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        Centralscope Central Station service manual
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1.                                  7 8 Centralscope Central Station Revision C  405040 164    PERIPHERAL DEVICES  Remote Displays       Multiple Displays       Display  Without  Attached  Video Cable    Female 15 pin Connector                      15  Medical  17  Phillips       Display  With  Attached  Video Cable                         Male 15 pin Connector    17  Sony       Display  With   exc Y   Connectors             Five BNC Connectors    19  Mitsubishi  33  Mitsubishi    Usethe following interconnection scheme with multiple remote displays  requiring an interface cable to the central station shorter under 155 feet                                                        20x  es     609                           39  69 T I 900655 001    Cabling Over 155 Feet       Display  Without  Attached  Video Cable    Female 15 pin Connector       m                   15  Medical  17  Phillips       Display  With  Attached  Video Cable                         Male 15 pin Connector    17  Sony       Display  With   ano 9   Connectors             Five BNC Connectors    19  Mitsubishi  33  Mitsubishi    Revision C             Two displays may be    up to 150 feet  from splitter       00x    F MI   M                         8       00x    F MEM         4  900655 001    Third display must  be less than  eet from splitter    Aa    1    a                   Splitter   Amplifier             Must be less than 15 feet       10x    M Fai       10x    M FM 900655 001    for third display    NE    
2.                           RicL    He Rt d CRZ e  SI iti i met LLL Lp od Lp CZ A AA a R  E   QN T E z yo i  E E THT TTT t  MEM ll 09993373737 e  o m  RIB   4  Oen Pese YI pup  EET ea 2 MS RE ya    R27  C9 a ee Ua EAST  ab ho rr em  J3 141 1 1 3 1431    U10 aE I    JELRE T                                                                 e   by                         4 taeo cL    PH Wahi RA  LLLI ILL ILLE  R46 i  Connect    U17 Oe U18 0 PER less e  T  9    T  positive lead R61 ELH o B   pz SHREK  l   l A SU WAA WA AS Aa WA ns L   De M    to heatsink O E CESS     n k m  Bg R   LR  tab of TO220  M 4 Em Lo  T rA kuka  transistor Q1 N  ol       a  0       o F zd ELA J y E uu E U    or to TP3                            LA                                                                                                                         Laa   c  hn       RB0             Ri    CR1  T  C46                                                                            a   Li  T                                   Connect ground lead to  negative side of C41 or to TP2    4  Onthethermal writer assembly locate the label with the  recommended print head voltage        Revision C Centralscope Central Station 6 3  405040 164    CALIBRATION  Thermal Print Head Voltage Adjustment       5  Program the central station into the SERVICE MODE  Then enter  the SERVICE MONITOR mode     6  After the  gt  prompt enter the following data to start a test pattern    gt set_0x89060000_0xf0     where the under
3.                       5 16  TroubleshootingProcedure                                   5 18  Troubleshooting Signal Dropout                               5 20  BLANK Option    isole Rx Rcx a ERE 5 20  DRAW ODpLIOD  iste Dex REPRE lt 5 20  TroubleshootingDropout                                  5 21  Revision C Centralscope Central Station 5 1    405040 164    TROUBLESHOOTING  Introduction       Introduction    Troubleshooting  Outline    5 2    The troubleshooting information presented in this chapter should help  you narrow service problems to one of the replaceable assemblies     It is recommended to familiarize yourself with the following material in  this chapter before attempting to service the central station     1  Read the  Block Theory of Operation      2  Familiarize yourself with the    Central Station Powerup  Boot   Sequence        3  Read the  Controlling Static Discharge Damage  and  Special  Components    paragraphs     Familiarized yourself with the    LEDS on the Circuit Boards      Read the  General Fault Isolation  suggestions     Usethe  Troubleshooting Procedure  to locate the faulty circuit  board or assembly     Use    Troubleshooting Signal Dropout    if applicable     For problems with the central station internal writer  usethe   Thermal Print H ead Voltage Adjustment  procedure found in  Chapter 6   Calibration      Centralscope Central Station Revision C  405040 164    TROUBLESHOOTING  Block Theory of Operation       Block Theory of Operation    O
4.                     SELECT EXTERNAL DEVICES    gt  RETURN   PORTI REMOTE CONTROL  PORT 2 ADU  PORT 3 LASER PRINTER  PORT 4 NOTHING  HOLTER ACQUISITION UNIT NONE  INTERNET ADDRESS 126 253 1 6  ETHERNET ADDRESS 00   00   A1   FD   01 06  SERIAL NO  A6KH0167G   V  PREVIOUS MODIFY  TEMA ty  7 2 Centralscope Central Station Revision C    405040 164    PERIPHERAL DEVICES  Using Peripheral Devices       Revision C    To change any of the port external device selections  or program new  external devices  select the MODIFY item in the SELECT EXTERNAL  DEVICES menu     1  RotatetheTrim Knob control to position the cursor next to the port  to be changed or programmed     2  PresstheTrim Knob control to input the selection  The port selection  is then highlighted     3  RotatetheTrim K nob control to scroll through the list of external  devices     4  PresstheTrim Knob control when the desired external device name  is shown     Refer tothe SELECT DEVICES description in the Chapter 3    Configuration   for additional information about programming for  external devices     Centralscope Central Station 7 3  405040 164    PERIPHERAL DEVICES  Laser Printer       Laser Printer    HP 4M    74    The central station software supports the use of an external laser printer   This laser printer can print all the non real time windows  such as ECG  histories  CO curves  calculations  trends  graphics and vital signs  and  seven leads of ECG data  CDT LAN only      The following laser printer is suppo
5.                    7 10  Holter DataRecording                                       7 11  Network Recording                                       7 12  Centralscope Central Station 7 1    405040 164    PERIPHERAL DEVICES  Using Peripheral Devices       Using Peripheral Devices    The Centralscope central station can output several type of signals to  different peripheral devices  These include remote Trim K nob controls   remote writers and laser printers  slave displays  an alarm display unit   and a Holter acquisition unit   n this section some of the connections to  peripheral devices are described        NOTE    To make this information easier to use  some of the  descriptions from Chapter 3   Configuration   are  repeated or summarized here        Selecting Port Before any of the peripheral devices are used they generally must be  Devi  enabled by  or  identified to  the central station software  This is  evices accomplished using the SELECT DEVICES menu option in the    SERVICE menu  The following paragraphs are taken from the  Configuration chapter     The SELECT DEVICES menu option programs the four central station  ports for peripheral devices     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SELECT DEVICES   SELECT EXTERNAL DEVICES    2  Thedisplay below is shown which is used for programming the four  ports and the Holter Acquisition Unit                     
6.                Splitter   Amplifier             Must be less than 15 feet       20x    for third display       Splitter   Amplifier             Use short cable  415301 001    Use short cable  415301 001    Use short cable  415301 001                                                                            F Marquette  Device  F Marquette  Device  F Marquette  Device             Usethe following interconnection scheme for single and multiple remote  displays requiring an interface cable to the central station longer than                                                       155 feet   Adapter  700634 001  Meo  Adapter Adapter  700611 001 700634 001  F F MENS  Adapter  700634 001  MRS  Adapter Adapter  700611 001 700634 001  F F MN      700325 001 002       Splitter   Amplifier  900655 001             Must be less than 15 feet                         for third display  Aa  700325 001 002  Splitter   700325 001 002 Amplifier  689               D 900655 001       Centralscope Central Station    405040 164    Use short cable  415301 001    Use short cable  415301 001                                                          F Marquette  Device  F Marquette  Device  7 9    PERIPHERAL DEVICES  Connecting the Optional Touch Screen       Connecting the Optional Touch Screen    A medical grade monitor can be ordered with an optional touch screen   When the monitor is connected to the central station  the touch screen  must also be connected     The standard connection point is to Port
7.        Focus       CRT Degauss       Cross hatch linearity       Color quality       Intensity    If the central station display uses a touchscreen  Configure the central station to  show a 8 bed display  Verify the touchscreen operation by touching each of the  eight bed regions  The central station generates a tone and changes the display  as each region is touched        NOTE    It may be necessary to calibrate the touchscreen before  performing this test        ANALOG HOLTER The analog Holter PCB can be tested to verify operation  The first test checks for  OUTPUT PCB a synthesized    buzz    waveform on channels with no inputs  The second test  measures a DC offset voltage for each channel                 Analog Holter  Buzz  The chart on the following page summarizes the signals available at the  W f 50 pin connector of the analog H olter output PCB  An oscilloscope is  avelorm required to verify the    buzz    signals at this connector     1  Connect the central station to a power source  Power up the central         station   2  Access the Service Menu   3  FromtheService Menu select SELECT DEVICES   4  Select the SLAVE DISPLAYS option   5  Changeall the slot assignments to show NONE   6  Connect the oscilloscope or multimeter to an output pin on the analog  output connector   Central Station  Connector J3  Analog Holter  Output PCB  Assembly  4 18 Centralscope Central Station Revision C    405040 164    MAINTENANCE  Checkout Procedure       7  Verify the following wa
8.        Item   Reference Parts List Part Number   Qty  Designation  1 A4 Thermal Writer Assembly  2 1 nch  For  002 and  004 1485 002 1  Only   2 SP1 Speaker  3 I nch  8 Ohm 1663 330 1  3 A10 Analog Holter Output PCB  For  003 and  004 Only  406082 005 1  4 Spring  Chassis Ground  Rear 403741 001 1  5 Centralscope Central Station Field Service Manual 405040 164 1  6 Screw  PNH  Phillips  4 40 x 1 4 45000 404 11  7 Screw  BDGH  Phillips  6 32 x 1 4 45074 608 4  8 Screw  PNH  Phillips  6 32 x 1 4 45000 604 22  9 Washer  Lock  Internal Tooth  No  4 4520 204 4  10 Screw  BDGH  Phillips  4 40 x 1 4 45074 408 18  11 Washer  Flat  SST  No  4 4520 004 4  12 Washer  Brass 45052 003 4  13 Label  Model Serial Number 404525 006 2  14 J ackscrew  4 40 x 0 18 w Vibratite 412302 001 8  15 Gasket  Wire Mesh  0 188 x 0 188 416497 001 1  16 Spring Clip  D Type  1 8 1 nch 4556 001 1  17 Pad  Rubber Bumper 4616 002 5  18 Screw  PNH  Phillips  8 32 x 3 8 45000 806 4  19 Tape  Vinyl Foam 4806 002 AR  20 A7 Floppy Disk Drive  2 MB 416865 001 1  21 PS1 Low Voltage Power Supply 416397 002 1  22 A8 Hard Disk Drive  SCSI  2 1 G Byte 418162 003 1  23 Label  UL 2601 Classified 416338 002 1  24 A9 Video PCB 403777 002 1  25 A3 LED Switch Trim Knob PCB 403796 002 1  26 A1 Main Processor PCB 404288 115 1  27 A6 LAN Controller PCB 404375 012 1  28 A5 Trim Knob PCB Assembly 85900 001 1  29 W8 Harness Assembly  Floppy Disk Drive  Ribbon  34  402642 002 1  Conductor  30 W10 Cable  Ribbon  Hard Disk Drive 416396 
9.        Select the Error Log Date The final selection is to pick the date of the error logs to be copied to the    Copy Error Logs    Eject Floppy    3 8    floppy diskette     1  RotatetheTrim Knob control to change the error log date        NOTE    One of the selections is ALL  which retrieves all stored  error logs from the specified device  When the desired  date displays  press the Trim Knob control              PREVIOUS DATE   MENU 19960214    2  Oncethe Care Unit  device and date are specified  the final step is to  begin copying the error logs tothe floppy diskette        DEV DATE  START  BE 19960214 COPY    um o     o                   3  Insert a PC formatted  high density floppy diskette into the floppy  disk drive of the central station     Once you select the START COPY button  a new display appears that  confirms the file source device  The other options areto eject the floppy  diskette or to start the copy process     Rotate the Trim Knob control to select the desired function  Then press    theTrim Knob control to start   PREVIOUS UNIT  DEVICE DATE  C log   CUUIBED 2  START  MENU CCU   BED 2   19960214   AE TURN   COPY     START COPY    LL call    Once the copy function begins the START COPY button changes to show  the function     copying                          When selected  this option just causes a floppy diskette to be ejected from  the central station s floppy diskette drive          NOTE    If the floppy diskette does not eject  a thin tool such as a  
10.       8 10  RevisionstotheAssemblies                                   8 12  Centralscope Central Station V    405040 164    CONTENTS       vi    Centralscope Central Station  405040 164    Revision A    Revision C    1    INTRODUCTION    Manualinformation                                          1 2  Revision HIStOrYy                              anansanunn  1 2  AA dite estre e n KUUA hn en 1 2  Chapter Content  il bcp Ea ek eec RR IOS 1 3  Related Manuals                                         1 3   SafetyInformation                                           1 4  Responsibility of the Manufacturer                           1 4  intended USE iva mei cR E Rx pen RU Rd ce RR RR el T en 1 4  Equipment Symbols                                       1 5  Warnings  Cautions  and Notes                              1 6  ReferenceLiterature                                      1 6   Service Information                                           1 7  Service Requirements                                      1 7  Equipment Identification                                   1 7  WAA E A A 1 7   HowtoReach US ecen riae ae OE ehh 1 8  Customer Support and Equipment Repair Information           1 8  OrderingServiceParts                                    1 8  Suppliesinformation                                      1 8   Centralscope Central Station 1 1    405040 164    INTRODUCTION  Manual Information       Manual Information    Revision History    Purpose    Each page of this manual has a 
11.       eseeee nnn nn nn nn nn 4 1  MaintenanceSchedule                                        4 2  Manufacturer Recommendations                            4 2  Manufacturer Responsibility                                4 2   PM  FORM 2 A eria Det poetae a reo des aee LR RS oa 4 2  Visual Inspection  sii ssid ds E wen ee a 4 3  CIEANING   aves odeur ei Waele Fetes Soil AGA Gena d 4 4  CleaningPrecautions                                      4 4  CleaningtheDisplay                                      4 4  Exterior Cleaning                                         4 5  CleaningtheKeyboard                                    4 5  Cleaning the Thermal Print Head                            4 5  Cleaning the Floppy Disk Drive                             4 6  Cleaning Inside the Central Station                          4 7  Electrical Safety Tests                                        4 9  GOA MERERI 4 9  Recommendations                                         4 9  Wall ReceptacleTest                                     4 10  Ground  Earth  Integrity                                  4 10  Ground  Earth  Wire Leakage Current Tests                  4 11  Enclosure Leakage Current Test                             4 13  Test Completion                                         4 14  Checkout Procedure                                         4 15  Mest SOU cies Ae heaters ep ER EE ER EE AES 4 15  Test Requirements             0 00 cece eee 4 15  PROCCOU tas E 4 15  Repair Log     l1xoldkue n
12.      2 11  ClassifiCatiOris 2 5 IA III EE KANA 2 14  PreparationforUse                                         2 15  Power Reguirements                                     2 15  Equipment Grounding                                    2 15  Ventilation Reguirements                                 2 16  Installation Ee le inn Se oh ee IEES 2 16  Centralscope Central Station 2 1    405040 164    EQUIPMENT OVERVIEW  Product Description       Product Description    2 2    The Centralscope central station provides centralized monitoring  functions for patients connected to Marquette monitoring devices on a  Marquette Unity Network  Those devices include E agle  Tramscope   Solar and CD Telemetry LAN monitors     Data from up to eight patients can be shown on the display  simultaneously  The data for each patient includes waveforms with key  vital signs data expressed in digital form  Users can program patient  displays to  customize  the Central Station for each site  and to  accommodate the dynamic mix of patient monitoring needs     The Centralscope central station is designed to operate with a variety of  commercially available displays  These displays can be furnished by  Marquette or purchased separately  Specifications for the display are  provided later in this section     Many central stations are equipped with thermal writers  so that patient  data can be recorded for later review  All central stations contain floppy  disk drives which are used for software updates and for 
13.     A2J1     A222 E  E3 CHAS  W3P1  A1312    A1J17 A1J23  A1  MAIN PROCESSOR PCB  A1J8    A1213 A1J9    A1J14 A1J10    A1J15 A1J11   A1J16  A931     A92 A1421   41432 A10J1    A10J2 A6J1     A622  A9 XE A14 A10 A6  VIDEO PCB  28 6412   amp  5  PRIMARY ANALOG LAN  Ec S    VIDEO PCB DISTRIBUTION CONTROLLER  A9J4 A14J4 A10J3 A6J4 A1J1  A12P2 A15P2  A12 A15 E  VIDEO VIDEO e  ADAPTER ADAPTER Ps  x  A15P1  n  N        gt     8 6 Centralscope Central Station Revision C  405040 164    UPPER LEVEL ASSEMBLY  Schematic Diagram PN414916 001G 002G 003G 004G                                                                                                                                                          W13P1                                                                               Sheet 2 of 2  AB EE ONE  FLOPPY DRIVE HARD DRIVE e  LED ASSY    SP1 ala  Used On  SPEAKER  lt    Revision i  A C Only     A722 A7J1 A8J1    A8J2  AN rS w9P2   wWw8P2 W11P2    W10P1  SP1J1  SP1J2  W5P2     W5P3   z  a    gt  ES z   Vi   cec ea   36  E1 CHAS Mie   23  SWITCH  W5  5  wo   34  EE  W9P1 W8P1 tao  A1J25     A1J19 Zu  Hila  Hija ex  ra A Lu  Lo      Ri  de D  za  El CHAS  Rie  x    W7   lt  3  Al  W7P2  MAIN PROCESSOR PCB  30  SEN  PS1  POWER SUPPLY  N N  a W6 e   gt S Sla   lt     xa          Ja    103  i                                                                               A1J2    A103    A124    A125     A197  N e   o  H H   gs  cc cc ac     2 2 2 AE  J J J a    x x     c DE a ui a 
14.    Electrical Safety Tests    General Electrical safety tests provide a method of determining if potential  electrical health hazards to the patient or operator of the device exist     Recommendations To help you establish a systematic maintenance routine  Marquette  recommends that you perform all safety tests presented in this  chapter    e upon receipt of the device   e every twelve months thereafter     e each time the main enclosure is disassembled or a circuit board is  removed  tested  repaired  or replaced  and    e record the date and results on the    M aintenance Repair Log     included at the end of this chapter           CAUTION    Failure to implement a satisfactory maintenance  schedule may cause undue equipment failure and  possible health hazards  Unless you have an Equipment  Maintenance Contract  Marquette Medical Systems does  not in any manner assume the responsibility for  performing the recommended maintenance procedures   The sole responsibility rests with the individual or  institution using the equipment  Marquette service  personnel may  at their discretion  follow the procedures  provided in this manual as a guide during visits to the  equipment site           Test Conditions Electrical safety tests may be performed under normal ambient  conditions of temperature  humidity  and pressure     Test Equipment The manufacturer recommended test equipment required to perform  electrical safety tests is listed below  Equivalent equipment may be  substitute
15.    The following software levels are compatible with central station V9 or  later and CD Telemetry LAN V5 or later software     e All Tramscope monitors should be using V7D or V17D software or  later     e All Solar monitors should be using VIA software or later   e All Eagle 3000 monitors should be at VIA software or later     All Eagle 4000 monitors should be at V4C software or later     Call your regional sales representative for appropriate update kits if you  wish to update your software     Intended Use Use this procedure if    e you are adding a new central station to your system  or  e your present central station software is faulty  or  e you have lost the update instructions that came with your last  update software diskettes   Materials Required The following list of materials are required to perform this update   e  Centralscope Central Station Software Update Kit  e  Centralscope Central Station Update Diskettes  e Update Installation Verification Form    e Can of Compressed Air  Optional     Revision C Centralscope Central Station 3 39  405040 164    CONFIGURATION  Software Update Instructions       Procedure    Clean Disk Drive    First Load Diskette    3 40    Central station software may be installed in the background at any time   but it must not be power cyded until it is convenient for the user and  after all other central stations  Tramscope monitors  Solar monitors  and  Tram modules have been updated to compatible software     Central stations have used
16.   3  Return tothe SERVICE MONITOR menu and useLIST ADMITTED  TELEM BEDS to cet a listing of patients on the telemetry tower     Centralscope Central Station Revision C    405040 164    CONFIGURATION  Service Monitor Menu       4  Makesurethe responsible personnel for the admitted patients  on  the telemetry tower that is rebooting  are notified that the tower is  rebooting and they will lose patient monitoring for a few minutes        CAUTION    During the reboot period monitoring functions are lost   The buttons for the    lost    patients change on the central  stations to show    ADMIT     This may lead some  monitoring users to get the  lost  patients back by  readmitting them  Instruct all personnel NOT to admit  any of the    lost    patients during reboot  Once the cabinet  assembly finishes rebooting  the  lost  patients return  automatically           NOTE    When new software is activated all patient histories and  trends are lost        5  AccesstheTELEM TOWER SPECIAL options menu again and select  the REBOOT TOWER option     TOWER  LOAD SOFT     SICU   TOO10BB TOWER Reboot  SICU   T0010BB    4  NO   gt  YES REBOOT  TOWER    6  A popup window appears and asks you to confirm that the selected  tower should reboot        PREVIOUS  MENU                      NOTE  The selection tower should reboot     The selection cursor is placed by the NO entry as a  default  Before using the Trim Knob control to select  YES  make sure that the tower identified in the window  is ind
17.   EPROM     RAM Clock   Interface    1  I l    I  I l    1  I l  I 1  l Micro  Sound Floppy Disk Hard Disk Keyboard I    processor  Generator Controller Controller Interface I       I l    1             Centralscope Central Station    405040 164       5 7    TROUBLESHOOTING  Block Theory of Operation       Writer PCB    5 8    The writer PCB  9  accepts graph data from the main processor PCB and  converts it  The data is changed to a serial format suitable for driving a  bank of thermal elements  These elements affect a thermal coating on  the paper to produce a hard copy recording     The video PCB  10  also accepts data from the main processor PCB  It  decodes the data and formats it to drive the primary video PCB and a  remote display  The primary video PCB  12  buffers the video signals for  use by remote SVGA displays     The analog H olter output PCB  13  contains digital to analog converters  and multiplexers to provide up to eight data channels     Finally  the LAN controller PCB  11  serves as the gateway  or interface   to the Marquette Unity Network  It handles all the interface functions to  put data onto  or take data from  the network     Once the main processor PCB has received and processed the data from  the network it can then send the data to the thermal writer  The writer  PCB acts as an interface between the main processor PCB and the  thermal writer mechanism     A bus interface  1  connects the address data buses of the two circuit  board assemblies  Th
18.   HRLO49 PA 26 6  14   150 50 JD THOMAS    a hee ORR Ee vee VEN ee    TTX  340  T PHILLIPS J GREENE DISCHARGED                                  L WRIGLEY                                                                      C SMYTHE    AA LA                      ARTLO122 PA 26 7  15     BED5  HRLO49 BED8  ARTLO122  Hides the Main Menu options and expands the Centralscope display   VIEW VIEW ADMIT VIEW  BEDS BED2  BED 7 BED8  VIEW OTHER GRAPHIC ALARM VITAL RAPH ALL    CENTRAL VIEW OTHER GRAPHIC ALARM VITAL GRAPH ALL    cENTRAL  PATIENT TRENDS    HISTORIES   signs PATIENTS SETUP PATIENT TRENDS     Histories    siens PATIENTS    SETUP             1  RotatetheTrim Knob control to select one of the display  configurations  Press the Trim Knob control to input the selection           NOTE    When the 6 BEDS   2 WAVEFORMS or 4 BEDS   3  WAVEFORMS configurations are selected the second or  third waveform sources may be specified           Revision C Centralscope Central Station 3 5  405040 164    CONFIGURATION  Service Menu       2  RotatetheTrim K nob control to move the cursor to WAVE F ORM 2 or  WAVEFORM 3  Press the Trim Knob control     3  RotatetheTrim K nob control to display the possible waveform  sources  Press the Trim Knob control to input the selection     UNIT NAME Generally the Care Unit name is entered when the central station is  installed and not changed unless the central station is moved           NOTE    The entered Care Unit name is used by all other systems  on t
19.   Marquette Unity network to identify this central station   Select the Central Name so that the name is relevant to  the location  such as CS 2 or SDU3     Make sure no other central stations has the same Central  Name        Centralscope Central Station  405040 164    3 17    CONFIGURATION  Service Menu       1  RotatetheTrim Knob control to select the CENTRAL NAME item   Press the Trim Knob control to input the selection  The CENTRAL  NAME field should highlight     2  Onthe keyboard  use the Delete key to erasethe existing Central  Name if one is present     3  Enter the new Central Name using the keyboard        NOTE    The maximum length of the name is four characters   Once the desired Central Name is correctly entered   press the Trim Knob control to input the name        MIRROR CENTRAL This option allows double monitoring of patients from remote  or   DISPLAY secondary  central stations  The display on the remote central station is  configured to mirror the originating central station  i e  the same  patients are shown in the same display slots     If the remote central station is located in the same Care Unit as the  originating central station the user can do the Admit Discharge  operations or any other display type operation  The changes affect both  central stations  For example  if the patient in a display slot is changed at  one central station  the change is also automatically performed on the  mirroring central station           NOTE    Use caution when confi
