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FORE-SIGHT® MC-2000 Series Cerebral Oximeter
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1. Do Visual inspection of unit inside and out Update hardware and software as required through ECN changes Maintenance Error updates Battery Replacement Fan filter replaced Assessment of all Accessories sent in with monitor Calibration and or adjustments to monitor SctO functional test Front panel receptacles cleaning and or replacement if needed Monitor Preamp Cables tested and connections cleaned Monitor Safety Leakage Check Hi Pot Test Update labeling where needed Final Factory Test Procedure Cleaning QA Inspection 21 02 0250 Rev 00 09 09 Page 61 FORE SIGHT Field Service Manual Parts replaced if needed at no additional charge Parts replacements to be determined by repair technician 1 Front panel key switch Any circuit boards which need to be replaced due to malfunction will have an additional charge on the PM Price Customers will be provided with an estimate prior to repairs PM Price also does not apply to units and accessories that have been misused or damaged e After warranty factory depot repair parts and labor repairs also provided Estimates provided upon request Sensor Contract Customers excluded e Exchange Items include Pre amp box as an assembly Refurbished assemblies to help reduce replacement cost from new product e Loaners are available for customers that request them e Customers without proper packaging for shipping will be sent an empty box for transport of unit
2. Press the SILENCE RESET pushbutton The monitor silences the audible alarm tone and the message is removed from the message area If the message L SctO cable sensor error or R SctO cable sensor error appears in the message area verify that the monitor cable and sensor are not defective Press the SILENCE RESET pushbutton The monitor silences the audio alarm tone but the message remains Remove the defective cable sensor and replace it with a working cable sensor Should any of the above problems persist contact your distributor or CAS Medical Systems 21 02 0250 Rev 00 09 09 Page 45 FORE SIGHT Field Service Manual Error Messages in the Message Window The FORE SIGHT MC 2000 Series Monitor displays a variety of messages on the Message area to aid the user Possible Cause Patient sensor is not in correct contact with patient Light block is not properly positioned to exclude ambient light Message L R Excessive Ambient Light L R SctO gt cable sensor error Monitor Cable fiber optic pathway is compromised Patient sensor is defective L R SctO P cable disconnect Patient cable is disconnected L R SctO M cable disconnect Monitor Cable is disconnected L R Invalid Sen sor An invalid sensor has been plugged into the monitor cable L R Not cali An sensor has been plugged into brated for the monitor cable that has no probe type Calibration information SctO sensor mismatch I
3. When the FORE SIGHT MC 2000 Series Monitor is not going to be used for a week or more remove the battery fuse prior to storage To remove the fuse refer to Page 56 BATTERY FUSE for more information If the FORE SIGHT MC 2000 Series Monitor has been stored for more than thirty 30 days charge the battery as described in AC FUSE Section A fully discharged battery requires four 4 hours to receive a full charge The battery is being charged whenever the monitor is connected to an AC power source and the battery fuse is properly installed 21 02 0250 Rev 00 09 09 Page 37 FORE SIGHT Field Service Manual Page intentionally left blank Page 38 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 8 TROUBLESHOOTING HOW DOES THE FORE SIGHT CEREBRAL OXIMETER WORK The FORE SIGHT Cerebral Oximeter is a non invasive device that incorporates CAS Medical System s exclusive LASER SIGHT technology to project harmless near infrared light through the scalp and skull and into the brain via a disposable sensor on the patient s forehead The FORE SIGHT Cerebral Oximeter operates based on the principle that blood contains hemoglobin in two primary forms oxygenated hemoglobin HbO and de oxygenated hemoglobin Hb These two forms of hemoglobin absorb light in different measurable ways Cerebral tissue oxygen saturation SctO levels are found by determining the ratio of oxygenated hemoglobin to total hemoglobin at the microvascular
4. External power interruption or Press the alarm silence button to clear the disconnected power cord message or turn monitor off and on again Applies only to units w o batteries Clock has not been set Set date and time via Setup gt Set Time amp Date Clock battery needs to be Contact CASMED customer service replaced Battery needs to be recharged Plug unit into outlet AC power loss Unit operating on Battery power Plug unit into outlet Save your data and clear the current data by selecting new patient Data storage has reached Data is no longer being stored Save your data and Data storage is near capacity capacity clear the current data by selecting new patient Check for free flow of temperate air around monitor Move monitor away from wall or other obstruction Move it to a cooler area If condition persists contact CASMED customer service Battery Fuse missing or blown or Install Battery fuse battery harness disconnected Contact CASMED customer service Internal component failure Refer Contact CASMED customer service to Table 4 for additional details Monitor is beginning to overheat Table 3 User Messages Page 47 FORE SIGHT Field Service Manual A System Error indicates an error was detected by the monitor The following table can be used to determine the source and type of error that occurred 2 Digit source 3 Digits Error Type oystem Controller board 001 Un
5. level arterioles venules and capillaries in the region of the brain that is interrogated The FORE SIGHT Cerebral Oximeter continuously monitors cerebral tissue oxygen saturation SctO which is a mixed oxygen saturation parameter and reflects a proportional mix of arterial 30 and venous 70 blood in the outlying regions of the brain This 70 30 determination is based on results from PET scan studies on the brain Laser light is projected into the brain in four precise 1nm wavelengths to capture information needed for an absolute indication of cerebral tissue oxygen saturation levels Four precise wavelengths are needed to maximize the measurement accuracy of oxy and de oxy hemoglobin in determining cerebral tissue oxygen saturation SctO to compensate for wavelength dependent scattering losses and to account for interference from other background light absorbers e g dyes fluid tissue and skin pigmentation Reflected light is captured by detectors positioned on the sensor for optimal signal collection and subtraction of interference from tissues outside the brain After analyzing the reflected light the FORE SIGHT Cerebral Oximeter displays the cerebral tissue oxygen saturation level on the monitor as an absolute number and provides a graphical representation of historical values 21 02 0250 Rev 00 09 09 Page 39 FORE SIGHT Field Service Manual LOCATION of LASER LABELS Figure 10 below shows the location of the laser
6. 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 6 EXTERNAL DEVICE INTERFACING OVERVIEW The FORE SIGHT MC 2000 Series Monitor with software version 4 4 or higher has the capability for a communications link with Philips IntelliVue Patient Monitors computers and is capable of interfacing to an external Serial printer The connections are made through connectors located on the rear panel of the monitor Refer to Figure 5 and Table 1 and Table 2 for connection information Male DB9 Female DB9 Figure 5 RS232 Connector Pin Layout me ame wide scie Description Description NC NC NC O ONG Isolated Ground Isolated Ground 6 NC 6 C Request to Send Request to Send 8 Clear to Send 8 Clear to Send 9 9 E Table 1 DB9 Male Pin Out Table 2 DB9 Female Pin Out NC No Connection 21 02 0250 Rev 00 09 09 Page 27 FORE SIGHT Field Service Manual SELECTING THE SERIAL PORTS Port selections may be different than the ones indicated in this section You can change the Port settings for information transmitted and received in and out the four 4 serial ports located on the rear of the monitor To select a serial port Turn the rotary control knob to select the Setup menu 2 Pressthe rotary control knob to open the Setup menu 3 Turn the rotary control knob to the right to select Ports 4 Press the rotary control knob a second time to open the Ports Dialog Refer to
7. 2000 Series Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the FORE SIGHT MC 2000 Series Monitor should assure it is used in such an environment Electromagnetic Environment RF emissions CISPR 11 The FORE SIGHT MC 2000 Series Monitor uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 MN E E SNNT NEA The FORE SIGHT MC 2000 Series Monitor is suitable for use in all IEC 61000 3 2 Class A establishments other than domestic establishments and those 2 directly connected to the public low voltage Power Supply network Voltage fluctuations flicker Complies that supplies buildings used for domestic purposes emissions Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment Guidance Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Voltage dips short interruptions and voltage variations on Power Supply input lines IEC 61000 4 11 Power frequency 50 60 Hz magnetic field IEC 61000 4 8 2 kV for Power Supply lines 1 kV for input output lines 1 kV line s to line s mode 2 kV line s to earth mode lt 5 Ur gt 95 dip in Ur for 0 5 cycle 40 Ur 60 dip in Ur for 5 cycles 70 Ur 30 dip in UT for 25 cycles lt
8. 5 Ur gt 95 dip in Ur for 5s 2 kV for Power Supply lines 1 kV for input output lines 0 5 kV line s to line s mode 2 kV line s to earth mode lt 5 Ur gt 95 dip in Ur for 0 5 cycle 40 Ur 60 dip in Ur for 5 cycles 7096 Ur 3096 dip in Ur for 25 cycles lt 5 Ur gt 95 dip in Ur for 5s NOTE Uris the A C mains voltage prior to application of the test level Page 18 The FORE SIGHT MC 2000 Series Monitor is designed for use in controlled environments only Per OSHA guidelines for operating rooms the area must employ adequate static electricity controls The relative humidity should be maintained at about 50 The FORE SIGHT MC 2000 Series Monitor is designed for use in controlled environments only Per OSHA guidelines for operating rooms the Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment If user of the FORE SIGHT MC 2000 Series Monitor requires continued operation during power mains interruptions it is recommended that the FORE SIGHT MC 2000 Series Monitor be powered from an uninterruptible Power Supply or a battery Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment 21 02 0250
