Module Replacement 4 6 Top Cover 4 8 Removing the Top Cover 4 8 Replacing the Top Cover 4 8 Thermal Printer 4 9 Removing the Thermal Printer 4 9 Replacing the Thermal Printer 4 9 Printhead 4 10 Replacing the Printhead 4 10 Battery 4 11 ECG Amplifier MK 7 20 4 12 Dismantle ECG amplifier MK 7 20 4 12 Assemble ECG amplifier MK 7 20 4 13 ECG Processor MK 13 1 4 14 Assemble ECG Processor MK13 1 4 14 Graphic Card
20. avL 0 1 2 3 4 5 7 View Average Complexes 1122 Muster Hans Ready 1 1122 Muster Hans Ready h Displayed when requested Measurements table Interpretation screen Interpretation SINUS RHYTHM ATRIAL PREMATURE COMPLEX ES LEFT ATRIAL ABNORMALITY INCOMPLETE RIGHT BUNDLE BRANCH BLOCK LUH WITH REPOLARIZATION ABNORMALITY QRS T CONTOUR ABNORMALITY CANNOT RULE OUT ANTEROSEPTAL MYOCARDIAL DAMAGE e c TEE HEN 04 R Rd Sd Rid 8 Sid xi Y Save Acronyms ffi Close Validated by Page 1 16 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Exercise ECG Screen When in another screen the Exercise ECG can be entered in any of the following ways Press function key F11 OR e Select and click the Exercise ECG icon j Ex ECG SDS200 EX ECG ACQUISITION Patient Function View Protocol Settings itl amp Start Stop Filter Filter Center m Screen1 m Screen2 o HR Load Mo STamplSTslope 3 I M M VF VI V2 V3 V4 5 VS EE 3 is CE ER 50 W 100 100 aj 50 z gt OF step 00 32 00 32 Test 00 32 Hold X lt 160 Meas V5 m VES 0J ES Il 1 4 mm 01 mi s
21. back covering should be pushed lightly towards the back 11 Change Batteries 12 Insert print mechanism sheet 13 Replace the four screws for the print mechanism sheet 14 Replace the printer assembly and fasten the six screws in the paper tray 15 Reconnect the connection cable to the printhead papermark sensor and printer motor at the interface card 16 Replace paper and paper tray lid 17 Reconnect the console keys cable to the interface card 18 Switch on CS 200 using battery operation mains plug not connected 19 Using the Stop key on the additional keyboard advance the paper in order to check proper functioning 20 Re attach top cover Page 4 11 Chapter 4 SCHILLER CS 200 Diagnostic Workstation Physical Overview amp Module Replacement SERVICE HANDBOOK Issue d October 2001 ECG Amplifier MK 7 20 OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Dismantle ECG amplifier MK 7 20 1 2 D 9 Switch off CS 200 and disconnect mains supply remove mains plug Remove paper tray lid and paper Remove top cover Disconnect connection cable from the printhead printer motor and paper mark sensor at the interface card Disconnect ground connection for the printhead from cover Remove the six screws from the paper tray Remove the printer assembly Remove the two screws for the print mechanism sheet at the back of the covering Remove the two screws for the print mechanism sheet at the carrier plate 10
22. e SCHILLER resting ECG software with 15 simultaneous leads 12 channel ECG e SCHILLER ECG measurement software M data management software for 200 recordings e pacemaker detection software Standard Accessories Resting ECG 1 2 000 048 e 10 lead patient cable banana plug with detachable leads e 10 snap clip adapters e 500 SCHILLER tabs resting ECG electrodes e pack of recording paper e cardiopreps bag of 50 Standard Accessories Resting ECG 2 2 000 049 e 10 lead patient cable banana plug with detachable leads e 4 extremity electrodes e 6 suction cap electrodes e 1 ECG electrode gel 100ml e pack of recording paper Recording Paper 2 157 017 thermoreactive Z folded red 1 packet length 60m width 210mm Page 5 4 SCHILLER CS 200 Diagnostic Workstation Chapter 5 SERVICE HANDBOOK Issue d October 2001 Spare Parts ECG System Options DESCRIPTION PART NUMBER 10 lead patient cable 2 m 2 400 034 with detachable leads banana plugs 10 lead patient cable 2 m 2 400 048 with detachable leads clips 10 lead patient cable 3 5 m 2 400 055 with detachable leads banana plugs 10 lead patient cable 3 5 m 2 400 056 with detachable leads clips 13 lead patient cable 2 m 2 400 031 Patient cables test pieces 2 100 081 Set of ten pieces Adapter for snap on fastener 2 410 041 Potential equalisation Ground cable 5 m 2 310 005 Mains Power cable 2 300 005 High R
23. icon at the top of the screen Tip When the R ECG or Ex ECG icon is pressed with a patient selected in this screen the ECG screen is displayed and the patient data automatically entered 505200 PATIENT RECORD SELECTION BEF Patient Examinations Function System About Fi Search 46 view RECG Exec A PFT RRhy LP LaPo Patien Sen Edit Z Record 25 New Pat uu for Patient ID Svensson Bo Date Time m 230111998 1415 51 30 11 1998 1402404 Checklist Mi k Institutes Start Departments Start Users Start System Config 5 af Printout Config 45 Ready 1 1 12 SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Chapter 1 Operating Elements Searching for Recordings and Information Search Screen To get into the Search Screen from the e Press Function key F3 e Click on the Search icon e Select from the patient menu 505200 VALIDATION RECORD SELECTION Edit Function main screen OR OR mW Examinations Function Mew Patient chift F Edit Patient Delete Patient Assign ecard Delete Recording search Recordings Return Esc gr Search No of records Edit E 22 iE Today E 23 Svensson Bo Aquiring Patient ID Date Time T EX s ID N
24. information displays Clicking on the search icon below the menu bar enters the Search screen to search for specific recording and or patient To select a menu item move the track ball or the mouse so that the cursor is placed over the item and click with the left button system settings are detailed in the CS 200 User Guide Section 8 The patient screen and data management functions are detailed in the CS 200 User Guide Section 2 Page 1 11 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Patient Record Selection In the Patient Screen you can Select Display and Edit Stored recordings Select a patient before carrying out an ECG Select Display and Edit patient data Print a Stored recording Delete a stored recording and or Patient Send a recording to a PC To get into the Main menu from the search and view screens Press Function key F2 OR Click on the patient icon Patient OR the return icon OR SDS200 VIEW RESTING GUS Function View Edit Recording Select Patient Recording F2 Select from the patient menu Search Recordings Return Esc Use the mouse or trackball to select required patient A list of all recorded ECGs for that patient is displayed in the right table You can view a specific recording by highlighting a recording and double clicking with the left mouse button Alternatively click on the View
25. most cases the fault finding charts should indicate the most likely faulty area When more than one module is stated check replace the modules in the order given When a module has been replaced specific test parameters and setting up of the module may be applicable The removal and replacement instructions for all replaceable modules along with any setup or check procedures required are given in Chapters 4 and 5 If the initial fault finding chart does not indicate the area where the fault exists re check all the settings and parameters that have been entered If these are correct check the software Page 3 4 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks General Check Procedures The procedure detailed here is a general confidence check in the unit after an internal module or board has been replaced It is not a full functional test which can only be carried out with dedicated equipment in the factory but is intended to provide a general confidence check in all of the major CS 200 functional areas The instructions given here are provided as a guideline only If more operating information is required general settings comprehensive menu guides etc please refer to the CS 200 User Guide To carry out the general CS 200 functional check procedure proceed as follows 1 Connect mains power to the unit and ensure that the green mains LED lights Swit
26. the centre of the cooling element and push downwards until you hear the spring click into place Plug the DC supply cable into the power supply P7 Connect console keys cable to the interface card Switch CS 200 on and check the CPU Ventilator for its proper functioning Switch off CS 200 and reassemble it SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement CPU OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Removing the CPU 1 Switch off the CS 200 and disconnect mains supply remove mains plug and all other connectors on the back panel 2 Remove paper tray lid and paper 3 Remove top cover 4 Dismantle the shield covering the PC part 5 Dismantle front shield 6 Disconnect the DC supply for the PC main board from the power supply P8 7 Dismantle CPU Ventilator 8 Note position of Pin 1 from CPU slanted corner of the CPU 9 Loosen the ZIF handle out of its fixation by lightly pushing it to the side 10 Set ZIF handle at a right angle which will set free the CPU 11 Carefully remove the CPU with two fingers and ensure that the connection legs are not being bent 12 Put CPU into the prepared conducting sponge to ensure that it is not damaged Page 4 23 Chapter 4 SCHILLER CS 200 Diagnostic Workstation Physical Overview amp Module Replacement SERVICE HANDBOOK Issue d October 2001 CPU cont OBSERVE WARNINGS AND CAUTIONS ON PAGE
27. the interface board Replace paper and paper tray lid 10 Reconnect the console keys cable to the interface card 11 Switch on the CS 200 12 Make new Resting ECG recording and test correct function 13 Switch off CS 200 and reassemble Page 4 13 Chapter 4 SCHILLER CS 200 Diagnostic Workstation Physical Overview amp Module Replacement SERVICE HANDBOOK Issue d October 2001 ECG Processor MK 13 1 OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Dismantle ECG Processor MK 13 1 1 Switch off CS 200 and disconnect mains supply remove mains plug 2 Remove paper tray lid and paper 3 Remove top cover 4 Dismantle the shield covering the PC part 5 Disconnect connection cable to the Connector board MK 13 4 from the insert case P18 release safety shackle with tweezers 6 Disconnect connection cable to power supply from insert case release safety shackle with tweezers 7 Remove screw from slot plate 8 Pull ECG processor card from the slot holder Assemble ECG Processor MK 13 1 NOTE Before assembly the DIP switch J1 J4 and the jumper JUMP1 has to be compared with the card which is to be exchanged and has to be adjusted to the same settings 1 Place ECG processor card into the ISA slot 2 Replace screw for the slot holder 3 Connect the connection cable to the power supply P1 and to the Connector board MK 13 4 P18 on ECG processor card 4 Replace the safe
28. without filter ECGs are always stored unfiltered Line frequency filter distortion free suppression of superimposed 50 or 60 Hz sinusoidal interferences by adaptive digital filtering SSF SCHILLER Smoothing Filter Low pass smoothing filter to supress high frequency noise for resting amp exercise ECGs no tangent to QRS complex itself SBS SCHILLER Baseline Stabilizer Filter to suppress or greatly reduce base line fluctuations without changing the measurement values Technical data is subject to change without notice Page 6 5 Chapter 6 SCHILLER CS 200 Diagnostic Workstation Technical Data SERVICE HANDBOOK Issue d October 2001 Certifications Designed to meet or exceed AAMI UL CSA and IEC 601 safety and performance specifications Patient input Fully floating and isolated defibrillation protected only with original patient cable Patient leakage current lt SuA Safety standard CF according IEC 601 1 and IEC 601 2 25 IEC 601 1 1 Systems EN 55011 Emission IEC 801 1 EMV Immunity Protection class I according IEC 601 1 with internal power supply IIa according RL 93 42 EEC Conformity CE according 93 42 EEC Environmental conditions Temperature operating 10 to 40 C 50 to 104 F Temperature storage 10 to 55 14 131 F Relative humidity operating 25 95 non condensing Pressure operating 700 1060 hPa