20.   a a a E E    Lu o   ca    gt    Lu   a   Revision C Centralscope Central Station    405040 164    8 7    UPPER LEVEL ASSEMBLY  Labels                               Labels  Thelist of labels given below are determined by destination and are not  induded in the upper assembly parts list  To reference item numbers   refer to the exploded view provided earlier in this chapter  Your model  does not use all the labels listed   Reference  Item   Designation Parts List Part Number   Qty  81 Label  Prescription Device 415043 002 1  82 Label  Instructions  English  411289 003 1  Label  Instructions  German  413732 003 1  Label  Instructions  Swedish  411733 003 1  Label  Instructions  F rench  411734 003 1  Label  Instructions  Spanish  411735 003 1  Label  Instructions  Italian  411736 003 1  Label  Instructions  Dutch  411737 003 1  83 Label  Top  English  411289 002 1  Label  Top  German  413732 002 1  Label  Top  Swedish  411733 002 1  Label  Top  French  411734 002 1  Label  Top  Spanish  411735 002 1  Label  Top  Italian  411736 002 1  Label  Top  Dutch  411737 002 1  84 Power Cord  125V  6 Foot 80274 006 1  85 Label  Ratings  UL CUL CE  416516 001 1  86 Label  Remote Video Connector 416517 004 1  87 Label  Primary Video Connector 416517 001 1  88 Label  Analog Output Connector 416517 002 1  89 Label  Ethernet Connector 416517 003 1  8 8 Centralscope Central Station Revision C    405040 164       UPPER LEVEL ASSEMBLY  Labels                   90 Label  Front Panel  English   Fo
21.   and display intensity  Those changes  are described in the Operator s Manual  Other configuration items may  only be changed whilein the SERVICE menu  These items are general  configured only by the Biomedical Engineering or technical support staff     The central station defaults that only may be configured from within the  SERVICE menu are shown in the right column of the following display                          CENTRAL DISPLAY DEFAULTS  Ea    OF BEDS AND WAVEFORMS 8 BEDS   1 WAVEFORM  ALARM VOLUME 10  ECG   FROM ECG SOURC gt   TOUCH TONE VOLUME 20  WAVEFORM 2 OFF  COLOR TRANSDUCER WAVEFORM 3 OFF  DISPLAY INTENSITY 70  UNIT NAME ICU 1  TIMEFORMAT 12 HOUR CENTRAL NAME CS1  DATE FORMAT 25 DEC 93 MIRROR CENTRAL DISPALY NONE  MESSAGELINE ON MANUAL GRAPH DEFAULT        IDDW 2IN  ALARM GRAPH DEFAULT        IDDW 2IN  SOFTWARE VERSION 010C PRINT WINDOW DEFAULT        IDDW 2IN  s   ent   e ENS   ft LL Li                To configure these defaults  do the following     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP    SERVICE   Enter password  MEI CS 123  DEFAULTS   CENTRAL DISPLAY DEFAULTS  MODIFY    2  RotatetheTrim Knob control to move the cursor to the right column  of default selections     The Central Name is entered when the central station is assigned when  theunit is installed and generally not changed unless the central station  is moved        NOTE    The Central Name is used by all other systems on the
22.   data is ableto be displayed  Verify that audible alarms are generated for  monitors in alarm conditions  Verify that the time and date is current     With paper in the writer  press the transport door release but do nct allow the  door to open  The GRAPHPAPER OUT DOOR OPEN message should be  displayed along with an audible alarm     Remove paper from the writer  Tear off a short strip of thermal paper and insert  into the writer so about 3 inches protrudes from the writer with the door closed   The PAPER OUT DOOR OPEN LED should not illuminate  Press and hold the  GRAPH STOP PAPER ADVANCE key until the short paper strip stops feeding  through the writer  The PAPER OUT DOOR OPEN LED should illuminate and  the GRAPH PAPER OUT DOOR OPEN message should display at the upper left  corner of the display  An audible alarm should generate to signal the out of paper  condition     If you use a remote control  view a bed using the remote control to make the  necessary menu selections  Graph waveforms from the selected bed and stop the  graph using the remote control  On one of the monitored beds create an alarm  condition  then silence the alarm using the remote control     If using remote audio  create an alarm condition on one of the monitoring beds   Verify that an audible alarm is generated on the remote speaker    Verify that the appropriate waveforms and data is presented on the remote  display           4 16    Centralscope Central Station Revision C    405040 164    MAINTENANC
23.  1  58 A16 Switch Assembly  Power w Ground 416637 001 1  59 Fuse  2 0A  SB 1908 504 2  60 Screw  PNH  Phillips  SST  6 32 x 1 3 8 4502 644 4  61 Nut  Keps  Hex  6 32 4521 706 1  62 Carton  Shipping 413830 001 1  63 End Cap  Packing  Foam  Right 413822 001 1  64 Bag  Anti Static 405183 001 1  65 Screw  6 32 x 3 8 4640 606 2  66 Washer  Lock  E xternal l nternal Tooth  No  6 4520 806 1  67 A12  A15 Video Adapter Kit 416620 002 1  68 W7 Harness Assembly  Switch Power Supply Ground 416442 001 1  69 Nut  K eps  Hex  4 40 4521 704 1  70 Spacer  6 32 x 3 8 4603 608 4  71 Washer  Lock  Internal Tooth  No  6 4520 206 1  72 Gasket  Wire Mesh  EMI 416810 001 1  73 Plug  MC  Equipotential 400040 001 1  74 Washer  Lock  Serrated  Male Female  No  6 400041 001 1  75 Nut  Hex  6 32 4521 306 4  76 A14 Primary Video PCB 801062 001 1  77 W12 Cable Assembly  Video 416576 001 1  78 Gasket  EMC 415484 001 1  79 Clamp  Component 4575 202 1  Revision C Centralscope Central Station 8 11    405040 164       UPPER LEVEL ASSEMBLY  Revisions to the Assemblies       Revisions to the Assemblies    The baseline revision for the Centralscope central station is pn 414916   001G 002G 003G 004G as presented in this chapter     To convert the baseline part list to an earlier revision  change all part   numbers  descriptions  and quantities as indicated in the revision history  table below starting with the baseline revision at the end of thetable and  working backwards to the revision of your assembly        41
24.  1 4  Equipment Symbols                                       1 5  Warnings  Cautions andNotes                             1 6  ReferenceLiterature                                      1 6  Servicelnformation                                           1 7  ServiceReguirements                                     1 7  Equipment Identification                                   1 7  Warranty  eser ree ree E uh FRU ERRARE RR WALIA 1 7  HowtoReachUs                                      sunn  1 8  Customer Support and Equipment Repair Information           1 8  OrderingServiceParts                                    1 8  SuppliesiInformation                                      1 8  2 EQUIPMENT OVERVIEW                nn n Imm nnn 2 1  Product Description                                           2 2  Controlsandindicators                                       2 3  Back Panel Description                                        2 4  ConnectingtheDisplay                                       2 6  Videg Adapte KAA AAA WA AA 2 6  Connect VideoCable                                      2 7  PowerandFuUsing                                            2 8  Technical Specdifications                                      2 11  iii ii WAA AWA 2 14  PreparationforUse                                         2 15  Power Reguirements                                     2 15  Equipment Grounding                                    2 15  Ventilation Reguirements                                 2 16  Ins
25.  12 Centralscope Central Station Revision C  405040 164    PERIPHERAL DEVICES  Holter Data Recording       Connecting to the Holter A Holter acquisition unit can connect totwo central stations  As shown in  Acauisition Unit the figure below a cable is attached to the output connector on the  q analog Holter output PCB in the central station  The cablethen attaches  to one of two connectors on the Holter acquisition unit     Note   Central Station CH 1 8 Central Stations  WF INPUT Shown Without  Displays  CH 9 16 TY  WF INPUT           Holter  Acquisition  Unit    Interconnect  Cable   PN 80687 001    N    Output Connector    on Holter Analog Output PCB Central Station    The interface cable can connect to   CH 1 8 or CH 9 16  WF INPUT WF INPUT   at the Holter acquisition unit     Note which connector the interface cable s  are attached to  The channel  information is important later when configuring the central station for  use with Holter     To program for using Two central stations  supplying a total of 16 data channels  can be    T   connected to a single Holter acquisition unit  The eight data channels  Holter Acquisition Units from a central station are referred to as either Group 1 8 or Group 9 16     To configurethe central station for use with a Holter acquisition unit the  SELECT EXTERNAL DEVICES menu is used first to specify the group   Each central station connected tothe Holter acquisition unit is then  responsible for allocating the data channels within the grou
26.  4  as shown below        When connecting the touch screen cable  note that each cable end is  labelled   If the cable ends are interchanged  the touchscreen cannot  work   One end is labelled CENTRALSCOPE and must connect to Port 4   The other end of the touch screen cableis labelled TOUCH SCREEN  and  it must be connected to the touch screen        NOTE    Port 4 must be configured for use with the touch screen   Refer to Chapter 3   Configuration   for more information  on the Select Devices option  This is the option used to  configure the port functions  Make sure that Port 4 is  configured as NOTHING        7 10 Centralscope Central Station Revision C  405040 164    PERIPHERAL DEVICES  Holter Data Recording       Holter Data Recording    Holter data recordings can be made using a Holter recorder input module  installed in a Tram rac chassis at the patient s bedside monitor  or  through a Holter Acquisition unit connected to a central station  The  Holter Acquisition unit central station method is necessary when the  patient is monitored using a CD Telemetry LAN Monitoring System or  an Eagle monitor     The following figure shows both methods   Central Station  CS1 Tramscope  Monitor with  Holter Input Module  Bed 9                   Marquette Unity         CD Telemetry     LAN Network Cable    Cabinet Assembly    Central Station    Holter  Acquisition  Unit    Care Unit with a mix of ambulatory  telemetry  and stationary   Eagle and Solar 7000  monitors     To collect 
27.  Care Unit name  and  the bed number for each telemetry bed with an admitted patient     IP Device Secondary Care Unit  Patient  Address Type Address Device Name Name    120 0 17 206 TELE BED        SICU  214 A      120 0 17 206 TELE BED        SICU 214 B      120 0 17 206 TELE BED  2005     SICU 215 A       2008    2009        120 0 17 206 TELE BED    SICU 215 B      120 0 17 206 TELE BED    SICU 217 A              NOTE    An asterisk follows the bed number to denote a telemetry  device  Telemetry beds are distinguished from other  monitoring beds by having an asterisk added to the end  of their names by the system           Revision C Centralscope Central Station 3 31  405040 164    CONFIGURATION  Service Monitor Menu       In thelist of admitted telemetry beds  a secondary address is provided   This address gives the slot number in which the receiver assembly is  installed in the cabinet assembly  Simply ignore the 2000 prefix  For  example  a secondary address of 2006 means that the receiver assembly  for that telemetry bed is in slot 6        NOTE    The LIST ADMITTED TELEM BEDS option operates  within a telemetry cabinet  not just within a Care Unit  A  single telemetry cabinet can have its receivers assigned  to several Care Units        Duplicate TTX  The central station software does not allow duplicate transmitter TTX  numbers to be entered when admitting a patient  Many problems could  arise if two transmitters that operate at the same frequencies are used in  the 
28.  HW     LIST TELEM     Alt   I  to insert name   Alt   D  to delete this name Y BEDS XMTRS    212 A  NAME TELE NAME HW NAME TELEM  BEDS BEDS XMTRS                               NOTE    To add a telemetry bed name  first press both the Alt and    keys  then enter the name           Use the keyboard to enter the desired bed name   Press the RETURN key on the keyboard to complete each entry     Enter each telemetry bed name     uF WN    When all the telemetry bed names are entered  press the Trim Knob  control to exit this option     After the popup menu closes  there is a delay while the entered  information broadcasts over the network for all other central stations  to use  Wait for a few moments for this broadcast to occur     In some Care Units the same beds may be used for both hardwire  monitoring  where the patient is directly connected to a Tramscope or  Eagle monitor  and telemetry monitors  The operator may prefer to use  the same bed number for each monitoring function  Since the software  used in devices comprising the Marquette Unity Network do not allow  duplicate bed numbers  all telemetry beds have an asterisk like  character added to their numbers  The software automatically adds these  characters as new telemetry bed names are added     Revision C Centralscope Central Station 3 29  405040 164    CONFIGURATION  Service Monitor Menu       NAME HW BEDS    NAME TELEM XMTRS    3 30    This option allows the areas with the necessary hardwire network  system to be ide
29.  Level Assembly    Related Manuals    This manual consists of seven sections  summarized as follows     This section provides general information on the manual itself  related  manuals  safety advice  service requirements and contacts  equi pment  symbols  and serial number identification     Includes a brief description of the transmitter features and technical  specifications     Includes information for advanced operation and for configuring a  Centralscope central station     Includes an extensive Preventive Maintenance program  forms for  recording the maintenance steps  and cleaning suggestions     Includes block diagram theory of operation and some simple  troubleshooting steps that can be performed in the field     Includes an explanation of how to connect peripheral devices     Has exploded views  parts lists  inputs outputs list  and a top level  schematic diagram     Check these documents if you need additional information about devices  used with the Centralscope central station                    Service Documents  Part Number Name  405040 214 Centralscope Central Station Data Manual  414993 001 Solar 7000 8000 View Patient Monitor Field Service Manual  414993 007 Solar 7000 8000 View Patient Monitor Data Manual  414993 056 15 Inch Medical Grade Color Display Service Manual  404183 150 Modular Patient Monitor Accessories Manual  405040 088 Centralscope 12 Central Station Service Manual  Not modular   405040 018 Centralscope 12C Central Station Service Manual  Not
30.  a DR ne E katani 4 22  Centralscope Central Station iii    405040 164    CONTENTS       5    6    7    TROUBLESHOOTING                eeeeee nnn n nn nnn 5 1  I rtrod  ctlon suu tuus Ale tee eed tha Add rab ees 5 2  TroubleshootingOutline                                   5 2  Block Theory of Operation                                     5 3  OvervieWi   u s hn meum A IERI RR xxn 5 3  Unity Network    rer ERR MEER Peano 5 3  Network Communication                                   5 5  Main Processor PCB                                       5 6  Writer PCB s sunigao ees mex ER Regem SER wal ERR Cam egies 5 8  Video P CB  ope rd oR a 5 10  Central Station Powerup  Boot  Seguence                       5 11  Powerup Sequence      2    cee 5 11  Troubleshooting the Powerup Seguence                      5 12  Controlling Static Discharge Damage                           5 13  Special ComponentS   1 0 0 0    cece cee 5 14  Surface Mounted Components                              5 14  PLCC Components  rii aioa aa ia m aa a a aa ee 5 14  LEDsontheCircuitBoards                                   5 15  General FaultIsolation                                      5 16  First Thingsto  ASK  sis  sr Aa aa 5 16  Visual Inspection  WEE E S ANTEE E 5 16  TroubleshootingProcedure                                   5 18  Troubleshooting Signal Dropout                               5 20  BEAN K OPtlON ss  criar a aS M NUNEPERUMPUS 5 20  DRAW ODEIO x   o 064 ex Dee n a RE en Bh ets 5 20  Troublesh
31.  and then signals a LAN controller device  4  that a packet is ready for  transmission  The controller device handles the actual interface to the  network  It queues up the data from the dual ported RAM using DMA  access then serially streams the data out  A serial network interface  5   device converts the serial TTL signals to differential pairs and after  isolation by a transformer  the signals are applied to the network cable   The controller deviceis ableto respond to data collisions on the network  and retransmit the data packet without intervention by the assembly s  microprocessor     LAN Controller PCB l  I  l  I     I             Centralscope Central Station 5 5  405040 164    TROUBLESHOOTING  Block Theory of Operation       Main Processor PCB    5 6    Receiving data packets occurs much the same way but in reverse  The  data signals are converted from differential signals to TTL by the serial  network interface device  5   The received data is then dropped intothe  dual ported RAM  2  by theLAN controller device  4   U pon completion  the microprocessor  3  is signalled that data has been received  The  microprocessor strips off the header information that was added tothe  data packet so it could be transmitted over the network  Finally it stores  the data back in the dual ported RAM and signals the main processor  PCB  1   The main processor then accesses the dual ported RAM to read  that data     Data taken from the network consists primarily of patient informati
32.  are required for 230 240VAC operation  For  100 120VAC operation  a dummy fuse may be used in the  neutral  lower  holder  Fuses s  inserted into the power  input module first are the active set           5  Invert the fuse holder  slide it back onto the screw and pedestal and  tighten the screw     6  Besureto seat the fuse block completely in the connector before you  connect power to the central station     Revision C Centralscope Central Station 2 9  405040 164    EQUIPMENT OVERVIEW  Power and Fusing       Power Supply Fusing The power supply in the central station also has a protective fuse  This  fuse provides secondary protection with a higher amperage value than  the main fusing     Before you replacethe power supply fuse  determine and repair the cause  of fuse failure      f necessary  replace the power supply fuse with a 250 Volt  3 5 Ampere  fuse     The illustration below locates the power supply fusing     Power Supply       2 10 Centralscope Central Station Revision C  405040 164    EQUIPMENT OVERVIEW  Technical Specifications       Technical Specifications       Item    Electrical    Connections    Emissions    Agency Approvals       Required Display Specifications    Description    Horizontal  Sync rate  34 4 kHz  Sync input  TTL negative  Blanking  7 186 uS  Front porch  1 390 us  Sync  2 053 uS  Back porch  3 743 uS  Vertical  Refresh rate  60 Hz  1 Hz  Sync input  TTL negative  Blanking  1 774 mS  Front porch  0 5236 mS  Sync  0 2036 mS  Back porch  1 047
33.  central station           NOTE    If new software is loaded into central station  there  should be some identification  tag  indicating the change  to the users  Otherwise  when the central station restarts  and enables the new software there may be some  confusion about why the unit s operation is different           Remote Video This option is used to select the percentage of amplitude signal sent toa  A litud remote display  Some remote displays become distorted at the standard  mp ituae 10096 input signal amplitude so a lower percentage may be required     Select the best percentage option for your display     Revision C Centralscope Central Station 3 9  405040 164    CONFIGURATION  Service Menu       Select Devices    Select External Devices    3 10    The central station has four programmable output ports  The devices  that you can connect to these ports include a laser printer  a remote Trim  Knob control  slave displays  and alarm display unit  remote thermal  writers  or a Holter acquisition unit  This menu is used to program each  port for the connected device     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SELECT DEVICES    2  Thedevices menu is displayed     PREVIOUS SELECT EXTERNAL  MENU DEVICES              SLAVE DISPLAYS       Two additional selections are made now  either programming external  devices connected to the programmable output ports or prog
34.  central station     13  Connect the network drop cable to the Network output on the back  panel of the central station     14  If analog outputs or the Holter Acquisition System is used  these  connections should be made to the Analog Output on the back panel  of the central station        CAUTION    All external cabling used with the central station must be  routed so as to not interfere with access or operation of  the central station        15  If the central station has a thermal writer  make sure thermal paper  is installed in it     16  Apply power to the central station     17  A series of selftests are performed and the results displayed on the  monitor  After a few moments the main display should show  The  Centralscope Central Station Operator s Manual provides more detail  on using the central station     Revision C Centralscope Central Station 2 17  405040 164    EQUIPMENT OVERVIEW  Preparation for Use       For your notes    2 18 Centralscope Central Station Revision C  405040 164    3   CONFIGURATION    SoftwareRevisions            ssl hrs 3 2  Service Ment zin aou eee eer td eoe edel tavi AU Sent e 3 3  List of Service Menu Options                               3 4  Select Beds and Waveforms                                 3 5  Copy OOS oie straps ke exter edet asa Rr Goan te eri eral d 3 7  Eject Floppy  nosmet ue SORORE Re aad deux Aun Rn n 3 8  load Software endi A A eats 3 9  RemoteVideoAmplitude                                   3 9  Select Devices  aces 
35.  conventional soldering equipment can destroy the  circuit board  Only soldering workstations designed  specifically for use with surface mounted components  should be used to remove or replace these components        PLCC Com ponents Another surface mounting system uses a special socket technology called  PLCC  plastic leaded chip carrier   A PLCC device package has rows of    small springs like leads surrounding the device on all four sides   Correspondingly  the socket has rows of contacts around its inside  surface  The PLCC device is inserted into the socket according to an  orientation key  and seats firmly against the spring like leads                 Removal of a PLCC device requires the use of special tools  Burndy  QILEXT 1 or equivalent  so that the device and the socket are not  damaged  The PLCC removal tool uses small hooks that are inserted into  special slots in the socket and reach under the PLCC device  The PLCC  can then be removed by a direct upward force  maintaining equal  pressure on all our sides of the PLCC  If an even removal force is not  used  such that the device tips to one side   damage to the device or  socket leads is likely to occur           CAUTION    Do not use a screwdriver to remove a PLCC device from  the socket  Either the device or the socket  or both  may  be damaged              5 14 Centralscope Central Station Revision C  405040 164    TROUBLESHOOTING  LEDs on the Circuit Boards       LEDs on the Circuit Boards    Revision C    Th
36.  mS  Video  Non composite  0 7V p p analog RGB  Polarity  Black negative  Resolution  1024 x 768 x 60 Hz  Bandwidth  60 MHz  recommended   Input impedance  75 Ohms    15 pin  3 row  high density subminiature female D type connector  standard    VGA pinout  or 5 BNC connectors  MPR II  UL1950  CSA 950  IEC 950          Revision C    Centralscope Central Station  405040 164    2 11       EQUIPMENT OVERVIEW  Technical Specifications          Recommended Display Specifications       Item Description    Display Display area  12 to 19 inch diagonal  typical   Dot pitch  0 28 mm maximum  Brightness  240 ft   L  Non linearity  2  maximum  Misconvergence  0 3 mm maximum  Phosphor  Medium to short persistence  such as P 22   Geometric distortion  2  maximum  CRT surface  Anti glare coating and transmissiveness of approximately 5796    Controls On Off  Brightness  Contrast  Operating Voltage 90 135 FAC 60Hz  or 180 270 VAC 50Hz  Environmental Operating temperature  10 to 40 degrees Celsius    Operating humidity  10 to 9596  non condensing     Weight Maximum weight of 45 Kilograms  100 Pounds  if unit rests on top of central  station housing     Mounting If the display will be mounted it must accommodate GCX or equivalent  mounting system              2 12 Centralscope Central Station Revision C  405040 164    EQUIPMENT OVERVIEW  Technical Specifications          Item    Power Requirements  Power Consumption    Low voltage Shutdown    Heat dissipation    Operating conditions    Storage C
37.  making the changes for each value  If a value does not  change  simply press the Trim Knob control to input the current  value     6  After the last value is input the SET TIME or SET DATE menu  closes  The changes are made to the internal timekeeping devices and  broadcast to other devices on the network     7  Observe the central station display to make sure the desired time   date settings are being shown        NOTE    The time and date formats can be changed at the user  level in the DEFAULTS menu under CENTRAL  DISPLAY DEFAULTS        Clear Messages Some operations  such as loading software  display short messages up in  the left corner of the central station display  These messages may not be  deleted when the operation is completed  Selecting this option erases  those messages from the display        NOTE    This option does not remove any patient alarm messages  from the display        1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  CLEAR MESSAGES    2  The messages should clear from the upper left corner of the display     3 16 Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Menu       Defaults    Central Display Defaults    CENTRAL NAME    Revision C    You can customize several characteristics of the central station to some  extent for each location  Users can adjust items such as display formats  for time and date  audio volumes
38.  modular   Revision C Centralscope Central Station 1 3    405040 164    INTRODUCTION  Safety Information       Safety Information    Responsibility of the Marquette Medical Systems is responsible for the effects of safety     Manufacturer reliability and performance only if   e assembly operations  extensions  readjustments  modifications  or  repairs are carried out by persons authorized by Marquette Medical  Systems    nc     e the electrical installation of the relevant room complies with the  requirements of the appropriate regulations  and    e thedeviceis used in accordance with the instructions for use     Intended Use Follow the directives stated below when using any of thetransmitter     e These devices is intended for use under the direct supervision of a  licensed health care practitioner       These devices is not intended for home use     e Federal law restricts these devices to be sold by or on the order of a  physician     e Contact Marquette Medical Systems for information before  connecting any devices to the equipment that are not recommended  in this manual     e Parts and accessories used must meet the requirements of the  applicable   EC 601 series safety standards  and or the system  configuration must meet the requirements of the IEC 601 1 1  medical electrical systems standard     e Periodically  and whenever the integrity of the deviceis in doubt  test  all functions     e The use of ACCESSORY equipment not complying with the  equivalent safety requir
