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FIELD SERVICE MANUAL - Frank`s Hospital Workshop

1. TEMP CO AlJl A2J6 A5J1 SOLENOID A2J5 12V_VALO 7 L_ 0 25VREF 35 i LAN_RX 1 BLK 1 j DT CO INI 7 NIC nee VALO_DRV 2 31 00 otsi 1 A LAN_TX E L1 2 7005400 10 19 4 4 FSHIELD n LAN CD SOLENOID 6 23 2 5 5 A VAL 3 ISOAGND 911 6 LAN TX 6 BLK 3 13 RMT BLUE VID anes VALI 2 o CO PROBE 10 15 d LAN CD 7 10 10 17 8 RMT GREEN VID 8 L2 ii ISOGND 21 9 L 9 10 RMT BLUE VID RTN 10 PRESS SW BUE SNR RMT RED viD a E RMT GREEN VID RTN OVP 12 na BLK 6 RMT VSYNC OVP 150 13 13 YEL 7 RMT RED VID RTN 1 14 14 N C 8 _BP1 15 15 SIGs af jg VOND VID RTN c mE waka NC 17 RMT_HSYNC i AGNDI ISOAGND VGND VID RTN NC B 18 18 PUMP 5 FSHIELD 19 COMM 2 ig SUC PUMP DRV T 6 39 4 VGND VID RTN V_PUMP 7 BP1 EXCI 29 50 20 RED 12 SIG 21 21 5 55 COMM mo Bl W2P1 ID 57 COMM_RX2 1 NC 23 23 11 24 COMM TX1 34 AUJO COMM RX1 25 VGND 25 BATTERY A3J1 26 2
2. AlJ2 amp Bl ECG lt NBP PUMP E BATTERY 12V Al DAS PCB Ll SOLENOID POWER SUPPLY PCB A4 5 FLEX CONN PANEL zz 12 m SOLENOID ri ASYNC 1 s 2 BP1 a AlJ3 lt WIPI sw2 pa PRESSURE SWITCH 3 ASYNC2 A3J4 A3J2 lt eal wi w2 WaPl wsPil BP2 2 Ly i REMOTE VIDEO E E WIPZ 2 28 A2JA A2J5 3 a 5 we s B 8 8g ze w5 5 zu BE BE REMOTE ALARM ws 2 els lt aie FLEX ASSY COMM PROCESSOR gt 6 COLOR 59 DISPLAY m TI a m A9 I o TRANSFORMER a DISPLAY 3 a lt FLEX ASSY PROCESSOR B 5 5 E 3 5 SOURCE mU ge Bw aL BE C 5 28 DEFIB 5 Se lt 5 swc E a 6 GRN YEL FLEX ASSY ais W6P2 L3 EE E EE GND CHOKE KNOB 3 Bs 8 2 EI SPEAKER CHASSIS ASN CHASSIS A2JIA AZJS 410714 MEMORY 3 All 10 CARD E 2 FLEX ASSY Etco2 pcs lt EAcLE 4000 Patient MONITOR REVISION E 407300 123 6
3. Sua Sus Sua vo bun S u20 4 S 5 mi N e H e vea vez pum t T u24 uz6 gt 3 ust use 050 EL u33 us uze cJ u35 T vas uas uae U40 vat U56 o uso uei usa E 4 hu LN use vss 1 ven u62 1 u53 E vs 2 J6 5 6 265 AN L O O Fw t uz B 7 57 2 Sure 200050000805 7 8 8 08 Un yu Imm gj pue pe 52 Processor PCB Assembly 800704 004 SwitcH SW SETTINGS COLOR DISPLAY POS FUNCTION ON CLOSE OFF OPEN 1 PROGRAM MEMORY UPDATE DISABLE ENABLE 2 BOOT FROM MEMORY CARD ENABLE DISABLE 3 50 60 HZ 50 Hz 60 Hz 4 NOT USED N A N A 5 DISPLAY SCAN MODE NORMAL SPLIT SwircH SW SETTINGS MONO DISPLAY 6 PROBE TYPE N A NORMAL T DEFIB SYNC PULSEWIDTH 100 mS 10 mS 8 DEFIB SYNC PULSE AMPLTD 12V
4. 4 1 Download from memory card to the monitor 4 1 Load the Version 6 Conversion Tool eee 4 12 Download the version 6 conversion tool 4 12 Download the boot code software 4 13 Download the Software Components 4 15 Download monitor software components 4 15 Completing the procedure eee 4 18 Update Software From Diskettes Using A PC 4 20 About the procedure sssesseeeee e 4 20 Connect the PC to the monitor 4 20 Update program start up eee 4 21 Download from the PC to the monitor 4 22 Download files to the 222 4 23 Completing the procedure 4 25 Set French or German 5 4 27 Defaults for French or German monitors 4 27 Enable Version 6 Software Features 1 29 Procede m 1 29 Completion reete ye ee ERU QE TRE Ye VE RETE RENS 1 31 REVISION E 4000 Patient Monitor 407300 123 VII GENERAL TABLE OF CONTENTS CONT Section 4 Setup For
5. 5 7 Lead fail functional tests csse 5 8 Lead fail test failure solutions seesesess 5 8 Pacemaker pulse detection functional tests 5 9 Pace detect test failure solutions 5 9 Invasive BP functional 2 5 10 BP test failure solutions eee 5 11 Respiration functional tests 5 12 Respiration test failure solutions 5 13 NBP functional tests and test failure solutions 5 14 Service Mode Menu 5 15 About the service mode menu 5 15 Access to the service mode menu 5 16 About service mode menu option items 5 17 REVIEW aequi e oq e 5 18 More about review 5 21 Error 5 22 Service Tips 5 23 Fault symptom analysis esee 5 23 Acquisition PCB symptoms eee 5 24 Processor PCB symptoms 5 24 Power supply PCB symptoms and applications 5 25 End tidal CO2 messages eee 5 26 Network Troubleshooting eere 5 27 REVISION E 4000 Patient Monitor 407300 123 5 1 TROUBLESHOOTING
6. 4 32 Configuration Cont About Setup 4 32 Procedure Summary tens 4 32 Display features oce p NE REDE ERE 4 33 Software revision menu 4 34 Enter into the service mode menu 4 35 Unit name 4 36 4 38 Graph loCations isis ieee sees 4 40 Time and date Setup 4 43 SEcTION 5 Battery FailUre 5 2 TROUBLESHOOTING Battery replacement rcr iri rire 5 2 The BATT FAIL indicator eee 5 2 Power Source Tests cesses nnn na nun 5 4 Wall receptacle sinr eis er EE EVE PERROS 5 4 Power Cord and plug rrr RE E RERO EE dS 5 5 Main power and display power control 5 5 Data Acquisition 5 6 ECG functional tests sco te o t 5 6 ECG test failure solutions 22 5 7 Lead fail functional tests c eros rere tances 5 8 Lead fail test failure solutions ses esee 5 8 Pacemaker pulse detection functional tests 5 9 Pace detect test failure solutions 5 9 Invasive BP functional 22 5 10 BP test failure solutions
7. 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE ELECTRICAL SAFETY TESTS CONT CHASSIS TO GROUND TESTS Perform this test to measure leakage current through exposed conductive surfaces on the monitor during normal operation 1 Set the leakage tester switches as follows Selector knob 2 GND switch OPEN Polarity switch NORM 2 Connect a meter lead between the CHAS connector on the rear of the leakage tester and an unpainted non anodized chassis ground on the unit under test GND Switch 3 Set the leakage tester power switch to ON ower 63 Open Closed 4 Read the leakage current indicated on the DMM If the 120V lt 300 pA lt 300 uA reading is greater than 220 240 V 5500 pA 500 pA 300 0 3 volts on the DMM and the monitor is operating at 120 V 60 Hz U S or 500 uA 0 5 volts on the DMM and the monitor is operating at 220 240 V 50 60 Hz non U S the unit under test fails this test and should be repaired and tested again 5 Set the polarity switch to RVS and observe the same meter readings as in the previous step Set the GND switch on the leakage tester to CLOSED 7 Read the leakage current indicated on the DMM If the reading is greater than uA 0 3 volts the DMM and the monitor is operating at 120 V 60 Hz U S or 500 uA 0 5 volts on the DM
8. REF DETAIL 82 3 PLS 4000 Patient Monitor 6 10 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412186 ROUTE WIRES THRU CABLE CLAMPS ITEM 74 EXPLODED VIEW DETAIL A SEE SHEET 5 FOR DIPSWITCH SETTINGS 5 Ds Q 55 4 PLS DETAIL A DISPLAY ASSEMBLY 4 PLS 2 ASSEMBLE FLEX HARNESS DISPLAY AND SECURE TO BACK OF DISPLAY USING TWO 3 IN STRIPS OF TAPE ITEM 85 LOCATED APPROXIMATELY AS SHOWN Processor SWITCH AX SETTINGS PROCESSOR BRD DIP SWITCH SETTINGS A2SW1 POS FUNCTION ON Closed OFF Open 1 PROGRAM MEMORY UPDATE DISABLE ENABLE 2 BOOT FROM MEMORY CARD ENABLE DISABLE 3 50 60 Hz 50 Hz 60 Hz 4 ENGLISH SI UNITS SI ENGLISH 5 DISPLAY SCAN MODE NORMAL SPLIT 6 PULSE OXIMETRY MODE Not Used NELLCOR 7 DEFIB SYNC PULSEWIDTH 100 mS 10 mS 8 DEFIB SYNC PULSE AMPLTD 12V NORMAL SWITCH SETTINGS SWITCHES 1 4 amp 6 8 OFF Open SWITCH 5 ON Closed 4000 Patient Monitor REVISION E 407300 123 6 11 AssEMBLY DRAWINGS 0412186 CoLor ELECTRICAL CONNECTORS
9. 00000000000000000000900 9109000 0000000000000000008000 9000000000000 0000000000000080 Uia 9000000000000 0000000000000080 015 01000000600 0000000000000000080 95000000060 00000000000000000 0 4684 08000000 00000000000000000000 0000000000000800000000008 uaa ded RE e E E E E oo 19 3801 3009 ave 330d gjgaeooaagagoag o008000 6868 REV AND DATE CODE THIS AREA Acquisition PCB Assembly pn 800376 002 4000 PATIENT MONITOR 3 10 407300 123 Revision E CALIBRATION Power Supp_y PCB ABOUT THE PROCEDURE TEST EQUIPMENT CALIBRATION PROCEDURE It is important to calibrate your power supply PCB assembly if you ever repair it When you calibrate the power supply you ll make sure the 5 volt and 12 volt main output voltages are at the proper levels You ll also make sure that the pulse width modulation controller on the circuit board is operating at the correct frequency You only need to calibrate the power supply PCB
10. TORQUE 5 0 IN LBS 41 REF 2 PLACES iu WRAP THRU FRAME ITEM 3 AND AROUND 86 PUMP MOTOR ITEM 37 ROUTE LEADS UNDER BATTERY WHEN INSTALLING MODEL NO PER TABLE A SERIAL NUMBER AND BARCODE APPROXIMATELY m oir SN 9 SN Ss S 9 C3 EU Sg 19 SOLDER ITEM 24 IN LOCATION BK1 TORQUE TO R 2015 63 APPLY LOCTITE ITEM 89 TO LAST FEW THREADS TORQUE TO 5 0 IN LBS 2 PLS es 4 PLS 4000 PATIENT MONITOR 6 6 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412186 EXPLODED VIEW DETAIL B 6 INSTALL SPACER BETWEEN BOSS AND INSIDE OF TRANSFORMER INSTALL AROUND TRANSFORMER LEADS 73 AND POWER AND SIGNAL HARNESSES ITEM 44 AND 45 ns 26 APPLY HEAT SHRINK TUBING OVER SOLDER Y 75 CONNECTION APPLY TO ITEM 38 SUPPLIED WITH TRANSFORMER DETAIL B 52 POWER SUPPLY ASSEMBLY CHASSIS GROUND DETAIL GROUND STUD IN CASTING ITEM 6 4000 Patient Monitor REVISION E 407300 123 ASSEMBLY DRAWINGS PN 412186 FUSE REPLACEMENT VOLTAGE SETTINGS rg FUSE BLOCK Pg COVER FUSE BLOCK COVER ASSY TO CHANGE TO 5 X 20 MM FUSES
11. eese ii How To Reach Us iii Telephone numbers and iii Ordering supply iii Ordering ect te i nte iii Service iii Service maintenance iii Technical Support op iv Main switchboard SECTION Product Description nnn nne 1 2 EQUIPMENT OVERVIEW About THE Led Oeo des tev sew de sw dies 1 2 Marquette Unity Network eere nennen nnne 1 3 Monitor application 1 3 Patient monitoring system application 1 3 Hospital wide network application 1 3 Front Panel Controls Connectors 1 4 Rear Panel Controls 5 1 5 About the remote alarm connector 1 6 Performance Specifications 1 7 Preparation For 1 16 Power requirements avssevevcren D vC D EY REE CO cea 1 16 Equipment ground 1 16 Fuse and voltage
12. 4 6 Load Software For 4 7 Use the Correct Loading Procedure sess 4 7 Load software onto a central station 4 7 Download from a central station to the monitor 4 10 Use the Correct Loading 4 11 Download from memory card to the monitor 4 1 Load the Version 6 Conversion Tool eee 4 12 Download the version 6 conversion tool 4 12 Download the boot code software 4 13 Download the Software Components 4 15 Download monitor software components 4 15 Completing the procedure gr 4 18 Update Software From Diskettes Using A PC 4 20 About the 4 20 Connect the PC to the monitor 4 20 Update program start up eee 4 21 Download from the PC to the monitor 4 22 Download files to the monitor sese 4 23 Completing the procedure 4 25 Set French or German Defaults cess 4 27 Defaults for French or German monitors 4 27 Enable Version 6 Software Features 1 29 PROCEGUTEC E
13. WARNING Never use the word none as a care UNIT NAME This name can be very confusing to users and make network troubleshooting extremely difficult 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION Setup For Use Conr Setup the unit name of the monitor Cont CAUTION It is very difficult to visually detect spaces are characters when programmed into the UNIT NAME The manufacturer recommends avoiding the use of spaces in the UNIT NAME Two sets of arrow icons appear in the UNIT NAME pop up window The horizontal left right arrow icons when highlighted allow the user to select a specific character for change by rotating the Trim Knob control Press and release of the Trim Knob while a specific character is highlighted enables that specified character for change The vertical up down arrow icons when highlighted allow the user to scroll through all of the alphanumerics available for each character Rotating the Trim Knob control at this point allows the user to select a specific alphanumeric to be entered into the specified character position within this field To enter the chosen character into memory press and release the Trim Knob control one more time Repeat step 3 for each character to be entered as part of the UNIT NAME Up to seven characters may be setup or configured The manufacturer recommends UNIT NAME fields that are l
14. 5 clear out the stored run time error logs use the Trim Knob to scroll to and select the CLEAR OUTPUT ERRORS or CLEAR INPUT ERRORS menu option item respectively OUTPUT SOFTWARE ERRORS HAVE BEEN CLEARED VIEW OUTPUT VIEW INPUT ERRORS ERRORS ave CLEAR OUTPUT MENU ERRORS ERRORS Immediately following the assertion of the Trim Knob to clear one of the error logs a message appears directly above the menu option items on the right side of the display The message verifies the actuation of the Trim Knob for this function 4000 Patient Monitor 407300 123 REVISION TROUBLESHOOTING Service MORE ABOUT REVIEW ERRORS How much data actually is in the error log Using information in the error log RUN TIME ERROR LOG Status Register 2000 Program Counter 10017A User Stack Pointer 981794 Super Stack Pointer 94 Heap Pointer 910F78 Process Name system Error Code warmstart 0 Severity Continue Date JUL 19 1995 Time 13 34 52 Error Number il How network errors are logged This part of the section describes in greater detail what information the error log contains and what can be learned from error logs An error log in the monitor is constructed as a circular file not referring to a wastepaper basket This circular file can hold up to 50 events As an event occurs error information is stored
15. Power supply PCB parts location Below is the parts location diagram for the power supply PCB diagram assembly Reference this diagram for the location of components highlighted relative to calibration of this assembly SS Jt Ed HD 8 Ut Uz 7 C6 i pw u HD6 O j U4 US gp pn b Q6 CR18 lf LU U II U6 HD4 7 E Se N pmi E rc G4 Es 1 o Q R77 HOG zi 8 va gt creil P 5 rim Eh Om US Te T3 52 tiw J3 R38 O O F o o Power Supply PCB Assembly pn 800378 002 4000 PATIENT MONITOR 3 12 407300 123 Revision E CALIBRATION Power Conr Frequency calibration 5 calibration 12 main calibration
16. EAcLE 4000 PATIENT Monitor REVISION 407300 123 1 27 uoisuedx3 EQUIPMENT OVERVIEW THEORY OF OPERATION CONT OPTIONAL ETCO BLOCK THEORY Reference Detector Ref Signal CO2 Signal Detector Source Splitter EtCO Transducer Head Functional circuits The Eagle Capnostat COs System ECCS is a self contained printed circuit assembly that interfaces Novametrix Capnostat 3 sensors to the Eagle 4000 Patient Monitor The ECCS has the necessary circuitry to interface to the Capnostat 3 It acquires raw signals from the Capnostat 3 processes these signals to produce CO waveform data and respiration parameters These parameters are sent to the host system via an asynchronous serial communication link The Mainstream Capnometer measures End tidal Carbon Dioxide using a non invasive technique that relies on the selective absorption properties of CO to specific frequencies of infrared radiation In the transducer head a thick film infrared source is pulsed at a rate of approximately 87 Hz generating a broad band spectrum of IR Selective filtering separates this into two narrow regions one inside the band of absorption the other outside the region of CO absorption Behind each filter is a detector which produces an electrical signal proportional to the amount of light energy it receives The detector associated with the filter outside the band of CO absor
17. PN 412185 MoNocHROME Non INvASIvVE CONT NBP PNEUMATIC CIRCUIT DIAGRAM PUMP MONITOR ASSEMBLY Bl VALVE L2 LZ 06 DIA RESTRICTOR IN LINE FILTER A CHECK VALVE m X P di V DM VALVE L1 03 DIA RESTRICTOR DUAL TUBE PATIENT CUFF Al R DAS PEB PRESSURE SWITCH PNEUMATIC sw2 CONNECTOR is PRESSURE TRANSDUCER PNEUMATIC SCHEMATIC EXPLODED VIEW DETAIL G ds I I Bl 2 50 FLow 2 50 DIRECTION NL 100 1 TO BULKHEAD FITTING ON IT 3 3 50 sw2 E ET PIN 1 03 RSTR SOLENOID L1 BLACK 06 RSTR SOLENOID L2 BLACK PRESS SWITCH SW2 Brack YELLOW Wc RED DETAIL G NBP PLUMBING ASSEMBLY REVISION E 4000 Patient MONITOR 407300 123 6 19 ASSEMBLY DRAWINGS PN 412185 CONT EXPLODED VIEW REAR 23 APPLY ITEM 3 43 5 1 TORQUE TO 5 0 IN LBS 2 PLACES 64 REF 87 THRU FRAME ITEM 3 AND AROUND PUMP MOTOR ITEM 37 ROUTE LEADS UNDER BATTERY WHEN INSTALLING MARK LABEL WITH MODEL NO PER TABLE E gt SERIAL NUMBER AND BARCODE IN N _ 2PLS 98 N c 97 N r APPROXIMATELY 7 CENTE
18. 6 24 Exploded view detail 2 01 6 25 Processor dip switch settings 6 25 Electrical connectors 2 eene 6 26 Electrical diagram 6 27 Pn 412185 0211 022e Parts List Monochrome 6 28 412185 0121 023e Parts List 1 6 31 SECTION 7 Field Service Manual 7 2 ABOUT THE MANUAL Intended 186 55 vec ce CY P ERN YE een 7 2 Scope of the manual 7 2 Manual content i ER 7 2 Page 7 3 Related Documentation eee cernere enne 7 4 Operator information 29 eder eren seat 7 4 Service infOrMatiOn k 7 4 Manufacturer Responsibility 7 5 Liability disclaimer 7 5 Notes Cautions and Warnings 7 6 25 7 6 4000 Patient Monitor REVISION E 407300 123 Ix GENERAL TABLE OF CONTENTS CONT Section 7 Parts Lists 7 6 About the Manual Cont Dimension specifications 21212 7 6 Abb
19. NOTE If the conversion tool for updates from pre version 6 software has been downloaded it is not necessary to download the boot code Begin the software compo nent download with the acquisition processor code Acquisition processor code das scr CO2 main code co2main scr NOTE CO2 is an optional feature If the monitor being updated is not equipped with the CO2 feature the CO2 main code cannot be updated Main processor code main scr The procedure for downloading the software components is the same for each component Follow the directions below for each component that needs to be updated 1 Tostart the monitor Boot Loader program Hold down NBP GO STOP and ZERO ALL front panel control keys on the monitor Press and release the Trim Knob control Continue to hold NBP GO STOP and ZERO ALL front panel control keys until the Eagle Boot Loader menu appears on the monitor display REVISION E 4000 Patient Monitor 407300 123 4 15 CONFIGURATION DOWNLOAD THE SOFTWARE COMPONENTS CONT Select the source to load the 2 Observe the monitor display In less than ten seconds software from FILE SERVER SELECTION menu appears on the display At the FILE SERVER SELECTION menu choose one of the following If you are downloading the software from a Centralscope central station find the care unit name of the appropriate central station the
20. NOTES 1 PLACE INSTRUCTION CARD ITEM 84 AND CONNECTOR COVERS ITEM 81 IN BAG ITEM 91 FOR SHIPPING 2 PLACE INSTRUCTION CARD ITEM 92 IN BAG ITEM 93 FOR SHIPPING 3 LOOSE ITEMS BE SHIPPED WITH THE UNIT IF SPACE PERMITS OR PACKAGED AND SHIPPED SEPARATELY 4 010 4 021 ASSEMBLIES PLACE INSTRUCTION SHEET ITEM 130 AND ASSEMBLED PNEUMATIC CIRCUIT IN BAG ITEM 93 FOR SHIPPING 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412186 NBP PNEUMATIC CIRCUIT DIAGRAM PUMP MONITOR ASSEMBLY Bl VALVE L2 IN LINE FILTER A CHECK VALVE TII 06 DIA RESTRICTOR H Ss VALVE L1 03 DIA RESTRICTOR DUAL TUBE PATIENT CUFF DAS PCB PRESSURE SWITCH PNEUMATIC Swe CONNECTOR L PRESSURE TRANSDUCER PNEUMATIC SCHEMATIC EXPLODED VIEW DETAIL G 2 50 FLow 2 50 DIRECTION p TO BULKHEAD FITTING ON IT 3 3 50 H sw2 3 50 PIN 1 03 RSTR SOLENOID L1 06 RSTR SOLENOID L2 PRESS SWITCH SW2 PUMP B1 DETAIL G NBP PLUMBING ASSEMBLY REVISION E 4000 Patient Monitor 407300 123 6 5 ASSEMBLY DRAWINGS PN 0412186 CoLor EXPLODED VIEW REAR
21. BATTERY FAILURE THE BATT FAIL iNDICATOR PWR BATT e RDY CHRGNG FAIL BATTERY REPLACEMENT While the monitor is running on power from the wall receptacle the battery is being continuously charged The monitor internally checks the battery voltage at 30 second intervals After the monitor attempts to charge the battery for 30 minutes the battery voltage must reach a minimum of 11 7 volts or the monitor determines the battery has failed When this occurs the BATT FAIL indicator will illuminate When the BATT FAIL indicator illuminates immediately remove the monitor from service and replace the battery The BATT FAIL indicator when illuminated indicates the battery will not reliably power the monitor during patient transport emergency power testing or AC power failure WARNING Attempting to use a monitor for patient transport while the BATT FAIL indicator is illuminated will result in complete loss of all monitoring functions Use during emergency power testing or during AC power failure with this pending condition will also result in complete loss of all monitoring functions for as long as AC power is removed Follow this procedure to replace a defective battery pack in the monitor 1 Apply AC power to the monitor This is necessary due to the fact that the main processor PCB only senses the presence of a battery while the monitor is powered
22. This procedure provides a method of verifying these items are accurate The following items are required to successfully complete the EtCO calibration procedure Mercury manometer SenSym PDM200M or laboratory grade mercury manometer Two 12 inch lengths of silicone tubing 1 8 ID x 1 4 OD Tubing tee fitting 3 way 1 8 and 10 syringe any size will work The following steps describe the test setup for calibrating the end tidal functions of the monitor 1 2 3 Remove the 4 screws on the back of the monitor Remove the front and rear housings from the monitor Unsnap the processor PCB to gain access to the EtCOg calibration tube located in the recess behind the processor PCB Connect the 3 way tee fitting to the EtCO calibration tube affixed to the mounting frame Connect one length of silicone tubing between one of the unused tee fittings and the mercury manometer Connect the other length of silicone tubing between the remaining unused tee fitting and the 10 cc syringe 4000 Patient Monitor 407300 123 REVISION E CALIBRATION END TIDAL CO CALIBRATION PROCEDURE Follow these steps to calibrate the EtCOg function of the monitor 1 Turn the manometer on and adjust the range switch to the 200mmHg setting Remove all cables from the monitor except for the AC power cord and the EtCO sensor 2 Apply power to the monitor Plug t
23. Blood temperature test Set the CO simulator to output blood temperature BT readings Verify a CO parameter window appears on the monitor display with BT readings in the ranges as shown in the table below Simulator BT Setting Monitor BT Reading Range 30 3 C 30 1 30 5 35 1 34 9 35 3 36 0 35 8 36 2 37 0 36 8 37 2 41 7 41 5 41 9 Injectate temperature test 4 Set the CO simulator to output injectate temperature IT readings Verify a CO parameter window appears on the monitor display with IT readings in the ranges as shown in the table below Simulator IT Setting Monitor IT Reading Range 0 0 C 0 3 0 3 8 0 7 7 8 3 15 0 14 7 15 3 24 0 23 7 24 3 29 6 29 3 29 9 CO test completion 5 Disconnect the CO cable adaptor from the TEMP CO connector of the monitor This completes the CO tests 4000 Patient Monitor 2 12 407300 123 REVISION E MAINTENANCE CHECKOUT CONT INVASIVE BLOOD PRESSURE TESTS connector tests BP test setup Zero reference ARI Static pressure verification Dynamic pressure verification BPI test completion The invasive blood pressure BP tests provide a method of verification for both BP connectors BP1 and BP2 of a monitor equipped with this optional function Follow these steps 1 Set up the patient simulator as follows Blood pressure BP polarity POS BP output 0 m
24. Completion 7 10 11 12 13 14 15 16 17 18 Wait at least 2 minutes the power supply PCB to warm up and stabilize sufficiently before proceeding to the next steps Connect the oscilloscope or frequency counter to the output of controller U9 Connect the positive test lead to controller U9 11 Connect the negative test lead to controller U9 pin 12 Adjust potentiometer R50 until the oscilloscope measures or the frequency counter reads 112 0 25 kHz Connect the DMM or oscilloscope to the 5 Vac output Connect the positive test lead to connector J4 pin 8 Connect the negative test lead to connector J4 pin 6 Adjust potentiometer R43 until the DMM reads or the oscilloscope measures 5 0 01 Connect the DMM or oscilloscope to the 12 Vac 12V MN output Connect the positive test lead to connector 44 4 Connect the negative test lead to connector J4 pin 6 Adjust potentiometer R38 until the DMM reads or the oscilloscope measures 12 0 02 Vgc Turn the monitor rear panel main power switch to the off position and unplug the power cord from the wall receptacle Power down all test equipment and disconnect all test leads from the power supply PCB Disconnect the 50 load resistor from connector Completely reassemble the monitor Perform the checkout procedures and leakage current tests as described in the section of
25. 13 ASSEMBLY DRAWINGS 412186 023 024 Parts List COLOR REFERENCE ASSEMBLY DRAWING PN D412186E Item Qty 1 1 00 2 1 00 3 1 00 4 1 00 5 1 00 6 1 00 7 1 00 8 2 00 9 1 00 11 2 00 12 1 00 13 1 00 15 1 00 16 1 00 17 1 00 18 1 00 19 1 00 20 1 00 1 00 22 1 00 23 1 00 24 1 00 25 1 00 26 1 00 1 00 28 1 00 29 1 00 30 1 00 31 1 00 32 2 00 33 1 00 34 1 00 35 1 00 36 1 00 37 1 00 38 1 00 39 1 00 40 1 00 41 1 00 42 1 00 43 1 00 44 1 00 45 1 00 46 2 00 47 2 00 48 1 00 49 1 00 49 1 00 49 1 00 Part Number 405747 008 405748 003 409109 002 405751 004 405753 001 405755 004 406080 001 406464 001 413346 001 412086 001 408640 001 408989 002 406130 004 406394 001 413536 001 413536 002 408984 002 409472 001 406324 002 417851 001 800704 004 800376 002 800378 002 801316 001 800760 001 800400 001 17033 007 17043 112 401184 001 401762 004 401762 008 401762 021 408820 001 416153 002 406693 003 410168 001 411810 001 417768 001 408800 002 415682 001 408884 001 409060 001 409155 001 417847 001 417849 001 404525 006 415372 001 415372 003 415372 004 Description FRONT HOUSING EAGLE 4000 REAR HOUSING EAGLE HB COLOR MOUNTING FRAME SERIES 2 EAGLE CONTROL PANEL SERIES 2 EAGLE CONNECTOR FRAME EAGLE CASTING POWER SUPPLY EAGLE TRIM KNOB EAGLE REAR FOOT EAGLE GASKET ADHESIVE DISPLAY FILTER SPACER HOUSING EAGLE HB COLOR BATTERY COVER EAGLE COVER DAS BOARD
26. Markers appear in the displayed respiration waveform refer to figure at left These indicate the points at which the monitor senses inspiration and expiration for determination of the respiration rate 5 12 4000 Patient MONITOR 407300 123 Revision E TROUBLESHOOTING Data ACQUISITION TESTS CONT RESPIRATION TEST FAILURE SOLUTIONS No respiration waveform or rate appear on the display Markers do not appear on the respiration waveform respiration rate is inaccurate Respiration functions work properly when using a patient simulator but not on an actual patient pa et Perform the following if any part of the previously described respiration functional test has failed to yield the desired results If the respiration waveform or rate does not appear on the monitor display perform the following steps to isolate the problem 1 the baseline impedance on the patient simulator 2 the AR on the patient simulator 3 Test the patient simulator and appropriate patient cables on a working monitor to determine the source of the problem 4 If none of the previous recommendations corrects the problem the acquisition PCB is suspect Swap the PCB into a working monitor to determine the source of the problem and replace as necessary If the markers on the respiration waveform do not appear on the display or the respiration rate count is inaccurate try changing the respiration sensit
27. POS FUNCTION ON CLOSE X OFF OPEN PROGRAM MEMORY UPDATE DISABLE ENABLE BOOT FROM MEMORY CARD ENABLE DISABLE 50 60 HZ 50Hz 60 Hz NOT USED N A N A DISPLAY SCAN MODE NORMAL SPLIT PROBE TYPE N A NORMAL DEFIB SYNC PULSEWIDTH 100 mS 10 mS DEFIB SYNC PULSE AMPLTD 12V 5V NORMAL SWITCH SETTINGS SWITCHES 1 4 amp 6 8 OFF OPEN 1 2 3 SWITCH 5 ON CLOSED e 6 7 8 NORMAL SWITCH SETTINGS ALL SWITCHES OFF OPEN 4000 Patient Monitor 3 4 407300 123 REVISION E CALIBRATION Processor PCB Cont BP ANALOG OUTPUT NULL AND GAIN CALIBRATION Start the boot loader program Connect a voltmeter to the Defib sync jack DEFIB SYNC 2 6 Arterial BP E 5 Analog Ground Calibrate BP analog output null zero offset Calibrate BP analog output gain Completion of this adjustment Use potentiometers R1 and R2 to adjust the BP analog output null zero offset and gain respectively 1 Start the monitor Boot Loader program Press and hold the NBP GO STOP and ZERO ALL front panel controls on the monitor Press and release the Trim Knob front panel control on the monitor Continue holding the NBP GO STOP and ZERO ALL front panel controls until the EAGLE BOOT LOADER MENU appears on the monitor display Connect a voltmeter to the Arterial BP pins of the DEFIB SYNC front panel connector refer to the figure at left on the monitor Connect the positive test le
28. Tl temperature setup 2 Attach the temperature adaptor cable to the TEMP CO connector of the monitor see figure below 3 Set the switch on the temperature adaptor to the 400 position 4 Attach the temperature simulator cable from the SERIES 400 TEMPERATURE OUTPUT connector of the patient simulator to the 1 connector of the temperature adaptor Temperature tests setup Temperature Adapter PN402015 001 Temperature Simulator Cable PN677003 1 5 Verify a TEMP parameter window appears on the monitor display with a T1 reading of 37 0 0 4 C T2 temperature setup 6 Move the temperature simulator cable from the 1 connector of the temperature adaptor to the T2 connector of the temperature adaptor 7 Verify a T2 reading of 37 0 0 4 C in the TEMP parameter window on the monitor display Temperature tests completion 8 Remove the temperature adaptor and temperature simulator cable from the monitor and patient simulator 4000 Patient Monitor REVISION E 407300 123 2 11 MAINTENANCE CHECKOUT PRoceDures CONT CARDIAC OUTPUT TESTS Follow these steps to perform the cardiac output tests 1 Connect the cardiac output CO cable adaptor to the TEMP CO connector of the monitor 2 Connect a simulator cable between the CO cable adaptor and the CO simulator CO test setup Cardiac Output Cable Adapter PN700092 001 Cardiac Output Simulator II PN900028 001
29. 24 407300 123 REVISION E EQUIPMENT OVERVIEW THEORY OF OPERATION CONT Processor PCB BLOCK DIAGRAM Crystal Oscillator 31 2 kHz DAS_FRZ DAS PCSO DAS MISO DAS MOSI DAS SCLK DAS ENBL MC68332 32 Bit Integrated u Controller uProcessor Supervisory Circuit 1AH Lithium Flash Program Memory 1 0 Address Driver 1 15 Battery TMS34010 50 MHz Graphics System Processor GSP Oscillator Fy cag Driver 3 5 8 2 Expansion m Interface Address B Driver Expansion 5 Interface pes Xcvr LADO 15 COMM_TX1 8 COMM_TX2 COMM_RX2 8 12 5 x LAN amp LAN TX 5 LAN Compressor Pressure Switches Interface Solenoid Valvel Solenoid ValveO System Interface ASIC User Defib Sync Jack Panel Trim Knob Control Interface Front Panel Pushbuttons Analog Output DAC Memory 1 19 PCMCIA Card Card Interface 15 Slot Graphics Controller ASIC RTC amp 16Q Speaker Audio 5VID 12VID External RMT_RED GREEN BLUE_VID Display Interface RMT_HSYNC VSYNC RMT_ID Internal Display Backlight Power Internal Display Interface Internal Display Data Internal Display Power Internal Display Control REVISION E EAcLE 4000 PATIENT Monitor 407300 123 25 EQ
30. CBET or other qualified service personnel formally trained by the manufacturer the electrical installation relevant to main AC power from the wall receptacle for the monitor complies with all associated regulations and the monitor is used in accordance with the manufacturer s recommended operational instructions 4000 Patient Monitor REVISION E 407300 123 7 5 THE MANUAL CAUTIONS AND WARNINGS WHAT THESE INDICATE Notes cautions and warnings all appear in a similar fashion throughout the manual These are designed to draw special attention to particular relevant points of interest NOTE A note conveys special instructions to highlight an operating procedure practice etc Notes may pre cede or follow the applicable text depending on the material to be highlighted CAUTION The purpose of a caution is to inform users of this manual of operating procedures practices etc which if not strictly observed could result in possible damage to the equipment WARNING A warning provides instructions to users of the manual that operating procedures practices etc if not followed may result in personal injury Parts Lists DIMENSION SPECIFICATIONS Hardware dimensions in parts lists use either metric or American standards Metric standards are indicated as items that include the letter M as a prefix example Screw M 2 0 x 4
31. Eagle Patient Monitor with external writer and or Network laser printer For a stand alone monitor each type of graph is setup or configured individually and can be directed only to an external writer optional directly connected to the ASYNC rear panel connector on the monitor Three separate graph locations can be setup or configured in the monitor The following describes each GRAPH LOCATION MANUAL GRAPH LOCATION The graph device that prints patient waveforms and annotation Manual graphs are generated by the monitor whenever the GRAPH GO STOP front panel control on the monitor is pressed ALARM GRAPH LOCATION The graph device that prints patient waveforms and annotation Alarm graphs are automatically generated by the monitor whenever a Crisis Alarm or Warning Alarm is sensed PRINT WINDOW LOCATION The graph device that prints patient information displayed in various types of screens on the monitor Print windows are generated by the monitor whenever a menu option item for each specific function is displayed and selected by an operator NOTE Graphs can be sent to locations other than the writer directly connected to the monitor 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION Setup For Use Conr Setup the graph locations of the Setup or configure the GRAPH LOCATIONS of the monitor by monitor following these steps Select monitor setup 1 Use the Trim Knob control on
32. Item 49 49 49 49 49 49 49 49 49 49 49 49 49 Qty 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 3 00 2 00 29 00 4 00 4 00 3 00 1 00 3 00 1 00 2 00 5 00 1 00 2 67 0 09 1 00 1 00 2 00 1 00 1 00 1 00 2 00 1 00 2 00 3 00 2 00 4 00 1 00 0 01 Part Number 415530 001 415530 003 415530 004 415530 005 415530 006 415530 007 415530 008 416809 001 416809 002 416809 003 416809 004 416809 005 416809 006 416809 007 415511 001 415509 001 45000 810 45074 418 45040 604 45074 408 45074 432 45074 612 4520 304 4521 304 4521 704 4556 001 4502 812 409764 001 408230 002 401582 001 403741 001 404675 001 404679 001 404855 001 406447 002 416760 001 407396 004 407397 002 407399 002 408557 001 4656 404 4502 808 45074 412 4535 002 4814 002 Description LABEL EAGLE CNTRL PANEL NI ENG LABEL EAGLE CNTRL PANEL NI FRE LABEL EAGLE CNTRL PANEL NI SWE LABEL EAGLE CNTRL PANEL NI SPA LABEL EAGLE CNTRL PANEL NI ITA LABEL EAGLE CNTRL PANEL NI DUT LBL EAGLE FRT PNL NI GER NOPTB LBL EAGLE FRONT PNL NI CO2 ENG LBL EAGLE FRONT PNL NI CO2 GER LBL EAGLE FRONT PNL NI CO2 FRE LBL EAGLE FRONT 2 SWE LBL EAGLE FRONT PNL NI CO2 SPA LBL EAGLE FRONT PNL NI CO2 ITA LBL EAGLE FRONT PNL NI CO2 DUT LABEL SYMBOL GROUND LABEL PATIENT ISO CAUTION SCREW SEMS PH 8 32X5 8 SCREW BDGH 4 40 X 312L SCREW TT PH 6 32X1 4 SCREW BDGH 4 40 X 1 4 SCREW BDGH 4 4
33. PLATE CONN MTG ETCO2 EAGLE BOTTOM COVER CASTING CLIP GROUNDING PROC PCB LEFT CLIP GROUNDING PROC PCB RIGHT CLIP GROUNDING DAS BRD BRACKET ECG CONN FLEX CKT CONNECTOR PANEL A4 LCD ASSY TFT D344 W HARNESS PCB EAGLE 4000 CPU 20MHZ A2 PCB EAGLE DAS 12SL Al PCB EAGLE POWER SUPPLY A3 PCB EAGLE COMMUNICATION A5 PCB FLEX SERIES 2 KEYPAD FLEX PCB COMM PROCESSOR A7 CONN FUSE HLDR SW VOL FILTER CONN RCPT LOCKING 12P COUPLING TWIN BODY 1 8 ID 11P SKT 1 0MM KEY4 BP 11 SKT 1 0MM KEYS PULSE 11P SKT 1 0MM KEY21 CO CONN RA 050C 80P ASSY VALVE MANIFOLD EAGLE 11 12 ASSY PUMP TRANSFORMER ISO STEPDOWN EAGLE T1 ASSY CHOKE GROUND WIRE FLEX PWB ASSY W SPLIT CORE A9 ASSY PRESS SENSOR 150 300 MMHG SW2 CABLE ASSY RBN 16P DAS CPU W1 ASSY SPEAKER HARNESS SP1 ASSY HARNESS POWER W5 ASSY HARNESS SIGNAL W4 BRACKET LCD MTG E 4000 LEFT BRACKET LCD MTG E 4000 RIGHT LABEL BLANK 2 6IN X 4IN LABEL EAGLE CONTROL PANEL ENG LABEL EAGLE CONTROL PANEL FRE LABEL EAGLE CONTROL PANEL SWE 6 14 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412186 023 024 Parts List CONT REFERENCE ASSEMBLY DRAWING PN D412186E Item 49 49 49 49 49 49 49 49 49 Qty 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 3 00 2 00 33 00 4 00 4 00 3 00 1 00 3 00 1 00 2 00 5 00 1 00 2 08 0 09 1 00 1 00 2 00 1 00 2 00
34. SERVICE INFORMATION Eagle 4000 Patient Monitor Operator s Manual Part number 407300 163 Describes complete operation for monitors with version 6 software installed Cleaning Your Eagle Monitor s Display Part number 407300 054 Describes manufacturer recommendation for cleaning a monochrome EL monitor display screen Charging Your Eagle Monitor Battery Pack Part number 407300 064 Describes monitor battery management procedures Tram X00 Modules Eagle Monitor Termination Instructions for BP CO and TEMP Cables Part number 403799 016 Describes how to properly terminate the listed patient cable connectors Eagle 4000 Patient Monitor Version 6 Update Instructions Part number 407300 170 Describes the procedure for updating software in the monitor Marquette Unity Network User s Manual Part number 403799 023 Describes configuration and network related service information for all products on the network 4000 Patient MONITOR 407300 123 REVISION E THE MANUAL MANUFACTURER RESPONSIBILITY LIABILITY DISCLAIMER The manufacturer is responsible for the effects on safety reliability and performance of the monitor only if installation maintenance extensions calibration modification repair and any other general service requirements of the monitor are conducted by manufacturer field service engineers certified biomedical equipment technicians
35. Station 6 Probe Type Station 7 Defib Sync Pulse Width Station 8 Defib Sync Level The processor PCB has one switch SW1 which is a 8 station DIP switch Station 1 is the left most station of the DIP switch The switches are open when in the upward most position away from the circuit board Each of the eight stations has a different function as described in the following With this switch in the closed position software updating and NBP calibration are disabled This switch is set to the open position for all monitors except those located in Germany With this switch in the closed position two functions are set the watchdog timer is disabled and the monitor is enabled to run from code stored in a memory PCMCIA card This switch is set to the open position for all monitors This switch is closed for manufacturing purposes only With this switch in the closed position AC power with 50 Hz line frequency can be used with the monitor With this switch in the open position AC power with 60 Hz line frequency can be used with the monitor This switch is not used This switch is set to the closed position for monitors with a TFT color display Conversely this switch is set to the open position for monitors with an EL monochrome display This switch can only be set to the open position Do not change the factory setting This switch determines the pulse width of the Defib Sync output signal When this switch is closed
36. cell and place it on the REF cell Observe an EXP value of 38 mmHg 2 mmHg is displayed If the value is not within this range contact Monitoring Technical Support REVISION E 4000 Patient Monitor 407300 123 2 23 MAINTENANCE CHECKOUT PRocebures CONT DEFIB SYNCH TESTS DEFIB SYNC 5 Analog Ground To perform the defibrillator synchronization DEFIB SYNC tests check the ECG Arterial BP and Marker Out signals from the DEFIB SYNC front panel connector of the monitor reference figure at left The signals displayed on the oscilloscope should closely resemble the waveforms shown in the figures below There are two Marker Out figures shown below The uppermost figure references the frequency characteristics of the Marker Out signal and the bottom figure references the pulse width characteristics of that signal DEFIB SYNC connector ECG Signal Pin 1 Ground Pin 5 Probe Type x10 Time Division 0 2S Volts Division 0 5V DEFIB SYNC connector Arterial BP Signal Pin 6 Ground Pin 5 Probe Type x10 Time Division 0 2S Volts Division 0 2V DEFIB SYNC connector Marker Out frequency Signal Pin 3 Ground Pin 2 Probe Type x10 Time Division 0 2S Volts Division 1V DEFIB SYNC connector Marker Out pulse width Signal Pin 3 Ground Pin 2 Probe Type x10 Time Division 5mS Volts Division 1V 4
