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PageWriter TC Cardiograph Service Manual

1. To make a simulated ECG recording 1 Connect the PIM lead wires to the simulator Verify that all lead wires are connected by observing the display for flat lines 2 Touch the Map button on the Toolbar Check the leads map to be sure that a red x amp does not appear next to any electrodes 3 Firmly pull each lead wire tight and then look for excessive noise on the display may be indicated by yellow or orange waveforms 4 Touch the ECG button on the toolbar If a message appears that no patient information has been entered touch the Continue button Depending on how the cardiograph is configured the ECG may automatically print If not touch the Print button PageWriter TC Cardiograph Service Manual 4 11 Performance Verification and Safety Tests Performance Verification Tests 5 Verify the following items when printing is complete Trace activity for all leads Confirms integrity for all patient electrodes and leadwires Noise should measure less than one 1 mm with no baseline wander No gross distortion of complexes or calibration pulses no overshoot and so forth Duration for calibration pulses for correct paper speed With cardiograph set to record at 25 mm sec the calibration pulse should measure 5mm calibration pulse duration is 200 ms Calibration pulse amplitude is correct NOTES m An arrhythmia simulator is not an acceptable to
2. 5 7 Ordering Supplies 5 7 Special Note about Welsh Bulb Electrodes 5 8 PageWriter TC Cardiograph Supply Part Numbers 5 8 Ordering Options and Upgrades 00000008 5 11 Contacting a Philips Response Center 0 5 13 Ordering Replacement Parts For further assistance contact your local Philips Medical Systems Response Center See Contacting a Philips Response Center on page 5 13 5 1 Parts and Supplies PageWriter TC70 TC50 TC30 Cardiograph Cart Replacement Parts PageWriter TC70 TC50 TC30 Cardiograph Cart Replacement Parts Figure 5 1 PageWriter TC70 TC50 TC30 Cardiograph Cart Replacement Parts 5 2 PageWriter TC Cardiograph Service Manual Parts and Supplies PageWriter TC70 TC50 TC30 Customer Replacement Parts Table 5 1 PageWriter TC70 Cardiograph Cart Replacement Parts List Reference Number Part Number Description 1 989803159011 Cart Patient Cable Arm 2 989803149561 Additional Cart Storage Bin 3 and 4 453564054291 Directional locking caster 5 453564050721 Swivel Caster 6 453564054301 Full Locking Caster 7 989803159001 Additional Wire Basket PageWriter TC70 Cardiograph only 8 453564094411 Cart Power Supply 15V 80W PageWriter TC70 Cardiograph only NOTE The parts listed in Table 5 2 that contain an asterisk after the part number are only available through your sales representative or distributor
3. See the PageWriter TC Cardiograph Instructions Attention read the for Use for information on the AC power adapter Instructions for Use AC adapter disposal Dispose of in accordance with the requirements of your country 1 10 PageWriter TC Cardiograph Service Manual Important Patient and Safety Information Introduction Important Patient and Safety Information The PageWriter TC70 cardiograph Page Writer TC50 cardiograph and PageWriter TC30 cardiograph isolate all connections to the patient from electrical ground and all other conductive circuits in the cardiograph This reduces the possibility of hazardous currents passing from the cardiograph through the patient s heart to ground WARNING Failure to follow these warnings could affect both patient and operator safety Accessories and Supplies WARNING Always clean and disinfect reusable electrodes before patient use Failure to properly clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients WARNING The Welsh bulb electrodes available as an accessory for the cardiograph do not meet the requirements of IEC 60601 2 25 for defibrillation recovery time and cannot be reliably used for patient diagnosis immediately following defibrillation WARNING When using additional peripheral equipment powered from an electrical source other than the cardiograph the combination is con
4. 989803106291 Anti fade A4 size 21 x 29 69 cm 8 27 x 11 69 in Batteries Part Number Description 989803160981 Lithium ion replacement battery 2 battery operation only for any cardiograph model 989803170371 Lithium ion replacement battery 1 battery operation for PageWriter TC50 TC30 only or for 2 battery operation for any cardiograph model Keyboard Covers Part Number Description 989803166511 PageWriter TC70 Cardiograph Keyboard Cover 5 per pack 989803166501 PageWriter TC50 TC30 Cardiograph Keyboard Cover 5 per pack Replacement Fuse Part Number Description 453564131221 PageWriter TC50 TC30 Cardiograph 1 6 amp 250 V Replacement Fuse USB Memory Stick Part Number Description 989803145331 USB Memory Stick Ordering Options and Upgrades For more information on ordering any of the following cardiograph upgrades or options please contact your Philips Sales Representative or your local distributor Table 5 5 Data Input Options Option Number Description Barcode Reader PageWriter TC Cardiograph Service Manual 5 11 Parts and Supplies Table 5 5 Option Number Ordering Options and Upgrades Data Input Options continued Description H13 Magnetic Card Reader H14 Smart Card Reader Table 5 6 Patient Interface Module PIM Options Option Number Description H21 12 Lead Patient Interface Module PIM AAMI or IEC H22 16 Lead
5. Figure 1 7 PageWriter TC30 Cardiograph right front view A Touch screen F Keyboard B Audio speakers G AC power on indicator light C Battery compartment H On Standby button D USB memory stick connector ID button E Paper tray J ECG button PageWriter TC Cardiograph Service Manual 1 25 Introduction PageWriter TC30 Cardiograph Components Figure 1 8 PageWriter TC30 Cardiograph rear view A Wireless LAN card slot with protective cover G Barcode reader or magnetic card reader installed connector B Equipotential grounding post H LAN connector C AC power cord connector Modem connector D PIM connector E USB connector F Analog ECG output signal connector not supported WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient CAUTIONS Do not insert a USB memory stick into the cardiograph or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient Only use grounded power cords three wire power cords with grounded plugs and grounded electrical outlets that are labelled as Hospital Only or Hospital Grade Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong Use the equipotential post when redundant earth ground is necessary according to IEC 60601 1 1 1 26 PageWriter TC Cardiograph Service Manual Patient Interface Module PIM Introduction Patient Interface Module PIM
6. NOTE NOTE The same Patient Interface Module PIM is used on all models of the Page Writer TC cardiograph The PIM is a hand held device that connects to the patient data cable The PIM is available in a standard 12 lead or for the PageWriter TC70 and TC50 cardiographs an optional 16 lead model is available For information on configuring the optional 16 lead PIM see Configuring the 16 Lead PIM PageWriter TC70 and PageWriter TC50 cardiograph only on page 1 31 Figure 1 9 shows AAMI version PIMs Figure 1 9 16 lead left and 12 lead right Patient Interface Module PIM About Class A and Class B Patient Data Cables and PIMs Prior to August 2009 PageWriter TC70 cardiographs with installed software version A 02 00 and lower were shipped from Philips Medical Systems with Class A patient data cables and Class A PIMs All PageWriter TC70 cardiographs and PageWriter TC50 cardiographs with installed software version A 03 00 and higher are shipped from Philips Medical Systems with Class B patient data cables and Class B PIMs The only visual difference between a Class A and a Class B PIM or patient data cable is the number of connectors on the PIM and the number of pins on the PIM connector end of the patient data cable All Class A devices have 5 connectors pins on the PIM connector and on the PIM connector end of the patient data cable All Class B devices have 8 connectors pins on the PIM connector and on the PIM connector e
7. Restarting the Cardiograph on page 3 37 2 Ifthe problem persists replace the main control board Contact the nearest Philips Response Center for further assistance see Contacting a Philips Response Center on page 5 13 PageWriter TC Cardiograph Service Manual 3 21 Troubleshooting Table 3 8 Symptom Field Programmable Gate Array FPGA is not connected Please contact the Philips Response Center for further assistance message Printer Issues continued Possible Cause amp Investigation Step Internal error Troubleshooting Cardiograph Issues Solution 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Ifthe problem persists replace the main control board Contact the nearest Philips Response Center for further assistance see Contacting a Philips Response Center on page 5 13 Printer temperature is too high message The temperature of the print head is too high gt Shutdown cardiograph and wait 20 minutes Printer underflow message Intermittent PIM communication issues during rhythm printing Follow the steps in Signal Acquisition Issues on page 3 7 for PIM signal acquisition issues Printer voltage high message Printer supply voltage on main board is outside of expected ranges on the high side 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Ifthe problem persists replace the main control b
8. Table 5 4 Paper Tray Replacement Parts List Reference Number Description Part Number 1 Paper Tray A4 Metric Spacer for A4 paper 453564172291 2 Paper Guide for A4 paper 453564172301 Complete Paper Tray Assembly 453564171421 5 6 PageWriter TC Cardiograph Service Manual Parts and Supplies Patient Interface Module PIM Replacement Patient Interface Module PIM Replacement The same Patient Interface Module PIM is used on all models of the Page Writer TC cardiograph Before ordering a replacement PIM check the Service Number on the bottom PIM label Record this Service Number and keep this information with you when ordering replacement PIM parts as this number determines which replacement part is ordered For further assistance contact the nearest Philips Response Center See Contacting a Philips Response Center on page 5 13 Figure 5 4 Service Number on PIM Label bottom of PIM 45364078291 VMN UN ME M LITT SN CN5 MI MV DIM TT Service Number BUIUD ul perquless cnsos12362 amp LLL E AN Supplies and Ordering Information The part numbers for all supplies for the PageWriter TC cardiograph are listed in this section Ordering Supplies All supplies may be ordered on the web at http shop medical philips com Use the part numbers listed in this section to ensure that the correct supplies are ordered PageWriter TC Cardiograph Service Manual 5 7 Parts and Supplies
9. Hardware Logical View 8 2 Control of the PageWriter TC cardiograph is provided by application software running on the main board interacting with numerous hardware and software subsystems The following are high level descriptions of these various subsystems Main Board The main board contains loader software and the Windows CE kernel image in its internal flash memory 64 MB At system boot a basic interface configuration is performed by the loader and then the Windows CE kernel loads When Windows CE loads the application launcher runs verifying system and executable images before loading the main application All interaction with the user is through the Athena APP application This application software is stored in internal Flash memory Figure 8 1 illustrates the devices and interfaces provided by the main control board PageWriter TC Cardiograph Service Manual Hardware Logical View Theory of Operation Figure 8 1 Devices and Interfaces for the Main Control Board DISPLAY MODULE USER INTERFACE BOARD 2 Keyboard 15 or 10 or 6 15 5 wire or 10 Matrix Connection 16 bpp TFT 5 wire or 6 5 wire Color LCD Touch Screen Display Interface Board Display Cable MAIN BOARD Graphic Controller Touch Screen Sync Out Port For 15 And 10 LCD Controller Sync Out Standard amp LVDS Transmitter amp Codec D Ac 1 4 Phone Jack SDRAM MD USB Port 3 pig USB Hub amp Type A on
10. PageWriter TC70 TC50 TC30 Customer Replacement Parts The following section lists all of the customer replacement parts for all models of the PageWriter TC cardiograph If the replacement part that you need is not listed in this section please contact the nearest Philips Response Center for further assistance See Contacting a Philips Response Center on page 5 13 NOTE The parts listed in this section are applicable to all models of the PageWriter TC cardiograph PageWriter TC Cardiograph Service Manual 5 3 Parts and Supplies Figure 5 2 PageWriter TC70 TC50 TC30 Customer Replacement Parts PageWriter TC70 TC50 TC30 Cardiograph Replacement Parts E Lg e w Ic uf orm eo mx Camp Table 5 2 Reference Number Part Number PageWriter TC70 TC50 TC30 Replacement Parts Description 1 453564094281 PageWriter TC70 Keyboard Assembly USA English 1 453564094291 PageWriter TC70 Keyboard Assembly European 1 453564094301 PageWriter TC70 Keyboard Assembly French 1 453564215081 PageWriter TC70 Keyboard Assembly Russian 1 453564171161 PageWriter TC50 Keyboard Assembly USA English 1 453564171171 PageWriter TC50 Keyboard Assembly European 1 453564171181 PageWriter TC50 Keyboard Assembly French 5 4 PageWriter TC Cardiograph Service Manual Parts and Supplies PageWriter TC70 TC50 TC30 Customer Replacement Parts Table
11. USB Memory Stick Issues continued Symptom Cannot access internal Compact Flash memory message Possible Cause amp Investigation Step Compact Flash may be corrupted Solution 1 Run the Internal Compact Flash test from the Service Utilities on page 3 47 2 If the test passes retry the operation 3 If the test fails the Compact Flash card needs to be removed and replaced Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 There are more than 200 ECGs stored on the USB memory stick Only the first 200 ECGs will display on the cardiograph Please store no more than 200 ECGs on the USB memory stick message USB memory stick file system limitation Delete unwanted files from the USB memory stick An unknown error occurred when accessing the storage capacity of the selected archive message Abnormal error occurs when getting storage capacity of selected storage media 1 Retry the operation 2 If this condition reoccurs persistently replace the USB memory stick with Philips part number 989803145331 Not all USB memory sticks are supported See Using the USB Memory Stick on page 1 43 The USB memory stick is not accessible Please ensure that the USB memory stick is fully inserted into the USB connector right side of cardiograph message m The USB memory stick was not fully inserted into the slot on
12. Alt O from any screen or from the Setup Main Menu touch the button next to Configure Cardiograph Default Settings 3 Touch the Save Load Settings button on the Configuration Context Toolbar The Save Load Settings screen appears PageWriter TC Cardiograph Service Manual 3 51 Troubleshooting Viewing and Saving Log Files Figure 3 23 Save Load Settings screen Save Custom Settings Gua Load Custom Settings USB memory stick d Save Logs i memory stick d 4 Under Save Logs make sure that USB memory stick is highlighted 5 Touch the Save button The Save Logs window appears Figure 3 24 Save Logs screen Enter Output Filename _ 5No00020 5 2008 TZT omg alias eiim 6 To save the log files to the default file name and location touch the Save button Proceed to step 10 The USB memory stick flashes while the log file is being saved This can take up to 20 seconds 7 To change the file name or location touch the Browse button The Select file directory screen appears 3 52 PageWriter TC Cardiograph Service Manual Viewing and Saving Log Files Troubleshooting Figure 3 25 Select File Directory screen Select fila directory USB memory stick gt Select or enter the Log Path Filename SS Ni Eni m m E 8 Touch the New Folder button to create a folder for the log files and to specify a different file name if desired Touch the OK button 9 Touch the Save