39.  of Marquette M edical Systems  Inc   registered in the United States Patent and Trademark Office     12SL  15SL  AccuSpeak  ADVANTAGE  BAM  BODYTRODE   Cardiomatic  CardioSpeak  CardioWindow  CD TELE METRY   LAN   CENTRALSCOPE  Corolation  Corometrics Sensor Tip  DASH  EDIC   HI RES  IMAGE VAULT  IMPACT wf  INTELLIMOTION   INTER LEAD  IQA  LIFEWATCH  MARQUETTE MEDICAL  SYSTEMS  MARQUETTE    RESPONDER  MENTOR  MicroSmart   MMS  MRT  MUSE CardioWindow  O SSENSOR  OMRS  Premium  RAC   SILVERTRACE  SMART PAC  SMARTLOOK  Spectra Overview   Trimline  UNITY  and Universal are trademarks of Marquette M edical  Systems  Inc     Marquette Medical Systems  Inc  Marquette H ellige GmbH  8200 W  Tower Ave  Postfach 728  Milwaukee  WI 53223 USA D 79007 Freiburg  Tel  414 355 5000 Germany   800 558 5120  USA only  Tel    49 761 45 43 0  Fax 414 355 3790 Fax  49 761 45 43 446      1998 Marquette Medical Systems  Inc  All rights reserved     Centralscope Central Station Revision C  405040 164 30 June 1998    CONTENTS    1 INTRODUCTION             eese nen nnn nhan 1 1  Manualinformation                                          1 2  RAIS YA Lo EIA Re ee ee ee 1 2  PUPDOSC Eu a e di A anes eae a 1 2  Chapter Content iuris De wean ean Soe ee a 1 3  Related Manuals                                         1 3  Safety I nformatlol oi    acess Vale pe eee eer bk ERS ee S 1 4  Responsibility of the Manufacturer                           1 4  Intended  056 2    8 sede ee ybi eb dq 9enPuelebere  yveis
40.  processor  and video pcb assemblies  The microprocessor on the main processor PCB  writes data for the display to registers in the graphics coprocessor  2    The graphics coprocessor then stores the data in either the waveform or  text RAM banks  3   Separate RAM banks are used sothetext displays  and waveform displays can be positioned and sized independently     The graphics coprocessor handles all display data access and  manipulation of the data to generate the video displays  Whilethe crt  beam traces across the crt data is read from the RAM banks and gated  through the video RAM timing and multiplexing circuit  4  to the two  video driver circuits that produce the analog signals for the external  displays     Control logic circuits  8  work with the graphics coprocessor to move data  into and out of the two RAM banks and in getting data through the bus  interface  The logic circuits also control data flow through the video RAM  timing and multiplexing circuit  Program instructions for the graphics  coprocessor are stored in the program RAM  7                  Video PCB  Q  De  O    4    Timing  amp     110000111100                                 Remote  Display Driver       Centralscope Central Station Revision C    405040 164    TROUBLESHOOTING  Central Station Powerup  Boot  Sequence       Central Station Powerup  Boot  Sequence    Powerup Seq uence The central station performs a series of selftests  displays several status  messages  and flashes various LEDs as it 
41.  programmed into a particular Care Unit   Select theLIST TELEM BEDS option     A list is generated on the right side of the central station display that  includes the Care Unit name and bed number for each telemetry bed           MICU   212 A   MICU   212 B   MICU   214 A   MICU   214 B   MICU   216 A   MICU   216 B   MICU   218 A   MICU   218 B   NOTES  An asterisk follows the bed number to denote a telemetry  device     Telemetry beds are distinguished from other monitoring  beds by having an asterisk added to their names by the  system           The list includes all beds that were previously designated for use with  telemetry  The beds may or may not have patients  To determine which  beds have admitted patients use the LIST ADMITTED TELEM ROOMS  option     3 26 Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Monitor Menu       LIST HW BEDS Hardwire monitors are for stationary patients  the link between the  patient and the monitor is a physical cable  Examples of hardwire  monitors are the Solar and Eagle monitors     When a patient monitoring system is configured  a list of the possible  monitor bed locations is entered at a central station  This list identifies  which beds could be used to connect a monitor  It does not specify beds  with patients     A hardwire monitoring system can be designed to operate throughout a  large part of a hospital  During installation the supporting  communications system  the network  is installed wherever m
42.  service  personnel upon receipt of the equipment  every 12 months thereafter   and each time the unit is serviced     e Checkout Procedure  This should be performed by qualified  service personnel upon receipt of the equi pment  every 12 months  thereafter  and each time the unit is serviced           CAUTION    Failure on the part of all responsible individuals   hospitals or institutions  employing the use of this device   to implement the recommended maintenance schedule  may cause equipment failure  The manufacturer does  not  in any manner  assume the responsibility for  performing the recommended maintenance schedule   unless an Equipment Maintenance Agreement exists   The sole responsibility rests with the individuals   hospitals  or institutions utilizing the device           Dueto continuing product innovation and because specifications in this  manual are subject to change without notice  a PM form is nolonger  printed with this manual  For the latest PM form regarding this product   contact Marquette Service     If repairs adjustments are made or you replace any parts  describethis in  the area provided on the PM form     Include any comments regarding any unusual environmental conditions  that may affect the operation or reliability of the equipment in the area  provided on the PM form     On the following pages a repair log is included for your convenience to  record the repair history of this product     Centralscope Central Station Revision C    405040 164    
43.  the central station  or approved by  Marquette for use with the central station  should be  connected  as specified in this manual or as otherwise  specified by Marquette     A shock hazard may exist if external devices are  connected other than as shown in this manual or as  directed by Marquette           Fuses Fuses are described in more detail later in this chapter     2 4 Centralscope Central Station Revision C  405040 164    EQUIPMENT OVERVIEW  Back Panel Description       Primary Video    Remote Video    Audio    Ports 1     4    Revision C    The primary video connection is used for thelocal display  supplied by  customer  or ordered separately from central station   Specifications for  the display areinduded later in this section        NOTE    The video adapter must be installed before a display is  connected to this port        The remote video connection is used for slave displays        NOTE    The video adapter must be installed before a display is  connected to this port        The audio connector can drive a cable up to 500 feet  160 meters  long  into an 8 Q speaker  The RING part of the connector carries all audio  signals  alarms  keyboard  touchscreen   The TI P part of the connector  carries alarm audio onl y     The four ports on the back of the central station can be configured for  various remote devices  Configuration of the ports is performed in the  service menus  The port uses are     Port1 ADU  Writer  Laser Printer  Remote Control    Port2 ADU  
44.  timing functions are provided by the real time  dock     Other functions of the central station are contained on separate circuit  board assemblies but controlled by the microprocessor on the main  processor PCB  A modified VME bus is buffered from the main processor  PCB and connected to five sets of connectors  slots  on the assembly   Through this bus power  data  address  and control signals pass through  tothe peripheral circuit board assemblies     Centralscope Central Station Revision C    405040 164    TROUBLESHOOTING  Block Theory of Operation       Peripheral assemblies supply several auxiliary functions for the central  station  These functions indude     Marquette Unity    Network    Qe    the writer PCB todrive the thermal writer     the video PCB to drivethe primary video PCB and a remote display     the primary video PCB which buffers the video signals for an    external display     theLAN controller PCB tointerfaceto the Marquette Unity  Network  and in some units    the analog Holter output PCB which generates analog signals that    can be input to Holter recorders or used to drive other equipment     Primary  Display      9      Remote  Display        E           LAN Controller    PCB             Analog  Holter    Writer PCB Primary Video Video PCB Output PCB  PCB             E f    T                e     Main ProcessorPCB                                              Revision C          I 1  I l    1  I      I   Bus Real Time Serial Port l      Interface   
45.  two different types of floppy disk drives  One  type has a door that closes when a floppy disk is not installed  Older  types of drives do not have a door  Disk drives without the doors must  have the disk drive cleaned before the central station software is  updated     e Toclean thedisk drive  blow canned compressed air onto the heads of  the drive until all dust is removed from the heads           NOTE    Only canned compressed air should be used to clean the  disk drive           Included with the update kit are two high density diskettes  Stored on  these disks are the new software files  To install V10 software in the  central station in the background  do the following     1  Insert central station update diskette labelled disk 1 of 2 into the  central station disk drive    2  Select the following menu options beginning with the central station  MAIN MENU     CENTRAL SETUP  SERVICE   Password  MEI CS 123   LOAD SOFTWARE  FLOPPY    3  Theupper left hand corner of the central station display reads   LOADING FROM   FLOPPY     After approximately 10 seconds  the upper left hand corner of the  central station reads     LOADING DISK 010A000 71 OF 2       If not  repeat the previous step     4  After approximately 15 minutes  the diskette ejects and the upper  left hand corner of the central station display reads     INSERT DISK 010A000 72 OF 2       5  Insert central station update diskette labelled disk 2 of 2 intothe  central station disk drive  Do not select LOAD SOFTWAR
46.  writer    External writers do not respond to the TTX dropout menu option  Some  external writers connected through a network connected monitor may  produce graphs with drop to baseline spikes  These spikes can occur as  the antenna field switches receiver banks  producing a false dropout  indication  It is not advised to use external 2 inch writers for graphing  telemetry data     The following external writers handle waveform gaps differently  depending on the software used        External Writer       DDW Software Result  7150 All versions DRAW mode  7160 Prior to version 2B DRAW mode  7160 Version 2B or later BLANK mode  7100 Prior to version 102A DRAW mode  7100 Version 102A or later BLANK mode                            Revision C Centralscope Central Station 3 23  405040 164    CONFIGURATION  Service Monitor Menu       Holter recordings    Use of this option can affect Holter recordings  It is recommended that  the BLANK option be selected if Holter recordings are being made  This  causes 100 mS bursts of  buzz  to be output to the Holter recording  whenever there is patient data signal dropout  The Holter analysis  software recognizes this  buzz  as artifact and deals properly with it        WARNING  Never usethe DRAW option during Holter recordings        If the DRAW option is selected and Holter recordings are made  there  will be problems with the subsequent analysis  Sincethe patient data  signal drops to the baseline during periods of dropout  the Holter  analysi
47. 002 1  31 W3 Harness Assembly  LED Switch T rim K nob Speaker 402642 004 1  32 W11 Harness Assembly  Hard Disk Drive Power 416411 001 1  33 WA Harness Assembly  Trim K nob 402643 003 1  34 W5 Harness Assembly  Speaker 402643 004 1  35 W6 Harness Assembly  Power Supply Main Processor PCB 416408 001 1  36 W9 Cable Assembly  Floppy Disk Drive Power 405785 006 1  38 K eycap  Console 57733 006 4  8 10 Centralscope Central Station Revision C    405040 164    UPPER LEVEL ASSEMBLY  Parts List PN414916 001G 002G 003G 004G                         39 Knob  Rotary 5811 006 1  40 E2  E3 Bezel  Console 58829 007 1  41 Bracket  Bezel Mounting 400454 001 2  42 A13 Fan Assembly 416413 001 1  43 Bracket  PCB  For  001   002  and  003 Only  403755 001 1  44 Screw  Phillips  M 3x6 45209 306 4  45 Bracket  PCB Support 416254 001 1  46 Bracket  Hard F loppy Disk Drives Mounting 416253 001 1  47 Housing  Centralscope 416259 001 1  48 El Chassis  Centralscope 415767 001 1  50 Paper  Thermal  50 MM  100 Ft  No Grid  Case of 48 9402  046 1  Rolls   For  002 and  004 Only   51 Paper  Thermal  50 MM  100 Ft  No Grid  For  002 and   9472 014 1  004 Only   52 A2 Writer PCB  For  002 and  004 Only  400874 002 1  53 W1 Cable Assembly  Writer  For  002 and  004 Only  416479 001 1  54 W2 Cable Assembly  Writer  Ground  For  002 and  004 Only    402643 010 1  55 Bracket  Mounting  Writer  For  002 and  004 Only  58509 005 1  56 Keyboard Shipping Assembly 401574 003 1  57 End Cap  Packing Foam  L eft 413823 001
48. 11001  11000011110001010110110    00110110001100000111001         Writer PCB    29 9         Thermal Print  Head Interface               Printer Motor                      I  I  I  I  I  I  i POO ORTHO ETO Control  l 0101  1111      I 1110   l 1110  1 oo11011000110000011100   Ip ut  O utp ut  I Bing Latches  I 0101    2  I  1110    1011      1110    Hoooiicoeonono   RAM I  I 0011 I  l 0101  2  I  1110      I L   I l  I L   l Interface    I I  I L   L       n e            Main Processor  PCB  Centralscope Central Station 5 9    405040 164    TROUBLESHOOTING  Block Theory of Operation       Video PCB    5 10    00110110001100000  11000011110001010             Graphics       Coprocessor             VME Bus  Interface                   Control  Logic       Wavefom  RAM    0110    1110    00110110001100000 Prog ram  11000011110001010   bait RAM   0101   1110   00110110001100000  11000011110001010  0011    010  100011000010 010  110111100010 101     Video RAM a       1110   00110110001100000  11000011110001010  0011       Text  RAM    Multiplexing 101     001100001010 x    100111010010 010  010          O     Y    Main Processor  PCB    The patient data from the network also consists of display data in  addition to graph data  This display data is processed by the main  processor PCB and then written tothe video PCB memories  A special  graphics coprocessor uses the display data to produce analog crt drive  signals     A bus interface  1  connects the address data buses of the main
49. 4916 001 002 003 004 Revision History                                     Ref Revision s Baseline   Rev   Item   Design Description Part Number   Qty   Part Number   Qty   A Initial Production Release   B 20 A7 Floppy Disk Drive  2 MB 409327 001 1 416865 001 1   C 37 Cable Assembly  Ethernet 700031 002 1 Not Used   D 22 Hard Disk Drive  850 M Byte 416622 001 1 418162 002 1   49 All LED PCB 409716 002 1 Not Used   E 22 Hard Disk Drive  1 2 M Byte 418162 001 1 418162 002 1   F Documentation change that does not affect the manual    G 22 Hard Disk Drive  2 1 M Byte 418162 003 1 418162 002 1  8 12 Centralscope Central Station Revision C    405040 164       
50. A Continuous       2 14    Key  I  Class I equipment  B  Type B applied part    BF  Type BF applied p    art    CF  Type CF applied part    NA  Not applicable    Ordinary  Ordinary equipment  enclosed equipment without    protection against ingress of water     Not Suitable  Equipment not suitable for use in the presence of a  flammable anesthetic mixture with air or with oxygen or nitrous oxide    Centralscope Central Station  405040 164    Revision C       EQUIPMENT OVERVIEW  Preparation for Use       Preparation for Use    Power Requirements    Equipment  Grounding    Revision C    One properly grounded duplex wall receptacle should be provided for  each central station  The wall receptade should be hospital grade and  installed in a suitable junction box  Use only three prong  polarized plug  on the power cord of the central station  Power for the central station  should be provided by a power line dedicated solely to equipment  requiring emergency power           WARNING    Loss of power to the central station results in the loss of  all patient monitoring overview functions                 WARNING    Shock Hazard  The central station must be adequately  grounded or a shock hazard may exist           The grounding pin of all wall receptades and all exposed metal parts   beds  radiators  water pipes  etc   in the patient area should be  electrically connected together  This common ground point should be  connected to the nearest equipotential ground through a bonded  grou
51. Centralscope       Central Station  Field Service Manual    405040 164 Revision C       marquette    Medical Systems    Trademarks    T 2    NOTE  Due to continuing product innovation  specifications in this  manual are subject to change without notice    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  AccuVision  APEX  AQUA KNOT  ARCHIVIST   Autoseq  BABY MAC  CardioServ  CardioSmart  CardioSys  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 MAC   MARQUETTE UNITY NETWORK  MARS  MAX  MEDITEL  MEI  MEI  in thecirclelogo MEMOPORT  MEMOPORT C  MINISTORE   MINNOWS  Monarch 8000  MULTI LINK  MULTISCRIPTOR  MUSE   MUSE CV  Neo Trak  OnlineABG  OXYMONITOR  Pres R Cuff   PRESSURE SCRIBE  QMI  QS  Quantitative Medicine  Quantitative  Sentinel  Qwik Connect Spiral  RAMS  RSVP  SAM  SEER  SOLAR   SOLARVIEW  Spectra 400  Spectra Tel  ST GUARD  TRAM   TRAM NET  TRAM RAC  TRAMSCOPE  TRIM KNOB  UNITY logo   UNITY NETWORK  Vari X  Vari X Cardiomatic  VariCath  VAS  and  Vision CareFilter are trademarks
52. DROPOUT DRAW option to distinguish between  transmitter dropout and network dropout  Transmitter dropout  appears as a signal at bottom of the display while network dropout is  no signal being displayed at all     Network dropout can occur when the amount of data being  transmitted overwhelms the ability of the network to deliver the  data  Possible failures could be defective LAN interfaces in any of the  devices connected to the network  Call Service if the problem  persists     Centralscope Central Station 5 21  405040 164    TROUBLESHOOTING  Troubleshooting Signal Dropout       For your notes    5 22 Centralscope Central Station Revision C  405040 164    O CALIBRATION    Thermal Print Head Voltage Adjustment                         6 2   DescrIptlons   io sce vi She Seek aos ae gh oan Ute 6 2   TOS  FEQUIFED sss lE eR en mi EY ees 6 2   Procedure  rp ee isk ted Aa oa  eee 6 2   Revision C Centralscope Central Station 6 1    405040 164    CALIBRATION  Thermal Print Head Voltage Adjustment       Thermal Print Head Voltage Adjustment    Nofield adjustments other than the thermal print head voltage are  possible on the central station  except those that pertain to the display   Consult the display manufacturer s service documentation for those  procedures     This section contains a calibration procedure for adjusting the supply  voltage for the thermal print head     Description A variable resistor on the writer PCB controls the voltage applied to the  thermal print head in 
53. E  Checkout Procedure             Tested Component  PORTS    FLOPPY DISK DRIVE    THERMAL WRITER  LINEARITY    THERMAL WRITER  SPEED    THERMAL WRITER  ACCURACY       Expected Test Result    Port 1     Connect the remote control to the port and then program the central  station to use a remote control at port 1  Verify that the remote control can be  used to selection menu options by scrolling through menu items and then  pressing the Trim K nob control to select one of them     Port 2     Usethe remote control to test this port also  Make sure to program the  central station for a remote control at port 2  Verify that the remote control  can be used to selection menu options by scrolling through menu items and  then pressing the Trim K nob control to select one of them     Port 3     Connect either a remote terminal or laser printer to the port  If a  remote terminal is used access the Service Monitor and enter some typical  command line sequences to verify that the port is operating  If the laser  printer is used  set the central station to use the laser printer at port 3  Then  send some graphs sample to the laser printer     Port 4     Connect a laser printer tothe port  Or if the display has a touch screen  that feature can be used to test port 4  If the laser printer is used  set the  central station to usethe laser printer at port 4  Then send some graphs  sample to the laser printer  If the touch screen is connected verify that when  the screen is touched the appropri
54. E fromthe  menu  The system automatically loads diskette two  The upper left  hand corner reads     LOADING DISK 010A000 72 OF 2       Centralscope Central Station Revision C    405040 164    CONFIGURATION  Software Update Instructions       Network Load Other  Central Stations    Activate Central Station  Software    Completion Steps    Revision C    6  After approximately 10 minutes  the diskette ejects and the upper  left hand corner of the central station reads     LOAD FROM FLOPPY COMPLETE           NOTE    Do not power cyde the central station at this time  Wait  until all central stations are updated  Instructions for  activating the software are presented later in this  procedure           If the system has only one central station  go to  Activate Software   below  Download all other central stations by selecting the following  menu options beginning with the central station MAIN MENU     CENTRAL SETUP   SERVICE   Password  MEI CS 123    LOAD SOFTWARE  Dial TRIM KNOB control to select source     Care Unit Name     Central Station Name     Software  Version   Push TRIM KNOB control    After approximately seven minutes  the upper left hand corner of the  central station display reads     LOADING FROM    lt Care Unit Name       Central Station Name    COMPLETE      f not  repeat the previous step     The following step interrupts patient monitoring           CAUTION    Notify hospital personnel of a patient monitoring  interruption of approximately one minute           
55. It is recommended that the floppy disk drive should be cleaned at least  every 12 months     To dean the floppy disk drive the drive must be exposed  Follow this  procedure     1  Power down the central station  Disconnect the central station from  the power source and the network     Remove the external monitor from the top of the central station     3  Removethe screws attaching the housing to the chassis at the rear of  theunit     4  Pull the chassis out of the housing     Centralscope Central Station Revision C  405040 164    MAINTENANCE  Cleaning       Cleaning Inside the  Central Station    Revision C    5     Using a source of clean  dry compressed air  blow all lint and debris  out of the floppy disk drive        CAUTION    Do not use a vacuum device unless suitable static   control procedures are followed  Many vacuum systems  generate appreciable static electricity which could  damage semiconductor circuits in the central station        Use a commercial floppy disk drive cleaning kit to clean the internal  heads of the mechanism     Install the chassis back into the housing and attach with screws   Perform leakage tests     Replace the external monitor  Connect the central station to the  network and to the power source     10  Apply power to the central station and verify operation     The central station uses a forced air cooling system that draws   appreciable quantities of air through the unit  As a result there can bea  buildup of lint and other debris insidet
56. Kits  ache et Overs eae te Ree Rede ee Lee RA 8 3    scc Pm 8 3  Exploded View PN414916 001G 002G 003G 004G                  8 4  Schematic Diagram PN414916 001G 002G 003G 004G              8 6  Labels vs  sedi kl EE Pes ede be doe beled 8 8  Parts List PN414916 001G 002G 003G 004G                     8 10  RevisionstotheAssemblies                                   8 12   Centralscope Central Station 8 1    405040 164    Assembly Variations    The Centralscope central station is available with or without two  options  a thermal writer or with analog Holter outputs  The available  models are listed below with the part numbers                             Part Number Assemblies Available   414916 001 Centralscope central station without the thermal writer    414916 002 Centralscope central station with the thermal writer    414916 003 Centralscope central station with analog Holter outputs but without the thermal  writer    414916 004 Centralscope central station with analog Holter outputs and with the thermal  writer    8 2 Centralscope Central Station Revision C    405040 164    UPPER LEVEL ASSEMBLY  Ordering Parts       Ordering Parts    Spare Parts Kit    Fuses    Revision C    The parts list and assembly drawings in this chapter supply enough  detail for you to order parts for the assemblies considered field  serviceable  If you require additional information  schematics or  troubleshooting assistance  contact Tech Support     Toorder parts  contact Service Parts at the add
57. MAINTENANCE  Visual Inspection       Visual Inspection    Revision C    The Centralscope central station and it s components should be carefully  inspected prior to installation  one time each year thereafter and each  time the equipment is serviced     Physical damage to the case  the display screen  the controls and the  keyboard  Do not use the central station if damage is determined   Refer damaged equipment to qualified service personnel     Carefully inspect the keyboard for any damage due to fluids or other  debris in or around the keys  Fluids and debris can cause short  Circuits between keys or disable keys  preventing the central station  from being used properly and possibly displaying erroneous  information     Inspect all external connections for loose connectors or frayed cables   Have any damaged connectors or cables replaced by qualified service  personnel     Inspect the CRT face for marks  scratches  or other damage  Physical  damage to the CRT face may pose an implosion hazard  Havethe  CRT replaced by qualified service personnel if necessary     Inspect the floppy disk drive for dust or dirt  If necessary  use  compressed air to remove debris from the disk drive mechanism     Centralscope Central Station 4 3  405040 164    MAINTENANCE  Cleaning       Cleaning  Cleani ng To avoid damage to the equipment surfaces  do not use the following  Precautions deaning agents       Organic solvents      ammonia based solutions    e acetone solution      alcohol based 
58. MEI CS 123          SERVICE  Enter password       CENTRAL DISPLAY TELEMETRY 7 4  DEFAULTS UNIT DEFAULTS       SELECT BEDS FOR DISPLAY    PREVIOUS  AT THIS CENTRAL    MENU                LEARN THE  CENTRAL          2  TheSERVICE menu is displayed     PREVIOUS SELECT BEDS COPY EJECT LOAD  MENU AND WAVEFORMS LOGS FLOPPY SOFTWARE  REMOTE VIDEO SELECT SET TIME CLEAR DEFAULTS DEGAUSS SERVICE  AMPLITUDE DEVICES AND DATE MESSAGES MONITOR MONITOR                Revision C Centralscope Central Station 3 3  405040 164    CONFIGURATION  Service Menu       List of Service Menu    he following list briefly describes the items in the SERVICE menu     Options    3 4    Continue in this chapter for more details about each menu option        WARNING    Performing any of the functions listed in the SERVICE  menu can lead to serious consequences if instructions are  not followed exactly  Patient data could be lost or  misdirected  the operating system software could be  corrupted  even the entire network could be disabled     Subsequent pages describe in more detail how to use  these special options  Do not use any of the options in  any manner except exactly as shown in this section        PREVIOUS MENU     Returns to the menu previously displayed     SELECT BEDS AND WAVEFORMS     Allows the user to program the  central station display  The operator manual explains this option in  more detail     COPY LOGS     Is used to copy log files from the central station hard  disk drive to a floppy diske