37. eod eere eem eren 5 11 Respiration functional tests 5 12 Respiration test failure solutions 5 13 functional tests and test failure solutions 5 14 Service Mode Menu 5 15 About the service mode menu 5 15 Access to the service mode menu 5 16 About service mode menu option items 5 17 REVIEW 5 18 More about review 5 21 EXLOLJOSSi IG GIGS AE ORE EU OE Rete 5 22 Service Tips 5 23 Fault symptom analysis eee 5 23 Acquisition PCB 5 24 Processor PCB symptoms ooo 5 24 Power supply PCB symptoms and applications 5 25 End tidal CO2 messages 5 26 Network Troubleshooting 5 27 4000 Patient Monitor VIII 407300 123 REVISION E GENERAL TABLE OF CONTENTS CONT SECTION 6 Assembly Drawings eere eere nnn nnns 6 2 ASSEMBLY DRAWINGS About this Sector Lose eee nior repro rope Exe RENTEN Ec V 6 2 About the assembly drawings 6 2 Pn 0412186 Color eere enne nnn nnne 6 3 About the
38. first are the active set 5 change fuse arrangement invert the fuse holder and reassemble it to the fuse block in the reverse order of steps 2 and 3 VOLTAGE SELECTOR CARD SETUP Next change the voltage selector for the correct operating voltage of the monitor Continue with these steps 1 With the fuse holder remaining out of the power input _ 4s 0 2 module remove the voltage selector card from the power input module as well by pulling it straight out cs 2 Holding the indicator pin in the upright position rotate the selector card so the desired voltage is readable at the bottom 3 Insert the voltage selector card into the power input module 4 such that the voltage lettering imprinted on the card is facing the power on off switch 4 Replace the fuse holder into the power input module and verify the desired voltage is indicated when viewed from the rear panel 100V 120V e 220V O 240V O Selected voltage 4000 Patient MONITOR REVISION E 407300 123 1 17 EQUIPMENT OVERVIEW PREPARATION For Use MONITOR VENTILATION The monitor is capable of producing as much as 170 BTu per REQUIREMENTS hour of heat load This is equivalent to approximately 50 watts of energy WARNING Failure to properly ventilate the monitor may cause equipment failure or improper monitoring co
39. the relay is activated This causes the nurse call system to notify personnel the alarm situation has been cleared The relay is deactivated when AC power is removed from the monitor 4000 Patient Monitor 407300 123 REVISION E EQUIPMENT OVERVIEW PERFORMANCE SPECIFICATIONS DisPLAY Size Type Monochrome Color Resolution Number of traces Number of seconds trace Sweep speed All waveforms except EtCO EtCOg Waveform display options Information window Display organization CONTROLS Standard PROCESSING Main processor Data acquisition processor Graphics processor Program storage Data storage ALARMS Classification Notification Setting Silencing Volume 10 4 inch diagonal Hi Bright Electroluminescent EL Thin Film Transistor TFT Liquid Crystal Display LCD 640 by 480 pixels 6 6 0 at 25 mm sec 25 mm sec with erase bar 6 25 12 5 or 25 mm sec with erase bar Full or individual Displays non real time information without obstructing the display of real time information Prioritized by parameter Trim Knob control plus 4 hard keys Silence Alarm Graph Go Stop Zero All and Display On Off MC68332 32 bit integrated microcontroller 19 968 MHz MC68332 32 bit integrated microcontroller 15 72 MHz 534010 32 bit graphics system processor 50 MHz 4 MB flash memory 2 MB RAM battery backed up 4 levels Crisis Warning Advisory and Message
40. 04 103 1 00 104 1 00 106 1 00 108 1 00 108 1 00 109 1 00 110 1 00 110 1 00 110 1 00 112 1 00 113 1 00 113 1 00 114 1 00 115 1 00 120 1 00 121 1 00 112727 1 00 123 1 00 124 1 00 125 1 00 126 2 00 127 1 00 129 1 00 Part Number 4851 071 9956 002 407300 054 9976 008 406679 003 407175 001 407175 002 407175 003 407175 004 407175 005 407175 007 407175 008 407300 123 415511 002 4819 101 1908 503 1908 505 1910 212 410491 001 4882 105 400040 001 400041 001 415512 001 415379 001 415379 002 415377 001 414908 001 414908 002 414908 005 415374 001 415375 001 415375 002 415376 001 415373 001 408230 008 408230 011 416094 001 416761 001 800862 002 800894 001 413324 002 45074 206 405558 001 Description ADHESIVE LOCTITE PRISM 460 4X6IN ANTI STATIC ZIPLOCK BAG INST EAGLE DISPLAY CLEANING BAG ANTI STATIC 8 00W X 10 00L BATTERY PACK EAGLE BACKLIGHT KEYPAD EAGLE BACKLIGHT KEYPAD SWEDISH BACKLIGHT KEYPAD FRENCH BACKLIGHT KEYPAD GERMAN BACKLIGHT KEYPAD ITALIAN BACKLIGHT KEYPAD DUTCH BACKLIGHT KEYPAD SPANISH MNL EAGLE 4000 FIELD SERVICE LABEL EQUIPOTENTIALITY SYMBOL TAPE FOAM 5WX1 0L FUSE METRIC 1 25A SLO BLO FUSE METRIC 2 5 SLO BLO FUSE 3AG 2 1 2A SB SPACER 5 DIA RUBBER TUBING FIT 3 16 BLK PLUG MC EQUIPOTENTIAL WASHER LOCK SERRATED F M 6 LABEL LEADWIRE WARNING EAGLE LABEL PRODUCT MARK EAGLE 4000 LABEL PRODUCT MARK EAGLE 4000N LABEL NELLCOR SENSOR LABEL MAR
41. 1 an error occurred and the download automatically aborted When disk 1 is finished loading the central station will automatically eject the disk and display the message INSERT DISK EAGLE E4_6X 2 OF 3 Insert Disk 2 into the floppy disk drive on the front panel of the central station monitor NOTE Amessage is displayed in the upper left corner of the central station display LOADING DISK EAGLE E4_6X 2 OF 3 Diskette 2 will take approximately 5 10 minutes to download When diskette 2 is finished loading the central station will automatically eject the disk and display the message INSERT DISK EAGLE E4_6X 3 OF 3 Insert Disk into the floppy disk drive on the front panel of the central station monitor NOTE Amessage is displayed in the upper left corner of the central station display LOADING DISK EAGLE E4_6X 3 OF 3 Diskette will take approximately 5 10 minutes to download When downloading of diskette 3 is complete the central station floppy disk drive will automatically eject the diskette and display the message LOAD FROM FLOPPY COMPLETE 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION For Uppate NOTE For Centralscope Central Stations that have version 9A or later software installed skip Step 11 and proceed to Step 12 If the central station has never 11 The central station
42. 408800 002 415682 001 408884 001 409060 001 409155 001 412361 001 412361 002 404525 006 Description FRONT HOUSING EAGLE 4000 REAR HOUSING EAGLE HB COLOR MOUNTING FRAME SERIES 2 EAGLE CONTROL PANEL SERIES 2 EAGLE CONNECTOR FRAME EAGLE CASTING POWER SUPPLY EAGLE TRIM KNOB EAGLE REAR FOOT EAGLE SPACER HOUSING EAGLE HB COLOR BATTERY COVER EAGLE COVER DAS BOARD PLATE CONN MTG ETCO2 EAGLE BOTTOM COVER CASTING CLIP GROUNDING PROC PCB LEFT CLIP GROUNDING PROC PCB RIGHT CLIP GROUNDING DAS BRD BRACKET ECG CONN FLEX CKT CONNECTOR PANEL A4 DSPL MONO EL 640X480 W FILTER A6 PCB EAGLE 4000 CPU 20HZ A2 PCB EAGLE DAS 12SL A1 PCB EAGLE POWER SUPPLY A3 PCB EAGLE COMMUNICATION A5 PCB FLEX SERIES 2 KEYPAD A8 FLEX PCB COMM PROCESSOR A7 CONN FUSE HLDR SW VOL FILTER CONN RCPT LOCKING 12P COUPLING TWIN BODY 1 8 ID 11P SKT 1 0MM KEY8 PULSE OX 11P SKT 1 0MM KEY21 CO CONN RA 050C 80P ASSY VALVE MANIFOLD EAGLE L1 L2 ASSY NBP PUMP B1 TRANSFORMER ISO STEPDOWN EAGLE TI ASSY CHOKE GROUND WIRE PCB FLEX EAGLE 2 MONO EL A9 ASSY PRESS SENSOR 150 300 MMHG SW2 CABLE ASSY RBN 16P DAS CPU W1 ASSY SPEAKER HARNESS SP1 ASSY HARNESS POWER W5 ASSY HARNESS SIGNAL W4 ADAPTER MONO EL DISPLAY TOP ADAPTER MONO EL DISPLAY BOTTOM LABEL BLANK 2 6IN X 4IN REVISION E 4000 Patient Monitor 407300 123 6 3l ASSEMBLY DRAWINGS PN 412185 0121 023 Parts List NON INVASIVE CONT REFERENCE ASSEMBLY DRAWING 412 185
43. 800 mA 700 lt 50 watts Convection 240 BTu hr Optional nickel cadmium Ni Cad 12V 1 8 ampere hour T2 5A 250 VAC 5x 20 mm 2 5 A SB 250 VAC T1 25A 250 VAC 5 x 20 mm T1 25A 250 VAC 5 x 20 mm Continuous not protected against ingress of liquids Battery age will affect operating time Not recommended for transport Serves as backup power source in the event of short term power loss SpOg EtCO and NBP monitoring as well as battery age reduce operating time Typical operation time while monitoring ECG is 45 to 55 minutes from a new fully charged battery Typical operation time while monitoring ECG is 15 to 30 minutes from a new fully charged battery 10 to 35 C 50 to 95 F 30 70 50 C 122 F at 50 relative humidity or 70 C 158 F at 15 relative humidity 25 C 13 F 32 6 cm 12 8 inches 32 cm 12 5 inches 14 1 cm 5 6 inches Weight optional battery pack installed With color display With monochrome display CERTIFICATION UL IEC WARRANTY Standard Optional 17 9 Ib 17 5 Ib UL 2601 1 Listed C22 2 No 601 1 M90 IEC 601 1 Certified One year Other options are available Contact the manufacturer sales representative for more information REVISION E 4000 Patient Monitor 407300 123 1 15 EQUIPMENT OVERVIEW PREPARATION Fon USE POWER REQUIREMENTS EQUIPMENT GROUND REQUIREMENTS At least one grounded duplex wall receptacle sho
44. ANALYSIS OFF MULTHEAD ARRHYTHMIA RELEARN ON The topmost level master directory of the monitor operating system software is the main menu the menu that normally remains displayed when there is no operator intervention on the monitor The main menu includes a normal patient monitoring display plus five menu option items In lower levels sub directories of monitor operating system software are menu option items These are used for further navigation through monitor operating system software for purposes that are specific to previous menu selections Note that these may sometimes be referred to as menu buttons When most groups of menu option items are displayed on the monitor an option item labeled MAIN MENU allows the user to immediately step back to the main menu or topmost menu on the monitor display The only Main Menu option item discussed in this section is MONITOR SETUP REVISION E 4000 Patient MONITOR 407300 123 4 33 CONFIGURATION Setup For Use Conr SOFTWARE REVISION MENU About the software revision pop up window To determine the software revision under which the monitor is currently operating follow these steps 1 Use the Trim Knob control to scroll to and select MONITOR SETUP from main menu on the monitor display VIEW OTHER PATIENT MO
45. Audible and visual Default and individual 1 minute current alarm only Default 70 70 dB measured at 1 meter REVISION E 4000 Patient Monitor 407300 123 1 7 EQUIPMENT OVERVIEW PERFORMANCE SPECIFICATIONS CONT ECG Standard leads available Optional 12SL leads available Leads analyzed simultaneously Lead fail Alarms Input specifications Voltage range Signal width Heart rate range Input impedance Common mode Differential Output specifications Frequency response Display Diagnostic Monitoring Moderate Maximum DDW Diagnostic Monitoring Moderate Maximum Common mode rejection Gain Linearity deviation Noise Pacemaker detection rejection Input voltage range Input pulse width Rise time Over under shoot Baseline drift RESPIRATION Measurement technique Range Respiration rate Base impedance Detection sensitivity Waveform display bandwidth Alarms I II III V aVR aVL and aVF V2 V3 V4 V5 and V6 I II III and V multi lead mode Identifies failed lead User selectable upper and lower heart rate limits 0 5 mV to 5 mV 40 ms to 120 ms Q to S 30 to 300 BPM gt 10 MQ at 50 60 Hz 22 5 MQ from dc to 60 Hz 0 05 to 120 Hz 0 05 to 40 Hz 0 05 to 25 Hz 5 to 25 Hz 0 05 to 120 Hz 0 05 to 40 Hz 0 05 to 25 Hz 0 05 to 25 Hz 90 dB minimum at 50 Hz or 60 Hz 1000 3 3 lt 30 uV RTI referred to input 2 mV to 7
46. DMM Measure the voltage from line to neutral line to ground and neutral to ground and make sure these are correct With a correctly wired wall receptacle used in the United States the following readings should be obtained Line to neutral 120 Vac Line to ground 120 Vac Neutral to ground lt 3 Vac Readings other than these indicate improper wiring Have the wall receptacle checked by an electrician 2 Use a DMM to measure the ground to neutral loop resistance CAUTION Do not check the ground to neutralloop resistance if the wall receptacle is wired improperly Select the milliohms mQ scale on the DMM Measure resistance across the power cord ground and neutral Measure from the ground lug on the rear power connector to any exposed metal of the monitor The resistance between the ground and neutral connections after the ohmmeter is nulled must be less than 100 mQ If not have the wall receptacle checked by an electrician 4000 Patient Monitor 407300 123 REVISION E TROUBLESHOOTING Power Source CONT POWER CORD AND PLUG MAIN POWER AND DISPLAY POWER CONTROL Verify the power cord being used with the monitor is good The following are a couple of things to check for in this regard Failure of the power cord strain relief is very common Often times users of the equipment will pull on the power cord itself rather than the power cord plug to unplug t
47. EL A9 ASSY PRESS SENSOR 150 300 MMHG SW2 CABLE ASSY RBN 16P DAS CPU W1 ASSY SPEAKER HARNESS SP1 ASSY HARNESS POWER W5 ASSY HARNESS SIGNAL W4 ADAPTER MONO EL DISPLAY TOP ADAPTER MONO EL DISPLAY BOTTOM LABEL BLANK 2 6IN X 4IN 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412185 0211 022 Parts List MONOCHROME CONT REFERENCE ASSEMBLY DRAWING PN 412 185 Item 49 49 49 49 49 49 49 49 49 49 49 49 49 Qty 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 3 00 2 00 29 00 4 00 4 00 3 00 1 00 3 00 1 00 2 00 5 00 1 00 2 67 0 09 1 00 1 00 2 00 1 00 1 00 1 00 2 00 1 00 2 00 3 00 2 00 1 00 4 00 1 00 0 01 0 01 Part Number 415372 001 415372 003 415372 004 415372 005 415372 006 415372 007 415372 008 416802 001 416802 002 416802 003 416802 004 416802 005 416802 006 416802 007 415511 001 415509 001 45000 810 45074 418 45040 604 45074 408 45074 432 45074 612 4520 304 4521 304 4521 704 4556 001 4502 812 409764 001 408230 002 401582 001 403741 001 404675 001 404679 001 404855 001 406447 002 416760 001 407396 004 407397 002 407399 002 408557 001 4656 404 4502 808 409326 001 45074 412 4535 002 4814 002 4851 003 Description LABEL EAGLE CONTROL PANEL ENG LABEL EAGLE CONTROL PANEL FRE LABEL EAGLE CONTROL PANEL SWE LABEL EAGLE CONTROL PANEL SPA LABEL EAGLE CONTROL PANEL ITA LA
48. KURLY LOK 45 DIA BDL CLIP 25 DIA HOLD DOWN GASKET TRANSFORMER EAGLE 4000 CARTON SHIPPING EAGLE 4000 FOAM INSERT EAGLE 2 INSERT SPACER EAGLE 2 COVER PATIENT CONNECTORS SPCR M F 4 40 X 25 SCREW 8 32 X 14 INSTRUCTION CARD CONN COVER GROUND CLIP COLOR DISPLAY TIE WRAP 8 00LG X 187W TAPE DS BK 03X1 0 CEMENT LOCTITE 242 ADHESIVE LOCTITE PRISM 460 4X6IN ANTI STATIC ZIPLOCK BAG REVISION E 4000 Patient Monitor 407300 123 6 15 ASSEMBLY DRAWINGS PN 412186 023 024 Parts List CONT REFERENCE ASSEMBLY DRAWING D412186E Item 92 Qty 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 0 25 1 00 2 00 2 00 2 00 1 00 1 00 0 04 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 1 00 2 00 1 00 1 00 1 00 1 00 Part Number 407300 054 9976 008 406679 003 407175 001 407175 002 407175 003 407175 004 407175 005 407175 007 407175 008 407300 123 415511 002 4819 101 1908 503 1908 505 1910 212 410491 001 4882 105 400040 001 400041 001 415512 001 415379 001 415379 002 415377 001 414908 001 414908 002 414908 005 415374 001 415375 001 415375 002 415376 001 415373 001 408230 008 408230 011 416094 001 416761 001 800862 002 800894 001 413324 002 45074 206 416749 001 416749 002 405558 001 Description INST EAGLE DISPLAY CLEANING BAG ANTI STATIC 8 00W X 10 00L BATTERY
49. MAINTENANCE ELECTRICAL SAFETY TESTS CONT Hi Por DIELECTRIC WITHSTAND TESTS Manufacturer recommendation Test conditions Test equipment Pretest preparation The high potential Hi Pot tests provide a method of checking patient isolation circuits and protect patients connected to the monitor from potential electrical health hazards These tests are recommended for direct patient connected medical devices to check the integrity of the patient isolation circuitry after any isolated component in the device has been repaired The manufacturer recommends that hi pot tests be performed whenever a circuit board in the patient isolated portion of the monitor is removed repaired or replaced Examples of patient isolated components include but are not limited to the front panel patient cable connectors the isolated power supply or any patient data acquisition assemblies WARNING Failure to perform hi pot tests may cause undue equipment failure and possible health hazards The manufacturer does not in any manner unless an Equipment Maintenance Agreement exists assume the responsibility for performing these recommended hi pot tests The sole responsibility rests with the individuals hospitals or institutions utilizing this equipment Manufacturer service representatives may at their discretion use this procedure as a helpful guide during visits to the equipment site These tests may be performed under normal
50. PACK EAGLE BACKLIGHT KEYPAD EAGLE BACKLIGHT KEYPAD SWEDISH BACKLIGHT KEYPAD FRENCH BACKLIGHT KEYPAD GERMAN BACKLIGHT KEYPAD ITALIAN BACKLIGHT KEYPAD DUTCH BACKLIGHT KEYPAD SPANISH MNL EAGLE 4000 FIELD SERVICE LABEL EQUIPOTENTIALITY SYMBOL TAPE FOAM 5WX1 0L FUSE METRIC 1 25A SLO BLO FUSE METRIC 2 5A SLO BLO FUSE 3AG 2 1 2A SB SPACER 5 DIA RUBBER TUBING FIT 3 16 BLK PLUG MC EQUIPOTENTIAL WASHER LOCK SERRATED F M 6 LABEL LEADWIRE WARNING EAGLE LABEL PRODUCT MARK EAGLE 4000 LABEL PRODUCT MARK EAGLE 4000N LABEL NELLCOR SENSOR LABEL MARQUETTE 39 X 1 59 LABEL COROMETRICS 39 X 1 59 LABEL MARQ HELLIGE 39 X 1 59 LABEL EAGLE BATTERY CALLOUT LABEL EAGLE FUSE RATINGS DOM LABEL EAGLE FUSE RATINGS INTL LABEL EAGLE WARNING HOSP USE LABEL EAGLE CONNECTORS BACK LABEL CE MARK LABEL UL LISTED MEDICAL C LABEL RISK CLASS 3 GASKET NBP PUMP EAGLE 4000 PCB CAPNOSTAT CO2 SUBSYSTEM A10 FLEX ASSY EAGLE C02 11 SPCR 188 HX 2 56X 562LG SCR BDGH 2 56 X 188L BRKT GND CLR DSPL EAGLE LEFT BRKT GND CLR DSPL EAGLE RIGHT CLIP CABLE HIGH TEMP 188 DIA 6 l6 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS 412185 MONOCHROME NON INVASIVE ABOUT THE ASSEMBLY DRAWINGS The monochrome EL non invasive monitor assembly drawings provide reference for components of the monitor in the form of mechanical and electrical diagrams The following assembly drawings for monitors with monochrome EL d
51. PROGRESS MENU 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE CHECKOUT PRoceDures CONT Select STOP from the NBP cal menu NBP test completion 9 Rotate the Trim Knob control to highlight STOP and press the Trim Knob control to select it The pneumatic control circuit of the monitor will vent air pressure in the pneumatic circuit of the monitor to atmosphere causing the NBP cuff to deflate 1 JUN 1995 10 21 ICU BEDS DISCHARGED repe ARTIFACT X J PVC X G LEADS FAIL XX CUFF236 21 V OPENS POPUP TO START STOP A CALIBRATION CHECK MAIN CAL ZERO CHECK CAL MENU OFF oF gt START PREVIOUS CAL GAIN MENU OFF The NBP tests are complete 10 Remove the NBP test setup apparatus from the monitor 4000 Patient Monitor REVISION E 407300 123 MAINTENANCE CHECKOUT CONT END TIDAL CARBON DIOXIDE Follow these steps to test the end tidal carbon dioxide EtCOg TESTS functions of the monitor 1 Connect the Capnostat Sensor Cable pn 412340 001 into the patient input connector on the front of the monitor see below The CO2 parameter window will appear on the monitor display Sensor Cable Capnostat Sensor NOTE When the Capnostat sensor cable is first connected to the monitor there is warm up period of approxi mat
52. REMOVE FUSE BLOCK BY LOOSENING SCREW AND INVERT BLOCK INSTALL FUSES AND REPLACE INTO HOUSING NOTE THE FUSE SJTHAT GO INTO HOUSING FIRST ARE THE ACTIVE FUSE S 6 oS VOLTAGE SELECTOR CARD ORIENTATION ROTATE WHITE KEYING PIN TO POSITION SHOWN FOR CORRESPONDING VOLTAGE INSTALL WITH PRINTED SIDE FACING IEC CONNECTOR AS SHOWN FUSE VOLTAGE SETTING SCALE 1 1 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412186 EXPLODED VIEW DETAIL C TORQUE TO 10 0IN LBS APPLY ADHESIVE IT 90 4 HARDWARE PART OF SWITCH AFTER ASSY TORQUE NUT TO 10 0 IN LBS BULKHEAD FITTINGS ON ITEM 3 TORQUE NUT TO 10 0 IN LBS ap 20 88 APPLY TAPE TO INSIDE OF BRACKET AS REQUIRED ons DETAIL C CONTROL PANEL ASSEMBLY 2 CONNECTOR DETAIL EXPLODED VIEW DETAIL F M SCSCWU DETAIL F CONN FRAME FLEX ASSY SCALE 1 1 A4 BROWN 4000 Patient Monitor REVISION E 407300 123 6 9 ASSEMBLY DRAWINGS PN 412186 EXPLODED VIEW FRONT APPROXIMATELY 1 12 LENGTH 7 00 LG EXTENDING BEYOND ITEM 131 66 lt LOCATE AGAINST SIDE WALL AND APPROXIMATELY 4 25 DOWN BESS FROM TOP WALL OF RECESS dX 7 AS WS LENIN N N Y 2 A d gt LN E 7
53. Rover Combo or Rover Combo CALIBRATE Checkout or calibration of the non invasive blood pressure and end tidal CO functions of the monitor SOFTWARE LEVEL For setup or configuration of one of four monitor operating system software feature levels The three feature levels of the monitor are 7015 7020 or 7025 PATIENT MONITOR TYPE Setup or configuration of one of three monitor operating modes The three modes of operation for the monitor are Adult ICU Neonatal ICU or Operating Room SET UNIT NAME Setup or configuration of the monitor care unit name SET BED NUMBER Setup or configuration of the monitor bed number or bed name SET INTERNET ADDRESS Setup or configuration of the monitor Internet address for the network TIME AND DATE Set or change time and date information in the monitor REVISION E 4000 Patient Monitor 407300 123 5 15 TROUBLESHOOTING Service Menu ACCESS TO THE SERVICE MODE Begin setup by entering into the service mode menu of the MENU monitor Follow these steps 1 Make sure all cables are properly connected to the monitor 2 Apply AC power to the monitor Plug the power cord into a working AC power wall receptacle and turn the monitor rear panel main power switch to the on 1 position Press the DISPLAY ON OFF front panel control on the monitor The display should be on Select monitor setup
54. Test equiptrient 2 e cc e ce eere rn eg eed cierre ex aed eua 3 22 Pretest SOUP stees 3 22 Calibration procedure 3 23 REVISION E 4000 Patient Monitor 407300 123 3 CALIBRATION ADJUSTMENTS JUMPERS SWITCHES HARDWARE CALIBRATION Processor PCB Acquisition PCB Power Supply PCB SOFTWARE CALIBRATION The following table summarizes the hardware adjustments switches and jumpers on the monitor The hardware adjustments are only necessary if a circuit board is repaired or replaced Leakage current tests checkout procedures and hi pot tests are recommended by the manufacturer if a circuit board has been repaired or replaced in the monitor The tests and procedures for these can be found in the section titled Maintenance in this manual Reference Designation Description Rl Blood pressure analog output zero offset adjustment R2 Blood pressure analog output gain adjustment R6 Low battery voltage threshold adjustment SWI1 Multipurpose 8 station DIP switch WI Battery backup enable jumper R33 Isolated 5 volt supply level adjustment R38 12 volt main adjustment R43 5 volt output adjustment R50 Frequency adjustment Non invasive blood pressure NBP is the only function requiring software calibration The manufacturer recommends performing this calibrations upon receipt of the monitor initially and once each year thereafter The calibration should also be performed w
55. This may cause other monitors on the network to change time dated patient data stored in each monitor Follow these steps to setup or configure the TIME AND DATE of the monitor 1 From the service mode menu use the Trim Knob control to scroll to and select the TIME AND DATE menu option item REVIEW ERRORS STANDARD SOFTWARE PATIENT MON ITOR TYPE SET UNIT TIME AND LEVEL ADULT ICU NAME NUMBER ADDRESS DATE 2 Use the Trim Knob control to scroll to and select one of the time and date menu option items SET TIME PREVIOUS SET MENU DATE WARNING TIME AND DATE parameters are actively enabled for change each time the SET TIME or SET DATE menu option items are selected If time and date informa tion on the monitor is correct do not select these menu option items For monitors connected to the network changing time and date parameters will cause this information to change on all monitors and central stations connected to the same network REVISION E 4000 Patient Monitor 407300 123 4 43 CONFIGURATION Setup For Use Conr Select set time date Enter or change the desired time date parameter Use the Trim Knob to scroll and select Enter the changes into the monitor EH TELST To enter or change time on the monitor select SET TIME from the time and date menu option items To enter or change the date on th
56. WITH PRINTED SIDE FACING IEC CONNECTOR AS SHOWN FUSE VOLTAGE SETTING 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412185 CONT EXPLODED VIEW DETAIL C A HARDWARE PART OF SWITCH TORQUE TO 10 0 IN LBS TORQUE NUT TO 10 0 IN LBS APPLY ADHESIVE IT 90 AFTER ASSY 61 2 PLACES 2 PLACES a TO BULKHEAD FITTINGS ON IT 3 TORQUE NUT TO 10 0 IN LBS 20 88 APPLY TAPE TO INSIDE OF BRACKET AS REQUIRED 3 PLACES DETAIL C CONTROL PANEL ASSEMBLY ZA 99 aviaces CO2 CONNECTOR DETAIL APPLY A BEAD OF LOCTITE ITEM 107 ON EXPLODED VIEW DETAIL F ALL FOUR SURFACES OF ITEM 81 BEFORE INSERTING INTO ITEM 5 012 amp 023 ONLY DETAIL F lt CONN FRAME FLEX CKT ASSY A4 4000 Patient MONITOR REVISION E 407300 123 6 23 ASSEMBLY DRAWINGS PN 412185 CONT APPROXIMATELY 1 12 LENGTH 65 7 00 LG EXPLODED VIEW FRONT EXTENDING BEYOND ITEM 129 A 9 LOCATE AGAINST SIDE WALL AND APPROXIMATELY 4 25 DOWN FROM TOP WALL OF RECESS SEE DETAIL A FROM NBP CONN REF DETAIL C 82 3 PLACES 55 3 PLACES 013 ONLY REMOVE NBP GO STOP KEY AND ASSEMBLE PLUG ITEM 119 4000 Patient MONITOR 6 24 407300 123 Revision E ASSEMBLY DRAWING
57. ambient conditions of temperature humidity and pressure Equipment required to perform these tests is listed below Equivalent equipment may be substituted as necessary Name Manufacturer Part Number AC DC Hi Pot Generator Hipotronics AD125 ECG Test Body MEI MT 3387 Follow these steps in the same order in which they are listed 1 Setup the AC DC Hi Pot Generator in the following manner Power switch ON VOLTAGE RANGE selector MEDIUM 10 kVA RAISE VOLTAGE selector O volts OUTPUT amp CURRENT selector 1 mA range Allow the tester to warm up for 15 minutes before continuing with this test 2 Connect the ground pin on the power cord connector of the monitor to the ground of the AC DC Hi Pot Generator 4000 Patient MONITOR 407300 123 Revision E MAINTENANCE ELECTRICAL SAFETY TESTS CONT High Potential Tests Cont Perform the AC hi pot tests only on the ECG RESP front panel connector of the monitor CAUTION Never attempt to perform this test on any of the other front panel connectors of the monitor Damage to the monitor may occur if this test is performed on any of the other front panel connectors 1 Install the ECG test body in the ECG RESP front panel connector of the monitor e 51 mA 2 Connect one end of a high voltage lead to the exposed lead of the test body 3 Connect the other end of the high voltag
58. and or remote control The communication PCB is responsible for the dispersion of signals between the processor PCB and the monitor rear panel connectors Ethernet remote video asynchronous communication remote alarms and static protection are the primary functions of the board The optional end tidal PCB is designed to plug directly into the expansion interface connector on the processor PCB assembly The main microcontroller on the processor PCB controls the EtCOg PCB assembly This optional board provides patient interface signal acquisition and processing for all carbon dioxide monitoring functions The CO patient signals are processed and stored by an on board microcontroller The acquired CO data is then sent to the processor PCB for display communication and long term patient data storage purposes 1 20 4000 PATIENT Monitor 407300 123 REVISION E EQUIPMENT OVERVIEW THEORY OF OPERATION CONT Power PCB BLOCK DIAGRAM PWM Controller Circuit Display On Off Power Magnetics Supply amp Post 12V Analog On Off Converter Regulator 12V Analog Shut Down Control Circuit Circuit 12V Main Bridge ACI 1 ORing From Transformer Diodes NiCad Low C 10 Enable Battery Battery amp Line Power NiCad Fail Charger Status Line Clk Charger Enable Circuit Circuit Line Power OK EAcLE 4000 PATIENT Monitor REVISION
59. assembly if you repair or replace it The following test equipment is required to successfully complete the calibration s Oscilloscope a digital voltmeter and frequency counter may be substituted 5Q 5W load resistor To complete the power supply PCB calibration follow these steps 1 Disconnect all cables from the power supply PCB assembly CAUTION The following step is very important If power is applied to the power supply PCB without first con necting a load resistor to the 5 volt output damage to the circuit board may occur and voltage readings may be incorrect 2 Connect a 50 5W load resistor across connector 7 and pin 8 3 Connect cable harness plug P1 from the power transformer located in the rear housing casting of the monitor to connector J2 on the power supply PCB 4 Verify the voltage selector on the power inlet module located on the rear panel on the monitor is in the appropriate position for the AC power being applied to the monitor 5 Plug the power cord of the monitor into an AC power wall receptacle WARNING In the following step line voltage appears at the power inlet module Be very careful not to touch the power inlet module during the following steps 6 Turn the monitor rear panel main power switch to the on 1 position REVISION E 4000 Patient Monitor 407300 123 3 11 CALIBRATION Power
60. at the BS Go to the BS and check the AUI cable Is the AUI cable connected at the BS Y Under LISTWHAT check to see if the BS in question is on the network BS should be present The UNIT name at the BS should be incorrect At the BS enter the correct UNIT name The BS should appear on the network End 4000 Patient Monitor REVISION E 407300 123 TROUBLESHOOTING NETWORK TROUBLESHOOTING CONT Is there NO COMM message at the CS Under LISTWHAT there should not be any BS s listed Only the CS itself should be listed Verify with ocilliscope proper network signal voltage levels 0 Vdc to 2Vdc Do voltage levels swing from OVdc to 4Vdc Excessive collisions across the network Possible hardware failure BS s CS s talking too much Are voltage levels OK Possible open in network cable NO COMM message appears in all BS windows at CS Remove all AUI cables from each MAU Remove one 50Q terminator from the network cable Using an ohmmeter measure from shield to center conductor High Q indicates an open in the cable For Thin net Reinstall the 50Q terminator Break the network at mid point Measure resistance each way For Thick net A time domain reflectometer TDR is necessary to scope the cable Isolate opened section of network cable Replace defective section or defective co
61. established network communication path 18 Continue the update process by following the Load the version 6 conversion tool procedure described on page 11 4000 Patient Monitor 4 10 407300 123 REVISION E CONFIGURATION For Uppate USE THE Correct LOADING PROCEDURE DOWNLOAD FROM MEMORY CARD TO THE MONITOR SH Fu 2MByle Memory Card Start the monitor boot loader program Insert the memory card into the monitor card slot To update software using memory cards follow the procedure described below If you are updating software from a Centralscope Central Station see page 6 for instructions on loading software from the central station If you are updating software from a PC using diskettes refer to the section Update Software From Diskettes Usinbg A PC later in these instructions Follow these steps to download software from the memory cards to the monitor Refer to the addendum at the beginning of these instructions for current Eagle 4000 revision levels and part numbers 1 memory card is installed in the monitor remove it by pushing in the black button above the PCMCIA card slot on the right side of the monitor 2 Ifthere are any remote controls or DDWs connected to the monitor disconnect them If the monitor is connected to the network disconnect the AUI cable from the monitor rear panel ETHERNET connector 3 Apply AC power to th
62. from the Use the Trim Knob control to scroll to MONITOR SETUP in main menu the monitor main menu and press the Trim Knob control to select it ALARM VIEW OTHER PATIENT MONITOR PATIENT CONTROL PATIENTS DATA SETUP Select service mode from the 4 Use the Trim Knob control to scroll to SERVICE MODE in monitor setup menu the monitor setup menu and press the Trim Knob control to select it WAVEFORMS DISPLAY COLOR PARAMETERS GRAPH MONITOR ON OFF INDIVIDUAL CLINICAL ON OFF SETUP DEFAULTS PRINT BRIGHTNESS LEARN THE SOFTWARE SOFTWARE SERVICE CRG PLUS 100 MONITOR REVISION COMPATIBILITY MODE Enter the service menu password 5 Aservice menu password window will appear on the monitor display as shown in the figure at the left A password is required to prevent non service personnel from accessing the service menus The password is four numbers that represent the date that currently resides in a memory circuit within the monitor please note that this may or may not be the correct date In the password the first two numbers starting from the left represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor For example the seventh day of the third month March 7th would be represented in the password as 0703 ddmm Note the date that is currently on the monitor display and follow these steps to enter the password Rotate the Trim Kn
63. in the NBP plumbing repair it and restart this calibration procedure Perform the software calibration 15 Rotate the Trim Knob control to highlight ENTER CAL of the monitor PRESSURE and press the Trim Knob control to select it 16 An ENTER CAL PRESSURE pop up window will appear Use the Trim Knob control to select a pressure value that is 1 mmHg lower than the current manometer reading 17 When the manometer falls to exactly the value that you selected in the pop up window press the Trim Knob control to enter the value 4000 Patient Monitor REVISION E 407300 123 3 19 CALIBRATION Non INVASIVE Pressure CONT Start the cal check 18 Rotate the Trim Knob control to highlight CHECK CAL OFF and then press the Trim Knob control to select it MAIN OZER ci MENU PREVIOUS ir e WENO ENU 19 Rotate the Trim Knob control to highlight START and press the Trim Knob control to select it MAIN CA EN CAL MENU a oe ISTART ETIN ET Verify pressure readings are 20 The text on the menu item will change from CHECK CAL accurate OFF to CHECK CAL IN PROGRESS Verify the pressure readings shown as CUFF in the NBP parameter box on the monitor and manometer are equal 1 mmHg for at least one full minute 1 JUN 1995 1021 ICU BEDS DISCHARGED X ARTIFACT LEADS FAIL 200 CUFF 250 OPENS POPUP TO START STOP A C
64. invasive blood pressures and pulse oximetry The monitor meets the needs of a variety of care areas from subacute to acute incorporating additional monitoring features such as simultaneous multi lead arrhythmia T Ly analysis multi lead x arrhythmia event recall S enhanced multi lead ST 4 segment measurement CUN p capabilities DO thermodilution cardiac output determination with cardiac indices calculation pulmonary and dosage calculations non invasive blood pressure end tidal carbon dioxide and more The monitor can be part of a patient monitoring network an open architecture systems integration platform designed to improve the efficiency and effectiveness of health care delivery permitting viewing of remote bed information and much more From software designed for specific care areas to the monitor s unique Trim Knob control the monitor was designed to be as easy to use as it is comprehensive The Mentor user support system provides on screen prompts and instructions as well as answers to operational questions to assist novice users 4000 Patient Monitor 407300 123 REVISION E EQUIPMENT OVERVIEW MARQUETTE UNITY NETWORK MONITOR APPLICATION PATIENT MONITORING SYSTEM APPLICATION HosPITAL WIDE NETWORK APPLICATION Patient monitoring system application The Marquette Unity Network hereafter referred to as the network provides a method for standardized communicatio
65. is very difficult to visually detect spaces are characters when programmed into the BED NUMBER The manufacturer recommends avoiding the use of spaces in the BED NUMBER Use the Trim Knob to initially Two sets of arrow icons appear the BED NUMBER pop setup or change the monitor bed up window Rotate the Trim Knob to highlight one of the number sets of arrows and press it to enable each function The horizontal left right arrows when highlighted and enabled allow the user to select a specific character for change by rotating the Trim Knob control A press and release of the Trim Knob while a specific character is highlighted enables that specified character for change The vertical up down arrows when highlighted allow the user to scroll through all of the alphanumerics available for each character in the BED NUMBER Rotating the Trim Knob control at this point allows the user to select a specific alphanumeric to be entered into the specified character position within this field To enter the chosen character into memory press and release the Trim Knob control one more time There are five characters inthe 4 Repeat step for each character to be entered as part of the monitor bed number BED NUMBER Up to five characters may be setup or configured The manufacturer recommends that user defined BED NUMBER consisting of less than five characters be left justified and leave unused character pos
66. large adult adult child and infant User selectable upper and lower limits for systolic diastolic and mean pressures REVISION E 4000 Patient Monitor 407300 123 1 11 EQUIPMENT OVERVIEW PERFORMANCE SPECIFICATIONS CONT END TIDAL Cargon Information displayed Measurement technique Sensor type Patient interface Airway adaptor specifications Airway adaptor types Inspired and expired carbon dioxide measurement respiration rate measurement Non dispersive infrared absorption dual wavelength ratiometric Novametrix Medical Systems Capnostat III Compatible with Novametrix Medical Systems Capnogard moni toring product Adult reusable standard adult disposable neonatal Airway adaptor dead space chamber volumes Adult reusable Adult disposable Neonatal CO measurement specifications Measurement range Pi CO2 Fi CO2 Pe CO2 Fe CO2 RR Accuracy Display update interval CO averaging CO measurement stability Resolution Noise Repeatability Step response time Mainstream adult Mainstream neonate Interference 0 gas O gas Barometric pressure Water vapor Anesthetic agent Airway adaptor variability Warm up time Calibration Factory settings Verification CO sweep speed lt 5 lt 5 cc 0 5 cc O to 100 Torr O to 1396 O to 100 Torr O to 1396 O to 120 breaths min t2 mmHg
67. menu option items for version 5 software are shown in these steps 1 From the main menu of the monitor rotate the Trim Knob control to highlight MONITOR SETUP and press the Trim Knob control to select it MONITOR PATIENT SETUP DISCHARGED Enter the monitor service mode 2 Rotate the Trim Knob control to highlight SERVICE MODE ALARM VIEW OTHER PATIENT CONTROL PATIENTS DATA menu and press the Trim Knob control to select it MAIN WAVEFORMS DISPLAY COLOR PARAMETERS GRAPH MONITOR MENU ON OFF INDIVIDUAL CLINICAL ON OFF SETUP DEFAULTS PRINT LEARN THE SOFTWARE SOFTWARE SERVICE CRG PLUS MONITOR REVISION COMPATIBILITY MODE Enter the service mode password 3 Aservice menu password window will appear on the monitor display A password is required to prevent non service personnel from accessing the service menus The password is four numbers that represent the date that currently resides in a memory circuit within the monitor please note that this may or may not be the correct date In the password the first two numbers starting from the left represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor For example the seventh day of the third month March 7th would be represented in the password as 0703 ddmm Note the date that is currently on the monitor display and follow these steps to enter the password Rotate
