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1. 0212 12 0603 4 PLACES FIGURE 3 12 Rear Housing Assembly Sealed Lead Acid battery configuration ISI sBulmosg 2 7095500 1 0200 21 CONNECT CABLE BEFORE INSTALLING POWER SUPPLY I DOO cff ILLE 22 0 os ia 3 6 Cg 7 L 202 0 0212 12 0603 4 PLACES ff FT 39 FIGURE 3 13 Rear Housing Assembly Lithium lon battery configuration 451 sBulmosg A quiessy 81 20 99 90 01 0200 uinapoeds 0212 12 0607 6 PLACES 0212 12 0620 2 PLACES ATTACH RIBBON CABLE CONNECTOR PART OF REAR ASSY TO JI OF ITEM 5 SECURE USING CAPTIVE SCREWS 2 PLACES SS aah WITHOUT RECORDER
2. ITEM NO DESCRIPTION PART NUMBER 37 Cable Assembly Masimo SpO with Choke 0012 00 1308 38 Battery Holder Assembly Plastic Sealed Lead Acid 0997 00 0972 01 38 Battery Holder Assembly Plastic Lithium lon 0997 00 0972 02 39 Power Supply Charger Sealed Lead Acid 0014 00 0250 39 Power Supply Charger Lithium lon 0014 00 0251 40 Screw Pan Head Cross Recessed 84 40 x 3 16 0212 12 0403 Al Input Assembly 0012 00 1400 42 Screw Pan Head Nylon 4 40 x 1 4 0212 01 0404 43 Strap Battery Door 0346 00 0047 44 Insulator Nellcor Interface Board 0349 00 0322 45 Screw Pan Head Cross Recessed 6 32 x 1 1 4 0212 12 0620 46 Screw Pan Head Cross Recessed 6 32 x 5 8 0212 12 0610 47 Screw Pan Head Cross Recessed 4 40 x 1 4 0212 12 0404 48 Screw Metric Flat Head 021 1 00 0140 49 Recorder Thermal Array AR 42 Special 0683 00 0465 01 50 Recorder Plate Blank 0370 00 0017 03 51 Module Assembly Oridion 0671 00 0164 03 miniMediCO gt Module Assembly Oridion 067 1 00 0089 01 52 Cable to Main Board MediCO 0012 00 1200 52 Cable to Main Board miniMediCO 0012 00 1683 01 53 Retainer Connector 0226 00 0018 54 Standoff Hex Male Female 6 32 x 0 250 long 0361 27 0250 55 Connector Panel Masimo w CO9 0380 00 0348 01 55 Connector Panel Masimo w o CO 0380 00 0348 02 55 Connector Panel Nellcor w CO 0380 00 0348 03 55 Connector Panel Ne
3. ATTACH CONNECTOR TO J200 ON CPU BOARD FIGURE 3 16 Rear Housing Assembly Sealed Lead Acid battery configuration A quiessy ISI 1 02 EXHAUST WITH 2 CO2 INPUT DOOR SHALL BE IN N OPEN POSTION WHILE S INSTALLING SPRING N 0212 12 0404 2 WL 0211 00 0140 48 PLACES 0212 12 0404 2 PLACES 21126 JO T 0212 12 0405 Aun ATTACH CONNE 5 PLACES PART OF ITEM 9 TO J200 ON CPU BOARD 1 0212 12 0604 2 PLACES Note Bracket is only required on units with Masimo SPo2 MASIMO SPO2 CABLE Note Standoffs are only required on units with Nellcor SPo2 Use item 60 screw to secure OR 272297 NELLCOR SPO2 CABLE AN 7095500 1 0Z00 451 sBulmosg FIGURE 3 17 Rear Housing Assembly Lithium lon battery configuration A quiessy 24 20 949590 01 0200 21495
4. WITH RECORDER A quiessy FIGURE 3 14 Rear Housing Assembly ISI 2 709550010200 Co O DOOR SHALL BE INSTALLING SPR FILA 0213 09 0403 0221 00 1014 IN ING 2 OPEN POSTION WHILE S Z 0211 00 0140 PLACES 7 4 0212 12 0405 5 PLACES MASIMO SPO2 CABLE S HELLCOR SPO2 CABLE OR 0212 12 0404 2 T CO2 EXHAUST ATTACH CONNECTOR PART OF ITEM 9 TO J200 ON CPU BOARD 5 ao Note Bracket is only required on units with Masimo SPo2 CO2 CABLE FERRITE LOCATION VIEW WITH CO2 0212 12 0404 2 PLACES Note Standoffs are only required on units with Nellcor SPo2 Use item 60 screw to secure FIGURE 3 15 Rear Housing Assembly Sealed Lead Acid battery configuration 4917 sBu AD1G A quiessy 02 20 949590 01 0200 YO WITHOUT CO2 0212 12 0404 2 PLACES SS sun 02 CABLE 44 ie OR m 1008 SPO2 CABLE 2287
5. 0211 00 0140 2 PLACES SHAS IMO SPO CABLE B UAM uc mi 92 CABLE 0212 12 0404 2 PLACES CABLE CLAMP LOCATION VIEW WITHOUT CO2 FIGURE 3 18 Rear Housing Assembly Lithium lon battery configuration A quiessy ISI Isometric Drawings and Part List ITEM NO OLN S a F hy 10a 11 12 12 13 14 15 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 30a 31 32 33 33a 34 35 36 Spectrum Spectrum OR Service Manual DESCRIPTION Rear Housing Foot Handle Pin Handle PCB Assembly Module Interface Bracket Recorder Mounting AR 42 PCB Assembly Recorder Interface Label Part Number Serial Number Fan Assembly w Cable 9 89 CFM Screw Pan Head Cross Recessed 6 32 x 9 16 Plate Ground PC Board Assembly Main CPU TFT Use with S N MM XXXX XX PC Board Assembly Main CPU TFT Use with S N MS XXXXJ5 or above Cable Main Board to Interconnect Board Cable Assembly Power Switch PCB Assembly NIBP module NIBP Module Assembly Cable Assembly Pump NIBP Bracket Pump Cable NIBP to Main Board Cover Power Supply Door Battery Access Strap Grounding Plastic Battery Holder Cover Transce
6. Feb sus asa Rear Housing Assembly xc 3 busted at eto le a dade External Parameter Module COMM RPO n e ERE Calibration Procedure 4 1 Introduction 4 Warning ond Guidelines Test Equipment and Special Tools Required cescceseseeseceeesseeeneeeeneeeseeeenseecneeeeneeeseeesneeesseeesneeesteeennseesteeesnees Diagnostics sx ied cec deo t a o Ta ER cad Rs Keypad Z Control Knob ec Recorder Testis 4 20 LL HS as ette tt a te e e t bae ete le atl dte Fate fite IIIA ME Hn arl Mona c Sentit tech a hipa bed aaa ansa Ts aeu e batted D Sco Error log n RU OW ete be e rv De slate tu o e D OR RR UE DRE Microstream S CO Callbretlon oa sama ua oup oe ner uui ate eati ecc EROR C PER ON PU ER Geena Mete ECG ET IBP 1 IBP 2 IBP 3 and IBP 4 Optional Verification Temperature Verification cote bete e tele Pe etum atv tr etie ira Lote tie Wein dts ob es savessduavendies Battery Operation Verification ie rh ete CORPER FEUDUM canned Operation Verif
7. Power cycle unit If problem persists contact Customer Support See Proper Service Menv Suggestion SpO Sensor Fault Defective Sensor Replace Sensor SpO Motion Nellcor Only Motion is detected Decrease patient motion check sensor SpO Check Sensor Nellcor Only The module has sensed a poor connection or a bad sensor Reconnect the same sensor If problem persists replace sensor Unable to obtain 5 reading Patient has poor perfusion Sensor not on Patient Cables loose not connected Ambient light Switch limbs Notify physician Reapply sensor Check connections switch cable Switch limbs and cover sensor with opaque material No SpO waveform Waveform not selected to Display Cable or sensor not plugged in Go to the Display Setup Menu choose to display Pleth in the waveform area Check cable and sensor Low amplitude SpO gt signal 5 sensor on same limb as cuff Patient has poor perfusion Check sensor placement move as necessary Switch limb Notify physician 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information Temperature Troubleshooting MESSAGE PROBLEM Temperature Probes not Working REASON Poor contact from probes to body Troubleshooting Menus SOLUTION Check the body surface contact at the probe tip Reposition or apply thermoconductive gel T
8. Sensors Adapters and Sampling Components 5 5 1 Cleaning and Re use of a Nellcor Sensor Sensors may be reattached to the same patient if the emitter and detector windows are clear and the adhesive still adheres to the skin The adhesive can be partially rejuvenated by wiping with an alcohol wipe and allowing the sensor to thoroughly air dry prior to replacement on the patient Do not immerse any Oxisensor OxiMax Durasensor Oxiband or Duraform oxygen transducers the Nellcor RS 10 or Max Fast oxygen transducers or any Nellcor adhesive in water or cleaning solution Clean Durasensor Oxiband and Duraform oxygen transducers and the Nellcor RS 10 or Max Fast oxygen transducers by wiping with a disinfectant such as a solution containing 70 alcohol Do not sterilize by irradiation steam or ethylene oxide Use a new Oxiband adhesive wrap or FORM A adhesive bandage for each patient Do not re sterilize Oxisensor or OxiMax oxygen transducers 5 6 Cleaning CO Sensors Adapters and Sampling Components Oridion patient monitoring accessories are designed for single patient use and should not be cleaned or reused 5 7 Sterilization and Cleaning of Reusable Cuffs 5 71 Reusable Cuffs with Bladders Take out the bladder before cleaning and disinfecting the cuff Cleaning The cuff can be hand washed or machine washed in warm water or with mild detergent The bladder can be cleaned with a damp cloth
9. w IBP Masimo German 0334 00 1501 014 7 Label Patient Connector w CO no IBP Nellcor German 0334 00 1501 015 7 Label Patient Connector w CO IBP Masimo German 0334 00 1501 016 7 Label Patient Connector no no IBP Nellcor German 0334 00 1501 017 7 Label Patient Connector no no IBP Masimo German 0334 00 1501 018 7 Label Patient Connector w CO w IBP Nellcor French 0334 00 1501 021 7 Label Patient Connector w CO w IBP Masimo French 0334 00 1501 022 7 Label Patient Connector no w IBP Nellcor French Spanish 0334 00 1501 023 7 Label Patient Connector no w IBP Masimo French Spanish 0334 00 1501 024 7 Label Patient Connector w CO no IBP Nellcor French 0334 00 1501 025 7 Label Patient Connector w CO no IBP Masimo French 0334 00 1501 026 7 Label Patient Connector w CO w IBP Nellcor Spanish 0334 00 1501 031 7 Label Patient Connector w CO w IBP Masimo Spanish 0334 00 1501 032 7 Label Patient Connector w CO no IBP Nellcor Spanish 0334 00 1501 035 7 Label Patient Connector w CO wo IBP Masimo Spanish 0334 00 1501 036 Spectrum Spectrum OR Service Manual 0070 10 0556 02 Top Level Assembly Top Level Assembly Isometric Drawings and Part List ITEM NO DESCRIPTION PART NUMBER 7 Label Patient Connector w CO w IBP Nellcor Italian 0334 00 1501 041 7 Label Patient
10. Overpressure Test Pediatric Qverpressure Test Neonate Press the control knob to activate the Leak Test FIGURE 4 13 Leak Test 1 Connect the dummy cuff test chamber to the side panel fitting 2 Select the Leak Test using the Navigator knob to activate the test 3 The chamber inflates to 250 150 or 50 mmHg of pressure After ten 10 seconds the pressure on screen the pressure is released During this ten second period the monitor will determine the leak rate and display the total drop in pressure for that time period Specifications Leak rate should not exceed 10mmHg 10 seconds for the target values of 250 150 and 50 mmHg 500 cc test chamber Specifications Leak rate should not exceed 10mmHg 10 seconds for the target values of 250 150 and 50 mmHg 500 cc test chamber 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure 4 4 6 5 Dump Test Adult Neonate Diagnostics The purpose of this test is to verity the valve that controls the dump rate is functioning properly Previous Menu Overpressure Voltage Setpoint Static Pressure Calibration All Off Motor Pump Test Leak Test 250mmHg Leak Test 150mmHg Leak Test 50mmHg Dump Test Adult Dump Test Neonate Bleed Rate Test Overpressure Test Adult Qverpressure Test Pediatric Overpressure Test Neonate Press the control knob to activate the Dump Test FIGURE
11. 367 125 82 120 80 Mean 94 93 Interval Off ET 13 min Message Area B Expanded View with Pacer Enhancement On FIGURE 4 20 Pacer Setup Menu 0070 10 0556 02 4 21 Verification 4 6 3 4 6 4 4 22 Calibration Procedure Heart Rate Set the ECG simulator to ECG QRS Waveform Set the rate to 251 bpm 2 Verify the Rate display is 251 5 bpm 3 Decrease the rate to 30 bpm and allow signal to stabilize Verify that the rate display is 30 bpm 3 bpm Alarms 1 Set the simulator to Imv ECG QRS signal rate set to 60 bpm 2 Set to Print on Alarm install paper in the recorder and set Low HR alarm to 50 bpm and High alarm to 120 bpm 3 Increase the HR to 125 and verify the following a The high alarm violates with an audio tone and red LED on keypad b The recorder is initiated and prints the ECG strip displaying the ECG information Verify the overall width of the grid 15 40 mm 2 d Mute the alarm by pressing the MUTE ALL key e Verify that the Mute Alarm message is displayed in the Message Area A and the alarm is silent 4 Press the MARK EVENT key Press the TREND key and examine the trend data The high HR rate should be red LCD indicating the High HR was violated IBP 1 IBP 2 IBP 3 and IBP 4 Optional Verification Set the simulator to mmHg for both IBP 1 and IBP2 Press the ZERO ALL key Verify the systolic diastolic and mean values display as O Imm H
12. gt lt gt amp 8 T E POLARIZING KEY ISO VIEW EXPLODED NELLCOR SPO2 CABLING VIEW FIGURE 3 7 Rear Housing Assembly For use with Spectrum P N 0998 00 3 12 0070 10 0556 02 Spectrum Spectrum OR Service Manual 7095500 1 0200 l NELLCOR SpO2 REMOVE JUMPER WI FROM JI CONNECTOR CUT OFF TOP LOOP OF ITEM INSTALL THE SHOULDER WASHER WITH THE SMALLER DIAMETER PORTION FACING TOWARD THE SPACER 0212 12 0401 1 PLACES ISO VIEW EXPLODED 76 SCALE 0 750 02 12 12 0403 2 PLACES LAY THE CABLE ALONG THE TOP EDGE OF THE REMAINING LOOP AND INSTALL THE TIE WRAP TO NIBP SEE SHEET 4 c MASIMO SpO2 0361 30 0250 2 PLACES 0361 45 0403 3 PLACES 0212 12 0406 3 PLACES 0212 12 040 PLACES 150 VIEW EXPLODED SCALE 0 750 10 NIBP SEE SHEET 4 FIGURE 3 8 Rear Housing Assembly For use with Spectrum P N 0998 00 1000 only FIGURE 3 9 Rear Housing Assembly For use with Spectrum P N 0998 00 1000 XXXXX and Spectrum OR P N 0998 00 1500 451 sBulmosg A quiessy vl Z0 9550 01 0Z00 YO Nellcor SpO Oximax ET ITI DIP SWITCH
13. Service Manual Isometric Drawings and Part List lt lt a Spectrum Spectrum OR Service Manual 0070 10 0556 02 FIGURE 3 22 Base Station Comm Port Comm Port Isometric Drawings and Part List DETAIL C FIGURE 3 23 Base Station Assembly 3 32 0070 10 0556 02 Spectrum Spectrum OR Service Manual Isometric Drawings and Part List Comm Port NO DESCRIPTION PART NUMBER 1 Housing Top Base Station 0380 00 0340 2 Housing Bottom Base Station 0380 00 0341 3 Latch Base Station 0380 00 0342 4 Lever Base Station 0380 00 0343 5 Carriage Base Station 0380 00 0344 6 Bezel Base Station 0380 00 0323 7 Connector Panel Rear 0386 00 0323 8 Slide Dashpot Plastic Part 0406 00 0737 9 PCB Assy Main Board 0670 00 0758 01 10 PCB Assy Daughter Board 0670 00 0759 01 11 Standoff Hex Male Female 4 40 x 748 Lg 0361 00 0182 12 Dashpot 0103 00 0466 13 Bracket Mounting Dashpot Base Station 0406 00 0738 14 Bracket Main Connector Ground 0406 00 0841 15 Pin Monitor Guide 0226 00 0016 16 Tubing Silicone Rubber 3 8 I D X 1 16 Wall 0008 00 0321 17 Spring Extension 375 Dia 1 5 Length 0214 00 0235 18 Spring Compression 296 Dia 1 281 Length 0214 00 0234 19 Socket Guide Docking Connector 0132 00 0077 20 Screw Pan Hd 4 40 x 25 Lg 0212 12 0404 21 Screw Pan Hd 4 40 x 75 Lg 0212 12 0412 22 Screw Pan Hd 6 32 x 50 lg 0212 12 0608 23 Screw Pan Hd 6 32 x 31 Lg 0
14. 1501 185 Br Portuguese 8 Rotary Knob 0366 00 0101 Label Recorder Paper Loading 0334 00 1431 Spectrum Spectrum OR Service Manual 0070 10 0556 02 Z0 9550 01 0200 21 495 YO 3 3 Front Housing Assembly NTING HARDWARE ER AND NUT 4 S Win itt Qo rts TORQUE 13 2 IN LBS START KEYPAD INSTALLATION AT ENCODER END FRONT VIEW GROUND TAIL PART OF KEY C ITEM LCD TFT DISPLAY 12 1 REAR VIEW FIGURE 3 2 Front Housing Assembly A quiessy 140 4 ISI Isometric Drawings and Part List Front Housing Assembly CABLING VIEW LCD TFT DISPLAY 12 1 Sew EN aoe BER PI Lx i ouo H 8 zm seo 5 111 tomm CIRCUITS SECTION CABLE 15 PART OF THE DIS CABLE VIEW NOT CREASE FLEX 7 1 1 FIGURE 3 3 Front Housing Assembly Spectrum Spectrum OR Service Manual 0070 10 0556 02 3 7 Front Housing Assembly Is
15. SCREEN CHOICES DEFAULT TEXT STRINGS Previous Menu Select to return to Previous Menu Property Of Select to set up Property of name Location Select to set up Location Department Select to set up Department Contact Select to set up Contact Phone Select to set up Phone Accutor Baud Rate 9600 1200 Select to change the Accutorr Spectrum only protocol baud rate DIAP Baud Rate 9600 19200 Select to change the DIAP baud rate Enable Network Not Used IP Address Subnet Mask ID Select to set up IP Address Select to set up Subnet Mask ID Wireless IP Address Spectrum only Select to set up Wireless IP Address 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information Spectrum Spectrum OR Service Manual MENU TITLE ON SCREEN Wireless Subnet Mask ID Spectrum only MENU CHOICES DEFAULT System Information Menu TEXT STRINGS Select to set up Wireless Subnet Mask ID Laser Printer IP Address Spectrum only Network Name Select to set up Network name Device ID 0070 10 0556 02 Trend Storage 1 28 1 28 1 1 29 1 29 1 1 44 Repair Information Trend Storage Installation and Use of the Extended Trend Feature The Spectrum Spectrum OR monitor is capable of storing in non volatile memory up to 120 trend values for each parameter and for Spectrum only up to 6 minutes of OXY CRG data With the addition of the Extended Trend card P N 099
16. Select the Chart Grid ASCII Characters menu Recorder Test Previous Menu Test Print Select to return to previous menu FIGURE 4 4 Recorder Test Menu The printer will print the Recorder Test pattern as shown in the figure below PAOD 10 243555 0 2K CI TES 95555 SD 44 3 3 3 3 3 3 OD x 353535555 334 0H gt 4 5 49 2 2 011 5 3 3 3 3 3 3 AD gt gt 93 0 3 0335339 manch 2 a 2 40 3 13335 CS NNW v 5 50 0 2 354535 VQ SI QE G gt 02 gt 30000605355 2 8 0 3 3 3 3 3 NO 3 CIO 00238 33333 gt gt OVAL 0 34440 9 3 4 a s se s se se se sm ae QANMNTHORONTMOAWL Diagnostics FIGURE 4 5 Recorder Test Strip Spectrum Spectrum OR Service Manual 0070 10 0556 02 Diagnostics Calibration Procedure 4 4 3 Display Tests The display test offers the choice of a Pixel Test or a Color Test Display Tests Previous Menu Pixel Test Color Test Select to return to previous menu FIGURE 4 6 Display Tests Menu 4 4 4 Pixel Test The pixel test will verify the proper operation the display On screen one half of the screen will be illuminated the second half will be black Pressing the Navigator knob will illuminate the second half of the screen the
17. Spectrum Repair Information SOLUTION Plug the sensor into the monitor 5 Sensor Off Masimo SET Only Sensor may not be connected to the patient Check patient connection SpOo Interference Noise detected on the pulse signal prevents pulse discrimination Decrease patient motion check sensor SpO Pulse Search Hardware settings are being adjusted in order to discriminate a pulse waveform Change to site where pulse is stronger if patient is vasoconstricted Change or readjust sensor if loose SpO No Pulse Nellcor Only 5 Failure No detectable pulse is measured The system has detected an unrecoverable failure of the 5 system Check to patient connection and patient status Power cycle unit If message reappears contact Customer Support 5 Low Perfusion Masimo SET Only Patient perfusion is low Check to patient connection and patient status SpO Too Much Light Masimo SET Only There is too much ambient room light for the sensor to function properly Minimize the room light around the patient Check sensor SpO Unrecognized Sensor Masimo SET Only The sensor is not recognized by the Monitor Replace the sensor with a recommended sensor SpO Communication Error SpO Board Fault The monitor and the SpO modules are not communicating properly Masimo SET board failed to operate properly