59. OTE CONTROL    REMOTE AUDIO    REMOTE VIDEO          Expected Test Result    Under the Central Display Defaults menu set the TOUCH TONE VOLUME  AND ALARM VOLUME to 10096  Verify that the alarm volume is 10096  very  loud  for bed alarm conditions  Verify that an open door condition for the thermal  writer uses the 10096 volume  Verify that the 10096 volume is used when any of  the control keys is pressed     UsetheTrim K nob control to select the volume settings menu item in the  previous step  Set the volume levels back to 2096 or to whatever values used  before the previous step  Verify that the Trim Knob control can be used to select  other display options  Rotating the control should scroll the selections to various  options on the display  Pressing the Trim Knob control should select the  highlighted option    Using theTrim Knob control enter the CENTRAL SETUP menu  Select  CENTRAL DISPLAY DEFAULTS  Select MODIFY  Scroll through the options to  select DISPLAY INTENSITY  Scroll through all possible settings  10  to 100    Verify that the display intensity changes for each step  Set the display intensity  back tothe original value     Select the CENTRAL SETUP menu  Select the SERVICE option  The unit  should prompt for a password  Test the keyboard by entering each key and  verifying that each key is displayed when pressed   You may need to use the  Delete key to remove entered keystrokes      Connect the central station to a patient monitoring network  Verify that patient
60. Open Paper Out LED turns off     Powerup displays shown on the CRT  then the operating software is  started and menu boxes displayed     Centralscope Central Station Revision C    405040 164    TROUBLESHOOTING  Controlling Static Discharge Damage       Controlling Static Discharge Damage    Many of the semiconductor devices used on circuit boards in the central  station are sensitive to static electricity discharges  ESD   If devices and  circuit boards containing them are not handled properly the devices may  be damaged  The damage is usually a subtle weakening of a  semiconductor junction  Under thermal  electrical  or mechanical stress  conditions  the stati c damaged junction is the most likely to fail  This  often leads to a catastrophic failure of the entire semiconductor device     All external connector inputs and outputs of the central station are  designed to protect the internal circuits from the ESD  H owever  if the  central station requires service and the internal assemblies are exposed   ESD precautions must be taken     Staticelectricity discharge damage can be reduced if the following  guidelines are followed     e Before handling semiconductors or assemblies containing  semiconductors discharge any static charge you may have built up     e When handling semiconductors or repairing assemblies containing  semiconductors wear a grounded antistatic wristband or heelstrap     e Usea grounded soldering iron and grounded test equipment   e Useastatic free work sur
61. Through a series of menus you can select a  device  such as a monitor  central station  or telemetry tower  in any Care  Unit  Then you can choose a device error log for a particular day     Once you deselect the desired error log  you can copy it over the network  toa floppy diskette in the central station s floppy diskette drive  Sincethe  error logs aretext files they can be read into other computers and read  using most text editors or word processing applications     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  COPY LOGS    2  The COPY LOGS menu is displayed     PREVIOUS UNIT  DEVICE  START  MENU CCU BED 2 COPY    To specify the Care Unit select the UNIT  button                 Rotate the trim Knob control to change the displayed Care Unit name   When the desired Care Unit name is displayed press the Trim Knob  control     PREVIOUS UNIT  START  MENU CCU COPY    LOU Jd                     gt                  To specify a monitoring device  select the DEVICE  button     Rotate the Trim Knob control to change the displayed device name           NOTE    Only monitoring devices within the previously selected  Care Unit are shown  When the desired monitoring  device name displays  press the Trim Knob control     PREVIOUS UNIT  DEVICE   MENU CCU BED 2                 START  COPY                   Centralscope Central Station 3 7  405040 164    CONFIGURATION  Service Menu
62. Toactivatethe software  simultaneously depress the following three keys  at the central station keyboard     CRTL ALT BACKSPACE    1  If your system has a remote display  toggle the display menu ON and  OFF by selecting CTRL  ALT  and F9 keys on the central station  keyboard     2  Make surethat all manual and alarm graphs go to the central  station as they did before the update     3  Fill out and return the U pdate Installation Verification Form     Centralscope Central Station 3 41  405040 164    CONFIGURATION  Software Update Instructions       For your notes    3 42 Centralscope Central Station Revision C  405040 164    4 MAINTENANCE    MaintenanceSchedule                                        4 2  Manufacturer Recommendations                            4 2  Manufacturer Responsibility                                4 2  PM EOC mE ATE Ie ek HR 4 2   Visual l ISDeCLIOn u g ser Gia eee Gyre eR ates wl gate ER E CERE ae 4 3   Cleaning  ssucslu iyu cu mk OR LE gx ER px EX 4 4  CleaningPrecautions                                      4 4  CleaningtheDisplay                                      4 4  Exterior Cleaning AI WA AA 4 5  CleaningtheKeyboard                                    4 5  Cleaning the Thermal Print Head                            4 5  Cleaning the Floppy Disk Drive                             4 6  Cleaning Inside the Central Station                          4 7   Electrical Safety Tests                                        4 9  General  a riae D wheat Ae G
63. UT 3 DISP  2 00  46 OUTPUT 3 PACE  1 25  47 OUTPUT 2 DISP  3 00  48 OUTPUT 2 PACE  2 25  49 OUTPUT 1 DISP  4 00  50 OUTPUT 1 PACE  3 25  Revision C Centralscope Central Station    405040 164    MAINTENANCE  Repair Log       Repair Log       Unit Serial Number     Institution Name       Date   MaintenancefRepair                                                                      4 22 Centralscope Central Station Revision C  405040 164    D TROUBLESHOOTING    Introduction  0 ai bee a A bee eee ees 5 2  TroubleshootingOutline                                   5 2  Block Theory of Operation                                     5 3  OVENVIOW DP  5 3  Unity Network oa secon aaah ts RE tus tx Ge ee 5 3  Network Communication                                   5 5  Main Processor PCB                                       5 6  Writer PCB cod healer ha rne Red RECETTE a 5 8  Video PCB iaa a 5 10  Central Station Powerup  Boot  Seguence                       5 11  Powerup Sequence        0    ee ee 5 11  Troubleshooting the Powerup Seguence                      5 12  Controlling StaticDischarge Damage                           5 13  Special Components   erence nsr eR e kx a RR 5 14  Surface Mounted Components                              5 14  PECC Components  nye de baa Mabe Opies a dean 5 14  LEDs on the Circuit Boards                                   5 15  General FaultIsolation                                      5 16  First THINGS tOASK oc 5 16  VisualiInspection                  
64. Writer  Laser Printer  Remote Control    Port3 Laser Printer  Terminal    Port 4 Laser Printer  Touch Screen    The Terminal connection can be used to connect a personal computer or  other terminal display device to the central station  This device can then  be used to perform configuration tasks and for troubleshooting  if the  central station display circuits are not functioning properly           NOTE    If a touch screen is connected to port 4  set the  configuration option to    NOTHING              Centralscope Central Station 2 5  405040 164    EQUIPMENT OVERVIEW  Connecting the Display       Connecting the Display    Video Adapters The Centralscope video adapter kit is used to changethe video output  configuration to the pinouts required for use by SVGA displays  Either  one or two adapters are required  depending upon the type of central  station and the video system being used     1  Install the video adapter s   pn 405947 003A  as shown below           NOTE    The adapter s  may already be installed  and that there  may only be one adapter supplied with the unit           Primary Video  Connector       2  Usethe jackscrews on each adapter to securely connect the adapter  to the central station     3  Do not depend upon friction in the connector contacts to attach and  hold the adapter     2 6 Centralscope Central Station Revision C  405040 164    EQUIPMENT OVERVIEW  Connecting the Display       Connect Video Cable    Revision C    4  Thevideo cable to the display s
65. afety of medical electrical systems       EC Publication 513 1994  Fundamental aspects of safety standards for  medical equipment     ROY  O Z   Summary of cardiac fibrillation thresholds for 60 Hz currents  and voltages applied directly to the heart  Med   amp  Biol  Engn   amp   Computing 18  657   659  1980      405040 164    Revision C    INTRODUCTION  Service Information       Service Information    Any unauthorized attempt to repair equipment under warranty voids    Device Characteristics  One or 2 letters that  further describe the unit   for example    P   prototype not  conforming to marketing  specification   R   refurbished  equipment   S   special product  documented under  Specials part numbers  U   upgraded unit    Service Follow the service requirements listed bel ow   Requirements e Refer equipment servicing to Marquette s authorized service  personnel only   that warranty   e  tis the user   s responsibility to report the need for service to  Marquette M edical Systems or to one of their authorized agents     Failureon the part of the responsible individual  hospital  or  institution using this equi pment to implement a satisfactory  maintenance schedule may cause undue equi pment failure and  possible health hazards   e Regular maintenance  irrespective of usage  is essential to ensure  that the equipment will always be functional when required   Equipment Every Marquette M edical Systems device has a unique serial number for  Id ifi i identification  The se
66. anged  to pull patient data from another Care Unit         PREVIOUS SELECT ANOTHER CONFIGURE  MENU CARE UNIT DISPLAY    LOCKED 1 LOCKED 2    MW Kee 4393   UNLOCKED 4   UNLOCKED 5  UNLOCKED 6     UNLOCKED 7     UNLOCKED 8  BED1  BED2  BED3 BED4 BEDS BED6 BED7 BED8    2  Select one of the analog signal channels  corresponding to the slave  display to be programmed or changed  Rotate the Trim Knob control  to select the channel  then press the Trim Knob control     Note Lock or unlock by selecting same bed           RETURN    UNLOCKED 3    UNLOCKED ol UNLOCKED 7   UNLOCKED    BED3    BED8 BED8 BED8                                           CAUTION    It is possible to program a central station to send the  wrong patient s data to a slave display in the wrong room   Verify that the physical connection information is correct  before programming the slave displays  Once they are  programmed  verify the correct analog data is being sent  to the correct slave display  This must be done before a  patient is admitted to the system and the slave displays  are used                 NOTE    The slave displays are hard wired to the central station  analog outputs  Take care to correctly match the data  source to the display           Moreinformation to configure and verify the H olter Acquisition Unit and  slave displays is presented in Chapter 6   Peripheral Devices      Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Menu       Set Time and Date This option a
67. ate response is generated by the central  station     Test the floppy disk drive by inserting a formatted diskette into the drive   Through the Service Monitor copy a log filetothe floppy  Next usetheTYPE  command to read the file back from the floppy and display it on the central  station monitor  Finally  use the EJ ECT command to remove the floppy diskette     Follow the instructions in the Thermal Print Head Voltage Adjustment in the  Calibration section of this manual to print the test pattern   Thetest pattern  consists of vertical dashed lines and a triangular waveform    After printing several inches of the test pattern  tear a sample from the thermal  writer  Carefully fold the sample in half near one of the vertical dashed lines   Verify that the dashed line is perpendicular from the top to the bottom of the  strip  0 5mm as measured against the fold in the paper   Access the Service Monitor  Enter the following command   set 0Ox89060000 Ore   wheretheunderline    is a spacecharacter     A series of triangle waveforms is printed on the thermal printer  Each series of  triangles represents a different paper speed    Graph a strip  Using a metric scale measure the distance between the first and  twentieth 5mm graticules  The distance should be 100mm zx 1mm           Revision C    Centralscope Central Station 4 17  405040 164    MAINTENANCE  Checkout Procedure          Tested Component Expected Test Result  DISPLAY Refer tothe manufacturer s specifications for testing 
68. ause Action  Unit will not boot up Circuit board not Work through the Powerup  Boot  Sequence   communicating observe if any errors are reported when    software is loaded to a circuit board  If an  error is reported try replacing the circuit  board and reboot the central station        Hard drive A minimum display is generated by the boot  code on the main processor PCB  If this occurs  then the video PCB and main processor PCB  are most likely functional  After the boot  sequence the software for the central station  displays are loaded from the hard drive     Test the hard drive to make sureit starts and  continues to run   Place a finger on top of the  hard drive to feel the vibration as it starts  and runs      If the hard drive does not start up check the  cabling toit  Replace the hard drive        Software corrupted Insert a diskette with the latest software  version into the floppy disk drive and reboot  the central station  If the central station  successfully reboots  install the software onto  the hard drive        Main processor PCB If the central station will still not power up  successfully  replace the main processor PCB           Green LED on Power source Verify suitable power source  check voltages  central station does at wall outlet   not illuminate Low voltage power supply   Check fuses on the power switch fuse block     Check fusing on the low voltage power supply   Measure output voltages from low voltage  power supply  if outputs not present replace  p
69. binet assembly to  load new software     1  Toaccess the TELEM TOWER SPECIAL option  select the following  menu options beginning with the Centralscope central station MAIN  MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR   TELEM TOWER SPECIAL    2  Within this option allows you to dothe following     e select the tower  cabinet assembly  to be updated with new  software     e select the origin of the update software   e start the software update  and    e reboot the tower     This option selects a network connected tower  CD Telemetry L AN  cabinet  for the software upload  Once selected and the link established   thetower responds to the central station as if there were a physical link  between them     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR   TELEM TOWER SPECIAL  TOWER     2  A popup menu is presented that lists all CD Telemetry LAN cabinet  assemblies connected to the network     Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Monitor Menu       3  UsetheTrim Knob control to select the telemetry cabinet assembly  to be updated with new software   TOWER    START   START   START      PREVIOUS  MENU LOAD LOAD LOAD    4 SICU 1   TOWR_126 0 16 187 REBOOT REBOOT REBOOT  y TOWER TOWER TOWER    NOTE    Each tower  cabinet  is described by   ts Care Unit name  and Ethernet address  The Ethern
70. d as necessary        Required Tools Special Equipment        Part Number       Leakage Current Tester                120 V  or equivalent  MT 1216 01  240 V  or equivalent  MT 1216 02  Multimeter    Revision C Centralscope Central Station 4 9    405040 164    MAINTENANCE  Electrical Safety Tests       Wall Receptacle Test    Ground  Earth   Integrity       Ground Continuity Test    4 10    Before starting the tests  the wall receptade from which the monitoring  device gets electrical power must be checked  This test checks the  condition of the wall receptade to ensure correct results from leakage  tests     For international wall receptades  refer tothe internal standards  agencies of that particular country  Use a digital multimeter to ensure  the wall receptade is wired properly     If other than normal polarity and ground is indicated  corrective action  must be taken before proceeding  The results of the following tests are  meaningless unless a properly wired wall receptade is used     Listed below are two methods for checking the ground  earth  integrity    Ground Continuity Test  and  I mpedance of Protective Earth  Connection   These tests determine whether the device s exposed metal  and power inlet s earth  ground  connection has a power ground fault  condition     Perform the test method below that is required by your Country L ocal  governing safety organization     Completion of this test is checked by the following steps   1  Disconnect the DUT  device under t
71. d for telemetry beds   These defaults determine where patient data prints for either manual or  alarm conditions  Since a telemetry patient is not linked to a monitor   such as a Solar 8000  these defaults are necessary to specify the  destination for alarm and manual graph printouts  The PRINT  WINDOWS DEFAULT alsois used to program a destination laser  printer or thermal writer        NOTES    The default printers are only those devices located in the  same Care Unit as the central station  The possible  devices indude all Direct Digital Writers whether they  are connected to a central station or to a monitor and all  laser printers     An external 2 inch writer  connected through a network   connected monitor  produces graphs with  drop to   baseline spikes  These spikes can occur as the antenna  field switches banks  produdng a false dropout  indication  It is not advised to use external 2 inch writers  for graphing telemetry data        To set the defaults  do the following     1  RotatetheTrim Knob control to select one of the default items  Press  the Trim Knob control to input the selection  The printer field tothe  right should highlight     2  RotatetheTrim K nob control to select a printer  The names arein  the format     CARE UNIT   DEVICE   PRINTER TYPE  An example  ICU   CS1  DDW 2IN    When the desired printer appears  press the Trim Knob control to  input the selection     3  All three defaults are programmed using the same method     Centralscope Central Stat
72. deaning agents     e Betadine solution     e a wax containing a cleaning substance  or      abrasive cleaning agents        CAUTION    Failure to follow these deaning guidelines may result in  damage to the central station  display  and keyboard           Item    Ammonia  diluted  or   Cidex solution  or   Sodium hypochlorite bleach  diluted   or  Mild soap  diluted    Lint free cloth    Dust Remover  compressed air           Recommended Cleaning Supplies    Part Number    TX609       Cleaning the Display The central station components should be cleaned on a regular basis     especially the keyboard     To dean the central station monitor follow the recommendations of the  display s manufacturer   n general you need to use a soft  clean  lint free    cloth dampened with a glass cleaner           CAUTION    Do not spray any glass cleaning solution or any general  cleaning solutions directly onto the monitor   s display    surface           4 4 Centralscope Central Station  405040 164    Revision C       MAINTENANCE  Cleaning       Exterior Cleaning    Cleaning the  Keyboard    Cleaning the Thermal  Print Head    Revision C    Clean the exterior surfaces with a dean  lint free doth and one of the  deaning solutions listed above     e Wring the excess water from the cloth  Do not drip any liquid into  open vents  switches  plugs  or connectors     e Dry the surfaces with a dean cloth or paper towel     Cleaning the keyboard should be done on a regular schedule  The  exterior sur
73. djusts the central station time and date settings  However   any time date changes made at one central station are also transmitted  out over the network to all other devices  The TimeM aster central station  re broadcasts the time date change information and causes all other  devices for adjust their settings        CAUTION    Any change to the time date data causes all units on the  network to alter their time and date settings also  This  change may cause other monitors to alter the time  parameter of some patient data  Patient histories and  trends may be lost           NOTE    Daylight Savings Time changes must be manually input  into the monitoring system  Patient data may be affected  by this change as noted above        To make changes to the time or date settings  do the following     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SET TIME AND DATE    2  Thetime date select menu is displayed     E JJ LL JL JL LL j  CRI JL I Lb Lb Lb lj    3  Select either SET TIME or SET DATE                   PREVIOUS SET      MENU TIME Ell  1 26 AM    o Em ES               ED                                                       Revision C Centralscope Central Station 3 15  405040 164    CONFIGURATION  Service Menu       4  RotatetheTrim K nob control to change the number being displayed  to the desired value  Then press the Trim Knob control to input the  change     5  Repeat
74. e following chart lists the LEDs on various central station circuit  boards and their normal condition     Main Processor PCB    DS1 Green Flashing at 1 Hz  DS2 Yellow VME bus activity  steady ON    Writer PCB  DS1 Green Flashing at 2 Hz  version 9  or 1 Hz  version 8   LAN Controller PCB    DS1 Green ON during bootup  then off  DS2 Amber Collision detect  normally OFF  may flash    DS3 Green Transmit  normally flashing  DS4 Red Carrier  normally flashing  Video PCB    DS1 Green Flashing at 1 Hz    Centralscope Central Station 5 15  405040 164    TROUBLESHOOTING  General Fault Isolation       General Fault Isolation    First Things to Ask    Visual Inspection    5 16    If theunit is not working properly  save yourself some time  troubleshooting by asking yourself these basic questions     e  sthe power cord connected   e  stheunit turned ON at the rear of the monitor     e  sthedisplay LED illuminated   If not  press the DISPLAY ON OFF  button to turn the display ON      e  Areall the communication cables firmly connected     e Were there any changes in the use  location  or environment of the  equipment that could cause the failure     e Has the unit been modified in any way  either in software or  hardware     e ls operator error the cause of the problem  Try to repeat the user s  scenario exactly and compare that to the proper operation of the  equipment  Check the Operator   s Manual as necessary     A thorough visual inspection of the equipment can save time  Small  thi
75. e main processor PCB transfers large blocks of data  intothe writer PCB RAM  2   The data in the writer PCB RAM is then  processed by the microprocessor  3   converting the data into a serial  data stream of dot control bits  These control bits energize elements on  thethermal print head  in the thermal writer assembly  5   to  burn  the  thermal paper  As required by the paper movement speed  dot control bit  data is retrieved by the thermal print head interface  This circuit docks  the data as a serial stream over to buffers in the thermal writer  assembly     The writer PCB also controls the speed at which chart paper is driven  through the thermal writer assembly  Through display menus a user  selects a chart paper speed  The main processor PCB passes this control  information on to the writer PCB microprocessor  Drive signals are  generated by the microprocessor and through a printer motor control  circuit  6  four phase drive signals are produced  These signals drivethe  stepper motor in the thermal writer assembly     Centralscope Central Station Revision C  405040 164    TROUBLESHOOTING  Block Theory of Operation       Revision C    Status data from the thermal writer  such as reporting an  out of paper   condition or a  door open  condition  are reported back to the main  processor PCB through the VME bus  Two input and output status  latches  7  hold the data until the destination circuits are ready for the    data                                  001101100011000001
76. e this TTX 4  LL U    2  Toadd a bed name  first press both the Alt and keys  then enter the  name                             Use the keyboard to enter the possible TTX numbers     The range of TTX numbers depends on the country the telemetry  equi pment is being used in but they are always strictly numeric  values     Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Monitor Menu       5  When the TTX numbers are all entered  press the Trim Knob control  to exit this option        NOTE    The NAME TELEM XMTRS option operates within a  telemetry site  not just within a Care Unit  A single  telemetry cabinet can have its receivers assigned to  several Care Units at a telemetry site        List Admitted TELEM Beds    This option displays a list of all the telemetry beds that have admitted  patients for a selected telemetry cabinet assembly     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR   LIST ADMITTED TELEM BEDS    2  A popup menu is shown that identifies the telemetry cabinets by  their IP address           PREVIOUS TTX DROPOUT  LIST ADMITTED  MENU BLANK TELEM BEDS    SICU TOWR 126 0 17 206  DUPLICATE TTS       ees      3  RotatetheTrim K nob control to scroll through the list of telemetry  cabinets  Press the Trim K nob control to select a telemetry cabinet                 A list is generated that indudes the receiver  the
77. ed        r                      CENTRAL DISPLAY DEFAULTS   gt  EEN   OF BEDS AND WAVEFORMS 8 BEDS   1 WAVEFORM  ALARM VOLUME 10  ECG   FROM ECG SOURC gt   TOUCH TONE VOLUME 20  WAVEFORM 2 OFF  COLOR TRANSDUCER WAVEFORM 3 OFF  DISPLAY INTENSITY 70  UNIT NAME ICU 1  TIME FORMAT 12 HOUR CENTRAL NAME CS1  DATE FORMAT 25 DEC 93 MIRROR CENTRAL DISPALY NONE  MESSAGELINE ON MANUAL GRAPH DEFAULT         DDW 2IN  ALARM GRAPH DEFAULT        IDDW 2IN  SOFTWARE VERSION 010C PRINT WINDOW DEFAULT         DDW 2IN   ev  ve ENS L lI rr                 If your central station runs an older version of software  call your  Marquette sales representative to order a software upgrade     3 2 Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Menu       Service Menu    Several central station functions are programmed through the SERVICE  menu  The following pages describe each menu function briefly and in  detail           WARNING    The SERVICE MENU is intended for use only by  qualified personnel with training and experience in its  use  Do not  experiment  with any commands other than  those shown in this manual  The consequences of misuse  indude loss of patient data  corruption of the central  station operating software  or disruption of the entire  Marquette Unity Network           To access the SERVICE menu  dothe following     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP  SERVICE  Enter password  