68. not have completed but the system was able to continue operating Most error log entries will have this severity level FATAL The event or error was logged the task did not complete and the system was unable to continue operating as recovery was not possible This level of severity in an event or error is always followed by an automatic warm start The operating system restarted normally after a known condition such as an Internet address change patient discharge etc 4000 Patient Monitor 407300 123 REVISION TROUBLESHOOTING SERVICE TIPS FAULT SYMPTOM ANALYSIS The power LED on the front panel flashes every 2 seconds The LED s on the front panel continually flash and the monitor never boots up Video problem the patient waveforms are displayed correctly but the alphanumerics are displayed improperly or are not displayed at all or vice versa This information is provided for the benefit of service technicians responsible for the maintenance and repair of the monitor The symptoms covered in this part of the Troubleshooting section represent only a select number of faults that you may encounter and by no means are intended to cover every possible failure that may occur A systematic approach to the diagnosis of problems as well as a general understanding of the architecture both hardware and software of the monitor are essential to ensure successful troubleshooting of this device The manu
69. on two diskettes When downloading the main processor code the PC will prompt you to insert the second diskette at the proper time CAUTION Do not reboot or power down the monitor while downloading boot code files The monitor will be rendered useless and require factory service Messages will appear on the monitor and PC displays indicating how the update is going Verify that the Received bytes advance When the selected file has finished downloading the monitor will return to the Boot Loader program and display the Service Menu and the PC will give an audible indication a beep as well as indicate a completed download process on the PC display The monitor automatically restarts itself after any main processor code MAIN or BOOT is finished loading For most errors simply press the RETURN key on the PC or repeat the download procedure If the byte numbers stop advancing for more than two minutes contact the appropriate technical support group listed in the beginning of this document Perform steps 12 through 17 for each file that requires updating before proceeding to the next steps When all code has been loaded turn monitor power off then on 4000 Patient MONITOR 407300 123 Revision E CONFIGURATION Uppate SOFTWARE FROM DISKETTE CONT COMPLETING THE PROCEDURE Verify that the downloading of software from the PC into the monitor was successful The following steps must be complet
70. only area of the monitor where text alphanumerics information and graphics patient waveforms information is processed separately REVISION E 4000 Patient Monitor 407300 123 5 23 TROUBLESHOOTING SERVICE Tips CONT Video problem there are bars strips of pixels missing on the display in rows columns Or only one row column of pixels on the display is missing or never turned on The remaining portion of the display functions properly AcouisirTioN PCB svMPTOMS Processor PCB symptoms Reason The active matrix display has a defective row or column driver If the entire driver has failed the display will have a whole missing strip of display area If just a part of the driver has failed the display will have only a single missing line of display area Replace the display assembly This will be either a TFT thin film transistor color display assembly or an EL electroluminescent monochrome display assembly depending on the monitor Both displays have specific drivers for rows and columns integrated into the display assembly and therefore cannot be repaired Symptoms relative to patient signal acquisition such as missing parameter text and waveform s may be associated with acquisition PCB assembly failure Itis important that you are able to distinguish the difference between the general format of the display which is generated by the processor PCB assembly versus the patient signals and dat
71. out power source for Defib Sync jack Audio amplifier power source speaker NBP compressor pump assembly and solenoid valves power source Main memory flash memory programming power source 5Vac 5 supply applications Processor PCB logic power source Display assembly logic power source Expansion interface logic power source Memory PCMCIA slot logic power source Remote display logic power source 12 12 ANALOG supply Remote display analog signal power source applications Expansion interface analog power source Analog ECG blood pressure signal generation for Defib Sync jack 4000 Patient MONITOR REVISION E 407300 123 5 25 TROUBLESHOOTING SERVICE Tips CONT END TIDAL CO MESSAGES CAL SENSOR TO ZERO CELL CANNOT CALIBRATE CHANGE AIRWAY ADAPTER CHECK ADAPTER ADAPTER CAL INCOMPATIBLE SENSOR NO BREATH DETECTED NOT CALIBRATED SERVICE CO2 SENSOR SERVICE CO2 SENSOR SENSOR TEMP WARMING UP Following is a list of messages that may appear on the monitor when monitoring EtCOg The message should clear when normal operating criteria are met or a solution is found If a message persists call Monitoring Technical Support Cause A new sensor was introduced into the system or possible signal drift in sensor electronics Solution Zero CO2 sensor Cause Message appears when attempting calibration in an unstable co
72. provide an exploded view of the monitor with itemized reference to the parts lists Parts Lists These lists provide part numbers and descriptive cross reference to parts and subassemblies found in the exploded views 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS PN 0 412186 COLOR ABOUT THE ASSEMBLY DRAWINGS The TFT color monitor assembly drawings provide reference for components of the monitor in the form of mechanical and electrical diagrams The following assembly drawings for monitors with TFT color displays can be found in this part of the section Packing materials This diagram provides a reference to the manufacturer packing materials used for shipping the monitor from the factory Exploded views These diagrams provide reference to the individual parts and assemblies used in the monitor Electrical connectors This diagram provides a reference to electrical signals for each cable or wiring harness used for interconnection of electrical assemblies in the monitor Electrical diagram This diagram provides a reference for the electrical assemblies in the monitor and respective interconnections Parts List This list provides part numbers and a descriptive cross reference to parts and subassemblies found in each of the drawings REVISION E 4000 Patient Monitor 407300 123 6 3 ASSEMBLY DRAWINGS PN 0412186 CoLor PACKING MATERIALS
73. respiration test ECG lead respiration test Respiration tests completion Using the same test setup as used for the ECG tests follow these steps to perform the respiration tests 1 With the ECG patient cable attached to the ECG RESP connector of the monitor setup the patient simulator as follows Respiration RESP baseline impedance 750Q RESP AR 0 50 RESP lead select 1 amp RESP rate respirations per minute 30 Set up the monitor as follows RESP waveform on RESP waveform lead select lead II RESP waveform derived from ECG lead II Observe the following s RESP parameter window appears on the monitor with a reading of 30 2 respirations per minute RESP waveform appears distortion free on the monitor Change the RESP waveform lead select of the monitor to lead I RESP waveform derived from ECG lead I Observe the following RESP parameter window appears the monitor with a reading of 30 2 respirations per minute RESP waveform appears distortion free on the monitor Disconnect the ECG patient cable from the ECG RESP connector of the monitor Proceed to the next steps in these checkout procedures 2 10 4000 Patient MONITOR 407300 123 Revision E MAINTENANCE CHECKOUT PRocebures CONT TEMPERATURE TESTS Follow these steps to perform the temperature tests 1 Set up the patient simulator for a temperature output of 87 C
74. the front panel of the monitor to scroll to and select MONITOR SETUP from the main menu option items 05705 CONTROL PATIENTS DATA SETUP Select graph setup 2 Use the Trim Knob control on the front panel of the monitor to scroll to and select GRAPH SETUP from the monitor setup menu option items WAVEFORMS DISPLAY COND GRAPH MONITOR ON OFF INDIVIDUAL CLINICAL ON OFF SETUP DEFAULTS PRINT BRIGHTNESS LEARNTHE SOFTWARE SOFTWARE SERVICE CRG PLUS 100 MONITOR REVISION J COMPATIBILITY Select graph location Use the Trim Knob control on the front panel of the monitor to scroll to and select GRAPH LOCATION from the graph setup menu option items ECG1 WAVEFORM 2 WAVEFORM 3 ALARM LEAD I OFF OFF OFF LOCATION PREVIOUS SPEED CRG PLUS MENU 25 OPTIONS Setup each graph or print window 4 Use the Trim Knob control on the front panel of the monitor location to scroll to and select either MANUAL GRAPH LOCATION MANUAL GRAPH LOCATION or PRINT WINDOW LOCATION from the graph location menu option items MANUAL GRAPH LOCATION ALARM GRAPH LOCATION PRINT WINDOW LOCATION ICU BED1 WRITER ICU CS 1 WRITER ICU LW1 WRITER PREVIOUS MENU NOTE The graph location menu has menu option items for programming the manual graph location the alarm graph location and the print window location All three must be set
75. the monitor General Cleaning Operators should perform this prior to admitting each patient to the monitor Service personnel should perform this after servicing the monitor Checkout Procedures These should be performed by qualified service personnel upon receipt of the equipment one time per year thereafter and each time the monitor is serviced Leakage Current Tests These should be performed by qualified service personnel upon receipt of the equipment one time per year thereafter and each time the monitor is serviced Hi Pot Tests High potential tests should be performed by qualified service personnel whenever a circuit board is removed repaired or replaced in the monitor These tests should also be performed if any component or assembly effecting patient isolation is removed repaired or replaced in the monitor NOTE The Hi Pot Tests provide a means of checking the patient isolation circuitry such that a patient receiv ing defibrillation while attached or admitted to the monitor will receive the full energy of each shock and that the monitor will not absorb the energy when delivered Failure on the part of all responsible individuals hospitals or institutions employing the use of this monitor to implement the recommended maintenance schedule may cause equipment failure and potential operator and patient health hazards The manufacturer does not in any manner unless an Equipment Maintenan
76. the pulse width is 100 mS When this switch is open the pulse width is 10 mS This switch is set to the open position by the manufacturer This switch determines the amplitude of the Defib sync output signal When this switch is closed the amplitude is 12 volts When the switch is open the amplitude is 5 volts This switch is set to the open position by the manufacturer REVISION E 4000 Patient Monitor 407300 123 CALIBRATION Processor PCB Cont JUMPER SETTING Completion Jumper W1 is the only jumper located on the processor PCB Jumper W1 when installed enables memory circuit battery backup Jumper W1 is used during the low battery voltage threshold adjustment calibration mentioned earlier in this section Jumper W1 is installed by the manufacturer and must remain installed on the processor PCB for proper operation of the monitor during normal use If removal of this jumper is necessary be careful not to lose it or drop it into the monitor as it is quite small Upon completion of the processor PCB calibration follow these steps 1 Turn the monitor rear panel main power switch to the off 0 position Unplug the monitor power cord from the AC power wall receptacle 2 Remove the software update memory card from the card PCMCIA slot located on the right side of the monitor 3 Power down and disconnect all test equipment and test leads from the processor PCB 4 Finish the reassembly
77. this manual titled Maintenance REVISION E 4000 Patient Monitor 407300 123 3 13 CALIBRATION NON INVASIVE BLOOD PRESSURE ABOUT THE PROCEDURE MANUFACTURER RECOMMENDATION TEST EQUIPMENT The overall accuracy of non invasive blood pressure NBP readings by the monitor depend on the following the zero pressure reading and the voltage span of the NBP sensor in the monitor This procedure provides a method of verifying these items are accurate and also checks the NBP pneumatic circuit plumbing for leaks The manufacturer recommends performing this procedure upon initially receiving the monitor before it is used on a patient and once each year thereafter Also perform the procedure each time the monitor is opened for service or repair simply to verify the NBP pneumatic circuit plumbing did not develop inadvertent air leaks The following items are required to successfully complete the NBP calibration procedure Manometer Sensym PDM200M or mercury manometer NBP tube 9461 203 NBP cuff pn 9461 301 any size will work Something to wrap the NBP cuff around PVC pipe or coffee can The table below lists items for connecting the NBP tube between the manometer and NBP cuff Description Part Number Qty NBP cuff coupling 400787 001 1 NBP hose coupling 46100 002 1 NBP tee 4745 101 1 NBP tubing 401582 001 2 WARNING When the NBP cuff is used in this p
78. this to temporarily configure all of the features for demonstration purposes only After 5 days the monitor will default to the previous configuration Password Save Changes and Exit Select this to make the feature settings permanent and exit the Options Menu 5 When the Options Menu has been properly configured select Exit to return to the SERVICE MENU Restart the monitor to enable the selected features 6 labels are included in the service kit apply them to the appropriate location on the monitor After the software feature level has been changed it may be necessary to configure the monitor for the feature that was selected REVISION E 4000 Patient Monitor 407300 123 4 31 CONFIGURATION SETUP For Use ABOUT SETUP Monitor setup parameters Unit name Bed number Graph locations PROCEDURE SUMMARY This part of the section contains the procedure for initial setup or configuration of the monitor The procedure addresses use in both types of patient monitoring system configurations is Stand alone patient monitor The monitor is not interconnected to other patient monitoring system devices and Networked patient monitor The monitor is interconnected to other patient monitoring system devices for the sake of sharing patient data Both configurations require some initial setup before the monitor can be used to full potential on patients The following is a description of eac
79. to the respective operator manual The following table lists the manufacturer s recommended test equipment adaptors and cables necessary to successfully complete the checkout procedures The checkout procedures were written for the test equipment in the following table If test equipment other than the manufacturer s recommendation is used it may be necessary to slightly modify some test steps Description Part Number Qty Multifunction Microsimulator MARQI 1 Multi Link ECG cable 5 Lead AHA 412931 001 1 Multi Link ECG cable 12 Lead AHA 416035 001 1 Multi Link Leadwire Set 5 Lead 414556 001 1 Multi Link Leadwire Set V Leads AHA 415467 003 1 BP Adapter 700095 001 2 Temperature Adaptor 402015 004 1 TEMP to Simulator Cable 6770031 1 Cardiac Output Simulator II 900028 001 1 CO Adaptor 700092 001 1 Mercury manometer SenSym 1200 1 SpO2 Simulator 408610 001 1 SpO2 Simulator Cable Nellcor 700232 004 1 Capnostat CO 9 Sensor Cable 412340 001 1 REVISION E 4000 Patient Monitor 407300 123 2 5 MAINTENANCE CHECKOUT CONT POWER UP SELF TEST PWR CHRGNG PWR AC BATT CHRGNG The following steps are used to run the monitor power up self tests Turn the monitor rear panel power switch to the off 0 position If the display is on press the DISPLAY ON OFF key to turn it off Connect a power cord between a properly
80. voltage appears at the power inlet module Be very careful not to touch the power inlet module during the following steps 2 Plug the monitor power cord into an AC power wall receptacle and turn the rear panel main power switch to the on 1 position 3 Connect a DMM across capacitor and measure the 5 volt isolated supply voltage 4 Adjust potentiometer R33 until the DMM reads 5 0 Vac 0 01 5 Turn monitor rear panel main power switch to the off position and unplug the power cord from the wall receptacle Reassemble the monitor with the associated hardware 7 Perform the checkout procedures leakage current tests and hi pot tests as described in the section of this manual titled Maintenance REVISION E 4000 Patient Monitor 407300 123 3 9 CALIBRATION PCB Acquisition PCB parts location Below is the parts location diagram for the acquisition PCB diagram assembly Reference this diagram for the location of components highlighted relative to calibration of this assembly 00000 0000 gaam o00000 oo0080000 o000000 8 o000000 0529009050008 00000
81. wired wall receptacle and the monitor power connector Turn the monitor rear panel power switch to the on 1 position Verify all of the front panel indicators illuminate for a second or two Verify the PWR AC indicator stays illuminated For monitors with the optional battery installed verify one of the BATT indicators stays illuminated If the RDY indicator is on continue with the tests If the CHRGNG indicator is on wait for the battery to fully charge and the RDY indicator to illuminate If the FAIL indicator is on replace the battery as described in the Battery Failure portion of Section 4 Troubleshooting 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE CHECKOUT CONT TESTS Follow these steps to perform the ECG tests 1 Set up the patient simulator as follows Heart rate 80 BPM Heart rate amplitude 1 0 mV 5 Lead ECG patient cable properly attached 2 Attach the ECG patient cable and ECG leadwire set to the ECG RESP connector on the monitor and the leadwire connectors on the top of the patient simulator ECG test setu P Multi Link ECG Cable Part Numbers AHA IEC 5 Lead 412931 001 412931 002 12 Lead 416035 001 416035 002 Patient Simulator PNMARQI Multi Link Leadwire Set AHA Colors IEC Colors 5 Lead 414556 001 414556 003 V Leads 415467 003 415467 004 ECG waveform heart
82. 00 mV 0 1 ms to 2 ms 10 us to 100 us 2 mV max 0 5 mV hour with 700 mV 2 ms pacemaker pulse applied Impedance variation detection 1 200 breaths per minute 100 1000 Q at 52 6 kHz excitation frequency 0 4 to 10 Q variation 0 1 to 1 8 Hz 3 dB User selectable upper and lower respiration rate limits and user selectable apnea limit 4000 Patient Monitor 407300 123 REVISION E EQUIPMENT OVERVIEW PERFORMANCE SPECIFICATIONS CONT TEMPERATURE TEMP Number of channels Input specifications Probe type Temperature range Resolution Output specifications Parameters displayed Gain Linearity de drift Error Noise Alarms Carbiac Output CO Availability Input specifications Probe type Catheter size Injectate volume Output specifications Parameters displayed Range Cardiac output Blood temperature Injectate temperature YSI Series 400 or 700 thermistor determined by input cable O C to 45 C 32 F to 113 F 0 1 C T1 T2 121 95 196 196 from 30 C to 42 C lt l mV C independent of source 0 1 C for YSI series 400 probes 0 3 C for YSI series 700 probes lt 20 mV from to 100 Hz User selectable upper and lower limits for T1 T2 Included in 7020 7025 and 7030 software packages Not available in 7015 software package In line or bath probe 6F 7F 7 5F and 8F 3 5 10 Cardiac output blood temperatu
83. 000 Patient Monitor 407300 123 REVISION E MAINTENANCE CHECKOUT PRoceDureEs CONT Defib synch marker verification 3 Attach jumper wire between pin 3 Marker Out and pin 4 Marker In of the DEFIB SYNC connector located on the front of the monitor Verify negative spikes in each of the QRS Complex ECG waveform R Waves on the monitor display similar to those shown in the illustration below Observe normal Observe the negative spikes in the R waves before R waves while the jumper is installed the jumper is The spikes are small and they can be installed difficult to see at times Defib synch test completion 4 Remove the jumper wire installed in the previous step from the DEFIB SYNC connector This completes the defibrillator synchronization tests 4000 Patient Monitor REVISION E 407300 123 2 25 MAINTENANCE CHECKOUT PRoceDurEs CONT BATTERY TESTS Verify battery operation Verify AC operation Verify battery charging circuit operation Follow these steps to perform the battery tests 1 2 Turn the monitor rear panel power switch to the off 0 position and disconnect the power cord plug from the wall receptacle Verify the PWR BATT front panel indicator illuminates see figure below This indicates operation from monitor battery power PWR AC _ BATT e RDY CHRGNG FAIL Setup the patient simulator as follow
84. 0X1 00 SCREW BDGH 6 32X3 8 WASHER LOCK EXT 4 NUT ESNA 4 40 NUT HEX KEPS 4 40 SPRING CLIP D TYPE 250 DIA SCREW PH 8 32 X 3 8 STANDOFF 4 40 THD W SNAP 75L LABEL UL LISTED MEDICAL TUBING SILICONE 1 8ID X 1 40D SPRING CHASSIS GRD TRAM REAR CHECK VALVE 1 8 1 0 FILTER IN LINE 1 8ID 43 MICRON SPRING COMPRESSION 112 DIA TIE WRAP KURLY LOK 45 DIA BDL GASKET TRANSFORMER EAGLE 4000 CARTON SHIPPING EAGLE 4000 FOAM INSERT EAGLE 2 INSERT SPACER EAGLE 2 COVER PATIENT CONNECTORS SPCR M F 4 40 X 25 SCREW 8 32 X 14 SCREW BDGH 4 40X3 8 TIE WRAP 8 00LG X 187W TAPE DS BK 03X1 0 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412185 0121 023 Parts List NON INVASIVE CONT REFERENCE ASSEMBLY DRAWING PN 412 185 Item Qty 89 0 01 90 0 01 92 1 00 93 1 00 94 1 00 95 1 00 95 1 00 95 1 00 95 1 00 95 1 00 95 1 00 95 1 00 96 0325 1 00 98 2 00 99 2 00 99 2 00 99 1 00 101 1 00 102 0 04 103 1 00 104 1 00 106 1 00 107 0 01 108 1 00 108 1 00 109 1 00 110 1 00 110 1 00 110 1 00 112 1 00 113 1 00 113 1 00 114 1 00 115 1 00 120 1 00 1 00 122 1 00 123 1 00 124 1 00 125 1 00 126 2 00 11277 1 00 1279 1 00 Part Number 4851 003 4851 071 407300 054 9976 008 406679 003 407175 001 407175 002 407175 003 407175 004 407175 005 407175 007 407175 008 407300 123 415511 002 4819 101 1908 503 1908 505 1910 212 41049
85. 1 00 1 00 2 00 1 00 2 00 3 00 2 00 1 00 2 00 1 00 0 01 0 01 0 01 1 00 Part Number 415372 005 415372 006 415372 007 415372 008 416802 001 416802 002 416802 003 416802 004 416802 005 416802 006 416802 007 415511 001 415509 001 45000 810 45074 418 45040 604 45074 408 45074 432 45074 612 4520 304 4521 304 4521 704 4556 001 4502 812 409764 001 408230 002 401582 001 403741 001 404675 001 404679 001 404855 001 406447 002 408381 001 416760 001 407396 004 407397 002 407399 002 408557 001 4656 404 4502 808 409326 001 412635 001 4535 002 4814 002 4851 003 4851 071 9956 002 Description LABEL EAGLE CONTROL PANEL SPA LABEL EAGLE CONTROL PANEL ITA LABEL EAGLE CONTROL PANEL DUT LABEL EAGLE FRT PNL GER NO PTB LBL EAGLE FRONT PANEL CO2 ENG LBL EAGLE FRONT PANEL CO2 GER LBL EAGLE FRONT PANEL CO2 FRE LBL EAGLE FRONT PANEL CO2 SWE LBL EAGLE FRONT PANEL CO2 SPA LBL EAGLE FRONT PANEL CO2 ITA LBL EAGLE FRONT PANEL CO2 DUT LABEL SYMBOL GROUND LABEL PATIENT ISO CAUTION SCREW SEMS PH 8 32X5 8 SCREW BDGH 4 40 X 312L SCREW TT PH 6 32X1 4 SCREW BDGH 4 40 X 1 4 SCREW BDGH 4 40X1 00 SCREW BDGH 6 32X3 8 WASHER LOCK EXT 4 NUT ESNA 4 40 NUT HEX KEPS 4 40 SPRING CLIP D TYPE 250 DIA SCREW PH 8 32 X 3 8 STANDOFF 4 40 THD W SNAP 75L LABEL UL LISTED MEDICAL TUBING SILICONE 1 8ID X 1 40D SPRING CHASSIS GRD TRAM REAR CHECK VALVE 1 8 1 0 FILTER IN LINE 1 8ID 43 MICRON SPRING COMPRESSION 112 DIA TIE WRAP
86. 1 001 4882 105 400040 001 400041 001 415512 001 4851 082 415379 001 415379 002 415377 001 414908 001 414908 002 414908 005 415374 001 415375 001 415375 002 415376 001 415373 001 408230 008 408230 011 416094 001 416761 001 800862 002 800894 001 413324 002 45074 206 405558 001 Description CEMENT LOCTITE 242 ADHESIVE LOCTITE PRISM 460 INST EAGLE DISPLAY CLEANING BAG ANTI STATIC 8 00W X 10 00L BATTERY PACK EAGLE BACKLIGHT KEYPAD EAGLE BACKLIGHT KEYPAD SWEDISH BACKLIGHT KEYPAD FRENCH BACKLIGHT KEYPAD GERMAN BACKLIGHT KEYPAD ITALIAN BACKLIGHT KEYPAD DUTCH BACKLIGHT KEYPAD SPANISH MNL EAGLE 4000 FIELD SERVICE LABEL EQUIPOTENTIALITY SYMBOL TAPE FOAM 5WX1 0L FUSE METRIC 1 25A SLO BLO FUSE METRIC 2 5 SLO BLO FUSE 3AG 2 1 2A SB SPACER 5 DIA RUBBER TUBING FIT 3 16 BLK PLUG MC EQUIPOTENTIAL WASHER LOCK SERRATED F M 6 LABEL LEADWIRE WARNING EAGLE CEMENT LOCTITE PRISM 411 LABEL PRODUCT MARK EAGLE 4000 LABEL PRODUCT MARK EAGLE 4000N LABEL NELLCOR SENSOR LABEL MARQUETTE 39 X 1 59 LABEL COROMETRICS 39 X 1 59 LABEL MARQ HELLIGE 39 X 1 59 LABEL EAGLE BATTERY CALLOUT LABEL EAGLE FUSE RATINGS DOM LABEL EAGLE FUSE RATINGS INTL LABEL EAGLE WARNING HOSP USE LABEL EAGLE CONNECTORS BACK LABEL CE MARK LABEL UL LISTED MEDICAL C LABEL RISK CLASS 3 GASKET NBP PUMP EAGLE 4000 PCB CAPNOSTAT CO2 SUBSYSTEM A10 FLEX ASSY EAGLE C02 11 SPCR 188 HX 2 56X 562LG SCR BDGH 2 56 X 188L CLIP CABL
87. 2 8 2 PRESSURE SWITCH amp ASYNC2 A3J4 A372 2 lt E wi NS wapi WSPl BP2 5 2 lt lt 9 REMOTE VIDEO 2 lt WIPZ W2P1 s T A2J4 A2J5 gt a Sa SAO2 3 a wa 8 ETHERNET i 8 38 5 5 A2 PROCESSOR PCB zm ws fin as 5 8 i REMOTE ALARM lt AT a SE E 95 FLEX ASSY COMM PROCESSOR 3 AG MONOCHROME DISPLAY g Tl a TRANSFORMER a A9 E E E DISPLAY aa FLEX ASSY lt lt g 5 a AC SOURCE g CT a 7 a E E P2 2 M 2 alo Z DEFIB E KEYPAD E s a SYNC FLEX ASSY lt 5 Q we GRN YEL a W6P2 TRIM als TIPS 13 5 KNOB E 3 GND CHOKE lt E2 El 5 1 CHASSIS NSN CHASSIS NSN SPEAKER A2J3 MEMORY 3 All C02 FLEX ASSY C02 PCB 4000 Patient Monitor REVISION E 407300 123 6 27 ASSEMBLY DRAWINGS Pn 412185 0211 022 Parts List MONOCHROME REFERENCE ASSEMBLY DRAWING PN 412 185 Item Qty 1 1 00 2 1 00 3 1 00 4 1 00 5 1 00 6 1 00 7 1 00 8 2 00 2 00 12 1 00 13 1 00 15 1 00 16 1 00 17 1 00 18 1 00 19 1 00 20 1 00 21 1 00 22 1 00 23 1 00 24 1 00 25 1 00 26 1 00 27 1 00 28 1 00 29 1 00 30 1 00 31 1 00 32 2 00 33 1 00 34 1 00 35 1 00 36 1 00 37 1 00 38 1 00 39 1 00 40 1 00 41 1 00 42 1 00 43 1 00 44 1 00 45 1 00 46 2 00 47 2 00 48 1 00 Part Number 405747 008 405748 003 409109 002
88. 40 V 50 60 Hz non U S the unit under test fails this test and should be repaired and tested again 0 15 PATN J ACK 1K FRONT 10Q test body lt cable length as gt 4 short as possible Leakage Tester 1 HIGH NORM POWER CORD 0 Te i LOW 10 2 Ho J i 6 UNIT prs UNDER i 120K TEST TEST BODY Meter reading 1 mV 1 uA leakage current 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE ELECTRICAL SAFETY TESTS CONT Patient sink tests Cont Patient sink tests completion 5 Change the leakage tester polarity switch to the RVS position 6 Read the leakage current indicated on the DMM If the reading is greater than 10 uA 0 01 volts on the DMM and the monitor is operating at 120 V 60 Hz U S or 50 uA 0 05 volts on the DMM and the monitor is operating at 220 240 V 50 60 Hz non U S the unit under test fails this test and should be repaired and tested again 7 Set the power switch on the leakage tester to OFF TEST COMPLETION Disconnect all test equipment from the monitor Disconnect the monitor power cord plug from the leakage tester power recep tacle Disconnect the leakage tester from the wall receptacle REVISION E 4000 Patient Monitor 407300 123 2 35
89. 405751 004 405753 001 405755 004 406080 001 406464 001 412086 001 408640 001 408989 002 406130 004 406394 001 413536 001 413536 002 408984 002 409472 001 406324 002 415703 001 800704 004 800376 002 800378 002 801316 001 800760 001 800400 001 17033 007 17043 112 401184 001 401762 004 401762 008 401762 021 408820 001 416153 002 406693 003 410168 001 411810 001 800742 001 408800 002 415682 001 408884 001 409060 001 409155 001 412361 001 412361 002 404525 006 Description FRONT HOUSING EAGLE 4000 REAR HOUSING EAGLE HB COLOR MOUNTING FRAME SERIES 2 EAGLE CONTROL PANEL SERIES 2 EAGLE CONNECTOR FRAME EAGLE CASTING POWER SUPPLY EAGLE TRIM KNOB EAGLE REAR FOOT EAGLE SPACER HOUSING EAGLE HB COLOR BATTERY COVER EAGLE COVER DAS BOARD PLATE CONN MTG ETCO2 EAGLE BOTTOM COVER CASTING CLIP GROUNDING PROC PCB LEFT CLIP GROUNDING PROC PCB RIGHT CLIP GROUNDING DAS BRD BRACKET ECG CONN FLEX CKT CONNECTOR PANEL A4 DSPL MONO EL 640X480 W FILTER A6 PCB EAGLE 4000 CPU 20HZ A2 PCB EAGLE DAS 12SL A1 PCB EAGLE POWER SUPPLY A3 PCB EAGLE COMMUNICATION A5 PCB FLEX SERIES 2 KEYPAD A8 FLEX PCB COMM PROCESSOR A7 CONN FUSE HLDR SW VOL FILTER CONN RCPT LOCKING 12P COUPLING TWIN BODY 1 8 ID 11P SKT 1 0MM KEY4 BP 11 SKT 1 0MM KEY8 PULSE OX 11P SKT 1 0MM KEY21 CO CONN 050 80P ASSY VALVE MANIFOLD EAGLE L1 L2 ASSY PUMP B1 TRANSFORMER ISO STEPDOWN EAGLE TI ASSY CHOKE GROUND WIRE PCB FLEX EAGLE 2 MONO
90. 6 PWRGND 27 27 PWRGND 28 VOND 28 BAT 2 2 RELAY1 3 2 BP2 516 d BNET TTD 29 BAT 3 NC 30 30 P_RESH 4 AGND2 ISOAGND 31 EE DIO 31 P RESL 5 5 c 32 32 5 FSHIELD BE as 33 BT1 BTIP1 7 2 EXC 45 EE CLK L 8P2 565 49 XI2VMAIN ie 9 1 BP2 ID 53 ge SPEAKER A2J7 NC 12VMAIN 11 37 37 SPEAKER 33 SPEAKER 1 RTN 2 12VMAIN_RTN SP1 SP1P1 40 40 SA02 A7P2 A7P1 1 RED LED 71 VID_RTN IS COMMONLY 2 IR LED 69 TIED TO VGND AT SWIGND eee El 3 LED PWR 67 THE CKT BD ARAS 4 65 5 POX un L3 FSHIELD 2 WGPl W6P2 2 RSENSE COMMON 73 POX ID 8 75 9 POX 59 6 OHMEDA NELCOR 3 ISOGND A3J2 TRANSFORMER SW1J1 SW1J2 AC SOURCE 11 79 ACL RED x HOT A4J4 4 5 5 ACL E NL NUETRAL AGND1 amp AGND2 ARE 3 AC H GRAY GND COMMONLY TIED TO AC H BRN 4 D ISOAGND AT THE CKT BD YELL s NEL WP 1 1 BER F FOR AlJ1 EVEN NO 5 TUS PINS TO BE FSHIELD CHASSIS 2 4 78 80 1 Tl 4000 Patient Monitor 6 12 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412186 ELECTRICAL DIAGRAM
91. 9 Overall block theory 1 20 Power supply PCB block diagram 1 21 Power supply PCB block theory 1 22 Acquisition PCB block 2 2 1 23 Acquisition PCB block theory 1 24 Processor PCB block diagram 1 25 Processor PCB block theory eee 1 26 Optional EtCO2 PCB block diagram 1 27 Optional EtCO2 PCB block theory 1 28 REVISION E 4000 Patient Monitor 407300 123 I EQUIPMENT OVERVIEW DESCRIPTION ABOUT THE MONITOR Compact design Multi lead ST and arrhythmia monitoring Network compatible Easy to use The monitor is a compact self contained patient monitor incorporating many advanced features previously found only in complete modular systems Measuring a compact 12 8 x 12 5 x 5 6 inches and weighing just under 18 pounds the monitor is thin and unobtrusive enough for locations previously considered impractical The display is an impressive 10 4 inches with exceptional visibility This full featured vital signs monitor offers various software and hardware options which allow it to be configured to meet the needs of specific care units The basic monitor includes multi lead ECG respiration two temperatures or cardiac output two
92. ALIBRATION CHEC POPUP TO START STOP A CALIBRATION CHECK RO _ eee PREVIOUS CAL GAIN ENS 4000 PATIENT MONITOR 3 20 407300 123 REVISION E CALIBRATION Nown INVASIVE BLoop Pressure CONT Stop the cal check 21 Rotate the Trim Knob control to highlight CHECK CAL IN PROGRESS and press the Trim Knob control to select it MAIN ZERO MENU WB PROGRESS MENU PREVIOUS CAL GAIN m 22 Rotate the Trim Knob control to highlight STOP and press the Trim Knob control to select it The monitor automatically releases pneumatic pressure in the entire plumbing circuit 1 JUN 1995 10 21 ICU BEDS DISCHARGED X ARTIFACT LEADS FAIL X D 20 CUFF 236 mmHg OPENS POPUP TO START STOP A CALIBRATION CHECK MAIN ee CHECK CAL MENU INPROGRESS START PREVIOUS STOR vew MENU Calibration procedure completion 23 Turn the monitor rear panel main power switch to the off position turn the manometer off and remove the test apparatus from the monitor 4000 PATIENT MONITOR REVISION E 407300 123 CALIBRATION END TIDAL ABOUT THE PROCEDURE TEST EQUIPMENT PRETEST SETUP The overall accuracy of end tidal CO EtCOg readings by the monitor depend on the following the barometric pressure calibration and the null and gain of the sensor in the monitor
93. American standards are indicated as items without a letter as a prefix example Screw 4 40 x 5 16 4000 Patient Monitor 407300 123 REVISION E THE MANUAL ABBREVIATIONS A AAMI Association for the Advancement of Medical Instrumentation AC alternating current ADC analog to digital converter Adj adjustable Al aluminum Ampl amplifier ANSI American National Standards Institute Inc ASIC application specific integrated circuit ASYNC COMM asynchronous communication AUI attachment unit interface Ave Avenue AWG American Wire Gage B B M beats per minute BDGKH binding head BP blood pressure bpm beats per minute BT blood temperature Cap capacitor cubic centimeter Cer ceramic CMOS complimentary metal oxide semiconductor CO cardiac output CSA Canadian Standards Association D DAC digital to analog converter dB decibel de direct current DDW Direct Digital Writer DEFIB SYNC defibrillator synchronization DMM digital multimeter E ECG electrocardiogram electrocardiograph EEPROM electronically erasable programmable read only memory ESD electrostatic discharge F FCC Federal Communication Commission FDA Food and Drug Administration FET field effect transistor FL Florida G GND ground H hi pot high potential Hz Hertz ID inside diameter IEC International Electrotechnical Commission IEEE Institute of E
94. BD DOM CHASGND ET LED PWR B POX L3 FSHIELD BT W6Pl GND CHOKE W6P2 RSENSE COMMON A A3J2 TRANSFORMER SWIJI 8 I oC 75 2 9 OAMEDANELCOR 59 6 2 ACH GRAY B 10 IS GND 77 3 SW1J2 AC SOURCE SOG 11 79 AC BRN 4 D L HOT AAJA 4 5 E NUETRAL 1 1 BLK A AGND1 amp AGND2 ARE F GD COMMONLY TIED TO T1P4 ISOAGND AT THE CKT E2 W7P1 WT7P2 BD CHASSIS FOR AlJ1 EVEN PINS TO BE FSHIELD 2 4 78 80 4000 Patient Monitor 6 26 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412185 CONT ELECTRICAL DIAGRAM AlJ2 s B1 EE BT1 ECG d AL NBP PUMP BATTERY 12V lt DAS POWER SUPPLY 11 A4 SOLENOID TEMP CO 3 FLEX CKT CONN PANEL 5 E lt 12 SOLENOID 3 ASYNC 1 a BP1 3 lt WIPI sw
95. BEL EAGLE CONTROL PANEL DUT LABEL EAGLE FRT PNL GER NO PTB LBL EAGLE FRONT PANEL CO2 ENG LBL EAGLE FRONT PANEL CO2 GER LBL EAGLE FRONT PANEL CO2 FRE LBL EAGLE FRONT PANEL CO2 SWE LBL EAGLE FRONT PANEL CO2 SPA LBL EAGLE FRONT PANEL CO2 ITA LBL EAGLE FRONT PANEL CO2 DUT LABEL SYMBOL GROUND LABEL PATIENT ISO CAUTION SCREW SEMS PH 8 32X5 8 SCREW BDGH 4 40 X 312L SCREW TT PH 6 32X1 4 SCREW BDGH 4 40 X 1 4 SCREW BDGH 4 40X1 00 SCREW BDGH 6 32X3 8 WASHER LOCK EXT 4 NUT ESNA 4 40 NUT HEX KEPS 4 40 SPRING CLIP D TYPE 250 DIA SCREW PH 8 32 X 3 8 STANDOFF 4 40 THD W SNAP 75L LABEL UL LISTED MEDICAL TUBING SILICONE 1 8ID X 1 40D SPRING CHASSIS GRD TRAM REAR CHECK VALVE 1 8 1 0 FILTER IN LINE 1 8ID 43 MICRON SPRING COMPRESSION 112 DIA TIE WRAP KURLY LOK 45 DIA BDL GASKET TRANSFORMER EAGLE 4000 CARTON SHIPPING EAGLE 4000 FOAM INSERT EAGLE 2 INSERT SPACER EAGLE 2 COVER PATIENT CONNECTORS SPCR M F 4 40 X 25 SCREW 8 32 X 14 INSTRUCTION CARD CONN COVER SCREW BDGH 4 40X3 8 TIE WRAP 8 00LG X 187W TAPE DS BK 03X1 0 CEMENT LOCTITE 242 REVISION E 4000 Patient Monitor 407300 123 6 29 ASSEMBLY DRAWINGS PN 412185 0211 022 Parts List MONOCHROME CONT REFERENCE ASSEMBLY DRAWING PN 412 185 Item Qty 90 0 01 9 1 00 92 1 00 93 1 00 94 1 00 95 1 00 95 1 00 95 1 00 95 1 00 95 1 00 95 1 00 95 1 00 96 0325 1 00 98 2 00 99 2 00 99 2 00 99 1 00 101 1 00 102 0
96. E 002 MENU NBP SERVICE PREVIOUS MENU 5 Rotate the Trim Knob control to highlight CHECK CAL OFF and press the Trim Knob control to select it MAIN CAL ZERO CHECK CAL MENU OFF OFF PREVIOUS CAL GAIN MENU OFF 6 Rotate the Trim Knob control to highlight START and press the Trim Knob control to select it MENU OFF OFF START PREVIOUS CAL GAIN STOP MENU OFF REVISION E 4000 Patient MONITOR 407300 123 2 19 MAINTENANCE CHECKOUT CONT Verify NBP calibration Stop the caltest 8 7 The text on the menu item will change from CHECK CAL OFF to CHECK CAL IN PROGRESS Verify the readings in the NBP parameter window on the monitor display and readings on the digital manometer are equal 1 mmHg for at least one full minute If the readings are not equal for at least one full minute the NBP circuit requires calibration 1 JUN 1995 10 21 ICU BED5 DISCHARGED i g ARTIFACT PVC X G LEADS FAIL X 2 200 N 5 CUFF 250 5 V OPENS POPUP TO START STOP A CALIBRATION CHECK MAIN CAL or CHECK CAL MENU IN PROGRESS PREVIOUS MENU LL Rotate the Trim Knob control to highlight CHECK CAL IN PROGRESS and press the Trim Knob control to select it MAIN CAL CHECK CAL MENU IN
97. E 407300 123 1 21 EQUIPMENT OVERVIEW THEORY OF OPERATION CONT Power suPPLY PCB BLOCK The power supply PCB mounts internally to the monitor rear THEORY casting assembly The board accepts both low voltage AC power from the main step down isolation transformer or 12 from the optional battery pack Both the step down transformer and the battery pack are located off of the power supply PCB mounting into the rear casting assembly The power supply PCB provides four independent output voltages and appropriate power control and status input output I O signals required by the monitor electronic assemblies Power supply PCB functional Functional circuits on the power supply PCB include circuits Power on off control and Power forward converter magnetics Pulse width modulation PWM controller Post regulator Battery and charger and Battery line power status Calibration The calibration procedure for this assembly is found in the section titled Calibration in this manual EAcLE 4000 PATIENT Monitor 22 407300 123 REVISION E EQUIPMENT OVERVIEW THEORY OF OPERATION CONT AcouisirioN PCB BLOCK DIAGRAM RA m LL v2 3 E a B DAS FRZ ys 8 Signal Analog DAS 8 DAS PCSO VA o E Generation Signal y Controller 5 DAS MISO aue v5 gt hybrids i Multipexing MC68332 i DAS MISI 3 _ 2 DAS_SCLK TEMP CO DAS Contr
98. E HIGH TEMP 188 DIA REVISION E 4000 Patient Monitor 407300 123 6 33 ASSEMBLY DRAWINGS For your notes 4000 Patient Monitor 407300 123 Pace Rev D ABOUT THIS MANUAL Field Service Manual 7 2 Intended e NE es 7 2 Scope of the 7 2 Manual content tee ceo 7 2 Page 7 3 Related Documentation nnn nnns 7 4 Operator informati n sses nresep pb LER QURE 7 4 Service information 7 4 Manufacturer Responsibility 7 5 Liability disclaimer 7 5 Notes Cautions and Warnings 7 6 What these eee ee 7 6 Part aal cHM 7 6 Dimension specifications 7 6 Abbreviations nennen nhan nan 7 7 Page Changes na nana ann 7 9 Listiof page changes eer nara enn tus 7 9 REVISION E 4000 Patient Monitor 407300 123 7 1 THE MANUAL FIELD SERVICE MANUAL INTENDED USE SCOPE OF THE MANUAL MANUAL CONTENT Section 1 Equipment Overview Section 2 Ma