9. NOTE No other extended warranty applies to this product or PM program NOTE Parts replaced for service repairs are covered for 90 days from point of repair Page 62 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 11 SPARE PARTS Part Number Description 01 02 0384 Power Cord Intr 220 VAC 01 02 0385 Power Cord Australian 01 02 0386 Power Cord Intr 240 VAC 01 02 0395 Power Cord USA 01 06 0005 Monitor Cable with Pre Amp 01 06 0031 SctO2 Simulator 01 06 0035 Biomedical Cleaning Kit 01 06 0237 Adapter Plate for use with roll stands or arms 09 01 0032 Fuse 8 Amp 09 01 0033 Fuse 3 15 Amp 25 01 0124 Cable Bundler 21 02 0250 Rev 00 09 09 Page 63 FORE SIGHT Field Service Manual Page intentionally left blank Page 64 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 12 SPECIFICATIONS SctO2 MEASUREMENT Method Modified Beer Lambert Law Near Infrared Spectroscopy NIRS at wavelengths 690 780 805 and 850 nm Information output Absolute cerebral tissue oxygenation saturation SctO Measurement range 0 to 99 Accuracy Accuracy not determined 45 Monitor may not be accurate at saturations below 45 Large Sensors 45 to 95 3 7 to 1 standard deviation Medium Sensors 50 to 99 4 9 to 1 standard deviation Small Sensors 50 to 99 5 0 to 1 standard deviation Display resolution Increments of 1 Data rates Acquisition lt 100 Hz numeric display 5 Hz LASER
10. Rev 00 09 09 FORE SIGHT Field Service Manual Guidance and Manufacturer s Declaration Electromagnetic Immunity The FORE SIGHT MC 2000 Series Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the FORE SIGHT MC 2000 Series Monitor should insure that it is used in such an environment Immunity Test IEC 60601 Test Level Electromagnetic Environment Guidance Level Portable and mobile RF communications equipment should be used no closer to any part of the Model MC 2000 Series Monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Conducted RF 3 Vrms Recommended separation distance IEC 61000 4 6 150 kHz to 80 MHz d 1 2VP Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz d 1 2VP 80 MHz to 800 MHz d 2 3NP 800 MHz to 2 5 GHz Where P is the maximum output power rating of the transmitter in watts according to the transmitter manufacturer and dis the recommended separation distance in meters Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol e NOTE 1 At 80 MHz and 800MHzZ the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic
11. Rotary Control Knob The rotary control knob gives you access to on screen monitor functions You can e Navigate through all menu selections e Choose optional settings e Enter data The rotary control knob has two modes of operation e Turn the knob to step through choices on the screen e Push the knob to select a highlighted choice You can turn the rotary control knob to the right clockwise or to the left counterclockwise Right clockwise Left counterclockwise rotation rotation Figure 3 Clockwise and Counterclockwise Directions NOTE Turning the rotary control knob to the right clockwise advances the selection on screen to the right when you are navigating the menu When you are navigating selections on a specific menu turning the knob clockwise advances the selection down until you reach the bottom of the menu then it starts over at the top When you are not on the menu bar turning the knob clockwise advances the selection to the next section of the display in a clockwise direction NOTE Turning the rotary control knob to the left counterclockwise advances the selection on screen to the left when you are navigation the menu When you are navigating selections on a specific menu turning the knob counterclockwise advances the selection up until you reach the top of the menu then it starts over at the bottom When you are not on the menu bar turning the knob counterclockwise advances the selection to the next sect
12. accessories from the monitor before cleaning CAUTION DO NOT spray any water or cleaning solution directly onto the monitor When necessary the monitor surfaces may be disinfected using a soft cloth saturated with a 10 1 10 solution of chlorine bleach in tap water When all of the surfaces have been disinfected wipe the entire surface of the monitor using a soft cloth dampened with fresh water to remove any trace amounts of residue and or fumes NOTE Thoroughly wipe off any excess cleaning solutions Care should be taken to prevent water or cleaning solution to run into connector openings or crevices THE DISPLAY Clean the display window using a soft lint free cloth sprayed with an alcohol free glass cleaner NOTE The use of paper towels is not recommended as it may scratch the surface 21 02 0250 Rev 00 09 09 Page 35 FORE SIGHT Field Service Manual CLEAN MONITOR CABLES NOTE Cables contain fiber optic elements Care should be taken to avoid kinking or bending cables during cleaning Prior to each patient use inspect the Monitor Cable for damage Clean the Monitor Cable using a soft cloth dampened with a 10 1 10 solution of chlorine bleach in tap water Do not use alcohol CAUTION If the Monitor Cable should become grossly contaminated with blood or other bodily fluids it should be discarded NOTE DO NOT soak or submerse the Monitor Cable in any liquid solution Liquid should not be permitted
13. labels located inside the monitor CAUTION Removal of the Warranty Void If Removed sticker will void any warranty the monitor may have DO NOT remove the top cover Only personnel authorized to do so by CAS Medical Systems Inc should repair the monitor CAUTION CLASS 3B RADIATION WHEN N OPEN AVOID EXPOSURE TO BEAM Labels are located on each NSAM Board Figure 10 Location of Internal Laser Labels Note CLASS 1 LASER PRODUCT This product is designated for use solely as a component of the Model MC 2000 Series Monitor and therefore does not comply with the appropriate requirements of 21 CFR part 1040 10 for complete laser products This product complies with IEC 60825 1 2001 Page 40 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual SYSTEM TROUBLESHOOTING System Control amp User LF Block Diagram LCD Is0 I0 5wDpC 3l Interface Eotary es E Quad a ipe Uart Eazi C ae E 3 08604 MHz CONTROL Motorola I MCF5329 1 he E ra p 2J EEE EEE E E E E ee 1M X32 4 ME Static Fam HOR Flash DIGITAL THERMOMETERS cs j i AFL l 2d i Speaker Power eS pe B SAML De Ne MET SAML Exit p02 Faibow SLEM DC POWER en M 12 V ISO MAS SVD Optimal auc hate M eh lav LCD Diverter Erde Isolated In DERC 150 In SvDC Corererter Power Devoe IS 0 M S 5VDC C orErerter Figure 11 FORE SIGHT MC 2000 Series Monitor O
14. propagation is effected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Model MC 2000 Series Monitor is used exceeds the applicable RF compliance level above the 2040 Monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the Model MC 2000 Series Monitor Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Model 2040 Monitor The Model MC 2000 Series Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Model MC 2000 Series Monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Model MC 2000 Series Monitor as recommended below according to the maximum output power of the communicatio
15. shall be operated from its INTERNAL ELECTRICAL POWER SOURCE Isolation of product from mains can only be achieved by removal of external power cord Route all cables away from patient s throat to avoid possible strangulation DO NOT under any circumstances perform any testing or maintenance on the monitor or power cord while the unit is being used to monitor a patient Unplug the power cord before cleaning or servicing the monitor The operator should not perform any servicing except as specifically stated in this manual The functions of the alarm system for monitoring of the patient must be verified at regular intervals Periodically and whenever the integrity of the product is in doubt test all functions DO NOT use a frayed or damaged Power Supply cord or any accessory if you notice any sign of damage Contact CAS Medical Systems Inc for assistance DO NOT come into contact with patients during defibrillation Otherwise serious injury or death could result Only use CASMED supplied patient cables with this monitor The use of unprotected patient cables creates the potential for making an electrical connection to ground or to a high voltage power source which can cause serious injury or death to the patient DO NOT modify or alter the SctO2 sensor in any way Alterations or modification may affect performance and or accuracy The use of accessory equipment not complying with the equivalent safety requirements of this equipm
16. to enter the ends of the Monitor Cable because instrument damage may occur Monitor Cable should be allowed to thoroughly dry before use CLEANING PATIENT CABLES CAUTION The Patient Cable is designed for single patient use and is not to be reprocessed CAUTION DO NOT soak or immerse the patient cable and sensor in any liquid solution Do not attempt to sterilize it FIBER OPTIC CONNECTORS A cleaning of the fiber optic connections on the front panel of the monitor and the monitor cables should be performed at least every six 6 months by a qualified service technician e Follow the instructions in the Biomedical Kit p n 01 06 0035 SAFETY CHECKS The following Safety Checks should be performed at least every twelve 12 months by a qualified service technician e Inspect the monitor cables and power cord for mechanical and functional damage Page 36 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual SYSTEM CHECKS The following System Checks should be performed at least every twelve 12 months by a qualified service technician e SctO Simulator Check e Chassis Leakage PREVENTATIVE MAINTENANCE CAS Medical Systems recommends the monitor be returned to the factory for Preventative Maintenance every two 2 years Refer to Page 61 for a list of items performed with the Preventative Maintenance service BATTERY CAS Medical Systems recommends replacing the monitor s battery every two 2 years