29. 0 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Chapter 4 Physical Overview amp Module Replacement Module Replacement cont Removing the paper tray cover and the top cover of the CS 200 gives access to almost all replaceable modules the rest are accessible after removing the thermal printer assembly see chart on previous page Procedures how to dismantle and assemble the major modules are explained in the following pages Overview 1 2 Dismantle Assemble Paper Tray Lid Dismantle Assemble Top Cover Dismantle Assemble Printer Dismantle Assemble Printhead Exchange Battery Dismantle Assemble ECG Amplifier MK 7 20 Dismantle Assemble ECG Processor MK 13 1 Dismantle Assemble Graphic Card Dismantle Assemble Floppy Drive 10 Dismantle Assemble CD ROM Drive 11 Dismantle Assemble Hard Disk 12 Dismantle Assemble Power Supply 13 Dismantle Assemble CPU Ventilator 14 Dismantle Assemble CPU 15 Exchange Working Memory RAM 16 Dismantle Assemble PC Main board Page 4 7 Chapter 4 SCHILLER CS 200 Diagnostic Workstation Physical Overview amp Module Replacement SERVICE HANDBOOK Issue d October 2001 Top Cover OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Note In order to loosen the screws holding the top cover a special screwdriver is required This screwdriver can be purchased from SCHILLER AG with the Article Nr 4 950 153 Removing the Top Cov
30. 01 Remote Diagnosis Remote Diagnosis and trouble shooting is possible with the help of a special software program called pcAN YWHERE The CS 200 which is to be analysed the host can be remotely controlled by another PC either via 1 Network 2 Modem pcANY WHERE has to be installed and activated on both PCs 1 Remote Control over Network 1 1 Host Settings e On the CS 200 start the ppANYWHERE program and click on the Be a Host icon e Right click on Network and chose Properties Set the proper protocol Your network administrator will tell you which protocol you are using e Put the host in stand by by selecting Launch Host from the right click menu or Wait for connection from the action menu or just double click on the Network icon Note Right click means activating the right key on the mouse 7 pcANYWHERE32 e x File Edit Action Utilities View Help Tu gt e 5 A Quick Remote File Call Online Exit Start Host PC Control Transfer Service g 5 Add Be Host PC DIRECT NETWORK Host Item 1 2 Remote PC Settings Set the servicemans PC for Remote Control Right click on Network chose properties and set the proper protocol g7 pcANYWHERE 32 File Edi Action Utilities View Help A Quick Be Remote Start Host PC Control gl Po leE Add Remote Control DIRECT Fax MODEM N 15 New Host to Call Item Connect
31. 1 Functional Overview Chapter 2 Functional Overview Contents System Overview 2 3 Functional Block Diagram 2 4 Functional Elements 2 5 Mains Supply 259 Security transformer 2 9 Relay board MK 13 5 2 6 Power supply board MK 13 6 2 6 Connector Board 13 4 2 6 ECG Amplifier MK 7 20 2 6 ECG Processing Board MK 13 1 Dade Thermal Printer 227 Page 2 1 Chapter 2 SCHILLER CS 200 Diagnostic Workstation Functional Overview SERVICE HANDBOOK Issue d October 2001 Page 2 2 SCHILLER CS 200 Diagnostic Workstation Chapter 2 SERVICE HANDBOOK Issue d October 2001 Functional Overview System Overview The CS 200 is built up on a PC architecture which means that expansions like network connection etc very easily can be realised by utilizing standard interface cards available on the market or ordered directly from Schiller AG The interfaces for the ECG amplifier the real time printer and other connections for spirometry DC in and output exercise tests blood pressure measurement etc are included on a special Schiller processor card attached to the ISA bus A second Schiller PC board supplies power to the printer and the other connections The operating system in the CS 200 15 Windows 95 The user interface all settings graphical presentations etc are based on Windows The evaluation of the ECG data control of the printer and other functions are realised on the Schiller ECG processor card with its own 68331 mikroprocessor system The
32. 19 View Screen 3 13 Software Installation Update 3 14 SDS Software 3 14 ECG Processing Software System software 3 14 Printer Control Software 3 14 Software Options 3 15 Remote Diagnosis 3 16 1 Remote Control over Network 3 16 Remote Diagnosis Network 3 17 Remote Diagnosis Modem 3 18 2 Remote Control via Modem 3 18 System Failures 3 21 System blocked 9 21 Defragmentation 3 21 Disk Errors 3 22 ScanDisk 3 22 Page 3 1 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 2001 Page 3 2 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks ONLY PERSONNEL WHO HAVE ATTENDED A SCHILLER CS 200 SERVICE TRAINING COURSE ARE AUTHORISED TO CARRY OUT ANY SERVICE PROCEDURES Page 3 3 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 2001 Introduction The CS 200 is designed to be simple to use and simple to service the service philosophy of the CS 200 is module replacement and not board repair The purpose of this chapter is to provide fault finding procedures that will quickly and efficiently identify a fault to a specific module Fault finding procedures are designed so that test equipment is kept to a minimum Use the fault finding charts and procedures on the following pages to indicate a faulty area or module In
33. 4 15 Replacing the Graphic Card 4 15 Graphic Card Settings 4 16 Floppy Disk Drive 4 17 Assembling Floppy Drive 4 17 CD ROM Drive 4 18 Assembling CD ROM Drive 4 18 Hard Disk Drive 4 19 Removing the Hard Disk 4 19 Installing a Hard Disk 4 19 Page 4 1 Chapter 4 Physical Overview amp Module Replacement Page 4 2 Power Supply Board Removing the Power Supply Board Inserting a Power Supply Board CPU Ventilator Removing the CPU Ventilator Installing a CPU Ventilator CPU Removing the CPU Working Memory RAM Removing a memory module RAM PC Main Board Removing the PC Main Board Replacement of PC Main board SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 4 20 4 20 4 21 4 22 4 22 4 22 4 23 4 23 4 25 4 25 4 26 4 26 4 27 SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement WARNING DISCONNECT MAINS SUPPLY AND REMOVE MAINS CONNECTOR BEFORE COMMENCING ANY REMOVAL AND REPLACEMENT PROCEDURES CAUTIONS ELECTRO STATIC SENSITIVE DEVICES INSIDE OBSERVE ELECTRO STATIC PRECAUTIONS ONLY PERSONNEL WHO HAVE ATTENDED A SCHILLER CS 200 SERVICE TRAINING COURSE ARE AUTHORISED TO CARRY OUT ANY SERVICE PROCEDURES WHEN CARRYING OUT ANY MAINTENANCE PROCEDURES ALWAYS PLACE THE UNIT ON AN EARTHED ANTISTATIC MAT PERSONNEL MUST BE EARTHED WHEN HANDLING ANY BOARDS OR COMPONENTS ALWAYS USE AN ANT
34. BLE ASSEMBLIES AND CONNECTORS REPLACE ECG BOARD REPLACE POWER SUPPLY CONNECT A PATIENT SIMULATOR ECG TRACES NO CLEARLY DISPLAYED ON THE SCREEN REINSTALL SDS PROGRAM DISCONNECT THE MAINS SUPPLY OPEN TILE CASE AND VISUALLY INSPECT ALL CABLE ASSEMBLIES AND CONNECTORS REPLACE ECG BOARD REPLACE ECG PROC BOARD PRESS THE MAN START KEY CONTINUOUS PRINTOUT OBTAINED PRINT QUALITY GOOD Page 3 6 MODULE REMOVAL AND REPLACEMENT INSTRUCTIONS ARE DETAILED IN CLIAPTER 4 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks Fault Diagnosis Chart PRINTER MOTOR FUNCTIONED CHECK POWER SUPPLY TO MOTOR CHANGE POWER SUPPLY MK 13 6 YES CLIECK PRINTER MOTOR RESISTANCE CHANGE PRINTER MOTOR ENSURE THAT GOOD QUALITY FRESH CHANGE INTERFACE BOARD MK 13 7 SCHILLER PAPER IS INSTALLED CHANGE POWER SUPPLY MK 13 6 CHANGE ECG PROCESSOR BOARD MK 13 1 REPLACE INTERFACE BOARD MK 13 7 THERMAL PRINT LIEAD MAIN BOARD MK 13 1 ECG BOARD MK 7 20 DOES THE PAPER JAM OR NOT ARE DISCERNABLE ECG SIOP AT THB CORRECT TRACES PRINTED POSITION PRINT QUALITY BAD CHECK PRINT HEAD ALIGNMENT REPLACE INTERFACE BOARD MK 13 7 THERMAL PRINT HEAD CIIECK AND ADJUST PAPER MARK DETECTOR AND CURRENT LIMITER THRESHOLDSAS DETAILED I
35. CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement Working Memory RAM OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Removing memory modules RAM Switch off the CS 200 and disconnect power supply remove mains plug and all other connectors on the back panel Remove paper tray lid and paper Remove top cover Dismantle the shield covering the PC part Dismantle Graphic Card Disconnect the cables COMI COM P1 FDCI IDEI IDE2 and the PC main board DC supply cable from the main board two connectors Dismantle the Memory SIMM Module The SIMMs are in plug in sockets and are attached with a clamp which clicks into the round fixation holes on the side of the module These clamps have to be carefully bent backwards with a simultaneous upwards pressure The modules thereby detach themselves from the fixation It is best to take the modules out from back to front Replace memory modules RAM l Place the new SIMM modules It is best to place the modules from front to back The modules have to be placed into the sockets sideways and then pushed slightly to the front until the fixation clamps click into place Connect the cables COMI COM P1 FDCI IDEI IDE2 and the PC main board DC supply cable to the main board Ensure the correct polarity for the DC supply cable The two cables both have a black mark on one side These black side
36. ECG Screens cont ST Graph ST Slope m s amp l2 to Co 11 1 amp Co NN NY MH I0 d amp T0 0 1 10 12 14 16 amp l0 to CO BR CO 8 LI amp C l0 to HO RR CO ST Measurements SEMA200 ST Ampl protocol S1 Amplitudes 13101997 01 101997 Y 09 52 52 03 30 23 1 19 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Typical Exercise ECG Screens cont Full Disclosure SDS200 frmFullDscl oy x Patient Function View Fa ST Prot Trends amp Rhythm Interp anas 25 50 100 mmys I Schiller Baseline Filter HMM Q tomtom VA Load 0 HR 75 min
37. ERY AND SIMULTANEOUSLY USING NON MEDICAL DEVICES THE RS 232 INTERFACE MUST BE FULLY ISOLATED BEFORE USING THE UNIT ENSURE THAT AN INTRODUCTION REGARDING THE UNIT FUNCTIONS AND THE SAFETY PRECAUTIONS HAS BEEN PROVIDED BY A SCHILLER REPRESENTATIVE THE GUIDELINES FOR PATIENT ELECTRODE PLACEMENT ARE PROVIDED AS ON OVERVIEW ONLY THEY ARE NOT A SUBSTITUTE FOR MEDICAL EXPERTISE THIS UNIT IS PROVIDED FOR THE EXCLUSIVE USE OF QUALIFIED PHYSICIANS OR PERSONNEL UNDER THEIR DIRECT SUPERVISION THE NUMERICAL AND GRAPHICAL RESULTS AND ANY INTERPRETATION DERIVED FROM A RECORDING MUST BE EXAMINED WITH RESPECT TO THE PATIENTS OVERALL CLINICAL CONDITION THE RECORDING PREPARATION QUALITY AND THE GENERAL RECORDED DATA QUALITY WHICH COULD EFFECT THE REPORT DATA ACCURACY MUST ALSO BE TAKEN INTO ACCOUNT IT IS THE PHYSICIANS RESPONSIBILITY TO MAKE THE DIAGNOSIS OR TO OBTAIN EXPERT OPINION ON THE RESULTS AND TO INSTITUTE CORRECT TREATMENT IF INDICATED yi SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 What s in this book THE SERVICE PHILOSOPHY FOR ALL SCHILLER UNITS IS FAULT FINDING TO MODULE LEVEL THE PURPOSE OF THIS BOOK IS TO PROVIDE ALL THE INFORMATION NECESSARY TO ENABLE THE SERVICE ENGINEER TO EFFICIENTLY LOCATE AND REPLACE A FAULTY MODULE THIS BOOK ASSUMES NO DETAILED KNOWLEDGE OF THE CS 200 BUT DOES REQUIRE THAT THE SERVICE ENGINEER IS FAMILIAR WITH STANDARD WORKSHOP PRACTICES The book is div