13. Name and ID Number DOB 12 21 1968 Name Doe Jane Displays the date of birth patient name and patient ID number for the current patient session Using the Keyboard Shortcuts The following key stroke combinations can be used from any cardiograph screen Table 1 5 Keyboard Shortcut Keyboard Shortcuts Action Ctrl Alt C Runs the Touch Screen Calibration test See Touch Screen Calibration and Test on page 3 45 for more information Ctrl Alt P Saves a screen capture of the current cardiograph screen as a bmp graphic file to an inserted USB memory stick PageWriter TC Cardiograph Service Manual 1 53 1 54 PageWriter TC Cardiograph Service Manual Cardiograph Care and Maintenance The following chapter contains information about basic cardiograph care and periodic cardiograph maintenance that may be required If further technical assistance is required contact the nearest Philips Response Center see page 5 13 Table 2 1 Recommended Frequency of Maintenance Tasks Component Recommended Maintenance Task and page number Frequency Cardiograph and Weekly or after Cardiograph and PIM Cleaning on page 2 3 Patient Interface patient use if Module PIM patient s skin Cleaning comes into contact with PIM Patient DataCable Weekly Patient Data Cable and Lead Wire Cleaning on and Lead Wire page 2 4 Cleaning Reusable After each Reusable Electrode Cleaning on page 2
14. Test and Inspection Matrix The following Test and Inspection Matrix describes the various test blocks expected test results and what you need to document on the service record Table 4 2 Test and Inspection Matrix Test Block Test or Inspection to Perform Expected Passing What to Record ona Name Test Results Service Record Visual Inspection Perform visual inspection page 4 5 If there is no apparent V P pass V wear damage or VF fail corrosion the visual inspection passes Power On PO Power on the unit page 4 6 If the display shows PO P pass the Soft f Watch display for errors Nd PO F fail See the Troubleshooting chapter for a list of errors Identification screen followed by the Main screen the Power On test passes Individual Functional Tests The Printer Touch Screen PIM and Keyboard tests can be run from within the Service Utilities Printer Test P Perform Printer Test page 4 9 As described in the P P pass test procedure P F fail Touch Screen m Perform the Touch Screen As described in the TD P pass Test TD Display and Calibration tests test procedure TD F fail page 4 9 PIM Test PIM m Perform the PIM test As described in the PIM P pass page 4 10 test procedure PIM F fail Keyboard Test Perform the Keyboard test As described in the K P pass K page 4 10 test procedure K F fail Leadwire Test Test the lead wires for b
15. date and time changing 2 17 diagnostic test audio 3 47 Compact Flash 3 47 keyboard 3 47 4 10 lead wire shortage 2 15 onboard flash 3 46 PIM 2 14 ping 2 15 sensitivity 2 19 touch screen 2 16 disinfectants 2 4 display troubleshooting 3 3 document downloads 1 3 DumpFiles directory 3 51 E ECG data flow and storage 8 6 ECG simulation test 4 11 electrodes cleaning 2 5 cleaning reusable 2 5 disposable part number 5 9 5 10 enabling tokens 6 8 F fax issues troubleshooting 3 34 fuse replacement part 5 5 replacing on TC30 and TC50 2 18 H hardware logical view 8 2 IEC leads part number 5 8 InCenter web site 1 3 document errors 1 4 downloading software 6 1 errors opening PDF documents 1 4 using Adobe Acrobat 1 4 K keyboard diagnostic test 3 47 4 10 European 3 48 French AZERTY 3 49 Index 1 replacement parts 5 4 Russian 3 49 shortcuts 1 53 troubleshooting 3 5 L LAN network connection status indicator 1 52 Lead Map troubleshooting 3 35 lead wires chest leads part number 5 9 cleaning 2 4 limb leads part number 5 9 shortage test 2 15 leads off troubleshooting 2 15 3 7 log file troubleshooting 3 34 viewing and saving 3 50 M main board 8 2 main screen display changing displayed leads 1 49 troubleshooting 3 10 maintenance batteries 2 9 battery replacement 2 10 cleaning 2 3 touch screen 2 16 touch screen calibration 2 16 3 45 touch screen cleaning 2 16 modem card using
16. lt gt oi 1 L 2 Alt Ctrl Poup 1 PyDa gt 2 Press each key on the keyboard If a key is highlighted the key is registered 3 After all the keys are highlighted touch the Close button to finish the test A message lets you know if the test passed or failed The test fails if any of the keys are not recognized when you press them or if you do not press all of the keys PageWriter TC Cardiograph Service Manual 3 49 Troubleshooting Viewing and Saving Log Files Viewing and Saving Log Files 3 50 All test results are entered in the Event Log that is displayed on the screen Additionally you can save all log files to a USB memory stick using the Save Logs feature in Setup or use the key command Ctrl Alt O from any screen Ensure that a USB memory stick is firmly connected to the cardiograph before saving log files Also the cardiograph can be configured to automatically or manually transmit log files directly to a specified TraceMaster ECG Management System server or to any other networked computer or server that is accessible over a LAN or WLAN For more information on configuring and using a remote server to receive log files see the PageWriter TC Cardiograph Network Configuration Guide About Log Files Log files continuously record operating information about the cardiograph including events errors application integrity battery power levels memory use test results and user events related to ECG processi
17. 1 39 Battery Power Indicator 0 0 eee eee eee ee 1 39 Using the On Standby Button 0 000000 008 1 41 Using the Wireless LAN Card 2 0 0 2 eee eee eee 1 42 Using the Modem Card 00 0 cece eee eee eee 1 43 Using the USB Memory Stick esee 1 43 Using the Barcode Reader 0 2 0 ee eee eee eee 1 44 Using the Cardiograph Touch Screen 0 1 45 Touch Screen Overview 0 0 0 cee eee eee eee eee 1 46 Changing the Lead Format on the Main ECG Screen 1 49 The Status Bars Lir LR er RIBP Eres 1 51 Using the Keyboard Shortcuts 0 000000 00 08 1 53 Who Should Use this Service Manual This Service Manual is intended for users who handle preventive maintenance periodic operational checks and basic troubleshooting for PageWriter TC cardiographs Before attempting to service the cardiograph you must review the following documentation and training materials a PageWriter TC Cardiograph Instructions for Use m This Service Manual This PageWriter TC Cardiograph Service Manual is intended to assist users in the safe and effective use of the product Please read this Service Manual and strictly observe all Warning and Cautions as described in this document Pay special attention to all of the safety information provided in the Safety Summary and Important Patient and Safety Information section The following conventions are used in this document W
18. 3 9 inches high color liquid crystal touch screen display with backlight Patient Interface Module a Remote microprocessor controlled module m ECG button with signal quality indicator allows user to take ECGs from the bedside Patient Interface Module Signal Acquisition 8 000 samples per second per electrode lead for standard 12 or up to 16 leads Signal Processing Acquisition Sampling Rate m 500 samples per second per electrode lead m 12 bit A D conversion provides down sampled 5u V resolution 500 samples per second measurement with no channel to channel skew PageWriter TC Cardiograph Service Manual Technical Specifications Specifications CAUTION Auto Frequency Response 0 05 150 Hz 0 15 150 Hz 0 5 150 Hz 0 05 100 Hz 0 15 100 Hz 0 5 100 Hz 0 05 40 Hz 0 15 40 Hz 0 5 40 Hz Rhythm Frequency Response 0 05 40 Hz 0 05 100 Hz 0 05 150 Hz 0 15 40 Hz 0 15 100 Hz 0 15 150 Hz Minimum Amplitude or Value of Patient Physiological Signal The QRS wave must be a minimum of 100yV peak to peak or greater for the lead s complex to be measured The operation of the cardiograph below this value may cause incorrect ECG analysis Filters m AC noise 50 or 60 Hz m Baseline Wander m Artifact Printer Printer Resolution High resolution digital array printer using thermal sensitive paper 200 dpi voltage axis by 500 dpi time axis at 25 mm sec Report Formats Exam Profiles Up to 12 configured Exam P
19. 3000 German 0800 80 3001 French PageWriter TC Cardiograph Service Manual Parts and Supplies Contacting a Philips Response Center Asia Response Centers Country Telephone Number Australia 1800 251 400 China 800 810 0038 Hong Kong 852 2876 7578 India 1600 112 444 Indonesia 62 21 7910040 ext 8610 Japan 81 0 120 095 205 Korea 82 0 2 3445 9010 Malaysia 1800 886 188 New Zealand 0800 251 400 Philippines 63 2 8162617 ext 875 Singapore 1800 Philips Taiwan 0800 005 616 Thailand 66 0 2 614 3569 Africa and Middle East Country All countries MCR Response Center located in The Netherlands Telephone Number 31 40 2781619 PageWriter TC Cardiograph Service Manual 5 15 5 16 PageWriter TC Cardiograph Service Manual Installing PageWriter TC Cardiograph Software and Enabling Tokens A software installation procedure takes approximately fifteen minutes to complete This chapter provides the following information Software Upgrades 6 1 Obtaining Software 00 eee eee ee eee 6 1 Downloading Software Files from Philips InCenter 6 1 Installing the Software Upgrade 0 0 02 000005 6 3 Before You Befit eerie eseina eao e 6 3 Verifying the Software Installation 004 6 6 Enabling Upgrade Options 0 0 00 6 7 Software Upgrades The upgrade path for a specific cardiograph is dependent upon the s
20. 5 2 PageWriter TC70 TC50 TC30 Replacement Parts continued Reference Number Part Number Description 1 453564203431 PageWriter TC50 Cardiograph Keyboard Assembly Russian 1 453564201791 PageWriter TC30 Cardiograph Keyboard Assembly USA English 1 453564201811 PageWriter TC30 Cardiograph Keyboard Assembly European 1 453564203421 PageWriter TC30 Cardiograph Keyboard Assembly French 1 453564203431 PageWriter TC30 Cardiograph Keyboard Assembly Russian 2 453564171271 Battery Door 3 989803164281 Class B Patient Data Cable Notes For more information about Class B Patient Data Cables see About Class A and Class B Patient Data Cables and PIMs on page 1 27 This part is only available through your sales representative or distributor 4 453564171441 Rubber Rear Screw Cover 5 453564171881 PageWriter TC50 TC30 only 1 6 amp 250 V Replacement Fuse Other PageWriter TC Cardiograph Replacement Parts Table 5 3 Other PageWriter TC Cardiograph Replacement Parts Part Number Description 453564119001 Cardiograph to trolley mounting screws and washers 2 453564096331 Assorted screws consisting of a M3 x 8mm T10 20 M3 x 6mm T10 2 for I O board assembly a M4 x 8mm T20 6 Display rubber plugs 4 PageWriter TC Cardiograph Service Manual 5 5 Parts and Supplies Paper Tray Replacement Parts Paper Tray Replacement Parts Figure 5 3 Paper Tray Parts Exploded Diagram
21. 50 for information on log files The following tests are available on the Diagnostic Tests menu Table 3 17 Diagnostic Tests Test Page Flash Memory Test 3 46 Internal Compact Flash Test 3 47 Audio Test 3 47 Keyboard Hardware Key Test 3 47 PageWriter TC Cardiograph Service Manual 3 45 Troubleshooting Using the Service Utilities 3 46 TIP To access the Diagnostic Test screen 1 From the Main screen touch the Setup button The Setup and Services main menu appears Touch Service Utilities The Service Utilities screen appears Touch the Diagnostic and Test Utilities button top of screen A v N Use the Tab key on the keyboard to move the cursor to the Enter Password field 5 Use the keyboard to enter the password 000000 for Diagnostic Tests and touch the Submit button If entering the password using an AZERTY French keyboard press and hold the Enter key on keyboard while entering the password code 000000 The Diagnostic Test screen appears Figure 3 16 Diagnostic Test screen luu y Setup and Service Utilities 7 23 07 PM 1 26 2008 Maintenance Tests Last Test Results Event Log Printer Test j X RM Touch Screen Calibration and Test j Ey Patient Interface Module PIM Test j Ping Test j 0000000000000 Diagnostic Tests Flash Memory Test j Internal Compact Flash Test j Audio Test j Keyboard Hardware Key Test j SOS Flash Memory Test Th
22. 8 Printer Issues continued Symptom Print Error Unknown Error Possible Cause amp Investigation Step Solution Application timing issue 1 End the patient session and restart a new patient session 2 Restart the cardiograph See Restarting the Cardiograph on page 3 37 3 If the problem persists save the log files See Viewing and Saving Log Files on page 3 50 4 Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 Compact Flash CF Card USB Memory Stick Issues Table 3 9 Compact Flash Card USB Memory Stick Issues Symptom Occasionally copying ECGs from the Archive to a USB Memory Stick fails Possible Cause amp Solution Investigation Step USB memory stick 1 Retry the transfer operation subsystem time out Write operations occasionally fail for USB failure memory sticks 2 If this condition reoccurs persistently replace the USB memory stick with Philips part number 989803145331 Not all USB memory sticks are supported See Using the USB Memory Stick on page 1 43 Maximum number CF card file system Delete files from the Archive of ECGs stored limitation message Cannot store CF card file system Delete unwanted files from the Archive additional ECGs limitation message PageWriter TC Cardiograph Service Manual 3 25 Troubleshooting Troubleshooting Cardiograph Issues Table 3 9 Compact Flash Card
23. 800 x 600 pixels up to 65536 color TFT LCD with backlight All display functions are handled by the main control board using the CPU LCD port The PageWriter TC30 cardiograph display is 640 x 480 pixels up to 65536 color TFT LCD with backlight All display functions are handled by the main control board using the CPU LCD port Patient Interface Module PIM The PIM is a PXA270 based WinCE subsystem that is connected by the USB to the main control board It provides real time data acquisition of ECG signals from electrodes connected to the patient Printer Control FPGA All data printing is handled by the main control board The printer control is an Altera FPGA based control circuit It accepts printable data provides basic bitmap imaging operations and controls the printer head and motor Battery Lithium lon The PageWriter TC70 cardiograph only operates with two batteries installed The PageWriter TC50 and TC30 cardiographs can operate with either one or two batteries installed with software version A 04 00 and higher Each battery is a lithium ion 11 1 volt providing 7 2 amp hours of current when fully charged m When operating the PageWriter TC50 T C30 cardiograph with one battery installed only use the Philips battery with part number 989803170371 Do not use the battery with Philips part number 989803160981 for one battery operation m When operating the PageWriter TC50 TC30 cardiograph with two batteries installed ensu
24. Cardiograph screen 3 39 accessories disposal 2 16 2 20 ordering information 5 7 alligator clips part number 5 9 archive troubleshooting 3 12 barcode reader using with the cardiograph 1 44 batteries about one or two battery operation 1 35 battery gauge 1 52 battery status information window 1 39 calibration 2 12 charging 1 38 1 39 charging indicator 1 39 inaccurate battery power display 2 12 installing 1 35 maintenance and care 2 9 part numbers 5 11 power indicator 8 15 replacement 2 10 battery door replacement part 5 5 Cc cables cleaning 2 4 2 5 calibration touch screen 2 16 3 45 caps lock feature indicator on Status Bar 1 52 cardiograph disposal 2 16 2 20 external PC card archive 8 9 external remote archive 8 9 internal main archive 8 9 main board 8 2 power indicator 8 15 power management 8 14 power system overview 8 9 8 11 print controller 8 2 replacement parts 5 3 troubleshooting 3 2 cart brake 7 12 replacement parts 5 8 replacement screws 5 5 wheel positioners 7 12 Class A PIM 1 27 Class B PIM 1 27 cleaning approved cardiograph cleaning solutions 2 3 2 4 cables 2 4 2 5 cardiograph 2 3 electrodes 2 4 2 5 lead wires 2 4 patient data cable 2 4 Patient Interface Module PIM 2 3 touch screen 2 16 Compact Flash diagnostic test 3 47 troubleshooting 3 25 configuration screen troubleshooting 3 18 custom settings issues troubleshooting 3 34 customer service telephone numbers 5 13 D