17. to have a monitor returned to CASMED for repair there must be an RMA number Return Merchandise Authorization assigned by CASMED Please have all information on the Service and Repair Questionnaire available In order to issue an RMA number CASMED will need Model Type Serial Number Customer ID P O number may be necessary if the customer has NET 30 terms and the repair is billable Please note that a customer can use a P O to approve a certain amount e g PM service for 800 00 and CASMED will call for approval if the repair exceeds the amount Issue with the unit should be as specific as possible The more detail available the more accurately we will be able to pin point the issue Please see the Service and Repair Questionnaire for guidelines of information needed Once the RMA number is given to the customer it is important that they keep the number for their reference All RMA items are sent to the address below CAS Medical Systems Attn RMA 32 East Industrial Road Branford CT 06405 21 02 0250 Rev 00 09 09 Page 59 FORE SIGHT Field Service Manual Service and Repair Questionnaire When calling technical support customer service please have as much as possible of the following infor mation available 1 Contact person and location Name Title Institution Phone Pager Email 2 Pre Amp cables serial numbers 3 Software Firmware revision levels available from Help menu About s
18. to the Waste Electrical and Electronic Equipment Directive in the European Union Alternating current Recycling suggested SYMBOLS NEAR ACCESSORY CONNECTIONS JENIS Patient connections are Type BF v Communication port RS 232 Connector SYMBOLS APPEAR ON PACKAGING IN PLACE OF TEXT 5l i oymbol used to indicate where Relative Humidity information concerning storage and transport can be located oymbol used to indicate the minimum and maximum storage and transport Temperatures 21 02 0250 Rev 00 09 09 Page 21 FORE SIGHT Field Service Manual Page intentionally left blank Page 22 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 5 MONITOR CONTROLS FRONT PANEL Display screen Alarm Silence Reset key Average Auto Left Right key On Standby key Sensor Start Restart key AC line indicator LED Rotary control knob Battery indicator LED MC 2010 amp MC 2030 Left patient connection USB flash memory stick connection Right patient connection Figure 2 Front Panel View FRONT PANEL CONTROLS SYMBOLS On Standby Key Press to toggle between Standby and On Press and hold for 2 seconds to toggle between On and Standby Unit will remain in Standby mode when connected to AC power WARNING Isolation of product from mains can only be achieved by removal of external power cord 21 02 0250 Rev 00 09 09 Page 23 FORE SIGHT Field Service Manual Alarm Silence Reset Key conditio
19. wetted take it out of operation It should be thoroughly dried Inspect the monitor cables power cord and sensors for damage prior to operation If any damage is noted the monitor should not be used until it has been serviced Only personnel authorized to do so by CAS Medical Systems Inc should repair the monitor If the monitor fails to respond DO NOT use it until the situation has been corrected by qualified CAS Medical Systems Inc personnel Grounding reliability can only be achieved when the equipment is connected to an equivalent receptacle marked Hospital Grade Use only accessories and sensors approved by CAS Medical Systems Inc to ensure patient safety and to preserve the integrity accuracy and electromagnetic compatibility of the monitor Electrosurgery To prevent unwanted skin burns apply electrosurgery electrodes as far as possible from all other sensors a distance of at least 15 cm 6 in is recommended Federal law restricts this device to sale by or on the order of a physician or properly licensed practitioner Page 16 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual GENERAL NOTES The FORE SIGHT MC 2000 Series Monitor is designed for continuous operation The FORE SIGHT MC 2000 Series Monitor is suitable for use in the presence of electrosurgery however measurements may be inaccurate during active use of an ESU The monitor is shipped with the appropriate line cord for the countr
20. 57 1 1 0 Left 57 Right no value Avg no value no limit violation 57 49 53 4 Left 57 Right 49 Avg 53 High Left violation 57 49 52 20 Left 57 Right 49 Avg 52 High Left amp Differential violation 21 02 0250 Rev 00 09 09 Page 31 FORE SIGHT Field Service Manual Test Port Test Port enables the user to evaluate the proper function of the serial ports P1 P2 and P3 1 Connect a serial cable Male Male Null Modem Cable to P1 P2 or P3 on the back of the FORE SIGHT monitor to a PC or other computer serial port 2 Configure the selected communications port to Test Port using the procedure outlined in section SELECTING THE SERIAL PORTS on Page 28 3 Setthe desired baud rate default is 57600 Refer to Figure 8 Ports 4 Onthe PC or other computer start a terminal emulation program such as HyperTerminal 5 Configure the PC terminal emulation program for the connected port to match the baud rate and other port parameters data bits parity stop bits flow control that are specified on the FORE SIGHT monitor 6 Once configured correctly any character typed on terminal emulation will be echoed by FORE SIGHT As seen from rear view SETUP 19200 8 N 1 Philips Vue Link Citizen CMP 1 Pp eee P3 SETUP 57600 8 N 1 SETUP 57600 8 N 1 Simple comma text Test Port DOME CANCEL Figure 8 Ports Printer The FORE SIGHT MC 2000 Series Monitor uses
21. 601 1 1 IEC 60601 1 4 IEC 60601 1 8 UL classified UL 60601 1 CAN CSA C22 2 No 601 1 M90 IEC 60825 1 All units covered by U S patents 6 456 862 7 047 054 7 072 701 Other patents pending 21 02 0250 Rev 00 09 09 Page 67 FORE SIGHT Field Service Manual Notes Page 68 21 02 0250 Rev 00 09 09
22. Animated Splash Screen Main Screen Y System Error Pop Up Message Y E003 014 Or E004 014 NSAM has Sent a Bad Status Y Contact CASMED Technical Support Y Contact CASMED Technical Support Page 43 FORE SIGHT Field Service Manual No SctO Reading Y Y Pre Amp Cable Icon Pre Amp Not Displayed Cable Icon Displayed oo 0 0 0 0 0 If the same cable works in Sensor or Simulator another channel or Connected to Pre Amp another monitor then Cable monitor needs service Y Pre Amp Cable Icon Gy Sensor Icon Displayed a Displayed Y Y Start Laser via Front Bad Sensor or Pre Amp Panel Button Failure x No Value Displayed Swap Left and Right Sensor Connections Y Y Swap Left and Right Sensor Icon Pre Amp Cable Sensor Connections Displayed Icon Displayed T las a Replace Defective Sensor Replace Defective Sensor Yes Displayed oe and Start Laser via Front Swap Left and Right Pre Ec I d Panel Button to Start Amp Cables Patient Monitoring Y No l Proceed to Use Monitor Y y Service Repair Required Gy Sensor Icon Pre Amp Cable Contact CASMED Displayed Icon Displayed Technical Support Y Replace Defective Pre Amp Service Repair Required Cable Contact CASMED Technical Support Y Start Laser via Front Panel Button to Start Patient Monitoring Figure 14 SctOs Trouble Shooting Page 44 21 02 0250 Rev 00 09 09 FORE SIGHT Field Servi
23. C or internal batteries When on AC the batteries shall be charging PATIENT ENVIRONMENT The FORE SIGHT MC 2000 Series Monitor has been tested with specific parts of the system used within the Patient Environment Figure 1 defines the Patient Environment Figure 1 Patient Environment MANUAL OVERVIEW This manual contains block diagram information about the CAS FORE SIGHT MC 2000 Series Monitor Only qualified service personnel should service this product It is the user s responsibility to ensure that the product is properly maintained and that the monitor is in safe and proper operating condition before being put into use Before servicing the CAS FORE SIGHT MC 2000 Series Monitor read the User s Manual carefully CAS Medical Systems Inc believes the information herein is complete and accurate but accepts no liability for errors omissions or misrepresentations CONVENTIONS In this manual WARNING CAUTION and NOTE mean the following WARNING Directions that warn of conditions that put the patient or the caregiver at risk CAUTION Directions that help to avoid damaging the monitor or losing data NOTE Directions that make it easier to use the monitor something not readily apparent RELATED DOCUMENTS To perform test and troubleshooting procedures you must know how to operate the monitor Refer to the CAS FORE SIGHT MC 2000 Series Monitor User s Manual Page 10 21 02 0250 Rev 00 09 09 FORE SI
24. ETUP button 2 Press the rotary control knob to open the Port Setup Refer to Figure 7 Port Setup 3 Turn the rotary control knob to highlight the Baud Rate Setup selection 4 Press the rotary control knob and the focus will change to the Baud Rate selection 5 Turn the rotary control knob to select the Baud Rate of the Port Baud Rate selections are 1200 2400 4800 9600 19200 38400 57600 or 115200 Note The default Baud Rate selection to interface to the Philips VueLink is 19200 When interfacing to a Philips VueLink System the valid selections are 4800 9600 or 19200 baud 6 Press the rotary control knob and the focus shifts to the Setup selections 7 Turnthe rotary control knob to DONE button to save your selections or to the CANCEL button to cancel your changes 8 Press the rotary control knob to save or cancel your changes Note Configuring an unused Port to a non None selection may result in an error message indicating the inability to connect to the Port to the selected device Baud rate Data bits 8 Parity None stop bits 1 Flow control None DONE CANCEL Figure 7 Port Setup 21 02 0250 Rev 00 09 09 Page 29 FORE SIGHT Field Service Manual CONNECTING TO PHILIPS INTELLIVUE The FORE SIGHT MC 2000 Series monitor may be connected to a Philips IntelliVue Patient Monitor allowing remote display of current SctO values and alarm messages The FORE SIGHT MC 2000 Series monitor can interface
25. FORE SIGHT MC 2000 Series Cerebral Oximeter Patient Profiles View Event Setup Help i a p ACTIVE ID BCE gt 10 18 yrs 7 gt 60 kg AS ctO2 gt 10 18 yrs gt 60 kg FS DATA Field Service Manual C 0086 Nu E FOR WHAT S VITAL 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual Page intentionally left blank Page 2 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual FORE SIGHT MC 2000 Series Monitor MODEL DESCRIPTION MC 2000 Dual Channel Cerebral Oximeter small battery for use with Medium and Large sensors MC 2010 Dual Channel Cerebral Oximeter with battery backup for use with Medium and Large sensors MC 2020 Dual Channel Universal Cerebral Oximeter small battery for use with all sensors MC 2030 Dual Channel Universal Cerebral Oximeter with battery backup for use with all sensors IMPORTANT This manual addresses all parameters of the FORE SIGHT MC 2000 Series Monitor You may have purchased a model that does not have all the parameters referred to in this manual This Manual remains suitable for use Read this Manual completely before using this equipment WARNING The FORE SIGHT MC 2000 Series Monitor is to be operated by qualified personnel only Before use carefully read this manual including accessory directions for use all precautionary information and specifications The user must check that the equipment functions safely and in proper wor