38. ISTATIC BAG WHEN TRANSPORTING BOARDS OR COMPONENTS THE UNIT IS SUSCEPTIBLE TO ABRASION DAMAGE TO PREVENT SCRATCHING ALWAYS PLACE THE UNIT ON A SOFT NON ABRASIVE CLOTH WHEN CARRYING OUT MAINTENANCE PROCEDURES TAKE CARE NOT TO PLACE ANY STRAIN ON THE CONNECTING RIBBON CABLE WHEN REMOVING THE TOP ASSEMBLY ENSURE THAT THE CABLE ASSEMBLY IS NOT CRIMPED OR TWISTED AND THAT THE TOP ASSEMBLY IS NOT PLACED ON THE CABLE ASSEMBLY CARE MUST BE TAKEN WHEN REMOVING AND REPLACING CONNECTORS NEVER USE FORCE NEVER STRAIN THE CABLE ASSEMBLIES THE PROCEDURAL STEPS GIVEN FOR EACH MODULE MUST BE FOLLOWED IN THE ORDER GIVEN Page 4 3 Chapter 4 SCHILLER CS 200 Diagnostic Workstation Physical Overview amp Module Replacement SERVICE HANDBOOK Issue d October 2001 CS 200 Exploded View Paper Feed Paper tray lid 4310 175 2x Slide Bearing 4 430 168 Ni Printer Roller 4410 189 9 Fe Guide pulley 4 410 190 Page 4 4 SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement CS 200 Exploded View Printer assembl 1xPT25x20 4 910 223 IxPT25x14 Yoke e 4 910 216 1xPT25x20 4 310 174 4 910 223 IxPT25x14 25 Silicon tube 4 530 029 am MK11 51 PM Sensor 5 3 2392 4 910 232 ON Silicon tube 2 Printer plate 4 415 382 and 2x Spring print head 4 410 117 must be mounted wit
39. MAINS FUSE IF MAINS FUSE OK REPLACE THE POWER SUPPLY BOARD IF PROBLEM PERSISTS REPLACE MAINS TRANSFORMER MONITOR LIGHT AFTER CA 1 MINUT IS THE WINDOWS 95 DESKTOP DISPLAYED DOUBLE CLICK ON THE SDS ICON DOES THE PROGRAM OPEN SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 CHECK ON OFF SWITCH ON THE FRONT OF TIHE MONITOR SYSTEM PROBLEM REBOOT THE SYSTEM WITH THE SYSTEM DISK REINSTALL SDS PROGRAM IF NECESSARY IF PROBLEM REMAINS REPLACE PC MAIN BOARD NO IS MAINS LED ON FRONT OF THE MONITOR LIT CHECK POWER SUPPLY AND CONNECTIONS TO THE SCREEN CHECK TILE MAINS FUSE IN THE MONITOR REPLACE MONITOR REINSTALL SDS PROGRAM SELECT PATIENT AND CLICK ON TILE RESTING ECG ICON CHECK BRILLANCE AND CONTRAST SETTINGS DISCONNECT MAINS SUPPLY AND REMOVE TOP COVER CHECK GRAPHIC CARD CONNECTIONS AND CONNECTIONS BETWEEN INTERFACE BOARD MK 13 7 AND KEYBOARD ECG PROC BOARD MK 13 1 AND POWER BOARD MK 13 6 CHECK POWER SUPPLY TO ALL BOARDS REPLACE ECG PROC BOARD MK 13 1 REPLACE GRAPIIC BOARD REPLACE INTERFACE MK 13 7 REPLACE TOP ASEMBLY WITH KEYBOARD CHECK PC MAIN BOARD AND REPLACE IF NECESSARY STRAIGHT LINE TRACES DISPLAYED ON THE SCREEN DISCONNECT THE MAINS SUPPLY OPEN THE CASE AND VISUALLY INSPECT ALL CA
40. Mbytes Printing process Integrated high resolution thermal printhead 8 dots mm 200 dots in amplitude axis 40 dots mm 1000 dots in time axis 25 mm s Paper speeds 5 10 12 5 25 50 mm s Manual Chart paper thermoreactive Z folded 8 1 2 in by 11 in A4 letter size app 60m ready to file Frequency response of digital recorder 0 Hz 150 Hz IEC AHA Channels 6 Recording Tracks 6 channels positioned at optimal width on 200 mm 8 1 2 in automatic baseline adjustment Sensitivities 5 10 20 mm mV either automatically adjusted or manually selected External printer optional Printout on normal paper with either laser printer or ink jet Page 6 4 SCHILLER CS 200 Diagnostic Workstation Chapter 6 SERVICE HANDBOOK Issue d October 2001 Technical Data Technical Data ECG Amplifier ECG amplifier simultaneous synchronous recording of all 8 active electrode signals 12 leads sampling frequency 4000 Hz digital resolution 5 u V dynamic range 10 mV AC max electrode potential 300 mV DC time constant 3 2 s frequency response 0 05 to 150 Hz 3 dB common mode rejection gt 100 dB 50 or 60 Hz input impedance 100 MOhm pacemaker detection 2 mV 0 1 ms Filters Myogram filter muscle tremor filter adjustable at 25 or 35 Hz programmable not active on averaged waveform Stored ECGs can be printed with or
41. N 1 8 Program Overview 1 9 Function Keys 1 10 Patient Record Selection Main Menu 1 11 Searching for Recordings and Information Search Screen 1 13 Resting ECG Screen 1 14 Typical Resting ECG Screens 1 15 Exercise ECG Screen 1 16 Typical Exercise ECG Screens 1 17 Exiting a Display Switching the Unit Off 1 20 Page 1 1 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Page 1 2 SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Introduction The Schiller CS 200 is a diagnostic workstation designed to record display archive present and analyse ECG recordings and other measurements It provides a single solution for cardiology pulmonary function and circulation diagnosis Innovative flexible and expandible are key words in the CS 200 philosophy the new technology enables the CS 200 to be configured to meet individual requirements and expanded at any time to suit changing user needs When taking an ECG recording measurements interpretation option average cycles and rhythm leads along with all 12 leads can be printed automatically in the format most convenient to the physician Favourite print formats can be pre defined so that obtaining an ECG printout with analysis is a single key operation The user interface of the CS 200 is based on the acclaimed SEMA 200 data management system using Windows operating system it is designed to be cle
42. N SECTION DOES THE PROBLEM STILL EXIST REPLACE THE INTERFACE BOARD MK 13 7 POWER SUPPLY BOARD MK 13 6 MODULE REMOVAL AND REPLACEMENT MAIN BOARD MK 13 1 INSTRUCTIONS ARE DETAILED IN CLIAPTER 4 Page 3 7 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis Chart PRESS THE AUTO START KEY NO RECHECK ALL SETTINGS RE INSTALL PROGRAM REPLACE ECG PROCESSOR BOARD MK 13 1 YES ENTER THE EXERCISE SCREEN NOTE oo CLICK ON THE EXERCISE ICON PNE ENSURE THAT THE EXERCISE OPTION IS INSTALLED EXERCISE SCREEN RECHECK ALL SETTINGS DISPLAYED RE INSTALL PROGRAM REPLACE ECG PROCESSOR BOARD MK 13 1 START AN EXERCISE TEST CLICK ON THE BEGIN ICON CHECK THAT THE CABLE ASSEMBLY TO THE STRESS EQUIPMENT I CORRECTLY AND FIRMLY CONNECTED RS 232 ANALOG CONNECTORS RESP CLIECK ALL NO SETTINGS PROTOCOL SELECTED ETC ENSURE THAT THE STRESS EQUIPMENT ITSELF IS FUNCTIONING MANUALLY START TREADMILL APPLY LOAD TO BIKE RE INSTALL TILE PROGRAM FOR AN RS 232 CONTROLLED DEVICE CHECK 12 V AND 12 V SUPPLIES TO THE MAIN BOARD REPLACE ECG PROCESSOR BOARD MK 13 1 IF AN ANALOG DEVICE IS USED REPLACE CONNECTOR BOARD MK 13 4 TREADMILL STARTS LOAD APPLIED TO BICYCLE NO CONNECTIONS dF EXTERNAL UNIT
43. NG BE TRANSMITTED UNSPECIFIED FAULT CHECK ALL SETTINGS PROBLEM WITH RE INSTALL PROGRAM STORAGE ON A FLOPPY CHECK ALL INTERNAL EXTERNAL CABLE ASSEMBLIES AND CONNECTORS ENSURE FILE IS NOT TOO LARGE CHECK ALL SETTINGS CHECK INTERNAL BUS AND CABLE CONNECTIONS CHANGE FLOPPY DRIVE CHANGE MAIN PC BOARD MODULE REMOVAL AND REPLACEMENT INSTRUCTIONS ARE DETAILED IN CHAPTER 4 Page 3 9 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 2001 Functional Check Patient Screen Check that all screens can be displayed and that they can all be exited with the ESC key Patient Screen starting screen e Search Screen click on icon Patient Screen Select Patient Recording Patient Record Selection displayed Search Recording Screen changes to Validation Record Selection Leave the application i e return to Windows desktop Click on the program icon just left of the text SDS200 and select Close OR select the OFF X icon on the extreme top right of the screen OR click on the return icon twice Shut Down Leave the application as outlined above and shut down Windows as normal OR press the ON OFF dedicated key on the console System shuts down after ca 5 seconds Hot keys function in Patient Screen Search F8 Search by ID F5 Print laser F9 View recording Shi
44. ON OFF switch The power for the PC the real time printer and the rest of the electronics is taken from the secondary coil of the mains transformer There is no Mains Switch For mains failures less than 3 minutes the emergency operation of the equipment without monitor is secured by two 12 V 800 mAh lead batteries Security transformer The leakage currents from the equipment which could harm the patient are within the european safety norms if the patient is located at least 1 5 m away from the equipment For US applications and other more stringent safety requirements a security transformer must be used This transformer is installed in one of the drawers of the trolley It gets its input from the mains output on the back panel and the secondary coil feeds the power distibution at the back of the trolley M Mains Out 0 2 ECG MI BP Mamm iM Mains In Security MOM Power distribution Page 2 5 Chapter 2 SCHILLER CS 200 Diagnostic Workstation Functional Overview SERVICE HANDBOOK Issue d October 2001 Functional Elements cont Relay board MK 13 5 Mains are input to the relay board P13 where also the mains fuses are located The 230 VAC are passed on to the transformer P14 and the secondary coil output 22 VAC is fed to the power supply board MK 13 6
45. P11 where the necessary DC voltages are generated When all proper voltages are present a POWER GOOD signal is active Pressing the ON OFF dedicated switch on the console activates the relays P10 and mains are switched to P13 the mains distribution at the back of the trolley and so to the monitor Power supply board MK 13 6 The 22 VAC from the secondary coil of the mains transformer is rectified and generates 5 Vref and 24 VDC for the printer motor and for charging the two 12 V batteries When the ON OFF key on the console is pressed the 5 VDC and 12 VDC switchers are activated and supply the PC components and the other boards with the proper voltages When the 5Vref 5V and 12 V are available a POWER GOOD signal is generated which activates the mains relays on the Relay Board MK 13 5 Mains power is now passed on to the power distribution at the back of the trolley and so to the monitor and other auxiliary equipment 12 VDC is also supplied to the CPU ventilator on the PC Main Board and the cabinet ventilator The printhead and the printer motor are controlled by a microprocessor decoder which is hooked up to the data bus In case of mains failure the 5 V and 12 V switchers are supplied with 24 VDC from the two 12 V batteries As the 5 reference is not present the relays on the relay board are not activated which means that the monitor and auxiliary equipment are not supplied with mains Emergency op
46. SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 CS 200 Diagnostic Workstation Service Handbook SCHILLER AG Altgasse 68 CH 6341 Baar Switzerland Phone 41 41 766 42 42 Fax 41 41 761 08 80 Home page http www schiller ch October 2001 Article Number 2 540 013 SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 CS 200 Service Handbook Article Number 2 540013d Issue 1 July 1998 Issue 2 December 1998 corrections in menues and functions based on software version SDS 1 6 Issue 2 1 December 1999 minor corrections in text new schematic for ECG interface 2223EA Schematics 2450DA 2451 AA 2452BA 2453BA 2454BC 2455BA 2456AA 2223EA Issue d October 2001 minor corrections introduced CE0123 Associated Documents Guide to the SCHILLER Interpretation and Measurement Program E D F Article No 2 510 179 SCHILLER 200 User Guide German Article 2 510 211 SCHILLER CS 200 User Guide English Article No 2 510 212 SCHILLER CS 200 User Guide French Article No 2 510 213 SCHILLER CS 200 User Guide Italian Article No 2 510 214 SCHILLER CS 200 User Guide Spanish Article No 2 510 215 SCHILLER CS 200 User Guide Portuguese Article No 2 510 216 SCHILLER CS 200 User Guide Swedish Article No 2 510 217 93 42 EEC Medical Devices 0123 E 0123 Notified Body TUV P S 2001 SCHILLER AG Windows is a trademark of Microsoft