99. EAD III Press the GRAPH GO STOP front panel control on the monitor to start and stop a manual graph Compare the printed graph with the sample shown below Cal pulse graphed waveforms HRS NER SOKO CA ARI ZERO BP 19 11 DISCHARGED OR AVZ 625 MM S 4000 Patient Monitor 5 6 407300 123 REVISION E TROUBLESHOOTING Data ACQUISITION TESTS CONT ECG functional tests Cont 6 Change the patient simulator output from cal pulses to an 80 BPM ECG waveform The displayed ECG waveforms should be similar to those shown in the figure below If this is the case the ECG functions of the acquisition PCB as well as communication between the acquisition and processor PCB s are functioning as designed ECG TEST FAILURE SOLUTIONS Following are symptoms and solutions for ECG functional test failures ECG waveforms displayed 1 incorrectly Sepa T ECG waveforms not displayed 1 If the calibration pulses were not correct test the patient simulator using a working monitor If the patient simulator is functioning as designed calibration of the acquisition PCB may be necessary Refer to Chapter 5 Calibration information in this regard If displayed ECG waveforms contain a significant amount of noise see figure at left check the ECG patient cables Test the patient simulator and ECG patient cables on a working monitor to verify the ECG
100. M and the monitor is operating at 220 240 V 50 60 Hz non U S the unit under test fails this test and should be repaired and tested again 8 Set the polarity switch to RVS and observe the same meter readings as in the previous step 9 Set the leakage tester power switch to OFF and remove the meter lead connected in step 2 Electrical diagram Leakage Tester chassis to ground tests POWER CORD POVER cono UNIT Probe to exposed chassis Meter reading 1 mV 1 pA leakage current 4000 Patient Monitor REVISION E 407300 123 2 3l MAINTENANCE ELECTRICAL SAFETY TESTS CONT PATIENT SOURCE TESTS 770091 lt 10 uA 120 V 60 Hz U S lt 50 220 240 V 50 60 Hz non U S Electrical diagram patient source tests This test checks leakage current from the ECG RESP connector of the monitor relative to ground 1 Set leakage tester switches as follows Selector knob GND switch GND OPEN Polarity switch NORM Power switch OFF Connect an ECG test body to the ECG RESP connector of the monitor Connect a short length of cable between the ECG test body installed in the last step and the jacks on the top of the leakage tester Set the leakage tester power switch to ON Set the rear panel power switch of the monitor to ON R
101. Manufacturer recommendation eese 2 4 4000 Patient Monitor REVISION E 407300 123 v GENERAL TABLE OF CONTENTS CONT Section 2 Checkout nnne nnn 2 5 Maintenance Cont About the checkout procedures 2 b Manufacturer recommended test equipment 2 5 POWEL Up 2 6 ECG 2 7 1250 ECG 6515 3 2 9 TEStS twrk beta 2 10 Temperature LESUS i 2 11 Cardiac output tests cocer ettet rere eh 2 12 Invasive blood pressure 2 13 Puls oximetry tests 5092900 ne e ep ner ero de erae sev 2 15 Non invasive blood pressure tests 2 17 End tidal carbon dioxide tests 2 22 DEM 2 24 Battery TESIS 2 26 Speaker tests ererat ev EQ PEE cases ENERO 2 27 Checkout procedure completion 2 27 Electrical Safety Tests 2 28 Current leakage tests crecen rre m en ener en ne 2 28 Wall receptacle tests ec crm pet rp ee pen 2 29 Surface continuity tests essenin 2 29 Ground wire to ground tests eese 2 30 Chassis to ground tests eene ener ne 2 31
102. NITOR PATIENT CONTROL PATIENTS DATA SETUP 2 Scroll to and select SOFTWARE REVISION from the monitor setup menu WAVEFORMS DISPLAY COLOR PARAMETERS MONITOR ON OFF INDIVIDUAL CLINICAL ON OFF SETUP DEFAULTS PRINT BRIGHTNESS LEARN THE FTWARE Sa ec CRG PLUS 100 MONITOR VISION _ els The software revisions of the monitor in general as well as the software revisions of each processing circuit within the monitor are displayed in a pop up window similar to the one shown below SOFTWARE REVISION DISPLAY 7015 STANDARD SOFTWARE REVISION DISPLAY 7015 STANDARD PRODUCT 409263 017 5B 7MAY96 MAINuP 409258 002 5B 7MAY96 6E DASuP BOOTCODE 409265 001 4 22NOV95 C02 BOOT 409259 001 5B 7MAY96 REMOTE CONTROL 415225 001 1A 11JAN96 2 415226 001 1A 11JAN96 The PRODUCT software revision is the first item listed in the pop up window This is the overall software revision level of the monitor The various processing circuits listed below PRODUCT each may have different revision levels A part number for the software 409263 018 the version of the software 5B and the software release date 22MAY96 immediately follow each item in the list 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION Setup For Use Conr ENTER INTO THE SERVICE MODE Begin setup by entering into the service mode menu of the MENU monitor Follow t
103. N_RX 5 700 400_10 19 4 4 6 FSHIELD 23 25 5 LAN_CD 5 SOLENOID 7 ISOAGND 9 11 6 LAN_TX 6 BLK 12V_VAL1 3 8 DT CO_IN2 13 7 RMT_BLUE_VID 7 BLK VAL1_DRV 4 9 _CO_PROBE_ID 15 LAN CD 8 10 TEMP PROBE _ID 17 RMT_GREEN_VID 12 11 ISOGND 21 9 9 ST 10 RMT_BLUE_VID_RTN 10 PRESS SW 4 1 11 RMT RED VID 11 BLUE OVP 300 5 12 EMT GREEN BLK ove 6 oes 1 14 E 14 N C 8 1 BP1_EXCl 27 15 15 sw2 5 SIG 16 VGND VID RTN ie N C 9 3 NC iz HSYNC 17 n c 10 LAGNDI EDAD 35 18 VGND VID RTN 18 PUMP COMM TX2 PUMP DRV 39 41 19 VGND VID Em 13 n V PUMP 11 7 BP1 EXCI 29 90 20 a 9 BP1_SIG COMM_TX1 8 C 33 21 COMM TX2 21 Bl W2P1 9 BP1_ID 22 COMM RX2 id S NC 1 25 COMM 2 2 COMM RX1 A4J2 25 mem 25 BATTERY A3J1 26 26 PWRGND 5VID 1 BP2 27 VGN 27 PWRGND 2 i 2 28 REA 28 BAT 3 2 BP2_SIG 47 29 29 4 3 NC 30 30 P_RESH 4 AGND2 ISOAGND 51 31 pue 31 P RESL s 5 32 32 6 FSHIELD 55 33 12VMAIN 33 BT1 BTIP1 BP2 EXCI 7 45 a Se 2 12VMAIN 9 NC 35 35 BP2 ID 12VMAIN_RTN 10 53 36 36 SPEAKER A2J7 11 NG 37 12 37 X i 12VMAIN_RTN 38 38 SPEAKER A4J3 L2 MAIN RTN 39 5 2 12VMAIN_RTN 5 1 SPIPI 40 40 SA02 RESENSE A7P2 A7P1 1 71 VID_RTN IS COMMONLY 2 69 TIED TO VGND 3 IRLED 67 THE CKT
104. PA2 are displaying parameter readings between 194 and 206 mmHg 4000 Patient MONITOR 5 10 407300 123 Revision E TROUBLESHOOTING Data ACQUISITION TESTS CONT BP TEST FAILURE SOLUTIONS BP waveforms do not appear correctly on the display a BP waveforms do not appear on the display at all Perform the following if any part of the previously described invasive BP functional test has failed to yield the desired results Follow these steps if the BP waveforms displayed on the monitor appear noisy or distorted example shown on the left 1 Test the Patient simulator and simulator test cables on a working monitor to determine the source of the problem If the static pressure test results were inaccurate test the Patient simulator and simulator test cables and on a working monitor to determine the source of the problem If the patient simulator and associated test cables are determined to be functioning correctly the acquisition PCB is suspect Swap the acquisition PCB into a working monitor to determine if replacement is necessary Follow these steps if the AR1 or PA2 parameter labels readings and associated waveforms do not display on the monitor at all 1 Verify the patient simulator and associated test cables on a working monitor Inspect the BP front panel connectors on the monitor for bent or broken pins Perform continuity tests between the front panel connectors of t
105. POS BP output 0 mmHg Connect the BP simulator cable to the BP2 right most BP connector of the monitor Verify a PA2 parameter window waveform label and corresponding graticules appear on the monitor display along with a PA2 BP waveform requiring zero reference Press the ZERO ALL push button on the front panel of the monitor to zero reference the PA2 BP waveform Change the patient simulator BP output to 200 mmHg Observe a reading of 200 200 200 4 mmHg in the PA2 parameter window on the monitor display Change the patient simulator BP output to WAVE simulated BP waveform Set the PA2 BP waveform gain on the monitor to auto Observe a distortion free PA2 BP waveform and a reading of approximately 120 80 93 in the PA2 parameter window on the monitor display Remove the BP simulator cable from the BP2 connector of the monitor This completes the BP tests 2 14 4000 Patient MONITOR 407300 123 Revision E MAINTENANCE CHECKOUT PRoceDures CONT PULSE OXIMETRY TESTS SpO test setup SpO percentage accuracy verification Follow these steps to perform the pulse oximetry SpOg tests 1 2 Set the SpO2 simulator power switch to the off position Connect the Nellcor style SpO simulator cable between the SpO connector of the monitor and the SpO simulator as shown below Nellcor style SpOg simulator cable SpO Simulator PN700232 004 PN408610 001 Se
106. Patient source tests ceca e ete ce ee een 2 32 Patient sink ones osa Go e pee eee 2 34 Test completion tee rete tentent eei 2 35 Hi Pot Dielectric Withstand Tests 2 36 SECTION 3 Adjustments J umpers Switches 3 2 CALIBRATION Hardware calibration dee rere rrt 3 2 Software calibration 3 2 Processor 3 3 About the procedure iuit et read eae ne ara dg 3 3 Test equipment esecsececececeneeen i een 3 3 Calibration procedure ceni dern rre nenne 3 3 Switch SW1 settings color display 3 4 Switch SW1 settings mono display 3 4 BP analog output null and gain calibration 3 5 Low battery voltage threshold calibration 3 6 Switch Settings 3 7 Jumper Setting Fics 3 8 Acquisition 3 9 About the procedure 3 9 Test equipment esce ee ne eee ye ve e e e e e es 3 9 Calibration procedure 3 9 Power Supply 3 11 About the proced re ere cemere cen 3 11 Test oa sev od sta ea eo ERE 3 11 Calibration proced re 3 11 4000 Patient Monitor VI 407300 123 REVISION E GENERAL TABLE OF CONTENTS CONT Section 3 Calib
107. QUETTE 39 X 1 59 LABEL COROMETRICS 39 X 1 59 LABEL MARQ HELLIGE 39 X 1 59 LABEL EAGLE BATTERY CALLOUT LABEL EAGLE FUSE RATINGS DOM LABEL EAGLE FUSE RATINGS INTL LABEL EAGLE WARNING HOSP USE LABEL EAGLE CONNECTORS BACK LABEL CE MARK LABEL UL LISTED MEDICAL C LABEL RISK CLASS 3 GASKET NBP PUMP EAGLE 4000 PCB CAPNOSTAT CO2 SUBSYSTEM A10 FLEX ASSY EAGLE C02 11 SPCR 188 HX 2 56X 562LG SCR BDGH 2 56 X 188L CLIP CABLE HIGH TEMP 188 DIA 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS Pn 412185 01721 023 Parts List Non INVASIVE REFERENCE ASSEMBLY DRAWING PN 412185 Item Qty 1 1 00 2 1 00 3 1 00 4 1 00 5 1 00 6 1 00 7 1 00 8 2 00 Hal 2 00 12 1 00 13 1 00 15 1 00 16 1 00 17 1 00 18 1 00 19 1 00 20 1 00 21 1 00 22 1 00 23 1 00 24 1 00 25 1 00 26 1 00 27 1 00 28 1 00 29 1 00 30 1 00 31 1 00 33 1 00 34 1 00 35 1 00 36 1 00 37 1 00 38 1 00 39 1 00 40 1 00 41 1 00 42 1 00 43 1 00 44 1 00 45 1 00 46 2 00 47 2 00 48 1 00 Part Number 405747 008 405748 003 409109 002 405751 004 405753 001 405755 004 406080 001 406464 001 412086 001 408640 001 408989 002 406130 004 406394 001 413536 001 413536 002 408984 002 409472 001 406324 002 415703 001 800704 004 800376 002 800378 002 801316 001 800760 001 800400 001 17033 007 17043 112 401184 001 401762 008 401762 021 408820 001 416153 002 406693 003 410168 001 411810 001 800742 001
108. RED ON 9 3 ITEM 2 SOLDER TO ITEM 24 IN LOCATION BK1 Da TORQUE TO Y 17 0 IN LBS ons 2 PLS 63 APPLY LOCTITE ITEM 89 TO LAST FEW THREADS TORQUE TO 5 0 IN LBS 2 PLS 4PLS 4000 Patient Monitor 6 20 407300 123 REVISION E ASSEMBLY DRAWINGS PN 412185 MoNocHROME Non INvAsIvE CONT EXPLODED VIEW DETAIL B 6 INSTALL SPACER BETWEEN BOSS AND INSIDE OF TRANSFORMER INSTALL AROUND TRANSFORMER LEADS AND POWER AND SIGNAL HARNESSES ITEM 44 AND 45 UIQ 55 4 PLACES 2 PLACES v APPLY HEAT SHRINK TUBING OVER SOLDER 75 CONNECTION X APPLY TO ITEM 38 8 SUPPLIED WITH 52 TRANSFORMER DETAIL B POWER SUPPLY ASSEMBLY CHASSIS GROUND DETAIL GROUND STUD IN CASTING ITEM 6 4000 Patient Monitor REVISION E 407300 123 6 21 ASSEMBLY DRAWINGS PN 412185 CONT FUSE REPLACEMENT VOLTAGE SETTINGS EE ON FUSE BLOCK a COVER FUSE BLOCK COVER ASSY TO CHANGE TO 5 X 20 MM FUSES REMOVE FUSE BLOCK BY LOOSENING SCREW AND INVERT BLOCK INSTALL FUSES AND REPLACE INTO HOUSING NOTE THE FUSE S THAT GO INTO HOUSING FIRST ARE THE ACTIVE FUSE S S 92 p VOLTAGE SELECTOR CARD ORIENTATION ROTATE WHITE KEYING PIN TO POSITION SHOWN FOR CORRESPONDING VOLTAGE INSTALL
109. S PN 412185 MoNocHROME Non INvAsivE CONT EXPLODED VIEW DETAIL A SEE SHEET 5 FOR DIPSWITCH SETTINGS c 4 PLACES DETAIL A DISPLAY ASSEMBLY Processor PCB DIP SWITCH A SETTINGS PROCESSOR BRD DIP SWITCH SETTINGS A2SW1 POS FUNCTION ON CLOSED OFF OPEN 1 PROGRAM MEMORY UPDATE DISABLE ENABLE 2 BOOT FROM MEMORY CARD ENABLE DISABLE 3 50 60 Hz 50 Hz 60 Hz 4 ENGLISH SI UNITS SI ENGLISH 5 DISPLAY SCAN MODE NORMAL SPLIT 6 PULSE OXIMETRY MODE Not Used NELLCOR 7 DEFIB SYNC PULSEWIDTH 100 mS 10 mS 8 DEFIB SYNC PULSE AMPLTD 12V 5V NORMAL SWITCH SETTINGS ALL SWITCHES OFF OPEN 4000 Patient Monitor REVISION E 407300 123 ASSEMBLY DRAWINGS PN 412185 MouocuRoME Non Invasive CONT ELECTRICAL CONNECTORS TEMP CO 1 1 A2J6 A5J1 SOLENOID A2J5 n 9 svae 3 5 F AB 12V_VALO 1 2 CO OFFSET 2 LAN TX 2 BLE 2 3 3 3 L1 4 LA
110. The results of the following steps will be meaningless unless a properly wired wall receptacle is used SURFACE CONTINUITY TESTS Power cord plug 120 Vac The surface continuity test provides a method of checking the integrity of the monitor relative to proper internal and external electrical ground This test determines whether the monitor has a power ground fault 1 Disconnect the monitor unit under test from any wall receptacle 2 Connect the negative lead of a digital multimeter DMM to the ground pin of the unit under test s power cord plug The figure to the left shows the location of the ground pin on a 120 Vac power cord plug used in the United States If your monitor uses a different voltage or you live ina different country your outlet will look different 3 Set the DMM to the milliohms mQ range Connect the positive lead of the DMM to any exposed metal surface on the unit under test 5 Read the resistance displayed on the DMM If the resistance is higher than 100 mQ the unit under test fails this test and should be repaired and tested again REVISION E 4000 Patient Monitor 407300 123 2 29 MAINTENANCE ELECTRICAL SAFETY TESTS CONT GROUND WIRE TO GROUND TESTS S 300 uA 120 V 60 Hz U S 500 pA 220 240 V 50 60 Hz non U S Electrical diagram ground wire to ground tests Perform this test to measure leakage current throug
111. UER 1 29 Comple bon E E Rp PEE IE Ru SPAN en dds 1 31 Setup For 4 32 About setup m 4 32 Procedure Gurmaty ve 4 32 Display usar 4 33 Software revision menu 4 34 Enter into the service mode Menu 4 35 WTAE TAT fcc m 4 36 Bed NUMBER REM 4 38 Graph 1 4 40 Time and date Setup 4 43 4000 Patient Monitor REVISION E 407300 123 4 1 CONFIGURATION MONITOR CONFIGURATIONS SETUP FOR USE STAND ALONE NETWORK INTERFACE The last part of this section is devoted to setup or configuration of the monitor Also refer to the Marquette Unity Network User s Manual pn 403799 023 for information relative to setup or configuration of other patient monitoring system components The monitor is fully functional with respect to patient monitoring capabilities when operating without connection to a network or any other devices for that matter Refer to the Eagle 4000 Monitor Operator s Manual pn 407300 145 version 5 software for more information regarding all patient monitoring functions of the monitor The monitor can be connected to many peripheral devices other patient monitoring devices diagnostic devices as well as other hospital wide network systems by direc
112. UIPMENT OVERVIEW THEORY OF OPERATION CONT PROCESSOR PCB BLOCK THEORY Functional circuits Calibration The processor PCB provides signal processing system control user interface and communications functions for the monitor both TFT color LCD and High Bright EL display versions It receives and processes digitized patient data from the isolated DAS assembly acquisition PCB text and waveform information for the video display interfaces with the operator via the front panel switches and Trim Knob and communicates with other products on the network using a built in Ethernet interface Additional capabilities include support for an external color CRT slave display functional only in color or normal scan mode and a pair of asynchronous communications ports for devices like a DDW and or remote control As a result of the complexity of this board there are many functional circuits The functional circuits on the processor PCB include Main processing circuit Motorola MC68332 32 bit integrated microcontroller 19 968 MHz internally Clock 31 2 kHz crystal oscillator Bus control EPLD Microprocessor support circuit watchdog and 3 volt lithium battery Flash EEPROM 4 megabytes Static RAM 2 megabytes System interface ASIC s Serial asynchronous serial communications interface DUART ASYNC COMM ports Serial network interface controller ETHERNET port Non invasive blood p
113. a that is associated with these patient signals a function of data acquisition which is generated by the acquisition PCB assembly Symptoms with network communications asynchronous communications NBP control PCMCIA communications analog output audio sound generation and remote video signals communications as well as other display related problems all may be associated with processor PCB assembly failure All of these are functions controlled by microcontroller or graphics processing circuitry located on the processor PCB assembly 4000 Patient MONITOR 407300 123 Revision E TROUBLESHOOTING SERVICE Tips CONT Power suPPLY PCB svMPTOMS The power supply PCB assembly provides power that is used AND APPLICATIONS throughout the Eagle monitor All of the supply voltages are distributed to the processor PCB assembly for various application Below is a list of the supply voltages and where and how these voltages are applied Problems in any of the following areas may be associated with power supply PCB assembly failure Following is the list of applications for each supply voltage generated by the power supply PCB 12 12 MAIN supply Acquisition PCB main power source applications Ethernet transceiver power source Display assembly backlight power source Expansion interface flash memory programming power source Memory PCMCIA slot programming power source Defib marker
114. acement battery the BATT CHRGNG indicator will illuminate This may take as long as 30 seconds for reasons explained in previous steps The BATT CHRGNG indicator will remain illuminated for a duration of time necessary to fully charge the replacement battery approximately 12 16 hours before the BATT RDY indicator illuminates Do not use the monitor on a patient with or without AC power until the BATT RDY indicator illuminates REVISION E 4000 Patient Monitor 407300 123 TROUBLESHOOTING POWER SOURCE TESTS WALL RECEPTACLE Ground Line 4 Voltage tests Neutral Ground to neutral loop resistance Use this procedure to confirm AC power from the wall receptacle which the monitor is plugged into Use a digital multimeter DMM to verify the wall receptacle is wired correctly This is accomplished by performing a voltage measurement between all three connections of the wall receptacle ground to neutral loop resistance measurement Wall receptacles consist of three connections line neutral and ground The figure at left indicates the location of each on a 120 Vac hospital grade wall receptacle commonly used in the United States The location and shape of pins may be different on wall receptacles used in countries other than the United States Perform the following tests 1 Use a DMM to measure the voltage between the three connections Select the AC voltage scale on the
115. ad of the voltmeter to 6 Arterial BP of the Defib Sync jack i Connect the negative test lead of the voltmeter to pin 5 Analog Ground of the Defib Sync jack Dedicated circuitry on the processor PCB writes a static blood pressure value to a DAC That value is shown on the bottom of the monitor display in both hexadecimal and decimal form Rotate the Trim Knob control until the hexadecimal value displayed is Ox800 the decimal value will be 2048 Adjust potentiometer R1 until the voltmeter reads precisely 0 0 Vae Turning clockwise increases the voltage reading on the meter and turning R1 counterclockwise decreases it Rotate the Trim Knob control until the hexadecimal value shown at the bottom of the monitor display is OxFFF the decimal value will be 4095 Adjust potentiometer R2 until the voltmeter reads precisely 9 995 Turning R2 clockwise increases the voltage reading on the meter and turning R1 counterclockwise decreases it Each adjustment affects the other therefore steps 8 through 11 must be repeated until accurate results are achieved When finished with this process press and release the Trim Knob control to exit the calibration mode REVISION E 4000 Patient Monitor 407300 123 3 5 CALIBRATION Processor PCB Low BATTERY VOLTAGE THRESHOLD CALIBRATION Remove jumper WI Adjust R6 fully cw Turn the monitor on and jumper J2 pins 5 amp 7 Connect th
116. afety certification of the ACCESSORY has been performed in accordance to the appropriate IEC 601 1 and or IEC 601 1 1 harmonized national standard Battery Access Cover Remove two screws to access the optional Ni Cad battery pack located under this cover Serial Number Label Describes the type of equipment date and sequence of product manufacture for each monitor ASYNC COMM Connectors 2 These ports can be used for interconnection to remote controls direct digital writers and other devices Main Power Switch Selects ac or battery power When in the on I position the monitor operates on ac power and battery charging is enabled When in the off 0 position the monitor operates on battery power controlled by the DISPLAY ON OFF pushbutton switch located on the front panel Main Power A power cord connected between this port and a wall receptacle is used for ac main power operation of the monitor REMOTE ALARM Connector This 9 pin D connector provides interconnection to the Marquette Hellige Isolation Relay for a nurse call light system The following alarms will trigger these outputs CRISIS Patient Status Alarms and e WARNING System Status Alarms Fuse Voltage Selector Cover Main power fuses and the voltage selector for the monitor are located behind this cover The label a
117. agle Boot Loader menu appears on the monitor display Access the service menu 2 Observe the monitor display The FILE SERVER SELECTION menu appears on the display At the FILE SERVER SELECTION menu Find the Service Menu option in the file server selection menu Rotate the Trim Knob control until the correct number of the Service Menu selection is displayed in the file server selection menu and Press and release the Trim Knob control to select the Service Menu Select the set configuration When the service menu appears on the monitor display option Find the Set Configuration option in the service menu Rotate the Trim Knob control until the number corresponding to the Set Configuration menu item is displayed and Press and release the Trim Knob control to make the selection Select the country selection 4 When the Configuration Menu appears on the monitor option display Find the Country Selection option the set configuration menu Rotate the Trim Knob control until the number corresponding to the Country Selection menu item is displayed and Press and release the Trim Knob control to make the selection 4000 Patient MONITOR REVISION E 407300 123 4 27 CONFIGURATION SET FRENCH OR GERMAN DEFAULTS CONT Select the country that the monitor software defaults are to be set for Save changes and exit Reboot into normal monitoring mode 5 When t
118. al port Download kit including RS 232C to RS 422 converter monitor cable assembly and PC cable assembly NOTE Contact your regional Marquette sales representative for the download kit part numbers Manufacturer software update diskettes Connect the PC to the monitor by following these steps l Attach the monitor cable assembly to the 9 pin D type connector labeled Async Comm the connector closest to the Ethernet connector on the monitor rear panel Connect the other end of the monitor cable assembly to the RS 232C to RS 422 converter Note the RS 232C to RS 422 converter is powered by the monitor and does not require a separate power source Connect the PC cable assembly from the RS 232C to RS 422 converter to the D type connector labeled COMMS or COMM 1 at the rear of the PC 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION UPDATE SOFTWARE FROM DISKETTE CONT UPDATE PROGRAM START UP Boot up the PC to a DOS operating system Insert diskette 4 Run the update program from the PC Select the update bedside utility Start the update download program from an update diskette to begin loading software into the monitor by following these steps 4 Apply power to the PC and wait for the C gt prompt to appear on the PC display CAUTION The manufacturer recommends operating the PC or PC laptop on AC power for the duration of the update proces
119. all tests described in these checkout procedures disconnect the monitor from the test equipment in COMPLETION the following manner 1 Set all test equipment power switches to the off position 2 Setthe monitor rear panel power switch to the off 0 position 3 Remove all test equipment from the monitor 4000 Patient Monitor REVISION E 407300 123 2 27 MAINTENANCE ELECTRICAL SAFETY TESTS CURRENT LEAKAGE TESTS Manufacturer recommendation Test conditions Test equipment Leakage current tests provide a method of determining potential electrical health hazard to the patient exist in the monitor These tests generally are required by the National Fire Protection Agency NFPA as a part of National Electrical Code NEC guidelines for medical device electrical safety It is recommended that these tests be performed upon receipt of the equipment once per year thereafter and each time the main enclosure is disassembled or a circuit board is removed tested repaired or replaced WARNING Failure to perform leakage current tests may cause undue equipment failure and potential health haz ards to patients connected to the monitor The manufacturer does not in any manner unless an Equipment Maintenance Agreement exists assume the responsibility for performing the leakage current tests The sole responsibility rests with the indi vidual or institution using the equipment Manufac turer service represe
120. are when the possibility of corrupted software exists or updating software in the event of a release of a new software revision The following types of software media are available from the manufacturer for downloading software to the monitor 3 5 inch floppy diskettes are available from the manufacturer to download software to the monitor if the monitor and at least one Centralscope Central Station monitor are interconnected in a networked patient monitoring system configuration or the monitor and PC or laptop are interconnected via serial communication and the monitor is already running software version 6a or later Memory cards are available from the manufacturer to download software to the monitor if the monitor is stand alone or a Centralscope central station is not connected or available to the monitor in a networked patient monitoring system configuration or a PC or PC laptop is not connected or available to the monitor via serial communication 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION INSTALLING SOFTWARE CONT SUMMARIZED DOWNLOAD The following summary is for service personnel already PROCEDURES experienced in downloading software to the monitor NOTE The serial download option using a PC is only available for updating monitors already running software version 6a or later Refer to the section Update Software from Diskette later in these in
121. assembly drawings eene 6 3 Packing materials eoe enne renes erani 6 4 pneumatic circuit diagram 6 5 Exploded view detail 6 5 Exploded view FEar eos Gyr prp ye Grips 6 6 Exploded view detail B rcr rre 6 7 Fuse replacement voltage settings 6 8 Exploded view detail eis eser terr ere 6 9 Exploded view detail F eee 6 9 Exploded view front e 6 10 Exploded view detail A sis s 3 3 er es rs ere er exert 6 11 Processor PCB dip switch settings 6 11 Electrical connectors 2 eee 6 12 Electrical diagram rero rrr Or XH RO 6 13 Pn 412186 023e 024e Parts List Color 6 14 Pn 412185m Monochrome Non Invasive 6 17 About the assembly drawings eese 6 17 Packing materials eese eter tarte a eR 6 18 pneumatic circuit diagram 2 6 19 Exploded view detail G 6 19 Exploded view 6 20 Exploded view detail B eene 6 21 Fuse replacement voltage settings 6 22 Exploded view detail C eene 6 23 Exploded view detail F eene 6 23 Exploded view
122. ation in this manual EAcLE 4000 PATIENT Monitor REVISION E 407300 123 1 29 EQUIPMENT OVERVIEW For your notes EAcLE 4000 PATIENT Monitor 30 407300 123 REVISION E MAINTENANCE Maintenance nnn nnns 2 2 Manufacturer recommendation 2 2 Manufacturer responsibility 2 2 Visual Inspection 2 3 Inspecting the 2 3 Cleaning The Monitor 2 4 Cleaning the display rt treten ei ae ass 2 4 Cleaning the external surfaces 2 4 Manufacturer recommendation 2 4 Checkout 2 5 About the checkout procedures esee 2 b Manufacturer recommended test equipment 2 b Power u p Self test neiii cos ons V YR Pa dg 2 6 CSS ER 2 7 I2SL EC tests 2 9 Respiration TEStS 2 10 Temperature tests in cn eas os oes ais ces ss ero avs eer ga 2 11 Cardiac output aed s 2 12 Invasive blood pressure 222 2 13 Pulse oximetry tests css crc rrr Gr GEORG ens 2 15 Non invasive blood pressure tests 2 17 End
123. ay Verify that these match the revisions shown on the addendum at the beginning of these instructions Press the Trim Knob control to exit the software revision pop up window on the monitor display If software was downloaded for the purpose of updating the monitor to a new version of software documentation will be supplied by the manufacturer in a software update kit Completely fill out all documentation as required by the manufacturer Go to each monitor in the system that requires software downloading and repeat the entire procedure beginning with the Load Software for Update section 4000 Patient MONITOR 407300 123 Revision E CONFIGURATION SET FRENCH OR GERMAN DEFAULTS DEFAULTS FOR FRENCH OR There are various operating software defaults contained in the GERMAN MONITORS main code of the monitor software that was just downloaded If the monitor is to be used in France or Germany follow this procedure to set the respective software defaults If the monitor is to be used anywhere other than France or Germany you do not need to complete this procedure Start the monitor boot loader 1 enable either French or German software defaults you program will have to start the boot loader program again Hold down NBP GO STOP and ZERO ALL front panel controls on the monitor Press and release the Trim Knob control Continue to hold NBP GO STOP and ZERO ALL front panel controls until the E
124. blem NOTE If there is only one CS on the network may pertain only if a network problem exists Is more than one BS display missing at the CS Is there a NO PARAMETERS message at the CS Refer to the N troubleshooting section in the CS service manual Is there any display at all at the CS Verfiy the BS is operating Also verfiy BS is under AC power and not in Y battery fail a Under LISTWHAT N the BS s on the NO COMM network should be message at the present Possible incorrect UNIT CS Under LISTWHAT no BS s should be available Only CS is End Connect AUI cable NOTE You should to the ETHERNET N be able to view BS s on another CS Attempt to view BS s on another CS port at the BS The BS should appear on the network Possible problem at CS Defective LAN pcb AUI cable or MAU Transceiver Replace MAU If BS s ID themselves it sa defective MAU NOTE If the MAU or AUI cable do not solve the problem the CS LAN Controller pcb may be defective Check status LEDs and event log Reboot system and check for errors If BS s still don t ID themselves Replace AUI BS Bedside Monitor CS Central Station Monitor Is there NO COMM message at the CS Under LISTWHAT check to see if the BS in question is on the network BS should not be present There is a problem
125. bove the cover shows the correct ratings for replacement fuses RMT VID remote video Connector For monitors with color displays only an external display monitor can be connected to this port for viewing patient information from a remote location ETHERNET Connector An IEEE 802 3 AUI cable and transceiver can be connected to this port for monitors used in patient monitoring network configurations 4000 Patient Monitor REVISION E 407300 123 1 5 EQUIPMENT OVERVIEW REAR PANEL CONTROLS CONNECTORS CONT ABOUT THE REMOTE ALARM CONNECTOR How the system works The remote alarm connector REMOTE ALARM is for use with the Marquette Hellige Isolation Relay pn 303 444 77 non U S and pn 303 445 50 U S This accessory provides a relay closure when either of the following alarms occur CRISIS Patient Status Alarm and or WARNING System Status Alarm The signals from the REMOTE ALARM connector activate and deactivate the isolation relay When the monitor is initially powered up or rebooted the relay remains deactivated until the monitor completes its power up or reboot sequence Once the monitor successfully completes this sequence the relay is then activated If either of the above listed alarms occurs the relay is deactivated by the monitor This causes the nurse call system to notify personnel that an alarm situation exists at the monitor When the alarm has been cleared
126. c baseline there is a short in the cable The data signal should swing from 0 to 2Vdc since it is ECL logic 4000 Patient Monitor 407300 123 REVISION TROUBLESHOOTING NETWORK TROUBLESHOOTING CONT Possible defective MAU or AUI cable Also check for a bad connection on the MAU Possible incorrect internet address On ETHERNET connector at BS check if 12Vdc is present at pin 13 Possible defective Is 12Vdc present proc ssor Possible defective MAU or AUI cable NOTE There is a possibility that the MAU is defective On a busy network it may be difficult to determine whether the MAU is detect ing carriers properly The MAU may be continually detecting carriers and will not allow the BS to transmit BS Bedside Monitor CS Central Station Monitor REVISION E 4000 Patient Monitor 407300 123 TROUBLESHOOTING For your notes 4000 Patient Monitor 407300 123 REVISION E ASSEMBLY DRAWINGS Assembly Drawings 6 2 Abotit this section ciat 6 2 About the assembly 6 2 Pn 0412186 Color 6 3 About the assembly drawings 22 6 3 Packing materials ei ee Eye HERR 6 4 pneumatic circuit diagram 6 5 Exploded view de
127. ce Agreement exists assume the responsibility for performing the recommended maintenance schedule The sole responsibility rests with all individuals hospitals or institutions utilizing the monitor 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE VISUAL INSPECTION INSPECTING THE MONITOR The monitor should be carefully inspected prior to each patient being admitted to the monitoring system Follow these guidelines when inspecting the equipment Carefully inspect the monitor for obvious physical damage to the outer case display screen and controls Do not use the monitor if physical damage is determined Refer damaged equipment to qualified service personnel for repair before using the monitor on a patient Inspect all front and rear panel external connectors for damaged pins prongs and connector housings Refer damaged equipment to qualified service personnel for repair before using the monitor on a patient Inspect all cables insulation strain reliefs and connectors for damage cracks or degradation Refer damaged equipment to qualified service personnel for repair before using the monitor on a patient REVISION E 4000 Patient Monitor 407300 123 2 3 MAINTENANCE CLEANING THE MONITOR CLEANING THE DISPLAY Filter lens characteristics CLEANING THE EXTERNAL SURFACES MANUFACTURER RECOMMENDATION To clean the display on the monitor use a soft clean
128. chever is greater exclusive of transducer User selectable upper and lower limits for systolic diastolic and mean pressures Arterial oxygen saturation SpOg and peripheral pulse rate PPR 50 100 20 250 beats per minute 3 beats per minute Actual accuracy depends on probe Please reference manufacturer s specifications 2 70 10096 SpOg 1 standard deviation 3 50 6996 SpOg 1 standard deviation 3 beats per minute User selectable upper and lower limits for SpOg and PPR 1 10 4000 Patient Monitor 407300 123 REVISION E EQUIPMENT OVERVIEW PERFORMANCE SPECIFICATIONS CONT Non iNvASIVE BLoop Pressure NBP Measurement technique Displayed parameters Measurement modes Heart rate detection Total cycle time Automatic cycle times Auto zero Tubing length Adult Neonatal Automatic cuff deflation Cuff sizes Disposable Reusable Alarms Oscillometric Systolic diastolic and mean pressures pulse rate time of last measurement Manual auto and stat 30 to 300 beats per minute 20 to 40 seconds typical dependent on heart rate and motion artifact to 24 hours Zero pressure reference prior to each cuff inflation 12 feet 8 feet Cycle time exceeding 3 minutes 90 seconds neonatal power off or cuff pressure exceeds 300 mmHg 10 adult 150 mmHg 10 neonatal Large adult adult small adult pediatric small pediatric and infant Thigh
129. ctions of the monitor are working as designed or whether the monitor requires NBP calibration If after performing the prescribed checkout procedure it is determined that there are potential problems that NBP calibration does not cure try the following 1 If calibration is unsuccessful and cannot be properly performed there could be leaks in the pneumatic circuit plumbing The following steps will assist you in determining this The NBP cuff and tubing is the easiest area to inspect for leaks and is also the most likely area for failure in this regard Closely inspect these items for cracks or leaks Test the NBP cuff and tubing on a working monitor to determine the source of the problem If the NBP cuff and tubing are determined to be good after testing them on a working monitor the leaks are probably internal to the monitor Disassemble the monitor and check inspect all internal tubing and connections in the pneumatic circuit plumbing 2 Ifnoleaks are found after performing the previous step the NBP pump assembly is suspect Swap the NBP pump assembly with one from a working monitor and or replace as necessary If the monitor is not configured properly a variety of NBP problems may occur To determine monitor configuration rotate then push the Trim Knob to Scroll to and select CUSTOMIZE MONITOR from the main menu of the monitor Scroll to and select PATIENT MONITOR TYPE from the customize monitor menu of
130. d or the monitor shows no indication of download activity for over 5 full minutes Errors may occur during download For most errors try starting the procedure over again If you continue to experience problems contact Marquette Service refer to How to Reach Us at the beginning of this manual 7 Repeat steps 2 through 6 for each additional software component that needs to be updated Keep the following in mind as you update The software components must be updated in order See page 14 for the update order The boot code boot scr does not need to be loaded if the conversion tool tool scr has been downloaded It is loaded as part of the conversion tool 2 is optional so co2main scr does not need to be loaded if the monitor being updated is not equipped with CO2 To load the main processor code main scr from memory cards the second memory card must be inserted Refer to Step 2 for more details 4000 Patient Monitor REVISION E 407300 123 4 17 CONFIGURATION DOWNLOAD THE SOFTWARE COMPONENTS CONT COMPLETING THE PROCEDURE Verify that the downloading of software into the monitor was successful The following steps must be completed for each monitor Perform the Checkout 8 Procedures Set up graph locations 9 Select a writer for each of the 10 three possible locations Test the monitor 11 Before putting the monitor into normal service perform the procedures