26. FORE SIGHT monitor s HELP screen Select EXTERNAL SIMULATOR TEST from the menu Plug the simulator into the Left and Right monitor cables AL Press SENSOR START RESTART keypad switch Expected Results both channels are GREEN Pass which indicates normal operations Faults Either channel RED Fail Swap cables to identify if the fault follows the cable If remains RED contact CAS Service ELECTRICAL SAFETY CHECKS WARNING DO NOT touch the monitor when performing these tests Leakage 1 2 Disconnect all accessories from the monitor Plug the AC power cord from the FORE SIGHT MC 2000 Series Monitor into the Electrical Safety Analyzer Turn the FORE SIGHT MC 2000 Series Monitor ON Perform a Leakage Check per the electrical safety analyzer s instructions Verify the monitor s leakage to be ess than 100 micro amps This concludes the testing to the FORE SIGHT MC 2000 Series Monitor 21 02 0250 Rev 00 09 09 Page 51 FORE SIGHT Field Service Manual Page intentionally left blank Page 52 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual DATA SHEET Date Tested By FORE SIGHT MC 2000 Series Monitor Distributor Hospital Monitor Type Address i ssi i S Monitor Serial Number City State Zip code Comments Page 1 of 2 21 02 0250 Rev 00 09 09 Page 53 DATA SHEET cont Battery Charge Verify the AC Line Indicator LED is lit Pas
27. Figure 6 Ports 5 Turn the rotary control knob to select the desired Port to configure 6 Press the rotary control knob and the focus shifts to the Port Configuration selections 7 Turn the rotary control knob to display the desired Port Configuration selection 8 Press the rotary control knob and the focus will change back to the Port selection 9 Turn the rotary control knob to select the Setup of the Port to configure 10 Press the rotary control knob and the focus shifts to the Port Setup selections 11 Turn the rotary control knob to display the desired Port Setup Baud Rate selection 12 Press the rotary control knob to select the desired Port Setup and the focus will change back to the Port selection 13 Turn the rotary control knob to select another Port to configure 14 When all the ports have been configured turn the rotary control knob to DONE button to save your selections or to the CANCEL button to cancel your changes 15 Press the rotary control knob to save or cancel your changes Page 28 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual As seen from rear view SETUP 19200 8 N 1 Philips Yue Link Citizen CMP 10 SETUF 5 600 8 N 1 SETUP 5 600 8 N 1 Simple comma text Test Port DONE CANCEL Figure 6 Ports You can change the Setup for the Port settings while in the Port Setup box To change the Setup for a serial port 1 Turn the rotary control knob to select the desired S
28. GHT Field Service Manual 2 SERVICE POLICY WARRANTY POLICY All products are sold by CAS Medical Systems Inc CASMED under the warranties set forth in the following paragraphs Such warranties are extended only with respect to the purchase of this product directly from CAS Medical Systems Inc or CASMED s Authorized Distributors as new merchandise and are extended to the first buyer thereof other than for resale The CASMED FORE SIGHT Cerebral Oximeter monitor is warranted for a period of twelve 12 months All products if applicable are warranted to be free from functional defects in materials and workmanship and to conform to the description of the product contained in the User Guide published specifications and accompanying labels and or inserts provided that the same is properly operated under conditions of normal use in accordance with applicable safety and regulatory requirements and that replacements and repairs are made in accordance with the instructions provided by CAS Medical Systems Inc The same warranty conditions are made for a period of twelve 12 months with respect to the battery A ninety 90 days warranty is provided for non disposable accessories such as reusable monitor cables and other accessories provided by CASMED as part of the original purchase CASMED warrants disposable or single patient use products including SctO sensors for out of box failure only Where the accessory is not a CAS Medical
29. HEET 53 10 SERVICE PROCEDURES 55 INTRODUCTION 55 Tools Required 55 AC FUSE 55 BATTERY FUSE 56 Disconnecting the Battery 57 Replacing the Battery Fuse 58 CALLING CASMED for an RMA NUMBER 59 CUSTOMER CARE PLAN 61 11 SPARE PARTS 63 12 SPECIFICATIONS 65 SctO2 MEASUREMENT 65 LASER INFORMATION 65 PATIENT ALARMS 65 DISPLAY 66 PHYSICAL DIMENSIONS AND WEIGHT 66 OPERATING ENVIRONMENT 66 STORAGE TRANSPORT ENVIRONMENT 66 POWER 66 SERIAL INTERFACE 67 STANDARDS 67 21 02 0250 Rev 00 09 09 Page FORE SIGHT Field Service Manual Figures Figure 1 Patient Environment 10 Figure 2 Front Panel View 23 Figure 3 Clockwise and Counterclockwise Directions 25 Figure 4 Rear Panel View 26 Figure 5 RS232 Connector Pin Layout 2 Figure 6 Ports 29 Figure 7 Port Setup 29 Figure 8 Ports 32 Figure 9 USB Connector Pin Layout 33 Figure 10 Location of Internal Laser Labels 40 Figure 11 FORE SIGHT MC 2000 Series Monitor Overall Block Diagram 41 Figure 12 No Monitor Power 42 Figure 13 Power up Response 43 Figure 14 SctOs Trouble Shooting 44 Figure 15 AC Fuse Placement o6 Figure 16 Battery Fuse Placement 58 Tables Table 1 DB9 Male Pin Out 27 Table 2 DB9 Female Pin Out 2 Table 3 User Messages 47 Table 4 System Error Definition 48 Page 8 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 1 INTRODUCTION AND INTENDED USE INTRODUCTION The FORE SIGHT MC 2000 Series Monitor is a pre configured monitor that can include the follow
30. INFORMATION EQUIPMENT MANUFACTURE INFORMATION DATA SHEET ABOUT THE COMPONENT CONTAINING LASER Type designation BM4 690 779 808 850 10SM 4 Wavelength Beam Combiner with Power Monitor Max Output Power 20 mW Pulse time 3 1 ms PATIENT ALARMS Adjustable alarms High and low alarms for left right and differential SctO values Alarm indicators e Left amp Right Visual e Audible e ext in alarm message window Audible sound pressure High Priority Alarms 100 Volume 53db Fast A 1m directly in front of monitor Medium Priority Alarms 52db Fast A Q 1m directly in front of monitor Patient Parameter High Limit Left SctO 0 to 9396 5 to 9896 Right SctO 0 to 9396 o to 98 Differential SctO 1 to 50 Each patient parameter may also be selected OFF individually SctO alarm settings are in increments of 1 Low limits cannot be set above the associated high limit High limits cannot be set lower than the associated low limit There is a minimum difference of 5 between the Low and High limit values at any time 21 02 0250 Rev 00 09 09 Page 65 FORE SIGHT Field Service Manual DISPLAY Display LCD display of measurement results instructions troubleshooting messages waveforms and signal strength bar Numerics SctO from left right or average of left and right channels Trace 1 corresponding to associated SctO numeric value Views 15 or 30 minute 1 2 3 4 8 or 24 hour Events May be placed anywher
31. ORMITY 18 4 SYMBOLS 21 SYMBOLS ON MONITOR 21 SYMBOLS NEAR ACCESSORY CONNECTIONS 21 SYMBOLS APPEAR ON PACKAGING IN PLACE OF TEXT 21 5 MONITOR CONTROLS 23 FRONT PANEL 23 FRONT PANEL CONTROLS SYMBOLS 23 On Standby Key 23 Alarm Silence Reset Key 24 Average Auto Left Right Key 24 Sensor Start Restart Key 24 Rotary Control Knob 25 Symbols 25 REAR PANEL 26 21 02 0250 Rev 00 09 09 Page 5 FORE SIGHT Field Service Manual 6 EXTERNAL DEVICE INTERFACING 27 OVERVIEW 27 SELECTING THE SERIAL PORTS 28 CONNECTING TO PHILIPS INTELLIVUE 30 FORE SIGHT SERIAL PORT DATA OUTPUT 31 Simple Comma Text 31 Test Port 32 Printer 32 USB 33 7 ROUTINE MAINTENANCE 35 CLEANING 35 Cleaning Overview 35 THE MONITOR 35 THE DISPLAY 35 CLEAN MONITOR CABLES 36 CLEANING PATIENT CABLES 36 FIBER OPTIC CONNECTORS 36 SAFETY CHECKS 36 SYSTEM CHECKS 37 PREVENTATIVE MAINTENANCE 37 BATTERY 37 8 TROUBLESHOOTING 39 HOW DOES THE FORE SIGHT CEREBRAL OXIMETER WORK 39 LOCATION of LASER LABELS 40 SYSTEM TROUBLESHOOTING 41 octO USER MESSAGES 45 Error Messages in the Message Window 46 9 MAINTENANCE PROCEDURES 49 INTRODUCTION 49 Equipment Required 49 Data Sheet 49 Battery Charge 49 Turning the FORE SIGHT MC 2000 Series Monitor On 50 Displaying the Date and Time o0 Alarm Audio 50 Page 6 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual OXIMETRY SIMULATION CHECK 51 SctO2 Simulator Check 51 ELECTRICAL SAFETY CHECKS 51 Leakage 51 DATA S
32. S e he FORE SIGHT MC 2000 Series Monitor sensor is contraindicated for use on patients with limited skin access or allergic reaction to electrode adhesive e Disposable SctO sensors are contraindicated for use for prolonged periods The sensor site must be checked at least every eight hours and if the circulatory condition or skin integrity has deteriorated the sensor should be applied to a different site e Donot adhere sensors to underdeveloped immature compromised or healing skin e No other contraindications are known at this time BRIEF DEVICE DESCRIPTION The FORE SIGHT MC 2000 Series Monitor utilizes a 6 4 TFT color VGA LCD Display integrated into a front bezel with dedicated keys and a rotary encode control knob The FORE SIGHT MC 2000 Series Monitor is constructed using a full metal rear enclosure Batteries Power Supply and 2 NIRS Signal Acquisition Module NSAM mounted within the enclosure behind the front bezel Each NSAM shall incorporate a proprietary algorithm and a Patient Cable that is placed on the forehead The front panel allows connection to a USB flash memory stick The rear panel allows connection to other devices including but not limited to an external printer a multi parameter vital signs monitor and IBM compatible or MAC PC for diagnostics and program downloading 21 02 0250 Rev 00 09 09 Page 9 FORE SIGHT Field Service Manual The FORE SIGHT MC 2000 Series Monitor shall be capable of operating on A