47. T FORTH SCHILLER MAKES NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE PRODUCT OR PARTS THEREOF SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Safety Notices TO PREVENT ELECTRIC SHOCK DO NOT DISASSEMBLE THE UNIT NO SERVICEABLE PARTS INSIDE REFER SERVICING TO QUALIFIED PERSONNEL ONLY DO NOT USE THIS UNIT IN AREAS WHERE THERE IS ANY DANGER OF EXPLOSION OR THE PRESENCE OF FLAMMABLE GASES SUCH AS ANAESTHETIC AGENTS IF THE DISPLAY IS DAMAGED A LEAKAGE OF FLUID MAY OCCUR DO NOT INHALE THE VAPOUR FROM THIS FLUID AND AVOID CONTACT WITH MOUTH AND SKIN IF CONTACT IS MADE CLEAN CONTAMINATED AREA IMMEDIATELY WITH FRESH WATER THIS PRODUCT IS NOT DESIGNED FOR STERILE USE SWITCH THE UNIT OFF BEFORE CLEANING AND DISCONNECT FROM THE MAINS DO NOT UNDER ANY CIRCUMSTANCES IMMERSE THE UNIT OR CABLE ASSEMBLIES IN LIQUID DO NOT OPERATE THE UNIT IF THE EARTH CONNECTION IS SUSPECT OR IF THE MAINS LEAD IS DAMAGED OR SUSPECTED OF BEING DAMAGED DO NOT USE HIGH TEMPERATURE STERILISATION PROCESSES SUCH AS AUTOCLAVING DO NOT USE E BEAM OR GAMMA RADIATION STERILISATION DO NOT USE SOLVENT CLEANERS USE ONLY ACCESSORIES AND OTHER PARTS RECOMMENDED OR SUPPLIED BY SCHILLER AG USE OF OTHER THAN RECOMMENDED OR SUPPLIED PARTS MAY RESULT IN INJURY INACCURATE INFORMATION AND OR DAMAGE TO THE UNIT THIS UNIT COMPLIES WITH EMC REGULATIONS
48. ame lf 0075 11 11 1901 04 45 48 Institute fi Karolinska Institutet 0075 11 11 1901 04 48 15 Department Cardiology gt Technician fi bs 123 12 11 1998 15 41 29 0 m z 23 12 11 1998 16 15 49 m 123 12 11 1998 16 16 59 0 mitte 123 12 11 1998 16 36 35 41 Department 1122 30 11 1998 14 02 04 0 122 30 11 1998 141551 4 Ref Physician 1122 30 11 1998 14 30 30 0 Analysing 0075 23 11 2000 04 51 50 ID Name 0075 22 11 2005 05 32 33 0 Jl Institute fi Karolinska Institutet 0075 22 11 2005 05 34 56 0 Department Cardiology 0075 22 11 2005 05 54 20 0 Validated by 0075 22 11 2005 05 56 19 20 0075 22 11 2005 05 58 00 ID Name 0075 22 11 2005 06 12 12 0 Remark 0075 22 11 2005 06 25 19 Cost Type 0075 22 11 2005 06 27 20 0 Indication 0075 22 11 2005 06 2910 0 399 26 11 2005 00 50 30 Volume DISK C FileName 256C6E 70 Ready 1 The icons the top of the display give certain options as follows Defines the search parameters This allows you to search all recordings validated for example by a specific consultant or specific department etc A number of search parameters can be defined When a change is made in the search parameters OK must be clicked You are then prompted to confirm new settings When you confirm Search the newly defined search parameters a
49. ar simple and intuitive Because of this the CS 200 can be used immediately with minimal operator training The CS 200 has the following features as standard Simple one key operation with dedicated function keys and icons Mouse and trackball operation for menu selection Resting ECG with pacemaker detection measurements and average cycles Resting Rhythm Storage facilities 200 ECGs without archiving before 1998 S N 030 00504 unlimited after May 1998 S N 030 00504 nterface for external blood pressure unit nterfaces for control of both analog and digital ergometers treadmills nterfaces for dc input and dc output Automatic and Manual ECG recording Selectable print formats with integrated quality thermal printer 62 31 27 1 44 MBytes floppy drive CD ROM drive 17 Monitor Options ECG Interpretation Pacemaker measurement Exercise ECG EXEC exercise analysis program with ST measurement average complexes trends and interpretation EXECplus with Full Disclosure SDSplus data management system giving the ability to store archive an unlimited number of recordings with full analysis and transmission facilities only for units older than S N 030 00504 included in newer units dispersion resting ECGs Integrated blood pressure module Holter System Laser Printer Remote Analysis Software Spirometry Late Potentials RR Variability later option
50. board controlled by the SDS software on the ECG processor board controlled by the ECG processing software on the power supply board controlled by the printer software SDS Software The original installation of the SDS software as well as later updates are performed in the same way The old version is overwritten with the new one If the previous version is much older than the new one it is recommended to delete the resp directories before the new version is installed I 2 Start the CS 200 If the SDS 200 program has started close the application and go back to the Windows 95 desktop Select Start Run Insert the SDS 200 installation disk 1 into drive A Enter A install into menu Run and confirm with OK Follow the instructions on the screen including the insertion of disc 2 when prompted to do SO Restart the system When the Windows 95 desktop is displayed double click on the SDS 200 icon to start the CS 200 ECG Processing Software System software Older units are updated by exchanging the EPROM For newer units from S N 030 00409 and upwards updating the ECG software is performed in the same way as the SDS software 1 2 9 Start the CS 200 If the SDS 200 program has started close the application and go back to the Windows 95 desktop Select Start Run Insert the ECG Firmware Update disk into drive A Enter A FWup exe into menu Run and confirm with OK Follow the instructio
51. cement Functional checks that must be carried out after replacing a module are also provided Chapter 5 Spare Parts This chapter provides the part numbers and reordering information for all replaceable modules Also included in this chapter are details of any special test equipment or special tools required for adjustment or fault finding procedures Chapter 6 Technical Data The full technical specification of the CS 200 is given in this chapter Chapter 7 Glossary This chapter explains all the acronyms and signal titles used in this book and in the CS 200 circuit diagrams vii SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 List of Symbols O g Off Start manual printout Stop Auto Mode ECG Recording and printout Battery operation Mains connected Potential Equalisation common ground Attention General warning sign see accompany ing documentation Type CF equipment safe for internal applications Note The paddles indicate that the equipment is defibrillator proof 93 42 EEC Medical Devices 0123 Notified Body T V PS viii SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Chapter 1 Operating Elements Chapter I Operating Elements Contents Introduction 1 3 Options 1 3 Physical Layout 1 4 Keyboard 1 5 External Connections Back Panel 1 6 Preparation amp Power Supply 1 7 Switching the System O
52. ch the unit on by pressing the lt ON gt key on the keyboard Ensure that after approximately a minute the Windows 95 desktop is displayed Double click on the SDS 200 icon and login as Default User Unless the main menu is already displayed select Patient Recording by clicking on the Patient icon Click on the Resting ECG RECG icon Patient recording data is displayed Systematically press all keyboard keys and ensure that all keys register click on OK or Cancel Check that straight line traces are displayed Connect an ECG simulator to the ECG connector on the back panel Ensure that the ECG is displayed on the screen Press the MAN START key and ensure that the ECG 15 printed Check the quality of the printout Press the STOP key to halt the printer Press the lt AUTO START key and wait approximately 10 seconds for the printout to commence Ensure that the printout is accurate and of good quality 10 Click on the Exercise ECG icon Ensure that the exercise screen is displayed Click START BEGIN and ensure that the test commences on the screen 11 After about a minute click on RECOVER After a while click on Recover again and then on END Ensure that the test stops and patient data is displayed Page 3 5 Chapter 3 Fault Diagnosis amp Functional Checks Fault Diagnosis Chart CONNECT MAINS TO THE UNIT MAINS INDICATOR LIT NO SWITCH ON DOES THE CHECK
53. control session For further details please consult the Help function in pcCANYWHERE Page 3 20 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks System Failures System blocked After certain operating or software failures it can happen that the system blocks and no longer reacts to keyboard and mouse commands In some cases an Access Violation error may be indicated To solve the problem proceed as follows 1 Press simultaneously CTRL ALT DELETE 2 Click on End Task 3 Select Shut down the system 4 Wait about a minute and then restart the computer Defragmentation Every now and then it is recommended to defragment the hard disk especially when program files have been deleted or several errors have occurred This will organise the memory position on the disk and make the system faster 1 Click on Start and select Programs Accessories System Tools Disk Defragmenter A Internet Tools US ELSAware US Multimedia 15 Online Services ka System Tools Compression Agent A pcANYWHERE32 Dial Up Networking Disk Defragmenter US ScreenDump 33 Direct Cable Connection amp DriveSpace Internet Explorer HyperTerminal 22 ScanDisk 3x Internet Mail 7 Notepad 7 Internet News 2 Online Registration Microsoft NetMeeting y Phone Dialer MS DOS Prompt 2 Select Drive C and Start Defragmentation Se
54. e filter icon top of screen is highlighted yellow dem Printout of real time ECG ii Proceed to next stage of test e g Start Begin Recover End Page I 10 SCHILLER CS 200 Diagnostic Workstation Chapter 1 SERVICE HANDBOOK Issue d October 2001 Operating Elements Patient Record Selection Main Menu In the Patient record selection screen you can Select Data Management Functions Make change system settings and user settings Make entries in the data tables Enter the View Search and Data Acquisition screens The main menu can be entered from the view or data acquisition screens in any of the following ways Press the return icon Select Main menu option in the Patient menu Press the ESC key on the keyboard The patient record selection screen is displayed 505200 PATIENT RECORD SELECTION BEE Patient Examinations Function System About 22 Search view e RECG ExECG A RRhy LP LaPo Record New Pat Search for PatientID Patient ID Svensson Bo Date Time VPSEA 30 11 1998 1415 51 30 11 1998 14 02 04 Checklist MEA Institutes Start Departments Start Users Start System Config 5 37 Printout Config 5 Reay E Clicking on one of the menu headings at the top of the screen displays further options these can be settings functions or