78. ed below        WARNING    Failure to adequately ventilate the central station may  cause equipment failure or improper monitoring  conditions which may endanger the patient being  monitored           CAUTION    Do not locate the central station in an enclosed area that  may restrict dissipation of the heat generated by it  Any  air flow restrictions may cause a rise in internal  temperature which may result in equipment failure        Locate the back of the central station no closer than 4 inches  10  centimeters  from any partition  wall  or enclosure  Allow at least 4  inches  10 centimeters  open space above the central station and display  for air circulation        CAUTION    You must adequately vent the total heat load generated  by the central station and external display to prevent  equipment failure of either device  The central station  uses a forced air cooling system  but most displays do not   The user must determine the heat dissipation  requirements of the selected display and design a  ventilation system accordingly  taking into consideration  the heat load generated by the central station        Installation of the Centralscope central station consists of the following  steps     1     The Marquette Unity network is already installed  tested  and ready  for use  The drop cable from the network tothe central station should  be installed and ready for use     Power for the central station is already installed  tested  and ready  for use  This includes testing 
79. eed the one to be rebooted  Press the Trim Knob  control to reboot the tower           7   n about two minutes the telemetry tower should operate normally  again  Previously admitted patients should reappear on the central  stations that monitor them     Revision C Centralscope Central Station 3 37  405040 164    CONFIGURATION  Service Monitor Menu       3 38    Rebooting for New Software    This option is also used to start operation with newly installed software   Software is uploaded into the tower in the background and only used  when the tower has been rebooted     The procedure for rebooting to initiate new softwareis the same as for  the troubleshooting reboot  The same concerns about loss of patient  monitoring apply           CAUTION  When new software is activated all patient histories and  trends are lost           Centralscope Central Station Revision C  405040 164    CONFIGURATION  Software Update Instructions       Software Update Instructions    General These instructions describe the installation of V10 or later software in a  Centralscope central station  The software update installation performs  in the background with the least amount of interruption to monitored  patients     Compatibility To enable access to all features from all equipment connected to the  Marquette Unity Network  we recommend the following software levels  be compatible  Other combinations of software level for various  equi pment may coexist on the network  but they are not recommended
80. ements of this equipment may lead toa  reduced level of safety of the resulting system  Consideration  relating tothe choice shall indude         use of the accessory in the PATIENT VICINITY  and    evidence that the safety certification of the ACCESSORY has    been performed in accordance to the appropriate IEC 601 1  and or IEC 601 1 1 harmonized national standard     e  ftheinstallation of the equipment  in the USA  will use 240V rather  than 120V  the source must be a center tapped  240V  single phase  circuit     1 4 Centralscope Central Station Revision C  405040 164    INTRODUCTION  Safety Information       Equipment Symbols                           Revision C       NOTE  Some symbols may not appear on all equipment        ATTENTION  Consult accompanying documents before using the  equipment     In Europe  this symbol means dangerous or high voltage  In the  United States  this symbol represents the caution notice below     Toreduce the risk of electric shock  do NOT remove cover  or back    Refer servicing to qualified personnel     Defibrillator proof type CF equipment  type CF equipment is  spedifically designed for applications where a conducive connection  directly to the heart is established  The paddles indicate the  equipment is defibrillator proof     Defibrillator proof type BF equipment  type BF equipment is  spedifically designed for applications intentional external and  internal application to the patient  excluding direct cardiac  application  Type BF e
81. est  from the wall receptacle     2  Connect the negative    lead of the ohm meter to the protective earth  terminal  ground pin in power in let connector  or the protective  earth pin in the MAINS PLUG  ground pin in power cord   Refer to  the US 120VAC power cord figure on the left     Set the Ohm meter to the milliohm  mQ  range     Connect the positive     lead of the Ohm meter to all exposed metal  surfaces on the DUT  If the metal surfaces are anodized or painted  scrape off a small area in a inconspicuous area for the probe to make  contact with the metal     5  Theresistance measured by the digital multimeter should be less  than       100 ma  0 1 Q  without a cord  e 200 ma  0 2 Q  with a cord     6  Any higher resistance value indicates a failure of the central station  grounding system  The grounding system should be analyzed and the  fault location repaired     Check for breaks in the power cord or in any internal grounding  connections in the central station     7  Repeat this test until the measured resistance is less than 100 mQ   0 1 Q  without a cord  200 mQ  0 2      with a cord     Centralscope Central Station Revision C  405040 164    MAINTENANCE  Electrical Safety Tests       Impedance of Protective This test  unlike a ground continuity test  also stresses the ground  Earth Connection system by using special ground bond testers  i e Kikusui  model 872 or  TOS 6100  or Associated Research model H YAM P 9J r  Model 3030D      This test normally is only requ
82. est personnel are familiar with operation of  the central station and other networked equipment     The following components are required   a floppy diskette   a remote control   a keyboard  and  a laser printer  used to test some output ports  may not be required            CAUTION    Do not perform this procedure if the central station is  being used for patient monitoring functions              Tested Component  POWERLED    EXHAUST FAN    AUDIO  internal     CONTROL KEYS   front panel           Expected Test Result    Apply AC power tothe central station by setting the power switch to ON  1   The  POWER LED on the front9 of the central station should illuminate     When AC power is applied to the central station the exhaust fan at the rear of  theunit should run conti nuously  with negligible noise  and exhausting air out of  the chassis assembly    Press any of the control keys on the front panel  An audible tone should sound   On a networked monitor  create an alarm condition  The central station should  sound an audible tone    Press each of the control keys  GRAPH STOP PAPER ADV  SILENCE ALARMS   MAIN MENU  GRAPH VIEWED PATIENT  on the front panel and verify that  an audible tone is generated        Revision C    Centralscope Central Station 4 15  405040 164       MAINTENANCE  Checkout Procedure          Tested Component  VOLUME CONTROL    TRIM KNOB CONTROL    DISPLAY INTENSITY    KEYBOARD    LAN  COMMUNICATIONS    INTERNAL THERMAL  WRITER   DOOR OPEN  and PAPER    REM
83. et address is used  since the towers are not named as monitors are                                      LOAD SOFTWARE This option selects a source for the telemetry tower update software  At  FROM  this time only one selection is available  It is the floppy disk drive located    in the CD Telemetry LAN cabinet assembly     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR   TELEM TOWER SPECIAL  LOAD SOFTWARE FROM     2  A popup menu is presented that lists the sources for the software  update  Use the Trim Knob control to select TOWER FLOPPY  Press  the Trim Knob control to enter the selection     TOWER LOAD SOFTWARE FROM  START  TOWER FLOPPY LOAD  TOWER FLOPPY    REBOOT        ENS um          PREVIOUS  MENU                   START LOAD This option starts the actual upload of software intothe selected CD  Telemetry LAN cabinet assembly  tower   Several options must be  performed before this option is used     e  TheCD Telemery LAN cabinet to be uploaded with new software  must be specified through TOWER      e The source for the software upload must be specified through LOAD  SOFTWARE FROM        Revision C Centralscope Central Station 3 35  405040 164    CONFIGURATION  Service Monitor Menu       REBOOT TOWER    3 36    Once these options are performed then you can use this option to start  the upload procedure     1  Select the following menu options beginn
84. etel FE e MD 3 10  SetTimeandDate                                       3 15  Clear Kua YA AAA AAA EXE 3 16  Default a seeded era AT 3 17  Degauss Monitor caresi grennra mai nna eee eee 3 20  Service Monitor Menu                                    an  3 21  TEA  DrODOUL  esee bv aa an Pehla ie acid 3 22  List NetWork            sssleeeeee raa 3 24  Beds and XMTRS      oooocccconcc s 3 25  Duplicate TI Xi sisse RR mx Res nb ER gn 3 32  Real Time 0g    sere E ERA UE ER ta HE ERE E 3 33  Open RTERM Session                                    3 33  TELEM Tower Spedal                                    3 34  Software Update  nstructions                                 3 39  General a AE aa bea 3 39  PrOCedir8  3 da ov iere AAA BIN aad ee MAPILI 3 40  Revision C Centralscope Central Station 3 1    405040 164    CONFIGURATION  Software Revisions       Software Revisions    This section contains information for advanced operation and to  configure a Centralscope central station  This information relates to a  specific operating software revision  Before continuing you should  determine what software revision the central station is operating           NOTE    This section describes version 009 010 central station  software           Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP  CENTRAL DISPLAY DEFAULTS  MODIFY    The software version is displayed on the bottom line of the defaults  display  Note which version is being us
85. f Operation       The Ethernet network interconnects all the central stations and  monitors  Data packets are being broadcast over the network by both  monitors and central stations  The central station interfaces to the  network through the LAN controller PCB  The following overall block  diagram shows the circuit board assemblies in the central station        UNITY D E IQ CEREMONIES QM C QD MC A 1  MONITORING  NETWORK  LAN  CONTROLLER WRITER PCB WRITER  PCB  SLAVE    DISPLAY 1  VIDEO  PCB ANALOG  OUTPUT  se  OUTPUT  PRIMARY  DISPLAY PRIMARY  VIDEO  PCB  LED SW TRIM  PORTI KNOB PCB  PORT2  PORT3  MAIN PROCESSOR PCB  PORT4  EXTERNAL    AUDIO       FLOPPY  DRIVE   LOW VOLTAGE  POWER SUPPLY     ASSEMBLY   I   l HARD     DRIVE   I    5 4 Centralscope Central Station    Revision C  405040 164    TROUBLESHOOTING  Block Theory of Operation       Network  Communication          LAN              Main Processor  PCB       Revision C    o    mnm   D Marquette  utr pap DE unity  Controller Interface   Network  A l    Shown below is a block diagram detailing signal flow through the LAN  controller PCB  The LAN controller PCB builds and decodes data  packets  When data is to be transmitted over the network the main  processor  1  stores the data in dual ported RAM  2  on the LAN  controller PCB  The main processor PCB then signals the LAN controller  PCB totake the data  A microprocessor  3  on the LAN controller PCB  assembles the data left in the dual ported RAM  It builds data packets 
86. face     e Leave semiconductors and assemblies in antistatic bags or  containers until needed     e Make sure power to an assembly is turned off before removing or  inserting any semiconductors       Do not slide semiconductors or assemblies across any surface   e Avoid touching any semiconductor leads     e Store semiconductors and assemblies only in antistatic containers or  bags     These guidelines greatly reduce the potential for failure of any electronic   electrical assemblies being serviced     Revision C Centralscope Central Station 5 13  405040 164    TROUBLESHOOTING  Special Components       Special Components    Surface Mounted Surface mounted components are used extensively in Marquette  C t assemblies  These components require special desoldering soldering  om ponen S techniques if component level repairs are attempted outside the factory     Surface mounted resistors  capacitors  and diodes usually have small  conductive segments that are soldered directly to the circuit board traces     Surface mounted integrated circuits and other semiconductors also have  very small conductive segments that are soldered directly to the circuit  board  Often these segments are small  dosel y spaced leads bent into a  foot shape configuration that provides a contact area for soldering and  elevate the device           CAUTION    Surface mounted components are not designed to be  removed or replaced using standard soldering  equipment  Removing a surface mounted component  with
87. faces of the keyboard should be deaned  and dirt debris that  collects in between the keys removed     Clean the external surfaces of the keyboard and the individual keys with  a soft  dean  lint free cloth dampened with one of these approved  solutions     To dean debris from the spaces around keys on the keyboard use either  compressed air or a special vacuum device designed for use with  computer keyboards  Any vacuum device must be suitably grounded to  prevent any static discharge damage to the central station circuitry           CAUTION  Never have food or drinks near the central station work  area  Food debris and fluids must be kept away from the  equipment           During the normal course of use  debris from the thermal paper  used in  the printer  collects on the thermal print head contact surface  This  debris buildup can affect the printer output and possibly ruin the  thermal print head     It is recommended that the thermal print head be cleaned at least every  12 months of use  Heavy usage may required cleaning as often as every  three months        NOTE    Do not coat any paper or other material with any sort of  cleaning agent or alcohol and run it through the thermal  printer  in an attempt to dean the thermal print head   This method does not dean the thermal print head and  can damage the thermal printer     Using alcohol to clean the rollers and other mechanical  parts inside the printer is not recommended  The alcohol  dries out the rubber compound in 
88. for proper grounding of the power  source     Any peripheral devices to be connected to the central station must  have been unpacked and prepared for use  Any required cabling  should be installed and ready for connection to the central station     The external display should be prepared  tested  and ready for  connection to the central station     Install the central station at the desired location     Centralscope Central Station Revision C  405040 164    EQUIPMENT OVERVIEW  Preparation for Use       6  Connect the central station to the power source     7  Connect the keyboard to the central station  The connector for the  keyboard is shown in the back panel description earlier in this  section     8  Connect the video adapters  pn 405947 003A  to the primary video  and video PCBs  on the back panel of the central station     9  Connect the external display to the primary video adapter on the  back panel of the central station     10  If a remote display is being used  connect it to the remote video  connector     11  If an optional touch screen is available  connect it to Port 4 of the  central station        CAUTION    The external display is not physically attached to the  central station  Position this display on the central  station or other work surface sothat it cannot slip off and  does not pose a tipping hazard        12  Connect any peripheral devices  such as an external thermal writer   laser printer  remote control  or ADU tothe ports on the back panel of  the
89. fter following the  steps below     1  Determine which display you have in the left column    2  Match your display s connector with the installation required   3  Determine the distance from the remote display to the monitor   4    Select the appropriate type of installation                                                                                                                                            Direct or Wallplate Use the following interconnection scheme for a remote display requiring    an interface cable to the central station shorter than 155 feet   Connection   30x Marquette  F M MJ  F Device  Display  Without     NOTE  All cables are 415301 except where indicated   Attached M F    40x m  E  Marquette  Video Cable Device A required video adapter  pn 405947 003   Female 15 pin Connector is shipped with modular central station   15  Medical    00x Marquette  17  Phillips   69 MI IE  Device  Wallplate Cabling  Wallplate  416701 001 Wallplate  Display 00   20x   00x  With   s MX E   Marquette  Attached M T M E MEE Device  Video Cable DEED             OR    Male 15 pin Connector    00x p  Marquette  M Device  17  Sony pi EEM    E    10x  20x    00x Marquette    n  Device  Display OR pe  With T    00x Mar  quette  BNC      M   F Device  Connectors  Five BNC Connectors A   20x  20x    00x Marquette  19  Mitsubishi      3            __ a MIF  Bence  33  Mitsubishi  SR 00 RE  le VOX Marquette  MJ  F Device                            ET                            
90. guring mirror central station  displays  Since changes at one central station can affect  the other display  there may be an inadvertent loss of  patient monitoring at the primary central station           1  RotatetheTrim Knob control to select the MIRROR CENTRAL  DISPLAY item  Press the Trim Knob control to input the selection   The central station field to the right should highlight     2  Rotate theTrim Knob control to view the list of possible central  stations that could be mirrored           NOTE    The names of the central stations are expressed as CARE  UNIT   CENTRAL NAME  The vertical bar that  separates the two names can often be mistaken for part  of the names           3 18 Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Menu       MANUAL GRAPH  DEFAULT   ALARM GRAPH  DEFAULT    PRINT WINDOW  DEFAULT    Revision C    3  When the mirrored central station is shown in the highlight field   press the Trim Knob control  The display in the upper right corner  changes  The mirrored central station is listed in parenthesis after  the central station s name  And example     SPEC 1  CS1  mirror of TELEM   CS3     Where SPEC 1   CS1 is the local central station and TELEM   CS3  is the remote central station supplying the patient data     4  Tostop the mirror function use theTrim K nob control to select  NONE in thelist of central stations  Press the Trim K nob control to  input the selection     The graph and print window defaults are only use
91. he Marquette Unity network to identify this central  station  Select the Care Unit name so that the name is  relevant to the location  such as CCU or ICU 1     It is very important to enter the correct Care Unit name   Be especially careful of the name s spelling     If any other central stations are intended to have the  same Care Unit name  make sure the names match  exactly     Once the Care Unit is programmed  and the central  station placed in use  avoid changes in the Care Unit  name  Changing the Care Unit name causes the list of  beds and the list of transmitters stored in the central  station to be deleted  That data must then be re entered  after the Care Unit name change is made           1  RotatetheTrim Knob control to select the UNIT NAME item  Press  the Trim Knob control to input the selection  The Care Unit name  field should be highlighted     2  On the keyboard  use the DELETE key to erase the existing Care  Unit name if one is present     3  Enter the new Care Unit name using the keyboard  Note that the  maximum length of the name is seven characters  Once the desired  Care Unit name is correctly entered  press the Trim Knob control to  input the name     3 6 Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Menu       Copy Logs    Access the COPY LOGS  Menu    Select the Care Unit    Select the Monitoring  Device    Revision C    This option provides access to the log files kept by most devices on the  Marquette Unity Network  
92. he list indudes all TTX numbers  transmitters   that were previously designated for use with this system   The transmitters may or may not bein use on patients           The CD Telemetry LAN Monitoring System  typically referred to as the  telemetry system  is controlled through a Centralscope central station     When the telemetry system is configured  a list of the possible telemetry  beds is entered at a central station  This list is used to identify which  beds could be used when a telemetry patient is admitted           NOTE    The telemetry bed names are shown with an asterisk at  the end of the bed number           Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Monitor Menu       A telemetry system is often designed to operate over a small part of the  hospital  Only those beds in these covered areas can be used for  telemetry patients  Having the list of telemetry beds limits the bed  choices to these areas when patients are admitted to telemetry units        NOTES    Telemetry room names typically use the room number  followed by the bed number  i e  201A  201B  or 201   202      Telemetry room names can have up to five characters   Recommended characters include A Z  and 0 9     Do not use spaces  the back slash       or forward slash      characters     Telemetry beds are designated with an asterisk        To enter or modify the telemetry bed list  do the following   1  Select the NAME TELEM BEDS option  A pop up menu opens     4 LIST
93. he unit  Accumulations of lint and  debris can lead to thermal failures or short circuit failures if not removed    regularly     It is recommended that the inside of the central station should be cleaned  every twelve months     To dean the inside of the central station  follow this procedure     1     Power down the central station  Disconnect the central station from  the power source and the network     Remove the external monitor from the top of the central station     Remove the screws attaching the housing to the chassis at the rear of  theunit     Pull the chassis out of the housing     Using a source of dean  dry compressed air blow all lint and debris  from between the circuit boards and the other assemblies           CAUTION    Do not use a vacuum device unless suitable static   control procedures are followed  Many vacuum systems  generate appreciable static electricity which could  damage semiconductor circuits in the central station           Make sure all circuit boards are seated firmly  Make sure all cables  are connected     Install the chassis back into the housing and attach with screws     Perform leakage tests     Centralscope Central Station 4 7  405040 164    MAINTENANCE  Cleaning       4 8    9  Replacethe external monitor  Connect the central station to the  network and to the power source     10  Apply power to the central station and verify operation     Centralscope Central Station Revision C  405040 164    MAINTENANCE  Electrical Safety Tests    
94. hould also be securely connected to    the video adapter  The video cableis marked with labels identifying  which cable end connects to the central station and which end  connects to the display        NOTE    The primary video connector is located on the primary  video PCB  which is supposed to bethethird circuit board  from the right side of the case     The connector on the video PCB is used for slave  displays        Installation of the external monitor requires that the appropriate  interconnect cable be used  Several cables are available  depending on  the display and the connectors on them     Verify that the video adapters have been installed  if required    according to the instructions presented earlier in this section     Securely connec the video interconnect cabletothe primary video  adapter   Third connector from right side of the rear panel      Securely connect the video interconnect cables to the external  displays     Secure touch screen cable  if applicable  to serial port 4     See Chapter 7   Peripherals   for cable interconnection     See Chapter 7   Peripherals   for remote display cable interconnection     Centralscope Central Station 2 7  405040 164    EQUIPMENT OVERVIEW  Power and Fusing       Power and Fusing    Power    Main Fuse Check    2 8    The power supply used in the central station auto adjusts for the power  system it is connected to  Nointernal adjustments are required  The  power cord is connected tothe central station using the power co
95. il PW eda os Pte a a 4 9  Recommendations                                         4 9  Wall ReceptacleTest                                     4 10  Ground  Earth  Integrity                                  4 10  Ground  Earth  Wire Leakage Current Tests                  4 11  Enclosure Leakage Current Test                             4 13  Test Completion                                         4 14   Checkout Procedure                                         4 15  Test Schedule                                           4 15  Test Reguirements                                uanan  4 15  Procedure suisses we edn wear ee Y ale Vad ote we ee 4 15   Repair E0925 sc bese ms BOR Read he xd we Sie aa BANE ae te 4 22   Revision C Centralscope Central Station 4 1    405040 164    MAINTENANCE  Maintenance Schedule       Maintenance Schedule    Manufacturer  Recommendations    Manufacturer  Responsibility    PM Form    4 2    To make sure the Centralscope central station remains in proper  operational and functional order  a good maintenance schedule must be  adhered to  The manufacturer recommends the following       Visual Inspection  This should be performed by service personnel  upon receipt of the equipment  every 12 months thereafter  and prior  to servicing the unit     e Cleaning  This should be performed by service personnel upon  receipt of the equipment  every 12 months thereafter  and each time  theunit is serviced       Electrical Safety Tests  These should be performed by
96. ing with the Centralscope    central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR   TELEM TOWER SPECIAL  START LOAD       CAUTION    Software uploads should be performed according to the  instructions that accompany the software update  instructions  Improper use of this option may result in  loss of patient monitoring or patient data  Do not upload  software unless instructed to do so by qualified service  personnel and only after the telemetry system has been  properly prepared        This option sends a reboot command to the CD Telemetry LAN cabinet  assembly  tower  that was selected using TOWER   A popup menu  verifies that you indeed want to reboot  restart  the telemetry tower  before the action is taken        CAUTION    A reboot causes a loss of patient monitoring functions  while the software restarts the telemetry tower circuits   Arrangements for interim monitoring of patients must be  made before rebooting any telemetry tower        Rebooting When Troubleshooting    This option is used in two circumstances  One  to reboot the telemetry  tower  If as a result of troubleshooting you decide that the tower should  be rebooted and then dothe following     1  Select the following menu options beginning with the Centralscope    central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR   TELEM TOWER SPECIAL    2  Verify that the correct tower is selected using the TOWER  selection   