18. Spectrum Spectrum Service Manual 0070 10 0556 02 1 13 Panorama Mobility Lead Wires 1 14 Repair Information Panorama Mobility Lead Wires P N 0012 00 1503 XX DESCRIPTION DASH 24 snap 5 lead set Domestic 02 24 snap 3 lead set Domestic 05 24 snap 5 lead set International 11 24 snap 3 lead set International 14 L SIRAIGHI LENGIND 160 TYP 45 160 TYP 1 00 i POSITION POSITION 6 L STRAIGHT LENGTH LEADWIRE TERMINALS PLUG POSITIONS RLIN O Os Q Rc Were made pee aos 4 9 O Qs ac aei ni pucr 3 25 53 g ASES AEE A Se w O Sus POSITION 1 POSITION 6 LEADWIRE PLUG POSITIONS LEADWIRE 5 10 TERMINALS OS Q4 O LANE EENUEEIVE NRI Q o S FIGURE 1 8 Panorama Mobility Lead Wires 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information ECG Cable ESIS and Non ESIS 1 15 ECG Cable ESIS and Non ESIS P N 0012 00 1255 XX DESCRIPTION DASH Straight Non ESIS 01 20 Straight Non ESIS 02 10 Rt Angle Non ESIS 03 20 Rt Angle Non ESIS 04 10 Stra
19. Spectrum OR Service Manual Table of Contents FORE WOR p c v Warmin 26 ELT v Repair Information 1 Satety Precautions E EEUU 1 1 Troubleshooting Guidelines HOHER a duets HER D adt e Re e 1 2 Excharige Progralns ter bte C ttd eei i o esto 2 Special Tools Required 2 Disassembly Instructions 3 Nurse Call Cable 3 Pin Circular to Unterminqoted a ener 1 7 P IN 00T2 00 1277 0 17 02 eviter 1 7 NOA UR e et mestre rede us oes 1 8 Male 15 Pin D Shell to Female 15 Pin D Shell and Open Ended to Female 15 Pin D Shell 1 8 Serial Port to Gas Module II SE SE with Spirometry Cable P N 0012 00 1276 1 9 Serial Port to Serial Port Cable P N 0012 00 1275 01 1 10 26 pin Molex to Mini Phone Plug DPD Sync 4 ah aun 1 11 ECG Shielded Lead Wires ECG Shielded Lead Wires 13 Panorama Mobility Lead Wires u re irri E ed ix RE e RE SEC Area ir pets 1
20. batteries it is imperative that they are charged after 3 months of storage or unit not in use If not permanent loss of capacity may occur as a result of sulfation Charge retention at 20 C is 6 months to 83 Lithium Ion Storage of the lithium ion batteries depends on temperature time period and the degree of cell charging state After 6 months of storage at 23 C fully charged lithium ion batteries have a retention capacity of 93 5 12 Recorder Paper Replacement The instructions below describe the replacement of recorder paper Use only recommended recorder paper part number 0683 00 0422 This ensures that the print quality is acceptable and reduces print head wear 1 Open the recorder door by pressing the paper eject button 2 Remove the empty paper spool 3 Insert a new paper roll between the two rounded tabs of the paper holder with the sensitive shiny side of the paper facing the print head at the top of the recorder paper feeding off of the spool from the bottom 4 Unroll approximately 4 inches of paper 5 Align the paper across the top of the roller 6 Holding the paper in place close the recorder door 7 To ensure that the paper is aligned properly and has not been pinched in the door pull the loose edge out a couple of inches If the paper jams open the door and return to step 5 5 12 1 Care and Storage of Thermal Chart Paper Thermal Chart Paper is chemically treated and the permanency of a record
21. be clogged or dirty the module should be serviced by an authorized service person only 2 The fan dust filter should be checked and cleaned on a regular basis at least once every two months locate fan on front panel Remove the filter by pulling the dust filter cover Remove the dust from the filter let the filter soak in a mild detergent solution Rinse the filter and let dry completely before re installing CAUTION If the Gas Module dust filter cannot be cleaned or is damaged replace it with the replacement dust filter part number 0378 00 0040 Use of another type filter may decrease the cooling effectivity and cause damage to the Gas Module 3 The Water Trap Reservoir must be checked and emptied whenever changing patients or if it is more than half full To remove the water trap push the water trap latch to the right The water trap is spring loaded and will pop out An Air Leak message will be displayed The monitor will suspend sampling Detach the reservoir from the water trap assembly by pulling it down carefully Empty the reservoir and rinse with water only Reattach the reservoir to the assembly tightly Reinstall the whole unit into the Gas Module making sure the latch is set Check that the Air Leak message disappears and monitoring resumes NOTE Do not disinfect or open the water trap If an occlusion message appears it may be necessary to replace the water trap assembly part number 02
22. could be positioned over a bone or muscle mass Readjust as required Set via the SIZE key Apply fresh moist electrodes Abrade skin Verify with a 12 lead electro cardiogram Move ECG patches closer towards each other Spectrum Spectrum OR Service Manual 0070 10 0556 02 Troubleshooting Menus MESSAGE PROBLEM REASON Repair Information SOLUTION No ECG Waveform Gain set too low Lead wires and patient cable not fully or properly inserted Cable or lead wires damaged Readjust as required Set via the SIZE key Check for proper insertion Check with lead continuity tester Base Line Wander A 2 Potient moving excessively Potient s respirotion Electrodes dry or loose Static build up around patient ECG Filter set to ST or Extended mode Secure lead wires and cable to patient Reposition electrodes Re prep skin and apply fresh moist electrodes Check with local biomedical personnel Set ECG Filter to Monitor mode Artifact Message The 12 lead ECG is detecting muscle artifact or electrical interference from auxiliary devices Check leads follow skin preparation procedure Check for electrical interferences replace wires as necessary 1 25 2 NIBP Troubleshooting MESSAGE PROBLEM REASON SOLUTION NIBP Idle Displayed while system is idle Press START to take a single Note This is not displayed
23. first half will be black Pressing the Navigator knob a third time will activate the Display Test Menu screen FIGURE 4 7 Pixel Test Menu 4 6 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure Diagnostics 445 Color Test The color test will verify the four basic colors of the display Press Navigator knob to view the selected color screens in full illumination The colors are Red Blue Green and White FIGURE 4 8 Color Test Spectrum Spectrum OR Service Manual 0070 10 0556 02 4 7 Diagnostics 4 4 6 4 4 6 1 Calibration Procedure NIBP Tests The NIBP Test offers the choice of Overpressure Voltage Setpoint Static Pressure Calibration Motor Pump Test Leak Tests Bleed Rate Test and Overpressure Tests The tests mentioned above require an approved 700 Test Chamber P N 0138 00 0001 01 500 cc Test Chamber P N 0138 00 0001 03 to ensure proper test results NIBP Tests Previous Menu Overpressure Voltage Setpoint Static Pressure Calibration All Off Motor Pump Test Leak Test 250mmHg Leak Test 150mmHg Leak Test 5 mmHg Dump Test Adult Dump Test Neonate Bleed Rate Test OQverpressure Test Adult Overpressure Test Pediatric Overpressure Test Neonate Press the control knob to view the Overpressure Voltage Setpoint on screen FIGURE 4 9 NIBP Tests Menu Over Pressure Voltage Set Poi
24. instrument to verify proper control settings If operational problems continue to exist contact the Service Department 800 288 2121 201 995 8000 for assistance in determining the nearest field service location Please include the instrument model number the serial number and a description of the problem with all requests for service Any questions regarding the warranty should be directed to the closest authorized location A list of international offices along with their phone numbers is provided at the end of this manual Manufacturer s Responsibility The manufacturer is responsible for the effects on safety reliability and performance of the equipment only if a assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by the manufacturer and the electrical installation of the relevant room complies with the appropriate requirements and the equipment is used in accordance with the instructions for use Spectrum Spectrum OR Service Manual 0070 10 0556 02 5 11 0070 10 0556 02 Revision M August 13 2010 Mindray DS USA Inc 800 MacArthur Boulevard Mahwah NJ 07430 e USA Dom Customer Service 1 800 288 2121 e Intl Customer Service 1 201 995 8000 Dom Fax 1 800 926 4275 Intl Fax 1 201 995 8680 www mindray com Mindray Medical Netherlands Box 26 3870 CA Hoevelaken The Netherlands Tel 31 33 25 4491
25. page intentionally left blank 1 46 0070 10 0556 02 Spectrum Spectrum OR Service Manual 20 Block Diagrams 2 1 Introduction The Block Diagrams indicate the internal organization of the instrument The block diagrams are used to gain both familiarity with the instrument and to locate malfunctioning PC boards as readily as possible Spectrum Spectrum OR Service Manual 0070 10 0556 02 Block Diagram Block Diagrams 2 2 Block Diagram for patate O Co2 Module Nellcor Spo2 Module Nellcor a pz Interface Bd Recorder External Module Interface Bd 5 1 Interface Bd Recorder Spo2 Module wm gt Masimo Spo2 Interface Bd Masimo Use with 0782 03 CPU i l 608MHz Radio Assembly DPD Defib Interface Power Switch Keypad Overlay and Keypad Switch Assembly Batteries Keypad Panel Interface Bd FIGURE 2 1 Spectrum Block Diagram CPU Board Assembly P N 0670 00 0782 02 or 0670 00 0782 01 Comm Port Patient Connector Bd NIBP Module DESCRIPTION PART NUMBER DESCRIPTION PART NUMBER Recorder Assembly 0683 00 0465 01 NIBP Board 0670 00 0798 01 Recorder Board 0670 00 0695 Patient Connector Board 0670 00 0682 01 Fan 0012 00 1622 01 Patient Connector Board HP 0670 00 0680 0
26. up time is recommended 1 Connect the tubing that comes with the calibration gas to the gas canister and to the FilterLine Use calibration gas P N 0075 00 0033 01 and a Microstream FilterLine Attach the gas tubing assembly to the CO input port on the Spectrum Spectrum OR 2 Select the Parameter Tile using the Navigator Knob 3 Select the CO4 Menu The same menu can be accessed by using the Parameters Menu and selecting CO 4 Select Calibrate and press the button on the gas canister to begin releasing the gas mixture NOTE Auto zero occurs at the start of the CO monitoring session and periodically throughout the monitoring session Auto zero will last approximately 15 seconds 5 Select Start from the Calibration Menu Once the Start option has been selected no CO waveform data will be displayed 6 The message Calibrating continue to apply 5 will appear in the Calibration Menu Spectrum Spectrum Service Manual 0070 10 0556 02 4 17 Microstream Calibration Calibration Procedure NOTE If no gas is being delivered or the mixture does not contain 5 the message Calibration error Caused by no gas or wrong gas concentration will appear Obtain a new gas canister and return step 1 7 When the proper gas mixture is applied the message Calibrating continue to apply 5 will appear in the Calibration Menu window When the calibration is complete the messa
27. 00 0023 74 Washer Shoulder 140 OD 115 ID 022 1 00 1026 75 Screw Pan Head 0212 12 0418 76 Cable Tie 0125 01 0001 77 Standoff Plastic 0361 30 0375 78 Cable Interface to Main CPU Board for 0012 00 1596 0998 00 1000 XXXX 79 Standoff 0361 30 0250 80 Clip Plastic 0343 05 0001 Spectrum Spectrum OR Service Manual 0070 10 0556 02 3 25 95 8 Z0 9550 01 0Z00 21 495 YO 3 5 External Parameter Module 0212 12 0420 13 2 PLACES 0212 12 0605 5 PLACES 2 PLACES 9 3 2 PLACES 5 2 PLACES FIGURE 3 19 External Parameter Module 3 ISI Isometric Drawings and Part List ITEM NO o NI QO Q KR 1 1 1 K 15 1 Spectrum Spectrum OR Service Manual DESCRIPTION Housing Top External Module Housing Bottom External Module Gasket Handle Handle Shaft Precision Increment 1 8 Dia X 1 250 Long FFC Assembly Keypad PCB Assembly Main External Module PCB Assembly Connector Panel External Module Button Latch External Module Spring Compression Screw Pan Head Cross Recessed 4 40 X 1 25 Screw Pan Head Cross Recessed 6 32 X 5 16 Label Information External Module Label Patient Connector T2 IBP3 IBP4 CO English Japanese Br Portuguese Label Patient Connector T2 IBP3 IB
28. 02 00 0129 4 The Water Trap Assembly must be replaced every two months 5 0 Care and Cleaning of 3 and 5 lead ECG Cables and Leadwires Recommended cleaning method of ECG cables and leadwires is a cloth wipe using ordinary alcohol free hand soap or USP green soap tincture When disinfection is required a cloth wipe using disinfectants such as isopropyl alcohol chlorine bleach in water 1 10 mixture or 2 Glutaraldehyde solution i e Cidex is recommended After cleaning the ECG cables and leadwires should be wiped with water using a clean damp cloth then dried with a clean dry cloth Spectrum Spectrum Service Manual 0070 10 0556 02 5 5 Care and Cleaning of View 12 ECG Analysis Module Preventative Maintenance 5 10 5 11 5 11 1 5 11 2 CAUTION To avoid permanent damage do not expose metal components pins sockets snaps to disinfectants soaps or chemicals NOTE ECG cables and leadwires must never be immersed soaked in any fluids and they should not be cleaned with harsh chemicals such as acetone or non diluted bleach NOTE Do not autoclave radiation or steam sterilize ECG cables or leadwires NOTE Extended exposure to Ethylene Oxide gas may shorten life of the ECG cables and leadwires leading to poor signal quality Care and Cleaning of View 12 ECG Analysis Module Clean cables and leadwires using a cloth wipe and warm water Use a dry clean cloth to dry leadwires and cables before placing
29. 1 Power Switch 0012 00 1231 SpO Module Masimo 067 1 00 0055 Power Supply 0014 00 0250 or 5 Module Nellcor Oximax 067 1 00 0066 0014 00 0251 Batteries 0146 00 0043 or 5 Module Nellcor 067 1 00 0162 0146 00 0069 Panel Keypad Board 0670 00 0735 5 Interface Board Nellcor 0670 00 0696 or 0670 00 0785 01 02 LCD Display 0160 00 0094 5 Interface Board Masimo 0670 00 0785 03 Keypad Overlay 0330 00 0037 XX Oridion MediCO Module 067 1 00 0164 03 Oridion miniMediCO Module 067 1 00 0089 01 Keypad 033 1 00 0120 XX Power Cord Domestic 0012 25 0001 Speaker 0012 00 0257 06 Power Cord International 0012 25 0002 608 Radio Kit 0040 00 0361 01 External Module Interface Board 0670 00 1155 01 NIBP Board 0670 00 0746 01 NOTE See Isometric Drawings and Parts List for a complete list of Part Numbers 0070 10 0556 02 Spectrum Spectrum OR Service Manual Block Diagrams Block Diagram Spo2 Module Nellcor External Module Module 1 Recorder a lt i 1 External Module Spo2 Module NE Spo Interface Bd amp Masimo Patient Connector Bd Switch 0202 Power Supply E NIBP Module 3200 CPU Board Assembly Line Cord 5 024 0670 00 07
30. 1 Fax 31 33 25 37 621 Mindray UK Limited 3 Percy Road St John s Park e Huntingdon Cambridgeshire 29 652 e United Kingdom Tel 01480 416840 Fax 01480 436588 Mindray Medical France SARL Europarc Cr teil e 123 Chemin des Bassins 9 94035 Cr teil Cedex France Tel 0 1 45 13 91 50 Fax 0 1 45 13 91 51 Mindray Medical German GmbH Zwischen den 4 64625 Bensheim Germany Tel 49 6251 17524 0 Fax 49 6251 17524 20 Mindray Medical International Ltd 2813 Office Tower Convention Plaza No 1 Harbour Road Wanchai Hong Kong Tel 852 2793 5596 Fax 852 2344 8824 0002 08 89 18
31. 1 0200 21495 YO uinuoeds 3 6 Comm Port 0998 00 0178 XX 0998 00 01 78 03 CS1 MBI RDI FIGURE 3 20 Comm Port ISI sBulmosg 2 eg unijoeds DW 2 A1 onu 20 909 0 01 0200 0998 00 0178 04 CSI MBI SPI 0998 00 0178 05 RDI NCI SPI 0998 00 0178 06 SPI NCI SP2 FIGURE 3 21 Comm Port 4917 sBulmosg Comm Port 3 30 Isometric Drawings and Part List ITEM NO DESCRIPTION PART NUMBER 1 Housing Top Comm Port 0380 00 0346 2 Screw Pan Head 4 40 X 5 16 0212 12 0405 3 Screw Captive Pan Head Cross Recessed 0217 02 0004 4 Socket Guide Docking Connector 0132 00 0077 5 Label Information Comm Port 0334 00 1533 6 Label N A 7 PCB Assembly Comm Port CS1 MB1 RD1 0670 00 0690 8 Housing Bottom Comm Port 03 and 04 0380 00 0347 03 9 Label CS1 RD1 Comm Port 0334 00 1536 10 PCB Assembly Comm Port RD1 NC1 SP1 0670 00 0692 11 Housing Bottom Comm Port 05 and 06 0380 00 0347 04 12 Label SP1 Comm Port 0334 00 1573 13 PCB Assembly Comm Port SP1 NC1 SP2 0670 00 1140 14 Label SP1 NC1 SP2 Comm Port 0334 00 2521 15 Label CS1 SP1 Comm Port 0334 00 1541 16 PCB Assembly Comm Port CS1 MB1 SP1 0670 00 0684 01 0070 10 0556 02 Spectrum Spectrum OR
32. 111 German 7 Label Patient Connector no w IBP Nellcor Oximax 0334 00 1501 113 German 7 Label Patient Connector w CO no Nellcor Oximax 0334 00 1501 115 German 7 Label Patient Connector no no IBP Nellcor Oximax 0334 00 1501 117 German 7 Label Patient Connector w CO w IBP Nellcor Oximax French 0334 00 1501 121 7 Label Patient Connector no w IBP Nellcor Oximax 0334 00 1501 123 French Spanish 7 Label Patient Connector w CO no IBP Nellcor Oximax French 0334 00 1501 125 7 Label Patient Connector w CO w IBP Nellcor Oximax 0334 00 1501 131 Spanish 7 Label Patient Connector w CO no Nellcor Oximax 0334 00 1501 135 Spanish 7 Label Patient Connector w CO w IBP Nellcor Oximax Italian 0334 00 1501 141 7 Label Patient Connector w CO2 no Nellcor Oximax Italian 0334 00 1501 145 7 Label Patient Connector w CO gt w IBP Nellcor Oximax Dutch 0334 00 1501 151 7 Label Patient Connector no w IBP Nellcor Oximax Dutch 0334 00 1501 153 7 Label Patient Connector w CO no Nellcor Oximax Dutch 0334 00 1501 155 7 Label Patient Connector w CO2 w IBP Nell MP506 0334 00 1501 181 Br Portuguese 0070 10 0556 02 Spectrum Spectrum OR Service Manual Isometric Drawings and Part List Top Level Assembly ITEM NO DESCRIPTION PART NUMBER 7 Label Patient Connector w CO2 w o IBP Nell MP506 0334 00