25. Electromagnetic Interference The PageWriter TC70 TC50 TC30 cardiograph and accessories may become sensitive to interference from other RF energy sources including power lines RF energy sources include Ke PageWriter TC Cardiograph Service Manual A Specifications A 10 Electromagnetic Compatibility EMC other medical devices wireless devices information technology equipment and radio television transmission Should interference be encountered as demonstrated by artifact on the ECG trace unintended change on operating state or unit lockup attempt to locate the source by assessing m if the interference is intermittent or constant does the interference occur only in certain locations does the interference occur only when in close proximity to certain medical devices does the ECG signal quality change dramatically when the AC power cord is unplugged Once the source of the interference is located attempt to attenuate the EMC coupling path by distancing the cardiograph from the source of the interference as much as possible If further assistance is needed contact the Philips Response Center nearest you Table A 1 PageWriter TC50 TC30 Cardiograph Guidance and Manufacturer s Declaration Electromagnetic Emissions The PageWriter TC50 TC30 cardiograph is intended for use in the electromagnetic environment specified in the table below The customer or the user of the PageWriter TC50 TC30 cardiograph should assure t
26. Lead Wire Performance Test window appears with the message Checking Leadwires At the conclusion of the test any lead wire shortages are identified on the same window 7 Replace any leads that are identified as having a lead wire shortage Touch the Close button when done Cardiograph and Accessory Disposal When the cardiograph has reached the end of its product life dispose of it according to local ordinances When any of the cardiograph accessories reach the end of their product life dispose of these items in accordance with manufacturer instructions and local ordinances Maintaining the Touch Screen The touch screen may require occasional maintenance including calibration and cleaning Touch Screen Calibration The touch screen may be calibrated at any time Calibration is recommended if it requires many attempts to select an item on the screen or if selecting items on a specific area of the screen is difficult The touch screen may also require calibration if the cardiograph is used in different settings seated instead of standing or by users of significantly different height The touch screen may need to be recalibrated to work optimally in the new setting or with the new user To calibrate the touch screen 1 From any screen touch the Ctrl Alt C keys on keyboard at the same time Or touch the Setup button on the Toolbar accessing the Setup screens may require entering a password On the following screen touch
27. Manual 8 9 Theory of Operation High Level ECG Data Flow and Storage Figure 8 3 Rendered ECG Report Print Sample 00235777 11 4 03 2 18 26 PM Smithee Alan J 45 Years Hale Race White BP Dept Room Oper s SINUS METL onei Sagan hee ede ces mme Ee EUER A aes normal P axis V rate 50 33 V2 Rate 0 BORDERLINE T ABNORMALITIES A AT LEADS T flat neg I aVL V2 V6 tester quelker PR 168 LEAD S aUL WERE NOT USED FOR MORPHOLOGY ANALYSIS info 01 QRSD 104 QT 360 QTc 415 QRS 54 BORDERLINE ECG T 55 Unconfirmed Diagnosis I aUR gl ua IH NOTE aur iis UE Or 0 15 150 Ha PHOSOA P Speed 25 mm sec Limb l mm m Chest 10 0 mmm Fax Rendered ECG Report Print A fax rendered ECG report print is equivalent to the rendered ECG report print as described in the previous section except it has been adjusted to comply with fax transmission and resolution device requirements When the user starts a fax transfer the ECG report is rendered and transmitted to a remote receiving fax machine that has been pre configured on the cardiograph using the optional fax and modem The fax rendered ECG report print may be stored on the received system end as an electronic file and not actually used to produce a printed copy No guarantee is made as to the suitability of the faxed ECG for any particular purpose due to the variability inherent in fax technology WARNING Do not connect the modem card to a
28. PageWriter TC cardiograph be powered from an uninterruptable power supply or a battery 10 Ur 10 UT gt 30 dip in Uz 30 dip in for 25 cycles Urn for 25 cycles lt 5 Ug lt 5 Ur gt 95 dip in Ur 29576 dip in for 5 seconds Upp for 5 seconds Power frequency 3 A m Complies Power frequency magnetic fields should be at 50 60 Hz magnetic field levels characteristic of a typical location in a typical commercial or hospital environment A 12 Note Ur is the a c mains voltage prior to application of the test level PageWriter TC Cardiograph Service Manual Electromagnetic Compatibility EMC Specifications Table A 4 Guidance and Manufacturer s Declaration Electromagentic Immunity continued The PageWriter TC70 TC50 TC30 cardiograph are intended for use in the electromagnetic environment specified below The customer or the user of the PageWriter TC cardiograph should assure that it is used in such an environment Immunity Test IEC 60601 Compliance Test Level Level Conducted RF 3 Vrms 3 Vrms IEC 61000 4 6 150 kHz to 80 MHz Radiated RF 3 V m 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz Electromagnetic Environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the PageWriter TC cardiograph including cables than the recommended separation distance calculated from the equation applicable to the frequency of the tra
29. Printer Test The Printer Test is used to verify that the cardiograph printer is able to correctly print the test page Use this test to verify proper printer performance or when reports appear to have print quality errors To perform the Printer Test 1 Touch the Printer Test button The message Printing Test Page appears and the test page prints out 2 Review the printer test page at points A B C and D as shown on Figure 3 15 Test Point A Description The stepped bars are sharp edged and printed cleanly without distortion or missing segments The spacing between the vertical lines is 25 mm with a discrepancy of no more or less than 2 The diagonal lines should be straight and printed cleanly without distortion or breaks in the lines The character set is printed cleanly without distortion or missing characters and all characters are clearly legible PageWriter TC Cardiograph Service Manual 3 43 Figure 3 15 Printer Test Page dE or PD rM Mr ex e 2 Qr ge DD ridet dd argue pe ern oa PEAR EAER WG a POE NC Sd 3 44 PageWriter TC Cardiograph Service Manual Using the Service Utilities Troubleshooting If the printer test page matches the printer test points as described in the previous table and the message Printer Test Passed appears the cardiograph has passed the printer test If the printer test page does not match the pri
30. WARNING Ensure that the patient data cable is securely connected to the PIM Connector E gt on the rear panel of the cardiograph a The PageWriter TC50 cardiograph with installed software version A 03 00 and higher is only compatible with the Class B patient data cable Philips part number 989803164281 m Keep the patient data cable away from power cords and any other electrical equipment Failure to do so can result in AC power line frequency interference on the ECG trace a Periodically inspect the patient data cable for any cracks or breaks in the cable insulation If the integrity of the patient data cable is not assured replace the patient data cable Contact Philips Medical Systems for further assistance see Contacting a Philips Response Center on page 5 13 PageWriter TC Cardiograph Service Manual 1 1 N Introduction Important Patient and Safety Information Patient Interface Module PIM WARNING Always clean and disinfect the Patient Interface Module PIM after patient use if the PIM comes into direct contact with the patient s skin Failure to properly clean and disinfect the PIM after direct contact with the patient s skin may cause infectious materials to be transferred between patients CAUTION if using the optional 16 lead PIM always ensure that the leads connected to the Patient Interface Module PIM are the same leads that are displayed on the cardiograph screen m The PageWriter TC50 cardiograph w
31. access the server settings 2 Contact your server administrator for information General wireless connectivity issues The wireless infrastructure is not a 1 Open the Summit Client Utility SCU and change the CCX Features setting to OFF if the wireless unpredictable Cisco system and the infrastructure is not a Cisco system For connectivity CCX Features setting information see Configuring Wireless Adapter in the Summit Client Settings on page 2 19 lit is set to ie a y ee 2 Contact your system administrator for more Optimized information 3 36 PageWriter TC Cardiograph Service Manual Restarting the Cardiograph Troubleshooting Restarting the Cardiograph To restart the cardiograph 1 Press and hold the On Standby button O for 2 3 seconds to shut down the cardiograph 2 Press the On Standby button again to power on the cardiograph 3 Ifsteps 1 and 2 do not work press the restart button rear of cardiograph see Figure 3 9 and Figure 3 10 After approximately 20 seconds the PageWriter TC cardiograph software identification screen appears followed by an audible beep Figure 3 9 Pressing the Restart button on the PageWriter TC50 or PageWriter TC30 Cardiograph apply gentle pressure only PageWriter TC Cardiograph Service Manual 3 37 Troubleshooting Using the Service Utilities Figure 3 10 Pressing the Restart button on the PageWriter TC70 Cardiograph apply gentle pressure only
32. battery indicator may not always accurately reflect the true charge state of the battery due to the age of the battery or due to failure to perform specified battery maintenance Table 8 1 describes the battery level indicator Table 8 1 Battery Level Indicator Information icon on Status Bar Icon on Status Bar Battery Level Fully Charged Battery 75 power capacity 50 power capacity D B IE PageWriter TC Cardiograph Service Manual 8 15 Theory of Operation Power System Overview 8 16 NOTE Table 8 1 Battery Level Indicator Information icon on Status Bar Icon on Status Bar Battery Level i Low Battery Power Red battery icon appears when power level is below 25 Cardiograph beeps and an error message appears until the unit is plugged into AC power audio feature may be disabled Tap the icon to see how many minutes are left of operating battery power m f overall battery power is below 15 and the cardiograph is in Standby when the On Standby button is pressed it will flash green five times and the cardiograph will be unable to return to active use Plug the cardiograph into AC power to recharge the batteries kg No or Dead Battery Battery Discharging If no AC power is applied to the system when the batteries are discharged to the 15 level the PageWriter TC cardiograph automatically enters Standby and alerts the user to apply AC power When the batteries are discharged to a
33. before powering on the cardiograph Smart Card Reader A Smart Card Reader is available as an option for the PageWriter TC cardiograph The reader connects to the cardiograph through an external USB connector and provides standard Smart Card reading capability The PageWriter TC cardiograph can use the Smart Card Reader to obtain patient information USB Memory Stick A USB memory stick is available as an option for the Page Writer TC cardiograph The memory stick connects to the cardiograph through the USB connector located on the right side of the cardiograph with the front of the cardiograph facing you The USB memory stick can PageWriter TC Cardiograph Service Manual 8 5 Theory of Operation High Level ECG Data Flow and Storage CAUTION CAUTION be used to store and transfer ECGs as XML or PDF and orders between the cardiograph and a TraceMaster ECG Management System networked PC or server or other third party ECG management system Do not insert a USB memory stick into the cardiograph or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient Only use the USB memory stick to transfer data between the cardiograph and a computer Do not use the USB memory stick with other devices Wireless LAN Card A wireless LAN Card is available as an option for the PageWriter TC cardiograph The LAN card connects to the cardiograph through the Wireless LAN card slot and provides standa
34. button to save the log files to the specified file name and location The USB memory stick flashes while the log file is being saved This can take up to 20 seconds 10 Remove the USB memory stick when the file save is complete PageWriter TC Cardiograph Service Manual 3 53 3 54 PageWriter TC Cardiograph Service Manual Performance Verification and Safety Tests This chapter describes the tests and inspections required to verify performance of the PageWriter TC cardiograph following a service event This chapter provides the following information Required Testing Levels 5 i nep Ee Rae Ae ele aere ed 4 1 External Repairs esses i anea a A ceo a qe go c ed eA as 4 1 Internal Repasses est rete D Ese bon ies e Ed ape bus qd ear dO Renee aces 4 2 pbrades erue er LTesgveRSPerevpIeenssrqrenceFgu retesp d DuMPNTERI abes 4 2 Test and Inspection Matrix 20 0 e hn 4 4 Test Equipment moeren eee vA aee Pret wh te RE te CSS BLU mme 4 5 Performance Verification Tests 0 0 0 eee ccc ene ene eee eae 4 5 Visual Insp ction V 5 scena eb tea os Ob dhs ee deg A ibat ogo 4 5 Power On Test DO 2i ius tees eve wes bark eR OVE ER Soave a LEEVERE E 4 6 Individual Functional Tests 0 cece eee ence ene e eee 4 6 Savery Tests cot b pP UR RR oad TE Sel ete PED ULP 4 12 Required Testing Levels NOTE The Performance Verification Tests verify proper operation of the PageWriter TC cardiograph following a service eve
35. cece cece cree e renee n eee e hh hn 3 12 Configuration Screen Issues 2 0 0 0c cece eee enn en 3 18 Printer ISSUCS S bck sete tee ox a petitus Lus Messa p A belt 3 21 Compact Flash CF Card USB Memory Stick Issues leeleseeeeess 3 25 TraceMaster ECG Management System Issues eee 3 28 Orders ISSUES esi vere potet eA MCA SO ERIS QU OR SIVE as wee ER 3 30 Remote Query Issues 20 cece eee eee e I Ih 3 32 Fax ISSUES en egaa ne Sob wale a tars Sukh Os Lae Se Rea ee Age ON we ee eis Bor wat 3 34 Log File and Custom Settings Issues 2 cece eee cece cette een eens 3 34 Lead Map Troubleshooting 2 02 ce eee cece ete I 3 35 Wireless Troubleshooting 0 cece eee eee cee he 3 35 Restarting the Cardiograph 1 2 cece eee eee ee eee teen een eeeeee 3 37 Using the Service Utilities cem teste ae a Me SUE oleate i eran 3 38 Using the About the Cardiograph Screen 2 0 eee eee eee eee eens 3 39 Using the Diagnostic Tests and Utilities 2 0 2 eee eee ee ee ees 3 42 Using the Diagnostic Tests esee 3 45 Viewing and Saving Log Files 2 0 eee eee eee III 3 50 About Log Files eum eR ERU Sete keane det tee OR RR E EKG ue 3 50 Saving Log Files ieie ineen Goch aa ss AR a eG Eh Seeded ent 3 51 Chapter 4 Performance Verification and Safety Tests Required Testing Levels 2 0 2 eee cece cee ee I I 4 1 External Repaitrs s 464 43 wate eid E d
36. cece eee eee eens A 7 PageWriter TC50 Cardiograph Weight 0 cece eee eee eee A 7 PageWriter TC70 Cardiograph Dimensions 02 cece eee eee eee A 7 PageWriter TC70 Cardiograph Weight 0 cece eee eee eee eens A 8 Safety and Performance 2 eee cece cece eee eh he A 8 Classification IEC 60601 1 0 2 0 eee cece ce eee teen eee eeee A 8 Electromagnetic Compatibility EMC 0 eee eee eee tenes A 9 Reducing Electromagnetic Interference llle A 9 Wireless LAN Card Specifications 0 2 2 0 cece cece e A 15 Summit SDC CF20G Wireless Adapter Option D21 02 00 A 15 Summit SDC CF22AG Wireless Adapter Option D22 00 A 19 PageWriter TC Cardiograph Service Manual This PageWriter TC Cardiograph Service Manual provides information on the following Introduction aspects of using and maintaining the PageWriter TC70 TC50 and TC30 model cardiographs Theory of operation Maintenance procedures Troubleshooting procedures and diagnostic tests Performance verification and safety testing Ordering parts and supplies Software installation Cart replacement kits and procedures Specifications Before performing maintenance or troubleshooting on the PageWriter TC cardiograph review the PageWriter TC Cardiograph Instructions for Use located on the User Documentation DVD shipped with the cardiograph or download the file from the Philips InC