33. Systems Inc manufactured product the manufacturer s own warranty applies Warranty of accessories purchased separately from listed suppliers will be the responsibility of such listed suppliers Damage to any part through misuse neglect or accident or by affixing any accessories or attachments other than CASMED manufactured accessories or attachments is not covered by this warranty The foregoing warranties shall not apply if the product has been configured modified adjusted or repaired other than by CAS Medical Systems Inc or by persons expressly authorized by CAS Medical Systems Inc or not in accordance with written instructions provided by CAS Medical Systems Inc or if the product has been subjected to misuse negligence or accident CASMED reserves the right to perform warranty service operations in its own factory at an authorized repair facility or at the customers site The sole and exclusive obligation of CAS Medical Systems Inc and Buyer s sole and exclusive remedy under the above warranties is limited to repairing or replacing free of charge a product which is reported in writing or via telephone to CAS Medical Systems Inc has a Return Merchandise Authorization RMA number assigned and which is returned during normal business hours transporting charges prepaid to CAS Medical Systems Inc 44 East Industrial Road Branford CT 06405 USA Telephone 1 203 488 6056 Fax 1 203 488 9438 E mail custsrv casme
34. Wait for message to clear Informational message Press sensor start restart key twice A single laser is off Informational message Both lasers are off Press sensor start restart key once Disconnect clean fiber optic connection and reconnect monitor cable and patient sensor cable connections Replace patient sensor cable Replace monitor cable Check that sensor is in direct contact with skin and that light block is in place Readjust light block position to more fully cover sensors 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual Message L R Signal out of Range L R Check tissue under sensor Dead Battery Internal Temp Error Power Failure Set Clock Clock Battery Low Battery Loss of AC Power System Memory Nearly Full System Memory Full Internal Temp Warning Battery Supply Inoperative System Error HH HHH 21 02 0250 Rev 00 09 09 Possible Cause Possible Solution Sensor on inappropriate object Remove sensor from inappropriate object and place on patient forehead Tissue under sensor may have fluid accumulation edema Check patient for scalp edema When tissue condition returns to normal range i e significant edema is no longer present alarm message will disappear and SctO measurement will return Battery needs to be recharged Plug unit into outlet Monitor is over operating Shut down monitor and contact CASMED customer temperature range service
35. al Systems Inc or your local distributor Equipment Required To test the SctO e SCctO Simulator CAS p n 01 06 0031 To perform Electrical Safety e Electrical Safety Analyzer Data Sheet This procedure uses a Data Sheet as the record for verifying monitor performance Once the procedure is completed CAS recommends the Data Sheet be kept with the respective monitor s Device History Record should verification of monitor performance be questioned The DATA SHEET can be found on page 53 Battery Charge Perform the following procedure to fully charge the battery 1 Connect the monitor to an AC power source 2 Verify the monitor is OFF and that the AC Line Indicator LED is lit 3 Charge the battery for at least four 4 hours 21 02 0250 Rev 00 09 09 Page 49 FORE SIGHT Field Service Manual Turning the FORE SIGHT MC 2000 Series Monitor On Perform the following procedure to verify the FORE SIGHT MC 2000 Series Monitor powers ON properly 1 Connect the monitor to an AC power source 2 Verify the monitor is OFF and that the AC Line Indicator LED is lit 3 Donot connect any cables to the monitor Press the ON OFF STANDBY pushbutton on the front panel to turn the monitor ON Upon applying power to the monitor the FORE SIGHT MC 2000 Series Monitor displays an animated start up splash screen and conducts an electronic Power On Self Test POST to ensure that its internal circuits ar
36. ations Small battery version models MC 2000 and MC 2020 e The small battery version provides sufficient power to allow for a controlled shut down of the monitor while also saving the patient case data in the event of an interruption of AC power Large battery version models MC 2010 and MC 2030 e The large battery version provides power to operate the monitor for up to 172 hours on a new fully charged battery To properly maintain the battery charge level and prolong battery life the monitor should be connected to AC power at all times As with all batteries the capacity will diminish over time It is recommended that batteries be replaced by CAS service every 2 years If the large battery version will not operate for more than 20 minutes on battery power prior to the 2 year replacement interval then the monitor should be returned to CAS for battery replacement Page 56 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual Disconnecting the Battery Note Some units may be equipped with an automatic Battery Cut Off circuit that will disconnect the battery when they are not being charged Please contact our Customer Service department to determine if your unit has this feature If this feature is installed and the monitor will not be used for more than 1 week follow the procedure below to store the unit Refer to Figure 4 Rear Panel View 1 Charge the unit overnight 16 hours minimum prior to storage 2 Using a
37. ce Manual ERROR MESSAGES The FORE SIGHT MC 2000 Series Monitor displays a variety of messages to aid the user in monitor operation If a troubleshooting message is displayed during a measurement follow the actions listed to correct the situation If the monitor does not turn on or exhibits a flashing display and failure to operate the battery is most likely below the Dead Battery point Connect the monitor to a power source AC Line Power and allow it to charge for four 4 hours If the monitor is in need of repair it must be referred to the appropriate service personnel Service performed by unauthorized personnel could be detrimental to the monitor and will void the warranty For service contact your distributor or CAS Medical Systems Inc SctO USER MESSAGES If the accuracy of any measurement does not seem reasonable first check the patient s vital signs by an alternate method When no monitor cable is attached to the monitor the SctO numeric will be dashed and the text L SctO2 M cable disconnect or R SctO M cable disconnect is displayed in message area Press the SILENCE RESET pushbutton The monitor silences the audible alarm tone and the message is removed from the message area When a monitor cable is attached but no sensor is attached to the monitor cable the SctO numeric will be dashed and the text L SctO P cable disconnect or R SctOs P cable disconnect is displayed in the message area
38. d com 21 02 0250 Rev 00 09 09 Page 11 FORE SIGHT Field Service Manual CAS MEDICAL SYSTEMS INC SHALL NOT BE OTHERWISE LIABLE FOR ANY DAMAGES INCLUDING BUT NOT LIMITED TO INCIDENTAL DAMAGES CONSEQUENTIAL DAMAGES OR SPECIAL DAMAGES THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHICH EXTEND BEYOND THE WARRANTIES HEREINABOVE SET FORTH CAS MEDICAL SYSTEMS INC MAKES NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE PRODUCT OR PARTS THEREOF EXTENDED CARE SERVICE PROGRAMS CAS Medical Systems offers an Extended Care Service Contract program for the CAS FORE SIGHT MC 2000 Series Monitor Contact CAS Medical Systems Customer Service Department for more information RETURNING THE MONITOR FOR REPAIR Before returning a product for repair you must obtain authorization from CAS Medical Systems An RMA Return Merchandise Authorization number will be issued to you by our Service Department Be sure to note this number on the outside of your shipping box Returns without an RMA number will not be accepted for delivery NOTE Save the original shipping container and it s inside packing material should the monitor need to be returned for service Refer to Page 4 How To Contact Us for important telephone numbers fax numbers and email addresses WEEE SELECTIVE TREATMENT AND RECYCLING INFORMATION To facilitate the sound treatment of WEEE information will be made available for current CASMED
39. e functioning properly iN NOTE The user should use the Power On Self Test as a verification tool that all front panel visual indicators and the audio are functioning properly Displaying the Date and Time Perform the following procedure to verify the date and time is set correctly 1 Verify the monitor displays the date and time in 24 Hr format in the bottom right area of the main display Alarm Audio Perform the following procedure to verify the audio range for the Alarm volume 1 Turn the rotary control knob to select the Setup menu 2 Press the rotary control knob to open the Setup menu 3 Press the rotary control knob a second time to open the SctO Limits dialog 4 Navigate to the Volume selection click and adjust the volume and verify the volume of the generated tones change correspondingly 5 Select the Done button and press the rotary control knob to save your changes Select the Cancel button to cancel your changes NOTE The Alarm Volume level cannot be set to OFF Page 50 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual OXIMETRY SIMULATION CHECK The oximeter is factory calibrated to determine the percentage of regional hemoglobin oxygen saturation of blood in the brain No user calibration is required SctO Simulator Check Enter the FORE SIGHT monitor s HELP screen Select CAS login and enter the password BIOMED Select the DONE button when finished Re enter the
40. e on trace area PHYSICAL DIMENSIONS AND WEIGHT H x W x D without feet 8 in x 8 in x 13 in 20 3 cm x 20 3 cm x 33 0 cm Weight MC 2010 21 9 Ibs 9 9 kg OPERATING ENVIRONMENT Operating temperature 10 40 C 50 104 F Humidity 30 75 RH non condensing Altitude 10 000 to 1 000 ft 680 to 1060 hPa Monitors may not meet performance specifications if stored or used outside temperature and humidity ranges When moving the monitor from a storage location wait at least one hour prior to use to allow the monitor to adjust to room temperature STORAGE TRANSPORT ENVIRONMENT Storage transport 20 to 60 C 4 to 149 F temperature Humidity 15 95 RH non condensing Altitude 10 000 to 1 000 ft 680 to 1060 hPa POWER External power AC 100 240 VAC 50 60 Hz 1 5A Fuse rating T3 15AH250V two provided Chassis leakage current 100 pA maximum Battery 2 sealed lead acid batteries Fuse rating F8AL250V one provided Charge Time 16 hours with unit on Operating Time 172 hr minimum Page 66 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual SERIAL INTERFACE Interface type Bi directional serial communication Speed User programmable Signal level RS 232C Data length 8 bits Start bit 1 bit Stop bit 1 bit Parity None Flow control None STANDARDS Units comply with the following requirements CE marking according to Directive 93 42 EEC IEC 60601 1 EN 60601 1 2 IEC 60