33. 14 ECG Cable ESIS sand Nom ESIS aet a tpe Prose Pc e e et e Eres 1 15 Panorama Mobility Cable ESIS and Non ESIS nere 1 16 Wise Cad Assembly eae waya a Aaa cast daten skt ya tant 1 17 121 Wire Set airs icti oec tp e tero e Perte bo 1 17 Cardiac Output Cable 21 18 ABP 1 19 decxe lE E 1 19 ECG IBP only for serial numbers MSXXXXX K5 and higher cccccesceeseeeceeseeeeeeeneeeeeeseeneeeneeeeeeeeeneeeneeenes 1 19 SerialPort to RIAD Cable VISA tie teli ri P E 1 20 BISE ete ate a diia eee ep eode a a a tbe ete bab saka ia 1 21 BIS Sensors eei da e tp D aee ciat em re Ee 1 21 er epp eb eater pu tes iiit s o pe il ete re RO de igo 1 22 Troubleshooting 5 tire eee b vas tse 23 ECG Troubleshooting 23 NIBP Troubleshooting 24 1 26 Temperature Troubleshooting 1 27 Respiration and Troubleshooting 1 27 Gas Module Troubleshooting o cn teet pe nee e Dee ton b te eee Nala ke Saleen 1 28 IBP Troubleshooting 1 32 PAWP Troubleshooting 1 32 EPM Cardiac Output Troubleshooting 1 33 Vigilance Cardiac Output Troubleshooting airinn aa nemen R 1 34 BIS Troubleshool
34. 212 12 0605 24 Screw Shoulder 6 Thread 156 Dia x 0 187 0217 00 0012 Height 25 Nut Plain Hex 4 Small Pattern 0223 02 0004 26 Washer Snubbing Mylar 0221 00 1016 27 Washer Flat Large O D 4 0221 00 1010 28 Label Function Diagram Base Station 0334 00 1511 29 Label Information Base Station 0334 00 1497 30 Label Dashpot Adjustment 0334 00 1618 31 Label Latch Locked Unlocked 0334 00 2514 32 Bumper Feet Base Station 0348 03 0001 33 Standoff Hex Male Female With Lock Washer 0361 00 0164 34 Label Part Number Serial Number N A 35 Power Supply Assembly 0014 00 0070 36 Dashpot Assembly 0103 00 0465 NS MB1 Connector Shroud 0334 00 1668 N A Not Available Spectrum Spectrum OR Service Manual 0070 10 0556 02 3 33 Comm Port Isometric Drawings and Part List This page intentionally left blank 3 34 0070 10 0556 02 Spectrum Spectrum OR Service Manual ivo Calibration Procedure 41 Introduction The following procedures are provided to verify the proper operation of the Spectrum Spectrum OR Monitor Service Diagnostics provide the capability of diagnosing problems within the Spectrum Spectrum OR hardware A menu driven interface similar to that of the Spectrum Spectrum OR User Interface is used to execute all tests CAUTION Calibration is not to be performed while monitoring a patient 4 2 Warning and Guidelines In the event that the instrument covers are removed observe the following warnings and ge
35. 4 Connector shell Shield drain wire BLK siv FIGURE 1 15 IABP Cable ECG IBP P N 0012 00 1650 01 Spectrum Spectrum Service Manual 0070 10 0556 02 Serial Port to RJ 45 Cable VISA 20 1 21 Repair Information Serial Port to RJ 45 Cable VISA P N 0012 00 1299 01 Spectrum only P1 P2 lt 10 ft 1 in Connector shield Pin 1 Pi P2 Cable shield FE 1 ECL NC 6 9 iN i 4 2 242 5 gt 3 4 4121 5i 6 9 FIGURE 1 16 Serial Port to RJ 45 Cable VISA 0070 10 0556 02 Spectrum Spectrum OR Service Manual BISx Module Repair Information 122 BISx Module P N 0992 00 0236 01 Spectrum OR only BISx Interface Cable P N 0012 00 1665 01 Patient Interface Cable PIC P N 0012 00 1666 01 FIGURE 1 17 BISx Module Front View 1 23 BISx Sensors P N 0020 00 0491 01 02 and 03 Spectrum OR only Bis Bis Bis X reno Q g A T h PEDIATRIC FIGURE 1 18 BISx Sensors Spectrum Spectrum OR Service Manual 0070 10 0556 02 1 21 Beep Tones 1 24 Beep Tones Repair Information The following tables describe the beep tones associated with the Spectrum and Spectrum OR monitors POWER SPECTRUM AND SPECTRUM Normal Operation 1 beep Runtime Stack Fail
36. 4 14 Dump Test NIBP Tests 1 Connect the dummy cuff test chamber to the side panel fitting 2 Select Dump Test using the Navigator knob to activate the test 3 Adult or 5 seconds Neonate the unit will dump the pressure to approximately 15 mmHg adult or 5 mmHg Neonate The result of the test will be displayed on the Screen The chamber will inflate to The dump valve will start to deflate at After 10 seconds Specifications Specifications ADULT 270 mmHg 170 mmHg 260 mmHg 150 mmHg 15 mmHg 5 mmHg Dump Rate 260 to 15mmHg 10sec or less Adult 500cc test chamber Dump Rate 150 to 5mmHg 5sec or less Neonate 500cc test chamber Dump Rate 260 to 15mmHg 14sec or less Adult 700cc test chamber Dump Rate 150 to 5mmHg 7sec or less Neonate 700cc test chamber Spectrum Spectrum Service Manual 0070 10 0556 02 4 13 Diagnostics 4 4 6 6 Bleed Rate Test Calibration Procedure The purpose of this test is to verify the valves that control the bleed rate are functioning properly NIBP Tests Previous Menu Overpressure Voltage Setpoint Static Pressure Calibration All Off Motor Pump Test Leak Test 250mmHg Leak Test 150mmHg Leak Test 50mmHg Dump Test Adult Dump Test Neonate Bleed Rate Test Qverpressure Test Adult Test Pediatric Overpressure Test Neonate Press the contro
37. 5 Remove the five screws that secure the Panel board to the front housing and place to the side Lift the board up and out 6 Remove the Keypad cable assembly from J10 7 Remove the two screws that secure the Speaker holder assembly Remove speaker assembly 8 Remove the two screws that secure the High voltage inverter board to the left rail assembly 9 Remove the high voltage cable assembly from J2 of the inverter board Place board assembly to the side 10 Turn the front assembly over and remove the encoder knob from the front 11 Remove the nut and washer that secures the encoder to the front housing Push the encoder out the back of the housing and place to the side 12 Turn the front housing back over 13 Remove the two standoffs below the display and place to the side 14 Remove the four screws that secure the Display assembly to the front housing brackets 15 Slide the Display to the bottom of the front housing and lift the right side past the bracket to remove the display Spectrum Spectrum Service Manual 0070 10 0556 02 1 3 Disassembly Instructions Repair Information Removal of the Module Interface Board 1 Remove the front housing as stated in Removal of the Front Housing on page 1 3 2 Remove the four screws that secure the board to the main frame 3 Lift board and remove Removal of the Main CPU board Main Frame 1 Remove the front housing assembly as stated in Removal of the
38. 6 00 0052 01 the Spectrum Spectrum OR is capable of storing up to 500 trend values for each parameter and for Spectrum only up to 12 hours of OXY CRG data This feature is added to the Spectrum Spectrum OR by inserting the Extended Trend card P N 0996 00 0052 01 into slot PCM1 on the right side of the monitor The card should be inserted before monitor power up and never removed during monitor operation In order to guard against accidental removal the card slot is designed so that a tool is required to eject the card after insertion The Extended Trend feature is automatically enabled when the unit is powered up following card insertion NOTE All prior trended information is lost upon installation of the Extended Trend feature Software Download Download Operation A download flashcard must be installed in PCMCIA slot PCM2 prior to power up When the unit is powered on the valid download card will be read and downloaded to the Host CPU module only While the images are being downloaded a beep will sound approximately once every second until the download is complete Once complete the unit will then run automatically first displaying the Spectrum Spectrum OR logo then proceeding to normal runtime mode A display box will be displayed if it is determined that the images downloaded to the Host CPU module do not match the images in the attached CP and or Frontend modules and or EPM modules This display box shown be
39. 82 01 36 421 T Interface J9 CommiPort Batteries EM fd Keypad Panel n interface Interface Bd Speaker Keypad Overlay E Keypad Switch Assembly LCD Display BisX Module q d RR BISX Sensors FIGURE 2 2 Spectrum OR Block Diagram DESCRIPTION PART NUMBER DESCRIPTION PART NUMBER Recorder Assembly 0683 00 0465 01 NIBP Board 0670 00 0746 01 Recorder Board 0670 00 0695 NIBP Board 0670 00 0798 01 Fan 0012 00 1622 01 Patient Connector Board 0670 00 0682 01 Power Switch 0012 00 1231 SpO Module Masimo 067 1 00 0055 Power Supply 0014 00 0250 or SpO Module Nellcor Oximax 067 1 00 0066 0014 00 0251 Batteries 0146 00 0043 or SpO Interface Board Nellcor 0670 00 0785 01 0146 00 0069 Panel Keypad Board 0670 00 0735 SpO Interface Board Masimo 0670 00 0785 03 LCD Display 0160 00 0094 Oridion Module 067 1 00 0164 03 Oridion miniMediCO Module 067 1 00 0089 01 Keypad Overlay 0330 00 0037 XX Power Cord Domestic 0012 25 0001 Keypad 033 1 00 0120 Power International 0012 25 0002 Speaker 0012 00 0257 06 External Module Interface Board 0670 00 1155 01 NOTE See Isometric Drawings and Parts List for a complete list of Part Numbers Spectrum Spectrum Service Manual 0070 10 0556 02 Block Diagram Block Diagrams Patient Connector Board Temp IBP 3 IBP 4 Spectrum CPU Board External Module Interface Board External Device FI
40. Air dry the cuff thoroughly after washing NOTE Machine washing may shorten the service life of the cuff Disinfection The cuff may be disinfected with a damp cloth with 70 ethanol or 70 isopropanol It may also be disinfected with ultraviolet The bladder can only be disinfected with ultraviolet NOTE Prolonged use of disinfectant may cause discoloration of the cuff Replace the bladder after cleaning and disinfecting the cuff as follows 1 Place the bladder on the top of the cuff as the figure shows Spectrum Spectrum Service Manual 0070 10 0556 02 5 3 Care and Cleaning of Gas Module Preventative Maintenance 5 7 2 5 7 3 5 8 2 Roll the bladder lengthwise and insert it into the large opening See the figures below 3 Hold the hose and the cuff and shake the complete cuff until the bladder is in position 4 Thread the hose from inside the cuff and out through the small hole under the internal flap CAUTION Do not dry clean the cuff Do not press the cuff with a hot iron Do not use detergent and disinfectant other than 70 ethanol or 70 isopropanol Clean and disinfect the cuff according to the instructions Reusable Bladderless Cuffs Clean cuffs with warm water and a mild detergent Do not use a detergent containing hand conditioners softeners or fragrances NIBP cuffs can be sterilized with gamma sterilization without effecting the repeated performance of the cuff Steam sterilization
41. Check Patient No Alarm printout with Alarm violation Print on Alarm is set to Off Go to Print Menu and set Print on Alarm to On Spectrum Spectrum Service Manual 0070 10 0556 02 Troubleshooting Menus 1 25 13 1 25 14 Trends Troubleshooting MESSAGE PROBLEM No Trends displayed REASON No Trend triggers set Trend page is scrolled Repair Information SOLUTION Go to the Monitor Setup Menu and set NIBP Trend Trend Interval or Alarm Trend as desired Use scroll button in Trend Menu to scroll to top of Trend Menu Printer Recorder Troubleshooting MESSAGE PROBLEM Recorder Report Appears Totally Blank REASON Thermal paper may be installed incorrectly up side down SOLUTION Remove paper and re install with paper feeding off of the spool from the bottom Local Printer Door Open The printer door is not closed Close the printer door Local Printer Out Of Paper Printer out of paper Replace with a new roll of paper Printer Busy Printer received multiple print requests at one time Wait until the printer is not busy Local Printer Unable To Print The system has detected an unrecoverable printer failure Power cycle unit If message reappears contact Customer Support Check Laser Printer Laser printer is busy disconnected out of paper or has a fault condition Check laser printer No print on Alarm Alarm printing not active G
42. Connector w CO w IBP Masimo Italian 0334 00 1501 042 7 Label Patient Connector w CO no IBP Nellcor Italian 0334 00 1501 045 7 Label Patient Connector w CO IBP Masimo Italian 0334 00 1501 046 7 Label Patient Connector w CO w IBP Nellcor Dutch 0334 00 1501 051 7 Label Patient Connector w CO w IBP Masimo Dutch 0334 00 1501 052 7 Label Patient Connector no w IBP Nellcor Dutch 0334 00 1501 053 7 Label Patient Connector no w IBP Masimo Dutch 0334 00 1501 054 7 Label Patient Connector w CO no IBP Nellcor Dutch 0334 00 1501 055 7 Label Patient Connector w CO no IBP Masimo Dutch 0334 00 1501 056 7 Label Patient Connector w CO2 w IBP Nell Br Portuguese 0334 00 1501 081 7 Label Patient Connector w CO2 w IBP Mas Br Portuguese 0334 00 1501 082 7 Label Patient Connector w CO2 w o IBP Nell Br Portuguese 0334 00 1501 085 7 Label Patient Connector w CO2 w o IBP Mas Br Portuguese 0334 00 1501 086 7 Label Patient Connector w CO w IBP Nellcor Oximax 0334 00 1501 101 English 7 Label Patient Connector w IBP Nellcor Oximax 0334 00 1501 103 English Italian Br Portuguese 7 Label Patient Connector w CO no Nellcor Oximax 0334 00 1501 105 English 7 Label Patient Connector no no IBP Nellcor Oximax 0334 00 1501 107 English French Spanish Italian Dutch Br Portuguese 7 Label Patient Connector w CO w IBP Nellcor Oximax 0334 00 1501
43. DISCHARGE key Spectrum or the TRENDS key Spectrum OR while powering ON the monitor 5 Select Copy monitor defaults to card A status message will report completion of the transfer 6 Select Save Current and power cycle the receiving monitor fo enter normal monitoring mode 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information Installation Menu 1 26 3 Option Installation Install option PCMCIA card P N 0996 00 0053 into slot PCM2 2 Select Install from the menu selection Press the Navigator knob to activate new option 3 Verify proper operation as stated in chapter 4 0 Spectrum Spectrum OR Service Manual 0070 10 0556 02 1 41 System Information Menu 1 27 System Information Menu Repair Information Previous Menu Property of Location Department Contact Phone Accutorr Baud Rate DIAP Baud Rate Enable Network IP Address Subnet Mask ID Wireless IP Address Wireless Subnet Mask ID Laser Printer IP Address Network Name Device ID Select to return to previous menu System Information FIGURE 1 20 System Information Menu This menu is accessed by selecting System Information from the Installation Menu Information is entered via a on screen keyboard Select each letter using the Navigator Knob When finished rotate to Previous Menu and select using the Navigator Knob MENU TITLE ON MENU
44. E p pass Length 6 ER 5 Length 6 FIGURE 1 2 VGA Extension Cables DESCRIPTION PART NUMBER LENGTH FT Terminated 0012 00 0852 01 6 Open Ended Unterminated 0012 00 0852 02 25 Open Ended Unterminated 0012 00 0852 03 50 Open Ended Unterminated 0012 00 0852 04 100 1 8 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information Serial Port to Gas Module II SE SE with Spirometry Cable P N 0012 00 1276 1 9 Serial Port to Gas Module II SE SE with Spirometry Cable P N 0012 00 1276 XX 01 12 9 pin mini D serial to 25 pin D shell 02 72 9 pin mini D serial to 25 pin D shell L 2X 1 00 13 9 5 B U U SEE DETAIL A DETAIL A P1 P2 1 4 N C N C 24 25 2 23 O 4 lt N C N C 8 21 P gt 7 6 9 N C N C 1 6 FIGURE 1 3 Serial Port to Gas Module II SE SE with Spirometry Cable P N 0012 00 1276 XX Spectrum Spectrum Service Manual 0070 10 0556 02 Serial Port to Serial Port Cable P N 0012 00 1275 01 1 10 Serial Port to Serial Port Cable P N 0012 00 1275 01 1 pa Female e Female BC juj 40 ft 1 in L8 REC Ct 9 Cable Shield Connector Shie
45. Front Housing page 1 3 2 Remove the NIBP Pump assembly and bracket as stated in Removal of the NIBP Pump on page 1 4 3 Remove the eight 8 screws that secures the metal shield to the back housing 4 Remove the Power Supply assembly from the rear of the unit as stated in Removal of the Power Supply on page 1 6 Once the Power Supply is removed carefully lift the Main CPU assembly up about one inch 5 Disconnect the Recorder cable from J8 6 Disconnect the connector J13 power switch 7 Disconnect the connector from J 23 module 8 Disconnect the SpO connector from the board assembly Masimo or Nellcor 9 Disconnect the connector J203 Panel board 10 Carefully lift the CPU board assembly from the back housing 11 Carefully angle and lift the CPU board assembly from the back housing 12 Disconnect the connector from J202 and remove 5 assembly 13 Remove the ten screws that secure the CPU board to the metal frame Removal of the NIBP Pump 1 Remove the Front housing assembly as stated in Removal of the Front Housing page 1 3 2 Disconnect the tubing from the inline pump filter 3 Disconnect the connector from J8 4 Remove Pump assembly from holding bracket Removal of the NIBP Module 1 Remove the Front housing assembly as stated in Removal of the Front Housing on page 1 3 2 Remove the NIBP Pump as stated Removal of the NIBP
46. GURE 2 3 Block Diagram External Parameter Module Main Board DESCRIPTION PART NUMBER External Parameter Module Main Board 0670 00 0734 01 Connector Panel Board 0670 00 0738 01 Keypad 033 1 00 0118 Keypad Overlay IBP 3 4 T2 0330 00 0038 XX Interface Board 0670 00 1155 01 NOTE See Isometric Drawings and Part List on page 3 1 for a complete list of Part Numbers 0070 10 0556 02 Spectrum Spectrum OR Service Manual Isometric Drawings and Part List 3 1 Introduction This chapter provides information necessary to identify the replacement parts and assemblies of instruments Spectrum Spectrum OR Service Manual 0070 10 0556 02 Top Level Assembly Top Level Assembly 3 2 Isometric Drawings and Part List REAR 150 VIEW u gt o E E z 5 0070 10 0556 02 FIGURE 3 1 Top Level Assembly Spectrum Spectrum OR Service Manual Isometric Drawings and Part List ITEM NO DESCRIPTION PART NUMBER T label Rear Information Specrum 0334002623 1 Label Rear Information Spectrum OR 0334 00 1724 2 Label Right Side 0334 00 1528 3 Cover Assembly Docking Connector 0198 00 0037 4 PCMCIA Card Dummy 0380 00 0372 5 Bracket View 12 PCMCIA Option