37. electrode resting diagnostic ECG 35 mm x 22 mm 1 37 x 86 in 1000 total electrodes Solid gel tab disposable cardiography electrode resting diagnostic ECG 33 mm x 20 mm 1 29 x 78 in 1000 total electrodes 989803149901 Pediatric disposable tab electrode 14 mm x 34 mm 55 x 1 33 in 1000 total electrodes 989803101311 Reusable Welsh Bulb Electrode 15 mm diameter AAMI 6 total electrodes 989803101651 Reusable Welsh Bulb Electrode 15 mm diameter IEC with banana plug adapter 1 total electrode 989803101281 Reusable Welsh Bulb Electrode IEC with side screw connection 6 total electrodes 989803101661 989803101691 Reusable Adult Limb Plate Electrode IEC 4 total electrodes Reusable Adult Limb Clamp Electrode 4 total electrodes AAMI TIEC 989803101341 Reusable Adult Limb Plate Electrode for push in type connection nickel silver 4 total electrodes AAMI IEC 989803100601 Rubber Strap for Reusable Limb Plate Electrodes 38 cm 15 in 4 total straps AAMI IEC Printer Paper Part Number 989803106261 Description Z fold with header A size 21 6 x 28 cm 8 5 x 11 in 989803106271 Z fold with header A4 size 21 x 29 69 cm 8 27 x 11 69 in PageWriter TC Cardiograph Service Manual Parts and Supplies Ordering Options and Upgrades Printer Paper Part Number Description 989803106281 Anti fade A size 21 6 x 28 cm 8 5 x 11 in
38. grounded materials especially when connecting or disconnecting electrodes to or from a patient Main Waveform Display Screen Manual measurements of ECG intervals and magnitudes should be performed on printed ECG reports only Do not make manual measurements of ECG intervals and magnitudes on the main waveform display screen since these ECG representations are scaled 16 PageWriter TC Cardiograph Service Manual Important Patient and Safety Information Introduction Modem Card and Fax Feature WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient WARNING Only connect the phone line to the modem connector A located on the rear panel of the cardiograph Never attach the phone line to the LAN connector E a No guarantee is made as to the suitability of a faxed ECG report for any particular purpose due to the variability inherent in fax technology Pacemaker m Pace pulses may not be visible on a printed ECG report that uses simultaneous acquisition Patient Data Cable WARNING The Philips Medical Systems patient data cable supplied with cardiograph is an integral part of the cardiograph safety features Use of any other patient data cable may lead to the distortion or corruption of patient ECG data may compromise defibrillation protection and degrade cardiograph performance and overall cardiograph safety may be seriously degraded
39. inches Width 43 mm 1 69 inches Thickness 5 mm 0 2 inches Weight 28 grams 1 ounce PageWriter TC Cardiograph Service Manual A 19 Specifications Wireless LAN Card Specifications A 20 System Interface 16 bit Compact Flash Type II with 50 pin connector Antenna 0 dBi gain dual band omnidirectional with diversity Chipset Broadcom BCM4318E Input Power Requirements 3 3 VDC 10 Typical Power Consumption at maximum transmit power setting a Transmit 400 mA 1320mW m Receive 180 mA 594mW a Standby 10 mA 33 mW Operating Temperature 30 C to 85 C 22 F to 185 F Operating Humidity 10 to 90 non condensing Mounting 50 pin connector and standard compact flash rails Network Standards IEEE 802 11a 802 11b 802 11d 802 11e 802 11g 802 11h 802 111 Frequency Band FCC ETSI KCC TELEC 2 412 to 2 473 GHz 2 412 to 2 483 GHz 2 412 to 2 495 GHz Wireless Media m Direct Sequence Spread Spectrum DSSS m Orthogonal Frequency Divisional Multiplexing OFDM PageWriter TC Cardiograph Service Manual Wireless LAN Card Specifications Specifications Media Access Protocol Carrier sense multiple access with collision avoidance CSMA CA Data Rates Supported m 802 11a and 802 11g OFDM 6 9 12 18 24 36 48 54 Mbps 802 11b DSSS 1 2 5 5 11 Mbps Modulation 1 6 9 Mbps BPSK 2 12 18 Mbps QPSK 5 5 11 Mbps CCK 24 36 Mbps 16 QAM 48 54 Mbps 64 QAM Regulator
40. interrupted Retry the transfer for the remaining ECGs After pressing the Archive button it takes longer than 40 seconds before the Archive list is displayed when the Main Archive has more than 130 ECGs stored System slow down from full ECG database Save or delete ECGs from the Main Archive There is a known system performance impact when the near maximum number of ECGs have been stored in the Main Archive Transfer of ECGs to a USB memory stick fails and there are still less than 200 ECGs on the removable media device No reply received from TraceMaster Remote site message m USB memory stick file system limitation Not enough free space available on the USB memory stick to save the number of selected ECGs m The server is unavailable Configuration error Delete unwanted files from the USB memory stick 1 Contact the TraceMaster system administrator and report the error 2 Check the IP address and the TraceMaster server URL in the TraceMaster configuration settings Archive function could not be completed Please restart cardiograph and try again message Archive error 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 If the problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance 3 14 PageWriter TC Cardiograph Service Manual
41. issues 3 7 start up issues 3 2 Index 3 TraceMaster issues 3 28 USB memory stick 3 25 wireless LAN 3 35 U upgrade option enabling 6 8 ordering 5 11 post upgrade tests 4 2 USB memory stick cautions 1 43 storage capacity 1 44 using with cardiograph 1 43 Utilities accessing and using 3 38 Vv verification software installation 6 7 visual inspection test 4 5 W welsh bulb electrodes 5 8 cleaning 2 5 wireless LAN troubleshooting 3 35 using with cardiograph 1 42 PHILIPS Philips Medical Systems 3000 Minuteman Road Andover MA 01810 USA PageWriter TC Cardiograph Service Manual 453564106431 Edition 3
42. lead formats Press the up arrow key on keyboard t to change the display back to the original view For the TC30 cardiograph only the lead format that displays on the Main screen when the cardiograph is shut down by pressing and holding the On Standby button will be retained once the cardiograph is returned to active use PageWriter TC Cardiograph Service Manual Using the Cardiograph Touch Screen Introduction The Status Bar The Status Bar top of the screen provides information about the current cardiograph settings The Status Bar is always visible Figure 1 24 The Status Bar A B c D E F G H I um bes Standard 12 Lead Layout iv ID 1234 Name Doe Jane OB Y K J l Table 1 4 The Status Bar Status Bar Item Feature Description A Selected Exam Type The Exam Type selected for the current patient session bes Standard 12 Lead m The available Exam Types are Resting 12 Lead Resting Extended Lead Page Writer TC70 TC50 only and Timed ECG B ECG Layout m The current ECG report layout settings including the level of interpretation generated by the algorithm m Any of the settings on this screen may be edited for the current patient session Cc Operating Settings m The current selected filters Artifact Baseline Wander pacing detection setting and report scaling settings m The Unknown pacing setting is recommended for most ECGs D Event Mark
43. least 30 Electrical Fast 2 kV for 2 kV for Mains power quality should be that of a transient burst power supply power supply typical commercial or hospital environment IEC 61000 4 4 lines lines 1 kV for 1 kV for input output lines input output lines Surge 1 kV 1 kV Mains power quality should be that of a IEC 61000 4 5 differential mode differential mode typical commercial or hospital environment 2 kV common 2 kV mode common mode PageWriter TC Cardiograph Service Manual A 11 Specifications Electromagnetic Compatibility EMC Table A 3 Guidance and Manufacturer s Declaration Electromagnetic Immunity continued The PageWriter TC70 TC50 TC30 cardiographs are intended for use in the electromagnetic environment specified below The customer or the user of the PageWriter TC cardiograph should assure that it is used in such an environment Immunity Test Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 IEC 60601 Test Level lt 5 Ur for 0 5 cycle 40 Ur for 5 cycles Compliance Level lt 5 Ur gt 95 dip in Un for 0 5 cycle 40 Ur for 5 cycles Electromagnetic Environment guidance Mains power quality should be that of a typical commercial or hospital environment If the user of the PageWriter TC cardiograph requires continued operation during power mains interruptions it is recommended that the
44. located next to the On Standby button is not lit 10 Keep the ID screen displayed and allow the batteries to deplete of all battery power This process will take approximately 8 hours to complete When the batteries are depleted of all power the screen is black and the cardiograph cannot be returned to active use by touching the On Standby button PageWriter TC Cardiograph Service Manual 2 13 Cardiograph Care and Maintenance Patient Interface Module PIM Test 11 12 13 14 NOTE Once the batteries are fully depleted reconnect the cardiograph to AC power Press the On Standby button to power on the cardiograph in order to confirm successful calibration Afterwards charge the batteries fully before returning the cardiograph to active use On the Main screen touch the Setup button Select the Service Utility from the Configuration Setup and Service Utilities menu From the Service Utility screen ensure that the About the Cardiograph button is selected top of screen A selected button is highlighted in blue Underneath the Battery Status column check that the Expected Max Error and Full Capacity mAh values as viewed on the screen are different than the values printed on the report generated from the Service Utility screen If the values are different the battery calibration procedure is complete If the Expected Max Error field has not been reset to 2 another calibration procedure may be necessary The max error
45. objects with the touch screen or apply excessive force to the touch screen Applying excessive force to the touch screen may result in breaking the touch screen display and can cause sharp jagged parts to expel to persons nearby Manual measurements of ECG intervals and magnitudes should be performed on printed ECG reports only Do not make manual measurements of ECG intervals and magnitudes on the touch screen display since these ECG representations are scaled USB Memory Stick WARNING Do not use the USB memory stick to import ECGs from other cardiographs or other non Philips devices onto any model of the PageWriter TC cardiograph CAUTIONS Only use the USB memory stick that is available for purchase as an optional accessory from Philips Medical Systems with the PageWriter TC cardiograph Do not insert a USB memory stick into the cardiograph or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from the patient Only use the USB memory stick to transfer data between the cardiograph and a computer Do not use the USB memory stick with other devices Keep all USB memory sticks that contain patient data in a secure location where they cannot be accessed by unauthorized personnel Always delete patient data from a USB memory stick promptly after use Affix a label to all USB memory sticks that contain patient data notifying users that unauthorized access of patient data on the USB memory st
46. of the error and export the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance see Contacting a Philips Response Center on page 5 13 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 If the error persists export the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance see Contacting a Philips Response Center on page 5 13 Orders number reached the limit of 200 Not all of the new orders were appended message Application limitation 1 Delete unwanted orders 2 Refine your search criteria The connection to the server was reset message The network connection was broken during an orders operation 1 Retry the operation 2 Contact your IT department to report the network is down No order source selected message You attempted to get an order without specifying a source Specify the source and retry the operation PageWriter TC Cardiograph Service Manual 3 31 Troubleshooting Table 3 11 Symptom Please select at least one order message Are you sure you want to delete the selected order s message Orders Issues continued Possible Cause amp Investigation Step You touched the ECG button without selecting an order You attempted to delete an order Troubleshooting Cardiogr
47. page 3 37 2 If the problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance Error XML file did not transform message File I O error 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Ifthe problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance Fax transmission did not complete message Fax not completed 1 Retry the fax operation 2 Ifthe problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance There is no default TraceMaster server available for Auto Time Sync message TraceMaster settings are not configured correctly 1 Check the TraceMaster configuration settings on the cardiograph 2 Touch the Setup button on the main toolbar to access the TraceMaster settings screen 3 16 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Table 3 6 Symptom Some ECGs retrieved from TraceMaster and printed on the cardiograph look different from TraceMaster prints or XLi printouts Archive Screen Issues continued Possible Cause amp Investigation Step Older or non PageWriter TC source ECG files were retrieved ECG was n
48. phone line when the cardiograph is connected to a patient 8 10 PageWriter TC Cardiograph Service Manual Power System Overview Theory of Operation Power System Overview The PageWriter TC cardiograph power system consists of a One 60 watt AC DC medical grade power module One or two 11 1 volt 7 2amp hour lithium ion rechargeable batteries m Battery charging circuitry various voltage regulators and logic circuitry on the main board The PageWriter TC cardiograph is designed to run on AC power or battery power The main board contains a battery charging chip that controls battery charging The main board has an A D converter that monitors the voltage of the power supply and a smart battery controller part of the charging chip that monitors the battery charging status The major power draws within the PageWriter TC cardiograph is the LCD display backlights which can draw up to 19 watts and the thermal printer which can draw approximately 35 watts Provisions have been incorporated into the PageWriter TC cardiograph that allows the user to adjust the display brightness To extend battery life set the display brightness to the low or medium setting Also activate the power save mode entering standby to further extend battery life The printer control circuitry is current limited for normal printing However if print demand is too high the current limiter will not print the output resulting in a faded page Battery T
49. position PageWriter TC Cardiograph Service Manual 1 29 Introduction Patient Interface Module PIM 3 Drape the patient data cable over the top of the rear handle on the cart to help ensure that the patient data cable does not drag on the ground To disconnect the patient data cable from the PIM gt Twist the end of the patient cable connector inside the metal housing and pull the connector out Special Note about Patient Interface Module PIM The PIM is an electronic device and can feel warm if placed on bare skin CAUTION Ifthe PIM is placed on the patient s bare skin always place a sheet or cloth between the PIM and the patient If the PIM is left on the patient s skin for an extended period of time the PIM could reach a maximum temperature of 46 C 114 8 F in a room environment with a temperature of 40 C 104 F 1 30 PageWriter TC Cardiograph Service Manual Patient Interface Module PIM Introduction Figure 1 12 Placing PIM on patient s skin A Cloth placed between PIM and patient PIM ECG Button The PIM has an ECG button that is used to take ECGs from the bedside Figure 1 13 ECG button on PIM A PIM ECG button Configuring the 16 Lead PIM PageWriter TC70 and PageWriter TC50 cardiograph only The optional 16 lead PIM may be configured to support up to 16 optional leads for adult and pediatric application The 16 lead PIM is shipped with four optional leads color clip identifiers a