41. election e Monitor Serial Number s available from rear panel label amp Help menu About selection e Software Version e PIC Version e Left NSAM Boot e Left NSAM Version e Right NSAM Boot e Right NSAM Version available from Help menu About selection 4 Date amp time local of each occurrence 5 Detailed description of fault e Alerts or Error Messages presented e Description of other fault symptom s 6 Monitor operation when fault occurred e Mode of operation when fault occurred e Accessories connected when fault occurred e g pre amp cables sensors printer USB drive etc e Power source when fault occurred e g battery 120 VAC 60Hz 240 VAC 50 Hz etc e Length of time in operation before fault occurrence e g 1 hr 10 minutes at power on 7 Events if any during or immediately prior to fault occurrence e Monitor Connecting or disconnecting accessories changing mode of operation or display changing power source etc e External events or other equipment that seemed associated with the fault Page 60 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual CUSTOMER CARE PLAN Preventative Maintenance Parts and Labor Repairs and Exchange items programs to insure maximum uptime for your product e Suggested preventative maintenance PM cycle for this product is 2 years Below are the PM services provided at this service cycle Flat rate list pricing
42. ent may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include Use of the accessory in the patient environment Evidence that the safety certification of the accessory has been performed in accordance to the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard 21 02 0250 Rev 00 09 09 Page 15 FORE SIGHT Field Service Manual CAUTION For continued safe use of this equipment it is necessary that the listed instructions be followed However instructions listed in this manual in no way supersede established medical practices concerning patient care The Battery fuse must be installed for the unit to operate with the internal batteries If the unit is not to be used for periods greater than 1 week the battery fuse should be removed The USB connector only accommodates a USB flash memory stick DO NOT connect any other USB device or cable to the USB connector Qualified biomedical engineering personnel only must interface monitoring equipment with other types of medical equipment Be certain to consult manufacturers specifications to maintain safe operation Measurements may be affected in the presence of strong electromagnetic sources such as an electrosurgery unit ESU Pressing the front panel keys with a sharp or pointed instrument may permanently damage the switch membrane Press the keys using only your finger If the monitor is accidentally
43. eorient or relocate the receiving device e Increase the separation between the devices Consult the manufacturer for help Severe anemia and edema may cause erroneous or no SctO readings If the integrity of the protective earth conductor is in doubt the unit may be operated from the internal batteries by disconnecting the AC line cord completely from the unit To ensure patient safety and preserve device performance DO NOT place the monitor in any position that might cause it to fall DO NOT lift or pull the monitor by any sensor cable or line as they could disconnect from the monitor causing the monitor to fall on the patient To avoid electric shock or device malfunction liquids must not be allowed to enter the device If liquids have entered a device take it out of service and have it checked by a service technician before it is used again The FORE SIGHT MC 2000 Series Monitor provides DRIP PROOF level of protection from ingress to moisture DO NOT place liquids on top of the monitor DO NOT immerse the monitor or power cord in water or any liquid DO NOT gas sterilize or autoclave the monitor Page 14 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual WARNING DO NOT touch any part of non medical electrical equipment and the patient at the same time after removal of covers connectors etc Where the integrity of the external protective conductor in the installation or its arrangement is in doubt EQUIPMENT
44. ew 1 Turn the monitor off and disconnect the power cord 2 Gently press in and turn the locking tab counterclockwise to release see Figure 16a 3 Gently slide the fuse holder tray out of the receptacle as far as it will go NOTE The fuse holder tray is not designed to be removed from the fuse holder DO NOT attempt to pull the fuse holder tray out of the fuse holder or permanent damage to the fuse holder may occur 4 Remove the fuse from the fuse holder tray see Figure 16b 5 Place a new fuse directly into the fuse holder tray see Figure 16c 6 Gently slide the fuse holder tray back into the receptacle 7 Gently press in and turn the locking tab clockwise to secure 8 Re connect the power cord CAUTION For continued protection against fire hazard replace only with identically rated fuses Refer to the SPARE PARTS section on page 63 and theError Reference source not found Error Reference source not found Error Reference source not found Error Reference source not found Error Reference source not found Error Reference source not found POWER section on page 66 NOTE When the battery fuse is re installed the monitor may automatically turn ON NOTE DO NOT apply excessive force when removing or installing the fuse holder into the receptacle Figure 16 Battery Fuse Placement Page 58 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual CALLING CASMED for an RMA NUMBER In order
45. ing measurement functions e Absolute cerebral tissue oxygen saturation SctO The FORE SIGHT MC 2000 Series Monitor detects oxygenation changes in biological tissue mainly at the microcirculation level capillary arteriole and venule based on different absorption characteristics of the chromophores oxyhemoglobin HbO and deoxyhemoglobin Hb in the near infrared spectrum A biological spectroscopic window exists at the wavelength range 660 940 nm in which Hb and HbO can be differentiated and measured Brain tissue oxygen saturation SctO5 is determined from the ratio HbO5 HbO Hb x 100 which assumes a mixture of venous to arterial to venous blood of 70 30 respectively INDICATIONS FOR USE The FORE SIGHT Cerebral Oximeter Model MC 2000 Series is indicated for the continuous noninvasive monitoring of regional hemoglobin oxygen saturation of blood in the brain SctO It is intended for use in any individual at risk for reduced flow or no flow ischemic states When used with FORE SIGHT large sensors the FORE SIGHT MC 2000 Cerebral Oximeter Monitor is indicated for use with adults and children over 40Kg When used with the FORE SIGHT medium sensors the FORE SIGHT MC 2000 Cerebral Oximeter is indicated for use with small adults and children between 4 kg and 80 kg When used with FORE SIGHT small sensors the FORE SIGHT MC 2000 Series Cerebral Oximeter Monitor is indicated for infants and neonates s 8Kg CONTRAINDICATION
46. ion of the display in a counterclockwise direction Symbols Power Indicator r Battery Indicator Model MC 2010 amp 2030 only 21 02 0250 Rev 00 09 09 Page 25 FORE SIGHT Field Service Manual REAR PANEL AC Fuse Compartment Battery Fuse Receptacle for AC power cord Ethernet connection Far M Pa zmis LIS F nanan CPPS Lh Be QS Re Connector for CASMED supplied printer Grounding terminal Serial number label External device interface RS 232 Figure 4 Rear Panel View NOTE The Ethernet connection is for the use of CASMED service personnel only NOTE The FORE SIGHT MC 2000 Series Monitor has multiple fuses located inside the monitor These fuses are not user replaceable The FORE SIGHT MC 2000 Series Monitor has a dual fuse AC power input receptacle Both AC lines are fused The FORE SIGHT MC 2000 Series Monitor has a single fuse DC receptacle for the internal batteries CAUTION The Battery fuse must be installed for the unit to operate with the internal batteries If the unit is not to be used for periods greater than 1 week the battery fuse should be removed CAUTION For continued protection against fire hazard replace only with identically rated fuses A fuse may need to be replaced if the monitor is plugged into an electrical outlet but the Battery Power Visual Indicator is not illuminated green WARNING Before changing the fuse unplug the power cord Page 26 21 02
47. k the battery fuse should be removed CAUTION For continued protection against fire hazard replace only with identically rated fuses Refer to the SPARE PARTS section on page 63 and the POWER section on page 66 NOTE A fuse may need to be replaced if the monitor is plugged into an electrical outlet but the AC Line Indicator LED is not illuminated WARNING Before changing the fuse unplug the power cord To replace the AC Power fuses proceed as follows Refer to Figure 4 Rear Panel View 1 Turn the monitor off and disconnect the power cord 2 Using a small screw driver open the fuse cover on the AC Fuse Compartment 3 Using a small screw driver pull out the red fuse holder from the AC Fuse compartment 4 Remove the suspect fuse 21 02 0250 Rev 00 09 09 Page 55 FORE SIGHT Field Service Manual 5 Place the new fuse into the fuse holder as indicated by the orientation in Figure 15 6 Repeatthis process for the fuse on the other side of holder T Insert the fuse holder back into the power input receptacle the fuse holder can be inserted in either orientation 8 Close the fuse cover on the AC Fuse Compartment 9 There should be an audible click when it is secured 10 Reconnect the power cord back to the monitor Correct Placement Incorrect Placement Figure 15 AC Fuse Placement BATTERY FUSE The FORE SIGHT MC 2000 Series monitors are available in two possible back up battery configur