47. HEADER 72 RESISTORS INSTRUMENT YOKE RESISTORS INSTRUMENT POSITIONS n POSITIONS acc CONNECTOR POSITIONS POSITIONS 10 5 qu ver EN RUN Q 50 OEB 0 10 B LAIL 0 410 B LA L 8 30 C LUF 8 30 O C LUF pun qoem in 1 20 A RAIR T 20 O A RAIR 122218 122 8 D 1 O 1 1 O D VIC 1 amp h 222 Non ESIS ESIS FIGURE 1 10 Panorama Mobility Cable ESIS and Non ESIS ANSI AAMI EC53 1995 IEC CONVENTIONAL STANDARD LEAD COLOR LEAD COLOR V Brown Chest White Right Arm RA White Right Arm R Red Left Leg LL Red Left Leg F Green Left Arm LA Black Left Arm L Yellow Right Leg RL Green Right Leg N Black 1 16 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information 1 17 View 12 Card Assembly P N 0992 00 0155 01 Spectrum Only View 12 Card Assembly FIGURE 1 11 View 12 Card Assembly DESCRIPTION PART NUMBER NOTE Cable Assembly Kit 0040 00 0324 Includes Cable Assembly Cover Label View 12 PCMCIA Card 0996 00 0065 01 1 18 12 Lead Wire Set P N 0012 00 141 1 02 Domestic and P N 0012 00 141 1 03 IEC Spectrum Only Not Included with View 12 Card Assembly RL 6 IEC International AAMI ANSI Domestic FIGURE 1 12 12 lead Wir
48. Hg Pediatric or 200 mmHg Neonate or 150 0 mmHg Hardware Trip points Specifications Adult lt or 330 mmHg Pediatric lt or 220 mmHg Neonate or 165 mmHg NOTE For Spectrum only due to safety conditions the unit must be reset after each Overpressure Test with sofrware G 10 or lower 3 Press the print key to send the test result to the local printer Spectrum Spectrum Service Manual 0070 10 0556 02 4 15 Diagnostics Calibration Procedure 4 4 7 4 4 7 1 Error Log Refer to section 4 4 to enter the Diagnostic Main Menu Diagnostics Main Menu Diagnostics Test Error Log gt System Information Press control knob to view Diagnostics Menu FIGURE 4 17 Error Log Error Log in Memory Error Log Previous Menu Errors Logged in EMS Error Log 11 14 02 17 09 00 BOARD UNDTYPE Informational rrovtip exx line 272 ARGI Ox00000000 ARG2 0 00000000 Communications Failure Dump Printer 11 14 02 17 09 00 BOARD UNDTYPE Informational Clear rrovtip exx line 272 ARGI 0 00000000 ARG2 0 00000000 Communications Failure 11 14 02 17 09 00 BOARD UNDTYPEInformational rrovtip exx line 272 ARGI Ox00000000 ARG2 0 00000000 Communications Failure 11 14 02 17 09 00 BOARD UNDTYPE Informational rrovtipexx line 272 ARGI 0 00000000 ARG2 0 00000000 Communications Failure 11 14 02 17 09 00 BOARD UNDTYPEInformational
49. Net menu choices are present only if options are installed DEFAULT None Repair Information ACTIONS COMMENTS Select to set up a serial output protocol port Set up Serial Port 2 None VISA with admit DIAP Accutorr Gas Module Patient Net menu choices are present only if options are installed None Select to set up a serial output protocol port Re boot in demo mode Yes No No Set to YES to start the monitor in demonstration mode on next power up Normal monitoring will resume after cycling power in demonstration mode Restore factory defaults Select to restore factory defaults System Information Select to set up users screen Change Password Select to change password Options Select to add view options Transferring Monitor Default Settings When installing several monitors with identical display and alarm settings a Transfer Card Spectrum P N 0996 00 0094 01 only Spectrum OR P N 0996 00 0171 01 only can be used to copy the settings from monitor to monitor 1 Insert the Transfer Card into the PCM2 slot on the right side of the source monitor 2 Access the Functions menu and select Copy monitor defaults to card from the menu A status message will report completion of the transfer 3 Remove the card and insert it into the PCM2 slot of the receiving monitor 4 Enter Installation Mode on the receiving monitor by pressing and holding the
50. P4 English German ltalian Japanese Br Portuguese Label Patient Connector T2 CO English Dutch Japanese Br Portuguese Label Patient Connector 2 English German French Spanish Italian Dutch Japanese Br Portuguese Label Patient Connector T2 IBP4 CO German Label Patient Connector T2 CO German Label Patient Connector T2 IBP4 CO French Label Patient Connector T2 IBP3 IBP4 French Label Patient Connector T2 CO French Label Patient Connector T2 IBP3 IBP4 CO Spanish Label Patient Connector T2 IBP3 IBP4 Spanish Label Patient Connector 2 IBP4 CO Italian Label Patient Connector T2 CO Spanish Italian Label Patient Connector T2 IBP4 CO Dutch Label Patient Connector T2 IBP3 IBP4 Dutch Label Keypad Filler Label Part Number Serial Number 0070 10 0556 02 External Parameter Module PART NUMBER 0380 00 0413 0380 00 0414 0380 00 0416 0367 00 0061 0226 04 0420 0331 00 0118 0670 00 0734 01 0670 00 0738 01 0380 00 0415 0214 00 0234 0212 12 0420 0212 12 0605 0334 00 2583 0334 00 2582 001 0334 00 2582 002 0334 00 2582 003 0334 00 2582 004 0334 00 2582 006 0334 00 2582 008 0334 00 2582 01 1 0334 00 2582 012 0334 00 2582 013 0334 00 2582 016 0334 00 2582 017 0334 00 2582 021 0334 00 2582 023 0334 00 2582 026 0334 00 2582 027 0334 00 2624 N A 27 8c 20 99 90 0
51. Pump on page 1 4 3 Disconnect the cable from J1 4 Unfasten the NIBP fitting on the side of the back housing with a 3 8 inch nut driver 5 Slide the NIBP module from the rear of the unit carefully and remove 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information Disassembly Instructions Removal of the Masimo 5 Module Remove the Front Housing assembly as stated Removal of the Front Housing on page 1 3 Remove the Main frame assembly as stated Removal of the Main CPU board Main Frame on page 1 4 Remove the three screws that secure the Masimo SpO module to the standoffs Remove the Cable assembly from J3 of the 5 Module Lift the Masimo 5 Module up and remove Removal of the CO Module 9 Remove the front housing assembly as stated Removal of the Front Housing on page 1 3 Remove the Main frame assembly as stated Removal of the Main CPU board Main Frame on page 1 4 Remove the Patient Connector Panel as stated in Removal of the Patient Connector Panel on page 1 5 Remove the four screws that secure the module to the back housing assembly 10 Lift the Module up and out of the back housing Removal of the Patient Connector Panel Remove the two screws that secure the Patient Connector Panel housing the back housing Slide the Patient Connector housing toward the back Swing the housing open and remove the exhaust tubin
52. SWI TO ET ALL OTHE ITI TO OFF 12 12 LACE LN b Jg 91 T ISO VIEW EXPLODED 27 ALE CABLING VIEW FIGURE 3 10 Rear Housing Assembly For use with Spectrum P N 0998 00 1000 and Spectrum OR P N 0998 00 1500 A quiessy ISI 7095500 1 0200 I e e 4 d Te 5 DETAIL 8 c 20 SNAP FILTER UNDER CLIP EE DETAIL B HER SUPPLIED WITH 1 C FITTING OF ITEM 15 TEM 15 PLACES 0212 12 0404 FIGURE 3 11 Rear Housing Assembly 451 sBulmosg A quiessy 91 20 949590 01 0200 A quiessy WOO arama
53. Service Manual Datascope Spectrum Datascope Spectrum Datascope mindray Spectrum Os Patient Monitor Setup Print Setup Parameters Functions JONI amp wlll NIBP Idle NIBP ALARMS PRINT LEAD START J ed UMTS STRIP STANDBY Bs SIZE INTERVAL TRENDS SPIROMETRY vew so 2 PAWP MUTE MH gt 1 i 5 NORTH AMERICA Service Manual Datascope Spectrum Datascope Spectrum NORTH AMERICA 4 2000 is a trademark of Aspect Medical Systems Inc Abbott is a US registered trademark of Abbott Laboratories Aspect is a trademark of Aspect Medical Systems Inc Bispectral Index is a trademark of Aspect Medical Systems Inc BIS is a trademark of Aspect Medical Systems Inc BISx is a trademark of Aspect Medical Systems Inc CapnoLine is a trademark of Oridion Medical Lid Durasensor is a US registered trademark of Nellcor Puritan Bennett Inc Edwards is a U S registered trademark of Edwards Lifesciences Corporation FilterLine is a US registered trademark of Oridion Medical LaserJet is a U S registered trademark of Hewlett Packard LNOP is a U S registered trademark of Masimo Corp Masimo SET is a US registered trademark of Masimo Corp Max Fast is U S registered trademark of Nellcor Puritan Bennett Inc MediCO is a registered trad
54. Spectrum Spectrum OR Service Manual Calibration Procedure 4 6 2 4 6 2 1 4 6 2 2 4 6 2 3 Spectrum Spectrum OR Service Manual Verification ECG Tests Initialization 1 2 Observe that the trace display sweeps across the waveform 1 screen in five 5 seconds There should be five 5 complete ECG cycles The same display and timing should be seen on the Waveform 2 screen Check the following sweep speeds for the appropriate displays 12 5 mm sec 10 second sweep window Leads OFF 1 2 Disconnect one lead at a time RA RL LL LA and C V from the simulator and observe that the message Lead OFF appears on the display Set the ECG simulator to Short Leads Verify that the resolution does not exceed one pixel Pacer Detect l 2 3 Set the Pacer Enhancement feature to ON in the ECG Setup Menu Set the ECG simulator to Ventricular Pacer Verify the pacer pulse yellow line is displayed before the R wave of the QRS signal n 4 22 99 14 33 Patient ADT Monitor Setup Printer Setup Parameters Functions Doe John Adult Message Area i C BPM G Source R gt Lead mm s II 0 2 i i i E E T v2 0 1 1 V3 0 3 Insp Exp o mmHg E 1 RR CO2 14 bpm i Spo2 PR r _ 2 9 T 81 bpm T Sys Dia N Sys Dia E P 1
55. Statements 5 13 2 Preventative Maintenance Calibration may be performed without the need to disassemble the instrument It is the responsibility of the purchaser to perform calibration as necessary in accordance with the instructions provided in this manual International excluding North America Mindray DS USA Inc warrants that its products will be free from defects in workmanship and materials for a period of two 2 years from the date of purchase except that disposable or one time use products are warranted to be free from defects in workmanship and materials up to a date one year from the date of purchase or the date of first use whichever is sooner This warranty does not cover consumable items such as but not limited to batteries external cables sensors cuffs hoses or mounts Mindray DS USA Inc shall not be liable for any incidental special or consequential loss damage or expense directly or indirectly arising from the use of its products liability under this warranty and the buyer s exclusive remedy under this warranty is limited to servicing or replacing at Mindray DS USA Inc s option at the factory or at an authorized Distributor any product which shall under normal use and service appear to the Company to have been defective in material or workmanship No agent employee or representative of Mindray DS USA Inc has any authority to bind Mindray DS USA Inc to any affirmation representation or war
56. al 0380 00 0399 01 6 Keypad Overlay English Spectrum 0330 00 0037 01 6 Keypad Overlay German Spectrum 0330 00 0037 02 6 Keypad Overlay French Spectrum 0330 00 0037 03 6 Keypad Overlay Spanish Spectrum 0330 00 0037 04 6 Keypad Overlay Italian Spectrum 0330 00 0037 05 6 Keypad Overlay Dutch Spectrum 0330 00 0037 06 6 Keypad Overlay Br Portuguese Spectrum 0330 00 0037 08 6 Keypad Overlay English Spectrum 0330 00 0058 01 7 Label Patient Connector w CO gt w IBP Nellcor English 0334 00 1501 001 7 Label Patient Connector w CO w IBP Masimo English 0334 00 1501 002 7 Label Patient Connector w IBP Nellcor English Italian 0334 00 150 1 003 Br Portuguese 7 Label Patient Connector w IBP Masimo English Italian 0334 00 1501 004 Br Portuguese 7 Label Patient Connector w CO no IBP Nellcor English 0334 00 1501 005 7 Label Patient Connector w CO no IBP Masimo English 0334 00 1501 006 Z Label Patient Connector no no IBP Nellcor English French 0334 00 1501 007 Spanish Italian Dutch Br Portuguese 7 Label Patient Connector no no IBP Masimo English French 0334 00 1501 008 Spanish Italian Dutch Br Portuguese 7 Label Patient Connector w CO w IBP Nellcor German 0334 00 1501 011 7 Label Patient Connector w CO w IBP Masimo German 0334 00 1501 012 7 Label Patient Connector no w IBP Nellcor German 0334 00 1501 013 7 Label Patient Connector no
57. ar of the unit and separate the front and rear housing 3 Remove the NIBP Pump assembly and bracket from the Main Assembly Be sure to reattach NIBP pump cable to module before next step 4 Locate R81 on the NIBP Module Turn unit on and enter the Diagnostic Mode as stated in section 4 4 Reenter the diagnostics menu and select the Static Pressure Calibration Menu 5 Manually inflate the chamber to 150mmHg Spectrum Spectrum Service Manual 0070 10 0556 02 4 9 Diagnostics Calibration Procedure 6 Adjust R81 potentiometer and verify the linearity accordingly See Figure 4 11 Specifications 150 mmHg 1 7 Reassemble unit and verify the following static pressure points to ensure proper calibration Specifications 30 mmHg 100 mmHg 150 mmHg 190 mmHg and 250 mmHg 3 mmHg Static Calibration Setup um NIBP Test Digital Mercury Manometer 150 mmHg Static Pressure Calibration Transducer 150 0 mmHg T Fitting NIBP Module VR 81 anni afl 11 well gt Bulb Valve Bulb S 693cc Squeeze Test Chamber Bulb P N 0138 00 0001 01 NIBP Front Detail View FIGURE 4 11 Static Calibration screen 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure 4 4 6 3 Spectrum Spectrum OR Service Manual Motor Pump Test The purpos
58. cable Slide the power supply out of the opening and remove Removal of the Battery Holder Assembly 1 Be sure the batteries are removed from the battery holder assembly Remove front housing assembly as stated in Removal of the Front Housing on page 1 3 Remove the main frame assembly as stated in Removal of the Main CPU board Main Frame on page 1 4 Remove module and mounting brackets Remove the five screws that secure the housing to the back housing Lift and remove the battery holder assembly Removal of the 608 MHz Radio Assembly 1 2 Remove the 2 screws from the radio assembly base Pull the assembly back from the monitor and place to the side 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information Nurse Call Cable 3 Pin Circular to Unterminated 1 7 Nurse Call Cable 3 Pin Circular to Unterminated 17 1 P N 0012 00 1277 01 02 6 ft 1 in gt lt 3 muH gt 1 in 13 in 9 ft 6 in gt Cable shield NC NO shield 2__ Connector shield Circuit Board FIGURE 1 1 Nurse Call Cable 3 Pin Circular to Unterminated Spectrum Spectrum OR Service Manual 0070 10 0556 02 1 7 VGA Extension Cables Repair Information 1 8 VGA Extension Cables 1 8 1 Male 15 Pin D Shell to Female 15 Pin D Shell and Open Ended to Female 15 Pin D Shell
59. ch Spectrum OR only Enable Mute All Permanent Selection Spectrum OR only Enable Arrhythmia All Off Selection Spectrum OR only Temperature Units Weight Units Height Units Units SpO Tones Spectrum OR only Copy monitor defaults to card Copy monitor defaults from card Set up Serial Port 1 Set up Serial Port 2 Re boot in demo mode Restore factory defaults System Information Change Password Spectrum OR only and Options 1 Enter Installation Mode by pressing and holding the DISCHARGE key Spectrum or the TRENDS key Spectrum OR while powering ON the monitor 2 Seteach item as necessary The operation of the menu is the same as that of the normal operating mode To save all of the selected settings choose Save Current before exiting this menu To access the normal operation screen power the unit OFF and ON again 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information The following table describes the Installation Menu structure MENU TITLE ON SCREEN MENU CHOICES DEFAULT Installation Menu ACTIONS COMMENTS Save Current Select to save current settings as defaults Select Language Set up at factory Select to change language Select Country Set up at factory Select to change country Date Format M D Y D Y M Per country Select to change date format Time Format 12 24 hour Per country Select to chan
60. dure If problem persists contact Customer Support GM N20 Uncalibrated Appears after an unsuccessful calibration attempt of the sensor The numeric data for N2O will appear as and waveform will be a flatline Ensure proper gas mixture is attached tightly and regulator is on Repeat calibration procedure If problem persists contact Customer Support GM Agents Uncalibrated Appears after an unsuccessful calibration attempt of the agent sensor The numeric data for all agents will appear as and the agent waveform will be a flatline Ensure proper gas mixture is attached tightly and regulator is on Repeat calibration procedure If problem persists contact Customer Support GM Failed Appears when the Gas Module detects an unrecoverable error in its own operation Contact Customer Support GM Disconnected Appears when the Spectrum cannot detect signals being sent by the Gas Module Ensure Gas Module is turned on and interface cable is properly connected If problem persists contact Customer Support 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information MESSAGE PROBLEM Sampling Error REASON Appears when a sampling error occurs on one or more Gas Module channels during calibration Troubleshooting Menus SOLUTION Repeat calibration procedure If problem persists contact Customer Support Not Ready For Calibratio
61. e Set Spectrum Spectrum Service Manual 0070 10 0556 02 Cardiac Output Cable 1 19 Cardiac Output Cable Repair Information P TEMPERATURE P2 CATHETER lt BLK RET E SHIELD 2 RET RED ITI 2 5 ITI 8 112 4 lt NIC BLK RET T cid SHIELD RET 229 ORN CIT RET 3 CIT RED CTR lt NC 6 CIR 4 RET SCHEMATIC DIAGRAM FIGURE 1 13 Cardiac Output Cable P N 0012 00 1447 01 0070 10 0556 02 P3 Spectrum Spectrum OR Service Manual Repair Information 1 20 IABP Cable 1 20 1 ECG Only IABP Cable l m MEME P2 1 ECG 2 PRES GNDA AN 4 GNI DOUT CONNECTOR SHELL SHIELD DRAIN WIRE FIGURE 1 14 IABP Cable ECG Only P N 0012 00 1459 01 1 20 2 ECG IBP only for serial numbers MSXXXXX K5 and higher i 3 xpo P2 1 1 E 7 2 A L 4 YR 3 P1 5 P3 8 7 P1 5 Ace E P2 ECG 1 ECG 1 a i PEN AOUT2 PRESS 2 BLK BLK suv F GNDA 3 I 4 N C GND 5 DOUT 6 N C P3 PRESS BRN TIP Paar RING