97. inutes  After that they are  deared        If the DC offset voltages are within the tolerance range the analog H olter  output PCB is operating satisfactorily  The central station may now be  connected to the Marquette Unity Network and the analog outputs used  for slave displays or Holter equipment     4 20 Centralscope Central Station Revision C  405040 164    MAINTENANCE  Checkout Procedure       Connector J 3  50 pin Connector     Pin Number Name Typical Output Voltage  1 OUTPUT_8 LEAD II 43 25  2 OUTPUT 8 LEAD V 43 50  3 OUTPUT 7 LEAD II 42 25  4 OUTPUT 7 LEAD V 42 50  5 OUTPUT 6 LEAD II  1 25  6 OUTPUT 6 LEAD V  1 50  7 OUTPUT 5 LEAD II 40 25  8 OUTPUT 5 LEAD V 40 50  9    12V RETURN 0  10    12V RETURN 0  11 OUTPUT 4 LEAD V  0 50  12    12V RETURN 0  13 OUTPUT 3 LEAD V  1 50  14    12V RETURN 0  15 OUTPUT 2 LEAD V  2 50  16  4 12V RETURN 0  17 OUTPUT 1 LEAD V  3 50  18 OUTPUT 3 PACE 43 75  19    12V RETURN 0  20 OUTPUT 7 PACE 42 75  21    12V RETURN 0  22 OUTPUT 6 PACE  1 75  23    12V RETURN 0  24 OUTPUT 5 PACE 40 75  25    12V RETURN 0  26    12V RETURN 0  27 OUTPUT 4 LEAD II  0 75  28    12V RETURN 0  29 OUTPUT 3 LEAD II  1 75  30    12V_RETURN 0  31 OUTPUT 2 LEAD II  2 75  32    12V_RETURN 0  33 OUTPUT 1 LEAD II  3 75  34 OUTPUT 8 DISP 43 00  35    12V RETURN 0  36 OUTPUT 7 DISP  2 00  37    12V RETURN 0  38 OUTPUT 8 DISP  1 00  39    12V RETURN 0  40 OUTPUT 5 DISP 0 00  41    12V RETURN 0  42    12V RETURN 0  43 OUTPUT 4 DISP  1 00  44 OUTPUT 4 PACE  0 25  45 OUTP
98. ion 3 19  405040 164    CONFIGURATION  Service Menu       Degauss Monitor    3 20    This function operates only with older Centralscope color display  12C   central stations that have integral color monitors  It does not affect  Centralscope central stations with monochrome monitors nor does it  affect central stations that use external monitors        NOTE    Generally  external monitors used with the Centralscope  central station have built in degauss circuitry that  automatically degauss the cathode ray tube whenever  power is applied to the monitor        Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Monitor Menu       Service Monitor Menu    The SERVICE MONITOR menu option includes several advanced and  specialized functions for configuring and troubleshooting the central  station  The SERVICE MONITOR menu is only for use by trained  personnel     Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR    The display changes to show a select option bar across the bottom  all  patient windows are condensed to about half size and shifted tothe left   and a command area is deared on the right half of the display        PREVIOUS TTX DROPOUT  LIST BEDS AND LIST ADMITTED  MENU BLANK NETWORK XMTRS TELEM BEDS          DUPLICATE TTX  REAL TIME OPEN RTERM TELEM TOWER  NOT ALLOWED LOG  OFF SESSION SPECIAL       There aretwo operational leve
99. ired as a manufacturing production test to  receive safety agency compliance  i e    E 601 1      Some country agency s do require this test after field equipment repairs   i e  Germany s DIN VDE 0751 standards      Consult your country local safety agency if in question     Compliance is checked by the following steps     1  A current not less than 10A and not exceeding 25 A from a current  source with a frequency of 50 or 60 Hz with a no load voltage not  exceeding 6 V is passed for at least 5 s through the PROTECTIVE  EARTH TERMINAL or the protective earth pin in the MAINS PLUG  and each ACCESSIBLE METAL PART which could become LIVE in  case of failurein BASIC INSULATION     2  The voltage drop between the parts described is measured and the  impedance determi ned from the current and voltage drop  It shall not  exceed the values indicated below       For EQUIPMENT without a POWER SUPPLY CORD the  impedance between the PROTECTIVE EARTH TERMINAL and  any ACCESSIBLE METAL PART which is PROTECTIVELY  EARTHED shall not exceed 0 1 ohms      For EQUIPMENT with a POWER SUPPLY CORD the  impedance between the protective earth pin in the MAINS PLUG  and any ACCESSIBLE METAL PART which is PROTECTIVELY  EARTHED shall not exceed 0 2 ohms     When taking this measurement move the customer s power cord around   no fluctuations in resistance should be observed     Ground  Earth  Wire Perform this test to measure current leakage through the ground  earth     wire of the equipment during no
100. l station acts as a data director for the connected H olter  acquisition unit  It is programmed to accept patient data flowing on the  Marquette Unity Network for designated patients  The patient data is  converted back to analog form by a special circuit board and then sent to  a Holter recorder input module in the Holter acquisition unit     The Holter acquisition unit connects to the optional analog H olter output  pcb assembly installed in a central station  Up to six Holter input  modules can be installed in a Holter acquisition unit to simultaneously  record data from six patients  Six selector switches on the Holter  acquisition unit direct the analog patient signals to the desired Holter  input modules     Each Holter input module is powered by the Holter acquisition unit  The  module records patient data on cassette tape until manually stopped or  the tape is filled     Central Station    Holter  Acquisition  Unit                                                        2 Input  Module          NOTE    The flexibility of the network allows the Holter  acquisition unit to be connected to any central station  in  the Care Unit  that has the analog Holter output circuit  board installed in it     The central station with the connected Holter Acquisition  Unit does not have to be displayed the patient data that  is to be recorded  While the central station is sending  data to the Holter recorders it can also perform all other     normal    central station tasks           7
101. lay do not change the source  BED 3  being output to analog  channel 1  The analog output is    locked    to the specified source and  does not track the patient selections on the display        BED8 BED8 BED8       If an analog output channel is UNLOCKED  that means the signal  being output tracks whatever patient is displayed in the associated  display slot  Whenever the patient source changes for the central  station display  the analog output source also changes     Another analog source selection for each output is CHANNEL ID   This selection causes a steady dc level signal to be output  for testing  the analog Holter output PCB circuits     Centralscope Central Station 3 13  405040 164    CONFIGURATION  Service Menu       Program Slave Displays    8 14    TheSLAVE DISPLAYS option is also used to select patient data sources  for transmission to remote slave displays  Slave displays  for instance  are  often used for telemetry patients that are not connected to a Tramscope   TheCDT LAN system receives Data signals and makes them available for  review on the central stations  The central station can be programmed to  route the patient data from the network through the analog Holter output  PCB to a slave display in the patient s room     To program the slave display assignments  do the following   1  Select SLAVE DISPLAYS   A menu is displayed for programming the bed data source that will    be connected to each slave display  The Care Unit for the bed data  can also be ch
102. line  _  is a space character     7  When RETURN is pressed the writer starts to print a triangle  pattern with a vertical bar           NOTE    The printer output serves only to load the printer  so that  the print head voltage adjustment can be performed  properly  The pattern may not be entirely visible  nor may  the pattern appear as shown below  Seeing an exact  pattern IS NOT a part of the adjustment                       Diagonal lines are solid    vertical lines are dotted  8  Whilethe pattern is printing adjust variable resistor R9 on the  writer PCB until the level indicated on the voltmeter matches the  recommended voltage     9  Toexit this test mode the central station must be powered down and  then up again  An alternate method is to depress the CTRL  ALT and  Delete keys simultaneously to reboot the central station     10  Remove the voltmeter  slide the chassis back into the housing  then  secure with the screws loosened at the beginning of this procedure     6 4 Centralscope Central Station Revision C  405040 164    Revision C    Y    PERIPHERAL DEVICES    Using Peripheral Devices                                      7 2  Selecting Port Devices                                     7 2  Laser PRINCEN 256 ect ed ta E a ee 7 4  ARAM uus mer te seme mee qa a Ret mers 7 4   FUP AM ae s eie rer a cd  asa ate Sea oat RES RUN PEE 7 5  Remote DisplayS              nii cect ees 7 7  Cabling  Schemes  soi  seen Re Re a eas 7 8  Connecting the Optional Touch Screen       
103. loading  troubleshooting data onto diskettes   See illustration on following page      Centralscope Central Station Revision C  405040 164    EQUIPMENT OVERVIEW  Controls and Indicators       Controls and Indicators    Several controls and indicators are located on the front panel of the  central station  The pushbuttons on the front panel are used to control  the writer paper feed and other central station operator options   Additional information about these pushbutton switches can be found in  the Operator s manual     Trim Knob control TheTrim Knob control is used to control the central station in response  to several software generated displays  By rotating the Trim Knob  control  various parts of a display are highlighted  To select a particular  highlighted item press inward on the Trim K nob control     Power LED The Power LED indicates when the central station is powered on   Paper Out Door Open The Paper Out Door Open LED indicates status of the thermal writer   LED   Thermal Writer Power LED Trim Knob Control       Revision C Centralscope Central Station 2 3  405040 164    EQUIPMENT OVERVIEW  Back Panel Description       Back Panel Description    The figure below illustrates the connectors  power switch  and fuse  locations on the back panel of the central station              WARNING    External equipment must be connected to the central  station only by qualified biomedical engineering  personnel     Only external devices specifically designed to be  connected to
104. loded View PN414916 001G 002G 003G 004G                                                                                                                                                                                                    Sheet 2 of 2   9   56  SEE DETAIL A  DETAIL A  PACKAGING KEYBOARD  PACKAGING DETAIL  REF 2 ck  RI s Ba A  24  REF   etr JOE 76  e    Je VADO Ae RER  00000000000 ri  e POMM      SEE OTE 1 27  REF     O et coni E   fo z Y  lt  3  REF  m d d  o  Qu REF RF AS  rer  8 PL    SEE NOTE 3  DETAIL B  LABELING  BROWN  FROM PS1   LINE   BLUE  FROM PSI      NEUTRAL   er    REF  6 Ex        TO CHASSIS GND  DETAIL C DETAIL D  GROUNDING SWITCH REAR VIEW  TORQUE NUT TO 6 0  1 0 IN LBSa  HARDWARE SUPPLIED WITH PCB  ITEM 26  REF  DETAIL E  PCB HARDWARE  Revision C Centralscope Central Station 8 5    405040 164    UPPER LEVEL ASSEMBLY  Schematic Diagram PN414916 001G 002G 003G 004G       Schematic Diagram PN414916 001G 002G 003G 004G                                                                                                                                                                                                                                                                                                                                                                                      Sheet 1 of 2  A4  WRITER Ze A5  i5 A3 TRIM  E E2 CHAS LED SWITCH KNOB  PCB PCB  W2P2  Z  W5P1  N  A2   A3J2 A3J1  WRITER W3P2 WA  LOGIC PCB fola E    sja  gz W2P1  eo  
105. ls in the SERVICE MONITOR menu  The  more commonl y used items are presented as a series of select option  buttons  These options are described first  The other operational level is  to type in commands using the central station keyboard  This method is  more difficult since typing errors can occur           CAUTION    The SERVICE MONITOR menu should only be used by  personnel with training in its use  It is possible to lose  patient data  erase the operating software  and cause  other undesired problems if the SERVICE MONITOR  menu is used without the appropriate training and  diligence in following these instructions           Revision C Centralscope Central Station 3 21  405040 164    CONFIGURATION  Service Monitor Menu       TTX Dropout    BLANK Option    DRAW Option    3 22    This option affects how the waveform display is generated when periods  of telemetry dropout  loss of signal  occur  Two choices are provided   BLANK and DRAW     Generally  the BLANK option is selected sothat periods of signal dropout  appear as gaps in the waveform display     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR   TTX DROPOUT    2  Select the blanking option by pressing the Trim Knob control until  the second line reads BLANK     To continue  drawing in  the waveforms when the TTX signal from the  patient is lost  select the draw option by pressing the Trim Knob co
106. nd observe the same meter readings  as in the previous step     9  Settheleakage tester power switch to OFF and remove the meter  lead connected in step 2        Test Completion Disconnect all test equipment from the device  Disconnect the device  power cord plug from the leakage tester power receptade  Disconnect the  leakage tester from the wall receptacle     4 14 Centralscope Central Station Revision C  405040 164    MAINTENANCE  Checkout Procedure       Checkout Procedure    Test Schedule    The Centralscope central station functions as a display and printing  device for patient data being transmitted on the Marquette Unity  Network  The purpose of this checkout procedure is to provide service  personnel with a method to verify operational and functional  performance of the central station  Failure of any of the tests indicates a  potential malfunction of the central station  which should be removed  from patient use and have any required service performed     Perform the checkout procedures upon initial use on the network  every  12 months thereafter  and any time service is performed on the unit     Test Requirements The checkout procedure requires that the central station is connected to    Procedure    the Marquette Unity Network  the network is functioning properly  and   that the other devices on the network are supplying normal patient data    It is difficult totest a central station without a network connection and  patient data      It is also assumed that the t
107. nding system  or with a 10 AWG stranded copper grounding cable     The equipotential ground point should be as close to earth ground  potential as possible  If a bonded grounding system is not available the  ground pin of each wall receptacle must be individually connected to a  central grounding point  Do not jumper from ground pin to ground pin of  the receptacles     The grounding system must not carry current  such as a grounded  neutral  since the current flow will produce potential differences along  the ground  These potential differences are a shock hazard source for  equipment users and patients     Do not use conduit as a ground conductor  Plastic  PVC  piping or fitting  used in conduit runs can break the electrical connection to ground   resulting in a potential shock hazard     The elecrical grounding system should be connected to an earth ground   If this is not possible  then a good ground reference such as a metal 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 ground potential rather than at earth potential     Centralscope Central Station 2 15  405040 164    EQUIPMENT OVERVIEW  Preparation for Use       Ventilation    Requirements    Installation    2 16    The central station is capable of producing 340 Btu hour  approximately  100 watts  of heat load  Physically locate the central station sothat this  heat load can adequately dissi pate  as not
108. ngs   disconnected cables  foreign debris on circuit boards  missing  hardware  loose components   can frequently cause symptoms and  equipment failures that may appear to be unrelated and difficult to  track  The following steps might seem trivial but it is highly  recommended that they be performed to remove these    simple    failures  as causes of problems     e Set the ON OFF switch tothe OFF position and disconnect the  central station from its power source     e Remove the screws securing the chassis to the housing  Slide the  chassis out  You now have access to the internal cabling  power  supply assembly  2 inch thermal writer  and circuit boards        WARNING    High voltages exist in this unit  Use insulated tools   Remove jewelry  Use only one hand when possible        e Check all fuses  Refer to    Fusing    in Chapter 2   Equipment  Overview      Centralscope Central Station Revision C  405040 164    TROUBLESHOOTING  General Fault Isolation       Take the time to make all the recommended visual checks  refer to the  visual inspection chart below  before starting any detailed  troubleshooting procedures           Visual Inspection Chart   Area Look for the following problems     O Connectors and a Fraying or other damage  Interface Cables   Bent prongs or pins  m Cracked housing  m Loose screws in plugs  m Excessive cable tension or wear  m Secure mounting hardware  Internal Harnesses and m Excessive tension or wear  Cables   Loose connection  m Strain reliefs o
109. nnection  shown in the figure below     Data about the power supply system is provided in  Technical  Specifications  later in this chapter     Power Connection Fuse Block       Fuse Block  Receptacle    Main fusing is accomplished through the power input module on the rear  panel  There is also a fuse on the low voltage power supply  The fuse  arrangement and operating voltage of the Centralscope central station is  set at the factory  Replace the fuses with equivalent devices only    pn 1908 205           CAUTION    Replace the fuses in the fuse block with 250 Volt  2  Ampere fuses only  Improper fusing can result in central  station failure           Centralscope Central Station Revision C  405040 164    EQUIPMENT OVERVIEW  Power and Fusing       Usethis procedure to check the fuses or change the operating voltage of  theunit        WARNING   To avoid electric shock  always turn OFF the unit and  remove power cord from AC main outlet before you  replace fuses        To access the fuses  follow these steps given below     1  Usinga flat blade screwdriver  remove the fuse holder from the  power input module                                2  Removethe fuse block from the fuse holder by loosening the Phillips   head screw two full turns counterclockwise     3  Separatethefuse block from the fuse holder by tilting it up and away  from the mount     4  Arrange the fuses as required for the proper operating voltage        For 100 120V AC For 220 240V AC          NOTE    Two fuses
110. not limited to one central station  Any number of central  stations could be programmed to display the same patient   s data  The  availability of patient data to any central station connected to the  monitoring network is an important design concept     The Marquette Unity Network is used to connect patient monitors   Centralscope central stations  and other Marquette equipment together    t serves as a high capacity communications link between all pieces of  equipment  With this network it is not necessary to string cables from  each piece of monitoring equipment back to a central switching point   Rather  data is transmitted onto the network cable and the monitoring  equipment decides what data to take  The data switching function is now  part of each piece of monitoring equipment     Since there can be a large number of devices all needing to share data  the network must have a high capacity  The network configuration used  for the Marquette Unity Network is Ethernet  Ethernet is a well known  network configuration that is widely used for data transmission  networks  Devices such as transceivers  cabling itself  and diagnostic  tools are readily available for Ethernet networks  With an Ethernet  implementation  only one cable need be routed through the area to be  covered by the monitoring equipment  Small branch  or drop cables   connect the monitoring equipment to the main Ethernet cable     Centralscope Central Station 5 3  405040 164    TROUBLESHOOTING  Block Theory o
111. ns there until the patient signal is again received     Centralscope Central Station Revision C  405040 164    TROUBLESHOOTING  Troubleshooting Signal Dropout       Troubleshooting    Dropout    Revision C    This option is a very useful troubleshooting tool  Listed below are some  troubleshooting scenarios     Waveforms for a single patient disappear at central station  Suspect  transmitter connections for that patient     First  verify that the receiver is still  communicating with the central  station by using theLIST NETWORK option  If the name of the  telemetry bed is still in the list then there is still communications  occurring between the receiver and the central station     EnabletheTTX DROPOUT  DRAW option  If the waveform returns  but drops to the bottom of the display area the transmitter is  operating but there has been a loss of patient signal  Check the  transmitter connections to the patient     Waveforms for several patients disappear from the central station  display  Suspect a hardwarefailure in the cabinet assembly     Verify that the receivers are still communicating with the central  station by searching the LIST NETWORK option listing for their bed  names  If all are missing check to see if an entire care unit is missing   If so there could be a problem with the CD Telemetry LAN cabinet  assembly  Call Service     Waveforms for one or more patients displayed on the central station  exhibit periods of dropout  Suspect network dropout     Enable the TTX 
112. ntified  Having a list of hardwire bed locations identifies  the bed choices when patients are admitted to monitoring units     To enter or modify the hardwire bed list  do the following   1  Select the NAME HW BEDS option  A pop up menu opens     PREVIOUS     LIST TELEM  MENU  Alt   I  to insert name   Alt   D  to delete this name y XMTRS  212 A  NAME HW NAME TELEM  BEDS XMTRS    2  Toadd a bed name  first press both the Alt and   keys  then enter the  name                       Use the keyboard to enter the desired bed name    Complete each bed name entry by pressing the Return key    When all the telemetry bed names are entered  press the Trim Knob  control to exit this option     After the popup menu doses  there is a delay while the entered  information broadcasts over the network for all other central stations to  use  Wait for a few moments for this broadcast to occur     Each telemetry site operates with a pre determined number of telemetry  transmitters  These transmitters operate on specific frequencies which  relatetotheir TTX numbers     Use this option to enter a list of TTX numbers during configuration for a  specified site This list is presented later so an operator only has to scroll  through the displayed list for the TTX number  Having this list reduces  the errors involved in keyboard entry of TTX number by the operator     1  Select the NAME TELEM XMTRS option  A pop up menu opens       PREVIOUS       4  MENU  Alt      to insert new TTX   Alt   D  to delet
113. ntral station are referred to as either Group 1 8 or Group 9  16     To configure the central station for use with a Holter Acquisition Unit  the SELECT EXTERNAL DEVICES menu is used first to specify the  group  Each central station connected to the Holter acquisition unit is  then responsible for allocating the data channels within the group   To program the group  dothe following    1  Select SELECT EXTERNAL DEVICES     2  Select the MODIFY button using the Trim Knob control        SELECT EXTERNAL DEVICES   gt  RETURN    PORTI REMOTE CONTROL   PORT 2 ADU   PORT 3 LASER PRINTER   PORT 4 NOTHING    HOLTER ACQUISITION UNIT NONE  INTERNET ADDRESS 126 253 1 6  ETHERNET ADDRESS  SERIAL NO     00 00  A1   FD   01   06  A6KH0167G    V    PREVIOUS MODIFY  MENU T 4    3  When the SELECT EXTERNAL DEVICES display appears  use the  Trim Knob control to move the cursor tothe HOLTER  ACQUISITION UNIT item     4  Press theTrim Knob control to select the HOLTER ACQUISITION  UNIT item     5  RotatetheTrim Knob control to select which group of analog  channels the central station outputs or select the NONE option if the  central station uses no analog outputs                             6  PresstheTrim Knob control to enter the selection           NOTE    Do not duplicate the group selection of another central  station           Once you make the group selection  then you must make the channel  assignments  This programs a patient data source to each physical  analog output from the analog H 
114. ntrol  until the second line reads DRAW     Selecting the BLANK option leaves a gap in the patient data waveform  when dropout occurs     PE TS    V    iar ge Se try    Selecting the DRAW option drops the patient data waveform to the  baseline  The following example of the blanking option shows a gap  where the patient data signal is lost     The DRAW option continues with a straight line patient data display  when the patient signal is lost  Since the patient signal is low amplitude   or nonexistent  the displayed patient waveform drops to the bottom of the  channel and remains there until the patient signal is again received     Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Monitor Menu       Using the TTX DROPOUT TheTTX DROPOUT  menu option is used primarily for troubleshooting   Opti problems with the patient data signal  H owever  there are some special  ption considerations that must be taken into account when using this option    These considerations depend on where the patient data is being output     Central station display    The central station display is generally where this menu option is used   BLANK _ leaves gaps in the patient data waveform   DRAW drops the patient data tracing to the baseline when the  signal is lost     Central station writer    The central station internal writer does not respond to this menu option   BLANK leaves gaps in the patient data waveform     DRAW leaves gaps in the patient data waveform     External
115. olter output PCB    To program the data channels  do the following    1  Select SLAVE DISPLAYS     2  Ifthe patient data source is in another Care Unit  select the SELECT  ANOTHER CARE UNIT button     3 12    Centralscope Central Station Revision C    405040 164    CONFIGURATION  Service Menu       Revision C    3     4     6     Rotate the Trim Knob control to select the desired Care Unit for the  patient data source  Press the Trim K nob control to select the desired  CareUnit     A menu is displayed showing the eight output channels     Rotate the Trim Knob control to select the desired output channel   Press the Trim Knob control to select the output channel        CARE UNIT DISPLAY    LOCKED 1 LOCKED 2   SUM Mefel zs     UNLOCKED 4 EDS 5 ee 6  UNLOCKED 7 ie oe 8  BED1  BED2  BED3 BED4 BED7    Es SELECT ANOTHER  E    JI      MENU                      RotatetheTrim Knob control to scroll through thelist of patient data  sources in the Care Unit  Press theTrim Knob control to select the  desired data source           UNLOCKED ol UNLOCKED 7 dra Jj       Note Lock or unlock by selecting same bed   RETURN UNLOCKED 3  BED3    It is possible to lock a data source to an analog output by selecting  the same source as originally displayed  For example  suppose BED 3  is being displayed in slot 1  upper left corner of the central station  display   By selecting BED 3 a second time the source is locked into  analog output channel 1  Changes to the patient shown in slot 1 of  the disp