50. returned the wrong ECG file Troubleshooting Possible Solutions 1 Check the cardiograph s TraceMaster configuration settings 2 Check the cardiograph s LAN WLAN configuration settings 3 Check to see if the TraceMaster server is up and running Remote transfer error appears message Unknown transfer error including no reply and unexpected reply 1 Check the cardiograph s TraceMaster configuration settings 2 Check the cardiograph s LAN WLAN configuration settings 3 Retry the operation No reply received from server message The LAN connection may have been disconnected during the transfer operation m Server may be down 1 Check the LAN connection 2 Check to see if the TraceMaster server is up and running Unexpected reply received from server message Server may be down 1 Check the LAN connection 2 Check to see if the TraceMaster server is up and running Remote transfer schema error message The XML schema is not supported for the selected TraceMaster server Check the TraceMaster Server Version in the cardiograph s TraceMaster configuration settings No matching ECG is found on the selected server message m The Patient ID may be incorrect m The ECG you are looking for does not exist on the selected server 1 Check the Patient ID 2 Check to see if there is an ECG with the same Patient ID PageWriter TC Cardiograph Service Ma
51. the cardiograph m The USB memory stick contains unsupported software such as SanDisk U3 Desktop software 1 Verify that the USB memory stick is inserted correctly Attempting to save ECGs to a USB memory stick that is not accessible will result in an error message 2 Uninstall any software that is on the USB memory stick and format the drive 3 Retry the operation with fully functioning USB memory stick that is fully inserted into the USB connector on the cardiograph If this condition reoccurs persistently replace the USB Memory Stick with Philips part number 989803145331 Not all USB memory sticks are supported See Using the USB Memory Stick on page 1 43 3 26 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Table 3 9 Symptom The internal CompactFlash CF card cannot be accessed Please contact the Philips Response Center message Possible Cause amp Investigation Step Compact Flash may be corrupted Troubleshooting Compact Flash Card USB Memory Stick Issues continued Solution Remove and replace the Compact Flash card Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 An unknown error occurred when accessing the storage capacity of the selected archive message Cannot disconnect the modem connection from TraceMaster Remote Site message Abnormal error occurs when g
52. to 16 leads optional a Rhythm Strips 12 leads standard up to 16 leads optional Event Marking 10 independent events can be marked for later review and analysis m Full Disclosure 12 leads standard 16 leads optional a Timed ECG PageWriter TC30 Cardiograph ECG Acquisition Simultaneous Lead Acquisition 12 leads standard up to 16 leads optional Rhythm Strips 12 leads standard up to 16 leads optional Event Marking 6 independent events can be marked for later review and analysis a Full Disclosure 12 leads standard 16 leads optional a Timed ECG PageWriter TC70 Keyboard a Full alphanumeric capability QWERTY keyboard A 1 Specifications A 2 Technical Specifications PageWriter TC50 TC30 Keyboard m 65 button standard full alphanumeric capability keyboard m Support for special characters Optional silicon based flexible membrane keyboard cover that protects keyboard from particulate and liquid ingress PageWriter TC70 Touch screen Display m 1024 x 768 pixel resolution m 30 4 cm x 22 8 cm 11 96 x 6 22 in color liquid crystal touch screen display with backlight PageWriter TC50 Touch screen Display m 800 x 600 pixel resolution m 21 1 cm x 15 8 cm 8 30 x 8 97 in color liquid crystal touch screen display with backlight PageWriter TC30 Touch screen Display m 640 x 480 pixel resolution VGA with 18 bit pixel color depth m 5 wire resistive touch screen m 13 33 cm wide x 9 9 cm high 5 25 inches wide x
53. was made to Certain ECG report types are not supported by and will TraceMaster be rejected by the TraceMaster ECG Management System Insufficient storage There is not enough 1 Check the USB memory stick storage capacity available message space on the USB 2 Free up space on the USB memory stick by appears when you are memory stick NU deleting files and retry the operation attempting to transfer files to the USB memory stick Invalid database Archive database may 1 Restart the cardiograph See Restarting the message be corrupted Cardiograph on page 3 37 2 Wait 2 minutes and perform full software installation See Installing the Software Upgrade on page 6 3 3 Confirm successful software installation See Verifying the Software Installation on page 6 7 4 Ifthe problem persists contact the nearest Philips Response Center see Contacting a Philips Response Center on page 5 13 PageWriter TC Cardiograph Service Manual 3 13 Troubleshooting Table 3 6 Archive Screen Issues continued Symptom When an error occurs during transfer of multiple ECGs to a TraceMaster system the transfer process does not continue and transferred files are not deleted Possible Cause amp Investigation Step Application limitation Troubleshooting Cardiograph Issues Solution The PageWriter TC cardiograph ECG transfer operations fail in a known safe manner when multiple ECG transfer operations are
54. with cardiograph 1 43 N network settings connection status indicator 1 52 Oo onboard flash diagnostic test 3 46 ordering replacement parts 5 1 supplies 5 7 orders troubleshooting 3 30 P paper part number 5 10 paper tray replacement parts 5 6 part numbers replacement parts 5 1 supplies 5 8 patient data cable Class A 5 pin and Class B 8 pin 127 cleaning 2 4 part number 5 8 replacement part 5 5 PC card troubleshooting 3 25 pediatric tab electrodes 5 10 performance verification tests 4 5 Philips InCenter web site 1 5 document errors 1 4 errors opening PDF documents 1 4 PIM 1 27 1 31 12 Lead 1 27 16 Lead 1 31 Class A 5 pin and Class B 8 pin 1 27 components 1 27 configuring the 16 lead 1 31 diagnostic test 2 14 3 45 replacement part 5 7 ping test 2 15 power indicator 8 15 power management 8 14 Power On test 4 6 power system overview 8 9 8 11 print controller 8 2 print head cleaning 2 6 printed report red stripe appears 2 7 Printer Control FPGA 8 4 printer issues troubleshooting 3 21 printer paper part number 5 10 replacing 2 7 R remote query issues troubleshooting 3 32 replacement parts battery door 5 5 cardiograph 5 3 cart 5 8 ordering 5 1 paper tray 5 6 patient data cable 5 5 PIM 5 7 replacing batteries 2 10 fuse 2 18 printer paper 2 7 Response Center telephone numbers 5 13 restarting the cardiograph 3 37 reusable 2 5 S Safety 442 Safety Test S1 4 13 Safe
55. 0 2 1 eee cece eee e 1 41 Using the Wireless LAN Card 2 cece eee eee eee Ie 1 42 Using the Modem Card 0 0 eee eect erent m ences 1 43 Using the USB Memory Stick 0 0 ee ee cece ee eee Ie 1 43 Using the Barcode Reader 0 eee eee ee reece heh 1 44 Using the Cardiograph Touch Screen 0 2 ee eee eee eee eee eee 1 45 Touch Screen OVervlew s xs vies RERO RARUS Sioa Te E GAE K EE eee ea 1 46 Changing the Lead Format on the Main ECG Screen eese 1 49 The Status Bar d hes pa 0m o eter ode eO pes ex steht pe eg s 1 51 Using the Keyboard Shortcuts 0 0 0 cece eee eet ee 1 53 Chapter 2 Cardiograph Care and Maintenance Contents 2 Cardiograph and PIM Cleaning 2 0 eee eee eee III 2 3 Approved Cleaning Solutions 2 ce eee cece ee eee cence nen e ences 2 3 Patient Data Cable and Lead Wire Cleaning leeren 2 4 Approved Cleaning Solutions 0 eee eee eee ee eee eee e ence eens 2 4 Reusable Electrode Cleaning rreri crocar iarria cece E E ene hh 2 5 Cleaning the Print Head 0 0 eee cece cee eee eben hh 2 6 Changing the Printer Paper 0 2 0 0 cee eee eee eee tent e nee eens 2 7 Battery Maintenance and Care 2 1 eee cece ence ene enenes 2 9 Replacing the Batteries 2 2 eee eee ee I 2 10 Battery Calibration 1er heady eite te ealie aad RE de epe Meanie 2 12 Patient Interface Module PIM Test 0 2 0 e c
56. 0 TC30 Cardiograph Cart Cart Assembly 8 Insert the front screws through the bottom of the base and tighten 9 Slide the drawer onto the cart as shown Assembling the PageWriter TC50 TC30 Cardiograph Cart The PageWriter TC50 cardiograph and the PageWriter TC30 cardiograph are available with an optional cart that includes a storage bin and a built in holder for the PIM patient interface module A second storage bin is available as an optional accessory The instructions in this section describe the unassembled cart option For information on ordering the cart see Supplies and Ordering Information on page 5 7 To attach the cardiograph to a fully assembled cart see Step 10 on page 7 11 CAUTION Follow the procedure below to ensure that the cardiograph is securely fastened to the cart before use PageWriter TC Cardiograph Service Manual 7 7 Figure 7 2 Unassembled Cart Kit Contents To attach the cardiograph to the cart 1 Insert the beam into the cart base 7 8 PageWriter TC Cardiograph Service Manual 2 Hold the beam steadily Turn the cart onto the side to expose the bottom of the cart 4 Attach the bolt screws and tighten using the provided wrench Ensure that the bolt screws are tightened to 80 100 in Ibs 80 100 in Ibs 9 11 Nm PageWriter TC Cardiograph Service Manual 7 9 Cart Assembly Assembling the PageWriter TC50 TC30 Cardiograph Cart 5 Turn the cart upright 6 Attach the bi
57. 12 level the PageWriter TC cardiograph automatically shuts down The battery will continue to discharge when the cardiograph is not in use or if the battery is stored outside of the cardiograph Battery Charging When the AC power cord is plugged in the battery begins to charge Check the charging status through the Service Utilities See Using the Service Utilities on page 3 38 for more information Charge Current When AC power is applied to the cardiograph the batteries are charged at maximum 3A total current Check the charging current through the Service Utilities See Using the Service Utilities on page 3 38 for more information Battery Information Battery information is sent from the battery charger U1301 This information is then sent to the host processor via SMBUS and can be viewed from the Service Utilities screen See Using the Service Utilities on page 3 38 for more information PageWriter TC Cardiograph Service Manual Specifications Technical Specifications PageWriter TC70 Cardiograph ECG Acquisition Simultaneous Lead Acquisition 12 leads standard up to 16 leads optional Rhythm Strips 12 leads standard up to 16 leads optional Event Marking 15 independent events can be marked for later review and analysis a Full Disclosure 12 leads standard 16 leads optional a Timed ECG PageWriter TC50 Cardiograph ECG Acquisition Simultaneous Lead Acquisition 12 leads standard up
58. 2 2 c eee eee ee eee eee eens A 3 Minimum Amplitude or Value of Patient Physiological Signal A 3 Filters occa cavo ant a A alia ter are ee t bos ehe awh gies iuto a Aa Potato Re ager Gate tidal A 3 PEIBEBE eed RU eee cel SIRAC AKA AIR GN Oe VC AARAU Ree neue RUD CR ea eee Cie alee A 3 ReportFormats 2 lcm fee ca gb eR RE X PIECE E E ee ee bee Y ces A 3 Battery Operation 2 cece e A eee eee I A 4 Ethernet LAN Network Connection 00 000 ccc ccc cee cee eee eee A 5 Wireless LAN Network Connection 00 cee cee eee hh A 5 FAX Capability optional 2 0 eee eee cece III A 5 Modems eto CERERI sual tas seh SENS RERO CERIS A 5 PageWriter TC Cardiograph Service Manual Contents 5 Table of Contents Contents 6 Barcode Reader optional 0 ce cece cece eee e A 5 Magnetic Card Reader optional 2 0 eee eee eee rererere A 6 Smart Card Reader optional 0 0 ee eee eee eee eee een e eee eeee A 6 Smart Card Reader optional 2 2 0 0 eee eee eee eee eee ene eee eeee A 6 ECG Storage 1 25 2 vie Oe e Bean wee eeu ERU Pau UAE ws eG eats Be A 6 OPdabs se eue So Pi tees I E EAS e utc i ETE Ey A 6 EGG File POP eds soe quos Que T PS IN ORE ESOS EMRE AEA Ee A 6 Power and Environment 0 2 cece cee cee hh e hh n A 6 TC30 Cardiograph Dimensions A 7 TC30 Cardiograph Weight 2 cece cece ee e A 7 PageWriter TC50 Cardiograph Dimensions 02
59. 28 Orders Issues ia is beoe ee ER beara ee 3 30 Remote Query Issues 0 0 0 cee eee esee 3 32 aX 8806855 35 sie ante be ow sessed aula VE ree MR PME 3 34 Log File and Custom Settings Issues 3 34 Lead Map Troubleshooting 000005 3 35 Wireless Troubleshooting 0002 3 35 Restarting the Cardiograph 0 0 cee eee ee eee 3 37 Using the Service Utilities 0 0 0 2 ee eee eee eee 3 38 Using the About the Cardiograph Screen 3 39 Using the Diagnostic Tests and Utilities lesus 3 42 Using the Diagnostic Tests 0 0 00 0c eee eee 3 45 Viewing and Saving Log Files esee 3 50 About Log Files i ep Ee oes 3 50 saving Log Files soos reete 3 51 3 1 Troubleshooting Troubleshooting Cardiograph Issues Troubleshooting Cardiograph Issues The troubleshooting information in this section will help you to localize a fault and to correct it The following charts list symptoms and the steps to follow to investigate and solve the problem Several failure mode symptoms may actually be hardware induced or triggered and may require board replacement or opening of the cardiograph for inspection please contact the Philips Response Center for further assistance See Contacting a Philips Response Center on page 5 13 Start up Issues Table 3 1 Start up Issues Symptom Possible Cause amp Possible Solutions Investigation Step Fai
60. 30 cardiograph use either one or two removable lithium ion batteries that supply power to the cardiograph during mobile use For optimal battery performance When operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed only use the Philips battery with part number 989803170371 Do not use the battery with Philips part number 989803160981 for one battery operation When operating any model of the PageWriter TC cardiograph with two batteries installed ensure that both batteries contain the same Philips part number The battery part number identification label is found on the bottom of the battery The cardiograph cannot operate with two batteries that contain different part numbers If the cardiograph is operated with two batteries with different part numbers the cardiograph will display an error message Before initial use fully charge the batteries for five hours before operating the cardiograph without AC power Regularly and consistently charging the batteries will prolong battery life Charging storing or using the batteries at temperatures above 50 C 122 F can damage the batteries and reduce overall battery life Check the battery power indicator on the Status Bar Tap the battery icon on the Status Bar for information on remaining battery power see Figure 1 18 on page 1 39 Always charge the batteries when the cardiograph is not in use Plug the cardiograph into AC power Ensure that the green AC
61. 4 If steps 1 2 and 3 do not work remove the batteries and the AC power from the cardiograph 5 Reapply power and repeat steps 1 through 3 6 Ifsteps 1 2 and 3 do not work remove the batteries and the AC power from the cardiograph 7 Reapply power and repeat steps 1 through 3 Using the Service Utilities The Service Utilities enable you to m Obtain information about the cardiograph such as software versions installed options networking information and battery status Verify and optimize cardiograph performance using the diagnostic tests and utilities Z To open the Service Utilities 1 From the Main screen touch the Setup button The Setup and Services main screen appears NOTE Access to the Setup screens may require entering a password 3 38 PageWriter TC Cardiograph Service Manual Using the Service Utilities Troubleshooting Figure 3 11 Setup and Services Main screen onfiguration Setup and Service Utilities 12 04 35 30 03 2010 ail Qu Configure Cardiograph Default Settings This section is used to contigure clinical settings including Patient ID settings ECG report format settings pacing detection settings Philips ECGAlgorithm settings password settings filter settings unit and measurement settings and power save feature settings Configure ECG Network Settings This section is used to configure settings for wireless and wired Ethernet LAN connections ECG Management System connections remote PC a
62. 4 Replace the paper tray assembly 5 Ifthe sensors are bad replace the print head assembly Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 Printer not detected message a Application error a Defective print head assembly 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Replace the print head assembly Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 Paper does not advance Application error m Top of form sensor issue a Defective print head assembly 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Replace the paper tray assembly 3 If the sensors are bad replace the print head assembly Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 Paper does not tear off cleanly or paper stops at the wrong spot Wrong paper size setting m Wrong method is being used to tear off paper Reload printer with correct paper size See Changing the Printer Paper on page 2 7 Blank pages printed Wrong paper size setting Reload printer with correct paper size after ECG report See Changing the Printer Paper on page 2 7 3 24 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Troubleshooting Table 3