62. e as the primary agent and the manually selected agent is not Sevoflurane Match the Agent administered with the Agent selected or select Agent Auto ID GM Agent Mismatch DES Appears when the system detects Desflurane as the primary agent and the manually selected agent is not Desflurane Match the Agent administered with the Agent selected or select Agent Auto ID GM Unknown Agent Appears when the system detects a gas that does not match the spectroscopic signatures of the five known anesthetic agents Use recognized agent GM Cannot Zero RETRYING Appears when the Spectrum requests Zeroing either on the automatic cycle or by a user request and the Gas Module is unable to initialize the cycle Allow system to retry without intervention If problem persist contact Customer Support GM Uncalibrated Appears after an unsuccessful calibration attempt of the sensor The numeric data for will appear as and the waveform will be a flatline Ensure proper gas mixture is attached tightly and regulator is on Repeat calibration procedure If problem persists contact Customer Support GM Uncalibrated Appears after an unsuccessful calibration attempt of the sensor The numeric data for O will appear as and the waveform will be a flatline Ensure proper gas mixture is attached tightly and regulator is on Repeat calibration proce
63. e been updated to reflect product design changes and or manual improvements Note Unauthorized servicing may void the remainder of the warranty Check with the factory or with a local authorized representative to determine the warranty status of a particular instrument Warning The Spectrum Spectrum OR operates on line voltages Therefore an electric shock hazard may exist when the instrument covers are removed Repair and calibration procedures should only be performed by qualified personnel who proceed with care and follow proper servicing techniques Warnings are given in various Chapters as well as in other appropriate locations Spectrum Spectrum OR Service Manual 0070 10 0556 02 v Introduction Warning This page intentionally left blank vi 0070 10 0556 02 Spectrum Spectrum OR Service Manual i Repair Information 1 1 Introduction This chapter of the Service Manual provides the necessary technical information to perform repairs to the instrument The most important prerequisites for effective troubleshooting are through understanding of the instrument functions as well as understanding the theory of operation 1 2 Safety Precautions In the event the instrument covers are removed observe the following warnings and guidelines 1 Do not short component leads together 2 The instrument covers must not be removed by other than qualified technical personnel who have received supplementary ins
64. e for approximately 15 to 20 seconds 4 Verify on screen the following values a Electrode 1 4 k ohms b Electrode 2 8 17 ohms c Electrode 4 3 5 k ohms d Electrode 3 2 4 k ohms NOTE Do not bend BISx Sensor Simulator Bending could result in damage to the components and could compromise the functionality of this tool 4 24 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure Verification 4 6 11 Leakage Current Tests 1 Plug the line cord of the unit into the safety analyzer Connect the case ground lead of the analyzer to the equipotential lug of the monitor on the rear of the monitor 2 Perform the tests under the following conditions a Case Grounded Normal polarity Normal polarity with open neutral Case ungrounded Normal polarity Normal polarity with open neutral Reverse polarity Specifications Verify the current reading of the test is less than 100 pA under normal operating conditions Less than 300 pA under a single fault condition for 120 VAC and less than 500 pA under a single fault condition for 230 VAC Patient Leakage 1 Lead to ground Sink Current Patient circuit Test V Model 431 Dempsey patient leakage with line voltage on leads 2 Connect the ground wire from the safety analyzer the equipotential lug of the monitor 3 Connect the ECG cable from the Analyzer to the monitor 4 On the safety analyzer depress the Apply 115 VAC button and
65. e of this test is to determine if the output of the pump is adequate NIBP Tests Previous Menu OQverpressure Voltage Setpoint Static Pressure Calibration All Off Motor Purnp Test Leak Test 250mmHg Leak Test 150mmHg Leak Test 50mmHg Dump Test Adult Dump Test Neonate Bleed Rate Test Qverpressure Test Adult Overpressure Test Pediatric Overpressure Test Neonate Press the control knob to activate the Motor Pump Test FIGURE 4 12 Motor Pump Test 1 Connect the dummy cuff test chamber to the side panel fitting Diagnostics 2 Select the Motor Pump Test using the Navigator control knob to activate the test 3 Target pressure of 300 mmHg will be displayed on the screen The time required to pump to 300 mmHg will also be displayed on screen Specifications Pump to 300 mmHg in 35 0 seconds 500 cc test chamber Specifications Pump to 300 mmHg in 49 0 seconds 700 cc test chamber 0070 10 0556 02 Diagnostics 44 6 4 Calibration Procedure Leak Test 250 mmHg 150 mmHg 50 mmHg The purpose of the leak test is to verify the leak rate of the pneumatic components NIBP Tests Previous Menu Voltage Setpoint Static Pressure Calibration All Off Motor Pump Test Leak Test 250mmHg Leak Test 150mmHg Leak Test 50mmHg Dump Test Adult Dump Test Neonate Bleed Rate Test Overpressure Test Adult
66. e system has been unable to successfully zero the N2O sensor Manually start zeroing the system again If problem persists contact Customer Support GM Agent Zero Error Appears when the system has been unable to successfully zero the anesthetic agent sensor Manually start zeroing the system again If problem persists contact Customer Support GM Pump Off Appears when the system has turned off the pump due to a pneumatic error Restart the pump from the Gas Menu If problem persists contact Customer Support GM Agent Mismatch HAL Appears when the system detects Halothane as the primary agent and the manually selected agent is not Halothane Match the Agent administered with the Agent selected or select Agent Auto ID GM Agent Mismatch ISO Spectrum Spectrum Service Manual Appears when the system detects Isoflurane as the primary agent and the manually selected agent is not Isoflurane 0070 10 0556 02 Match the Agent administered with the Agent selected or select Agent Auto ID Troubleshooting Menus MESSAGE PROBLEM GM Agent Mismatch ENF REASON Appears when the system detects Enflurane as the primary agent and the manually selected agent is not Enflurane Repair Information SOLUTION Match the Agent administered with the Agent selected or select Agent Auto ID GM Agent Mismatch SEV Appears when the system detects Sevofluran
67. ectrum Spectrum OR monitor to bring up the Cardiac Output menu 4 Select the CO Setup menu Select the Injectate Temp sensor to Inline Optional Set the Patient Size 72 0 in and Weight 200 165 accordingly 5 Connect the Cardiac Output cable P N 0012 00 1447 01 P3 to the Spectrum Spectrum OR 6 Connect the appropriate connectors P1 temp and P2 catheter to the simulator Netech Cardiac Output Microsim Turn on the simulator 7 Setthe Cardiac Output rate to 5 liters min 8 Set the blood temperature to 38 C 98 6 F 9 Set the injectate temperature to 20 C Press the Previous Menu key 10 Wait Inject When Ready on screen Verify that the Spectrum Spectrum OR monitor displays 38 0 0 2 C 98 6 2 F for blood temperature Tblood in the Temp file 11 When the Spectrum Spectrum OR displays the prompt Inject When Ready select the Start CO on screen Press the up arrow button on the simulator 12 Verify the Spectrum Spectrum OR displays 5 0 0 5 L min for Cardiac Output CO and 2 5 0 5 L min m for Cardiac Index CI in the CO tile 13 Repeat the above steps three times and verify no deviations occur 4 6 10 BISx Verification Setup 1 Connect the BISx sensor simulator to the BISx module via the patient interface cable 2 Enter the BISx Sensor Test menu by pressing the BIS key and selecting sensor check from the BIS menu 3 Allow the sensor to test the impedance of each electrod
68. emark of Oridion Medical Ltd miniMedicO 8 is a registered trademark of Oridion Medical Ltd Microstream is a U S registered trademark of Oridion Medical Ltd Navigator is a U S trademark of Mindray DS USA Inc Nelicor is U S registered trademark of Nellcor Puritan Bennett Inc NIV Line is a trademark of Oridion Medical Lid Oxiband is a US registered trademark of Nellcor Puritan Bennett Inc OxiMax is a US registered trademark of Nellcor Puritan Bennett Inc Oxisensor is a U S registered trademark of Nellcor Puritan Bennett Inc Oxismart is a U S registered trademark of Nellcor Puritan Bennett Inc Panorama is U S trademark of Mindray DS USA Inc Passport 2 is a US registered trademark of Mindray DS USA Inc PatientNet is US registered trademark of GE Medical Systems Information Technologies Spectrum is a U S registered trademark of Mindray DS USA Inc Spectrum OR is US trademark of Mindray DS USA Inc Velcro is a registered trademark of Velcro Industries B V View 12 is a US trademark of Mindray DS USA Inc Vigilance is a US registered trademark of Edwards Lifesciences Corporation Visa is a US registered trademark of Mindray DS USA Inc Copyright Mindray DS USA Inc 2008 All rights reserved Contents of this publication may not be reproduced in any form without permission of Mindray DS USA Inc 0070 10 0556 02 Spectrum
69. emperature not displayed Improper display setup Check display setup in Monitor Setup Menu and change as desired Cable not plugged in Check the cable Respiration and CO Troubleshooting MESSAGE PROBLEM REASON SOLUTION Resp Waveform Too Large Scales set inappropriately Change lead selection Change Respiration scale Resp Waveform Too Small Patient breathing is shallow or patient is turned on side Scale set inappropriately Change lead selection Change respiration scale False Apnea Alarm Apnea delay may be improperly set Patient may be having frequent episodes of CVA Scale size may be too low Choose an other apnea delay Reposition electrodes to better detect respirations Change Respiration scale No Resp Waveform or Rate Displayed Respiration turned Off Patient connected using ESIS choke cable Cable not connected Turn respiration On Off will be displayed in Resp window Check that proper patient cable is used Use non ESIS patient cable Check cable FilterLine Disconnected The FilterLine is not connected to the monitor Connect the FilterLine Warming Up The sensor has not reached its operating temperature The monitor was just turned on Wait for the message to go away It takes typically 30 seconds for the sensor to warm up CO Auto zero In Progress The sensor is performing a
70. et 0348 00 0201 item 13 for each display replacement 0070 10 0556 02 Spectrum Spectrum OR Service Manual Isometric Drawings and Part List Rear Housing Assembly gt g 22 9 e lt D E p 8 c I 8 8 S 5 i er Spectrum Spectrum OR Service Manual 0070 10 0556 02 3 9 01 6 20 949690 01 0200 21 495 YO EE DETAIL 4 icem vr Y wa 8 00 001 4 TALL THRU HOLE IN ITEM 3 HANDLE NAP INTO PLACE LACE DETAIL FIGURE 3 5 Rear Housing Assembly Sealed Lead Acid battery configuration A quiessy ISI 1 20 09 0 01 0200 11 8 LITHIUM ION BATTEROLDER FIGURE 3 6 Rear Housing Assembly Lithium lon battery configuration 4917 sBuiwpa A quiessy Rear Housing Assembly Isometric Drawings and Part List N A 0 0 lt gt gt e 5 8 5 25 8 gt lt a gt lt
71. g Apply 50 150 and 300 mmHg and verify that Sys Dia Mean parameters agree Apply 120 80 mmHg signal into IBP 1 and 3 apply a 60 20 mmHg signal into IBP 2 and 4 and verify that the correct waveforms are displayed on the screen Temperature Verification 400 Series Probe 1 2 Set the Simulator to 37 C Connect to the monitor using a 400 series probe Verify the temperature is 37 2 C 700 Series Probe Repeat same test for 700 series probe 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure Verification 4 6 5 SpO Verification 1 Set the display waveform 4 as Pleth Set the HR source to Auto 2 Verify that the 5 message is displaying SpO2 No Sensor in Message area B 3 Connect the SpO sensor to the panel connector Verify 5 message changes to Sensor Off or SpO Initializing 4 Apply sensor to finger 5 Verify SpO displays the pleth waveform and the SpO indicates a valid reading Verify the HR source is 5 and a beep tone is present 4 6 6 NIBP Verification 1 Connect the Adult cuff connector to the NIBP hose Attach the NIBP hose to the Cuff connection the left side on the monitor 2 Apply cuff and press the START key 3 Verify the pump motor starts to pump and inflates the cuff to 180 mmhg Adult The cuff will begin to deflate and obtain a blood pressure reading of Sys Dia Mean in about 20 to 30 seconds after peak pressure i
72. g connector and input connector retainer clip optional Disconnect the Ribbon cable assembly from the module Remove the two screws that secure the SpO connector to the Panel assembly Removal of the Recorder Assembly l 2 Open the recorder door and unloosen the captive screws in the rear of the recorder Slide the recorder from the opening and remove Removal of Recorder Interface Board Remove the Front Housing as stated in Removal of the Front Housing on page 1 3 Remove the Main frame as stated in Removal of the Main CPU board Main Frame on page 1 4 Remove the recorder assembly as stated in Removal of the Recorder Assembly on page 1 5 Remove the Cable assembly from J3 Remove the two screws and pull the board from the unit Spectrum Spectrum Service Manual 0070 10 0556 02 1 5 Disassembly Instructions Repair Information Removal of the Power Supply Peps 5 Insert a narrow flat blade into each of the four slots and release each tab Ensure not to damage each tab Remove the plastic cover Remove the four screws from the corners of the metal housing For units with Li ion batteries only control cable is connected to the power supply as shown in Figure 3 13 on page 3 17 The power supply cannot be completely removed without first disconnecting this cable Slide the power supply out of the rear of the monitor until the control cable connector is exposed Disconnect the control
73. ge time format NIBP Timeout 15 30 45 60 mins 15 Selects time old and data is removed from screen CO amp PAWP Timeout 15 30 45 mins 1 2 15 min Select to change CO Ahr and PAWP timeout Enable EPM Yes No No Select to enable module Apnea Latch On Off On Select to turn apnea alarm latching on or off Enable Mute All Yes No Yes Select to enable or Permanent Selection disable the Permanent Audio Off menu selection Enable Arrhythmia All Yes No No Select to enable or Off Selection disable the Arrhythmia All Off menu selection Temperature Units F USA Select to change C All others temperature units Weight Units lbs kg lbs USA Select to change weight kg All others units Height Units ft inches cm ft inches USA Select to change height cm All others units Units mmHg kPa mmHg Select to change CO units 5 Tones Standard Tones Standard Tones Select to change the Alternate Tones 5 tones Copy monitor defaults to card Select to copy the monitor defaults and settings to a data transfer card inserted into PCM2 Copy monitor defaults from card Select to copy the monitor defaults and settings from a data transfer card inserted into PCM2 Spectrum Spectrum Service Manual 0070 10 0556 02 Installation Menu 1 26 2 MENU TITLE ON SCREEN Set up Serial Port 1 MENU CHOICES None VISA with admit DIAP Accutorr Gas Module Patient
74. ge will change to Calculating calibration gas can be removed Release the button on the canister and remove the connector 8 After a moment the message will change to Calibration Completed Successfully The date and time of the successful calibration will appear in the Calibration Menu 9 Use the Navigator Knob to select Previous Menu 10 Use the Navigator Knob to select Normal Screen and return to the monitor s normal display screen 11 When the Spectrum Spectrum OR has detected valid breaths data will display for the Inspired and Respiratory Rate 12 The respiration waveform and data will automatically replace the ECG respiration waveform and data on the display If respiration wave or data is not displayed use the Display Setup Menu to select RESP or to be displayed as desired 13 The waveform scale can be changed by accessing the CO3 Menu NOTE Microstream waste and CO FilterLine should be treated as biohazardous waste 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure 4 6 Verification 4 6 1 Initial Set up Verification 1 Using a patient simulator connect the ECG IBP2 and temperature cables to the left side connector panel Set the ECG simulator for 60 bpms 1 QRS signal 2 Set up the Patient Menu for Adult Patient Size as follows A Monitor Setup 1 2 4 5 Print Setup 1 Paramete
75. icofipn ae ere d tr dene d e reed Cardiac Output Verification 55 et tc ettet ede Feet idet delete peret Fee fes BISx Verification Ji c Goo eene cas e aeneae ope S Leakage Current Tests ata ae dct e UR asus a RR EMEN HM EUR EO CORREO REUS Preventative Maintenance 5 T Preventative Maintenance Schedule a ae ei t aee e e BO qe qe 5 1 Mechanical Physical Visual Inspection Perform At Twelve Month Intervals csse 5 1 Perform Verification and NIBP Calibration Annually 1 Perform Verification Calibration 1 User Preventative Maintenance Introduction u 2 Care and Cleaning of the Monitor ccccesceesseeseeeseeseeeneeeeeeseceseeeeceecseceseceaeeeeceecseeeaeeeeeeneeseeeseeeaeeeeeneeeneeas 5 2 Deconiaminatiori or the Monitors 2 22252 52 5 2 Care and Cleaning of Sensors 5 2 Cleaning and Re use of a Nellcor Sensor tenens 5 3 Cleaning Sensors Adapters and Sampling Componentss n eee 3 Sterilization and Cleaning of Reusable Cuffs 3 0070 10 0556 02 Spectrum Spectrum OR Service Manual Table of Contents Reusable Cuffs withiBladders 5 3 Reusab
76. ight ESIS 05 20 Straight ESIS 06 10 Rt Angle ESIS 07 20 Rt Angle ESIS 08 STRAIGHT FOR 01 02 05 06 n e ew 02 H t st Opposite Side RIGHT ANGLE FOR 03 04 07 08 ERES 1 38 10 I 4 10 e 33 5 1 1W 596 Resistor in Connector 5X1kQ Iw 5 gt 4 eee H x 2 H s NC SHIELD gt 6 SHIELD gt 1 gt 6 Non ESIS ESIS FIGURE 1 9 ECG Cable ESIS and Non ESIS ANSI AAMI 53 1995 IEC CONVENTIONAL STANDARD LEAD COLOR LEAD COLOR V Brown Chest C White Right Arm RA White Right Arm R Red Left Leg LL Red Left Leg F Green Left Arm LA Black Left Arm L Yellow Right Leg RL Green Right Leg N Black Spectrum Spectrum Service Manual 0070 10 0556 02 1 15 Panorama Mobility Cable ESIS and Non ESIS Repair Information 1 16 Panorama Mobility Cable ESIS and Non ESIS P N 0012 00 1502 XX DESCRIPTION DASH Non ESIS 10 USA 01 Non ESIS 20 USA 02 ESIS 10 USA 03 ESIS 20 USA 04 Non ESIS 10 International 05 Non ESIS 20 International 06 ESIS 10 International 07 ESIS 20 International 08 160 TYP 1 160 TYP F 1 84 T L 3 94 j zum Q v 2900 gt oo leo mo mo SHIELD ESIS CHOKES ECG