131. d from the UPDATE BEDSIDE utility menu list of files If the list does not include the necessary file eject the diskette from the floppy drive and insert the correct diskette Press the HOME key on the PC keyboard to refresh the UPDATE BEDSIDE utility menu list Use the up down arrow keys on the PC keyboard to scroll through the list of files contained on the update diskettes To begin the process of downloading the selected file simply press the ENTER key on the PC keyboard CAUTION In the process of loading update software into the monitor the update download program first erases all of the memory locations associated with each file Problems in the download process may cause the monitor to be rendered useless Do not interrupt the download process once it has begun If problems are encountered rendering the monitor useless contact the appropriate technical support group listed in the beginning of this document REVISION E 4000 Patient Monitor 407300 123 4 23 CONFIGURATION UPDATE SOFTWARE FROM DISKETTE CONT If incorrect files are chosen a prompt appears on the monitor display Verify PC to monitor communication Errors may occur during the download process Repeat these steps for each file requiring update 18 The monitor will indicate a warning if the file name from the PC does not match the file name residing in monitor memory NOTE The main processor code is
132. d the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor For example the seventh day of the third month March 7th would be represented in the password as 0703 ddmm Note the date that is currently on the monitor display and follow these steps to enter the password Rotate the Trim Knob control to highlight the password number that you would like to change To change the highlighted number press the Trim Knob control Rotate the Trim Knob control until the correct number is displayed in the selected field To enter the number press the Trim Knob control Repeat these steps until all password numbers are correctly displayed Once you have entered the correct password numbers rotate the Trim Knob control to highlight SERVICE MODE in the enter password window Press the Trim Knob control one more time to enter the password and access the service menus of the inenden 4000 PATIENT Monitor REVISION E 407300 123 4 35 CONFIGURATION Setup For Use Conr UNIT NAME About the monitor unit name Setup the unit name of the monitor From the service mode menu option items which appear on the monitor display follow the next steps of the procedure to setup or configure the UNIT NAME of the monitor The monitor UNIT NAME provides a means of differentiating groups of devices on the network Groups of devices with simi
133. date from diskettes using aPC Update from Diskette In this procedure the monitor is connected directly to a personal computer PC or PC laptop This is for monitors that operate in one of the following patient monitoring system configurations Stand alone monitors not connected to a networked patient monitoring system or Monitors connected to a networked patient monitoring system without Centralscope Central Station monitors NOTE The monitor being updated must already be running software version 6a or later in order to update from diskettes Refer to the Update from Diskette section later in these instructions In either case the Update Program is run off the update disketes and the software is downloaded to the monitor via serial communication 4000 Patient Monitor REVISION E 407300 123 4 3 CONFIGURATION INSTALLING SOFTWARE CONT Follow the correct procedure INTENDED USE AVAILABLE SOFTWARE Disk 1 Disk 2 2 Memory Card Follow the procedure best suited for each application of the monitor The manufacturer recommends completely reading all of these instructions prior to any attempt to load or update software This is particularly important if this is a first attempt to load or update software in the monitor This document is prepared for the purpose of loading manufacturer software into the monitor initially reloading softw
134. dating the monitor to a new version of software documentation will be supplied by the manufacturer in a software update kit Completely fill out all documentation as required by the manufacturer Go to each monitor in the system that requires software downloading and repeat the entire procedure beginning with the Load Software for Update section REVISION E 4000 Patient Monitor 407300 123 4 19 CONFIGURATION UPDATE SOFTWARE From Using PC ABOUT THE PROCEDURE CONNECT THE PC To THE MONITOR This procedure describes how to update software in the monitor from a PC or PC laptop floppy disk drive using update diskettes provided in the Software Update Kits Refer to the addendum included with each set of update instructions for current monitor software revision levels and associated part numbers NOTE This procedure can only be used if the monitor being updated is already running software version 6a or later It is recommended that either the network or memory card method be used when possible for all software boot code update procedures since these methods are more reliable Refer to the Load Software for Update section in the procedures for more information This update procedure requires the following 1 3 PC or PC laptop to download software with the following minimum requirements MS DOS compatible 1 4M 3 5 inch floppy disk drive and RS 232C seri
135. dditional parameters Network Error Identifies a network error or problem occurred Channel Number Identifies the network channel exhibiting the error REVISION E 4000 Patient Monitor 407300 123 5 2 l TROUBLESHOOTING Service ERROR LOGS Something to remember about the error log is that it contains more than just operating system errors Many events that occur that might have an impact upon the system are entered into the log The 700 series of error codes include many such events Error code descriptions Some of the event error codes you might find useful are described in the following table Error Code 400 4FF 703 70B 7OE Severity of the error Description Network errors were detected Diagnostics test were completed Internet address was changed network address for the monitor was changed network address changes should only be done by qualified service personnel only Time was changed from this monitor helps deter mine how the system wide time may have been altered Date was changed from this monitor helps deter mine how system wide time was altered Severity of errors is an indication of how the event error affected the system There are three levels of severity The following table provides a list of the levels including a description of each CONTINUE The event or error was logged the task may FORCED RESTART or may
136. described in Setup for Use in the configuration section of the service manual to verify proper operation The monitor battery should be fully charged before starting these procedures To set up proper graph locations for the monitor connect the monitor to the network then from the monitor main menu Scroll to the MONITOR SETUP menu selection and select it by pressing and releasing the Trim Knob control In the monitor setup menu scroll to the GRAPH SETUP menu selection and select it by pressing and releasing the Trim Knob control In the graph setup menu scroll to the GRAPH LOCATION menu selection and select it by pressing and releasing the Trim Knob control From the graph location menu option items use the Trim Knob to scroll to and select The MANUAL GRAPH LOCATION option item the monitor may take up to a minute to poll the network for available writers then choose one of the manual graph locations from that list of writers then E The ALARM GRAPH LOCATION option item then choose one of the alarm graph locations from that list of writers and finally The PRINT WINDOW LOCATION option item then choose one of the print window locations from that list of writers Connect a patient simulator to the monitor Admit and generate patient waveforms at the monitor with the simulator powered up Perform the following steps to test the communication paths between the monitor and each selected writer Pr
137. e lead to the AC 2 4000 Vac OUT connector of the AC DC Hi Pot Generator WARNING The following step will cause high voltage 4000 Vaco to appear at the test body 4 Set the HIGH VOLTAGE switch to ON The high voltage indicator should illuminate with this action NOTE During this test watch the analog meter to ensure the current level never exceeds 1mA If it does the unit has failed the test and must be repaired then tested again 5 Slowly turn the RAISE VOLTAGE selector to 4000 volts Wait for 60 seconds If the breakdown warning lamp illuminates or the buzzer activates before the time expires then the unit has failed the test and should be repaired then tested again 7 Slowly turn the RAISE VOLTAGE selector to O volts 8 Set the HIGH VOLTAGE switch to OFF The high voltage indicator should turn off 9 Ifthe unit under test fails repairs must be made and the unit must be tested again AC hi pot tests completion 10 This completes the AC hi pot test Next perform the dc hi pot test 4000 Patient Monitor REVISION E 407300 123 2 37 MAINTENANCE For your notes 4000 Patient Monitor 407300 123 REVISION E CALIBRATION Adjustments J umpers Switches 3 2 Hardware calibration oir rr s 3 2 Software calibration eene 3 2 Processor 3 3 About T
138. e monitor 4 Turn the rear panel power switch to the on 1 position and make sure that the PWR AC indicator on the front panel lights up 5 Start the monitor Boot Loader program Hold down the NBP GO STOP and ZERO ALL front panel controls on the monitor Press and release the Trim Knob control Continue to hold NBP GO STOP and ZERO ALL front panel controls until the Eagle Boot Loader menu appears on the monitor display 6 Insert the first memory card into the PCMCIA card slot on the right side of the monitor The side of the memory card with the purple stripe and the word Flash should face the rear of the monitor and Marquette s label should face the front of the monitor Insert the edge of the memory card with the connector interface into the PCMCIA card slot first 7 Observe the monitor display In less than ten seconds a FILE SERVER SELECTION menu appears on the display If the FILE SERVER SELECTION menu does not appear after 10 seconds use the Search for Fileserver option to look for it again At the FILE SERVER SELECTION menu e Find the localHost or Memory Card option in the file server selection menu Rotate the Trim Knob control until the number corresponding to the localHost or Memory Card menu item is displayed and Press and release the Trim Knob control to make the selection 8 Continue the update process by following the Load the version 6 conversion tool procedure described on
139. e monitor select SET DATE from the time and date menu option items To enter or change a SET TIME or SET DATE parameter rotate the Trim Knob control to select a parameter for change Press the Trim Knob control to enable the selected parameter for change Rotate the Trim Knob control to enter or change the selected time or date parameter Press the Trim Knob control to enter new time or date parameters into temporary memory in the monitor NOTE Changes are written to memory in the monitor when SET TIME or SET DATE is selected and set When each desired time or date entry has been made immediately rotate the Trim Knob control to select SET TIME or SET DATE in the time and date menu on the monitor Press the Trim Knob control to enter the new time or date into the monitor 4000 Patient Monitor 407300 123 REVISION E TROUBLESHOOTING Battery Failure 5 2 Battery replacement ics eise tr 5 2 The BATT FAIL indicator eiit RE YR eee 5 2 Power Source Tests nnne inueni nun 5 4 Wall Ux rhe mer erbe 5 4 Power cord and pl fg eiie sav tos ved tad seis van eade rea ver enn 5 5 Main power and display power control 5 5 Data Acquisition 5 6 ECG functional 655 5 6 ECG test failure solutions
140. e power supply turn it on and adjust it to 3 volts Verify U17 pin 10 is logic high Adjust the power supply down to 2 1 volts Adjust R6 ccw to set the trip point of the threshold Check calibration Replace jumper WI A 3 volt lithium battery on the processor PCB provides backup power for memory circuits used for retaining data when the monitor is powered off When the battery voltage diminishes to 2 1 volts reliable memory data retention is jeopardized The low battery voltage threshold adjustment controls the point at which the monitor posts a call service message on the display if in fact the battery reaches or falls below the 2 1 volt threshold level Follow these steps to make this calibration l 2 3 Carefully remove jumper W1 to disable battery power from the memory circuits Do not loose the jumper it is quite small and can easily be misplaced Turn potentiometer R6 fully clockwise Power the monitor up using AC power from the wall receptacle Place a jumper wire across connector J2 pin 5 and pin 7 This holds the processor PCB in a constant reset state Follow these steps to apply 3 0 Vg from an adjustable DC power supply to the processor PCB Connect the positive test lead of the adjustable DC power supply to the pin on jumper W1 that is closest to connector J4 Connect the negative test lead of the adjustable DC power supply to a ground point on the processor PCB Connector J2 pin 3 or
141. e steps 1 Use the Trim Knob control on the front panel of the monitor to scroll to and select SET BED NUMBER from the service mode menu option items REVIEW ADMITMENU CALIBRATE ERRORS STANDARD SOFTWARE PATIENT MON ITOR TYPE SET UNIT SETBED VA MRO LEVEL ADULT ICU NAME NUMBER ADDRESS DATE 2 The SET BED NUMBER pop up window appears on the monitor display as shown below MAIN REVIEW SOFTWARE PATIENT MON ITOR TYPE SET BED TIME AND The SET BED NUMBER pop up window displays either the current BED NUMBER or is completely blank The software supports up to five alphanumeric characters to be used in the BED NUMBER field NOTE It is important that the correct BED NUMBER be entered with regard to other monitors within the same care unit Ifa mistake is made in programming the BED NUMBER field the worse case being a duplicate BED NUMBER on two different monitors within the same care unit the monitor will not communicate properly on the network and will present problems when the monitoris setup or configured for display at central stations 4000 Patient Monitor 4 38 407300 123 REVISION E CONFIGURATION Setup For Use Conr Setup the bed number of the monitor Cont Never use the word BED NUMBER This name can be very confusing to users and make network troubleshooting extremely difficult CAUTION It
142. ead the leakage current indicated on the DMM If the reading is greater than 10 uA 10 mV on the DMM the unit under test fails this test and should be repaired and tested again Change the leakage tester polarity switch to the RVS position Read the leakage current indicated on the DMM 10 uA 0 01 volts on the DMM and the monitor is operating at 120 V 60 Hz U S or 50 uA 0 05 volts on the DMM and the monitor is operating at 220 240 V 50 60 Hz non U S Change the GND switch to the CLOSED position Leakage Tester n 1 HI GH a o NORM POWER CORD Y LOW a T o GND 2 gt RVs VL UNIT AR UNDER TEST gt i PA eh EE lt TEST BODY 70 15 K 1K vey 2100 E gt K Meter reading 1 mV 1 uA leakage current 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE ELECTRICAL SAFETY TESTS CONT Patient source tests Cont 10 11 12 13 Read the leakage current indicated on the DMM 10 uA 0 01 volts on the DMM and the monitor is operating at 120 V 60 Hz U S or uA 0 05 volts on the DMM and the monitor is operating at 220 240 V 50 60 Hz non U S Change the leakage tester polarity switch to the RVS position Read the leakage current indicated on the DMM 10 uA 0 01 volts on the DMM and the monitor
143. ection 5 central station service menu requires a password for entry Type mei cs 123 note the spaces between each part of the password the password is not upper lower case sensitive and press the ENTER key on the central station keyboard to enter the password 6 Rotate the Trim Knob control until LOAD SOFTWARE from the service menu is highlighted and press the Trim Knob control to make the selection 7 Wait for approximately ten seconds 4000 Patient Monitor REVISION E 407300 123 4 7 CONFIGURATION For Uppate Load software from disk 2 onto central station Load software from disk 3 onto a central station 9 10 Rotate the Trim Knob control until FLOPPY appears in the load software pop up window and press the Trim Knob control to make the selection The central station monitor will display a LOADING FROM FLOPPY message in the upper left corner of the display The message is soon replaced by LOADING DISK EAGLE E4 6X 1 OF 3 Diskette 1 will take approximately 10 minutes to load completely NOTE The central station monitor may display status mes sages other than those described in these instruc tions If after waiting at least 20 minutes the floppy drive ejects diskette 1 and diskette 2 is requested to be inserted continue with the next step Other wise you will have to reboot the central station monitor and start over from step
144. ed for each monitor Perform the Checkout 19 Procedures Set up graph locations 20 Select a writer for each of the 21 three possible locations Test the monitor 22 Before putting the monitor into normal service perform the procedures described in Setup for Use in the configuration section of the service manual to verify proper operation The monitor battery should be fully charged before starting these procedures To set up proper graph locations for the monitor connect the monitor to the network then from the monitor main menu Scroll to the MONITOR SETUP menu selection and select it by pressing and releasing the Trim Knob control In the monitor setup menu scroll to the GRAPH SETUP menu selection and select it by pressing and releasing the Trim Knob control In the graph setup menu scroll to the GRAPH LOCATION menu selection and select it by pressing and releasing the Trim Knob control From the graph location menu option items use the Trim Knob to scroll to and select The MANUAL GRAPH LOCATION option item the monitor may take up to a minute to poll the network for available writers then choose one of the manual graph locations from that list of writers then The ALARM GRAPH LOCATION option item then choose one of the alarm graph locations from that list of writers and finally The PRINT WINDOW LOCATION option item then choose one of the print window locations from that list
145. ely two minutes The message WARMING UP is displayed in the CO2 parameter window When the Capnostat sensor is finished warming up the message CAL SENSOR TO ZERO CELL will appear in the CO2 parameter window Capnostat Sensor The Capnostat sensor cable is equipped with two cells see figure at left The O cell is used to zero calibrate the sensor and the REF cell is used for verifying the accuracy of the Capnostat Sensor WARNING 2 The Capnostat Sensor should not be used in the presence of strong electromagnetic fields such as radio station transmitters citizen s band radios cellular phones etc Capnostat Sensor Cable 2 Place the sensor on the 0 cell 4000 Patient Monitor 2 22 407300 123 REVISION E MAINTENANCE CHECKOUT PRocebures CONT End tidal carbon dioxide tests Cont Select CAL SENSOR TO ZERO CELL option from the CO2 Menu A pop up menu with READY and ABORT choices is displayed N20 COMPENSATION 0 40 gt READY MAIN UNITS MENU MMHG TO ZERO CELL ADAPTER 6 25 02 COMPENSATION 02 AVE 0 60 02 SINGLE ABORT Fae CALIBRATE SPEED 301A CAL SENSORTO ZERO CELL Pop up Menu Select READY The message CALIBRATING is displayed in the CO2 parameter window When calibration is complete the pop up menu clears and an EXP value of is displayed in place of the message Remove the sensor from the 0
146. enu then press and release the Trim Knob control to make the selection NOTE If the care unit name of the central station you are using doesn t appear in the file server selection menu use the Search for fileserver option to look for the appropriate care unit name again Occasionally the monitor must search the network more than once before it finds all the care units on the network If you are downloading the software from memory cards find the Memory Card option in the file server selection menu Rotate the Trim Knob control until the number corresponding to the Memory Card menu item is displayed then press and release the Trim Knob control to make the selection REVISION E 4000 Patient Monitor 407300 123 4 13 CONFIGURATION LOAD THE VERSION 6 CONVERSION CONT Load boot scr Reply YES to the prompt The boot code is downloaded to the monitor Continue downloading the other software update components When the SCRIPT NAME SELECTION menu appears on the monitor display Find the boot scr option in the script name selection menu Rotate the Trim Knob control until the number corresponding to the boot scr menu item is displayed and Press and release the Trim Knob control to make the selection The monitor then displays the part number version and date of the boot code about to be installed A prompt appears on the monitor display requiring verificatio
147. ess than seven characters to be left justified leaving unused character positions immediately to the right of the user entered unit name blank When finished making each character entry use the Trim Knob control to select the SET UNIT NAME menu option item Press the Trim Knob control This programs the newly entered UNIT NAME into the monitor memory and closes the pop up window REVISION E 4000 Patient Monitor 407300 123 4 37 CONFIGURATION Setup For Use Conr BED NUMBER From the service mode menu option items which appear on the monitor display follow the next steps of the procedure to setup or configure the BED NUMBER of the monitor About the monitor bed number The monitor BED NUMBER is manually programmed into monitor The monitor has flash memory which stores the user programmed BED NUMBER This acts as a software identification code for the following applications For networked monitors the BED NUMBER provides unique network identification for each monitor from groups of devices sharing the same unit name on the network The monitor BED NUMBER software is integrated into electronic packets of information which are either sent to or received from other devices on the network General identification The BED NUMBER also is used for annotation purposes on all graphs generated by the monitor Setup the bed number ofthe Setup or configure the BED NUMBER of the monitor by following monitor thes
148. ess the GRAPH GO STOP button the monitor front panel and verify the graph output arrives at the selected manual graph location Press the GRAPH GO STOP again to stop the manual graph Cause a CRISIS alarm by switching the simulator power off and verify the graph output arrives at the selected alarm graph location Bring up a non real time window on the monitor display and print the window Verify the print output arrives at the selected print window location 4 18 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION DOWNLOAD THE SOFTWARE COMPONENTS CONT Verify that the software is loaded into monitor memory Documentation requirements Repeat the procedure for each monitor 12 13 14 Verify that the software was downloaded to the monitor properly From the monitor main menu Rotate the Trim Knob control until the MONITOR SETUP menu selection is highlighted Press and release the Trim Knob control to make the selection Rotate the Trim Knob control until the SOFTWARE REVISION menu selection is highlighted A list of the installed software components their part numbers versions and dates will appear on the monitor display Verify that these match the revisions shown on the addendum at the beginning of these instructions Press the Trim Knob control to exit the software revision pop up window on the monitor display If software was downloaded for the purpose of up
149. eviewed on the central station To access the error log and learn more about the REVIEW ERRORS menu option item follow these steps 1 Rotate and press the Trim Knob control to scroll to and select REVIEW ERRORS from the service mode menu option items REVIEW ADMIT MENU CALIBRATE ERRORS STANDARD SOFTWARE PATIENT MON ITOR TYPE SET UNIT SET BED SET INTERNET TIME AND LEVEL ADULT ICU NUMBER ADDRESS DATE 2 The review errors menu option items include four possible selections one each for viewing output or input errors along with one each for clearing output or input errors Rotate and press the Trim Knob control to scroll to and select VIEW OUTPUT ERRORS from the review errors menu option items VIEW OUTPUT ERRORS ERRORS PREVIOUS CLEAR OUTPUT CLEAR INPUT MENU ERRORS ERRORS 5 18 4000 Patient Monitor 407300 123 REVISION E TROUBLESHOOTING Service Run time error log pop up window Use the Trim Knob to navigate through the error log 3 The RUN TIME ERROR LOG pop up window appears on the left side of the monitor display One time dated output software error appears in the pop up window at a time RUN TIME ERROR LOG Status Register 2000 Program Counter 10017A User Stack Pointer 981794 Super Stack Pointer 94FFAE Heap Pointer 910F78 Process Name system Error Code warmstart 0 Severity Continue Date JUL 19 1995 Time 198
150. facturer recommends formal service training before repairs are attempted on the monitor The Service Tips listed below combined with formal training should provide the service technician with skills necessary to service and repair a monitor in the event of a malfunction Reason The 5 Vdc supply voltage is in an over current condition Replace the processor PCB assembly This is the only board that uses the 5 Vdc supply voltage The power supply PCB assembly is working properly by the fact that it is restarting after detection of the over current condition thus causing the front panel LED to flash at a regular interval Check the power supply PCB assembly This board can be bench tested as per the Calibration section of this manual Reason The monitor is stuck in its boot up sequence due to the lack of processor to processor communication Replace the acquisition PCB Typically with a fault of this type the processor PCB has successfully booted up but is unable to boot up the acquisition PCB assembly This fault is verified if the display flashes the monitor main menu intermittently during the boot up process Replace the processor PCB if replacing the acquisition PCB does not fix the problem Reason The graphics processing video circuitry on the processor PCB has problems attempting to clock out the text information data that is stored in video memory circuits VRAM Replace the processor PCB This is the
151. ge Var variable VDE Verband Deutscher Electrotechniker Volt voltage W watt West w with WI Wisconsin WW wire wound X 2 YSI Yellow Springs Instrument Other Cont continued C degrees Celsius F degrees Fahrenheit Az impedance variation u micro microampere uF microfarad uV microvolt Q ohm AT temperature difference 96 percent 4000 Patient Monitor 7 8 407300 123 REVISION E THE MANUAL PAGE CHANGES LisT OF PAGE CHANGES Following is a list of page changes page revision and document date The list provides a reference of changes to the manual This page is updated as page changes are updated in the manual Page Changes Page Rev Document Date Initial release A 22 November 1995 All pages B 21 August 1996 Title T 2 ix x 1 9 Section 7 C 13 November 1996 All pages D 20 December 1996 All pages E 9 May 1997 EAcLE 4000 Patient MONITOR REVISION E 407300 123 7 9 THE MANUAL For your notes 4000 Patient Monitor 7 10 407300 123 REVISION E marquerte Medical Systems 8200 West Tower AVENUE Mitwauxee WI 53223 USA 414 355 5000 FAX 414 355 3790
152. h area requiring setup or configuration UNIT NAME This general identification parameter seven characters in length for the monitor to establish communication links between other devices on the network The unit name acts as a means of separating groups of patient monitoring devices on the network BED NUMBER This is also an identification parameter five characters in length for the monitor to establish communication links between other devices on the network The bed number acts as a means of separating each monitor within groups of patient monitoring devices on the network GRAPH LOCATION This is a setup parameter for the monitor to establish communication links between graph devices directly connected to the monitor or those located on the network The graph location must be setup or configured for each of the following types of graphs MANUAL GRAPH LOCATION Where the manual graph will print ALARM GRAPH LOCATION Where the alarm graph will print and PRINT WINDOW LOCATION Where windows displayed by the operator for various purposes will print Although information in this part of the section relates to a specific version of software the process generally remains similar from version to version of software Below is a summary of the procedure to setup the monitor for normal operation l Determine the current monitor software revision level 2 Setup the monitor care UNIT NAME 3 Setup the moni
153. h the ground wire of the monitor during normal operation l Set the leakage tester switches as follows Selector knob 1 GND switch OPEN Polarity switch NORM Power switch OFF Connect the DMM to the METER jacks on the leakage tester Set the DMM to measure AC millivolts Connect the power cord of the monitor to the power receptacle on the rear of the leakage tester Set the leakage tester power switch to ON Set the rear panel power switch of the monitor to ON Read leakage current indicated on DMM If the reading is greater than 300 microamperes uA read as 0 3 volts on the DMM and the monitor is operating at 120 V 60 Hz U S or 500 uA 0 5 volts on the DMM and the monitor is operating at 220 240 V 50 60 Hz non U S the unit under test fails this test and should be repaired and tested again Set the polarity switch on the leakage tester to RVS reverse Read the leakage current indicated on the DMM If the reading is greater than 300 uA 0 3 volts on the DMM and the monitor is operating at 120 V 60 Hz U S or 500 uA 0 5 volts on the DMM and the monitor is operating at 220 240 V 50 60 Hz non U S the unit under test fails this test and should be repaired and tested again Set the leakage tester power switch to OFF Leakage Tester POWER CORD e POWER CORD L UNIT t oo UNDER TESI
154. hE procedure 3 3 lest CQUIPMENE e vie 3 3 Calibration procedure aoi periret reir i etr eir ehh 3 3 Switch SW1 settings color display 3 4 Switch SW1 settings mono display 3 4 BP analog output null and gain calibration 3 5 Low battery voltage threshold calibration 3 6 Switch Settings Eee E VR VPE E 3 7 Jumper SUING Pre Tax o DEC a TAN DR DURER 3 8 Acquisition 3 9 About the procedure rc res ner getan eio aes aes 3 9 Test equipment dete HEREIN EE COS E EO 3 9 Calibration procedure 3 9 Power Supply 3 11 About THE procedure 3 11 Test CQUIPMENE ea era 3 11 Calibration procedure scenari ere ny ene en ext 3 11 Non invasive Blood Pressure eere 3 14 About the procedien rmen rs n 3 14 Manufacturer recommendation 3 14 erii iae a a a aE iaa e TAS 3 14 calibration DFOCGQUEE oes seen sin re re ser 3 15 End tidal 2 3 22 About the procedure sss 3 22
155. hange the time and date on the monitor None of these options should be used unless specifically instructed to do so WARNING Some of the service mode menu option items are to be used only by qualified service technicians and others are for general use Because of this unnec essary tampering with service mode menu option items for experimentation purposes is not recom mended by the manufacturer and may cause a malfunction of the monitor REVISION E 4000 Patient Monitor 407300 123 5 17 TROUBLESHOOTING Service Menu REVIEW ERRORS About the monitor error log Downloading the error log Accessing the review errors menu option item Viewing output errors The REVIEW ERRORS menu option item is mostly used as an advanced troubleshooting technique by manufacturer engineering personnel Some of the information recorded in the monitor error log can be useful for field service troubleshooting Details included in this part of the section will provide an introduction to error log usage and meaning Because the information contained in the error log is engineering oriented the intent of the manual is to simply provide a general understanding of this monitor function A method for downloading error log data over the network to a central station is included in this part of the section Once downloaded to a central station the error log data can be loaded onto floppy diskettes or r
156. he monitor from a wall receptacle If in doubt test for continuity through each conductor of the power cord connector and plug Verify line neutral and ground conductors are properly connected to the power cord plug and are not short circuited Rewire and tighten these or replace the power cord as necessary Turn the rear panel main power switch of the monitor to the on 1 position During normal operation the main power switch is typically left in the on position The DISPLAY ON OFF front panel control on the monitor is used for turning the display on or off depending on whether a patient is admitted to the monitor or not The position of the main power switch determines if battery power or AC power from the wall receptacle is the monitor power source The following describes the main power switch functions In the on 1 position the main power switch enables AC power from a wall receptacle If for whatever reason AC power is not available from the wall receptacle the monitor will automatically sense this condition and enable battery power In the off 0 position the main power switch enables battery power when the DISPLAY ON OFF switch is on NOTE The battery does not charge when the main power switch on the rear panel of the monitor is in the off 0 position Because of this the manufacturer recommends use of the DISPLAY ON OFF front panel control for turning the monitor off and on during normal u
157. he Select Country menu appears Find the country option in the select country menu that corresponds to the appropriate country if the monitor is not German or French use the DEFAULT option Rotate the Trim Knob control until the number corresponding to the appropriate country or Default is displayed and Press and release the Trim Knob control to make the selection When the Select Country menu reappears Find the Save Changes and Exit item in the select country menu Rotate the Trim Knob control until the number corresponding to the Save Changes and Exit menu item is displayed and Press and release the Trim Knob control to make the selection When the Service Menu appears Find the Exit item in the service menu Rotate the Trim Knob control until the number corresponding to the Exit menu item is displayed and Press and release the Trim Knob control to make the selection When the File Server Selection menu appears Find the Goto Main Flash item in the menu Rotate the Trim Knob control until the number of the Goto Main Flash menu item is displayed and Press and release the Trim Knob control When this step is complete the screen will flash and the monitor will reboot into normal monitoring mode 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION ENABLE VERSION 6 SOFTWARE FEATURES PROCEDURE Start the boot loader program Open the Op
158. he monitor front panel flex circuit assembly located behind the front panel connectors and connection to the acquisition PCB If the patient simulator and associated test cables are determined to be functioning correctly and the continuity tests yield no malfunction the acquisition PCB is suspect Swap the acquisition PCB into a working monitor to determine if replacement is necessary REVISION E 4000 Patient Monitor 407300 123 5 11 TROUBLESHOOTING Data ACQUISITION TESTS CONT RESPIRATION FUNCTIONAL TESTS Inspiration Markers Expiration Markers Follow these steps to test respiration monitoring functions 1 Connect the MEI Multifunction Microsimulator pn MARQ1 and appropriate patient cables to the ECG RESP front panel connector on the monitor Adjust the patient simulator to output a respiration waveform using the following settings Rate BPM 30 Baseline Impedance Ohms 750 AR Ohms 2 0 Enable the respiration function of the monitor Select MONITOR SETUP from the main menu display on the monitor Select PARAMETERS ON OFF from the monitor setup menu Next turn and push the Trim Knob to scroll to and select RR in the parameters on off pop up window toggle and select ON in the RR line of the parameters on off pop up window Verify the following Respiration rate is displayed and accurate Respiration waveform is displayed and noise free
159. he patient simulator Inject a 1 mV calibration signal using the patient simulator and start a manual graph Observe that the calibration pulse is properly displayed and graphed see figure below HR JAL SAVED CCU SERV1 14 AUG 1991 10 11 DISCHARGED OR AV2 MM S NEP XXX XXX XXX AR1 ZERO BP 16 This completes the ECG tests Continue to the next steps of these checkout procedures 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE CHECKOUT PRoceDures CONT I2SL ECG Tests Follow these steps to perform the 12SL ECG tests Set up the patient simulator as follows Heart rate 80 BPM Heart rate amplitude 1 0 mV 12 Lead ECG patient cables properly attached Attach the ECG patient cable and ECG leadwire sets to the ECG RESP connector on the monitor and the leadwire connectors on the top of the patient simulator Admit the patient simulator to the monitor From the Main Menu of the monitor rotate the Trim Knob to highlight the ECG parameter box then press the Trim Knob to select it Select 12 LEAD ECG ANALYSIS from the ECG parameter menu option items Observe the 12 ECG traces are noise free and properly displayed REVISION E 4000 Patient Monitor 407300 123 2 9 MAINTENANCE CHECKOUT CONT RESPIRATION TESTS Respiration tests setup ECG lead II
160. he power cord into a working AC power wall receptacle and turn the monitor rear panel main power switch to the on 1 position Press the DISPLAY ON OFF front panel control on the monitor The display should be on Use the Trim Knob control to scroll to MONITOR SETUP in the monitor main menu and press the Trim Knob control to select it ALARM MONITOR PATIENT CONTROL PATIENTS DATA SETUP DISCHARGED 4 Use the Trim Knob control to scroll to SERVICE MODE in the monitor setup menu and press the Trim Knob control to select it MAIN WAVEFORMS DISPLAY COLOR PARAMETERS GRAPH MONITOR MENU ON OFF INDIVIDUAL CLINICAL ON OFF SETUP DEFAULTS PRINT LEARN THE SOFTWARE SOFTWARE SERVICE CRG PLUS MONITOR REVISION COMPATIBILITY MODE Enter the proper password to 5 A service menu password window will appear on the access the service menu monitor display as shown in the figure at the left A password is required to prevent non service personnel from accessing the service menus The password is four numbers that represent the date that currently resides in a memory circuit within the monitor please note that this may or may not be the correct date In the password the first two numbers starting from the left represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor For example the seventh day of the third month March 7th would be represented in the pas