63. 5 Open battery compartment door and inspect battery condition Ensure that the gold battery strap is fully extended before installing the battery Replace the batteries See Replacing the Batteries on page 2 10 PageWriter TC Cardiograph Service Manual 3 3 Troubleshooting 3 4 Table 3 2 Display Issues continued Symptom Possible Cause amp Investigation Step Display assembly failure Troubleshooting Cardiograph Issues Solution Replace display Contact the Philips Response Center for assistance See Contacting a Philips Response Center on page 5 13 Main board failure Replace Main board Contact the Philips Response Center for assistance See Contacting a Philips Response Center on page 5 13 A dialog box shows File system is destroyed software version information with a black background 1 Wait 2 minutes and perform full software installation see Installing PageWriter TC Cardiograph Software and Enabling Tokens on page 6 1 2 Confirm successful software installation See Verifying the Software Installation on page 6 7 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Keyboard Issues Table 3 3 Keyboard Issues Symptom Possible Cause amp Investigation Step Keyboard is Input focus loss unresponsive Keyboard controller subsystem has failed ID or ECG button on Input focus loss keyboard is unr
64. 5 Electrode patient use Cleaning Print Head When necessary Cleaning the Print Head on page 2 6 Cleaning due to uneven print quality Changing the When necessary Changing the Printer Paper on page 2 7 Printer Paper Replacing the When necessary Replacing the Batteries on page 2 10 Batteries Battery When necessary Battery Calibration on page 2 12 Calibration due to inaccurate battery status information displayed on cardiograph 2 1 Cardiograph Care and Maintenance 2 2 Table 2 1 Component Patient Interface Module PIM Test Recommended Frequency When necessary to confirm that the PIM is communicating with the cardiograph Recommended Frequency of Maintenance Tasks continued Maintenance Task and page number Patient Interface Module PIM Test on page 2 14 Ping Test When necessary to confirm that the cardiograph can successfully communicate with an entered IP address Ping Test on page 2 15 Lead Wire Performance Test Weekly Lead Wire Performance Test on page 2 15 Touch screen When necessary Touch Screen Calibration on page 2 16 calibration due to decreased touch screen performance Touch screen Weekly Touch Screen Cleaning on page 2 16 cleaning Changing the date When necessary Changing the Date and Time on page 2 17 and time Replacing the When the Replacing the PageWriter T
65. A Reference VDE 0751 PageWriter TC Cardiograph Service Manual 4 13 Performance Verification and Safety Tests Performance Verification Tests Safety Test S3 Leads Leakage Current Check each type CF Applied gt Part separately with all patient connections short circuited together Include all accessible conductive parts of enclosure CF a Applicable to Class 1 and 2 type CF Measures equivalent leakage current to mains part and enclosure from all Applied Parts in parallel a Maximum leakage current CF lt 50 100 uA Tested separately 50 uA or together 100 uA 4 14 PageWriter TC Cardiograph Service Manual Parts and Supplies The part numbers for all available replacement parts for the PageWriter TC cardiographs are listed in this section If the replacement part that you need is not listed in this section please contact the nearest Philips Response Center for further assistance See Contacting a Philips Response Center on page 5 13 This chapter provides the following information Ordering Replacement Parts 0 0 c eee eee eee 5 1 PageWriter TC70 TC50 TC30 Cardiograph Cart Replacement Parts5 2 PageWriter TC70 TC50 TC30 Customer Replacement Parts 5 3 Other PageWriter TC Cardiograph Replacement Parts 5 5 Paper Tray Replacement Parts 0 0 0 0 00 e eee 5 6 Patient Interface Module PIM Replacement 5 7 Supplies and Ordering Information
66. AN configuration settings Touch the Setup button on the main toolbar to access the TraceMaster LAN and WLAN settings There is no TraceMaster server selected as the default configuration Please go to Setup and select a default TraceMaster connection message You did not configure a default TraceMaster server 1 Check the cardiograph s TraceMaster configuration settings and ensure a valid TraceMaster server is configured as the default TraceMaster server 2 Check the cardiograph s LAN WLAN configuration settings Touch the Setup button on the main toolbar to access the TraceMaster LAN and WLAN settings Invalid transfer destination is selected message You selected an invalid TraceMaster server 1 Check the cardiograph s TraceMaster configuration 2 Check the cardiograph s LAN WLAN settings Touch the Setup button on the main toolbar to access the TraceMaster LAN and WLAN settings The XML version associated with this ECG is not supported by TraceMaster message ECG XML version is incompatible 1 Check the cardiograph s TraceMaster configuration settings and ensure the correct TraceMaster server version is selected 2 Check the cardiograph s LAN WLAN configuration settings Touch the Setup button on the main toolbar to access the TraceMaster LAN and WLAN settings There is no TraceMaster server to delete message You attempted to delete a TraceMaster server without first selecting
67. ARNING Warning statements describe conditions or actions that may result in a potentially serious outcome adverse event or a safety hazard Failure to follow a Warning may result in death or serious injury to the user or to the patient 1 2 PageWriter TC Cardiograph Service Manual Philips ECG XML Information Introduction CAUTION NOTE TIP Caution statements describe when special care is necessary for the safe and effective use of the product Failure to follow a caution may result in minor to moderate personal injury or damage to the product or other property a remote risk of more serious injury or may cause environmental pollution Notes contain additional important information about a topic A Tip contains suggested information on using a particular feature Menu items and button names appear in bold no serif font Example Touch the Config button Internal software components or file directories appear in regular no serif font Example ECGs are stored to the RubyArchivelnternal directory Philips ECG XML Information NOTE The PageWriter TC cardiographs export ECG data in XML Extensible Markup Language format There are three available XML schema versions on the cardiograph version 1 03 version 1 04 and version 1 04 01 Version 1 03 exports ECG data in 12 lead format only version 1 04 exports ECG data for up to 16 leads and version 1 04 01 exports ECG data for up to 16 leads and includes full interpretation from the P
68. B2Switch MOSFET VCC IO PLD FPGA Lo Power Switch Sn DUE aS VBATI 7 amp MIBUS EDU VCC INT PLD Genev i n REY IN Daul Smart Battery System ay POY GEED B usps switen id Manager 11 1V 7100mAH T1790 rca PWM Regulator USB3_nEN LTC1628 Ext CF socket sapere 5v gt cvece Battery discharging eo 6V Current 4A Max gt aav power switch sv 3 3V Current 4A Max L usB4 Switch E CF2 nVCCDO CF2 nSHDN Tm CPU 3 VBAT2 ij SYS EN 1 T CE2 RVCCDI CF2 nOC USB4 nEN 9 02 6V Lion Battery 2 5 iz iiu 33V ME202CJ SMBUS a 5V PWRON 5v ET _ SMBUs z C Keyboar 11 1 7100mAH v a 33v FLASH SDRAM Intel 270 SM501 Buffer Ethernet Touch screen LCD LED E B e gt AC97 RS232 CF card Wi FI FPGA ADC SDIO card modem FPGA To PXA270 ULPWR_ON CHG VDDS ON 33V Internal Modem CHG MODE CTL eo VCC SRAM i Me nCHG 1 x CPU FPGA pn Regulator vec PLL K vcc BATT FPGA x PWR EN I TO gt Intel PX AZIO Modem PWR ON VCC CORE k 33V External 5v Magnetic Card Smart card 33V FPGA Reader CPU Regulator Adj ycc 1Ps EXT PS2 PWR ON ko o ad avert LTC3406 L FPGA 33V LOAD_PWR 33V SDIO Power vM Hd Switch 4 I Current limit me SW ROL TR iris switch circuit asec AN M en SDIO PWR ON CPU aw Regulator Adj VCC_1P8 GC nRST 33V Tnt CF Storage and oe LTC3404 SM501 gt Card Pow
69. C power when performing the software upgrade If the cardiograph is not connected to AC power when performing the software upgrade it may be damaged PageWriter TC Cardiograph Service Manual 6 3 Installing PageWriter TC Cardiograph Software and Enabling Tokens Installing the Software Upgrade 6 4 4 Press the On Off button to turn on the cardiograph The software installation wizard automatically starts and the Welcome screen appears Figure 6 8 Software Installation Wizard Welcome Screen Welcome to the PageWriter TC Setup Wizard PH LI PS sense and simplicity This wizard will guide you through steps required to setup the PageWriter TC software WARNING This program is protected by copyright law and international treaties Unauthorized duplication or distribution of this program may result in severe civil or criminal penalties and will be prosecuted to the maximium extent possible under the law Touch Next A message appears notifying you that the cardiograph application must be exited and that any unsaved ECG data will be lost If there is any unsaved patient data touch No to exit the installation wizard and to return to the cardiograph application Save the patient data and then restart the installation procedure If there is no unsaved patient data touch Yes to continue the installation A screen appears informing you that the system is collecting information Once that process is complete the Select Installat
70. C50 TC30 PageWriter TC50 cardiograph is Cardiograph Fuse on page 2 18 TC30Cardiograph plugged into AC Fuse power but the green AC power indicator light does not illuminate Cardiograph Once per year The overall sensitivity test is used to test the Overall Sensitivity calibration voltage According to EC 60601 2 Test 51 this test should be run regularly Taking an ECG using a 12 lead simulator allows you to verify areas of operation that the extended self tests cannot check and allows you to verify the accuracy of the sensitivity settings See Cardiograph Overall Sensitivity Test on page 2 19 PageWriter TC Cardiograph Service Manual Cardiograph and PIM Cleaning Cardiograph Care and Maintenance Cardiograph and PIM Cleaning WARNING Electrical shock hazard Keep the cardiograph Patient Interface Module PIM and all cardiograph accessories away from liquids Do not immerse the cardiograph PIM or other accessories in any liquids WARNING Always clean and disinfect the Patient Interface Module PIM after patient use if the PIM comes into direct contact with the patient s skin Failure to properly clean and disinfect the PIM after direct contact with the patient s skin may cause infectious materials to be transferred between patients To clean the cardiograph and PIM 1 Unplug the AC power cord 2 Ensure that the AC power indicator light next to power button is not lit 3 Wipe the exter
71. Configure Cardiograph Default Settings Touch the Maintenance Test button top right of screen and then touch Touch Screen Calibration and Test 2 A white screen appears with a cross hair center of screen Touch the middle of the cross hair where the two lines intersect When the cross hair is touched it moves to a new location Continue to touch the center of the cross hair 3 Tap the screen when a message appears to end the test Touch Screen Cleaning The touch screen may require occasional cleaning To clean the touch screen 1 Dampen a soft cloth with water or with isopropyl alcohol 2 Writing excess moisture from the cloth 3 Wipe the touch screen area clean Allow the touch screen to dry completely before use 2 16 PageWriter TC Cardiograph Service Manual Changing the Date and Time Cardiograph Care and Maintenance 4 Perform the Touch Screen Calibration test see page 2 16 to optimize performance Changing the Date and Time NOTE NOTES The date and time that displays on the cardiograph may be changed manually or may be configured to automatically synchronize with a specified TraceMaster server using the Time Synchronization feature For more information on configuring the Time Synchronization feature on the cardiograph see the PageWriter TC Cardiograph Network Configuration Guide on the User Documentation and Training DVD Follow the procedure below to manually set the date or time Opening the Setup scree
72. Downloads and then Diagnostic ECG The Diagnostic ECG Software Downloads screen appears Figure 6 6 InCenter Service Menu Service Sales amp Marketing Q amp R Help Products amp Solutions Software Downloads Defibrillators Software Vulnerability Diagnostic ECG Patient Monitoring Select PageWriter from the side menu left side of screen Then select PageWriter TC70 PageWriter TC50 or PageWriter TC30 The applicable PageWriter TC cardiograph software download screen appears Click the applicable PageWriter TC cardiograph link On the following software download screen click the applicable PageWriter TC cardiograph link The Documentation link contains all user documentation instructions for use quick reference cards for the selected software version The InCenter software download license agreement appears If you agree to the terms of the agreement click I agree A message may appear that the Download Manager application needs to be installed Click as indicated to install the ActiveX control in order to continue with the software download See the InCenter main page for more information on installing and using ActiveX controls with the InCenter site Select a file destination and then click Save The Philips Download Manager dialog appears The software files are saved to the specified destination After the files are saved click Launch The WinZip Self Extractor dialog appears Select a destination for the fil
73. For information on installing the card and configuring the cardiograph for wireless transmission see the PageWriter TC Cardiograph Wireless LAN Installation Instructions The file is available for download from the Philips InCenter site incenter medical philips com For information on ordering the wireless card see Supplies and Ordering Information on page 5 7 1 42 PageWriter TC Cardiograph Service Manual Using the Modem Card Introduction Using the Modem Card The modem card is an optional accessory that is used to fax ECGs to a configured receiving fax machine or is used to transfer ECGs or orders by modem between the cardiograph and a TraceMaster ECG Management System The cardiograph can also be configured to transfer ECG data by modem to a third party ECG management system For information on configuring cardiograph connectivity with a TraceMaster or other third party ECG management system see the PageWriter TC Cardiograph Network Configuration Guide available on the User Documentation and Training DVD or the file can be downloaded from the Philips InCenter site For information on ordering the modem card see Supplies and Ordering Information on page 5 7 WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient Using the USB Memory Stick CAUTION The USB memory stick is an optional accessory that is used to transfer orders to the cardiograph from a computer that
74. G reports When operating the PageWriter TC50 cardiograph or PageWriter TC30 cardiograph with one battery installed only use the Philips battery with part number 989803170371 Do not use the battery with Philips part number 989803160981 for one battery operation When operating the PageWriter TC70 cardiograph PageWriter TC50 cardiograph or PageWriter TC30 cardiograph with two batteries installed ensure that both batteries contain PageWriter TC Cardiograph Service Manual 1 13 Introduction Important Patient and Safety Information the same Philips part number The battery part number identification label is found on the bottom of the battery The cardiograph cannot operate with two batteries that contain different part numbers If the cardiograph is operated with two batteries with different part numbers the cardiograph will display an error message and will not operate PageWriter TC50 TC30 Cardiograph One Battery Operation Cart The PageWriter TC50 cardiograph or PageWriter TC30 cardiograph with installed software version A 04 00 and higher can operate on a single battery with Philips part number 989803170371 The battery capacity for the Page Writer TC50 cardiograph or the PageWriter TC30 cardiograph with a single battery installed using the battery with Philips part number 989803170371 is 30 minutes of continuous Rhythm printing or 30 total ECG reports When operating the PageWriter TC50 cardiograph or the PageWriter TC30