77. ing is affected by storage and handling conditions These conditions are Ultraviolet Light We recommend storing the recordings in a filing cabinet within a few days of printing Long term exposure to natural or artificial U V sources is detrimental Storage Temperature and Humidity Keep the recordings in a cool and dry area for a longer lasting image Extreme temperature and humidity above 80 F 26 C and 80 humidity should be avoided e Solvent Reactions Do not store the recordings in plastic bags acetate sheet protectors or similar items made from petroleum products These products emit a small amount of vapor which will over a period of time deteriorate the image on the chart paper Spectrum Spectrum Service Manual 0070 10 0556 02 5 7 Recorder Paper Replacement Preventative Maintenance Adhesive Tape Never place adhesive tape over recordings The reaction between the adhesive compound and the chemical thermal paper can destroy the image within hours e Archives We recommend that if long term archives are required make a photocopy of the recordings as back up Under normal office filing conditions the recordings should retain acceptable image quality for about five years 5 8 0070 10 0556 02 Spectrum Spectrum OR Service Manual Preventative Maintenance Warranty Statements 5 13 Warranty Statements Mindray DS USA Inc warrants that components within the monitor unit will be free f
78. iratory rate identical Check the patient Adjust scales or leads if necessary Check the patient 1 25 6 MESSAGE PROBLEM GM Warming Up Gas Module Troubleshooting REASON Appears when the system has been turned on and the sensors have not reached their stable operating temperature SOLUTION Wait for the message to go away It takes up to five minutes for the device to warm up GM Agent Warming Up This message appears after the GM Warming Up message disappears It indicates that the Agent ID Bench is warming up and readings will not be available Wait for the message to go away It takes up to five minutes from power up for the Agent ID Bench to warm up GM Exhaust Blocked Appears when the system detects a blockage at the exhaust gas outlet as indicated by an increase in internal pressure Remove waste gas scavenging assembly check if message disappears Check exhaust line for blockage and clear if possible If message persists contact Customer Support 1 28 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information MESSAGE PROBLEM GM Mixed Agents REASON Appears when more than one anesthetic agent is detected by the system Troubleshooting Menus SOLUTION Message will disappear when a single agent is detected again GM Air Leak Appears when the system detects a pneumatic leak Also may appear when the Gas Module has been
79. is not recommended Use of a washing liquid containing bleach is not recommended because chlorine will chemically break down the urethane on the inside of the cuff Antimicrobial Definition Bladderless cuffs are treated with an antimicrobial coating Antimicrobial technology effectively controls a broad spectrum of bacteria fungi algae and yeasts on a wide variety of treated substrates Disposable Blood Pressure Cuffs Disposable cuffs are intended for single patient use only Once a cuff is used on a patient it should be discarded Do not use the same cuff on any other patient Do not sterilize or use an autoclave on disposable cuffs CAUTION Disposable cuffs can be cleaned using a mild soap solution and dried with a clean cloth Care and Cleaning of Gas Module 1 The Gas Module enclosure may be cleaned with a mild soap and water solution or ammoniated window cleaner Apply cleaning solution to the cloth not directly onto the Gas Module DO NOT apply large amounts of liquid DO NOT use abrasive cleaning agents or organic solvents 0070 10 0556 02 Spectrum Spectrum OR Service Manual Preventative Maintenance Care and Cleaning of 3 and 5 lead ECG Cables and Leadwires CAUTION Do not clean the Gas Module while it is on and or plugged in CAUTION The internal sampling system of the Gas Module does not need to be cleaned or sterilized There is no reverse flow back to the patient If the internal sampling system is suspected to
80. ith a liquid lens cleaner and a soft cloth DO NOT wipe a dry screen or use alcohol or solvents containing chlorinated hydrocarbon Decontamination of the Monitor WARNING Perform the decontamination process with the unit powered down and power cord removed Decontamination of a unit that has come in contact with a biological material can be performed using LpH SE Germicidal detergent Apply a small amount of detergent to a disposable wipe paper based and wipe down the outside of the unit Discard the wipe appropriately After waiting 10 minutes use a clean dry wipe to dry the unit CAUTION During the decontamination process do not get the LpH SE Germicidal detergent into any vent openings Care and Cleaning of Sensors NOTE Refer to the individual instruction sheets that are packaged with each sensor Check sensors and cables daily for signs of damage Replace as required Sensors should be cleaned before and after each new patient Wipe the patient contact area using a soft cloth with mild soap and water solution or isopropyl alcohol Hydrogen peroxide can be used to remove dried blood Allow the sensor to completely dry before using CAUTION When cleaning sensors do not use excessive amounts of liquid Wipe the sensor surface with a soft clorh dampened with cleaning solution Do not attempt to sterilize 0070 10 0556 02 Spectrum Spectrum OR Service Manual Preventative Maintenance Cleaning
81. iver Screw Pan Head Cross Recessed 6 32 x 5 16 Screw Pan Head Cross Recessed 6 32 x 7 16 Screw Pan Head Cross Recessed 4 40 x 3 8 Screw Pan Head Cross Recessed 4 40 x 3 4 Screw Pan Head Cross Recessed 4 40 x 7 16 Screw Pan Head Cross Recessed 6 32 x 3 16 Screw Pan Head Cross Recessed 4 40 x 1 2 Board Assembly Nellcor 304P Board Assembly Nellcor OxiMax PCB Assembly Nellcor Interface PCB Assembly Masimo Nellcor Interface Bd use with CPU Bd 0670 00 0782 XX only Cable Nellcor Interface Bd to Main Bd Cable Assembly Nellcor Cable Assembly Nellcor SO OxiMax SpO Board Assembly Masimo MS 3 Cable Masimo SpO to Main Board Spacer Nylon Richco 0070 10 0556 02 Rear Housing Assembly PART NUMBER 0380 00 0339 04 0348 00 0190 0367 00 0061 0226 00 0017 0670 00 1155 01 0406 00 0741 0670 00 0695 N A 0012 00 1622 01 0012 12 0609 0386 00 0290 0670 00 0782 02 0670 00 0782 01 0012 00 1210 0012 00 1231 0670 00 0746 01 0670 00 0798 01 0012 00 1249 0406 00 0750 0012 00 1211 0198 00 0051 0380 00 0349 0346 00 0049 0198 00 0027 0212 12 0605 0212 12 0607 0212 12 0406 0212 12 0412 0212 12 0407 0212 12 0603 0212 12 0408 067 1 00 0162 067 1 00 0066 0670 00 0696 0670 00 0785 XX 0012 00 1233 0012 00 1356 0012 00 1634 067 1 00 0055 0012 00 1201 0361 45 0403 23 Rear Housing Assembly Isometric Drawings and Part List
82. l knob to activate the Bleed Rate Test FIGURE 4 15 Bleed Rate Test 1 Connect the dummy cuff test chamber to the side panel fitting 2 Select the Bleed Rate using the Navigator knob to activate the test 3 The chamber will inflate to 220 mmHg of pressure The bleed rate valve will open and deflate the pressure for 10 seconds The result of the test will be displayed on the screen Specifications Specifications Bleed Rate 6 0mmHg sec 20 500cc test chamber Bleed Rate 6 0mmHg sec 20 700cc test chamber 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure Diagnostics 4 4 6 7 Overpressure Test Adult Pediatric Neonate The purpose of this test is to verify the hardware overpressure sensor is functioning properly NIBP Tests Previous Menu Overpressure Voltage Setpoint Static Pressure Calibration All Off Motor Pump Test Leak Test 250mmHg Leak Test 150mmHg Leak Test 50mmHg Dump Test Adult Dump Test Neonate Bleed Rate Test Overpressure Test Adult Overpressure Test Pediatric Test Neonate Press the control knob to activate the Overpressure Test FIGURE 4 16 Overpressure Test 1 Connect the dummy cuff test chamber to the side panel fitting 2 Select Overpressure Test using the Navigator knob to activate the test Software Trip points Specifications Adult lt or 300 mm
83. ld Connector Shield 1 41 NC y NC i1 x zt P 3 3 4 5 6 FIGURE 1 4 Serial Port to Serial Port Cable P N 0012 00 1275 01 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information Repair Information 26 pin Molex to Mini Phone Plug DPD Sync Cable 1 11 26 pin Molex to Mini Phone Plug DPD Sync Cable i T Lu P2 Connector shield Cable shield 2 GND TIP RSV d RING SYNC SLV FIGURE 1 5 26 pin Molex Mini Phone Plug DPD Sync Cable PART NUMBER LENGTH 0012 00 1301 01 8 in 1 in 0012 00 1301 02 10 ft 6 in Spectrum Spectrum Service Manual 0070 10 0556 02 1 11 ECG Shielded Lead Wires 1 12 ECG Shielded Lead Wires P N 0012 00 1262 XX Repair Information DESCRIPTION DASH 18 pinch 5 lead set Domestic 01 24 pinch 5 lead set Domestic 02 40 pinch 5 lead set Domestic 03 18 pinch 5 lead set International 04 24 pinch 5 lead set International 05 40 pinch 5 lead set International 06 18 pinch 3 lead set Domestic 07 24 pinch 3 lead set Domestic 08 40 pinch 3 lead set Domestic 09 18 pinch 3 lead set International 10 24 pinch 3 lead set International 11 40 pinch 3 lead set International 12 3 40 2 60 pi
84. le Bladderless Cuffs eene ie tet te ete e deese ee e e aedes 5 4 Disposable Blood Pressure Cuffs eee e ter aide er Meter ee eg dete 5 4 Care and Cleaning of Gas Module sense e iet esset 5 4 Care and Cleaning of 3 and 5 lead ECG Cables and Leadwires sss 5 5 Care and Cleaning of View 12 ECG Analysis Module eene 5 6 Battery Replacementsand Maintenance 5 6 aet edet ove 5 6 Battery Maintenance 5 6 Recorder Paper Replacem ent u eie d aqu asnasan aasma a aa 5 7 Care and Storage of Thermal Chart Paper sse nennen nere nennen nnns 5 7 Warranty Statements te pecudis Eo es e e oe UR ee EEN ETE lao Pr 9 USA Canada Mexico and Puerto Rico 9 International excluding North America 10 Phone Numbers and Hew To GeFLblelp aoc cte t t ro aet tr b tected tette 5 11 Manufacturer s Responsibility eese emen eren neret eene nnn 5 11 Spectrum Spectrum OR Service Manual 0070 10 0556 02 iii Table of Contents This page intentionally left blank iv 0070 10 0556 02 Spectrum Spectrum OR Service Manual Foreword Introduction Foreword The Spectrum Spectrum OR Service Manual is intended as a guide for technically qualitied personnel during repair and calibration procedures This publication may hav
85. llcor w o 0380 00 0348 04 55 Connector Panel Nellcor Oximax w 0380 00 0348 05 55 Connector Panel Nellcor Oximax w o 0380 00 0348 06 56 Tape Double sided 5 8 wide 0215 00 0115 57 Bracket Mounting Thru Hole End MediCO 0406 00 0783 57 Bracket Mounting Upper miniMediCO 0406 00 0879 58 Bracket CO Mounting Slotted End MediCO 0406 00 0805 58 Bracket Mounting Lower miniMediCO 4 0406 00 0885 59 Screw Pan Head Cross Recessed 6 32 x 1 4 0212 12 0604 60 Screw Pan Head Cross Recessed 6 32 x 3 8 0212 12 0606 61 Clamp Cable 3 16 Self Adhesive 0343 00 0007 62 Washer Flat 0 470 OD 0 119 ID 0221 00 1014 63 PC Board Assembly Patient Connector AAMI w IBP 0670 00 0682 01 63 PC Board Assembly Patient Connector AAMI w o 0670 00 0682 02 63 PC Board Assembly Patient Connector HP 0670 00 0680 01 64 Cable Panel to Main Board 0012 00 1206 01 65 Screw Pan Head Cross Recessed 4 40 x 5 16 0212 12 0405 66 Pneumatic Fitting Male Panel Mount 0103 00 0489 0070 10 0556 02 Spectrum Spectrum OR Service Manual Isometric Drawings and Part List Rear Housing Assembly ITEM NO DESCRIPTION PART NUMBER 67 Door Connector 0380 00 0355 68 Spring Door 0214 00 0236 69 Screw Self Tapping 4 40 x 3 16 0213 09 0403 70 Screw Pan Head Cross Recessed 6 x 3 4 0212 12 0612 71 Bracket Magnetic Shield 0406 00 0833 72 Standoff Plastic 0361 08 0017 73 Cable Tie Anchor 0125
86. low will indicate the Host CPU software version the current version on the CP Front end and or EPM modules and the software version being downloaded to the modules The images will automatically load and the status message Complete will appear after the download is complete NOTE To ensure that the EPM module download is complete reboot the unit Module Module SW Flash SW Version Status Download Version Percent The above modules are being downloaded When the download is complete press the normal screen button to continue or reboot FIGURE 1 21 Software Download Status Screen 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information Software Download Status Messages Pending This is displayed a module awaiting download Active This is displayed once a pending module has turned active Erasing This is displayed when an image is being erased Loading This is displayed when an image is being downloaded Verify This is displayed while the checksum is being verified Fault This is displayed if there is a downloading error If a fault occurs the module download screen will not be able to be removed Contact customer service Complete This is displayed for a module when download is complete NOTE If a fault condition occurs an error message will be recorded in the error log Spectrum Spectrum OR Service Manual 0070 10 0556 02 1 45 Software Download Repair Information This
87. m Information Press control knob to view Diagnostics Menu FIGURE 4 1 Diagnostics Main Menu Diagnostics Test Menu Previous Menu Keypad Control Knob Recorder Display NIBP NIU wy Select to return to previous menu FIGURE 4 2 Diagnostics Test Menu Spectrum Spectrum OR Service Manual 0070 10 0556 02 4 3 Diagnostics Calibration Procedure 4 4 1 Keypad Control Knob Test When this menu is selected the unit will perform an echo test by displaying the name of the key that was pressed 1 A blank key name will appear on screen 2 When a key is pressed the name of that key will be displayed in the key name window 3 Exercise each key to verify proper operation 4 second window with blank boxes will be displayed on screen 5 When rotating the control knob the blank boxes will illuminate with each active detent 6 Press the PRINT key to print the test result via the internal recorder 7 Press the NORMAL key and hold to return to the Diagnostics Test Menu Keypad Control Knob Test Control Knob Detent 1 Key Pressed None Press keys and the text will appear on screen Rotate the control knob to move the cursor Press and hold the Normal Screen Key to exit FIGURE 4 3 Keypad Control Knob Test 4 4 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure 442 Recorder Test
88. m Verification and CO Calibration 1 See Operation Verification in Section 4 6 8 test outline 2 Replace the CO assembly after 20 000 operating hours or as required by the service code Spectrum Spectrum OR Service Manual 0070 10 0556 02 User Preventative Maintenance Introduction Preventative Maintenance 5 2 5 5 5 4 5 5 User Preventative Maintenance Introduction This section of the manual outlines routine user maintenance guidelines The Spectrum Spectrum OR Monitor is designed for stable operation over long periods of time Under normal circumstances the monitor should not require technical maintenance beyond that described in this section However routine maintenance calibration and safety checks are recommended at least once a year or more often as required by local statutory or hospital administration practice Care and Cleaning of the Monitor The monitor enclosure may be cleaned with a mild soap and water solution or ammoniated window cleaner Apply cleaning solution to the cloth not directly onto the monitor DO NOT apply large amounts of liquid DO NOT use abrasive cleaning agents or organic solvents WARNING Do not clean the monitor while it is on and or plugged To prevent scratches on the screen carefully brush dust and dirt particles with a soft sponge moistened with cleaning solution or a fine soft hair brush DO NOT use abrasive cleaning materials Remove fingerprints and stains w
89. measurement Select an while in the interval mode interval and start timed measurements NIBP Deflate Displayed when a measurement Press START to take an that is in process is stopped by immediate measurement and pressing the STOP key resume timed measurements NIBP Interval Displayed during the interval Press STOP to suspend timed between two timed measurements measurements Change timer to OFF to stop timer NIBP Failure The system has detected an Power cycle unit If message unrecoverable failure of the NIBP system reappears contact Customer Support NIBP Measuring Displayed during a measurement Cuff pressure is also displayed Press STOP to suspend a measurement and deflate the cuff NIBP Retry Pump Higher A measurement has been attempted but no reading was possible This results from inadequate cuff inflation 0070 10 0556 02 Retry will be attempted Check that appropriate patient size is set Preset initial inflation pressure Spectrum Spectrum OR Service Manual Repair Information MESSAGE PROBLEM NIBP Retry REASON A measurement has been attempted but no reading was possible and the retry limit has not been reached Troubleshooting Menus SOLUTION Retry will be attempted Check for leaks and quality of peripheral pulses Decrease patient movement Switch cuff to another limb Unable To Measure An unsuccessful measurement cycle has been completed Switch c
90. n Appears when the Gas Module is unable to initialize calibration Repeat calibration procedure If problem persists contact Customer Support Calibration Error Sampling Error Appears when a sampling error occurs in all four Gas Module channels during calibration Repeat calibration procedure If problem persists contact Customer Support Calibration Error Zeroing Error Appears when the Gas Module cannot perform a Zeroing during calibration Repeat calibration procedure If problem persists contact Customer Support Spectrum Spectrum OR Service Manual 0070 10 0556 02 Troubleshooting Menus 1 25 7 1 25 8 IBP Troubleshooting MESSAGE PROBLEM Damped Invasive Waveform REASON Air bubbles in tubing Kinked catheter Catheter against wall of blood vessel Blood in tubing Catheter partially occluded with clot Repair Information SOLUTION Eliminate air from tubing Change position of catheter check patient Check for leaks at connector flush catheter Pump pressure bag up to 300 mmHg Consult physician IBP not Displayed No IBP Waveform Improper Setup Cable not plugged in Transducer not connected Stopcock turned improperly Transducer not zeroed Check display setup in monitor setup Check cable Check transducer connection Check transducer Check and zero the transducer Abnormally High or Low readings Transducer too HIGH