116. on   This data is for display on the central station CRT or to be recorded on  thethermal writer  But before either of these actions can occur the data  must be further processed  That is one of the functions of the main  processor PCB     The main processor PCB is a multi function microcomputer circuit  The  block diagram on the next page shows many of these functions  The main  processor PCB contains a 68E C030 microprocessor  1  to control data  flow throughout the central station from the network  Supporting the  microprocessor is a large amount of RAM  2   This memory is used to  store data and to contain operating instructions for the microprocessor     The main processor PCB contains interfaces to some of the other devices  in the central station  These include interfaces for the floppy  3  and hard  disk drives  4   the keyboard  5   and four serial ports  6   The hard disk  drive contains operating software for the central station whiletheunit is  powered down and is used for data storage  The floppy disk driveis  currently used for loading new software into the central station s hard  disk drive  Central station serial ports can be used for a remote control   the touch screen  a remote writer or laser printer  or a remote terminal     Other features of the main processor PCB indude a sound generator  7   and a real time dock  8   The sound generator can be programmed to  produce the various warning and alert tones used by the central station   Time date and interval
117. on the rear of the  leakagetester and an unpainted  non anodized chassis ground on the  unit under test     Set the leakage tester power switch to ON     Read the current leakage indicated on DMM  If the reading is greater  than the appropriate specification below  the device under test fails  and should be repaired and tested again     300 microamperes  0 3 volts on the DMM   and the device under  test is powered from 100 120 V 50 60 Hz    300 pA  0 3 volts on the DMM   and the device under test is  powered from a centered tapped 200 240 V 50 60 Hz  single  phase circuit    500 uA  0 5 volts on the DMM   and the device under test is  powered from a non center tapped  200 240 V 50 60 Hz  single   phase circuit    Centralscope Central Station 4 13    405040 164    MAINTENANCE  Electrical Safety Tests          NOTE    Center tapped and non center tapped circuits produce  different leakage currents and the UL and IEC limits are  different        5  Setthe 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     Read the current leakage indicated on DMM  If the reading is greater  than the appropriate specification below  and the device under test is  powered from 100 240 V 50 60 Hz  the device under test fails and  should be repaired and tested again     e 100 microamperes  0 1 volts on the DMM   and the device under  test is powered from 100 240 V 50 60 Hz    8  Setthe polarity switch to RVS a
118. on the right side of the display  The OFF  state halts the display     The remote terminal  RTERM   capability operates in a manner very  similar to having a terminal physically connected to a remote device  except that a central station is functioning as a terminal and it is using  the network to connect to the other devices           CAUTION    Using the RTERM SESSION option can cause other  central stations to lose monitoring functions  patient  data  or even the operating software  Only trained service  personnel should use this option                                  PREVIOUS   TTX DROPOUT     MENY BLANK Select a device     DUPLICATE TTS  RETURN OPEN RTERM  NOT ALLOWED SESSION  Centralscope Central Station 3 33    405040 164    CONFIGURATION  Service Monitor Menu       TELEM Tower  Special    TOWER     3 34    Description of this option is beyond the scope of this manual  Specialized  training in using the SERVICE MONITOR menu and troubleshooting is  necessary before this option is used  Consult with the Marquette Service  Division for information about the advanced training     TheTELEM TOWER SPECIAL option indudes several selections that  allow you to load new software into a CD Telemetry LAN cabinet  assembly through its floppy disk drive  The software upload process for  thetelemetry tower is controlled entirely through the central station   since the tower does not have an input device  such as a keyboard   An  alternative is to connect a personal computer to the ca
119. onditions    Centralscope Central Station Power E nvironmental       Description  90   264 VAC  50 60 Hz  single phase  100 watts  maximum   90 VAC  for 110 VAC units   180VAC  for 220VAC units   340 Btu hour  maximum   Ambient temperature  10  C to 35  C  50  F to 95  F    Relative humidity  25  to 85   noncondensing     Temperature  20  C to 60  C   4  F to 140  F    Relative humidity  5  to 95   noncondensing        Item    Height  Width  Depth  Weight    Minimum Enclosure  Requirements   Interior        Centralscope Central Station Physical Specifications  Description  15 9 cm  6 25 inches   39 9 cm  15 7 inches   43 8 cm  17 25 inches   15 5 kg  34 pounds                 Centralscope Central Station Certification          Item Description  Safety Standards ANSI AAMI EC13  UL 2601 1  IEC 601 1  CSA C22 2 No  601 1  Revision C Centralscope Central Station 2 13    405040 164    EQUIPMENT OVERVIEW  Technical Specifications       Classifications    Equipment components are classified  according to IE C 601 1  as                                52   gt         200 a  o o          SEES o7  o G Ds LETS c2    o oo SE o  2 25 Qe  S    E  a2z2  o     S 5 55 2532   SE  c   zt 0522 ZE  c  o o o  gt  3c 0909 o  2x ox o0 CoB   Oz D  oo   0   0 o X 002 c  o o 220  Se ge 29 ya ua Id o  o  a5 oo o9 o occ o  5          925 S25 o  a5 o5 oz of Soe 5  oe o9 o3 ie E Boa o  oz 25 SE 22  See 2     3 2 3   5 PELE   duo 3  Fo Qo ac ASG zot z  Centralscope central station I B Ordinary Not Suitable N
120. onitoring  functions would be required  But it is not necessary to populate every  area with monitors  rather the monitors can be moved to those areas  when needed     This option displays a list of all the hardwire beds that have been  programmed  assigned  into each Care Unit     Select the LIST HW BEDS option     A list is generated on the right side of the central station display that  indudes the Care Unit name and bed number for each bed location  as          shown below   ICU   400 A  ICU   400 B  ICU   410 A  ICU   410 B  NOTE    Thelist includes all beds that were previously designated  for use with the hardwire monitors  i e  Eagle and Solar  monitors   The beds may or may not have patients           Revision C Centralscope Central Station 3 27  405040 164    CONFIGURATION  Service Monitor Menu       LIST TELEM XMTRS    NAME TELEM BEDS    3 28    This option displays a list of all the TTX numbers that have been  programmed into the system     Select theLIST TELEM XMTRS option     A list is generated that indudes the Care Unit Name and TTX number           SICU   110    SICU   112    SICU   120    SICU   122   NOTES  An asterisk follows the bed number to denote a telemetry  device     TheLIST TELEM XMTRS option operates within a Care  Unit  A single telemetry cabinet can have its receivers  assigned to several Care Units  You may have to get lists  from several central stations  one per Care Unit  to  produce a list of all telemetry transmitters at a site     Also  t
121. ooting Dropout                                  5 21  CALIBRATION     ccc cece eee eee 6 1  Thermal Print Head Voltage Adjustment                         6 2  DESC PUlOM citas ins Pa 6 2  TOOLS  reguli Fed  20000 a Da e eR ape A 6 2  Procedure  titi amined Outer at CAE eR IE ARES 6 2  PERIPHERAL DEVICES                 sese n nn nnn nn 7 1  Using Peripheral Devices                                      7 2  Selecting Port Devices                                     7 2  Laser Printer   uic ele eR LEER RIO RE O a E ees 7 4  HP AM uut sein oan  ee a a Mp EY RIDERS 7 4   HP 4M wi ee nat bee m Ee Pee Va ea oe ead EX 7 5  Remote DisplayS      0 0 00    cece teeta 7 7  CablingSchemes                                         7 8  Connecting the Optional Touch Screen                          7 10  Holter DataRecording                                       7 11  Network Recording                                       7 12  Centralscope Central Station Revision A    405040 164    CONTENTS       Revision A    UPPER LEVEL ASSEMBLY                    nnn nn nnn nn 8 1  Assembly Variations                                          8 2  OrderingPartS       ooococcocccnco ee 8 3  SpareParts Kirai sb eee Ceci eels 8 3  b  ses    d a aa a eal e vue cx esum ana ate aan Sate a eda 8 3  Exploded View PN 414916 001G 002G 003G 004G                  8 4  Schematic Diagram PN414916 001G 002G 003G 004G              8 6  labels aa Aa be E obe a e 8 8  Parts List PN414916 001G 002G 003G 004G               
122. ower supply                    Main processor PCB Replace main processor PCB with a known  good assembly   5 18 Centralscope Central Station Revision C    405040 164       TROUBLESHOOTING  Troubleshooting Procedure       Symptom    No Comm for all  beds    Possible Cause    Network failure    Action    Check other equipment on the network  If  data is not moving between other equipment  then the network may be broken        Network interface    If data is moving on the network to other  equi pment suspect the AUI cable and  transceiver  Try replacing either or both with  known good parts        Software setup    Verify that the central station and monitors  are properly configured  Make sure the care  unit name is properly programmed at both  the central station and the monitors        LAN controller PCB    Try replacing the LAN controller PCB with a  known good LAN controller PCB        Printer not printing   or printing too light       Paper Paper may be defective or too old  replace  with new roll of paper   Writer PCB Measure printhead voltage on writer PCB     Perform printhead voltage calibration if not  within acceptable range        Thermal printer    After powering down the central station   replace the printer with a known good  assembly  Power up the central station and  perform a print test           Touchscreen on  primary display not  working    Touchscreen cable    Verify that the touchscreen cable is connected  to port 4 on the central station     Verify that 
123. p     Revision C Centralscope Central Station 7 13  405040 164    PERIPHERAL DEVICES  Holter Data Recording       To program the group  dothe following    1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SELECT DEVICES   SELECT EXTERNAL DEVICES  MODIFY    2  When the display below is shown  usetheTrim Knob control to move  the cursor tothe HOLTER ACQUISITION UNIT item                                SELECT EXTERNAL DEVICES   gt   PORT1 REMOTE CONTROL  PORT 2 ADU  PORT 3 LASER PRINTER  PORT 4 NOTHING  HOLTER ACQUISITION UNIT NONE  INTERNET ADDRESS 126 253 1 6  ETHERNET ADDRESS 00 00  A1  FD 01 06  SERIAL NO  A6KH0167G   eg J  veo EJ           3  PresstheTrim Knob control to select the HOLTER ACQUISITION  UNIT item     4  RotatetheTrim K nob control to select which group of analog  channels the central station outputs  Or select the NONE option if  you are not using analog outputs     5  PresstheTrim Knob control to enter the selection           NOTE    Do not duplicate the group selection of another central  station     Make sure the group you select corresponds to the  interface cable connection to the Holter acquisition unit           7 14 Centralscope Central Station Revision C  405040 164    Revision C    8 UPPER LEVEL ASSEMBLY    Assembly Variations                                          8 2  Ordering Parts  AA Hed cheeks eee Dar tla eh dG ed Shad E 8 3   Spare Parts 
124. patient data for a Holter recording the patient monitor  or  telemetry system  first digitizes the patient s data and constructs data  packets  These packets are then transmitted via the Marquette Unity  Network  A central station  also on the network  has previously been  configured for making Holter recordings     From the network the central station inputs data packets from specified  monitors  or telemetry beds   The data packets are sent to a special  circuit board   The analog Holter output pcb assembly  an option which  must be installed in the central station   The assembly converts the  digital data back to an analog ECG format  These analog ECG signals  arethen applied through the Holter Acquisition unit to the Holter input  module inputs           NOTE    The recommended method for making Holter data  recordings is to use a Holter input moduleinstalled in the  Tram rac chassis  This method is less prone to setup and  operational errors  The network method requires more  complex setup procedures  Networked data recordings  can be adversely affected by operator errors not related to  the patient s care           Revision C Centralscope Central Station 7 11  405040 164    PERIPHERAL DEVICES  Holter Data Recording       Network Recording When making Holter data recordings over the Marquette Unity Network  the following equipment is required     e Holter input module  one per patient to be monitored    e Holter acquisition unit  and a      central station     The centra
125. powers up     1     Revision C    Main processor loads software from the boot PROM  then loads  software to the video PCB circuits     CRT display   a status message listing the product name  date   time  memory size  and the software part number is shown     LEDs   DS1 on main processor PCB illuminates and then flashes at  an irregular rate     Main processor loads software from the hard driveto RAM   CRT display   same as above    LEDs   same as above    Main processor loads software to the writer PCB    CRT display   L oading Writer    message     LEDs   DS1 on writer PCB is illuminated steadily during power up   then flashes at 2 Hz  software version 9  or 1 Hz  software version 8      Main processor finishes loading software tothe video PCB   CRT display   L oading Video    message  performs a video test     LEDs   DS1 on video PCB is illuminated steadily during power up   then flashes at 1 Hz     Main processor loads software to the LAN controller PCB     CRT display   L oading Ethernet   message  Programming  Ethernet    message  Note that this period can last a minute or more    LEDs   DS1 on LAN controller PCB is illuminated steadily during  power up  then is turned off     Door Open Paper Out LED is turned off   CRT display           nitializing Centralscope       message     LEDs   DS1 on main processor PCB still flashing at irregular rate     Software loading is finished  central station programs are started   booted      CRT display   M enu boxes appear on displa
126. quipment is type B equipment with an F type  isolated  floating  part  The paddles indicate the equipment is  defibrillator proof     Type B equipment  type B equipment is suitable for intentional  external and internal application to the patient  excluding direct  cardiac application     Equipotentiality    Alternating current  AC     Power  I ZON  O OFF    Centralscope Central Station 1 5    405040 164    INTRODUCTION  Safety Information       Warnings  Cautions   and Notes    Fuse    Indicates where to press to open the door on the Series 7160 Direct  Digital Writer     Warnings and cautions are used throughout this manual to designate a  degree or level of hazardous situations  H azard is defined as a source of  potential injury to a person           WARNING   A warning indicates a potential hazard or unsafe practice  which  if not avoided  could result in death or serious  injury                 CAUTION   A caution indicates a potential hazard or unsafe practice  which  if not avoided  could result in minor personal  injury or product property damage                 NOTE    A note provide application tips or other useful  information to assure that you get the most from your  equipment           Reference Literature Medical Device Directive 93 42 EEC    Centralscope Central Station    EN 60601 1 1990  A1  1993 A2  1995  Medical electrical equipment   General requirements for safety    EN 60601 1 1 9 1994  A1 12 95  General requirements for safety   Requirements for the s
127. r  001 and  003 Only  416569 001 1  Label  Front Panel  German   For  001 and  003 Only  416569 002 1  Label  Front Panel  Swedish   For  001 and  003 Only  416569 003 1  Label  Front Panel  French   For  001 and  003 Only  416569 004 1  Label  Front Panel  Spanish   For  001 and  003 Only  416569 005 1  Label  Front Panel  Italian   For  001 and  003 Only  416569 006 1  Label  Front Panel  Dutch   For  001 and  003 Only  416569 007 1  Label  Front Panel  English   For  002 and  004 Only  416515 001 1  Label  Front Panel  German   For  002 and  004 Only  416515 002 1  Label  Front Panel  Swedish   For  002 and  004 Only  416515 003 1  Label  Front Panel  French   For  002 and  004 Only  416515 004 1  Label  Front Panel  Spanish   For  002 and  004 Only  416515 005 1  Label  Front Panel  Italian   For  002 and  004 Only  416515 006 1  Label  Front Panel  Dutch   For  002 and  004 Only  416515 007 1  91 Label  Press to Open 415570 002 1  92 Label  Keyboard  English  416555 001 1  Label  Keyboard  German  416555 002 1  Label  Keyboard  Swedish  416555 003 1  Label  Keyboard  French  416555 004 1  Label  Keyboard  Spanish  416555 005 1  Label  Keyboard  Italian  416555 006 1  Label  Keyboard  Dutch  416555 007 1  93 Label  Ground Symbol 415511 001 1  94 Label  Equipotential 415511 002 1  Revision C Centralscope Central Station 8 9    405040 164       UPPER LEVEL ASSEMBLY  Parts List PN414916 001G 002G 003G 004G       Parts List    PN414916 001G 002G 003G 004G                     
128. ramming the  slave display                    To program the output ports for external devices  do the following   1  Select SELECT EXTERNAL DEVICES     2  Tochange any of the port external device selections  or program new  external devices  select the MODIFY button using the Trim Knob  control  The following menu is shown                                      SELECT EXTERNAL DEVICES   gt   PORT1 REMOTE CONTROL  PORT 2 ADU  PORT 3 LASER PRINTER  PORT 4 NOTHING  HOLTER ACQUISITION UNIT NONE  INTERNET ADDRESS 126 253 1 6  ETHERNET ADDRESS 00 00  A1   FD   01 06  SERIAL NO  A6KH0167G  PREVIOUS MODIFY   md   a  Centralscope Central Station Revision C    405040 164    CONFIGURATION  Service Menu       Supported Devices    Revision C    3  Fromthis menu each output port and the connected external device  can be programmed  A cursor is now shown next tothe RETURN  menu item        NOTE    To exit the modify menu  position the cursor next to the  RETURN menu item and press theTrim Knob control        4  RotatetheTrim Knob control to position the 7 cursor next tothe port  to be programmed and then press theTrim Knob control     This highlights the port selection  Rotate the Trim K nob control to  change the external device name        NOTE    Because of performance differences in the output ports   not all possible external devices are possible on all ports    For example  port 4 can be used for a laser printer or a  touch screen   Only the external devices shown in the list  can be u
129. ress or telephone number  listed on the  How to Reach Us  page found in Chapter 1   I ntroduction      The table below list the most commonly replaced assemblies ordered in  the service spare circuit board kits        Centralscope With Writer  PN 418221 001  Part Number   1485 002   416397 002   801062 001   Main Processor PCB 404288 115   LAN Controller PCB 404375 012   Video PCB 40377 002    Item       2 1 nch Thermal Writer       Power Supply  Primary Video PCB                   Centralscope Without Writer  PN 418221 002                      Item Part Number  Power Supply 416397 002  Primary Video PCB 801062 001  Main Processor PCB 404288 115  LAN Controller PCB 404375 012  Video PCB 40377 002             Read the fuse rating at the rear of the Centralscope central station  processing unit to select the correct fuse replacement  Refer to Chapter 2    Equipment Overview   for more details about power and fusing           WARNING   To avoid electric shock  always turn OFF the unit and  remove power cord from AC main outlet before replacing  fuses           Centralscope Central Station 8 3  405040 164    UPPER LEVEL ASSEMBLY  Exploded View PN414916 001G 002G 003G 004G       Exploded View PN414916 001G 002G 003G 004G    Sheet 1 of 2          5 PLACES    SING     J    POSITION OVER HOLES    IN HOL       A3   884 PL  SEE NOTE 2  SP1    INSTALL ITEM 43 ON  UNUSED SLOTS    SUPPLIED WITH ITEM 28    8 4 Centralscope Central Station Revision C  405040 164    UPPER LEVEL ASSEMBLY  Exp
130. revision letter located at the bottom of  the page  It identifies the revision level of the entire manual  This may be  important if you have different manuals and you don t know which is the  most current     For the initial release  all pages have the revision letter A  For the second  update  all pages receive the revision letter B  The latest letter of the  alphabet added to the table below corresponds to the most current  revision           Revision History          Revision Date Comment  A 19  anuary 1996 Review release of this manual  B 15 November 1996   Initial final release of this    manual   configuration and  peripheral devices were added           C 30J une 1998 Assemblies were updated          This manual supplies technical information for service representative  and technical personnel so they may maintain the equipment to the  assembly level  Use it as a guide for maintenance and electrical repair  considered field repairable     Users of this manual are expected to have a strong background in  electronics  induding analog and digital circuity with microprocessor and  micro controller architecture     If you need parts lists or schematic diagrams for the PCB assemblies   order the Centralscope Central Station Data Manual  pn 405040 214     Centralscope Central Station Revision C  405040 164    INTRODUCTION  Manual Information       Chapter Content    Introduction    Equipment Overview  Configuration  Maintenance  Troubleshooting    Peripheral Devices    Upper
131. rial number appears on the product label on the  entification base of each unit   Month Year Product Code Product Division  Manufactured Manufactured Two character Sequence F   Cardiology  A   January 1  1991 product Number G   Monitoring  B   February 2   1992 descriptor Manufacturing J   G  W  Labs  C   March 3   1993 number  of  D   April d total units  E   May  and so on  manufactured    F   June  G   July  H   August  J   September  K   October  L   November  M   December  Warranty Tyak   Revision C Centralscope Central Station    405040 164    1 7    INTRODUCTION  How to Reach Us       How to Reach Us    Customer Support If you have questions about your monitoring equipment or if you need  ii ice for equipment repair call   and Equipment iles  Repair Information  U S A and Canada  800 558 7044  24 hour service     Other countries  561 575 5000  during U S  business hours only   or contact your local sales and service  representative    Local sales and service Name   representative     Telephone  Ordering Service Service parts are items that are not expended in the normal operation of  P the product  They are generally replacements for defective or  arts malfunctioning items inside the product  Service parts include PCB    assemblies  electronic components  internal cables and harnesses   software or firmware  and operator and service manuals     A part number for the item to be replaced is necessary for ordering a  service part  If the part number for the desired item i
132. rmal operation   Leakage Current 1  Set the leakage test itch fall    Settheleakage tester switches as follows   Tests i    e Selector knob   1      GND switch   OPEN    e Polarity switch   NORM   e Power switch   OFF     2  Connect the DMM tothe METER jacks on the leakage tester  Set the  DMM tomeasureAC millivolts     Revision C Centralscope Central Station 4 11  405040 164    MAINTENANCE  Electrical Safety Tests       3  Connect the power cord of the device under test to the power  receptade on the back of the leakage tester        NOTE    The device under test is to be tested at its normal  operating voltage        Set the leakage tester power switch to ON   Set the power switch of the device under test to ON     Read the current leakage indicated on DMM  If the reading is greater  than the appropriate specification below  the device under test fails  and should be repaired and tested again     e 300 microamperes  0 3 volts on the DMM   and the device under  test is powered from 100 120 V 50 60 Hz    e 300 uA  0 3 volts on the DMM   and the device under test is  powered from a centered tapped 200 240 V 50 60 Hz  single  phase circuit    e 500 pA  0 5 volts on the DMM   and the device under test is  powered from a non center tapped  200 240 V 50 60 Hz  single   phase circuit       NOTE    Center tapped and non center tapped circuits produce  different leakage currents and the UL and IEC limits are  different        Set the polarity switch on the leakage tester to RVS  reve
133. rse      Read the current leakage indicated on DMM  If the reading is greater  than the appropriate specification below  the device under test fails  and should be repaired and tested again     e 300 microamperes  0 3 volts on the DMM   and the device under  test is powered from 100 120 V 50 60 Hz    e 300 pA  0 3 volts on the DMM   and the device under test is  powered from a centered tapped 200 240 V 50 60 Hz  single  phase circuit    e 500 yA  0 5 volts on the DMM   and the device under test is  powered from a non center tapped  200 240 V 50 60 Hz  single   phase circuit       NOTE    Center tapped and non center tapped circuits produce  different leakage currents and the UL and IEC limits are  different        4 12 Centralscope Central Station Revision C  405040 164    MAINTENANCE  Electrical Safety Tests       Enclosure Leakage  Current Test    Revision C    9  Settheleakage tester power switch to OFF              NOTES    TheMD  measuring device  is the circuitry defined by the  appropriate standard for measuring leakage current     The measuring devices  defined by various standard  organizations  IEC  UL  etc   produce almost identical  test measurement results           Performthis test to measure current leakage through exposed conductive  surfaces on the device under test 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 
134. rted by central station software     Hewlett Packard Laser  et 4M  16 MB of RAM required  RS422 serial port for communications at 57600 baud  PostScript Level 2 software from Adobe  SIMM     The diagram below shows the cabling connections necessary for adding  the HP 4M laser printer to port 2     Central Station         To Port    To RS422  Connector     25 Pin   Interconnect  Cable   PN 700432 001  15      Laser Printer          Centralscope Central Station Revision C  405040 164    PERIPHERAL DEVICES  Laser Printer       HP 4M  The HP 4M   laser printer can be connected to port 1  2  or 3        NOTE  The 4M   printer requires the following interface if it is to  be connected to ports 1 or 2     Extended System Serial Link PCB  ESI 2633A  Marquette pn 414709 001       Cabling for laser printers  Port 1 or 2     Uses RS422   Cable     pn 700432 001  15 foot   Port 3     Uses RS232   Cable     pn 700496 001  15 foot     Programming the Output Once the laser printer is connected it must be identified to the central  Port station operating software  This is done through the Select Devices  or menu     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SELECT DEVICES    2  Rotate theTrim Knob control to move the cursor next to the port to  which the laser printer is connected     3  Press the Trim Knob control to select the port  The cursor moves to  the right column     4  Ro