55. e and 1 host license 2 100 240 German Host version 1 host license 2 100 241 English Base version 1 remote and 1 host license 2 100 242 English Host version 1 host license 2 100 243 Page 5 10 SCHILLER CS 200 Diagnostic Workstation Chapter 5 SERVICE HANDBOOK Issue d October 2001 Spare Parts Exercise Testing Accessories DESCRIPTION PART NUMBER Standard Accessories Exercise ECG 3 2 000 050 10 lead patient cable clip with detachable leads 30 disposable electrodes pack of recording paper ergo belt Exercise Bicycle 25 1000W 2 210 024 including non invasive blood pressure measurement unit interface cable Set of connecting cables bicycle CS 200 2 310 170 Trackmaster TM 400 Treadmill 220V 50Hz 2 210 008 including control via built in RS 232 interface emergency stop switch speed range 0 5 10 mph 16 kph elevation 0 25 interface cable Interface cable for TM 400 CS 200 2 510172 Ergo Belt 2 100 060 SCHILLER BP 200 Blood Pressure Measuring Unit 2 210017 Mounting Kit BP 200 to CS 200 2 210 016 Interface cable BP 200 to CS 200 2 310 176 Page 5 11 Chapter 5 SCHILLER CS 200 Diagnostic Workstation Spare Parts SERVICE HANDBOOK Issue d October 2001 24 Hour ECG Holter Accessories DESCRIPTION PART NUMBER Holter Kit MT 100 2 100 550 including 2 channel solid state Holter recorder patient cable short reusable carrying pouch hook up kit user instruc
56. econds click on Begin icon changes to Recover green Click on Recover colour changes to yellow Wait for 20 seconds or click on Recover icon changes to End Click on End Do you really want to leave test YES Patient screen is displayed Select a record and click on View Press Shift F5 to define Print out press F5 to print on external laser printer Hot keys function in Ex ECG Acquisition screen F3 Manual Start Shift F6 Recenter F4 Stop F7 Next step of test F6 Filter ON OFF 11 Input blood pressure Shift 11 Input Symptoms SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks Functional Check Search and View Screens Search Screen When in the Patient Screen select the Search icon The Validation Record Selection screen is displayed All available recordings are presented Check the Search Edit and Today functions View Screen Select a recording in the Patient or the Search screen Click on the View icon Depending upon the kind of recording selected the View Resting ECG or the View Exercise ECG screen 15 displayed Page 3 13 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 2001 Software Installation Update There are three main software controlled microprocessors in the CS 200 on the PC main
57. er 1 Switch off CS 200 and disconnect mains supply 2 Remove paper tray lid and paper 3 Remove the four special screws on the back with the special screwdriver 4 Remove the two screws on the bottom front cover 5 Carefully remove the top cover 6 Disconnect the plug to the console keys 7 Disconnect the plug to the keyboard and to the trackball 8 Remove the cable from the cable holders 9 Remove the cover Replacing the Top Cover 1 Switch off CS 200 and disconnect mains supply 2 Pull the plug to the console keys through the empty space on the holder and connect to the interface card 3 Connect keyboard plug marked with KB on the cable and trackball plug marked with PD 4 Place the cables into the cable holders 5 Carefully assemble top cover onto the case 6 Replace the four special screws on the back with the special screwdriver 7 Replace the two screws on the bottom front cover 8 Replace paper and paper tray lid Page 4 8 SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement Thermal Printer OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Removing the Thermal Printer gt Switch off CS 200 and disconnect the mains power supply remove the mains connector Remove paper tray lid and paper Dismantle top cover Disconnect printhead cable papermark sensor cable and printmotor cable from the interface card Disconnect gr
58. eration from battery supply enables ECG measurement and printout without monitor up to 3 minutes Functional Elements Connector Board MK 13 4 The connector board contains connectors for auxiliary equipment like gas analyser blood pressure measurement ergometer etc These connections also control the load of stress equipment used for exercise ECGs The board contains also the necessary filtering for these connections which are all available on the back panel ECG Amplifier MK 7 20 DC DC converter circuits produce isolated power voltages for 5V analog 10V analog and 5 V digital required by the ECG amplifier circuits The 12 incoming ECG signals are low pass filtered approx 10 kHz and applied to non inverting operational amplifiers The signals are then further low pass filtered approx 400 Hz before they are being applied to the multiplexer The multiplexer has a sampling rate of 1000 Hz and multiplexes the 12 signals to 2 outgoing channels ECGO and These signals are passed on to the ECG processor board via an optical coupler which ensures total electric isolation of the patient Page 2 6 SCHILLER CS 200 Diagnostic Workstation Chapter 2 SERVICE HANDBOOK Issue d October 2001 Functional Overview Functional Elements cont ECG Processing Board MK 13 1 This board is designed for a 16 bit ISA Bus with a Motorola 68331 mikroprocessor It is connected to the PC board via dual port RAMs The program memory consist
59. esolution 17 colour monitor 2 200239 PC Mouse 2 100 239 PC Mouse Filter Plug mouse pad Printer Laser HP 6P 2 200 408 Security Transformer 230 V 2 100 137 Security Transformer 115 V 2 100 138 Network card 4 150 044 Combo drive optical CD ROM 4 150 034 Page 5 5 Chapter 5 Spare Parts SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Spare Parts Page 5 6 DESCRIPTION PART NUMBER MK 7 20C ECG amplifier 3 222 566 Plastic connector isolation for MK 7 20 4 435 109 MK 13 1 ECG processor board 3 245 OCA MK 13 3 rubber keypad console 3 245 1AA MK 13 4B connector board 3 245 2BA MK 13 5B relay board 3 245 3BA MK 13 6B power supply board 3 245 4BD MK 13 7B interface board 3 245 5BA PC main board CS 200 4 150 023 SIMM module RAM 8 MB 4 650 077 CPU Intel Pentium 120 4 650 076 CPU ventilator 4 330 025 Hard disk AT IDE 2 1 GB 4 150 024 Floppy drive 1 44 MB 4 150 025 Graphic card PCI VGA 4 150 026 Mains transformer 80 VA 2 115V 2 11V 4 320 067 Cabinet ventilator 12V CS 200 4 330 024 12 V lead battery AT SP10 4 350 020 15 monitor CS 200 4 150 028 17 monitor CS 200 4 150 032 LCD monitor TBA CD ROM drive CS 200 4 150 027 Bus cable for CD ROM 4 520 424 DC power cable for CD ROM 4 520 402 Printer motor complete 4 330 019 Thermal print head complete 3 911 015 Thermal print head 4 140 117 Printer cable 4 520 398 Printer roller 4 410 189 Paper mark sens
60. ft F5 Print format 10 Select menu pre Search by Name Page 3 10 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks Functional Check Patient Screen cont Resting ECG Acquisition Connect a patient simulator to the CS 200 Click on RECG Resting ECG is displayed Click on AUTO to start an automatic ECG measurement After ca 10 seconds the measurement is finished the Patient screen is displayed and the ECG traces are printed out if Direct Print is set in System Configuration Resting ECG When in the Resting ECG screen click on ManStart The printer starts printing the ECG traces Select the Stop icon or press the Stop dedicated key on the console to stop the printer Hot keys function in Resting ECG screen Manual Start Shift F5 Auto Start format 2 F4 Stop F6 Filter ON OFF 5 Auto Start format 1 Shift F6 Recenter Page 3 11 Chapter 3 Fault Diagnosis amp Functional Checks SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Functional Check Patient Screen cont Ex ECG Acquisition Connect a patient simulator to the CS 200 Page 3 12 Connect exercise equipment i e bicycle or treadmill to the CS 200 if available Click on Ex ECG Ex ECG Acquisition screen is displayed Click on Start or press F7 Test icon changes to Begin After a few s
61. h a gauge 4 415 2xM3x5 T 4 910 012 Security varnish 22 1 2 22 4 5 t 4 912 016 QZ 5 Ground cable 4 520 396 Print head 4 140 117 1x Tension relief 4 261 018 Printer Cable 4 520 398 gt A Paper ejection tape 2x Paper tray lid springs 4 415 385 6x KB30x10 T 4 914 050 7 Paper tray 4 310 176 Ptinter motor with gear A 4 330 019 2xPT Zhead K25x8 4 910 211 Page 4 5 Chapter 4 Physical Overview amp Module Replacement SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Module Replacement Paper Tray Lid Top Cover amp Keyboard ECG Processor Board 13 1 Interface MK 13 7 Connector Board MK 13 4 Graphic Card Thermal Printer Assembly Page 4 6 PC Main Board RELAY BOARD MK 13 5 MAINS TRANSFORMER ECG AMPLIFIER MK 7 20 BATTERY PACK UNDER PAPER TRAY Hard Disk Drive Floppy Disk Drive POWER SUPPLY HARD DRIVE RAM Memory ECG Amplifier Power Supply MK7 20 MK 13 6 THERMAL PRINT BOARD FLOPPY DRIVE ECG PROCESSOR BOARD MK 13 1 HOLTER MT 200 BOARD optional a C BOARD CM PC MAIN CPU AND CPU VENTILATOR RAM MODULES SCHILLER CS 20
62. ided into the following chapters Chapter 1 Operating Elements The purpose of this chapter 15 to provide an easy reference for all the main operator functions and to give a basic introduction to the CS 200 This chapter gives details of the operator controls with the operation and function of each key briefly explained The information in this chapter provides a background to the operating functions only Complete operating information is provided in the SCHILLER CS 200 User Guide Chapter 2 Functional Overview This chapter provides a functional overview of the CS 200 The description is supported by functional block diagrams Chapter 3 Fault Diagnosis amp Functional Checks This chapter provides a guide to locate a fault to module level The diagnostics are presented in a logical sequence of fault finding algorithms and procedures Illustrations are provided to support the text where needed Chapter 4 Physical Overview amp Module Replacement This chapter gives an overview of the physical construction of the CS 200 with the main physical attributes of the unit briefly described The physical description is supported by illustrations showing the internal location of all modules Removal and replacement instructions for all removable modules are also provided in this chapter Each procedure is autonomous with details of tools jumper settings adjustments and settings or special requirements that are required before and after repla
63. l Logic 1 keeps the unit switched on logic 0 switches the unit off Note that the unit is initially switched on directly from the ON key on the keyboard Upper LCD data Battery voltage Upper column address strobe for dynamic RAM Upper data strobe used for generating UOE and UWE Upper data strobe used on the Schiller gate array Upper output enable for static RAM SCHILLER CS 200 Diagnostic Workstation Chapter 7 SERVICE HANDBOOK Issue d October 2001 Glossary Acronyms UP Voltage rectified from the mains input and regulated to approximately 15 V UWE Upper write enable U Unregulated dc supply from mains approximately 30V UBU Back up voltage for the real time clock and static RAM UD Unswitched regulated dc voltage used as power source for the switched supply US The voltage is 13 5 V when mains is connected or battery voltage when mains is not connected When mains is connected this supply charges the battery ULCD Contrast voltage to LCD US Input voltage for all PSUs on the power supply board from the rectified mains or from the battery VCC 5 Valid memory address VPA Valid peripheral address VSYNC Vertical synchronisation video VGA output WPO and WPI ECG in the serial multiplexed ECG serial data to the CPU sent over the optical interface from the ECG amplifier XDO XD3 Pixel information XSCL Shift clock for XDn YD Frame synchronisation YDIS LCD off ZEROSET Ba