91. n auto zero Wait for the auto zero to complete CO Auto zero Requested An Auto zero was automatically requested by the System Wait for the auto zero to complete CO Failure system failure Contact Technical Support Spectrum Spectrum Service Manual 0070 10 0556 02 Troubleshooting Menus MESSAGE PROBLEM Occlusion REASON Sampling pump line is blocked while the sidestream pump is on Repair Information SOLUTION Check sampling line and filter for blockage clear sampling line if possible Replace sampling line if necessary Disconnect and reconnect the FilterLine from the Spectrum in order to clear this message CO Purge The system has detected a blocked FilterLine and has attempted to unblock it by temporarily increasing the flow rate Check FilterLine and replace if necessary CO Check Flow Rate The system has detected a high or low flow rate Check FilterLine and replace if necessary CHK Lead Message Increased impedance caused by one of the following Chest hair under electrodes Dried electrode gel Electrode off Lead off Cracked lead wires Poor skin prep Prep chest Change electrodes Replace electrode Replace lead Replace lead wires Clean and abrade skin before applying electrodes CVA Message Can be caused by shallow breathing or an apnea event Patient HR and resp
92. n is detected during the process of a CO run Injectate Temp Out of Range Appears when the temperature of the injectate is too warm gt 27 C or the difference between the injectate and the blood temperature is 8 C Check injectate fluid insure fluid is not under warm lights near a warming blanket or over chilled in the ice bath Spectrum Spectrum Service Manual 0070 10 0556 02 Troubleshooting Menus 1 25 10 1 25 11 MESSAGE PROBLEM Inject When Ready REASON Appears if Auto Start is enabled stable temperatures are detected Repair Information SOLUTION Bolus when ready Ready Appears if Auto Start is not enabled Press START when ready and stable temperatures are detected Inject Now Appears once START has been Bolus when ready pressed before bolus is initiated Please Wait Appears after fluid bolus is initiated and Wait until message disappears Cardiac Output is being calculated Vigilance Cardiac Output Troubleshooting MESSAGE PROBLEM CO Check Vigilance REASON This message is displayed when an alert or alarm status has been sent from the Vigilance to the Spectrum SOLUTION Refer to the Edwards Vigilance Monitor Operator s Manual or contact Edwards Lifesciences Corporation for assistance Within the USA 800 424 3278 Outside the USA 949 250 2500 BIS Troubleshooting MESSAGE PROBLEM BIS Check Sensor REASON Incorrect sensor a
93. nch 5 lead set Domestic 13 3 40 2 60 pinch 5 lead set International 14 E TERMINATION CONNECTOR 2 SHIELD L 1 00 TP Domestic International le L 1 00 gt le L 1 00 BN SHORTED Domestic International FIGURE 1 6 ECG Shielded Lead Wires 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information ECG Shielded Lead Wires 1 13 ECG Shielded Lead Wires P N 0012 00 1261 XX DESCRIPTION DASH 18 snap 5 lead set Domestic 01 24 snap 5 lead set Domestic 02 40 snap 5 lead set Domestic 03 18 snap 5 lead set International 04 24 snap 5 lead set International 05 40 snap 5 lead set International 06 18 snap 3 lead set Domestic 07 24 snap 3 lead set Domestic 08 40 snap 3 lead set Domestic 09 18 snap 3 lead set International 10 24 snap 3 lead set International 11 40 snap 3 lead set International 12 3 40 2 60 snap 5 lead set Domestic 13 3 40 2 60 snap 5 lead set International 14 EXAM PATIENT END CONNECTOR TERMINATION L 1 00 L 1 00 ARETO BE THE SAME COLOR AS LEAD WIRE gt 9 _ 2 e L 1 00 L amp j 1 00 ARE TOBE THE SAME COLOR AS LEAD WIRE Mono ud funy 3 28 2 shorten op FIGURE 1 7 ECG Shielded Lead Wires
94. neral guidelines 1 Do not short component leads together 2 Perform all steps in the exact order given 3 Use extreme care when reaching inside the opened instrument Do not contact exposed metal parts which may become electrically active 4 Read and understand each step of the procedure prior to beginning the step Spectrum Spectrum OR Service Manual 0070 10 0556 02 Test Equipment and Special Tools Required Calibration Procedure 4 3 Test Equipment and Special Tools Required Digital Mercury manometer with bulb and valve 0 500 mmHg Netech Digimano Accuracy 0 25 Full Range Test Chamber P N 0138 00 0001 01 700 or 03 500 cc Dummy Cuff DVM Patient Simulator Digital Flow Meter Safety Analyzer Dempsy Model or equivalent BISx BIS Sensor Simulator P N 0454 00 0060 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure Diagnostics 4 4 Diagnostics To enter the diagnostic mode 1 Turn the power OFF 2 Pressing and hold the FREEZE key Spectrum or the SPIROMETRY key Spectrum while powering ON the monitor The Diagnostics Main Menu will appear on screen Release the FREEZE key or the SPIROMETRY key 3 Rotate the Navigator Knob to move the cursor within the Diagnostics Main Menu Pressing the Navigator knob will select the desired test and open the second test menu Diagnostics Main Menu Diagnostics Test gt Error Log Syste
95. ng conditions or when the signal quality is too low fo accurately calculate a BIS value This may occur as the result of artifact non EEG signal such as that generated from motion patient movement or eye blinks or the presence of electrocautery warming blankets or other devices Troubleshooting Menus SOLUTION If EMG bar is illuminated attempt to determine and eliminate cause Verify Sensor Check passes If not replace PIC Replace the BISx BIS Invalid Sensor Poor or contaminated connection between sensor and PIC Defective sensor Defective PIC Defective BISx Connect clean connection between sensor and PIC Replace the sensor Replace the PIC Replace the BISx Arrhythmia Alarms off Monitor is in learning mode BIS Noise The signal from the electrode goes Re prep the electrodes and beyond the measurable range check all connections Alarm Troubleshooting MESSAGE PROBLEM REASON SOLUTION High or Low No Alarm Alarm limits not set Go to Alarm Setup and adjust Sound alarms Alarm Mute All On time has Press MUTE ALL to reactivate not expired alarms No Arrhythmia Arrhythmia option not installed Call Sales Rep to purchase option Alarm Sound Go to Monitor Setup Advanced Setup to activate alarm Wait until learning is concluded and monitor patient closely Alarms continue to Sound More than one alarm is active despite pressing MUTE Press MUTE or MUTE ALL key to silence
96. note the reading 5 Repeat the test for normal and open ground polarity combinations Specifications Verify the current readings of the test are below 50pA under a single fault condition Including 12 Lead for Spectrum only Spectrum Spectrum Service Manual 0070 10 0556 02 4 25 Verification Calibration Procedure This page intentionally left blank 4 26 0070 10 0556 02 Spectrum Spectrum OR Service Manual 5 0 5 1 5 1 1 5 1 2 5 1 3 Preventative Maintenance Preventative Maintenance Schedule The following is a list of activities required for periodic maintenance of Spectrum Spectrum OR monitor The physical inspection replacement of consumable items and performance checks should be performed at the recommended intervals stated below Manufacturer is not responsible for component failure or loss resulting from the use of stated consumable items beyond their recommended replacement interval Mechanical Physical Visual Inspection Perform At Twelve Month Intervals Suggested Inspections for Wear and Abuse 1 Outercase Line Cords Rolling Stands Wall Mounts Modular Accessories and Interconnecting Cables 2 Patient Interface Connections ECG IBP 5 Temp and NIBP Perform Verification and NIBP Calibration Annually 1 See NIBP Verification in Section 4 6 6 for test outline 2 See Microstream Calibration in Section 4 5 for calibration outline Perfor
97. nt No manual adjustment is required The voltage set point is controlled by software If Check Calibration Cuff Overpresssure appears in message area of the screen replace the NIBP module accordingly Specifications 030 to 170 volts 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure Diagnostics 4 4 6 2 Static Pressure Calibration The purpose of this test is to verify the pressure transducer sensitivity for optimal accuracy NIBP Tests Previous Menu Qverpressure Voltage Setpoint Static Pressure Calibration Motor Pump Test Leak Test 250mmHg Leak Test 150mmHg Leak Test 50mmHg Dump Test Adult Dump Test Neonate Bleed Rate Test Qverpressure Test Adult Test Pediatric OQverpressure Test Neonate Press the control knob to enter Nibp Static Pressure Calibration FIGURE 4 10 NIBP Tests Menu 1 Connect the dummy cuff test chamber to the side panel fitting 2 Use the Navigator knob to select Static Pressure Calibration and activate the test 3 Use a bulb and valve to manually inflate the chamber to 150 mmHg 150 mmHg is the middle of the specified range 4 Verify the pressure displayed on screen matches the pressure viewed on a Digital Mercury Manometer Specifications 0 to 300 mmHg 3 mmHg If the readings do not match proceed with the following steps 1 Turn unit off 2 Remove the eight screws from the re
98. o to Print Setup Menu and set Print on Alarm to On Trends not printing Print Trend not pressed No Trends displayed No paper Press PRINT TREND when trend window is open Use scroll feature to scroll to the top of the trend then press PRINT TREND Check Replace paper 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information 1 25 15 MESSAGE PROBLEM No trace for a desired parameter Monitor Display Troubleshooting REASON Improper attachment of transducer or cable to monitor Faulty transducer or cable Troubleshooting Menus SOLUTION Check transducer cable connection Try a new transducer or cable Trace Not Moving FREEZE key may have been pressed Press the FREEZE key to unfreeze the trace Display Appears to be Off Disabled Alarm Tone Mains power switch may not be on Unit may not be plugged into an AC outlet If used as a portable battery pack may be drained 12 4 card removed without disabling 12 lead MUTE key pressed Beep volume low Check mains power switch on side panel Check power cord Is it plugged in If battery pack is drained plug into an AC outlet to recharge the battery Always disable 12 lead card prior to removal Power unit back on Contact Customer Support Check for alarm mute symbol and message Increase beep volume Cooling Fan Failure Patient Information did not appear on di
99. ometric Drawings and Part List ITEM NO DESCRIPTION PART NUMBER 1 Front Housing 0380 00 0387 01 1 Front Housing Spectrum Spectrum OR 0380 00 0387 02 2 Cable Assembly Speaker 0012 00 0257 06 3 Holder Speaker 0380 00 0352 4 Encoder Optical 32 Position Push button 031 1 00 0132 5 Main Keypad 033 1 00 0120 01 6 Display TFT Color LCD 12 1 0160 00 0073 01 Display TFT Color LCD 12 1 0160 00 0094 7 PCB Assembly Display Keypad 0670 00 0735 8 Bracket Mounting Inverter 0406 00 0821 8a Inverter Mounting Bracket 0406 00 0867 9 Inverter Board OEM 067 1 00 0232 9a Inverter Board 0671 00 0065 10 Cable Assembly Inverter 0012 00 1434 11 Cable Assembly 12 1 TFT Color LCD to Drive PCB 0012 00 1433 12 Cable Assembly Flexible Jumper 0012 00 1 443 03 13 Gasket 12 1 Display 0348 00 0201 14 Foot 0348 00 0190 15 Label Part Number Serial Number N A 17 Screw Pan Head Cross Recessed 4 40 X 1 4 0212 12 0404 18 Washer Flat Large Pattern 0210 10 0004 19 Standoff Hex Male Female 4 40 X 5 8 Long 0361 30 0625 20 Screw Pan Head Cross Recessed 4 40 X 3 8 0212 12 0406 21 Screw 100 Flat Head Cross Recessed 4 40 X 1 4 0212 17 0404 22 Screw Pan Head Cross Recessed 2 56 X 3 16 0212 12 0203 23 Clamp Cable 1 8 Dia SelfAdhering 0343 00 0108 24 Grommet Edging 0348 1 1 0003 25 Ferrite Flat Cable Split 0108 00 0097 01 26 Clip Flat Ferrite 0344 00 0248 02 27 Cable Tie 0125 01 0003 28 Cushion Ferrite 0348 00 0211 Must order a gask
100. or if a curve is not detected within thirty 30 seconds Rebolus if necessary CO Out of Range Irregular curve Appears if the CO is out of the measurable range 0 2 l min to 20 0 l min Computation constant incorrect for PA catheter type injectate temperature and injectate volume Improper injection procedure Catheter may be kinked or not in proper position Patient movement during injection Measurement displayed if CO curve has multiple peaks failure to return to baseline or irregularities in curve Check computation constant and enter correct data Rebolus when ready Check hospital policy inject in a smooth and fluid bolus Notify physician Have patient lay still during bolus procedure Rebolus when ready Delayed Injection Injectate Temp Error Appears if the time between the start of the CO measurement and the onset of the temperature change is more than fifteen 15 seconds Appears when the temperature of the injectate is too warm gt 27 C or the difference between the injectate and the blood temperature is 8 C Rebolus when ready Ensure that the CO bolus is initiated within 15 seconds Check the temperature of the injectate Check injectate fluid insure fluid is not under warm lights near a warming blanket or another warm source Noisy Baseline Cardiac Output waveform baseline is unstable Rebolus when ready Measuring Appears once an injectio
101. or to LOW Check patient adjust transducer rezero Unable to Zero Stopcock not open to Check transducer atmosphere Cable Transducer not Check cable plugged in PAWP Troubleshooting MESSAGE PROBLEM REASON SOLUTION Unable to Wedge Improper catheter position Check PA catheter notify physician Catheter against wall or blood vessel Flush catheter notify physician PA catheter in Spontaneous Wedge Catheter in too far Notify physician immediately Overwedging or dampened PAWP Balloon overinflated Deflate balloon reinflate slowly notify physician 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information EPM Cardiac Output Troubleshooting MESSAGE PROBLEM CO value higher lower than expected REASON Computation constant incorrect for PA catheter type injectate temperature and injectate volume Catheter may be kinked or not in proper position Troubleshooting Menus SOLUTION Check computation constant and enter correct data Notify physician No measurement Unable to measure Unstable temperature No temperature or temperature out of range Time elapsed for measurement Check injectate temperature Flush PA catheter Discard bolus fluid Check patient Wait for Ready or Inject when Ready message to appear Rebolus when ready CO Signal Under Range Appears if the CO curve is not sufficient for a CO calculation
102. pplication Poor sensor connections Sensor Check fails Defective PIC Defective BISx Problem is detected relating to sensor ground element Sensor Overcurrent Sensor is using too much current SOLUTION Read Instructions on sensor package and re prep sensor Check sensor connections Re prep again or replace sensor Verify Sensor Check passes Replace the PIC Replace the BISx Disconnect and examine sensor connection Clean any contamination present Replace sensor if necessary BIS No Sensor Disconnected sensor Poor or contaminated connection between sensor and PIC Disconnected PIC Defective PIC Defective BISx Connect the sensor Connect clean connection between sensor and PIC Connect the PIC Replace the PIC Replace the BISx BIS Artifact Artifact such as those generated by motion or eye blinks is causing loss of EEG recognition The BIS value and other trend variables that are adversely affected by artifact are not displayed Attempt to identify and eliminate artifact source 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information 1 25 12 MESSAGE PROBLEM BIS Check SGI Level REASON EMG Bar indicates electrical activity that may be interfering with EEG recognition Defective PIC Defective BISx NOTE This message is displayed when the Signal Quality is less than half of the level desirable for optimal monitori
103. ranty concerning its products and any affirmation representation or warranty made by any agent employee or representative shall not be enforceable by buyer This warranty is expressly in lieu of any other express or implied warranties including any implied warranty or merchantability or fitness and of any other obligation on the part of the seller Damage to any product or parts through misuse neglect accident or by affixing any non standard accessory attachments or by any customer modification voids this warranty Mindray DS USA Inc makes no warranty whatever in regard to trade accessories such being subject to the warranty of their respective manufacturers A condition of this warranty is that this equipment or any accessories which are claimed to be defective be returned when authorized by Mindray DS USA Inc freight prepaid to Mindray DS USA Inc Mahwah New Jersey 07430 Mindray DS USA Inc shall not have any responsibility in the event of loss or damage in transit Calibration may be performed without the need to disassemble the instrument It is the responsibility of the purchaser to perform calibration as necessary in accordance with the instructions provided in this manual 0070 10 0556 02 Spectrum Spectrum OR Service Manual Preventative Maintenance 5 14 5 15 Phone Numbers and How To Get Help Phone Numbers and How To Get Help Prior to requesting service perform a complete operational check of the