75. IM patient interface module The instructions in this section describe the unassembled cart option For information on ordering the cart see Supplies and Ordering Information on page 5 7 CAUTION To attach the cardiograph to a fully assembled cart see Step 7 on page 7 6 Follow the procedure below to ensure that the cardiograph is securely fastened to the cart before use PageWriter TC Cardiograph Service Manual 7 3 Figure 7 1 TC70 Unassembled Cart Kit Contents To attach the cardiograph to the cart 1 Insert the beam into the cart base 7 4 PageWriter TC Cardiograph Service Manual 2 Hold the beam steadily Turn the cart onto the side to expose the bottom of the cart 4 Attach the bolt screws and tighten using the provided wrench Ensure that the bolt screws are tightened to 80 100 in lbs 80 100 in Ibs 9 11 Nm PageWriter TC Cardiograph Service Manual 7 5 Cart Assembly Assembling the PageWriter TC70 Cardiograph Cart 5 Turn the cart upright 6 Attach the top shelf to the beam using the provided bolts and wrench Tighten the bolts to 80 100 in Ibs 9 11 Nm 80 100 in Ibs Bi 7 Align the rear feet of the cardiograph with the rear locking holes on the cart Align the front feet of the cardiograph with the front screw holes on the cart Lower the cardiograph onto the cart and snap into place 7 6 PageWriter TC Cardiograph Service Manual Assembling the PageWriter TC5
76. MasterVue C 02 TraceMasterVue B 02 a TraceMasterVue B 03 TraceMasterVue C 01 z JOther EMS XML 1 03 i Other EMS XML 1 04 _ Other EMS XML 1 04 01 v XML error message XML ECG file corrupted 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Ifthe problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance PageWriter TC Cardiograph Service Manual 3 15 Troubleshooting Table 3 6 Symptom XML unicode encoding is not UTF 16 message Archive Screen Issues continued Possible Cause amp Investigation Step Invalid encoding Troubleshooting Cardiograph Issues Solution 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Ifthe problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance Error accessing external XML file message Error XML file is too large message File I O error File is too large 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Ifthe problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance 1 Restart the cardiograph See Restarting the Cardiograph on
77. PHILIPS PageWriter TC Cardiograph SERVICE MANUAL Notice About This Edition Published by Philips Medical Systems Printed in USA Publication number 453564106431 Edition History Edition 1 October 2008 Software Revision A 01 00 and higher Edition 2 March 2010 Software Revision A 04 01 and higher Edition 3 September 2010 Software Revision A 04 03 and higher Warranty Philips Medical Systems reserves the right to make changes to both this Service Manual and to the product that it describes Product specifications are subject to change without notice Nothing contained within this Service Manual is intended as any offer warranty promise or contractual condition and must not be taken as such Copyright 2010 Koninklijke Philips Electronics N V All rights are reserved All other product names are the property of their respective owners Reproduction in whole or in part in any form or by any means electrical mechanical or otherwise is prohibited without the written consent of the copyright holder Philips Medical Systems 3000 Minuteman Road Andover MA 01810 USA 978 687 1501 Unauthorized copying of this publication may not only infringe copyright laws but may also reduce the ability of Philips Medical Systems to provide accurate and current information to users Compliance The Philips Medical Systems PageWriter TC70 TC50 TC30 cardio graph complies with all relev
78. Patient Interface Module PIM AAMI or IEC Table 5 7 Product Upgrades Option Number Description D01 Orders support order system connectivity D07 Manual order entry support user entered orders D12 Last ECG and Interactive Query support requires TraceMaster ECG Management System D21 Wireless LAN support 802 11b g D22 Wireless LAN support 802 11a 802 11b g H10 Ethernet LAN Connectivity Board PageWriter TC30 Cardiograph only H11 Global Modem support Table 5 8 Cardiograph Cart and Accessories Option Number Description B01 Partially Assembled Cardiograph Cart B02 Fully Assembled Cardiograph Cart only available in USA C01 TC70 Cardiograph Cart Drawer C02 TC50 TC30 Cardiograph Additional Cart Storage Bin TC70 Cardiograph Additional Wire Storage Bin C03 Patient Cable Arm Table 5 9 Keyboard Cover Option Number H16 Description Keyboard Cover 5 12 PageWriter TC Cardiograph Service Manual Parts and Supplies Contacting a Philips Response Center Contacting a Philips Response Center The Philips Response Center can assist with product troubleshooting and provide technical expertise to help with any issue with the PageWriter TC cardiographs or any of its accessories For more information on the Philips Response Center go to www medical philips com main services response_center North America Response Centers Country Telephone Number Canada 800 323 2280 M
79. Service Manual 3 19 Troubleshooting Table 3 7 Symptom Invalid name Please save again with a different name message Possible Cause amp Investigation Step You attempted to create a TraceMaster server or a fax recipient without entering a name Troubleshooting Cardiograph Issues Configuration Screen Issues continued Solution Check the TraceMaster and Fax configuration settings and enter a valid name This TraceMaster server name is already in use Please enter a different name message You attempted to configure a TraceMaster server name that is already in use Check the TraceMaster configuration settings and specify another server name Please enable Admin Password before enabling this password message Please disable all user passwords before disabling this one message You attempted to enable an Archive Configuration or Service password without first enabling as Admin password You attempted to disable the Admin password without first disabling the Archive Configuration or Service password 1 Configure an Admin password first 2 Configure the other passwords 1 Disable the Admin password first 2 Disable the other passwords The number of minutes set for Shut Down must be greater than the number of minutes set for Standby message You attempted to configure the shut down time to be less than the Standby time Configure the Shut d
80. Supplies and Ordering Information Special Note about Welsh Bulb Electrodes Figure 5 5 Welsh Bulb Electrode Welsh Bulb electrodes are offered as an optional supply part with the PageWriter TC cardiograph Special care is necessary when using these electrodes Pay special attention to all warnings associated with these electrodes For information on cleaning the reusable Welsh Bulb electrodes see Reusable Electrode Cleaning on page 3 4 Philips Medical Systems recommends the use of disposable electrodes with the PageWriter TC cardiograph WARNING WARNING The Welsh bulb electrodes available as an accessory for the cardiograph do not meet the requirements of IEC 60601 2 25 for defibrillation recovery time and cannot be reliably used for patient diagnosis immediately following defibrillation Always clean and disinfect reusable electrodes before patient use See Reusable Electrode Cleaning on page 3 4 for information on cleaning and disinfecting reusable electrodes Failure to properly clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients CAUTION The Welsh bulb electrodes contain natural rubber latex which may cause allergic reactions PageWriter TC Cardiograph Supply Part Numbers PIM Patient Data Cable Part Number Description 989803164281 Patient Data Cable Class B 8 pin 2 0 meters 6 56 feet length Complete Lead Sets Par
81. To print the screen gt Touch the Print button to obtain a printed report of the information that displays on the screen see Figure 3 13 PageWriter TC Cardiograph Service Manual Troubleshooting Using the Service Utilities Figure 3 13 Service Diagnostics Printed Report EE a ERE Een d HET 1 opu ui gun E ess Fe ESSE Es SE puppes spes espe en 4 H _f f gh fg py A 67 S8 Z E 10 1 1 T EHI SEI EFI FERE ES LB8 IT 3u5TTIXOeH eS Esse ad He EH HEE SSE 98 T andur oa ow Fa E Fe amain NOLEWRIOANI YOLINOA EEVIIOA i pps E222 kad bes Eats EEH HHEH i ES EB Hb RE EE a TE E E TIZ TOT 8Z Z T ssexppy dI pt WE ED T0 DS 60 00 ss9xppw INR i r p ma iid p pnpopepupepepunqegeqe qd bd 9d d a ek ern ee NOIIVRDIOZNI SMOLIN j CESAS CESAS CESES CESAS ee ee ee ee ee a ee oes rr ASTI VEES 3 en SUNSA SONN SENSN SSNS eg ee VENNS HERES Sane outafi tals ADs otat odata ioii rane Con sdi ie up mus ro um cece em amn pots s66 o ae wile a cl Ieee ud iUOTSsTASY T9UIOM zOo l0 vo v pba uor3eorrddv utTen SNOISIAXH XHWVMLJOS sor3souDerg 9orAIeS OL ie3riwebed wo3sAs TeoTpon sdtttua 3 41 PageWriter TC Cardiograph Service Manual Troubleshooting Using the Service Utilities Using the Diagnostic Tests and Utilities The Diagnostic Tests and Utilities help you to troubleshoot issues with the cardiograph There are two level of tests a Maintenance Tests used to v
82. Troubleshooting Cardiograph Issues Table 3 6 Symptom Archive process was terminated due to an error message Archive Screen Issues continued Possible Cause amp Investigation Step Archive error Troubleshooting Solution 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 If the problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for further assistance Bad reply received from TraceMaster Remote site message Archive error bad reply from server 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Contact the TraceMaster system administrator and report the error Unexpected reply received from TraceMaster Remote Site message Archive error unexpected reply from server 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Contact the TraceMaster system administrator and report the error Invalid XML schema version message Archive error unsupported XML schema gt Restart the cardiograph See Restarting the Cardiograph on page 3 37 Unsupported XML version message XML schema of selected ECG is not supported by TraceMaster server gt Check the TraceMaster ECG Management System configuration settings screens to ensure that the correct TraceMaster server version is selected ECG Mgmt Version Trace
83. V cows Tic eu A Wireless LAN card slot with protective cover G Barcode reader or magnetic card reader installed connector B Equipotential grounding post H LAN connector C AC power cord connector Modem connector D PIM connector E USB connector F Analog ECG output signal connector not supported WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient CAUTIONS Do not insert a USB memory stick into the cardiograph or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient Only use grounded power cords three wire power cords with grounded plugs and grounded electrical outlets that are labelled as Hospital Only or Hospital Grade Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong Use the equipotential post when redundant earth ground is necessary according to IEC 60601 1 1 1 24 PageWriter TC Cardiograph Service Manual PageWriter TC30 Cardiograph Components Introduction PageWriter TC30 Cardiograph Components The following sections include a description of all of the components of the PageWriter TC30 cardiograph including the connection ports on the cardiograph the Patient Interface Module PIM and optional accessories available with the cardiograph For information on ordering any of the optional accessories for the cardiograph see Supplies and Ordering Information on page 5 7
84. and can supply 3 3V at up to 4 0A of current This voltage is monitored VCC RTC Output from regulator U1403 LT3470 for the real timer and power sequence circuit The voltage level is 3 3V and can provide up to 200mA of current This voltage is not monitored VCC Core 1 5V Output from regulator U1202 LTC3445 which is 1 5V core power for the embedded processor The input to this regulator is from the 3 3V supply and can supply up to 600mA of current This voltage is monitored VCC SRAM 1 1V Output from regulator U1202 LTC3445 which is 1 1 V SRAM power for the embedded processor The input to this regulator is from the 3 3V supply and can supply up to 50mA of current This voltage is not monitored VCC PLL 1 3V Output from regulator U1202 LTC3445 which is 1 3V PLL power for the embedded processor The input to this regulator is from the 3 3V supply and can supply up to 50mA of current This voltage is not monitored VCC 1P8 1 8V Output from regulator U1201 LTC3404 which is 1 8V power for the flash memory core The input to this regulator is from the 3 3V supply and can supply up to 600mA of current This voltage is monitored VCC 1P5 1 5V Output from regulator U1203 LTC3406 which is 1 5V core power for the FPGA The input to this regulator is from the 3 3V supply and can supply up to 600mA of current This voltage is monitored VCC INT PLD 1 8V Output from regulator U1402 LT1761
85. and possibly replace the PIM or lead cables Contact the Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 3 8 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Table 3 4 Symptom Signal Acquisition Issues continued Possible Cause amp Investigation Step PIM reset up to ten second duration Troubleshooting Solution It is normal for the PIM to reset under the following conditions power on wakeup screen changes insertion removal of a USB device USB memory stick Electrostatic discharge When the PIM resets it is normal for all leads to display as red dashed lines for up to ten seconds and for the PIM disconnected icon X5 _ to appear on the Status Bar top of screen One or more leads PIM communications 1 Check to see if the PIM disconnected icon show leads off red have been lost due to EX appears on the Status Bar top of screen ins ues os 2 Ifthe PIM is firmly attached perform the PIM test P iid as described in Patient Interface Module PIM defective leads are connected to the PIM Test on page 3 45 If the PIM Test fails replace the patient data cable If the PIM Test continues to fail with a new patient data cable attached replace the PIM 3 Ifthe PIM test passes ensure that all lead wires are fully seated in the PIM lead connectors 4 Ensure that all lead wires are intact and that there ar
86. ant international and national standards and laws Information on compliance will be supplied on request by a local Philips Medical Systems representative or by the manufacturer Intended Use of this Service Manual This Philips product is intended to be operated only in accordance with the safety procedures and operating instructions provided in the Service Manual and in accordance with the purposes for which it was designed Installation use and oper ation of this product is subject to the laws in effect in the jurisdiction s in which the product is being used Users must only install use and operate this product in such a manner that does not conflict with appli cable laws or regulations that have the force of law Use of this product for purposes other than the express intended purpose provided by the manufac turer or incorrect use and operation may relieve the manufacturer or agent from all or some responsi bility for resultant non compliance damage or injury United States federal law restricts this device to use by or on the order of a physician THIS PRODUCT IS NOT INTENDED FOR HOME USE Training Users of this product must receive adequate clinical training on its safe and effective use before attempting to operate the product as described in this Service Manual Training requirements vary by country Users must ensure that they receive adequate clinical training in accordance wit