64. l dealer please contact the head office Our staff will be pleased to help process your order or to provide any details for all SCHILLER products The address for advice 1s SCHILLER AG Sales Department Order Processing Altgasse 68 6340 Baar Switzerland Phone Number 41 41 766 42 42 Fax Number 41 41 761 08 80 When ordering state that the order is for a CS 200 unit and provide the following e Part Title Part Number Your Address Service Department If you need help from our service engineers please contact the following number Fax Number 41 41 761 03 34 If you contact us by fax be sure to provide the following information Serial Number for your CS 200 e Software versions for SDS system printer and options accessories used model and cable number Page 5 3 Chapter 5 SCHILLER CS 200 Diagnostic Workstation Spare Parts SERVICE HANDBOOK Issue d October 2001 ECG System DESCRIPTION PART NUMBER Cardiovit CS 200 Standard system with Windows based software 0 030 000 alphanumeric PC keyboard with trackball and mouse with EMC filter e 31 2 1 44 MB floppy drive e 1 6 GB Harddisk high resolution 15 colour monitor transport cart e thermal printer e battery and built in charger for 3 minutes emergency use e RS 232 and parallel interfaces DC input output e data I O interface analog interface e mains cable operating manual Software
65. lect Drive Which drive do you want to defragment Copyright 1985 1996 Microsoft Corporation Copyright 1988 1992 Symantec Corporation 3 When defragmentation is complete quit the defragmentation application Disk Defragmenter 4 Defragmentation of drive Cis complete Do you want to quit Disk Defragmenter 4 If errors found during defragmentation run Scandisk see below otherwise restart SDS 200 Page 3 21 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 2001 Disk Errors ScanDisk When disk errors have occurred or when for example the system was shut down without following the normal Windows procedures it is recommended to run the program ScanDisk Newer versions of Windows 95 will do this automatically during a re start 1 In the Windows 95 desktop click on Start and select Programs Accessories System Tools ScanDisk n Frograms System Tools L3 ScanDisk 2 Select Drive C and mark the box Automatically fix errors There are two versions of the ScanDisk program Standard This takes about 2 minutes and is normally sufficient Thorough This is recommended when several or severe errors have occurred Can take up to 30 minutes 2 ScanDisk Disk c C d ptor Page 3 22 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis
66. mp Module Replacement PC Main Board cont OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Replacement of PC Main board Note Before assembling the CPU and the working memory the data sheets of the main board the memory chips and of the CPU have to be compared Thereby you should note the CPU frequency the clock frequency the processor type the memory chip type Any changes have to be set on the main board using jumpers if applicable The jumper settings can be found on the datasheet of the main board If these settings are incorrect the CPU the main board and the working memory could be destroyed 9 Set jumpers PC main board as described in Main Board Data Sheet if applicable Remove working memory RAM from the old PC main board and set it into the new board in the same order Remove CPU with the ventilator from the old board and place it on the new board Disconnect the Trackball and the PC Keyboard connection cables from the old board and plug them into the new board Place the new board into the case with the ground plate Fasten the PC main board with the six screws Connect the speaker cable J18 to the PC main board if speaker is installed Connect the plugs for the PC Keyboard P35A and the Trackball P36A to the interface board Connect the mains cable for the CPU Ventilator P7 to the power supply 10 Connect the cables COM1 COM 2 PI FDCI IDEI IDE2 and the
67. n page 10 Full details of the patient and search screens and data management functions are given in the CS 200 User Guide Section 2 Full details of viewing resting ECG and exercise ECG data are given in the CS 200 User Guide Section 3 Full details of carrying out a resting ECG and resting ECG settings are given in the CS 200 User Guide Section 5 Full details of carrying out an exercise ECG and exercise ECG settings are given in the CS 200 User Guide Section 6 Details of all system settings are given in the CS 200 User Guide Section 8 Page 1 9 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Function Keys In each screen in addition to the menu options and function icons function keys F1 to F12 perform different functions dependent on display The function keys are as follows Patient Record Resting ECG Resting ECG Ex ECG Acq Ex ECG View selection Acq View nomo _ _ Man Start View Rhythm ru F5 Print ext Print ext Auto Start Select format Print ext Select format and print lt sh gt F5 Select format and print format 2 and print Filter On Off Filter On Off Filter On Off F6 sh F6 F7 lau Next step Ergo main lt sh gt F9 L1 Dass ST amplitudes lt sh gt F11 Input Sympt Switch Myogram filter muscle tremor filter on or off When the filter is on th
68. ns on the screen Restart the system When the Windows 95 desktop is displayed double click on the SDS 200 icon to start the CS 200 Check that the new version works properly Printer Control Software The printer control software is stored in an EPROM on the power supply board It can be upgraded by exchanging the EPROM Page 3 14 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks Software Options All pure software options are already prepared in the instrument They can be activated by entering an upgrade code 1 In the main menu click on the System submenu and select Settings CS 200 Show options 2 The screen shows which options are available and which ones are activated System Options 3 Click OK to get back to the main menu 4 In the System submenu select Settings CS 200 Set options The CS 200 prompts you for an upgrade code 5 Every CS 200 instrument has individual codes for each option consisting of 7 numbers This code number is released by Schiller AG Sales Administration when an order for the option is placed 6 Enter the code and confirm with OK 7 Check in the System Settings CS 200 Show options that the option in question has been activated Page 3 15 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 20
69. ntrol Item and give the new item a proper name e Make sure that the right modem is specified check the details and set the speed at 115 200 bps and data bits parity and stop bits to 8 1 Enter telephone number to the host Remote Control Wizard What connection device will this Remote PC Sportster Flash or Voice 33 6 What is the host s phone number If you don t enter a phone number here you ll be prompted for one when you start your connection m lt Back Cancel Right click on the new item and select Properties Select the tab Settings and check that the telephone number to the host is properly entered e Go back to the pCANYWHERE main menu and double click on the new item Connecting Modem is dialing the host Host responds Enter your login name Enter the name of the caller which you added to the host earlier and confirm with Enter Enter Password Type the corresponding password and confirm with Enter If Callback has been activated the connection is now broken and the screen shows Waiting for Host PC to perform callback e The host calls back and the connection is reestablished The screen of the host appears e Select the SDS application and perform functional tests and trouble shooting as described earlier in this chapter To end the remote session either click on the OFF X in the upper right corner or on the right most icon End remote
70. onnected during use no screen display and emergency printout only possible 3 AUTO Key start an ECG recording resting in auto mode 4 MANUAL key continuous printout of ECG 5 STOP key stop printout run paper to start position 6 Keyboard with function keys 7 Selection key button 1 left key 8 Trackball 9 Selection key button 2 right key Page 1 5 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 External Connections Back Panel Pd BP DATA P DC IN ERGO is iss la SPIRO GAS ECG MIC BP d O 2 3 4 5 6 7 8 9 10 1 COM 2 RS 232 spare 2 Bottom connector Printer Top connector Mouse COM 1 RS 232 3 Monitor connector 4 Reserved slots for additional modules 5 off 5 RS 232 interface for connection of external blood pressure unit RS 232 interface for control of treadmill ergometer Interface for connection of Spirometry unit 6 Reset Button 7 Input Output panel containing the following ERGO connector for the connection of an analog c
71. ontrolled treadmill Spin DATA I O connector for the connection of QRS trigger 7pin DC IN connector for the input of dc ECG signals from another unit Spin DC OUT connector for the output of dc signals 3pin RS 232 connector for the connection of a gas analysis unit Microphone connector for NIBP Pressure cuff connector for NIBP 8 ECG Connector 9 Mains connector in and out 10 Potential equalisation stud Page 1 6 SCHILLER CS 200 Diagnostic Workstation Chapter 1 SERVICE HANDBOOK Issue d October 2001 Operating Elements OO Location Do not keep or operate the unit in a wet or dusty environment e Avoid exposure to direct sunlight or heat from other sources Do not allow the unit to come in contact with acid vapours or liquids Do not place the unit in the vicinity of X ray or diathermy units large transformers or electric motors Potential Equalisation xy The potential equalisation stud at the rear of the unit can be used to equalise the ground potential of the CS 200 to that of all mains powered equipment in the vicinity Use the hospital or building common ground To avoid possible interference from the Ergometer when carrying out an exercise test we recommend that both the CS 200 and the Ergometer are connected to the same common ground The potential equalisation connector is situated on the rear of the unit A yellow green ground cable is supplied as an option Article number 2 310 005
72. or board MK 14 3B 3 239 2BA Paper tray 4 310 160 Paper tray lid 4 310 161 Relay board cable 4 520 401 HD CD DC supply cable 4 520 402 Floppy DC supply cable 4 520 403 SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Chapter 5 Spare Parts Spare Parts cont DESCRIPTION PART NUMBER PC main board power cable 1 4 520 404 PC main board power cable 2 4 520 405 Grounding cable 4 520 408 Keyboard cable console keyb 4 520 409 ECG interface cable 4 520 417 Extension cable stepping motor 4 520 418 Connection cable 2 4 pol 4 520 419 Page 5 7 Chapter 5 SCHILLER CS 200 Diagnostic Workstation Spare Parts SERVICE HANDBOOK Issue d October 2001 Documentation DESCRIPTION PART NUMBER User Guide CS 200 German 2 510 211 User Guide CS 200 English 2 510 212 User Guide CS 200 French 2 510 213 Short form Instruction Leaflet CS 200 German TBA Short form Instruction Leaflet CS 200 English TBA Short form Instruction Leaflet CS 200 French TBA Guide to the Schiller Measurements and Interpretation Programs E D F 2 510 179 Page 5 8 SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Software Options Chapter 5 Spare Parts DESCRIPTION PART NUMBER Software C SCHILLER ECG analysis program for ECG measurements average complexes and measurement markers detailed measurement results table interpretation statements Pacemaker measurement