104. rical devices Wrong ECG cable used Troubleshooting Menus SOLUTION Apply fresh moist electrodes Replace wires as necessary Eliminate 6 2 interference Use ESIS ECG cable with internal filter block NOTE Respiration monitoring via the ECG electrodes will not be available when using the cable Muscle Noise Inadequate skin preparation prior to application of electrode tremors tense subject and or poor electrode placement Repeat skin preparation and electrode location procedures Apply fresh moist electrodes Avoid areas of the torso that are very muscular Intermittent Signal Connections not tight and or properly secured Electrodes dry or loose Cable or lead wires damaged Ensure proper connection Electrode to lead lead to cable cable to monitor Re prep skin and apply fresh moist electrodes Check with continuity tester Excessive alarms heart rate lead fault Electrodes dry Alarm limits set too close to patient s normal heart rate R wave wrong size Excessive patient movement or muscle tremor Re prep skin and apply fresh moist electrodes Readjust Must have a higher amplitude than the other ECG waves like the P and T waves Reposition electrodes and secure with tape if necessary Low Amplitude ECG Signal Gain set too low Electrodes dry old Skin improperly prepared This could be the patient s normal QRS complex Electrode
105. rom defects in workmanship and materials for the number of years shown on the invoice Under this extended warranty Mindray DS USA Inc will repair or replace any defective component at no charge for labor and or materials This extended warranty does not cover consumable items such as but not limited to batteries displays external cables and sensors Recommended preventative maintenance as prescribed in the service manual is the responsibility of the user and is not covered by this warranty Except as otherwise provided herein the terms conditions and limitations of Mindray DS USA Inc s standard warranty will remain in effect 5 13 1 USA Canada Mexico and Puerto Rico Mindray DS USA Inc warrants that its products will be free from defects in workmanship and materials for a period of one 1 year from the date of purchase except that disposable or one time use products are warranted to be free from defects in workmanship and materials up to a date one year from the date of purchase or the date of first use whichever is sooner This warranty does not cover consumable items such as but not limited to batteries external cables sensors cuffs hoses or mounts Mindray DS USA Inc will not be liable for any incidental special or consequential loss damage or expense directly or indirectly arising from the use of its products liability under this warranty and the buyer s exclusive remedy under this warranty is limi
106. rrovtip exx line 272 ARG Ox00000000 ARG2 0 00000000 Communications Failure 11 14 02 17 09 00 BOARD UNDTYPE Informational rrovtip cxx line 272 ARGI 0 00000000 ARG2 0 00000000 Communications Failure Select to return to previous menu FIGURE 4 18 Error Log in Memory 1 Select Error Log using the Navigator knob 2 Errors logged in the memory will appear on screen A maximum of 30 entries will appear with the most recent errors at the beginning of the log Each error is time stamped and dated 3 Use the Navigator Knob to move the cursor within the list of errors 4 clear all data from the error log use the Navigator knob to select Clear 0070 10 0556 02 Spectrum Spectrum OR Service Manual Calibration Procedure 4 5 Microstream Calibration Microstream CO Calibration In order to provide accuracy verification of the Microstream CO2 calibration is required every 4000 operating hours or once a year whichever comes first In addition to achieve the most accurate CO2 readings possible it is advised that the first calibration be performed after 1200 operating hours The date of the last successful calibration appears on the CO Calibration Menu Menu Normal Screen Calibrate Seale 40 mmHg Grid Off Color I Select to return to normal screen FIGURE 4 19 Menu NOTE For maximum accuracy during calibration a 20 minute warm
107. rs 1 Display Setup 3 Waveforms ECG Speed 25 mm sec IBP Speed 25 mm sec optional Respiration Gas Speed 12 5 mm sec EEG Speed 25 mm sec Waveform 1 ECG 1 Waveform 2 ECG 2 Select Printer Local ECG a ECG 1 II b ECG 2 1 ECG 3 III d ECG 1 thru 6 Size 1 cm mV 12 Lead Page 1 ECG 1 1 f ECG 2 11 9 ECG 3 Il h 4 AVR i 5 AVL 6 AVF 12 Lead Page 2 ECG 1 VI l ECG2 V2 ECG 3 ECG 4 V4 ECG 5 V5 p ECG 6 V6 NOTE 12 Lead applies to Spectrum only Spectrum Spectrum Service Manual 0070 10 0556 02 4 19 Verification 4 20 D NIBP Calibration Procedure Set Start Pressure 180 mmHg Interval 5 minutes IBP1 Scale to 160 mmHg IBP2 Scale to 80 mmHg 5 a Averaging mode 2 b Sensor Off Audio off optional a Apnea Delay 60 b Scale 40 mmHg Respiration a Resp lead II b Apnea Delay 60 Resp source Auto d Scale 3 Gases optional a Select agent Auto b O scale 100 20 Scale 10 Spirometry Verification optional a Select display loops pressure volume b Paw Scale 0 40 c Volume scale 0 900 d Flow Scale 40 40 BISx Verification optional a Expand view no b EEG setup menu 25uV to 25uV Sensor Check Pass or Fail High impedance Noise Lead off 0070 10 0556 02
108. rument is available In many cases replacement of the complete assembly will result in the most expedient repairs Special Tools Required DVM Digital Mercury Manometer 0 to 300 mmHg Safety Analyzer Patient Simulator Test Chamber Dummy Cuff P N 0138 00 0001 01 700 cc or 03 500 cc Sensor Simulator P N 0454 00 0060 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information Disassembly Instructions 1 6 Disassembly Instructions Before disassembling the unit perform the following Power down the unit and remove the line cord Remove all cable assemblies from the left side right side and rear of the unit Remove any batteries that were installed Perform all work on a properly grounded ESD workstation Removal of the Front Housing 1 Place the unit face down on a protective surface 2 Loosen the screw from the Comm Port or filler Port Remove the Comm Port or filler port from the rear of the unit Remove the eight screws from the rear of the unit 3 Turn the unit over and carefully remove the front housing assembly 4 Disconnect the 80 pin ribbon cable from the J1 of the Display Keypad board mount in the front housing Removal of the TFT Panel Remove Display driver Cable assembly from J5 Remove the Inverter cable assembly from J8 and the display itself Remove the encoder cable assembly from JA PON Remove the Speaker cable assembly from J2
109. s obtained 4 Verify the reading on screen 4 6 7 Battery Operation Verification 1 If batteries are installed in the unit remove them 2 Verify the unit functions on Line power correctly 3 Install the two batteries in the appropriate slots located on the left side of the monitor 4 Remove the line cord from the unit Verify the unit operation is not interrupted 5 Remove one of the batteries and verify the unit still operates Verify the second battery operates if installed alone 4 6 8 CO Operation Verification 1 Connect the FilterLine Short Term assembly to the input port of the connector on the left side of the monitor 2 Attach a can of Calibration Gas P N 0075 00 0033 01 to the Filterline Short Term assembly Feed gas into monitor and verify the ETCO Inspired and respiration readings are displayed on the screen 4 6 9 Cardiac Output Verification Setup 1 Access the Installation Menu by pressing and holding the DISCHARGE key Spectrum or the TRENDS key Spectrum while powering ON the monitor 2 Select Enable EPM and change to Yes 3 Select the weight units to kgs 4 Select the height units to cms 5 Save the current settings and turn unit OFF Spectrum Spectrum Service Manual 0070 10 0556 02 4 23 Verification Calibration Procedure Operation 1 Turn the Spectrum Spectrum OR monitor on 2 Set the Patient Size to Adult 3 Press the CO button on the Sp
110. splay Incorrect Date or Time The unit running on AC power and the cooling fan is not operational No data entered Done was not selected from keypad after entering data Data not entered or entered incorrectly Contact Customer Support Enter proper patient data Go to the proper keypad enter data select Done when finished Follow instructions from How to Set the Clock Date and Time Spectrum Spectrum OR Service Manual 0070 10 0556 02 Installation Menu Repair Information 1 26 Installation Menu 1 26 1 Installation Mode Save Current Select Lanquage Select Country Date Format Time Format NIBP Timeout 8 PAWP Timeout Enable Apnea Latch Enable Mute All Permanent Selection Enable Arrhythmia All Off Selection Temperature Units Weight Units Height Units CO Units 5 0 Tones Copy monitor defaults to card Set up Serial Port 1 Set up Serial Port 2 Re boot in demo mode Restore factory defaults System Information Change Password Options Installation Menu English USA 24 15 min 15 min Yes On Yes No Ibs Ft inches mmHg Standard Tones Gas Module None No Select to save current settings as defaults FIGURE 1 19 Installation Menu The following items are set through the Installation Mode menu Language Country Date Format Time Format NIBP Timeout CO amp PAWP Timeout Enable EPM Apnea Lat
111. ted to servicing or replacing at Mindray DS USA Inc s option at the factory or at an authorized Distributor any product which shall under normal use and service appear to the Company to have been defective in material or workmanship No agent employee or representative of Mindray DS USA Inc has any authority to bind Mindray DS USA Inc to any affirmation representation or warranty concerning its products and any affirmation representation or warranty made by any agent employee or representative shall not be enforceable by buyer This warranty is expressly in lieu of any other express or implied warranties including any implied warranty or merchantability or fitness and of any other obligation on the part of the seller Damage to any product or parts through misuse neglect accident or by affixing any non standard accessory attachments or by any customer modification voids this warranty Mindray DS USA Inc makes no warranty whatever in regard to trade accessories such being subject to the warranty of their respective manufacturers A condition of this warranty is that this equipment or any accessories which are claimed to be defective be returned when authorized by Mindray DS USA Inc freight prepaid to Mindray DS USA Inc Mahwah New Jersey 07430 Mindray DS USA Inc shall not have any responsibility in the event of loss or damage in transit Spectrum Spectrum Service Manual 0070 10 0556 02 5 9 Warranty
112. them on a patient Do not use alcohol to clean the View 12 ECG Analysis Module Alcohol or other harsh chemicals will cause the cables and leadwires to become brittle or harden causing damage NOTE The View 12 ECG Analysis Module must never be immersed or soaked in any fluids Battery Replacement and Maintenance Battery Replacement 1 Open battery compartment door on left side of unit by pressing the finger grip area and sliding the door to the left 2 Press the release button located on the right side of the installed battery This will eject the battery Slide out old battery 3 Slide in replacement battery until it clicks into place 4 Close battery compartment door by sliding the door to the right until it firmly clicks into place CAUTION Replace sealed lead acid batteries with P N 0146 00 0043 ONLY Replace lithium ion batteries with P N 0146 00 0069 ONLY Battery Maintenance The batteries may be subject to local regulations regarding disposal At the end of the battery life dispose of the batteries in accordance with any local regulations CAUTION Recharge batteries in the Spectrum Spectrum OR CAUTION Remove the batteries if the Spectrum Spectrum OR is not likely to be used for an extended period of time 0070 10 0556 02 Spectrum Spectrum OR Service Manual Preventative Maintenance Recorder Paper Replacement Sealed Lead Acid Due to the self discharge characteristics of sealed lead acid
113. tiiig n trie EEEE 1 34 Alarm Troubleshooting 55112 ER 1 35 Trends Iroubleshooting c oed eee tor tene tuens a beste dee edere 1 36 Prinier Recorder 0 eir etm eset e coti eoe a d en a ree et cede 1 36 Monitor Display Troublesho ting eii teret che e ene 1 37 Installation Menu tacet derer bete ta d ates te Pi rotes 1 38 Installation Mode 38 Transferring Monitor Default Settings 40 Option Installafien 2225 HER 1 41 Spectrum Spectrum OR Service Manual 0070 10 0556 02 i Table of Contents System Information M 0 u s n dU ENEMIES e Ae iE S 1 42 Trend Storage 1 44 Installation and Use of the Extended Trend Feature sssssssssssss e eee nennen nenne 1 44 Software Download 2 5 eet T A tun nite De ae ences Seed P Eg Download tct t GO e Do t to em utt ted Block Diagrams Introduction Usa ems etl Yawa Fates Blocks Diagrama D EE Isometric Drawings and Part List ues Top level Assembly q ase oo eA OE OE Bet n tue WR mt ma Me ds Front Housing Assembly x Susa ttr tete i ae ron
114. tructions regarding maintenance of medical equipment or has equivalent experience in this area Spectrum Spectrum OR Service Manual 0070 10 0556 02 Troubleshooting Guidelines Repair Information 1 3 1 4 1 5 Troubleshooting Guidelines 1 Identify the problem Due to the wide variety of potential symptoms certain problems may be more subtle than others One approach to troubleshooting is to set up the instrument as described in Chapter 4 0 Following the guidelines of the tests will help determine the problem if one exists 2 Avoid shorting component leads During repair procedures it can become tempting to make a series of quick measurements Always turn the power off before connecting and disconnecting the test leads and probes The accidental shorting of leads can easily stress the components and cause a second failure aside from the safety risk 3 Use the Proper equipment The equipment listed below is suggested to fulfill a wide range of troubleshooting requirements It is imperative use the designated equipment in order to ensure proper results of any and all test procedures 4 Clean up the repair area After any repair especially after any soldering or desoldering clean off the repair area with alcohol and a stiff brush This will remove any residual solder flux in turn allowing the instrument to return to its original appearance Exchange Programs An exchange program for certain assemblies in the inst
115. turned on without a sample line attached Gas Module has been on for a long period of time without the Spectrum Monitor being on Turn Gas Module and Spectrum Off Install check sample lines filters water trap and electrical connections Turn off Gas Module Turn on Gas Module and Spectrum Monitor GM Replace Trap Indicates residue build up on the water trap membrane that is decreasing air flow Replace water trap reservoir GM Occlusion Appears when the system detects an obstruction in the sampling line or the water trap bottle is full Empty and rinse water trap Change water trap if necessary Check sampling line and filter for blockage clear sampling line if possible Replace sampling line and or filter if necessary If problem persists contact Customer Support GM Zero In Progress Appears when the system is zeroing all of it s channels This appears whether initiated by the user or is automatic This is normal operation Wait for message to clear GM Zero Error Appears when the system has been unable to successfully zero the sensor Manually start zeroing the system again If problem persists contact Customer Support GM Zero Error Appears when the system has been unable to successfully zero the sensor Manually start zeroing the system again If problem persists contact Customer Support GM N5O Zero Error Appears when th
116. uff to another limb Decrease patient movement Press START to retry Be prepared to auscultate BP manually Contact Customer Support NIBP Cuff Overpressure The hardware overpressure limit has been exceeded Power cycle unit If message reappears contact Customer Support NIBP Cuff Overpressure Press STOP to clear The hardware overpressure limit has been exceeded Press STOP to clear the hardware overpressure If message reappears contact Customer Support NIBP Check Calibration The software has detected that the overpressure transducer is out of calibration Have the unit calibrated If problem persists contact Customer Support Unable to obtain a BP Patient movement Cuff or hose NOT attached leaking HR irregular arrhythmia present Blood pressure is out of range Improper cuff size brand Wait until patient is calm or gently hold limb Check all connections Check Patient and notify Physician Check Patient and verify BP with manual method Measure patient limb Use only properly sized accessories Reading too high or too low Incorrect cuff size Patient movement Measure Patient limb use correct cuff Wait until patient is calm or gently hold limb Spectrum Spectrum OR Service Manual 0070 10 0556 02 Troubleshooting Menus SpO Troubleshooting MESSAGE PROBLEM SpO No Sensor REASON Sensor is not plugged in to the
117. ure 2 beeps DRAM Memory Failure 3 beeps PCMCIA Boot Checksum Failure 4 beeps PCMCIA Image 5 beeps Checksum Failure Flash Checksum Failure 6 beeps Flash Programming Error 7 beeps DRAM Checksum Error 8 beeps ALARMS SPECTRUM High Priority 3 beeps 2 beeps 3 beeps 2 beeps repeated every 10 seconds Medium Priority 3 beeps repeated every 30 seconds NORMAL OPERATION SPECTRUM Occlusion 2 beeps repeated every 4 seconds NIBP Unable to Measure 1 beep Low Battery ECG Noise 2 beeps repeated every minute 2 beeps repeated every 13 seconds ALARMS SPECTRUM OR High Priority 3 beeps 2 beeps 3 beeps 2 beeps repeated every 10 seconds Medium Priority 3 beeps repeated every 10 seconds NORMAL OPERATION SPECTRUM OR Occlusion 2 beeps repeated every 4 seconds NIBP Unable to Measure 2 beeps with the second beep lower in pitch than the first Low Battery 2 beeps repeated every minute ECG Noise 2 beeps repeated every 13 seconds NIBP End Tone 2 beeps with the second beep higher in pitch than the first 0070 10 0556 02 Spectrum Spectrum OR Service Manual Repair Information 1 25 Troubleshooting Menus 1 25 1 ECG Troubleshooting MESSAGE PROBLEM Noisy ECG traces Excessive Electro surgical Interference REASON Loose or dry electrodes Defective electrode wires Patient cable or leads are routed too close to other elect

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