48. king condition before use First Printing 09 2009 21 02 0250 Rev 00 09 09 Page 3 FORE SIGHT Field Service Manual HOW TO CONTACT US CAS Medical Systems Inc Authorized Representative in 44 East Industrial Road European Union Branford CT 06405 U S A EC REP Phone MediMark Europe 800 227 4414 11 rue E Zola 38100 203 488 6056 Grenoble France Fax 203 488 9438 E Mail custsrv casmed com sales casmed com techsrv casmed com Web www casmed com Please contact the distributor in the country of purchase if product information or service should be required Copyright 2007 2009 CAS Medical Systems Inc All rights reserved No part of this manual may be reproduced without the written permission of CAS Medical Systems Inc CAS reserves the right to make changes to this manual and improvements to the product it describes at any time without notice or obligation Page 4 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual Table of Contents 1 INTRODUCTION AND INTENDED USE 9 INTRODUCTION 9 INDICATIONS FOR USE 9 CONTRAINDICATIONS 9 BRIEF DEVICE DESCRIPTION 9 PATIENT ENVIRONMENT 10 MANUAL OVERVIEW 10 CONVENTIONS 10 RELATED DOCUMENTS 10 2 SERVICE POLICY 11 WARRANTY POLICY 11 EXTENDED CARE SERVICE PROGRAMS 12 RETURNING THE MONITOR FOR REPAIR 12 WEEE SELECTIVE TREATMENT AND RECYCLING INFORMATION 12 3 SAFETY MEASURES AND WARNINGS 13 AUTOMATIC SAFETY FEATURES 17 MANUFACTURERS DECLARATION OF CONF
49. known PIC Internal software Left NSAM board Low NVRAM battery Right NSAM board Serial Communications timeout with NSAM Board Checksum error with NSAM Board Serial Communications timeout with Masimo Board Checksum error with Masimo Board Serial Communications error with Masimo Board PIC jumper in BDM mode Fan rotor is jammed Program stack max limit reached exceeded Memory pool max limit reached exceeded NSAM message too big for buffer NSAM has sent a bad status Detected unexpected Interrupt Detected FATAL error NSAM communication message size mismatch Battery fuse or battery is missing bad battery connection Message pool reaches limit Table 4 System Error Definition Page 48 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 9 MAINTENANCE PROCEDURES INTRODUCTION Preventive maintenance of the monitor is an important function that should be performed routinely to ensure safe and efficient monitor operation The following maintenance intervals are recommended e Monitor No user calibration is required e Batteries Should be replaced every 2 years This section discusses the tests used to verify performance during routine maintenance All tests can be performed without removing the FORE SIGHT MC 2000 Series Monitor s cover If the FORE SIGHT MC 2000 Series Monitor fails to perform as specified in any test repairs must be made to correct the problem before the monitor is returned to the user Contact CAS Medic
50. n When no alarms are present the alarm silence period will continue X Press once to silence the audio for the alarm or acknowledge an alarm 1 for two minutes WARNING DO NOT rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level during patient monitoring may result in a hazard to the patient Remember that the most reliable method of patient monitoring combines patient assessment and close personal surveillance with correct operation of monitoring equipment WARNING DO NOT place the FORE SIGHT MC 2000 Series Monitor face against a surface This will cause the alarm to be muffled Average Auto Left Right Key X Press to switch the current display to show patient readings for E e Simple average of the left and right sensors a e Automatic toggle between the right and left sensors e Left sensor e Right sensor NOTE The currently selected option is shown on the monitor NOTE When Auto numeric toggle is selected the icon is shown to the right of the currently displayed left or right sensor indicator NOTE FORE SIGHT software detects if a single sensor is connected to the monitor and will automatically display the numeric for the side in use Sensor Start Restart Key Press to start or restart sensors You will be prompted with a message if you need to restart sensors Page 24 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual
51. ncorrect Sen sor Detected Acquiring L R SCtO signal Press sensor start reset 2X Press sensor start reset 1X No Signal Partial cable disconnections Left Right Patient sensor cable is defective Monitor Cable is defective L R Ambient Ambient light approaching Light Warning maximum value Page 46 Incorrect patient cable attached Sensor is not compatible with the specified age and weight Possible Solution Check that sensor is in direct contact with skin and that light block is in place Readjust light block position to more fully cover sensors Disconnect sensor cable and clean fiber optic connection Replace patient cable if necessary Replace monitor cable if necessary Check patient cable connections Clean fiber optic connections using CASMED supplied cleaning tips reconnect patient cable Replace patient cable if necessary Check monitor cable connections Clean fiber optic connections using CASMED supplied cleaning tips reconnect monitor cable Replace monitor cable if necessary Unplug this sensor and plug in a valid sensor Contact CAS Customer Service if this should be a valid sensor for your unit Unplug this sensor and plug in a valid sensor Contact CAS Customer Service if this should be a valid sensor for your unit Discard incorrect patient cable and replace with correct patient cable Use the sensor recommended for the specified age and weight Informational message
52. nitor where the controls can be changed by the patient DO NOT use the FORE SIGHT MC 2000 Series Monitor for any purpose other than specified in this manual Doing so will invalidate the monitor s warranty DO NOT connect more than one patient to a monitor Leakage Current Test The interconnection of auxiliary equipment including a patient monitor or other patient connected equipment with this device may increase the total leakage current When interfacing with other equipment qualified biomedical engineering personnel must perform a test for leakage current before using it with patients Serious injury or death could result if the leakage current exceeds applicable standards The FORE SIGHT MC 2000 Series Monitor is to be operated by qualified personnel only This manual accessory direction for use all precautionary information and specifications should be read before use DO NOT expose the FORE SIGHT MC 2000 Series Monitor to excessive moisture such as direct exposure to rain Excessive moisture can cause the FORE SIGHT MC 2000 Series Monitor to perform inaccurately or fail Explosion Hazard DO NOT use the monitor in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide 21 02 0250 Rev 00 09 09 Page 13 FORE SIGHT Field Service Manual WARNING DO NOT place containers containing liquids on or near the FORE SIGHT MC 2000 Series Monitor Liquids spilled on the monitor may cause it to pe
53. ns equipment Separation distance according to frequency of transmitter Meters Rated maximum output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz power of transmitter Watts For transmitters operating at a maximum output power not listed above the recommended separation distance d in meters can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 21 02 0250 Rev 00 09 09 Page 19 FORE SIGHT Field Service Manual Page intentionally left blank Page 20 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 4 SYMBOLS SYMBOLS ON MONITOR F xB gt C 0086 T LA a Potential equalization post CAUTION read instructions before using This symbol appears here instead of on the unit The first two digits of the unit s serial number indicate the year of manufacture in the 21 century Protection against ingress of water The CE Mark and Notified Body Registration Number signify the device has met all essential requirements of European Medical Device Directive 93 A2 EEC Indicates this monitor is subject
54. products upon request EU distributors and treatment facility personnel may contact techsrv casmed com to obtain relevant information Page 12 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 3 SAFETY MEASURES AND WARNINGS WARNING The FORE SIGHT MC 2000 Series Monitor is defibrillator proof It may remain attached to the patient during defibrillation but the readings may be inaccurate during use and less than twenty 20 seconds thereafter The FORE SIGHT MC 2000 Series Monitor is intended only as an adjunct in patient assessment It must be used in conjunction with clinical signs and symptoms DO NOT rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level during patient monitoring may result in a hazard to the patient Remember that the most reliable method of patient monitoring combines patient assessment and close personal surveillance with correct operation of monitoring equipment DO NOT place the FORE SIGHT MC 2000 Series Monitor face against a surface This will cause the alarm to be muffled DO NOT place the FORE SIGHT MC 2000 Series Monitor back against a surface This will block the fan and cause the unit to overheat shutting it off DO NOT place the FORE SIGHT MC 2000 Series Monitor or accessories in any position that might cause it to fall DO NOT lift or pull the FORE SIGHT MC 2000 Series Monitor by any cable DO NOT place the FORE SIGHT MC 2000 Series Mo
55. rform inaccurately or fail Patient Safety If the monitor cables power cord or sensor are damaged in any way discontinue use immediately The FORE SIGHT MC 2000 Series Monitor is not Category AP or APG Equipment Electromagnetic Compatibility EMC The equipment needs special precautions if it is placed close to a strong transmitter such as X ray equipment MRI devices TV AM FM radios police fire stations an amateur ham radio operator an airport or a cellular phone Their signals could interfere with the monitor which may result in disruption of performance of this device or prevent the clear reception of signals by the monitor This equipment has been tested and found to comply with the limits for medical devices to the EN 60601 1 2 2002 Medical Device Directive 93 42 EEC These limits are designed to provide reasonable protection against harmful interference in a typical medical installation This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to other devices in the vicinity However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to other devices which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures e R