161. he range switch to the 1000mmHg setting 4000 Patient Monitor REVISION E 407300 123 3 17 CALIBRATION Non invasive Pressure CONT Start the gain calibration test 11 Rotate the Trim Knob control to highlight CAL GAIN OFF and then press the Trim Knob control to select it MAIN MENU PREVIOUS MENU 12 Rotate the Trim Knob control to highlight CAL GAIN OFF and then press the Trim Knob control to select it MAIN CAL GAIN MENU OFF PREVIOUS ENTER CAL MENU PRESSURE 13 Rotate the Trim Knob control to highlight START and then press the Trim Knob control to select it The second line of text on the CAL GAIN menu item changes from HOLDING to INFLATING Then the monitor starts pumping up the pressure bulb or cuff the audible whirring sound of the NBP pump motors will occur and an increase in displayed pressures on both the monitor and the manometer will be observed 4000 Patient Monitor 3 18 407300 123 REVISION E CALIBRATION Non invasive Pressure CONT Verify the pneumatic circuit 14 The pump shuts off at about 250 mmHg and the pressure plumbing does not have air leaks drops slowly to about 240 mmHg before stabilizing The second line of text on the CAL GAIN menu item changes from INFLATING back to HOLDING If the pressure continues to drop at a rate of 1 mmHg or more for every five seconds there is a leak in the NBP plumbing If there isa leak
162. he side of the monitor Password 12 Lead ST Disabled this feature is only shown for monitors running Version 6A software and does not appear in subsequent software versions Password 12SL Analysis Enabled or disabled as required see note below Password NOTE Processor PCB assembly pn 800704 003 or later and DAS PCB assembly pn 800376 002 or later are required as a minimum configuration to enable 12SL Analysis 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION ENABLING SOFTWARE FEATURES CONT Features brief explanations and passwords Cont Enabling selected features COMPLETION Set options in hexadecimal form xx Do not alter Password Change Software Level Requires password to enable Select the software feature level 7015 7020 or 7025 30 to enable operating features that correspond to those purchased for the monitor Password WARNING Select and enable only the software level that opera tors have been trained for The 7025 software feature level replaces the 7030 software feature level that was available in early production units Program Genesis Card Used for manufacturing service purposes do not alter Change Ethernet Address Select this to configure the network address in the monitor Password Clear Configuration Memory Select this to clear the erasable memory in the monitor Password Enable Trial Options Select
163. henever the monitor is opened for service purposes This will ensure the pneumatic circuit plumbing has not developed any air leaks as a result of disassembly 4000 Patient Monitor 407300 123 REVISION E CALIBRATION PROCESSOR PCB ABOUT THE PROCEDURE TEST EQUIPMENT Maintain the latest software version in the monitor CALIBRATION PROCEDURE The processor PCB has three potentiometers a bank of DIP switches and one jumper on it Each monitor is calibrated before it is shipped Replacement assemblies are calibrated before being shipped as well Calibration of this PCB includes blood pressure analog output null gain and low battery threshold These adjustments are only required if components on the board have been replaced The following items are required to perform the adjustment Variable DC power supply capable of generating 0 0 3 0 Vac Voltmeter accurate to 1 0 mV Software update memory Because updating software is not actually required any version software update memory card will work NOTE Software updates occur as necessary either for improvement of existing software or for additional features for the monitor Contact Technical Support for latest software information It is recommended that the monitor have the latest revision of software installed for best overall performance The following pages describe the adjustments as well as how to set jum
164. hese steps 1 Make sure all cables are properly connected to the monitor 2 Apply AC power to the monitor Plug the power cord into a working AC power wall receptacle and turn the monitor rear panel main power switch to the on 1 position Press the DISPLAY ON OFF front panel control on the monitor The display should be on Select monitor setup from the Use the Trim Knob control to scroll to MONITOR SETUP in main menu the monitor main menu and press the Trim Knob control to select it ALARM VIEW OTHER PATIENT MONITOR PATIENT CONTROL PATIENTS DATA SETUP ee Select service mode from the 4 Use the Trim Knob control to scroll to SERVICE MODE in monitor setup menu the monitor setup menu and press the Trim Knob control to select it WAVEFORMS DISPLAY COLOR PARAMETERS GRAPH MONITOR ON OFF INDIVIDUAL CLIN ON OFF SETUP DEFAULTS PRINT BRIGHTNESS LEARN TI SOFTWARE SOFTWARE SERVICE CRG PLUS 100 MONITOR REVISION COMPATIBILITY MODE Enter the service menu password 5 A service menu password window will appear on the monitor display as shown in the figure at the left A password is required to prevent non service personnel from accessing the service menus The password is four numbers that represent the date that currently resides in a memory circuit within the monitor please note that this may or may not be the correct date In the password the first two numbers starting from the left represent the day an
165. ices connectors or cooling vents on the monitor Never use these cleaning agents abrasive cleaners or solvents of any kind alcohol based cleaning agents wax containing a cleaning substance acetone or betadine CAUTION Follow these cleaning instructions exactly Failure to follow the instructions may melt distort or dull the finish of the case blur lettering on the labels or cause equipment failures 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE CHECKOUT PROCEDURES ABOUT THE CHECKOUT PROCEDURES MANUFACTURER RECOMMENDED TEST EQUIPMENT This part of the section contains all of the checkout procedures for the monitor The checkout procedures provide service personnel with a method of verifying operational and functional performance of the monitor without having to disassemble the unit Failure to attain the prescribed results indicates a need for calibration or potential malfunction of the monitor Perform the checkout procedures upon receipt of the monitor every year thereafter and each time a circuit board is removed or replaced The checkout procedures are based on the assumption that the monitor being tested is used with known good cables and test equipment It also requires that the user be somewhat familiar with the operation of the monitor and all test equipment used for the checkout procedures For more information concerning the operation of these components refer
166. in the log Subsequent events are stored sequentially as they occur When the 50 event limit is reached the next error the 51st error is written over the first event that was logged erasing that event and replacing it with the latest event The 52nd event is written over the second event and so on If errors occur infrequently the error log could span a period of weeks and months maybe even years For example if a problem with the network begins repeating frequently the error log might consist only of errors from the last few hours In any case the error log will contain the most recent 50 errors that were detected and recorded A sample of the monitor error log pop up window appears at the left If using the error log to troubleshoot a potential problem with the monitor the parameters from the pop up window which are of greatest interest are listed in the following table Process Name The task that was operating when the event or problem occurred Error Code A software code for the type of event or problem that occurred Severity Indicates the level of impact of the event or problem on the system Date The date the event or problem occurred Time The time the event or problem occurred and Error number A sequential number 0 50 used to identify each event or problem If certain types of network errors or problems occur two additional parameters are added to the error log pop up window The table below lists the a
167. intenance Section 3 Calibration Section 4 Configuration Section 5 Troubleshooting Section 6 Assembly Drawings Section 7 About the Manual This field service manual has been prepared by the Media Technologies staff at Marquette Medical Systems It is intended for use by biomedical electronic technicians or other qualified service personnel responsible for installation maintenance or repair of the Eagle 4000 Patient Monitor hereafter referred to as the monitor The content of this field service manual is aimed primarily at biomedical equipment technicians and field service personnel The user of this field service manual is expected to have a solid background in electronics including strong backgrounds in analog and digital electronics as well as microcomputer technology familiarity The field service manual is organized into sections as follows Section one describes the product the Marquette Unity Network performance specifications preparation for use product part numbers and block level theory of operation Section two describes the maintenance schedule visual inspection cleaning the monitor checkout procedures and electrical safety tests Section three describes adjustments jumpers switches processor PCB calibration acquisition PCB calibration power supply PCB calibration non invasive blood pressure calibration and end tidal CO calibration Section four describes monitor configuratio
168. ional Battery Pack AC Power NOTE All supply voltages are sent to the processor pcb assembly then power is distributed to other electrical assemblies in the monitor Data Bus NIBP Control PCMCIA Network amp Serial Comm Graphics System Processing TMS34010 Display Panel Assembly 16 ohm Speaker Front Panel Flex PCB Assembly 3115212 Memory Card Slot ETHERNET ASYNC COMM ASYNC COMM RMT VID o 3 3 E e amp 5 5 2 w 3 z EAcLE 4000 PATIENT Monitor REVISION E 407300 123 1 19 EQUIPMENT OVERVIEW THEORY OF OPERATION CONT OVERALL BLOCK THEORY Power supply PCB assembly Acquisition PCB assembly Processor PCB assembly Communication PCB assembly Optional End tidal CO PCB assembly The block level theory of operation as covered in this section is intended for service technicians and provides a general overview of the monitor and its main electrical assemblies An understanding of the block level theory of operation is essential for effectively installing maintaining or troubleshooting the monitor The power supply PCB mounts internally to the monitor rear casting assembly The board accepts both low voltage AC power from the main step down isolation transformer or 12 from the optional battery pack Both the step down transformer and the battery pack are located off of
169. is operating at 120 V 60 Hz U S or 50 uA 0 05 volts on the DMM and the monitor is operating at 220 240 V 50 60 Hz non U S Set the power switch of the leakage tester to OFF 4000 Patient Monitor REVISION E 407300 123 2 33 MAINTENANCE ELECTRICAL SAFETY TESTS CONT PATIENT SINK TESTS This tests ECG connector leakage current from a 115 or 220 Vac 770091 300 uA 63 120 V 60 Hz U S lt 500 uA 220 240 V 50 60 Hz non U S 120 V 60 Hz U S 220 240 V 50 60 Hz non U S Electrical diagram patient sink tests source into the ECG RESP connector of the monitor Set the leakage tester switches as follows Selector knob 5 GND switch CLOSED Polarity switch NORM Disconnect the test cable from the leakage tester PATIENT JACKS TOP and reconnect it to the PATN JACK connector on the front panel of the leakage tester WARNING The following step will cause high voltage 120 Va to 240 Vac to appear at the PATN JACK on the leakage tester Do not touch the PATN JACK posts or ECG lead clips during this test as an electrical shock will occur Set power switch on the leakage tester to ON Read leakage current indicated on DMM If the reading is greater than 10 uA 0 01 volts on the DMM and the monitor is operating at 120 V 60 Hz U S or 50 uA 0 05 volts on the DMM and the monitor is operating at 220 2
170. isplay requiring verification of the software about to be installed This prompt allows the user to either continue with the download or abort Rotate the Trim Knob control until YES appears and press and release the Trim Knob control to make the selection 4000 Patient Monitor 4 12 407300 123 REVISION E CONFIGURATION LOAD THE VERSION 6 CONVERSION TOOL CONT The conversion tool is downloaded to the monitor DOWNLOAD THE BOOT CODE SOFTWARE 4 Various messages appear on the monitor display These messages indicate how the download is going Be patient during this part of the procedure it can take a couple of minutes CAUTION Do not reboot or power down the monitor unless the download is successfully completed or the monitor shows no indication of download activity for over 5 full minutes Once the conversion tool tool scr has been loaded download the monitor boot code boot scr using the following procedure Do NOT reboot the monitor in between the two procedures jm At the FILE SERVER SELECTION menu choose one of the following If you are downloading the software from a Centralscope central station find the care unit name of the appropriate central station the one that has the monitor software on its internal hard disk drive in the file server selection menu Rotate the Trim Knob control until the number of the appropriate central station is displayed in the file server selection m
171. isplays including non invasive monitors can be found in this part of the section Packing materials This diagram provides a reference to the manufacturer packing materials used for shipping the monitor from the factory Exploded views These diagrams provide reference to the individual parts and assemblies used in the monitor Electrical connectors This diagram provides a reference to electrical signals for each cable or wiring harness used for interconnection of electrical assemblies in the monitor Electrical diagram This diagram provides a reference for the electrical assemblies in the monitor and respective interconnections Parts List This list provides part numbers and a descriptive cross reference to parts and subassemblies found in each of the drawings REVISION E 4000 Patient Monitor 407300 123 6 17 ASSEMBLY DRAWINGS PN 412185 CONT PACKING MATERIALS NOTES 1 001 021 022 ASSEMBLIES PLACE ITEMS 84 AND 81 INTO ITEM 91 AND SEAL 2 PLACE INSTRUCTION CARD ITEM 92 IN BAG ITEM 93 FOR SHIPPING 3 LOOSE ITEMS MAY BE SHIPPED WITH THE UNIT IF SPACE PERMITS OR PACKAGED AND SHIPPED SEPARATELY 4 010 amp 038 ASSEMBLIES PLACE INSTRUCTION SHEET ITEM 128 AND ASSEMBLED PNEUMATIC CIRCUIT IN BAG ITEM 93 FOR SHIPPING 2 PLACES 4000 Patient Monitor 6 18 407300 123 REVISION E ASSEMBLY DRAWINGS
172. itions those to the right of the user defined bed number blank 5 When finished making each character entry use the Trim Knob control to select the SET BED NUMBER menu option item Press the Trim Knob control This programs the newly entered BED NUMBER into the monitor memory and closes the pop up window 4000 Patient Monitor REVISION E 407300 123 4 39 CONFIGURATION Setup For Use Conr GRAPH LOCATIONS Monitor application determines which writer printer may be selected Three graph locations can be setup on the monitor One area of monitor setup or configuration that most often is overlooked is the setup or configuration of each GRAPH LOCATION for the monitor Three types of graphs can be generated by the monitor manual alarm and print windows The application of the monitor plays an important role in the selection of GRAPH LOCATIONS The following describes each application For a networked monitor each type of graph is setup or configured individually and can be directed to various writer printer locations on the network Each type of graph can be sent to a writer printer on the network or to an external writer directly connected to the ASYNC rear panel connector on the monitor Each type of graph can be setup or configured on the monitor to print at one of the following destinations Centralscope Central Station with internal or external writer Solar Patient Monitor with external writer
173. ivity level on the monitor To do this use the Trim Knob on the monitor to 1 Scroll to and select RR respiration parameter from the monitor main menu 2 Scroll to and select SENSITIVITY from the respiration parameter menu and 3 Scroll to and select a different sensitivity percentage 96 from the sensitivity menu NOTE Usually a lower respiration sensitivity 96 level recti fies this problem Refer to the Operator s Manual for detailed information regarding patient preparation relative to respiration monitoring functions Achieving optimum results for respiration waveforms and accurate respiration rate detection by the monitor requires proper preparation for ECG electrode placement on the patient An example of a noisy respiration waveform usually due to bad patient preparation is shown at the left NOTE With patients that exhibit excessively high baseline chest impedance proper respiration monitoring will be extremely difficult if not impossible REVISION E 4000 Patient Monitor 407300 123 5 13 TROUBLESHOOTING Data ACQUISITION TESTS CONT NBP FUNCTIONAL TESTS AND TEST FAILURE SOLUTIONS NBP alarms occur continuously Cannot get NBP readings from a patient in under 3 minutes NBP displayed readings are inaccurate Perform the non invasive blood pressure NBP Checkout Procedure found in Section 3 Maintenance This procedure will determine whether the NBP fun
174. lar care unit names auto segment themselves from other groups of devices with different care unit names on the network The care UNIT NAME is part of a software address that is integrated into electronic packets of information which are transmitted or received to or from the network The UNIT NAME is programmable and therefore allows users to define groups of devices on the network Setup or configure the UNIT NAME of the monitor by following these steps 1 Use the Trim Knob control on the front panel of the monitor to scroll to and select SET UNIT NAME from the service mode menu option items REVIEW ADMITMENU CALIBRATE ERRORS STANDARD SOFTWARE PATIENT MON ITOR TYPE SET UNI SETBED SETINTERNET TIME AND LEVEL ADULT ICU NAME NUMBER ADDRESS DATE 2 SET UNIT NAME pop up window appears on the monitor display as shown below MAIN REVIEW eos SOFTWARE PATIENT MON ITOR TYPE SET UNIT TIME AND The UNIT NAME pop up window displays either the current care UNIT NAME or is completely blank The software supports up to seven alphanumeric characters to be used in the UNIT NAME field NOTE It is important that the correct UNIT NAME be entered with regard to spelling spaces and special characters programmed into the field Ifa mistake is made in programming the UNIT NAME field the monitor will not be available on the network for display at central stations within the same care unit
175. lectrical and Electronic Engineers in inch J IT injectate temperature JFET junction field effect transistor K kg kilogram kHz kilohertz kV kilovolt L LAN local area network Ib pound LCA logic cell array M M mega megohm mA milliampere MHz megahertz mm millimeter mmHg millimeter of mercury MOSFET metal oxide semiconductor field effect transistor MPP metallized polypropylene MRT Monitoring Review Terminal mV millivolt 4000 Patient Monitor REVISION E 407300 123 7 7 THE MANUAL ABBREVIATIONS CONT N NBP non invasive blood pressure No number nS nanosecond Ntwk network O P PC printed circuit personal computer PCB printed circuit board pF picoFarad PLCC plastic leaded chip carrier PLL phase locked loop pn part number PNH pan head Pos position PPR peripheral pulse rate PVC premature ventricular contraction RAM random access memory Res resistor RESP respiration regulator 5 SM surface mount SPDT single pole double throw SpO pulse oximetry arterial oxygen saturation SPST single pole single throw SST stainless steel T Tant tantalum TEMP temperature TPU time processing unit Tram Transport Remote Acquisition Module transistor transistor logic U UART universal asynchronous receiver transmitter UL Underwriters Laboratories Inc v V volt volta
176. lint free cloth dampened with a glass cleaner similar to Windex 1 1 mixture of isopropyl alcohol and water WARNING Do not spray glass cleaner or general cleaning solu tions directly onto the display Do not use hospital disinfectants like Cidex on the display The monitor display uses a circular polarized filter with anti reflective AR coating which is the exposed external surface This type of filter increases the display contrast while at the same time reducing glare from ambient light sources Upon close inspection of this filter lens while the display is turned off milky white streaks may be noticed Visible streaks do not indicate that the display needs to be cleaned This phenomena is inherent of displays incorporating this technology Clean the external surfaces of the monitor before each time a patient is admitted to the system The exterior surfaces may be cleaned with a lint free cloth dampened with one of these approved solutions ammonia diluted Cidex mild soap dissolved or sodium hypochlorite bleach diluted The manufacturer recommends the following guidelines to avoid damaging the monitor Dilute all cleaning solutions according to respective manufacturer recommendations Use a clean dry lint free cloth to wipe off excess cleaning solution after each application Do not pour water or cleaning solutions directly onto the monitor Do not allow fluids to run into crev
177. m memory cards If you are updating software from a PC using diskettes refer to the section Update Software From Diskette later in these instructions LOAD SOFTWARE ONTO A This procedure assumes that the Centralscope Central Station is currently running version 8 or later software If the central station has an earlier version of software it must be updated to the current version before proceeding Refer to the Centralscope E Central Station Update Instructions for more information 5 zh Contact your regional sales representative for the latest revision level and part numbers Refer to the addendum at the beginning of these instructions for current Eagle 4000 revision levels E part numbers Load software 1 Insert Diskette 1 into the floppy disk drive on the front from disk 1 panel of the central station monitor onto a central station CAUTION This installation requires all diskettes to be available for successful downloading of software to the central station monitor internal hard disk drive 2 Press the MAIN MENU front panel control on the Centralscope central station 3 Rotate the Trim Knob control until CENTRAL SETUP from the main menu of the central station is highlighted and press the Trim Knob control to make the selection 4 Rotate the Trim Knob control until SERVICE from the central setup menu is highlighted and press the Trim Knob control to make the sel
178. mHg 2 Connect the BP simulator cable from the BLOOD PRESSURE 1 120 80 connector of the patient simulator to the BP1 left most BP connector of the monitor Blood Pressure Simulator Cable PN700095 001 3 Verify the AR1 parameter window waveform label corresponding graticules and waveform appear on the monitor display along with a BP waveform requiring zero reference 4 Press the ZERO ALL push button on the front panel of the monitor to zero reference the AR1 BP waveform 5 Change the patient simulator BP output to 200 mmHg Observe a reading of 200 200 200 4 mmHg in the ARI parameter window on the monitor display 7 Change the patient simulator BP output to WAVE simulated BP waveform 8 Set the ARI BP waveform gain on the monitor to auto 9 Observe a distortion free ARI BP waveform and a reading of approximately 120 80 93 in the AR1 parameter window on the monitor display 10 Disconnect the BP simulator cable from the connector of the monitor Continue to the next step for the BP2 test REVISION E 4000 Patient Monitor 407300 123 2 13 MAINTENANCE CHECKOUT CONT BP2 connector PA2 tests Zero reference PA2 Static pressure verification Dynamic pressure verification Invasive BP test completion 11 12 13 14 15 16 17 18 19 20 Set up the patient simulator as follows BP polarity
179. making each graph location selection use the Trim Knob control to scroll to MAIN MENU from the graph location menu option items Press the Trim Knob control to exit all of the menus and return to the main menu 4000 PATIENT MONITOR 4 42 407300 123 REVISION E CONFIGURATION Setup For Use Conr TIME AND DATE SETUP Leap years and daylight savings time Procedure for time date setup From the service mode menu select time and date Select set time or set date The TIME AND DATE function of the monitor provides a means for the real time clock circuit to be setup correctly or changed by the user The TIME AND DATE setup or configuration of the monitor is used mainly for the purpose of documentation of patient events and history files stored in the monitor each time a patient is admitted Therefore it is important that the correct time and date be entered into the monitor The internal real time clock circuit of the monitor will automatically compensate for leap years but will not automatically compensate for daylight savings time changes The latter requires manual setup or configuration of the monitor TIME AND DATE field each spring and fall CAUTION For networked monitors changing the TIME AND DATE field on the monitor causes the new time and date to be broadcast over the network All other devices on the network will change the time and data to match the newly entered TIME AND DATE on the monitor
180. mmHg Press the ZERO ALL front panel control the monitor Generate dynamic BP waveforms 4 Set the patient simulator BP output to WAVE 5 Setup the BP scales on the monitor for auto gain Select AR1 from the main menu of the monitor Select ART SCALES from the AR menu Select AUTO gain from the ART SCALES menu Return to the main menu of the monitor and setup auto gain for the PA2 waveform as you did for ARI Verify dynamic BP results 6 Once the BP waveforms are setup as described above verify the following Both the AR1 and PA2 BP waveforms are noise free SINGING as shown in the figure at the left BP displayed parameters are within tolerance as indicated here ue 5202 5 BP Parameter 1 PA2 Systolic mmHg 116 124 28 32 Diastolic mmHg 78 82 9 11 NOTE These tests are designed for use with a MEI Multi function Microsimulator 1 Accuracy specifications of the patient simulator in combina tion with the monitor 296 or 1 mmHg whichever is greater is how the parameter values listed above were derived Use of any other manufacturer patient simulator and associated specifications will poten tially change these test results Generate static BP waveforms 7 Set the patient simulator BP output to 200 mmHg static pressure Verify static BP results 8 Verify the BP channels are working correctly if systolic diastolic and mean pressure values for both and
181. mmand is upper lower case sensitive and press the Enter key on the keyboard to enter the command into the central station The central station responds in one of two ways a If the central station is not running eaglefs it responds with an invalid process id or name message If this is the case start eaglefs to teach the central station how to download software to the monitor b central station lists eaglefs as a running process you can just press the MAIN MENU key on the front panel to exit the service mode and proceed to step 12 4000 Patient Monitor REVISION E 407300 123 4 9 CONFIGURATION For Uppate Step Cont If the central station isn t running eaglefs type run eaglefs HD note the spaces between the command parts this command is upper lower case sensitive and press the Enter key on the keyboard to enter the command into the central station Press the MAIN MENU key on the front panel of the central station to exit the service mode and return the central station main menu and display DOWNLOAD FROM A CENTRAL When the diskettes have finished loading onto the central station complete the remaining steps STATION TO THE MONITOR 12 Ifa memory card is installed in the monitor remove it 13 If any remote controls or DDWs connected to the monitor disconnect them 14 Apply AC power to the monitor 15 Turn the rear panel po
182. n with various Marquette medical systems devices This versatile monitor can operate both as a fully functional stand alone device and as a component on the network depending upon the application When connected to the network the monitor provides access to other devices for many purposes Marquette patient monitoring equipment such as Centralscope central station monitor Series 7200 7260 direct digital writer CDT LAN patient telemetry system ADU Pager LAN and Solar or other Eagle patient monitors are examples of devices that can be used in conjunction with the monitor when connected to the network There are various types of information management and data base systems devices which may also be integrated with the monitor via connection to the network Marquette medical systems equipment such as MUSE cardiology management system MARS UNITY workstation MARS 24 clinical review station MRT automated vital sign and arrhythmia data collection system MAC Lab cardiac catheterization system QMI patient data management system and MUSE HIS interface are examples of systems and data bases which can be integrated with the monitor on the network MARQUETTE REVISION E 4000 Patient Monitor 407300 123 1 3 EQUIPMENT OVERVIEW FRONT PANEL CONTROLS CONNECTORS NOTE To insure patient safety use only parts and accessories manufactured or recommended by the manufacturer Parts and accessorie
183. n of the software about to be installed This prompt allows the user to either continue with the download or abort Rotate the Trim Knob control until YES appears and press and release the Trim Knob control to make the selection Various messages appear on the monitor display These messages indicate how the download is going Be patient during this part of the procedure it can take a couple of minutes CAUTION Do not reboot or power down the monitor unless the download is successfully completed or the monitor shows no indication of download activity for over 5 full minutes When the conversion tool and the boot code have been successfully loaded proceed to the Download the Software Components section for instructions on how to download the other software components needed for this update 4 14 4000 Patient MONITOR 407300 123 Revision E CONFIGURATION DOWNLOAD THE SOFTWARE COMPONENTS DOWNLOAD MONITOR SOFTWARE COMPONENTS Software components must be updated in order Download procedures are the same for each software component Start the monitor boot loader program The monitor requires certain software to make it operational as a fully capable patient monitor The procedure below describes how to load this software There are four different software components that may need to be updated The components must be downloaded in the following order Boot code boot scr
184. nctioning properly if the criteria above is not successfully achieved The acquisition PCB is the most likely suspect component Swap a working acquisition PCB into the monitor to verify the malfunction 4000 Patient Monitor 407300 123 REVISION E TROUBLESHOOTING Data ACQUISITION TESTS CONT PACEMAKER PULSE DETECTION FUNCTIONAL TESTS PACE DETECT TEST FAILURE SOLUTIONS Follow these steps to test the pacemaker pulse detection functions of the monitor 1 With the monitor configured to display ECG Leads I II and V set the patient simulator to output a VP1 ventricular pacemaker simulation 1 waveform Enable the pacemaker detection function of the monitor select ECG from the display main menu select DETECT PACE and set to 1 Verify the heart rate remains at approximately 80 BPM Select the VP2 output ventricular pacemaker simulation 2 on the patient simulator The heart rate number may disappear from the display for a few seconds and return to the screen shortly thereafter Verify the heart rate is at approximately 80 BPM Verify the pacemaker spikes display at the same amplitude Disable the pacemaker detection function of the monitor Verify the displayed pacemaker spikes have a different amplitude than in the previous step Select the AVS output A V sequential pacemaker simulation on the patient simulator Again verify the displayed pacemaker spikes are at different ampli
185. ncy response dc to 50 Hz 2 0 Hz DEFIBRILLATOR SYNCHRONIZATION PULSE Marker out Time delay 35 ms maximum R wave peak to leading edge of pulse Amplitude selectable via internal DIP switch 5 V selection 3 5 V min at 1 mA sourcing 0 5 V max at 5 mA sinking 12 V selection 11 0 V min at 1 mA sourcing 0 75 V max at 5 mA sinking Pulse width 10 ms 10 or 100 ms 10 in service menu selectable via internal DIP switch Output impedance 50 nominal Current limit 15 mA nominal both sourcing and sinking Marker in Input threshold VIH 2 5 V min VIL 1 5 V max Input hysteresis 650 mV typical Maximum input voltage 30 V with respect to ground on pin 2 Input impedance 10 min for 25 V lt Vin 25 V Pulse width 1 0 ms min Vin gt 2 5 V 4000 Patient Monitor 14 407300 123 REVISION E EQUIPMENT OVERVIEW PERFORMANCE SPECIFICATIONS CONT ENVIRONMENTAL SPECIFICATIONS Power requirements AC voltage selections 100 Vac 10 120 Vac 10 220 230 Vac 10 240 Vac 10 Power consumption Cooling Heat dissipation Battery Fuses 100 Vac 120 Vac 220 230 Vac 240 Vac Design general Battery operation time General Monochrome EL display TFT Color LCD display Operating conditions Ambient temperature Relative humidity Storage conditions Maximum Minimum PHYSICAL SPECIFICATIONS Height Width Depth 1 5 1 4
186. nd release the Trim Knob control to make the selection 4000 Patient MONITOR 4 16 407300 123 REVISION E CONFIGURATION DOWNLOAD THE SOFTWARE COMPONENTS CONT Load the appropriate option 4 When the SCRIPT NAME SELECTION menu appears on the monitor display Find the appropriate option boot scr das scr co2main scr or main scr in the script name selection menu Rotate the Trim Knob control until the number corresponding to the appropriate menu item is displayed and Press and release the Trim Knob control to make the selection Reply YES to the prompt 5 The monitor then displays the part number version and date of the software components that are about to be installed A prompt appears on the monitor display requiring verification of the software about to be installed This prompt allows the user to either continue with the download or abort Rotate the Trim Knob control until YES appears and press and release the Trim Knob control to make the selection The software is downloaded 6 Various messages appear on the monitor display These the monitor messages indicate how the download is going First the program erases flash memory Then it downloads each software component to the monitor flash memory circuits Be patient during this part of the procedure it can take a couple of minutes CAUTION Do not reboot or power down the monitor unless the download is successfully complete
187. ndi tions which may endanger the patient being moni tored CAUTION Do not locate the monitor in an enclosed area that may restrict the heat dissipated byit Any restriction in air flow causes a rise in internal temperature which may result in equipment failure CAUTION The monitor must be located no closer than 4 inches 10 cm from any partition or wall The monitor can be no closer than 12 inches cm from any overhead partition or the ceiling MOUNTING RECOMMENDATIONS Tram Critical Care Monitoring System Reference Guide e pn 403799 010 Manufacturer recommended methods of mounting the monitor to various locations SOFTWARE SETUP Section 6 Configuration Information regarding connection of the monitor to peripherals 4000 Patient Monitor 1 18 407300 123 REVISION E EQUIPMENT OVERVIEW THEORY OF OPERATION OVERALL BLOCK DIAGRAM 1 c i r c u i t ECG Resp E Temp CO amp ee sers e Signal DAS Analog Multiplexing Processing 1 Processing 2 Input amp Circuit Circuit 5 8 Hybrids ADC MC68332 4 15 j Mc68332 Im 3 o I NIBP i i 1 Isolated Power Supply Audio Acquisition PCB Assembly Analog Out User Panel Defib Sync Ajquiessy 2 10 2044 Opt
188. ndition such as sensor still warming up or other error condition Solution Calibrate sensor when no error condition exists Cause Sensor signal is out of tolerance Solution Check for obstructions in airway adapter or other defects Cause Adapter is not attached to sensor adapter is obstructed or adapter used is of a different type than the one last calibrated to sensor Solution Check connections Check for possible obstructions in the adapter Calibrate adapter Cause Capnostat sensor is of older type and not supported by monitor software Solution Use only a Mainstream Capnostat CO2 sensor Cause No breath detected or sensor is disconnected from patient airway Solution Check the patient and all patient connections Cause Sensor signal is out of tolerance Solution Calibrate the sensor on the Zero cell and then on the Reference cell to double check Cause CO2 sensor feature failure Solution Call Marquette for service Cause CO2 sensor is too warm Solution Remove sensor from external heat source If message persists call Marquette for service Cause Appears whenever a sensor is first plugged in and when a sensor is first powered on Solution Message will clear when warmed up If it persists beyond 4 minutes call Marquette service 4000 Patient Monitor 407300 123 REVISION E TROUBLESHOOTING NETWORK T ROUBLESHOOTING Start 15 more than one CS having a pro
189. nnector Under LISTWHAT N the BS s should be listed Probable incorrect UNIT name at either the BS or the CS End NOTE A device talking too much on the network may cause dropout at the CS A possible ground loop or an excessive ground potential difference may exist Normal ground potential difference is 1Vac or less Under LOG directory Y at the CS list and read the contents from the current and or previous day Inspect SCOPE ER RORS under RE VIEW ERRORS at BS If errors ex cessive reboot BS Unsuccessful boot indicates BS failure End End NO COMM message at CS indicates possible short in the network cable Remove all AUI cables from each MAU Remove one 500 terminator from the network cable Using an ohmmeter measure from shield to center conductor 0 ohms indicates a short in the cable For Thin net Reinstall the 500 terminator Break the network at mid point Measure resistance each way For Thick net A time domain reflectometer TDR is necessary to scope the cable Isolate shorted section of network cable Replace defective section or defective connector End BS Bedside Monitor CS Central Station Monitor NOTE You can check the network cable for a short using an o scope With the system still connected scope one end of the cable monitoring the network activity If the data signal swings above and below the d
190. ns installing software loading software using floppy diskettes loading software using a memory card loading software using a personal computer and setup for use Section five describes battery failure power source tests data acquisition tests service tips a network related troubleshooting flow chart and the service mode menu Section six provides assembly drawings for all configurations of the monitor These include electrical and connector diagrams pneumatic schematics NBP plumbing detail and exploded views Section seven describes the field service manual manual page layout related documentation manufacturer responsibility part numbers and revisions notes cautions warnings parts lists abbreviations and change pages 4000 Patient Monitor 407300 123 REVISION E THE MANUAL LAYouT Section Topic Each section is Section Title The top line of divided into topics This line the page always indicates the indicates what topic within the section of the manual Section section is covered on this and topics may also appear next to possibly subsequent pages the section title Left Column Most pages are split into two columns The left column text indicates topic sub titles and summeries of text found in the right column MAINTENANCE VISUAL INSPECTION INSPECTING THE MONITOR The monitor should be carefully inspected