73. ost PC Item and give the new item a proper name Make sure that the right modem is specified check the details and set the speed at 115 200 bps and data bits parity and stop bits to 8 n 1 AddBeA DIRECT MODEM Host PC It di 5 Sportster Flash or Voice 33 6 PnP Right click on the new item and select Properties e Check the proper Settings and select Callers Page 3 18 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks Remote Diagnosis Modem cont e Specify individual caller privileges and add a new caller SCHILLER AG Give the caller a name and a password New Host Properties u xls Add Be A Host PC Item Add Caller SCHILLER AG Right click on the new caller and select properties e If the Callback feature has been agreed with the customer select the tab Callback and enter the proper telephone number SCHILLER AG Properties x alxie pee z Add Be A Host PC e Go back to pcCANYWHERE main menu and Launch Host or Connect or just double click on the new icon e Waiting for connection Page 3 19 Chapter 3 SCHILLER CS 200 Diagnostic Workstation Fault Diagnosis amp Functional Checks SERVICE HANDBOOK Issue d October 2001 Remote Diagnosis Modem cont 2 2 Remote PC Settings Select Remote Control click on Add Remote Co
74. ound connection to the printhead from the cover Remove the six screws from the paper tray Remove the printer assembly Caution Ensure that the printer motor is not damaged when the printer assembly is removed Replacing the Thermal Printer 1 2 Switch off CS 200 and disconnect mains supply Assemble printer on printer plate first ensuring that the printer motor is inserted in the place of the carrier Replace the six screws on the paper tray Plug in ground connection to the printhead at the cover Plug in connection cable to the printhead papermark sensor and printer motor at the interface card Assemble top cover Place paper and paper tray lid Page 4 9 Chapter 4 SCHILLER CS 200 Diagnostic Workstation Physical Overview amp Module Replacement SERVICE HANDBOOK Issue d October 2001 Printhead OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Removing the Printhead 1 Switch the CS 200 off and disconnect mains supply 2 Remove paper tray lid and paper 3 Dismantle top cover 4 Disconnect connection cable from the printhead printer motor and papermark sensor at the interface card 5 Disconnect ground connection from the printhead to the cover 6 Remove the four screws on the yoke Caution The yoke pushes onto the printhead with two springs When the yoke is loosened it springs away 7 Remove printhead and yoke Replacing the Printhead 1 Assemble the printhead to the yoke insert the springs f
75. ower is generated and thus the contrast of the screen LD1 2 3 4 Lower LCD data LDS Lower data strobe LOE Lower output enable LP Line synchronisation LSRAM Lower output enable control signal for static RAM LWE Lower write enable M LCD control signal derived from FLM MCLK Motor clock speed control for the printer motor MOD Control signal from the battery charging circuit MOFF Motor off MON Motor ON printer motor enable signal NWTZ Mains supply NMI Non maskable interrupt interrupt for U47 Schiller gate array activated by the reset button OFF Off signal from the OFF key to switch off the power supply PDS Control signal derived from FLM unity waveform 1 2 FLM frequency PM Paper mark signal PMARK Paper mard detection signal PMPON Pacemaker detection pulse PMNEG Pacemaker negative indicates the trailing edge of a pacemaker pulse PMPOS Pacemaker positive indicates the leading edge of a pacemaker pulse QTRRG QRS trigger output signal RA Right arm RAS Row address strobe RES p Error reset signal to inactivate the LCD RTS Ready to send outgoing serial data handshake with CTS RXD Receive data incoming serial data R W Read Write RES Reset RESLCD Resets darkens the LCD SC 0 8 System control bus CPU control signals Page 7 5 Chapter 7 Glossary SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Acronyms Page 7 6 SCINV SO
76. r equipment the limits are different CHAD ECG signal multiplexer control signals on the ECG amplifier CIF 0 16 Communication interface General control signals for the communications interface circuits CI 0 10 RS interface control lines input CO 0 10 RS interface control lines output CLI 19 kHz LCD latch pulse CL2 3 11 MHz LCD clock frequency CLK Clock signal The number following the CLK indicates the frequency For example CLK19 indicates a frequency of 19 MHz CS Chip select The general format of the chip select signals is CS followed by some characters The characters indicate the device to which the chip select signal appertains For example CSRTC is the chip select signal for the real time clock and CSEPROM is the select signal for the EPROM etc CTS Clear to send General signal used in data communication D 0 15 Data bus DACWR Digital analog converter write DMUX Data multiplexer DRAM Dynamic RAM DRC 0 6 Dynamic RAM control DS Data strobe DSP Digital signal processor on program pack Page 7 3 Chapter 7 Glossary SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Acronyms Page 7 4 DTACK DTR ECGI ECGMUX ECGO EF EJCT EKGRES FIFOR FLM FPIN FWR HREN HSYNC IPLO 2 IREG ISYS KB KBBEEP KBCLR KBCLI KBCL2 KBIN KBS KONV LA LEDB LEDMAINS LCA Transfer data acknowledge Bus signal to acknowledge transfe
77. r of data Outgoing serial data turns modem ON ECG in serial ECG data to the CPU sent over the optical interface The multiplexed ECG signal from the ECG amplifier ECG out serial ECG amplifier control data from the CPU sent over the optical interface Empty flag Eject paper tray Reset signal to the ECG amplifier This signal resets the ECG amplifier to recenter the ECG image on the LCD First in first out read Control signal for frame synchronisation of the LCD Input for floating point co processor Flag read write Output enable signal for thermal print head data History enable Horizontal synchronisation video output Interrupt priority level binary encoded Control signal from the current detector and limiter circuit on the power supply to regulate supply Interrupt system 2 kHz Keyboard data in Keyboard beep to audio amplifier Keyboard clear Keyboard clock Keyboard clock Keyboard data in serial data from the keyboard to the CPU Keyboard strobe Convert this signal initiates the conversion of the incoming signal from the ECG amplifier Left arm Battery LED Signal indicating mains connected to operate LED indicator on the keyboard Liquid crystal address enable SCHILLER CS 200 Diagnostic Workstation Chapter 7 SERVICE HANDBOOK Issue d October 2001 Glossary Acronyms LCD KONT LCD contrast sets the 18 V voltage level from which the LCD backlight p
78. re set Today Display only the recordings which have been made today Edit Patient recording data can be edited Page 1 13 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Resting ECG Screen When in another screen the Resting ECG can be entered in any of the following ways Examinations Select from the Examinations menu OR Select and click the Resting ECG icon mRECG When the RECG has been selected the patient recording data is displayed enabling last minute editing of patient data Patient Recording Data When all patient data have been checked finish with OK The resting ECG screen is displayed Page 1 14 SCHILLER CS 200 Diagnostic Workstation Chapter 1 SERVICE HANDBOOK Issue d October 2001 Operating Elements Resting ECG Screen cont At the top of the ECG screen are two lines of options The top line Patient Function View gives the main function and setting options When one of these headings is selected further options are given these can be settings functions or information displays The bottom line with the icons is the function line and provides a short cut to the commonly used functions To select a menu item move the track ball or the mouse so that the cursor is placed over the item and click with the left button Return to main menu Myogram filter on off Lead group screen 1 2 Click to change sensitivity Center ECG
79. reen Saver Appearance Settings Pattern none Wallpaper none Display centre Screen Saver none Scheme Windows Standard large Item Desktop Colour Palette 256 Colours Desktop area 1024 x 768 Pixel Font size Small Fonts 4 Select Advanced Properties under the tab Settings Set the following parameters in Menu Advanced Display Properties Adaptor Type ELSA Winner 1000 Trio V or Diamond Stealth 64 DRAM PC video 2001 older version or Diamond Stealth 64 DRAM PCI older version Note If in doubt open the unit and check what is written on the graphic card or contact Schiller AG Based on the serial number of the equipment Schiller AG can tell you which graphic adapter is installed Monitor Type Sony Multiscan 15sf or Sony 100es 15 or Sony 100sx 15 or Sony Multiscan 17sf or Sony 200sx 17 or user defined SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement Floppy Disk Drive OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Disassemble Floppy Drive Zz gt Switch off CS 200 and disconnect mains supply remove mains plug Remove paper tray lid and paper Remove top cover Dismantle the front shield covering floppy drive hard drive and CD ROM Disconnect the floppy cable and the mains cable from the disk drive Remove the four screws from the floppy holder Remove the di
80. rom the yoke into the spring recesses in the printhead 2 Lightly push the printhead and yoke together and ensure that the printhead is inserted through the slit in the yoke so that the metal printhead 15 lying on the top of the yoke slit 3 Keep holding the yoke and printhead together and place them in the cam guide on the printer cover 4 Secure the four screws 5 Plug in Ground connection to the printhead at the cover 6 Plug in connection cable to the printhead printer motor and papermark sensor at the interface card 7 Replace paper and paper tray lid 8 Switch on CS 200 and test printing quality Page 4 10 SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview amp Module Replacement Battery OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Exchange Battery 1 Switch off CS 200 and disconnect mains supply remove mains plug 2 Remove paper tray lid and paper 3 Remove top cover 4 Disconnect connection cable from the printhead printer motor and paper mark sensor at the interface card 5 Disconnect ground connection for the printhead from cover 6 Remove the six screws from the paper tray 7 Remove the printer assembly 8 Remove the two screws for the print mechanism sheet at the back of the covering 9 Remove the two screws for the print mechanism sheet at the carrier plate 10 Remove the print mechanism sheet In order to remove the print mechanism sheet the