56. s Fail Turning the FORE SIGHT MC 2000 Series Monitor ON Monitor displays Animated Splash screen for 5 second Pass Fail Displaying the Date and Time Verify the monitor s Date and Time are set correctly Pass Fail Alarm Audio Verify the Alarm Volume can be adjusted to one of five levels Pass Fail SctO Simulator Check Verify Left channel results Pass Fail Verify Right channel results Pass Fail Leakage Verify the monitor s leakage to be less than 100 micro amps Pass Fail Page 2 of 2 Page 54 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 10 SERVICE PROCEDURES INTRODUCTION CAUTION Removal of the Warranty Void If Removed sticker will void any warranty the monitor may have DO NOT remove the top cover Only personnel authorized to do so by CAS Medical Systems Inc should repair the monitor Tools Required e Small Flat blade screwdriver AC FUSE NOTE The FORE SIGHT MC 2000 Series Monitor models have multiple fuses located inside the monitor These fuses are not user replaceable The FORE SIGHT MC 2000 Series Monitor has a dual fuse AC power input receptacle Both AC lines are fused The FORE SIGHT MC 2000 Series Monitor has a single fuse DC receptacle for the internal batteries CAUTION The Battery fuse must be installed for the unit to operate with the internal batteries If the unit is not to be used for periods greater than 1 wee
57. screwdriver gently press in and turn the locking tab counterclockwise to release see Figure 16a 3 Gently slide the fuse holder tray out of the receptacle as far as it will go Do not remove the fuse 4 Gently slide the fuse holder tray back into the receptacle 5 Using a screwdriver gently press in and turn the locking tab clockwise to secure see Figure 16a This action will disconnect the battery and prolong the life of the battery while the unit is being stored If this feature is NOT installed and the monitor will not be used for more than 1 week follow the procedure below to store the unit 1 Charge the unit overnight 16 hours minimum prior to storage 2 Using a screwdriver gently press in and turn the locking tab counterclockwise to release see Figure 16a 3 Gently slide the fuse holder tray out of the receptacle as far as it will go 4 Remove the fuse completely from the fuse holder tray 5 Gently slide the fuse holder tray back into the receptacle Store the fuse 6 Using a screwdriver gently press in and turn the locking tab clockwise to secure see Figure 16a 7 After storage repeat the above instructions in reverse inserting the fuse back into the monitor Note To charge the battery AC power must be applied 21 02 0250 Rev 00 09 09 Page 57 FORE SIGHT Field Service Manual Replacing the Battery Fuse To replace the Battery fuse proceed as follows Refer to Figure 4 Rear Panel Vi
58. the DB9 connector labeled P4 to interface to the Citizen CMP 10 Mobile printer using the cable supplied with the printer WARNING The Citizen CMP 10 Mobile printer is the only printer that is recommended to be used with the monitor If another printer is to be used the user must read the Caution on Page 13 under LEAKAGE CURRENT TEST and follow the guidance given For more information on using and printing with the Citizen CMP 10 printer refer to the PRINTER section in the User s Manual Page 32 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual USB The FORE SIGHT Series monitor is equipped with a USB port connector on the front of the unit Refer to Figure 2 The USB port connection is designed for use to save patient data from a FORE SIGHT Series monitor for review on an IBM compatible or MAC PC CAUTION The USB connector accommodates a USB Flash Memory stick do not connect any other USB device or cable to the USB port CAUTION For safe and proper usage of USB flash memory sticks please observe the following When not in use remove the USB flash memory stick from the monitor and place the protective cap on the USB flash memory stick Avoid places subject to high or low temperature extremes Avoid dusty places and where corrosive gasses are generated Never attempt to dismantle or repair the USB flash memory stick Verify patient data is stored on the USB flash memory stick prior to erasing the patient data wi
59. thin the FORE SIGHT monitor Figure 9 USB Connector Pin Layout Pin Number Signal Description VBUS D O OD D Refer to Universal Serial Bus Specifications Revision 2 0 for additional details regarding the USB interface 21 02 0250 Rev 00 09 09 Page 33 FORE SIGHT Field Service Manual Page intentionally left blank Page 34 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual 7 ROUTINE MAINTENANCE CLEANING Cleaning Overview CAUTION DO NOT under any circumstances perform any testing or maintenance on the monitor while the monitor is being used to monitor a patient CAUTION Unplug the monitor from the AC power source and remove all the accessories from the monitor before cleaning The monitor must be turned off and not running on the internal battery Never clean the monitor when it is being operated CAUTION DO NOT use abrasive cleaners isopropyl alcohol or organic solvent for cleaning Use of these cleaners can cause damage stiffness and brittleness to the monitors surface and to cables and wires CAUTION DO NOT immerse the monitor or power cord in the cleaning solution THE MONITOR On a daily basis examine the monitor s case for any damages and check the AC power cord for bent or broken prongs cracks or fraying Neither the monitor nor the power cord should be used if damaged If any damage is noted contact the appropriate service personnel CAUTION Disconnect all
60. tient Monitor to display FORE SIGHT SctO numeric The following options are available LSctO Left RSctO Right ASctO Average Page 30 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual Note For additional information refer to instructions supplied with the Philips IntelliVue Patient Monitor VueLink Module or the FORE SIGHT User s Manual FORE SIGHT SERIAL PORT DATA OUTPUT Simple Comma Text The monitor allows you to configure the RS 232 serial ports on the back of the monitor to output a live stream of data that is being acquired and displayed on the monitor 1 Select an unused communications port located on the rear of the monitor 2 Configure the selected communications port to Simple Comma Text format using the procedure outlined in section SELECTING THE SERIAL PORTS on Page 28 Serial Port Data Output 1 Minimum software requirements Version 4 4 2 Data values are outputted in a comma separated value CSV text format i e Left Right Avg or average Alarm values 3 Left Right Avg and Alarm values are outputted once every two 2 seconds 4 Invalid values e g no sensor are outputted as 1 5 Setthe Serial Port Baud to the desire rate Refer to the section SELECTING THE SERIAL PORTS on page 28 6 Alarm status value transmitted 0 No Violation 1 Low Left SctOs 2 Low Right SctO 4 High Left SctO 8 High Right SctO 16 SctO gt Differential Examples
61. verall Block Diagram Page 41 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual Can t Turn Monitor On _ Operating on AC or Battery Battery Y AC Connect AC power Cord to an Active Fower Outlet lt Operating No Verify Power Outlet is P i Dead or Active and Line Cordis No Green M ER Yes Disconnected Good Ei Battery Bc PR Y Y lt _ Charging LED gt Yes Y Front Panel eg Lt Keyswitch MT Start Over Mo Y Y Bad Disconnected Blown Fuse Power Supply Y Y Y Y Y Service Repair Required Contact CASMED Technical Support Figure 12 No Monitor Power Page 42 21 02 0250 Rev 00 09 09 FORE SIGHT Field Service Manual Power Up Response Green Power LED Flashing Contact CASMED Technical Support Contact CASMED Technical Support pne E001 016 Detected Fatal Error Y Clear Error from Log by Following Directions Below Goto Help gt CAS Login Enter Password fscomplete 2Done Help Service Clear Cycle Power and Resume Monitoring Proceed to Use Monitor ayes Figure 13 21 02 0250 Rev 00 09 09 Y Low Batt in Message Window Y Connect Power Cord to Wall Outlet AC Power Low Batt Message Cleared Y Error Code E002 018 No Battery Fuse Detected Y Turn Off Monitor Disconnect AC Power Cord Install Fuse Re Connect AC Power Cord Re Start Monitor Fault Cleared Power up Response
62. with the following Philips Patient Monitors using the proper VueLink module and cables Philips IntelliVue MP40 50 60 70 80 and 90 Connecting FORE SIGHT to the Philips IntelliVue Patient Monitor requires the following 1 FORE SIGHT minimum software requirements Version 4 4 2 Philips Hardware Requirements e Philips IntelliVue Patient Monitor MP40 thru MP90 e Philips VueLink Module AUXPLUS PN M1032A A05 e Philips VueLink Interface Cable PN M1032A K6C Note Philips contact information www medicalphilips com medical philips com 3 FORE SIGHT VueLink Adapter Cable Part Number 01 06 2113 4 Select an unused communications port located on the rear of the monitor 5 Configure the selected communications port to Philips VueLink using the procedure outlined in section SELECTING THE SERIAL PORTS on Page 28 Note The top right communications port P4 cannot be configured for the Philips VueLink protocol Note The Baud Rate selection to interface to the Philips VueLink defaults to 19200 The valid selections when interfacing to a Philips VueLink System are 4800 9600 or 19200 6 Insert the VueLink Module into an unused slot on the Philips IntelliVue Monitor 7 Connect the Philips Interface Cable to the VueLink Module 8 Connect the FORE SIGHT Extension Cable to the Philips Interface Cable and then to the appropriate RS 232 communication port on the rear of the monitor 9 Configure the Philips IntelliVue Pa
63. y and voltage being used The FORE SIGHT MC 2000 Series Monitor can remain connected to the patient during cardio defibrillation All other applied parts are Type BF Defibrillation Proof The monitor has been designed to promote patient safety All equipment parts are protected against the effects of the discharge of a defibrillator No separate actions are required when using this equipment with a defibrillator There are no known risks with common disposal of equipment or accessories however the disposing of accessories should follow in accordance with local hospital policies The user should ensure these policies do not conflict with any local state or federal guidelines AUTOMATIC SAFETY FEATURES All equipment parts are protected against the effects of the discharge of a defibrillator No separate actions are required when using this equipment with a defibrillator For FORE SIGHT Model numbers 2010 and 2030 should the AC line power be interrupted coming into the monitor the monitor automatically runs off battery power An indication of this would be the Battery Indicator LED illuminates three 3 audible beeps are heard and the message Loss of AC Power is displayed in the Message Area on the screen 21 02 0250 Rev 00 09 09 Page 17 FORE SIGHT Field Service Manual MANUFACTURERS DECLARATION OF CONFORMITY Manufacturers Declaration of Conformity Electronic Emissions and Immunity The FORE SIGHT MC
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