135. s list is programmed  during system  configuration  to include the beds that are covered by the telemetry  antenna system     LIST HW BEDS     produces a list of all hardwired bed locations  Eagle  or Solar monitors for example  in a unit  This list is programmed   during system configuration  to include locations that either have  installed monitors or have the necessary network connections so that  a monitor could be installed     Revision C Centralscope Central Station 3 25  405040 164    CONFIGURATION  Service Monitor Menu       LIST TELEM XMTRS     produces a list of all telemetry transmitters   This list is entered during system configuration to indude all  transmitters that could be used in a unit     NAME TELEM BEDS     allows telemetry beds to be named  During  system configuration each room or bed designated for telemetry use  can be named  These names are then displayed in operator s menus   eg  to assign beds to patients     NAME HW BEDS     allows hardwired beds  i e   Eagle or Solar  monitors  to be named  After being entered during system  configuration these names are displayed in operator s menus  eg  to  assign beds to patients     NAME TELEM XMTRS     allows telemetry transmitters to be named   Thelist of names is presented in operator s menus  so that  transmitters can be assigned to telemetry patients     Each of these functions is described more fully starting below     LIST TELEM BEDS This option displays a list of all the telemetry beds that have been 
136. s software  sees  these episodes and attempts to dassify them  In  a noisy environment with much signal dropout  the multitude of dropout  dassifications seriously affects the Holter analysis quality     For troubleshooting signal dropout with this option  refer to Chapter 5      Troubleshooting        List Network The LIST NETWORK selection provides a list and summary of all  devices that communicate over the network  The troubleshooting uses for  this command are many and varied  Descriptions of network   troubleshooting techni ques are given below     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  LIST NETWORK    2  A list of devices is scrolled on the right side of the display           NOTE    To stop the listing  press and hold the CTRL key  then  press the S key  To start the listing again  press and hold  the CTRL key  then press the Q key           A listing would include some of the following data     IP Device Secondary Care Unit  Patient  Address Type Address Device Name Name    120 0 17 206 TELE TOWER  2000      SICU TOWR 7e001d0   126 0 17 206 TELE BED      SICU 244     JACKSON   126 0 6 77 TRAM SCOPE  2000    ICU BED1       HUNTER     126 0 6 61 TRAM SCOPE  2000     ICU BED4       BLAND      2000        126 0 177 21 CENTRAL   CU CS4     3 24 Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Monitor Menu       IP Address     is u
137. s unobtainable  the  following will be necessary to order the item       model and serial number of the equipment  e part number name of the assembly where the item is used   e item name  and      where applicable  reference designation  e g   R13  S12  U 32      Su pplies Information    Supply items are generally those items used during normal operation of  a product  Leadwires  electrodes  patient cables  printer paper  Aqua   Knot water traps  airway adapters  and calibration gases are examples of  supply items     Make telephone inquiries about supply items at     U S  only  800 558 5102    Outside U S   561 575 5070  or contact your local sales and service  representative     Address orders or inquiries in the U  S  to     Marquette M edical Systems Service and Supplies  Attention  Supplies Department   100 Marquette Drive   J upiter  Florida 33468 9100   Fax  561 575 5050    1 8 Centralscope Central Station Revision C  405040 164    Revision C    2    EQUIPMENT OVERVIEW    Product Description                                           2 2  Controlsandindicators                                       2 3  Back Panel Description                                        2 4  ConnedtingtheDisplay                                       2 6  VideoAdapters                                           2 6  Connect VideoCable                                      2 7  PowerandFuUsing                                            2 8  Technical Specifications                                 
138. sed on the selected output port  except for the  touch screen  which is programmed as NOTHING         5  Oncethe external devices are programmed for the output ports  position the cursor next to the RETURN menu item and press the  Trim Knob control     6  Toexit the SELECT EXTERNAL DEVICES menu  usetheTrim  Knob control to select the PREVIOUS MENU item and then press  the Trim Knob control     7  Reboot the Centralscope central station to activate the changes     Devices supported by the output ports are listed below  Refer to  Chapter 6   Peripheral Devices   for the connection and configuration  information     ADU     Alarm Display Unit  An external display device for remote  indication of alarm and status messages     WRITER     Thermal Writer  An external Direct Digital Writer  DDW      LASER PRINTER     For printing various reports and data  compilations     REMOTE CONTROL     Similar in function to theTrim K nob control  for remote operation of the central station     TERMINAL     Allows a remote terminal device to be connected to the  central station  Port 3      NOTHING     Set tothis selection if no external device is present  or for  port 4 if a touch screen is connected  select NOTHING      Centralscope Central Station 3 11  405040 164    CONFIGURATION  Service Menu       Programming for Holter  Acquisition Units    Two central stations  supplying a total of 16 data channels  can be  connected to a single Holter Acquisition Unit  The eight data channels  from a ce
139. sed touniquely identify each device on the network   whether the devices are manufactured by Marquette or are part of  the hospital information system     Device Type     indudes     CENTRAL Centralscope central station  MONITOR Eagle  Solar  Tramscope monitors  MRT2 Monitoring Review Terminal 2  MUSE Muse system   TELE BED Telemetry bed  CD or APEX  TELE TOWER Telemetry cabinet    Secondary Address     primarily identifies the telemetry receivers in  the cabinet assembly    gnoring the base 2000 number  the last digit  indicates which receiver in the cabinet assembly is related to each  telemetry bed  The receiver assemblies are identified by numbers in  the cabinet assembly     Care Unit   Device Name     identify the device in terms more  understandable to the user     Patient Name     from the device if a patient is admitted     Beds and XMTRs The BEDS AND XMTRS selection opens to a submenu  The submenu  presents several options relating to bed lists  transmitter lists  and  naming beds and transmitters     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR   BEDS AND XMTRS          NOTE    The list functions do not identify beds with admitted  patients  They only list the beds that could be used for  monitoring patients           The selections presented are     LIST TELEM BEDS     produces a list of all beds that can be used for  telemetry patients  Thi
140. straightened paper clip can be inserted in the small  round hole under the disk slot  By pressing on the  mechanical release bar inside the drive the floppy  diskette can be forcibly ejected           Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Menu       Load Software Software updates can be loaded into the central station either through  the network or by using the floppy diskette drive  This option is used to  specify the software source     To access LOAD SOFTWARE menu  do the following     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  LOAD SOFTWARE    2  The software source select menu is displayed     SELECT BEDS COPY LOAD  AND WAVEFORMS LOGS SOFTWARE     CCUJCS 1  010C  SELECT SET TIME  DEVICES AND DATE       PREVIOUS  MENU                REMOTE VIDEO  AMPLITUDE                3  RotatetheTrim K nob control to select a source for the software  upload           NOTE    The possible central stations on the network are  identified using the Care Unit name followed by the  central name  After the name is the software version  available from that particular central station  Make sure  the software being loaded is the desired version           The software loaded into the central station remains inactive until you  restart the central station  This allows patient monitoring functions to  continue until it is convenient to shut down the
141. tallation  siaa AE ex vx EE gn 2 16  Revision C Centralscope Central Station i    405040 164    CONTENTS       3 CONFIGURATION                 eren rh ruth nn 3 1  Software Re VISIONS        0    erras 3 2  ServiceMenu eis ve 6 nudes ae Se ae SE amas Va Me Ss 3 3   List of Service Menu Options                               3 4  Select Beds and Waveforms                                 3 5  CODY LOGS aste tion dag Pe qe Nar e e ee ode 3 7  Eject Floppy  sec  x ERR x RB ERA RUE ebay tes 3 8  Load SOM War Gr  oui o bee haan ete RATS 3 9  RemoteVideoAmplitude                                   3 9  Select DCS i derete pex dec ve SUN MSEMA ted 3 10  SetTimeandDate                                       3 15  Clear Messages     oooocococo anaana 3 16  Defa  lts x  C ete e RUM RR PEN RR 3 17  Degauss Monitor erotica ex uh p EG RR RE WR 3 20  Service Monitor Menu                                        3 21  TIA Bo    Lm 3 22  Lise Network 222 sebo mcer REESE IXER IM RES 3 24  Beds and XMTRS          0  cc cece ee eas 3 25  Duplicate TAs  zac xe SRE iar EP GER eae ais bee Mia 3 32  Real TimeLog                                          3 33  Open RTERM Session                                    3 33  TELEM Tower Spedal                                    3 34  Software Update  nstructions                                 3 39  General ico WA ts raw mcm  3 39  IA AI ais PEERS D 3 40  Centralscope Central Station Revision A    405040 164    CONTENTS       Revision A    MAINTENANCE           
142. tate theTrim Knob control to scroll through the list of possible  peripheral devices that may be connected to the port     5  Select the LASER PRINTER option     6  Press the Trim Knob control to input the selection     Additional information on configuring the central station for the laser  printer may be found in the Chapter 3     Configuration        Revision C Centralscope Central Station 7 5  405040 164    PERIPHERAL DEVICES  Laser Printer       Serial Cable Pinouts The serial cable that interfaces the laser printer tothe central station  must have the following signal connections        Port 1or Port 2  on Centralscope    Central Station oon xl    Male 9 Pin D    i Connector   Male 25 Pin D  Connector   7 6 Centralscope Central Station Revision C    405040 164    PERIPHERAL DEVICES  Remote Displays       Remote Displays    Revision C    Remote displays are used to duplicate the patient data displays that are  shown on the primary display  They also can be used to provide a display  in the patient s room for a telemetry patient     The same monitors used for the primary display can also be used for the  remote display  A description of the monitors and the required cabling is  provided in the Equipment Overview section     The remote display connects to the remote video connector  which is on  the video PCB        Centralscope Central Station 7 7  405040 164    PERIPHERAL DEVICES  Remote Displays       Cabling Schemes Select one of the interconnection schemes described a
143. telemetry system at the same ti me     But there are circumstances where having duplicate transmitters is  beneficial  such as when you troubleshoot a telemetry system  This  situation can occur when a multiple CD Telemetry LAN cabinet  assembly telemetry system has a cabinet failure  The easiest method to  continue coverage of the patients that were on the failed cabinet is to  move them to open receivers on other telemetry cabinets     But sincethe central station software won t allow duplicate TTX  numbers in the system  it is impossibleto admit the transferred patients   This option overrides the software to allow duplicate TTX numbers  The  patients can then be admitted to open receivers on the other central  stations     Oncethis option is enabled you have 5 minutes to admit the patients to  the central station  Oncethe 5 minute period expires the software again  prevents the admission of patients with duplicate TTX numbers     Admitted patients with duplicate TTX numbers have an indication  shown on the central station display that identifies them  This helps to  identify the transferred patients when the failed telemetry cabinet is  repaired  These patients can then be discharged and returned to the  repaired tel emetry cabinet     The normal state for this option is NOT ALLOWED     To enter duplicate transmitter numbers  dothe following     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   En
144. ter password  MEI CS 123  SERVICE MONITOR  DUPLICATE TTX     3 32 Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Monitor Menu       Real Time Log    Open RTERM  Session    Revision C    2  RotatetheTrim Knob control until the display indicates ALLOWED   Press the Trim Knob control     During the 5 minute period you can admit patients with TTX numbers  that are duplicates  You also can change admission information during  this time           NOTE    Once this option is selected you have five minutes to  enter the duplicate TTX numbers  Of course  if that is not  enough time simply select this option again and continue  entering TTX numbers           This option can be used to troubleshoot the central station  When you  select the ON setting  all messages normally stored in the error log are  also re directed to the right side of the display screen  This allows the  technician to observe problem messages as they ocaur  rather than  having to download an error log and search it     Each time this option is selected the state is toggled from the existing  state  i e  ON to OFF or OFF toON      Totoggle the current state of the real time log option  do the following     1  Select the following menu options beginning with the Centralscope  central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR  REAL TIME LOG    2  Theoption display should toggletothe opposite state  If thelogis ON  then log messages appear 
145. the roller capstan   causing the roller capstan to warp or crack        To dean the thermal print head a soft  non abrasive material d oth and  isopropyl alcohol are recommended     1  Power down the central station     Centralscope Central Station 4 5  405040 164    MAINTENANCE  Cleaning       Cleaning the Floppy  Disk Drive    4 6    2  Openthe writer assembly door to expose the thermal print head   Thermal Print Head       w    Remove any paper from the thermal printer     Locate the thermal print head  A flashlight is helpful in illuminating  the interior of the writer assembly     5  Apply isopropyl alcohol to the non abrasive material cloth  Do not  drench or soak the material in the alcohol  Alcohol should not be  dripping from the material     6  Clean thethermal print head by wiping the deaning material in an  up down motion  Continue this deaning action until no more debris  is being removed and the material wipes dean     A    7  Install the thermal paper in the writer assembly and return the  central station to use     The floppy disk drive is used for loading software updates from diskette  and some occasional service procedures  While not used very often  it is  important that the floppy disk drive be kept in operating condition     The floppy disk drive does have a door that blocks most lint and debris  from entering the unit  However  the forced air cooling system does draw  some air through the floppy disk drive  resulting in material entering the  drive     
146. the thermal writer assembly  It is important that  the voltage applied to the thermal print head be adjusted tothe level  specified by the manufacturer  This voltage level is recorded on a label on  thethermal writer assembly  Thefollowing procedure describes the steps  involved in adjusting the thermal print head voltage        NOTE    Light printing may be an indication of a dirty print head  or the print head voltage adjusted to too low of a value   Verify the print head voltage using the following  procedure        Tools required To perform this procedure a digital voltmeter and some small hand tools  are required        CAUTION    Shock Hazard  High voltages exist around the power  supply and power input assembly        Procedure 1  First loosen the screws securing the chassis to the housing  Slide the  chassis out to expose the circuit boards  Locate the writer PCB     2  Connectthe positive lead of the digital voltmeter to the heatsink tab   drain  of field effect transistor Q1  TO220 case  or to TP3     6 2 Centralscope Central Station Revision C  405040 164    CALIBRATION  Thermal Print Head Voltage Adjustment       3  Connect the ground lead to negative side of C41 or toTP2  The  voltage shown on the voltmeter is the thermal print head voltage     Connect ground lead  Print Head to negative side of C41  Voltage Adjustment or TP2                                                                                                                                            
147. the touchscreen cable is connected  to the proper connectors  not backwards         Touchscreen          From the Service Mode run the touchscreen  test  If the X Y Z axes do not change when  pressing the screen  replace the touchscreen  assembly        Revision C    Centralscope Central Station    405040 164       TROUBLESHOOTING  Troubleshooting Signal Dropout       Troubleshooting Signal Dropout    BLANK Option    DRAW Option    5 20    For more extensive troubleshooting procedures dealing with telemetry  problems  refer to the  Troubleshooting  chapter in the CD Tel emery   LAN Cabinet Field Service Manual  pn 401566 033     Generally  the BLANK option is selected so that periods of signal dropout  appear as gaps in the waveform display     To change your selection  select the following menu options beginning  with the Centralscope central station MAIN MENU     CENTRAL SETUP   SERVICE   Enter password  MEI CS 123  SERVICE MONITOR   TTX DROPOUT    Selecting the BLANK option leaves a gap in the patient data waveform  when dropout occurs     dc d    V    mc c2 EE xc    Selecting the DRAW option drops the patient data waveform to the  baseline  The following example of the blanking option shows a gap  where the patient data signal is lost     The DRAW option continues with a straight line patient data display  when the patient signal is lost  Sincethe patient signal is low amplitude   or nonexistent  the displayed patient waveform drops to the bottom of the  channel and remai
148. tte     LOAD SOFTWARE     Starts the background software loading  procedure from either floppy diskette or over the network  from  another central station  onto the central station hard disk drive     SELECT DEVICES     Is used to program the external ports for various  peripheral devices     REMOTE VIDEO AMPLITUDE     is used to selec the percent of  amplitude signal sent to a remote display  Some remote displays  become distorted at the standard 10096 input signal amplitude so a  lower percentage may be selected     SET TIME AND DATE     Is used to program time and date settings     CLEAR MESSAGES     Clears any status messages left over from  loading software     DEFAULTS      s used to program central display default and telemetry  unit default settings  Similar tothe default programming that can be  performed at the user level but allows additional items to be  configured     DEGAUSS MONITOR     This option degausses an integral CRT  older  CS12 units  for 10 seconds   This is a feature for the color central  station and does not function on central station with external  displays      SERVICE MONITOR     Enters the service monitor mode  The  SERVICE MONITOR modeis discussed in detail later in this  chapter     Centralscope Central Station Revision C  405040 164    CONFIGURATION  Service Menu       Select Beds and The SELECT BEDS AN D WAVEFORMS button may be selected at the  W f user level  Programming instructions for this option are included in the  averorms CD Telemer
149. ut of place  Circuit Boards m Moisture  dust  or debris  top and bottom   m Looseor missing components    Burn damage or smell of over heated components  m Socketed components not firmly seated  m PCB not seated properly in edge connectors    m Solder problems  cracks  splashes on board  incomplete feedthrough  prior  modifications or repairs    Ground Wires Wiring m Loose wires or ground strap connections  m Faulty wiring  a Wires pinched or in vulnerable position    Mounting Hardware m Looseor missing screws or other hardware  especially fasteners used as  connections to ground panes on PCBs    Power Source m Faulty wiring  especially AC outlet  m Circuit not dedicated to system     Power source problems can cause static discharge  resetting problems  and  noise                     WARNING    Solder multi layer and surface mount PCB assemblies at  your own risk  Improper repair methods can damage the  PCB assemblies even further  Only qualified service  personnel with the proper laboratory equipment should  attempt to repair PCBs           Revision C Centralscope Central Station 5 17  405040 164    TROUBLESHOOTING  Troubleshooting Procedure       Troubleshooting Procedure    Usethe following troubleshooting steps to locate malfunctions with the  central station or the network     For extensive troubleshooting procedures dealing with telemetry  refer to  the    Troubleshooting    chapter in the CD Telemetry LAN Cabine Fidd  ServiceManual  pn 401566 033     Symptom Possible C
150. veform is present at each connector output  pin   Except the H  12V RETURN pins      0 5V                  0 5V         25mS    8  If the    buzz    waveform is not being generated verify that the slot  selection is set to NONE  Failure to generate the    buzz    waveform  indicates a failure in the analog Holter output PCB           NOTE    In the output chart OUTPUT_1 corresponds to display  slot 1  OUTPUT 2 corresponds to display slot 2       and  OUTPUT 8 corresponds to display slot 8           Analog Holter DC Offset The chart on the following page summarizes the DC offset signals  Volt generated by the analog Holter output PCB for the channel ID test  An  ollage oscilloscope or digital multimeter can be used to verify these signals     1  Access the Service Menu   2  Fromthe Service Menu select SELECT DEVICES   3  Select the SLAVE DISPLAYS option    4  Changea slot assignment to CHANNEL ID    5    Connect the oscilloscope or multimeter to an output pin on the analog  output connector for the slot changed to CHANNEL ID          Central Station    Connector J3  Analog Holter  Output PCB  Assembly    6  Verify the voltage present at the connector pin is according to the  chart on the following page  The signals should be 47  20mV of the  stated value     Revision C Centralscope Central Station 4 19  405040 164    MAINTENANCE  Checkout Procedure       7  Repeat with the other outputs        NOTE    The operating software allows the CHANNEL ID  selection to last only for 5 m
151. verview    Unity Network    Revision C    This theory of operation is intended to provide an overall overview of the  central station  This information is useful when installing and  troubleshooting a central station  Component level theory of operation  isnt induded in this manual  it may befound in the Centralscope Central  Station Data Manual  pn 405040 214     The Centralscope central station is an overview device  Patient data from  up to eight bedside monitors can be displayed simultaneously on its  screen  Centrally located staff can then  keep an eye  on monitored  patient s vital signs data without being physically in the patient s room   In addition to real time displays  alarms and other indications alert the  staff to problems any patient might be experiencing  The central station  can then be programmed to provide a display of any one patient s data  that is essentially a duplicate of the monitor display in the patient s  room  This full display allows the staff  such as at a nurse s station  to  decide upon any necessary action to take     The central station gathers patient data transmitted on the Marquette  Unity Network  hereafter simply referred to as the monitoring network    It then displays this data using several formats and can also record  selected data on paper using a thermal printer  Data from up to eight  patients  from anywhere on the network  can be programmed for  simultaneous display on the central station  Patient data displays   however  are 
152. y   LEDs   DS1 on main processor PCB flashes at 1 Hz     Centralscope Central Station 5 11  405040 164    TROUBLESHOOTING  Central Station Powerup  Boot  Sequence       Troubleshooting the  Powerup Sequence    5 12    Verify that the central station is connected to a suitable power source   then       Power up the central station     Selftests start  LED DS3 on main processor PCB turns off   If no  the reset to the main processor is being held low  Check the  power supply and the main processor PCB     Door Open Paper Out LED turns on   If no  data is not being read from boot PRM  check main processor   Error message may be displayed if a problem occurs leading boot  data     Hard drive spins up   If no  check the hard drive cabling and the power supply  Hard drive  may have failed     Oncethe hard drive spins up  the display should indicate the software  being loaded     The writer PCB is loaded with software and tested   If the writer PCB fails thetest  an error message is displayed   Replacethe writer PCB     DS1 on the writer PCB flashes to indicate success     The video PCB is loaded with software and tested   If the video PCB fails thetest  an error messageis displayed  Replace  the video PCB     DS1 on the writer PCB flashes at 1 Hz to indicate success     The LAN controller PCB is loaded with software and tested   If the LAN controller PCB fails the test  an error message is  displayed  Replace the LAN controller PCB     DS1 on the LAN controller PCB turns off   Door 
153. y LAN and Centralscope Central Station Operator s Manual     This option programs the central station display for either 8  6  or 4 beds  O   and for different numbers of waveforms for the beds  An example of each  WAVEFORMS display option is shown below     8 BEDS   1 WAVEFORM 6 BEDS   2 WAVEFORM    MON  JUL 13  1994     10 36 02 AM CCU CS1 MONDAY JULY 24  1995 10 47 23    180 50 THUNTER BED  Ju 150 50 BMCINTRE EE  S BROWN BED  150 50 C FOSTER    LLnL    ANT 0 2 INF 2 3  ART 119 79  99  PVCO EE  PA 26 6  14  PVCO  AZ     AVF 15050 JD THOMAS  BEDZ v 150 50 K TRACY BED6    ik eas ES ad ss diss 6 AA AAA  70 R CAMPBELL    11  0 2 ANT 0 1  TTX  340 PVC 0 ART 129 64  86  PVC 0  co A  DISCHARGED BED3 AVR     15050 EJFRASIER BED7    85    ANT 0 2  ART 126 46  96  PVCO  MULDER BEDA Ju 200 50 ERE    e8       LL d LL 140    11  0 2 INF 2 3  TTX  341 PVCO  A PA 26 7  15  PVCO    BED5  HRLO49  BED8  ARTLO122    Hides the Main Menu options and expands the Centralscope display  Hides the Main Menu options and expands the Centralscope display   VIEW VIEW ADMIT VIEW VIEW VIEW VIEW VIEW  BEDI ES Bep  J  eeo   J  seos J  see J  seos J  seos J  seo J  ees  VIEW OTHER GRAPHIC ALARM viTAL    GRAPH ALL    CENTRAL VIEW OTHER ALARM GRAPH ALL     CENTRAL  PATIENT TRENDS J  HISTORIES J  SIGNS PATIENTS    SETUP ES PATIENT eee stones    LME PATIENTS SETUP    4 BEDS   3 WAVEFORM 4 BEDS   1 WAVEFORM    MONDAY JULY 24  1995 10 47 23  6 MON  JAN 18  1993 10 36 02 AM    BED1 150 50 R JACKSON eded  EN ec Jn  
    
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