191. ntatives may at their discre tion use this procedure as a helpful guide during visits to the equipment site Leakage current tests may be performed under normal ambient conditions of temperature humidity and pressure The Manufacturer recommended test equipment required to perform leakage current tests is listed below Equivalent equipment may be substituted as necessary Name Manufacturer Part Number Digital Multimeter Fluke 8060A Leakage Tester 115V 60Hz MEI MT 1216 01 ECG test body MEI MT 3387 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE ELECTRICAL SAFETY TESTS CONT WALL RECEPTACLE TESTS If other than normal polarity and ground is indicated Before starting the tests the wall receptacle from which the monitor will get electrical power must be checked This test checks the condition of the wall receptacle to ensure correct results from leakage tests Connect the leakage tester to the wall receptacle Observe the K and R lamps with the GND switch in the down position For safe conditions the lamps should reflect normal polarity and ground as shown below 0 K R Condition On On Off Normal polarity and ground Off On On Reverse polarity Off On Off No ground On Off Off No neutral Off Off On No neutral reverse polarity Off Off Off No power If other than normal polarity and ground is indicated corrective action must be taken before proceeding to the following steps
192. o highlight CALIBRATE calibration menu BARO PRESS and press the Trim Knob control to select it High barometric pressure 8 Use the 10 cc syringe to create a 35 1 mmHg reading on calibration the manometer 9 Rotate the Trim Knob control to highlight ENTER HIGH BARO PRESS and press the Trim Knob control to select it The ENTER HIGH BARO PRESS pop up window will appear on the display ENTER HIGH BARO PRESS 700 4000 Patient Monitor 3 24 407300 123 REVISION E CALIBRATION END TIDAL CO Enter the high barometric 9 Take the current atmospheric barometer reading local pressure value into the monitor weather service can provide this data if a laboratory grade barometer is not available and add 35 mmHg Rotate the Trim Knob control until the correct number mmHg is displayed and press the Trim Knob control to enter the value into the monitor NOTE 785 mmHg is the maximum barometric pressure value which can be entered into the monitor Low barometric pressure 10 Use the 10 cc syringe to create a 100 1 mmHg reading on calibration the manometer 11 Rotate the Trim Knob control to highlight ENTER LOW BARO PRESS and press the Trim Knob control to select it The ENTER LOW BARO PRESS pop up window will appear on the display ENTER LOW ENTER HIGH CONRRM BARO PRESS BARO PRESS CALIBRATION PREVIOUS MENU Enter the low barometric 12 Take the current atmospheric barometer
193. ob control to highlight the password number that you would like to change To change the highlighted number press the Trim Knob control Rotate the Trim Knob control until the correct number is displayed in the selected field To enter the number press the Trim Knob control Repeat these steps until all password numbers are correctly displayed Once you have entered the correct password numbers rotate the Trim Knob control to highlight SERVICE MODE in the enter password window Press the Trim Knob control one more time to enter the password and access the service menus of the monitor 4000 Patient Monitor 5 16 407300 123 REVISION E TROUBLESHOOTING Service ABOUT SERVICE MODE MENU OPTION ITEMS Service mode menu option items are used for many purposes in the monitor The majority of the functions of these menu option items are for initial setup and configuration Some of the functions are for troubleshooting as well Caution should always be exercised when using any of these password protected functions Service mode menu option items are used by service technicians to relay software information to design engineers calibrate and troubleshoot NBP functions of the monitor set admit menu options software feature levels and operating mode of the monitor configure the monitor unit name bed number and Internet address for use on the network and enter or c
194. of writers Connect a patient simulator to the monitor Admit and generate patient waveforms at the monitor with the simulator powered up Perform the following steps to test the communication paths between the monitor and each selected writer Press the GRAPH GO STOP button the monitor front panel and verify the graph output arrives at the selected manual graph location Press the GRAPH GO STOP again to stop the manual graph Cause a CRISIS alarm by switching the simulator power off and verify the graph output arrives at the selected alarm graph location Bring up a non real time window on the monitor display and print the window Verify the print output arrives at the selected print window location REVISION E 4000 Patient Monitor 407300 123 4 25 CONFIGURATION UPDATE SOFTWARE FROM DISKETTE CONT Verify that the software is loaded into monitor memory Documentation requirements Repeat the procedure for each monitor 23 24 25 Verify that the software was downloaded to the monitor properly From the monitor main menu Rotate the Trim Knob control until the MONITOR SETUP menu selection is highlighted Press and release the Trim Knob control to make the selection Rotate the Trim Knob control until the SOFTWARE REVISION menu selection is highlighted A list of the installed software components their part numbers versions and dates will appear on the monitor displ
195. ol E fe BP SpO2 Isolated Power Supply 12V_MAIN EAcLE 4000 PATIENT Monitor REVISION E 407300 123 23 EQUIPMENT OVERVIEW THEORY OF OPERATION CONT Acquisition BLOCK The acquisition PCB or data acquisition system DAS located in the monitor is responsible for the acquisition of all vital sign patient data Analog sensor electrode input signals are amplified and conditioned by hybrid assemblies then converted to digital data The digital patient data is transferred across an isolation barrier via high speed opto couplers to the processor PCB for analysis and display THEORY The DAS consists of an isolated and non isolated section which are separated by a barrier that is capable of withstanding up to 6000 Vdc with respect to earth ground Isolation is accomplished by using a coupled inductor power supply and opto isolation for signals crossing the barrier Functional circuits Functional circuits on the acquisition PCB include Isolated power supplies generation Patient input connector interface ECG defibrillator protection Patient signal generation hybrids interface Analog to digital conversion patient signals DAS microcontroller and processing DAS communication interface isolation barrier Calibration calibration procedure for this assembly is found in the section titled Calibration in this manual EAcLE 4000 PATIENT Monitor
196. ometric pressure reading 5 mmHg 4000 Patient Monitor 3 26 407300 123 REVISION E CALIBRATION END TIDAL CO Verify calibration using the Capnostat sensor 21 22 23 Return to the main menu of the monitor With the Capnostat sensor attached to the front panel connector of the monitor put the sensor into the zero reference lt cell mode Use the Trim Knob control to select the COg parameter menu Rotate the Trim Knob control to highlight CAL SENSOR TO ZERO CELL and press the Trim Knob to select it A CALIBRATING message will appear in the CO9 parameter box After zero calibration is complete put the sensor into the reference REF cell mode Verify the reading in the parameter box displays 38 2 mmHg REVISION E 4000 Patient Monitor 407300 123 3 27 CALIBRATION For your notes 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION Monitor Configurations eere nnne nnn nnns 4 2 Setup for 4 2 eivzateErcl o e c 4 2 Network interface 4 2 Installing Software 4 3 Methods for downloading software 4 3 Intended SE uode dU Pts 4 4 Available SOfWAate trc rere ere eue ree 4 4 Summarized download procedures 4 5 Summarized download procedures Cont
197. on NOTE If you insert a replacement battery while it is turned off the monitor will assume the failed battery is still installed and will not charge the replacement bat tery properly This situation is rectified with a cold start after you install the replacement battery but all memory used for storing trends histories and set tings in the monitor will be erased To perform a cold start simply press and hold the GRAPH GO STOP front panel control while turning the monitor on using the rear panel main power control switch 2 Turn the rear panel power switch on PVR AC indicator will illuminate 3 Remove the two screws which secure the battery cover WARNING Do not insert these screws without the battery cover The screws are long enough to potentially cause damage to the PCB located nearest the rear of the monitor if inserted without the battery cover 4 Remove the battery cover 4000 Patient Monitor 407300 123 REVISION E TROUBLESHOOTING BATTERY FAILURE CONT Remove the battery cover and disconnect the failed battery RDY CHRGNG FAIL Connect the replacement battery to the power supply PCB Install the replacement battery Install the battery cover Allow the replacement battery to fully charge before use PWR AC e CHRGNG PWR AC BATT CHRGNG 5 Locate and pay special atten
198. on ADVANTAGE AUTOSEQ BODYTRODE CardioMail CardioServ CardioSmart CardioSpeak CardioSys CD TELEMETRY LAN CENTRALSCOPE Corolation Corometrics Sensor Tip CV Mail CV Web DASH EDIC HI RES IMAGE VAULT INTELLIMOTION INTER LEAD LIFEWATCH MARQUETTE MEDICAL SYSTEMS MARQUETTE RESPONDER MENTOR MIDAS Com MRT MUSE CardioWindow MUSE CV MUSEWord O9SENSOR OMRS OnlineABG Premium RSVP SILVERTRACE SMART PAC SMARTLOOK SOLARVIEW Spectra Overview Trimline UNITY and Universal are trademarks of Marquette Medical Systems Inc 1997 Marquette Medical Systems Inc All rights reserved Document PART NUMBER 407300 123 T 4000 Patient MONITOR 407300 123 REVISION E GENERAL HowTo REACH Us TELEPHONE NUMBERS AND ADDRESSES ORDERING SUPPLY ITEMS ORDERING SERVICE PARTS SERVICE CALLS SERVICE MAINTENANCE AGREEMENTS The following are telephone numbers and addresses for contacting various Marquette Electronics Service and Supplies Division departments Supply items are generally items used during normal operation of a product Leadwires electrode paste patient cables and printer paper are examples of supply items Make telephone inquiries about supply items at 1 800 558 5102 U S only 1 407 575 5000 outside the U S or 1 407 575 5050 fax Address orders or inquiries to Attn Supplies Department Marquette Electronics Service amp Supplies Division P O Box 9100 100 Ma
199. one that has the monitor software on its internal hard disk drive in the file server selection menu Rotate the Trim Knob control until the number of the appropriate central station is displayed in the file server selection menu then press and release the Trim Knob control to make the selection NOTE If the care unit name of the central station you are using doesn t appear in the file server selection menu use the Search for fileserver option to look for the appropriate care unit name again Occasionally the monitor must search the network more than once before it finds all the care units on the network If you are downloading the software from memory cards find the Memory Card option in the file server selection menu Rotate the Trim Knob control until the number corresponding to the Memory Card menu item is displayed then press and release the Trim Knob control to make the selection NOTE When updating the main processor code main scr you must remove memory card 1 and insert memory card 2 at this point For instructions on inserting or removing the memory card refer to page 10 Load update net egl4000 6x When the DIRECTORY SELECTION menu appears on the monitor display Find the update net egl4000 6X option in the directory selection menu Rotate the Trim Knob control until the number corresponding to the update net egl4000 6X menu item is displayed and Press a
200. onitor FiELD SERVICE MANUAL marquette Medical Systems TRADEMARKS AND COPYRIGHT Registered trademarks Trademarks Copyright Document DATE 12 May 1997 NOTE The procedures in this manual reflect software version 6 Trademarked names appear throughout this document Rather than list the names and entities that own the trademarks or insert a trademark symbol with each mention of the trademarked name the publisher states that it is using the names only for editorial purposes and to the benefit of the trademark owner with no intention of improperly using that trademark ACCUSKETCH APEX AQUA KNOT ARCHIVIST BABY MAC CASE CD TELEMETRY CENTRA CHART GUARD CINE 35 CORO COROMETRICS CRG PLUS DIGISTORE Digital DATAQ E for M EAGLE Event Link HELLIGE IMAGE STORE LASER SXP MAC MAC LAB MACTRODE MARQUETTE MARQUETTE UNITY NETWORK MARS MAX MEI MEI in the circle logo MEMOPORT C MIDAS SYSTEM MIDASNET MINISTORE MINNOWS Monarch 8000 MULTI LINK MULTISCRIPTOR MUSE Neo Trak OXYMONITOR PRESSURE SCRIBE PRES R CUFF QMI QS Quantitative Medicine Quantitative Sentinel Qwik Connect Spiral RAMS SAM SEER SOLAR Spectra 400 Spectra Tel ST GUARD TRAM TRAM NET TRAM RAC TRAMSCOPE TRIM KNOB UNITY NETWORK UNITY twist logo Vari X Vari X Cardiomatic and VAS are trademarks of Marquette Medical Systems Inc registered in the United States Patent and Trademark Office 12SL 15SL AccuVisi
201. or 596 whichever is greater 2 sec Selectable from single breath 10 seconds or 20 seconds Accuracy maintained over 8 hours 1 mmHg 0 5 mmHg or 296 maximum whichever is greater measured over a 10 second period 1 mmHg or 2 5 maximum whichever is greater 60 ms 10 90 50 ms 10 90 2 mmHg or 5 maximum whichever is greater with compensation enabled 2 mmHg or 5 maximum whichever is greater with O92 compensation enabled 2 mmHg maximum from 500 to 800 mmHg with barometric pressure compensation enabled 0 5 mmHg or 1 596 maximum whichever is greater 0 5 mmHg maximum for concentration of no more than 5 of halogenated agents 1 5 mmHg or 3 maximum whichever is greater with same or different adaptor not applicable after adaptor zero Less than 15 seconds to initial indication full specification within 120 seconds waveform immediate upon power up Factory calibration settings stored in nonvolatile memory within the sensor 15 second adaptor calibration when switching airway types Zero and span performance check with on cable verifier Selectable 6 25 12 5 or 25 mm sec 1 12 4000 Patient Monitor 407300 123 REVISION E EQUIPMENT OVERVIEW PERFORMANCE SPECIFICATIONS CONT Respiration rate specifications Range for 5 step size 0 120 breaths per minute Accuracy 1 breath per minute Resolution 1 breath per minute Barometric pressu
202. otate the Trim Knob control to highlight CALIBRATE and press the Trim Knob control to select it Next rotate the Trim Knob control to highlight CALIBRATE NBP and press the Trim Knob control to select it 7 Rotate the Trim Knob control to highlight CAL ZERO OFF and then press the Trim Knob control to select it NBP zero calibration 8 Rotate the Trim Knob control to highlight START and then press the Trim Knob control to select it The CAL ZERO menu item will show that it s IN PROGRESS and when it s done it will show that it s OFF again 4000 Patient Monitor 3 16 407300 123 REVISION E CALIBRATION Non iNvAsivE Pressure CONT calibration setup 9 Connect a cuff and manometer to the monitor as shown below 6 inch diameter PVC pipe or 1 pound coffee can Wrap the NBP cuff around this for tests NBP cuff pn 9461 301 Any size NBP cuff will be sufficient Coupling pn 46100 002 Connects manometer tubing to NBP tubing 3 way tee pn 4745 101 Connects manometer tubing NBP tubing and NBP cuff tubing Digital manometer Sensym PDM200M Note A calibrated mercury manometer may be substituted Coupling pn 400787 001 Connects manometer tubing to NBP cuff tubing Manometer tubing pn 401582 001 Approximately two feet in length Set up the manometer 10 Turn the manometer on and adjust t
203. pers and switches if the processor PCB is replaced in the monitor It is only necessary to make adjustments after repair or replacement of the processor PCB Assuming a replacement processor PCB is yet to be installed follow these steps 1 Disassemble and install the replacement processor PCB into the monitor Connect all cables associated with the processor PCB and other assemblies of the monitor 2 Partially reassemble the monitor leaving only the rear housing disassembled allowing access to adjustments switches and the one jumper 3 Insert a software update memory card into the PCMCIA card slot located on the right side of the monitor 4 Connect a power cord to the rear panel power connector on the monitor plug it into a working wall receptacle and toggle the rear panel main power switch to the on 1 position REVISION E 4000 Patient Monitor 407300 123 3 3 CALIBRATION Processor PCB Processor PCB parts location Below is the parts location diagram for the processor PCB diagram assembly Reference this diagram for the location of components highlighted relative to calibration of this assembly Lunnnnnnrmn 29 lt 5
204. pin 5 are probably the most convenient ground points for this Turn on the adjustable DC power supply and set the output to Vac NOTE If current draw from the adjustable DC power supply reads greater than 25 0 uA replacement of the processor PCB is required Using an oscilloscope or a voltmeter verify pin 10 on microprocessor support circuit U17 is a logic high Slowly and evenly adjust the DC power supply down to exactly 2 1 volts It is extremely important not to undershoot this 2 1 volt level While continuously observing the logic level of pin 10 on microprocessor support circuit U17 slowly and evenly adjust potentiometer R6 counterclockwise to set the trip point of the threshold When pin 10 of U17 toggles to a logic low the threshold has been set Check the calibration by varying the adjustable DC power supply from 3 0 volts down to 2 1 volts once again while observing the logic level of pin 10 on microprocessor support circuit U17 Pin 10 of U17 must switch from a logic high to a logic low state between 2 05 Vg 2 15 Remove AC power from the monitor and replace jumper W1 to enable battery backup to the memory circuits 4000 Patient Monitor 407300 123 REVISION E CALIBRATION Processor PCB SWITCH SETTINGS Station 1 Software update disable Station 2 Boot Service Mode Station 3 Power Filter Frequency Station 4 Station 5 Display Type
205. prior to each patient being admitted to the monitoring system Follow these guidelines when inspecting the equipment Carefully inspect the monitor for obvious physical damage to the outer case display screen and controls Do not use the monitor if physical damage is determined Refer damaged equipment to qualified service personnel for repair before using it again on a patient Right Column The right column text provides topic substance and elaborates on information from text found in the left column Inspect all external connectors front and rear for degraded pins prongs and connector housings Refer damaged equipment to qualified service personnel for repair before using it again on a patient Inspect all cable insulation cable strain reliefs and cable connectors for damage cracks or degradation Refer damaged equipment to qualified service personnel for repair before using it again on a patient Section amp Page Number The number on the left indicates the section the number on the right indicates the page within the section Product Name Manual Title This is found on each page of the manual Page Revision As changes to the manual occur this letter indicates the current revision for each page of the manual EAGLE 4000 PATIENT MONITOR PAGE REV 407300 123 3 3 4000 Patient Monitor REVISION E 407300 123 7 3 THE MANUAL RELATED DOCUMENTATION OPERATOR INFORMATION
206. process by securing the rear housing to the monitor using associated hardware 5 Perform the checkout procedures and leakage current tests as described in the section of this manual titled Maintenance 4000 Patient Monitor 407300 123 REVISION E CALIBRATION AcouirsirioN PCB ABOUT THE PROCEDURE TEST EQUIPMENT CALIBRATION PROCEDURE The acquisition PCB requires calibration after a repair to ensure the accuracy of the isolated power supply voltages The following procedure describes calibration for the acquisition PCB 5 volt isolated power supply voltage Potentiometers for adjusting null zero offset and gain of analog to digital converter ADC U32 are also located on the acquisition PCB The ADC calibration cannot be made in the field and therefore no procedure for this is included in this section Calibration of the acquisition PCB in the field is required only after repair Every acquisition PCB is calibrated by the manufacturer initially and after manufacturer repair Replacement acquisition PCB s do not require calibration as a result A digital multimeter DMM accurate to 0 01 volt is required to successfully perform the calibration To calibrate the 5 volt isolated power supply voltage follow these steps 1 Install the acquisition PCB into the monitor Connect all of the cables but do not install the RFI shield that covers the acquisition PCB WARNING In the following step line
207. ption always records the maximum level of the source energy since the signal it receives is not affected by As the level of COg increases more of the light energy is absorbed by the CO gas molecules in the airway and less signal reaches the detector This signal inverted by the detector is referred to as the Input signal To acquire a precise level of both channels are sampled simultaneously and the level of CO in the sampling chamber is determined from the ratio of Input and Reference channels The ratio is compared to a lookup table in memory to establish the correct value in units of mmHg which can be converted to units of kPa or 96 The functional circuits on the PCB include Signal control circuitry Power Converter Circuit Source Pulser Heater Circuits Pump circuitry Barometric pressure measurement Analog to digital conversion circuit EtCOg microcontroller circuit Motorola MC68332 32 bit integrated microcontroller running at the clock rate of 15 9744 MHz from the crystal frequency of 31 2 kHz Time processing unit TPU channels Memory Flash EEPROM 128 kB 80 ns SRAM 128 kB 80 ns Serial EEPROM control EPLD 28 4000 PATIENT Monitor 407300 123 REVISION E EQUIPMENT OVERVIEW THEORY OF OPERATION CONT Calibration calibration procedure for the EtCO2 PCB assembly is found in the section titled Calibr
208. rate 3 Admit the patient simulator to the monitor QRS tones Observe the following ECG lead II is displayed and is noise free Heart rate of 80 1 BPM is displayed With QRS tones enabled an audible tone sounds with each R Wave QRS complex 5 Verify all seven ECG leads are available for viewing and noise free 4000 Patient Monitor REVISION E 407300 123 2 7 MAINTENANCE CHECKOUT CONT Pacemaker detection test setup Lead fail detection test setup Calibration pulse test setup Graphed cal pulses ECG test completion 10 11 12 13 14 15 Select DETECT PACE and set to NORMAL Select the VP2 pacemaker pulse on the simulator Observe the following while viewing ECG leads II aVR aVF and V a P appears above the PVC count indicating pacemaker pulse detection is enabled and the heart rate still reads 80 1 BPM Disable pacemaker pulse detection on the monitor and return the simulator to these conditions Heart rate 80 BPM Heart rate amplitude 1 0 mV 5 Lead ECG patient cable properly attached Select ECG lead II for viewing in the top trace position on the monitor display Disconnect the RA leadwire from the patient simulator Observe following a RA FAIL message appears on the display and lead III automatically displays in place of lead II in the top trace position Reconnect the RA leadwire to t
209. ration Cont SECTION 4 CONFIGURATION Non invasive Blood Pressure ener 3 14 About the 3 14 Manufacturer recommendation 122 3 14 Test equipment 55 29 o ae cxx aber EXER 3 14 Calibration procedure E DAR 3 15 End tidal 2 3 22 About THE Procedure ete ener ener err ene 3 22 Test equipment scenes 3 22 Pretest Setup vstani nia 3 22 Calibration procedure 5 rrr nro nera 3 23 Monitor Configurations nnns 4 2 Setup for USE 4 2 Stand alOne nioni sten Sareri niki Erenn 4 2 Network interface 4 2 Installing Software 4 3 Methods for downloading 4 3 Intended USE uode DEDE d 4 4 Available SOfUtWAte trc rer cree ere eua ree 4 4 Summarized download procedures 4 5 Summarized download procedures Cont 4 6 Load Software For 4 7 Use the Correct Loading 4 7 Load software onto a central station 4 7 Download from a central station to the monitor 4 10 Use the Correct Loading
210. re injectate temperature trial number 0 2 15 liters per minute 30 42 C 0 30 C Noise lt 20 mV from dc to 100 Hz Accuracy Cardiac output Blood temperature Injectate temperature Frequency response Noise 5 liters of blood min 0 2 C 0 3 C dc to 15 Hz 2 Hz 20 mV from dc to 100 Hz REVISION E 4000 Patient Monitor 407300 123 1 9 EQUIPMENT OVERVIEW PERFORMANCE SPECIFICATIONS CONT INvAsivE BLoop Pressure BP Number of channels Transducer sites Transducer requirements Excitation voltage Transducer output Input specifications Range Offset Input impedance Common mode Differential Output specifications Gain Frequency response Gain stability Zero balance range Zero balance accuracy Zero balance drift Common mode rejection Noise Accuracy Alarms Purse Oximetry SPO Parameters monitored SpO range PPR range Accuracy SpO PPR Alarms 2 Arterial ART femoral artery FEM pulmonary artery PA central venous CVP right atrial RA left atrial LA intracranial ICP and special SP 2 5 Vac 0 1 50 uV V cm Hg 25 mmHg to 300 mmHg 150 mmHg gt 100 at 50 60 Hz gt 100 kQ from de to 60 Hz 976 1 dc to 50 Hz 0 3 dB lt 0 1 and lt 0 1 over any 24 hour period 150 mmHg 1 mmHg 1 mmHg over 24 hours gt 60 dB at 60 Hz 5 mVp p from dc to 30 Hz 2 or 1 mmHg whi
211. re sensor specifications Range 530 785 mmHg Accuracy 7 mmHg Calibration Calibrated at factory user calibration in service menu Capnostat III sensor specifications Operating temperature 10 to 40 C 50 to 104 F Storage temperature 30 to 65 C 22 to 149 Humidity 5 to 95 relative humidity non condensing Barometric pressure 500 to 800 mmHg Shock resistance Able to withstand 6 ft drop to tile floor Moisture resistance Splash resistant sealed transducer Cleaning and sterilization Sensor Transducer cable and verifier may be wiped with cold chemical disinfectant no steam sterilization or EtO gas permitted fluid immersion not recommended Adult reusable airway adaptor Disinfect with buffered glutaraldehyde EtO gas isopropyl alco hol household bleach also steam sterilizable and pasteurizable ESD susceptibility No damage to the sensor from electrostatic discharge of 0 01 J at up to 15 kV applied to sensor connector pins 60 Hz interference lt 0 5 mmHg at 38 mmHg Alarms Selectable upper and lower limits for and RR 4000 Patient Monitor REVISION E 407300 123 13 EQUIPMENT OVERVIEW PERFORMANCE SPECIFICATIONS CONT ANALOG OUTPUT ECG Gain 1 V mV 10 DC offset 100 mV max Noise lt 5 mVp p 0 300 Hz Frequency response 0 05 Hz to 100 Hz 7 0 Hz Blood pressure Gain 10 mV mmHg 2 DC offset 20 mV max Noise lt 5 mVp p 0 300 Hz Freque
212. reading local pressure value into the monitor weather service can provide this data if a laboratory grade barometer is not available and subtract 100 mmHg Rotate the Trim Knob control until the correct number mmHg is displayed and press the Trim Knob control to enter the value into the monitor NOTE 530 mmHg is the minimum barometric pressure value which can be entered into the monitor CAUTION The high and low barometric pressures must have a 100 mmHg differential minimum for calibration to be successfully confirmed 4000 Patient Monitor REVISION E 407300 123 3 25 CALIBRATION END TIDAL CO Confirm the pressure calibration 13 Rotate the Trim Knob control to highlight CONFIRM CALIBRATION and then press the Trim Knob control to select it Select confirm from the pop up 14 Rotate the Trim Knob control to move the cursor so it menu points at CONFIRM in the pop up window and press the Trim Knob control to confirm the calibration 15 Rotate the Trim Knob control to highlight PREVIOUS MENU and press the Trim Knob to move to the CO2 SERVICE menu 16 Remove the 10 cc syringe from the test setup 17 Rotate the Trim Knob control to highlight CO2 SERVICE and press the Trim Knob to select it CALIBRATE BARO PRESS MENU 18 Verify the displayed barometric pressure listed in the pop up window on the monitor is the same as the current atmospheric bar
213. ressure NBP interface ASIC Analog output 12 bit DAC ECG and blood pressure Real time clock calendar and audio generation User panel interface Trim Knob control push buttons Memory card PCMCIA interface Video processing circuit waveforms and text for display Texas Instruments TMS34010 graphics co processor 50 MHz Clock 50 MHz CMOS TTL oscillator Video control LCA Graphics system processor memory interface LCA Graphics system processor program memory DRAM 512 kilobytes Waveform display memory VRAM 256 kilobytes Text display memory VRAM 256 kilobytes Display driver circuit Remote display video interface RMT VID port DAS interface and power supply interface The calibration procedure for this assembly is found in the section titled Calibration in this manual 1 26 4000 PATIENT Monitor 407300 123 REVISION E EQUIPMENT OVERVIEW THEORY OF OPERATION CONT OPTIONAL ETCO BLOCK DIAGRAM Case temp Case heater Detector temp Detector heater CO2 signal Ref signal IR source 2 v 5 rt a e Q 3 EtCO2 u Controller MC68332 Barometric pres Address EN ares EtCO2 Control EPLD Flash EEPROM Processor RAM EXP PSO 3 EXP IDO 3 EXP HRST EXP TXD EXP RXD EXP MSIRQ 5 12 V
214. reviations nennen nnn nnn nni 7 7 Page Changes 7 9 List OF Page CHANGES 7 9 4000 Patient Monitor x 407300 123 REVISION E EQUIPMENT OVERVIEVV Product Description 1 2 About the MONILOF 1 2 Marquette Unity Network eene nnne 1 3 Monitor application coni ever tenete eve YER 1 3 Patient monitoring system application 1 3 Hospital wide network application 1 3 Front Panel Controls Connectors 1 4 Rear Panel Controls 5 1 5 About the remote alarm connector 1 6 Performance Specifications eere 1 7 Preparation For 1 16 Power TEQUIFEMENUS 1 16 Equipment ground 1 16 Fuse and voltage 1 17 Voltage selector card setup 1 17 Monitor ventilation requirements 1 18 Mounting recommendations 1 18 Software i reed rcov ER 1 18 Theory of Operation 1 19 Overall block diagram trt peor nerven 1 1
215. rmation about your equipment and can provide assistance with any technical questions or problems For technical advice concerning any equipment in your Marquette Electronics monitoring system contact Tech Support Monitoring Hardware at 1 800 558 7822 or 407 575 5000 ext 4216 For technical advice concerning your Telemetry system contact Tech Support Telemetry at 1 800 552 3243 or 407 575 5000 ext 4202 For technical advice concerning Series 3000 7000 7010 patient monitoring equipment contact Tech Support 1 800 443 0980 or 407 575 5000 ext 4217 Some Marquette products Input Modules Tram modules Series 7700 ECG Telemetry Transmitters and CD Telemetry Transmitters are repaired on a 48 hour turnaround basis To inquire about status of 48 hour turnaround repair items or if you have questions before shipping an assembly to be repaired call 1 800 552 3243 or 407 575 5000 Send items for 48 hour repair and all monitoring repair items to Attn Monitoring Repair Marquette Electronics Service and Supplies P O Box 9100 100 Marquette Drive Jupiter FL 33468 9100 The main switchboard operator will direct your call to the person most able to assist you For any other questions or problems contact the main switchboard operator at 1 800 558 5120 or 407 575 5000 4000 Patient Monitor 407300 123 REVISION E GENERAL TABLE OF CONTENTS GENERAL Trademarks and Copyright
216. rocedure it must be tightly wrapped around a rigid cylinder or pipe Do not put the NBP cuff around a human arm during the calibration procedures due to the potential for injury 3 14 4000 Patient Monitor 407300 123 REVISION E CALIBRATION Non invasive BLoop Pressure CONT CALIBRATION PROCEDURE Follow these steps to calibrate the NBP functions of the monitor 1 Remove all cables except for the power cord from the monitor 2 Apply power to the monitor Plug the power cord into a working AC power wall receptacle and turn the monitor rear panel main power switch to the on 1 position Press the DISPLAY ON OFF front panel control on the monitor The display should be on Use the Trim Knob control to scroll to MONITOR SETUP the monitor main menu and press the Trim Knob control to select it CONTROL PATIENTS DATA SETUP DISCHARGED 4 Use the Trim Knob control to scroll to SERVICE MODE in the monitor setup menu and press the Trim Knob control to select it Enter the proper passwordto 5 service menu password window will appear on the access the service menu monitor display as shown in the figure at the left A password is required to prevent non service personnel from accessing the service menus The password is four numbers that represent the date that currently resides in a memory circuit within the monitor please note that this may or may not be the correct date In the pas
217. rquette Drive Jupiter FL 33468 9100 Service parts are items that are not expended in the normal operation of the product They are generally replacements for defective or malfunctioning items inside the product Service parts include PCB assemblies electronic components internal cables and harnesses software or firmware and operator and service manuals When ordering additional operator manuals remember to notate the software version from the start up screen A part number for the item to be replaced is necessary for ordering a service part If the part number for the desired item is unobtainable the following will be necessary to order the item model and serial number of the equipment part number name of the assembly where the item is used item name and where applicable reference designation ex R3 51 032 To open a service call with Marquette Electronics Service Department contact Service Dispatch at 1 800 558 7044 U S only or 1 407 575 5000 outside the U S For questions regarding service maintenance agreements contact the service and supplies division at 1 800 552 3248 or 1 407 575 5000 ext 4206 REVISION E 4000 Patient Monitor 407300 123 I GENERAL How REAcH Us CONT TECHNICAL SUPPORT For All Hardware Telemetry Series 7000 7010 48 Hour Turnaround Repair Service Address MAIN SWITCHBOARD Technical Support has the most current info
218. rs en ore o RO Renan 6 26 Electrical diagram 6 27 Pn 412185 021l 022e Parts List Monochrome 6 28 Pn 412185 012l 023e Parts List Non Invasive 6 31 REVISION E 4000 Patient Monitor 407300 123 6 1 ASSEMBLY DRAWINGS ASSEMBLY DRAWINGS ABOUT THIS SECTION Two sets of drawings ABOUT THE ASSEMBLY DRAWINGS Included in this section is a complete set of engineering assembly drawings These drawings provide reference for components of the monitor in the form of mechanical and electrical diagrams There are two complete sets of assembly drawings 6 individual drawings per set included in this section The two sets include assembly drawings for the following Monitors with a TFT color display and Monitors with a monochrome EL display standard and or non invasive configurations The assembly drawings for all of the monitors configurations are broken down as follows s Packing materials These diagrams provide reference to the manufacturer shipping container used for the monitors Electrical diagrams These diagrams provide a reference to electrical assemblies in the monitors Interconnect diagrams These diagrams provide a reference to electrical signals used for all of the assemblies in the monitor The diagrams show connector to connector pin designations for each wiring harness cable and flex circuit Exploded views These diagrams
219. ructions to identify which components need to be updated The code must be updated in the following order Acquisition processor code DAS Boot code Boot CO2 main code 2 Main NOTE CO2 is an optional feature If the monitor being updated is not equipped with this feature the CO2 main code cannot be updated Main processor code Main 4000 Patient Monitor 4 22 407300 123 REVISION E CONFIGURATION Uppate SOFTWARE FROM DISKETTE CONT Select the appropriate serial download routine DOWNLOAD FILES TO THE MONITOR Select the file for download from the PC Download the selected file 15 Use the Trim Knob to scroll to and select the number corresponding to the Serial Download routine for each file requiring update Be sure to update files in the order listed in Step 14 NOTE A warning message and prompt will appear on the monitor display Use the Trim Knob to scroll to and select YES to proceed with the download only if the selected code that currently resides the monitor is an earlier version as compared to the software con tained on the update diskettes At this point the monitor is ready to start accepting download files and the PC has been set up to provide the files for download Follow the next steps once the PC and monitor have been set up for download 16 17 Moving back to the PC find and select highlight the file requiring downloa
220. s s ECG heart rate 80 BPM ECG amplitude 1 0 mV 5 lead patient cable attached Observe the following ECG Lead II is displayed and is noise free Heart rate of 80 1 BPM is displayed With QRS TONES enabled an audible tone sounds with each R Wave Verify all seven ECG leads are selectable for display on the monitor Connect the power cord plug to the wall receptacle and turn the monitor rear panel power switch to the on 1 position Verify the PWR AC front panel indicator illuminates see figures below This indicates the monitor is operating from wall receptacle AC power Verify the BATT CHRGNG front panel indicator illuminates for a few minutes This indicates the monitor battery is charging PWR AC e e RDY CHRGNG FAIL Verify the BATT RDY front panel indicator illuminates after afew minutes This indicates the monitor battery has fully charged PWR AC BATT RDY CHRGNG FAIL 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE CHECKOUT PRoceDurESs CONT SPEAKER TESTS CHECKOUT PROCEDURE Follow these steps to perform the speaker tests 1 Change the alarm volume of the monitor to 100 2 Verify the speaker volume of the monitor changes accordingly 3 Return the volume of the monitor to the level it was previously set to before you changed it for this test Upon completing
221. s This will prevent inadvertent power interruptions to the PC or PC laptop Interruption of power will cause the update process to fail While downloading the boot code components interruptions in the update process may result in monitor malfunction or being rendered completely useless The monitor may require factory service as a result NOTE If the PC being used for this procedure automatically launches any version of Windows perform the necessary steps to quit Windows and return to DOS 5 Insert diskette 4 into the PC floppy disk drive Type a at the c gt prompt and press the ENTER key on the PC keyboard to change directories to the floppy drive Then type update at the a gt prompt and press the ENTER key on the PC keyboard to launch the update program The UPDATE UTILITIES menu will appear on the PC display 7 Select UPDATE BEDSIDE from the update utilities menu by pressing the F2 key on the PC keyboard The UPDATE BEDSIDE utilities menu will appear on the PC display REVISION E 4000 Patient Monitor 407300 123 4 21 CONFIGURATION UPDATE SOFTWARE DISKETTE CONT DOWNLOAD FROM THE PC To The PC and the monitor are serially linked communication wise THE MONITOR The following steps describe how to download a specific file into monitor memory In order to proceed the monitor must be enabled to receive update files Follow these steps to enable the monitor for download