81. s have to be lying against one another in the centre of the plug Assemble the graphic card Connect the console keys cable to the interface card Switch CS 200 ON The CS 200 has to start correctly without any error message Switch CS 200 off and reassemble Page 4 25 Chapter 4 SCHILLER CS 200 Diagnostic Workstation Physical Overview amp Module Replacement SERVICE HANDBOOK Issue d October 2001 PC Main Board OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Removing the PC Main Board 1 Switch the CS 200 off and disconnect mains supply remove mains plug and all other connectors on the back panel 2 Remove paper tray lid and paper 3 Remove top cover 4 Dismantle the shield covering the PC part 5 Dismantle front shield 6 Dismantle all insert cards 7 Disconnect the cables COMI COM 2 PI FDCI IDEI IDE2 and the PC main board DC supply cable from the main board two connectors 9 Disconnect the plugs for the PC Keyboard P35A and the Trackball P36A from the interface board 10 Disconnect the DC supply cable for the CPU Ventilator P7 from the power supply board 11 Disconnect the Speaker Cable J18 from the PC main board if speaker is installed 12 Remove CS 200 from the trolley 13 Remove the six screws holding the PC main board 14 Remove the PC main board from the case Page 4 26 SCHILLER CS 200 Diagnostic Workstation Chapter 4 SERVICE HANDBOOK Issue d October 2001 Physical Overview a
82. s of a Flash EPROM which is firmly integrated on the board Software updates can be made from the floppy drive or the hard disk The incoming multiplexed ECG signal is processed by the microprocessor and passed on to the data bus ECG measurement evaluation and interpretation 15 performed on this board The load for bicycle and treadmill for exercise ECGs as well as ergospirometry 1s controlled from here In addition signal processing for all connections on the connector board MK 13 4 is done Thermal Printer The thermal print head is controlled by a print head controller and a CPU timer circuit The print head controller serialises the data for the print head and the timer circuit controls how long current is applied to the head and thus the intensity of the printout Strobe generation is controlled by the CPU when one complete pixel line of data is ready to be written Page 2 7 Chapter 2 SCHILLER CS 200 Diagnostic Workstation Functional Overview SERVICE HANDBOOK Issue d October 2001 Page 2 8 SCHILLER CS 200 Diagnostic Workstation Chapter 3 SERVICE HANDBOOK Issue d October 2001 Fault Diagnosis amp Functional Checks Chapter 3 Fault Diagnosis amp Functional Checks Contents Introduction 3 4 General Check Procedures 3 5 Fault Diagnosis Chart 3 6 Functional Check Patient Screen 3 10 Patient Screen 3 10 Resting ECG Acquisition 3 11 Ex ECG Acquisition 3 12 Functional Check Search and View Screens 3 13 Search Screen 2
83. seline reset on the ECG amplifier from the processor Page 7 7 Chapter 7 SCHILLER CS 200 Diagnostic Workstation Glossary SERVICE HANDBOOK Issue d October 2001 Page 7 8
84. size of curves to baseline 505200 Resting ECG Patient Function View e e 1 ManStag l Stop 4 Auto Filter i Center 81 Screen m Screen2 HR 75 v fio mmimy Lb Ld 25 mmjs 1122 Muster Hans 1 Heart rate Stop manual printout Click to change Click to change lead Start Auto speed size group on screen manual printout recording of curves Page 1 15 Chapter 1 SCHILLER CS 200 Diagnostic Workstation Operating Elements SERVICE HANDBOOK Issue d October 2001 Typical Resting ECG Screens SDS200 Resting ECG 8 x Patient Function View Li a pansan Filter i Center Screenl Screen HR 72 Norma gt Resting ECG Data Acquisition l l l FT l 25 mm s i Record ECG automatically in Format 1 l22MwteHas Measurement Auto ECG Stored ECG Average Screen Rhythm Screen 505200 VIEW RESTING ECG x SDS200 frmRhythm _ Patient Function View Patient Function View Rhythm Meas ja Interp amp SerCom Filter rd amp Meas 2 Interp SerComf 5 Filter CE Re DORE ree zi ee m l Intervals 795 ms 100 ms E o dllld tbh bb E L4 HN a Max 360 ms AMaxQT 58 ms 10 mmimv vs aVR eue ur a A D
85. sk drive with the floppy holder Assembling Floppy Drive 1 2 3 Remove the four screws from the floppy holder Mount the new disk drive onto the floppy holder Screw the disk drive with the floppy holder onto the cover Plug floppy cable and power cable into the disc drive The floppy cable is marked on one side Pin 1 is on the marked side of the cable In the disk drives Pin 1 is usually on the side that is closer to the power plug Most disk drives also have an empty space on the bottom of the floppy plug which marks Pin 1 Connect the console keys cable at the interface card Switch on CS 200 Insert an empty diskette into the disk drive and format it by formatting you carry out the most reliable function test Switch off CS 200 and reassemble Page 4 17 Chapter 4 Physical Overview amp Module Replacement SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 CD ROM Drive OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Disassemble CD ROM Drive 1 2 Switch off CS 200 disconnect mains supply remove mains plug Remove paper tray lid and paper Remove top cover Dismantle front shield Disconnect the data cable and the mains cable from the CD ROM drive Remove the four screws from the CD ROM drive holder Remove the CD ROM drive with the drive holder Assembling CD ROM Drive Page 4 18 1 2 2 Remove the four screws from the CD ROM drive holder Mount the new CD
86. systems communicate with each other via dual port RAMs Page 2 3 SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Chapter 2 Functional Overview Functional Block Diagram Monitor cec Sa dH XH So puy 0319 MO UT eyed Od ZET SU OSIA olds ddo 4 pee EHI A T 19p099 yeu Jodeq o01doJot A Jojuriq 105009 JULIA cld OCA vcr JAO NO preoqkoy v 9 0SU07 L I MIN A vcr Prog 99PHIOJUI TOYOUMS ATI e DAA CI ACI moo ANS JOYOUMS AS DGA oaov juuojsuexL OVA CC UJISIDA C A OI SO U A GC AUO q Od J MIN p1eog LPY I0 2ouuoo juoneq SURN MO SUN Page 2 4 SCHILLER CS 200 Diagnostic Workstation Chapter 2 SERVICE HANDBOOK Issue d October 2001 Functional Overview Functional Elements The CS 200 system basically contains the following major modules Power supply Connector board ECG amplifier e ECG processor e Thermal printer Mains Supply The power to the system is supplied via an 80 VA isolation transformer The CRT monitor and auxiliary equipment like printer defibrillator gas analyser etc are supplied from the mains distribution at the back of the trolley This power distribution is controlled by the POWER
87. thm registration Pacemaker detection Interfaces COMI COM2 PC RS 232 interface PRINTER PC parallel printer port BP Blood pressure connector RS 232 ERGO Ergo control connector RS 232 SPIRO Schiller plug for connection of Spirometry sensor unit DATA I O ERGO control connector analog DC IN 2 5V 0 5V cm impedance gt 100kOhm Maximum frequency 1 5kHz DC OUT 10V 0 5V cm impedance lt 1000hm max frequency 250 Hz GAS Connection for a gas analyser RS 232 Page 6 3 Chapter 6 SCHILLER CS 200 Diagnostic Workstation Technical Data SERVICE HANDBOOK Issue d October 2001 Technical Data System Dimensions 600 x 620 x 1530 mm 23 6 x 24 4 x 60 1 ins Weight c 71 kg c 162 7 165 Monitor Size 17 Type color low emission high resolution 1024 x 768 dots 75Hz Operator interface Alphanumeric PC keyboard with integrated trackball PC mouse Direct function keys for Start Stop MAN AUTO ECG Power supply requirements 115 230 VAC nominal 50 60 Hz Power consumption Max 80 VA Battery 12 Lead acid rechargeable built in charger Bridging of power interruption without monitor of at least 3 minutes ECG direct print possible Processor PC Pentium 75 120 MHz or better RAM 16 Mbytes or more Operating system WINDOWS 951 Memory media integrated harddisk 2 1 Gbytes or more Integrated floppy disk drive 3 5 1 44
88. tion leaflet Holter Hook up kit MT 100 2 100 533 including alcohol preparation pads 2 surgical razor patient diary batteries AA 1 5V alkaline 2 pre gelled electrodes 5 abrasive pad Patient Cable Short 2 400 072 Patient Cable Long 2 400 073 Reusable carrying pouch for MT 100 2 156 025 H97 disposable Holter electrodes 35 2 155 045 Page 5 12 SCHILLER CS 200 Diagnostic Workstation Chapter 6 SERVICE HANDBOOK Issue d October 2001 Technical Data Chapter 6 Technical Data Contents Standard System 6 3 Technical Data System 6 4 Technical Data ECG Amplifier 6 5 Certifications 6 6 Page 6 1 Chapter 6 SCHILLER CS 200 Diagnostic Workstation Technical Data SERVICE HANDBOOK Issue d October 2001 Page 6 2 SCHILLER CS 200 Diagnostic Workstation Chapter 6 SERVICE HANDBOOK Issue d October 2001 Technical Data Standard System Standard System System cart with 2 drawers and four rolls Emergency ECG capability thanks to uninterrupted internal power supply battery for minimum 3 minutes Possibility to register ECG without starting the PC RS 232 and parallel interface DC in output 17 Monitor QRS trigger output Ergometer interface treadmill bicycle Data management system for up to 200 recordings including ECG validation and on line editing Newer units can manage an unlimited number of recordings SCHILLER resting ECG measurement program Resting Rhy
89. ty shackles of the two plugs 5 Assemble the shield covering the PC part 6 Assemble top cover 7 Assemble paper and paper tray lid 8 Switch on CS 200 9 Make new Resting ECG recording and test correct function Page 4 14 SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Chapter 4 Physical Overview amp Module Replacement Graphic Card OBSERVE WARNINGS AND CAUTIONS ON PAGE 3 Removing the Graphic Card gt Switch off CS 200 and disconnect mains supply remove mains plug Remove paper tray lid and paper Remove top cover Dismantle the shield covering the PC part Disconnect monitor plug on the back panel Remove screw from the slot plate Pull graphic card out of the PCI or AGP slot Replacing the Graphic Card 1 2 3 Push graphic card into the PCI or AGP slot Replace screw for the slot holder Reconnect monitor plug to the back panel Reassemble the shield over the PC part Reassemble top cover Reassemble paper and paper tray lid Switch on CS 200 and test the graphic card for its correct function Page 4 15 Chapter 4 Physical Overview amp Module Replacement SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Graphic Card Settings Page 4 16 1 Start Windows 95 2 Select Start Settings Control Panel 3 Double click on Display and set the following parameters in menu Display Properties Background Sc
90. witzerland All other Tel 4141 766 4242 Fax 4141 761 0880 countries Home Page www schiller ch The SCHILLER sales and service centre network is worldwide For the address of your local distributer contact your nearest Schiller subsidiary In case of difficulty a complete list of all distributers and subsidiaries is provided on our internet site or can be supplied from our head office iii SCHILLER CS 200 Diagnostic Workstation SERVICE HANDBOOK Issue d October 2001 Warranty Terms of Warranty The SCHILLER CS 200 is warranted against defects in material and manufacture for the duration of one year as from date of purchase Excluded from this guarantee is damage caused by an accident or as a result of improper handling The warranty entitles free replacement of the defective part Any liability for subsequent damage is excluded The warranty is void if unauthorized or unqualified persons attempt to make repairs In case of a defect contact your dealer or the manufacturer The manufacturer can only be held responsible for the safety reliability and performance of the apparatus if assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by him and the CS 200 and approved attached equipment are used in accordance with the manufacturers instructions THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHICH EXTEND BEYOND THE WARRANTIES HEREINABOVE SE

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