222. s used must meet the requirements of the applicable IEC 601 series safety standards and or the system configuration must meet the requirements of the IEC 601 1 1 medical electrical systems standard Display Two types are available Front Panel Controls Five backlit Monochrome pushbutton operator controls provide Hi bright electroluminescent EL display panel the following functions Color Active matrix thin film transistor TFT LCD panel When operating on Screen size power controls only 10 4 inch diagonal display power When Resolution operating on battery 640 x 480 pixels power controls overall monitor power NBP Manually starts or stops the noninvasive blood pressure function ERU Sets zero references for all invasive blood pressure functions Controls patient alarm PECES silencing functions Manually starts or stops graphs to selected writers Manually stops alarm graphs Trim Knob Control This is the control that is used most often to choose menu items and enter data Patient Input Connectors Used to attach patient cables for various electrodes sensors and transducers used in patient signal acquisition Rotate the Trim Knob control to highlight an item on the display Press the Trim Knob control to select the highlighted item NBP Connector A pne
223. se This will allow the battery to remain fully charged for continued patient monitor ing during transport or any AC power loss REVISION E 4000 Patient Monitor 407300 123 5 5 TROUBLESHOOTING Data ACQUISITION TESTS ECG FUNCTIONAL TESTS Follow these steps to test all ECG functions of the monitor 1 Connect the MEI Multifunction Microsimulator pn 1 and appropriate patient cables to the ECG connector of the monitor Turn the monitor and the patient simulator on 2 Set the monitor to display leads I II and V simultaneously From the main menu select DISPLAY OPTIONS Make sure the DISPLAY menu item shows INDIVIDUAL If it shows FULL change it to INDIVIDUAL Select WAVEFORMS ON OFF from the menu Set the displayed waveforms for the following ECG leads ECG 1 LEAD II WAVEFORM 2 LEAD V WAVEFORM 3 LEAD I WAVEFORM 4 LEAD III 3 Set the patient simulator to output calibration cal pulses at 1 0 mV 4 Measure the cal pulse 24 amplitude These should be 0 5 mV Lead I 1 mV Lead II 0 5 mV Lead III 0 5 mV Lead V 5 It may be necessary to run a graph to accurately measure the cal pulses Perform these steps to graph all four waveforms From the main menu select GRAPH amp ALARMS Select GRAPH CONTROL from the menu Set the graphed waveforms for the following ECG leads ECG 1 LEAD II WAVEFORM 2 LEAD V WAVEFORM 3 LEAD I WAVEFORM 4 L
224. setup esc rer rei cepe Rip veda 1 17 Voltage selector card setup cete 1 17 Monitor ventilation requirements 1 18 Mounting recommendations 1 18 Software Setup i a eee LEE RR RR CER eatin 1 18 Theory of Operation 1 19 Overall block diagram rrr ete tees 1 19 Overall block Hery 1 20 Power supply PCB block diagram 1 21 Power supply PCB block theory 1 22 Acquisition PCB block diagram esses 1 23 Acquisition PCB block theory esee 1 24 Processor PCB block diagram 1 25 Processor PCB block 1 1 26 Optional EtCO2 PCB block diagram 1 27 Optional EtCO2 PCB block theory 1 28 SECTION 2 Maintenance 5 2 2 MAINTENANCE Manufacturer recommendation 2 2 Manufacturer responsibility 0222 2 2 Visual Inspection 2 3 Inspecting the monitor 2 3 Cleaning The Monitor 2 4 Cleaning the display 5 cree nes 2 4 Cleaning the external 2 4
225. signal If the ECG signal patient simulator and ECG patient cables are good the acquisition PCB is suspect Swap a working acquisition PCB into the monitor to verify the malfunction Test the ECG patient cables on a working monitor Test the patient simulator on a working monitor Swap the acquisition PCB into a working monitor If the symptoms follow the PCB into the working monitor replace the acquisition PCB If these three steps do not provide positive results the processor and or power supply are suspect Swap a working processor and or power supply PCB into the monitor to verify the malfunction REVISION E 4000 Patient Monitor 407300 123 5 7 TROUBLESHOOTING Data ACQUISITION TESTS CONT LEAD FAIL FUNCTIONAL TESTS LEAD FAIL TEST FAILURE SOLUTIONS Follow these steps to test lead fail detection functions of the monitor 1 With the monitor displaying ECG Lead I Lead II Lead and V Lead from the patient simulator remove the RA leadwire from the patient simulator terminal 2 The monitor should display a RA FAIL alarm message and automatically switch to monitoring only ECG Lead III Lead fail detection is functioning properly if this is the case 3 Reattach the RA leadwire to the patient simulator The monitor should automatically switch back to the lead selections displayed previous to the removal of the RA leadwire from the patient simulator Lead fail detection is not fu
226. structions for more information on the serial download process 1 Disconnect any DDW cables or remote controls from the monitor If using the memory card to download software to the monitor disconnect the attachment unit interface AUI cable from the ETHERNET rear panel connector on the monitor 2 Verify that the monitor has AC power 3 If using a central station monitor to download software to the monitor load the software from the diskettes onto a central station first If using a memory card to download software to the monitor insert it into the PCMCIA card slot on the right side of the monitor 4 Start the monitor boot loader Select the appropriate option the care unit name of the central station Memory Card or localHost from the file server selection menu 5 Ifyou are updating from software version 5c or earlier a conversion procedure must be done before updating the software e Select update net eagle from the mount pt selection menu Select tool scr from the script name selection menu Select YES when prompted LOAD THESE tool scr PARTS When the conversion process is complete the screen will return to the file server selection menu Continue with step 6 6 Ifyou have already loaded the conversion tool continue by loading the boot code boot scr from the script name selection menu If you are updating a monitor already running software version 6a or later you do not need to load
227. sword as 0703 ddmm Note the date that is currently on the monitor display and follow these steps to enter the password Rotate the Trim Knob control to highlight the password number that you would like to change To change the highlighted number press the Trim Knob control Rotate the Trim Knob control until the correct number is displayed in the selected field To enter the number press the Trim Knob control Repeat these steps until all password numbers are correctly displayed Once you have entered the correct password numbers rotate the Trim Knob control to highlight SERVICE MODE in the enter password window Press the Trim Knob control one more time to enter the password and access the service menus of the monitor 4000 Patient MONITOR REVISION E 407300 123 3 23 CALIBRATION END TIDAL CO Service menus service mode menu should appear on the monitor display These next steps guide you through the service menus associated with checking CO calibration If desired test results are not obtained CO calibration will be necessary Enter the CO service menu 6 Rotate the Trim Knob control to highlight CALIBRATE and press the Trim Knob control to select it Next rotate the Trim Knob control to highlight CO2 SERVICE and press the Trim Knob control to select it PATIENT MONITOR TYPE ADULT ICU Enter the barometric pressure 7 Rotate the Trim Knob control t
228. sword the first two numbers starting from the left represent the day and the second two numbers represent the month of whatever date that currently resides in the memory circuits of the monitor For example the seventh day of the third month March 7th would be represented in the password as 0703 ddmm Note the date that is currently on the monitor display and follow these steps to enter the password Rotate the Trim Knob control to highlight the password number that you would like to change To change the highlighted number press the Trim Knob control Rotate the Trim Knob control until the correct number is displayed in the selected field To enter the number press the Trim Knob control Repeat these steps until all password numbers are correctly displayed Once you have entered the correct password numbers rotate the Trim Knob control to highlight SERVICE MODE in the enter password window Press the Trim Knob control one more time to enter the password and access the service menus of the monitor 4000 Patient MONITOR REVISION E 407300 123 3 15 CALIBRATION Non invasive Pressure CONT Service menus The service menus should appear on the monitor display These next steps guide you through the service menus associated with checking NBP calibration If desired test results are not obtained NBP calibration will be necessary Enter the NBP calibration menus 6 R
229. t connection to The Marquette Unity Network 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION INSTALLING SOFTWARE METHODS FOR DOWNLOADING This part of the section describes three procedures for SOFTWARE downloading software to the monitor flash memory circuits Following is a brief description of each procedure Update from network Update from Network One procedure is for downloading software to the monitor from a Centralscope Central Station in networked patient monitoring system configurations Using floppy disks software is loaded to a central station hard disk drive The central station then acts as a file server for downloading software over the network to each monitor This procedure is only for monitors networked with a Centralscope Central Station Update from memory cards Update from Memory Cards This procedure is for downloading software to the monitor from a memory card plugged directly into the PCMCIA card slot on the side of the monitor This is for monitors that operate in one of the following patient monitoring system configurations Stand alone monitors not connected to a networked patient monitoring system or Monitors connected to a networked patient monitoring system without Centralscope Central Station monitors In either case a memory card is plugged into the PCMCIA memory card slot and software is download directly to permanent memory circuits in the monitor Up
230. t the SpO2 simulator power switch to the off position Disconnect the Nellcor style SpO simulator cable from the monitor SpO connector This completes the SpOg tests 2 16 4000 Patient Monitor 407300 123 REVISION E MAINTENANCE CHECKOUT PRocebures CONT NON INVASIVE BLOOD PRESSURE Follow these steps to setup for the non invasive blood pressure TESTS NBP tests 1 Attach the digital manometer NBP cuff pneumatic plumbing tees and tubing to the NBP connector on the monitor front panel see figure below 6 inch diameter PVC pipe or 1 pound coffee can Wrap the NBP cuff around this for tests NBP cuff pn 9461 301 Any size NBP cuff will be sufficient Coupling pn 46100 002 Connects manometer tubing to NBP tubing 3 way tee pn 4745 101 Connects manometer tubing NBP tubing and NBP cuff tubing Digital manometer Sensym PDM200M Note A calibrated mercury manometer may be substituted Coupling Manometer tubing pn 400787 001 pn 401582 001 Connects manometer Approximately two tubing to NBP cuff feet in length tubing NBP test setup 2 Set the digital manometer power switch to the on position 3 Set the digital manometer range switch to 1000mmHg 4000 Patient Monitor REVISION E 407300 123 2 17 MAINTENANCE CHECKOUT PRoceDures CONT NBP tests Follow these steps to perform the NBP tests
231. t up the SpOg simulator as follows SpO2 99 using the white NELLCOR values PULSE RATE 100 B M beats per minute MODE NELLCOR Power switch on Verify a SpO2 parameter window waveform label and corresponding graticules appear on the monitor display Verify the following appear on the monitor display Sinusoidal SpO waveform SPO2 parameter reading of 97 102 PPR parameter reading of 97 103 beats per minute Verify accuracy of the SPO2 values these are the white NELLCOR values shown on the SpO simulator on the monitor display using the SpO simulator settings from the following table SpO gt Simulator Setting Displayed SPO2 Value 9996 97 102 85 596 83 88 68 4 66 71 REVISION E 4000 Patient Monitor 407300 123 2 15 MAINTENANCE CHECKOUT PRoceDurEs CONT Peripheral pulse rate accuracy verification Interference detection test SpO tests completion 7 10 11 Verify accuracy of the PPR values on the monitor display using the SpO simulator pulse rates from the following table Simulator PULSE RATE Displayed PPR Value 70 B M 68 72 100 97 103 160 156 164 Press the INTERFERENCE TEST button on the simulator for 30 seconds Verify the displayed SPO2 value remains 97 102 or an interference detection message is displayed and XX is displayed in the SpO2 parameter window in place of an SPO2 value Se
232. tail eeeeeeeeeeeeee 6 5 Exploded view rear eee rte eren nene nets 6 6 Exploded view detail B eee 6 7 Fuse replacement voltage settings 6 8 Exploded view detail 6 9 Exploded view detail eee 6 9 Exploded view front iiia 6 10 Exploded view detail 6 11 Processor dip switch settings 6 11 Electrical connectors 6 12 Electrical dia STAM ner aee dee npe Que dis see 6 13 Pn 412186 023 024e Parts List Color 6 14 412185m Monochrome Non Invasive 6 17 About the assembly drawings eee 6 17 Packing materials oce eh e ten 6 18 pneumatic circuit diagram 12 6 19 Exploded view detail G eo o enne ets 6 19 Exploded view er rere 6 20 Exploded view detail 6 21 Fuse replacement voltage settings 6 22 Exploded view detail 6 23 Exploded view detail E 63 cs os onec rs vrs enr e er ener en 6 23 Exploded view front iode HR ERES ERIS 6 24 Exploded view detail A eene 6 25 Processor PCB dip switch settings 6 25 Electrical connecto
233. the Trim Knob control to highlight the password number that you would like to change To change the highlighted number Press the Trim Knob control Rotate the Trim Knob control until the correct number is displayed in the selected field To enter the number press the Trim Knob control Repeat these steps until all password numbers are correctly displayed Once you have entered the correct password numbers rotate the Trim Knob control to highlight SERVICE MODE in the enter password window Press the Trim Knob control one more time to enter the password and access the service menus of the monitor 4000 Patient Monitor 2 18 407300 123 REVISION E MAINTENANCE CHECKOUT PRoceDureEs CONT NBP calibration verification Enter the NBP calibration service menu Start the NBP calibration test From the service mode menu follow these steps for testing NBP calibration If desired test results are not obtained NBP calibration will be required 4 Rotate the Trim Knob control to highlight CALIBRATE and press the Trim Knob control to select it Next rotate the Trim Knob control to highlight CALIBRATE NBP and press the Trim Knob control to select it MAIN MEMORY REVIEW ADMIT MENU CALIBRATE MENU MONITOR ERRORS STANDARD SOFTWARE PATIENT MONITOR TYPE SET UNIT SET BED SET INTERNET TIME AND LEVEL ADULT ICU NAME NUMBER ADDRESS DATE MAIN CALIBRAT
234. the boot code Continue with step 7 7 Load the acquisition processor code das scr from the script selection menu 8 monitor being updated is equipped with option CO2 load the CO2 main code co2main scr from the script selection menu 9 Load the main code main scr from the script selection menu 4000 Patient Monitor REVISION E 407300 123 4 5 CONFIGURATION INSTALLING SOFTWARE CONT SUMMARIZED DOWNLOAD PROCEDURES CONT 10 11 12 13 Set up a graph location for each of the three types of graphs in the GRAPH LOCATION MENU accessed from the monitor setup menu Verify that the software was downloaded to the monitor successfully by viewing the SOFTWARE REVISION pop up window from the monitor setup menu Perform the procedures described in Setup for Use in the configuration section of the service manual If software was downloaded for the purpose of updating the monitor to a new version of software documentation will be supplied by the manufacturer in a software update kit Completely fill out all documentation as required by the manufacturer 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION Loap SOFTWARE Fon UPDATE USE THE Correct LOADING To update software from a Centralscope Central Station follow PROCEDURE the procedure described below If you are updating software from memory cards see page 10 for instructions on loading software fro
235. the monitor Verify the configured monitor type matches the environment in which the monitor is being used If it is set to a neonatal ICU when the monitor is used for the adult ICU application or vice versa problems listed to the left may occur 5 14 4000 Patient MONITOR 407300 123 REVISION E TROUBLESHOOTING SERVICE Mope MENU ABOUT THE SERVICE MODE MENU Service mode menu option items The SERVICE MODE menu option items provide the user access to several general and technical built in software functions of the monitor Only persons responsible for configuring and maintaining the monitor should access the service mode menu option items WARNING The Service Mode menu is intended for use only by qualified service technicians Experimentation with service mode menu option items can be detrimental tothe monitor Lost patient data damaged operating system software for the monitor even network re lated problems are but a few examples of problems that can be induced as the result of tampering with service mode menu option items Access to the service mode menu option items is necessary for the following functions of the monitor REVIEW ERRORS Troubleshooting difficult equipment problems or network problems on a software engineering level ADMIT MENU Setup or configuration of the monitor to admit a patient with one of the following network configuration features enabled Standard
236. the next page REVISION E 4000 Patient Monitor 407300 123 4 11 CONFIGURATION LOAD THE VERSION 6 CONVERSION DOWNLOAD THE VERSION 6 Monitors running software version 5C or earlier must have a CONVERSION TOOL special software conversion tool loaded in order to update the software to version 6a or later The procedure below describes how to load this conversion tool NOTE If the monitor being updated is already running software version 6a or later you do not need to load the conversion tool Proceed to the Download the Software Components section on page 14 Load update net eagle 1 When the MOUNT PT SELECTION menu appears on the monitor display e Find the update net eagle option in the mount pt selection menu Rotate the Trim Knob control until the number corresponding to the update net eagle menu item is displayed and Press and release the Trim Knob control to make the selection Loadtool scr 2 When the SCRIPT NAME SELECTION menu appears on the monitor display Find the tool scr option in the script name selection menu Rotate the Trim Knob control until the number corresponding to the tool scr menu item is displayed and Press and release the Trim Knob control to make the selection Reply YES to the prompt 3 The monitor then displays the part number version date of the conversion tool about to be installed A prompt appears on the monitor d
237. the power supply PCB mounting into the rear casting assembly The power supply PCB provides four independent output voltages and appropriate power control and status input output I O signals required by the monitor electronic assemblies The acquisition PCB provides an electrically isolated patient data acquisition system DAS to acquire real time patient data for the monitor Analog sensor electrode patient input signals are amplified and conditioned then converted to digital data The digital patient data is transferred across an optically coupled isolation barrier to the processor PCB for analysis and display The DAS consists of an isolated and non isolated section which are separated by a coupled inductor power supply and optical isolation for signals crossing the barrier The processor PCB provides signal processing system control user interface and communications functions for the monitor both TFT color LCD and High Bright EL display versions It receives and processes digitized patient data from the isolated DAS assembly acquisition PCB text and waveform information for the video display interfaces with the operator via the front panel switches and Trim Knob control and communicates with other products on the Ethernet network Additional capabilities include support for an external color CRT slave display functional only in color or normal scan mode and a pair of asynchronous communications ports for devices like a DDW
238. then select and load a specific file to the monitor 8 memory card is installed in the monitor remove it 9 Ifthere are any remote controls or DDW s connected to the monitor disconnect them 10 Apply AC power to the monitor 11 Turn the rear panel power switch to the on 1 position and make sure that the PWR AC indicator on the front panel lights up Start the 12 To start the monitor Boot Loader program follow these monitor boot steps loader program Hold down the NBP GO STOP and ZERO ALL keys Press and release the Trim Knob control Continue holding the NBP GO STOP and ZERO ALL keys until the Boot Loader menu appears on the monitor display Bring up the 13 At this point one of two situations will be present service menu on the monitor display For a monitor not connected to a patient monitoring network the Boot Loader will take approximately 30 seconds to activate and the Service Menu will appear on the monitor display If this is the case proceed to the next step For monitor connected to a patient monitoring network the File Server Selection menu will appear in approximately 10 seconds Use the Trim Knob to scroll to and select the number corresponding to Service Menu from the file server selection menu list The service menu will then appear on the monitor display Select the code to be downloaded 14 Select the code to be updated Refer to the addendum at the beginning of these inst
239. tidal carbon dioxide tests 2 22 Defib ngo bre reca nea dece de 2 24 Battery tests accessere c RE ORE 2 26 Speaker 16846 err 2 27 Checkout procedure completion 2 27 Electrical Safety 2 28 Current leakage tests 5 D ORPRETR ERN RU RP ENEES 2 28 Wall receptacle seen ee 2 29 Surface continuity tests eese 2 29 Ground wire to ground 2 30 Chassis to ground 2 31 Patient SOUEFCE TESIS 2 32 2 34 Test comple tiOn coerente ee EA 2 35 Hi Pot Dielectric Withstand Tests 2 36 4000 Patient Monitor REVISION E 407300 123 2 1 MAINTENANCE MAINTENANCE SCHEDULE MANUFACTURER RECOMMENDATION MANUFACTURER RESPONSIBILITY To make sure the monitor remains in proper operational and functional order a good maintenance schedule must be adhered to The manufacturer s recommendations in this regard is as follows Inspection Operators should perform this prior to admitting each patient to the monitor Service personnel should perform this prior to servicing
240. tion to exactly how the battery connector is attached before disconnecting it from the power supply PCB in the monitor Remove the battery from the battery compartment 6 Observe the front panel indicators on the monitor Do not proceed until all three BATT indicators RDY CHRGNG and FAIL are no longer illuminated NOTE It is necessary to wait for the above condition be cause the main processor PCB in the monitor only checks for battery presence at 30 second intervals Because battery voltage does not change rapidly microcomputer circuitry on the main processor per forms many other tasks before returning to test the battery voltage level If a replacement battery is installed while one of the BATT indicators is still illuminated the main processor PCB will assume the failed battery is still installed and the replacement battery will not be properly charged 7 Carefully mate the connector of the replacement battery with the connector on the power supply PCB Depending on the voltage level of the battery a small spark may occur when the connectors are mated together Do not be alarmed by this 8 Install the replacement battery into the battery compartment folding the cable harness so that it will not be crimped by the battery cover or associated screws 9 Attach the battery cover to the rear housing of the monitor with the screws that were removed in step 3 see WARNING after step 3 After you install the repl
241. tions Menu Enabling features The monitor has optional patient monitoring features that are enabled through the use of passwords The passwords are derived from the Ethernet address and stored in memory on the comm processor PCB flex assembly Passwords are provided from the factory and are unique for each of the features which require them If the comm processor PCB flex assembly is replaced or software features need to be changed it will be necessary to enable disable features in the monitor Follow this procedure to setup features in the monitor Ethernet address Serial number Follow these instructions to enable features in the monitor 1 Start the Eagle 4000 Boot Loader program To do this press and hold the NBP GO STOP and ZERO ALL front panel control keys Press and release the Trim Knob control while continuing to hold the NBP GO STOP and ZERO ALL keys until the Eagle 4000 Boot Loader menu appears on the monitor display 2 Within approximately 30 seconds one of the two following menus will be displayed s the SERVICE MENU or the FILE SERVER SELECTION menu if this menu appears rotate and press the Trim Knob to select SERVICE MENU at the prompt From the SERVICE MENU rotate and press the Trim Knob to select the number corresponding to the Options Menu item from the SERVICE MENU list 3 Use the Trim Knob to select one of the features from the Options Menu list NOTE Individual passwords are req
242. tor BED NUMBER 4 Configure graph locations for Select MANUAL GRAPH LOCATION Select ALARM GRAPH LOCATION and 6 Select PRINT WINDOW LOCATION 5 Verify setup or configuration of the above items EAcLE 4000 Patient Monitor 407300 123 REVISION E CONFIGURATION Setup For Use Cont DisPLAY FEATURES Display feature locations The main menu of the monitor Menu option items of the monitor More about the menus The monitor display shows features that are mentioned in this part of the section Use the figure below to locate these three features 1 Along the top of the display are two text fields The first text field consists of a care UNIT followed by a BED NUMBER These both must be setup or configured on the monitor before initial use The second text field is the PATIENT NAME This may be entered by the user optionally each time a patient is admitted to the monitor 2 center part of the display shows each of the monitored patient parameters in both a graphic and text format 3 Along the bottom of the display shown below is an ECG Menu are menu option items Care Unit Bed Name Number ICU BEDS MARTIN j 7 1 120 80 1015 94 120 80 S kk 98 5 sez oN LN SSS 23 gt ST OFF ORS VOLUME LD
243. ttings used as conduit break up the ground path which can present potential shock hazards The electrical ground system must be connected to actual earth ground If this is not possible then a good reference ground such as a metal cold water pipe or an electrically conductive building component should be used It is more important that all grounded objects in the patient area are at the same potential than at true earth potential 1 16 4000 Patient Monitor 407300 123 REVISION E EQUIPMENT OVERVIEW PREPARATION For Use FUSE AND VOLTAGE SETUP To change the fuse arrangement and operating voltage setup of the monitor the settings on the power input module located on the rear panel of the monitor must be configured properly First change the fuse arrangement Follow these steps USE ONLY WITH 100V P 250V FUSES 120V N 220 gt 1 Using flat blade screwdriver remove the fuse holder from the power input module 2 Remove the fuse block from the fuse holder by loosening the Phillips head screw 2 full turns counterclockwise 3 Separate the fuse block from the fuse holder by tilting it up and away from the mount Fuse holder removal 4 Arrange fuses as required for proper monitor operating voltage NOTE Two fuses are required for 230 240 Vac operation A dummy fuse may be used in the neutral lower holder Fuse s inserted into the power input module
244. tudes Enable the pacemaker detection function of the monitor once again Verify a stable heart rate display of approximately 80 BPM Verify the pacemaker spikes are again at the same amplitude Disable the pacemaker detection function of the monitor If the pacemaker detection test results are incorrect as described above follow these steps to determine the problem Verify the patient simulator is functioning properly by performing the above tests on a working monitor If the patient simulator is determined to be operating correctly the acquisition PCB is most likely suspect component to have failed Swap a working acquisition PCB into the monitor to verify the malfunction REVISION E 4000 Patient Monitor 407300 123 5 9 TROUBLESHOOTING Data ACQUISITION TESTS CONT INVASIVE BP FUNCTIONAL TESTS The following invasive blood pressure BP functional tests require the use of a MEI Multifunction Microsimulator pn MARQ1 Ifa different patient simulator is used adjust the following steps and readings as necessary Setup BPI Connect the BLOOD PRESSURE 1 output of the patient simulator to the P1 patient connector on the front panel of the monitor Setup BP2 2 Connect the BLOOD PRESSURE 2 output of the patient simulator to the P2 patient connector on the front panel of the monitor Zero reference both BP s Properly zero reference each BP input Set the patient simulator BP output to
245. uired for each optional feature Have the Ethernet address serial number and software revision available for each monitor when requesting passwords from the manufacturer REVISION E 4000 Patient Monitor 407300 123 4 29 CONFIGURATION ENABLING SOFTWARE FEATURES CONT Entering passwords Features brief explanations and passwords 4 An Enter password prompt will appear on the display Enter the password s provided To do this rotate the Trim Knob until the desired character appears then press the Trim Knob to select the desired character Upon selecting the desired character the cursor will advance to the next character field NOTE Select the lt character to erase or change the previous character if an error is made Repeat this procedure until the correct characters for the password have been selected then select the character Selecting the character serves as a carriage return and terminates the password entry sequence Following is the list and brief explanation of each feature Display Type Select either standard or enhanced Password NIBP Enabled or disabled as required Password Respiration Requires password to enable Password Invasive BP s Requires password to enable This option can be enabled on monitors with BP red patient connectors only Password Hires Trends If enabled this feature also requires a memory card to be inserted into the slot on t
246. uld be provided for each monitor The wall receptacle should be hospital grade and installed in a suitable junction box Power should be provided by a power line dedicated solely to equipment requiring emergency power WARNING Loss of power to the monitor results in the loss of all monitoring functions The ground pin of the wall receptacles and all exposed metal parts beds radiators water pipes etc in the patient area should be connected together and tied to the nearest equipotential ground point through a bonded grounding system or with a 10 AWG stranded copper grounding cable This equipotential ground point should be as close to earth ground as possible Use only three prong polarized hospital grade wall receptacles to accept the three wire polarized plug on the power cord of the monitor If a bonded grounding unit is not available interconnect the ground pins of all wall receptacles in the patient and monitor areas with 10 AWG or larger stranded copper cables This copper cable must connect to the central grounding point Do not jumper from ground pin to ground pin then to the central grounding point The ground cabling must not carry current such as a grounded neutral since the current flow will produce differences in potential along the ground These potential differences are the main source for shock hazards to the users and patients Do not rely on conduit as a ground conductor Plastic PVC pipes or fi
247. umatic connector for attaching a noninvasive blood pressure cuff Indicators Five LED s indicate the following power related conditions of the monitor PWR BATT Monitor is operating on battery power PWR AC Monitor is operating on ac power to the monitor BATT RDY The DEFIB SYNC This front panel jack provides a direct PWR battery is fully charged monitor is ready for battery powered use RDY CHRGNG FAIL BATT FAIL The battery has failed and requires maintenance BATT CHRGNG The battery is charging the monitor is not ready for battery powered use interface between the monitor and a defibrillator for synchonization of the two devices during emergency defibrillation or for synchronized cardioversion The signals available through this connector are Outputs e Defib sync pulse Analog ECG signal Analog invasive BP signal Input Defibrillator triggered marker pulse J 4000 Patient MONITOR 407300 123 Revision E EQUIPMENT OVERVIEW REAR PANEL CONTROLS CONNECTORS NOTE The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include use of the accessory in the PATIENT VICINITY and evidence that the s
248. up and configured individually for full functional use of the monitor Select one of the graph location menu option items on the monitor to display a pop up list of all available writers 4000 Patient Monitor REVISION E 407300 123 4 41 CONFIGURATION Setup For Use Conr Select a writer from the pop up The graph location pop up list appears in the upper left portion list on the monitor display of the monitor display MANUAL GRAPH SELECT A LOCATION RETURN ICUCS 1WRITER ICUCS 1LASER ICUBED2 WRITER Unit Name Or Care Unit Name Type of graph device Bed Number or Central Name MANUAL GRAPH LOCATION CCU BED7 WRITER The pop up list includes the unit name or care unit name the bed number or central name as well as the type of graph device for The writer DDW s connected directly to the monitor itself and or Writers connected to devices that have an identical care UNIT NAME on the network 6 Rotate the Trim Knob control to scroll move the cursor to a desired graph location and press the Trim Knob control to program the selected writer graph location into the monitor flash memory The graph location menu option item will change to show the selected graph location and the pop up list will close MANUAL GRAPH LOCATION ALARM GRAPH LOCATION PRINT WINDOW LOCATION ICU BED2 WRITER ICU CS 1 WRITER ICU LWI WRITER PREVIOUS MENU 7 When finished
249. vile 192 Error Number il pe OUTPUT ERRORS NEXT gt The Trim Knob control can be used to scroll through each logged error perusing all of the parameters associated with each output software error Rotate the Trim Knob control to move the cursor gt to a position for viewing the NEXT or PREVIOUS error as well as the position that allows the user to QUIT viewing output errors REVISION E 4000 Patient Monitor 407300 123 5 19 TROUBLESHOOTING Service Menu View input errors Clearing the error log Selecting QUIT closes the run time error log pop up window and returns to the review errors menu option items The VIEW INPUT ERRORS menu option item when selected using the Trim Knob causes a RUN TIME ERROR LOG pop up window to appear on the monitor display The pop up window now displays input software errors and provides basically the same information as the VIEW OUTPUT ERRORS pop up window provided The appearance of both pop up windows are similar the difference being errors that are logged as input versus output to from the monitor RUN TIME ERROR LOG Status Register Program Counter User Stack Pointer Super Stack Pointer Heap Pointer Process Name Error Code Severity Time Error Number Parameter 20EFB6C dasmsg_in 2001 Continue JUN 25 1995 09 37 06 5 4F7 VIEW INPUT ERRORS gt NEXT PREVIOUS as
250. wer switch to the on 1 position and make sure that the PWR AC indicator on the front panel lights up Start the 16 To start the monitor Boot Loader program monitor boot e down the NBP GO STOP and ZERO ALL front loader program panel controls on the monitor Press and release the Trim Knob control Continue to hold the NBP GO STOP and ZERO ALL front panel controls until the Eagle Boot Loader menu appears on the monitor display Select the 17 Observe the monitor display In less than ten seconds a central station to FILE SERVER SELECTION menu appears on the display load software At the FILE SERVER SELECTION menu from Find the care unit name of the appropriate central station the one that has the monitor software on its internal hard disk drive in the file server selection menu NOTE If the care unit name of the central station you are using doesn t appear in the file server selection menu use the Search for fileserver option to look for the appropriate care unit name again Rotate the Trim Knob control until the correct number of the appropriate central station is displayed in the file server selection menu and Press and release the Trim Knob control to make the selection A network communication path between the monitor and the central station is established The central station is acting as a file server for downloading software from its hard disk drive to the monitor via the
251. with version 8E or earlier software been used to load software to a installed has now downloaded the monitor software onto monitor before it must learn its internal hard disk drive If the central station has never how to make the software been used to download software to a monitor before it available to the monitor via the must be taught how to make the software available to the network monitor via the network To do this simultaneously press the Ctrl Alt and Delete backspace keys on the keyboard to reboot the central station CAUTION Central station monitoring functions will be dis rupted for approximately 90 seconds while the device reboots If it is possible to reboot the central station without interrupting patient monitoring by moving monitored patients to another central station for instance do that before proceeding If a monitor has never downloaded software from a central station via the network before and the central station is busy monitoring patients follow these steps Rotate the Trim Knob control until SERVICE MONITOR from the service menu is highlighted and press the Trim Knob control to make the selection The right side of the central station display will turn into an area for command entry with a prompt at the bottom of that part of the display screen it appears very similar to a DOS prompt on a PC display screen Type ps eaglefs note the space between the command parts this co

FIELD SERVICE MANUAL - Frank`s Hospital Workshop

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