87. aph See About Class A and Class B Patient Data Cables and PIMs on page 1 27 3 If the PIM is firmly attached perform the PIM test as described in Patient Interface Module PIM Test on page 2 14 If the PIM Test fails replace the patient data cable If the PIM Test continues to fail with a new patient data cable attached replace the PIM 4 Ifthe PIM test passes ensure that all lead wires are fully seated in the PIM lead connectors 5 Ensure that all lead wires are intact and that there are no cracks visible in any of the lead wires 6 Run the Lead Wire test see Lead Wire Performance Test on page 2 15 Replace any defective lead wires One or more leads show leads off red dashed line periodically Improper or incomplete patient and skin preparation techniques Ensure that good patient preparation and skin preparation techniques have been followed as described on page 3 7 Improperly attached electrodes or lead wires expired disposable gel electrodes 1 Ensure that the lead adapters are clean and have a tight fit 2 Ensure that the electrodes are within their shelf life and are firmly attached to the patient Defib or high noise event 1 Observe frequency and recovery behavior 2 The PIM performs an automatic ranging action when input signals vary significantly If this behavior persists in the absence of electrode movement or defib events the cardiograph should be serviced to inspect
88. aph Issues Possible Solutions 1 Select an order 2 Touch the ECG button Check to make sure that you want to delete the selected order If so confirm the operation If not cancel the operation Selection exceeds maximum number of outboxes Select no more than 24 outboxes message Application limitation Select fewer outboxes and retry the operation The Order Search Range cannot be left empty Please enter a number between 0 and 99 message You attempted to search for an order without specifying the search range Specify a search range and retry the operation Remote Query Issues Table 3 12 Symptom Remote Query could not be completed message Remote Query get list error message Remote Query Issues Possible Cause amp Investigation Step XML application was not successfully created due to a lack of system resources TraceMaster returned the wrong ECG list Possible Solutions 1 Retry the operation 2 Restart the cardiograph See Restarting the Cardiograph on page 3 37 1 Check the cardiograph s TraceMaster configuration settings 2 Check the cardiograph s LAN WLAN configuration settings 3 Retry the operation 3 32 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Table 3 12 Symptom Remote Query get ECG error message Remote Query Issues continued Possible Cause amp Investigation Step TraceMaster
89. assword is not confirmed Confirm your password before proceeding message You enabled the Configuration password but did not confirm it Confirm the configuration password after entering it The maximum number of fax profiles has been configured Please edit or delete an existing fax profile message Please select a TraceMaster server as the default connection message The cardiograph must restart in order to display simulated waveform data message There is a current system limitation of one fax profile You attempted to set a default TraceMaster server without first selecting it The cardiograph s simulation mode was turned on and the device must be restarted to display simulated waveform data Edit or delete an existing fax profile You must first select a TraceMaster server before it can be set as the default Touch OK to restart the cardiograph The cardiograph must restart in order to return to normal operating mode message The cardiograph s simulation mode was turned off and the device must be restarted to return to normal operation mode Touch OK to restart the cardiograph Unsaved changes will be deleted Do you want to continue and discard changes message After making a configuration change you touched the Exit button without saving the change Save any configuration changes before exiting the configuration screens PageWriter TC Cardiograph
90. atible Possible Solutions Print the ECG from TraceMaster Error The ECG originated from a legacy TraceMaster system and cannot be printed Please print ECG directly from TraceMaster message ECG XML version is incompatible Print the ECG from TraceMaster The Patient ID field must be enabled in order to transfer ECGs to TraceMaster Touch the ON button underneath the Enabled column to activate the Patient ID field message You attempted to transfer an ECG without a Patient ID to TraceMaster 1 Follow the on screen instructions to enter a Patient ID 2 Retry the transfer operation Required patient information is missing from the current ECG message You attempted to transfer an ECG without the required information to TraceMaster Enter the required information and attempt the operation again 3 28 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Table 3 10 Symptom There are no TraceMaster connections configured for use Please go to Setup and adda TraceMaster connection message TraceMaster Issues continued Possible Cause amp Investigation Step You attempted to access a TraceMaster server and no connection has been configured Troubleshooting Possible Solutions 1 Check the cardiograph s TraceMaster configuration settings and ensure a valid TraceMaster server is configured 2 Check the cardiograph s LAN WL
91. attempts to select an item on the screen or if selecting items on a specific area of the screen is difficult The touch screen may also require calibration if the cardiograph is used in different settings seated instead of standing or by users of significantly different height The touch screen may PageWriter TC Cardiograph Service Manual 4 9 Performance Verification and Safety Tests Performance Verification Tests 4 10 need to be recalibrated to work optimally in the new setting or with the new user The Touch Screen Calibration procedures and tests include a Force Calibration procedure m Touch Calibration test To calibrate the touch screen with the Force Calibration procedure 1 Touch Force Calibration 2 See Touch Screen Calibration and Test on page 3 45 for instructions To calibrate the touch screen with the Touch Calibration test 1 Touch Start Test 2 See Touch Screen Calibration and Test on page 3 45 for instructions PIM Test PIM This test is used to confirm that the Patient Interface Module PIM is communicating with the cardiograph This test can be performed when the cardiograph displays PIM error messages or when the cardiograph is unable to acquire data from the PIM Be sure that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph before performing the test If this test fails it may indicate a problem with the PIM or with the PIM patient data cabl
92. ause amp Investigation Step The software can t map the input report handle to the internal report object The handle is invalid Troubleshooting Solution 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Wait 2 minutes and perform full software installation See Installing the Software Upgrade on page 6 3 3 Confirm successful software installation See Verifying the Software Installation on page 6 7 Internal function error message Invalid file or the file resides on unsupported media 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Wait 2 minutes and perform full software installation See Installing the Software Upgrade on page 6 3 3 Confirm successful software installation See Verifying the Software Installation on page 6 7 PageWriter TC Cardiograph Service Manual 3 11 Troubleshooting Archive Screen Issues Table 3 6 Symptom Command timed out message Archive Screen Issues Possible Cause amp Investigation Step The TraceMaster ECG Management system is busy Troubleshooting Cardiograph Issues Solution Retry TraceMaster operation Transfer operations use network and server resources which may occasionally be unable to service the requests ECGs with incomplete required patient information fields cannot be transferred message The required information for the ECG has not been en
93. ble for the PageWriter TC70 cardiograph Most PageWriter TC50 cardiograph and PageWriter TC30 cardiograph upgrades are installed by the user and are not considered service events The only exceptions are upgrades for the software and the magnetic card reader Refer to Table 4 18 for the required test blocks that must performed after these upgrades Table 4 1 Tests Required Service Event Repairs External Repairs not involving the patient module battery AC power supply labels or cart Test Blocks Required 1 Visual Inspection 2 Power On test 3 Functional tests specific to components repaired 4 2 PageWriter TC Cardiograph Service Manual Upgrades Table 4 1 Service Event Upgrades Performance Verification and Safety Tests Tests Required continued Test Blocks Required External repairs where the 1 Visual Inspection cardiograph case is not opened z Power Ontest but involving the patient module patient lead set or patient data 3 ECG simulation test cable E 4 Functional tests specific to components repaired Internal repairs where the 1 Perform Visual Inspection cardiograph case is opened 2 Power On test 3 ECG simulation 4 Safety tests S2 and S3 plus Software Upgrades via USB memory stick functional tests specific to components repaired Power On test PageWriter TC Cardiograph Service Manual 4 3 Performance Verification and Safety Tests Test and Inspection Matrix
94. bps 75 dBm 1 Mbps 600 ns 12 Mbps 350 ns 2 Mbps 500 ns 18 Mbps 50 ns 5 5 Mbps 400 ns 24 Mbps 250 ns 6 Mbps 400 ns 36 Mbps 250 ns 9 Mbps 400 ns 48 Mbps 150 ns 11 Mbps 200 ns 54 Mbps 150 ns PageWriter TC Cardiograph Service Manual A 17 Specifications Wireless LAN Card Specifications A 18 Security Standards a Wireless Equivalent Privacy WEP m Wi Fi Protected Access WPA a IEEE 802 111 WPA2 Encryption m Wireless Equivalent Privacy WEP RC4 Algorithm a Temporal Key Integrity Protocol TKIP RC4 Algorithm a Advanced Encryption Standard AES Rijndael Algorithm Encryption Key Provisioning m Static 40 bit and 128 bit lengths m Pre Shared PSK a Dynamic 802 1X Extensible Authentication Protocol Types a LEAP a EAP FAST a EAP TLS a PEAP GTC a PEAP MSCHAPv2 Compliance ETSI Regulatory Domain m EN 300 328 EN 301 489 EN 60590 a EN 50371 a EU 2002 95 EC RoHS PageWriter TC Cardiograph Service Manual Wireless LAN Card Specifications Specifications FCC Regulatory Domain FCC Subpart B Class B m FCC Subpart C Part 15 247 15 207 ANSI C63 4 2003 Industry Canada a RSS 210 TELEC Regulatory Domain a RCR STD 33 ARIB STD T66 a ARIB STD T71 Certifications Wi Fi Alliance a 802 11b 802 11g a WPA Enterprise a WPA2 Enterprise Cisco Compatible Extensions CCX Version 4 Summit SDC CF22AG Wireless Adapter Option D22 Length 67 mm 2 64
95. ca v5 c5 v6ice v7ic7 V8 C8 vs ce 1 34 PageWriter TC Cardiograph Service Manual Installing the Batteries Table 1 1 Lead Option Balanced 16 leads Introduction 15 and 16 Lead PIM Configuration Options continued Standard 12 leads plus extended leads AAMI IEC V3R C3R V4R C4R V7 C7 V8 C8 Lead Placement vici v2ic2 V3R C3R v3 C3 VARIC4R v4aica v5 c5 veice RA R v7ic7 V8 C8 Installing the Batteries CAUTION NOTES The PageWriter TC70 cardiograph is shipped with two batteries and the PageWriter TC50 and PageWriter TC30 cardiographs are shipped with one or an optional two batteries that are used to power the cardiograph when AC power is not available Insert the batteries into the cardiograph before plugging the cardiograph into AC power Notes about Battery Installation If operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed the battery may be inserted into either battery compartment When operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed only use the Philips battery with part number 989803170371 Do not use the battery with Philips part number 989803160981 for one battery operation When operating any model of the PageWriter TC cardiograph with two batteries installed ensure that both batteries contain the same Philips part number The battery part number identification label is found on the bott
96. can then be transferred to a connected memory stick using the Archive feature of the application software and are stored in XML format A CDB file is created and maintained on each compatible USB memory stick when ECG files are transferred to the USB memory stick Currently a USB memory stick archive is limited to storing 200 ECGs The PageWriter TC cardiograph only supports the USB memory stick that is shipped with the cardiograph or that is available for purchase as an optional accessory from Philips Medical Systems Philips does not guarantee that other USB memory sticks are compatible with the PageWriter TC cardiograph When you add or delete compatible ECG XML files from a memory stick not using the cardiograph it is recommended that you delete all CDB files prior to reconnecting the memory stick to the cardiograph In the absence of a CDB file the cardiograph automatically regenerates the index based on the XML files on the memory stick Rendered ECG Report Prints A rendered ECG report print is a hard copy representation of the ECG data This includes a high resolution print of the signal data and may include configured patient demographics acquisition information and other non signal data elements The PageWriter TC cardiograph allows the user to customize the fields on an ECG report print The report print may consist of one or more continuous pages on perforated thermal media from the printer PageWriter TC Cardiograph Service
97. cardiograph with one battery installed only use the Philips battery with part number 989803170371 Do not use the battery with Philips part number 989803160981 for one battery operation When operating the PageWriter TC50 cardiograph or the PageWriter TC30 cardiograph with one battery installed the single battery may be inserted into either battery compartment Ensure that the cardiograph is securely attached to the cardiograph cart before use Defibrillation WARNING Do not touch the patient patient data cable leads or the cardiograph during defibrillation Death or injury may occur from the electrical shock delivered by the defibrillator Diagrams Upon customer request Philips Medical Systems will make available circuit diagrams component part lists descriptions calibration instructions and other technical information Display Accuracy The accuracy of the ECG signals are within 5 or 40 uV whichever is greater over a range of 0 to 5 mV in the presence of differential and common mode DC offset voltages of 300 mV The cardiograph performance is tested to comply with the accuracy requirements over the dynamic ranges and frequency ranges specified in the IEC 60601 2 51 and AAMI EC 11 standards 1 14 PageWriter TC Cardiograph Service Manual Important Patient and Safety Information Introduction For additional details regarding accuracy and precision refer to the Physician s Guide and the Manufacturer s Discl
98. cardiograph into AC power to recharge the batteries If the Disclose or Rhythm screens are viewed prior to entering Standby the Main screen will appear when the cardiograph is returned to active use To shut down the cardiograph 1 Press and hold the On Standby button for 3 seconds to shut down the cardiograph When the cardiograph is shut down any unsaved patient data is lost 2 Press the On Standby button to return the cardiograph to active use The cardiograph fully restarts and the Main screen appears Using the Wireless LAN Card The PageWriter TC cardiograph supports wireless connectivity which is used to transfer ECG and order data between the cardiograph and a TraceMaster ECG Management System The cardiograph can also be configured to transfer ECG data using a wireless connection to a third party ECG management system For information on configuring cardiograph connectivity with a TraceMaster or other third party ECG management system see the PageWriter TC Cardiograph Network Configuration Guide available on the User Documentation and Training DVD or the file can be downloaded from the Philips InCenter site CAUTION Only use wireless LAN cards with the PageWriter TC cardiograph that have been purchased from Philips Medical Systems The use of non approved wireless LAN cards with either model cardiograph is not tested or supported and Philips Medical Systems does not guarantee cardiograph operation or wireless LAN connectivity
99. ccess orders ADT and fax Service Utilities This section includes diagnostic tests and utilities system error logs and other tools and utilities that are used to troubleshoot the cardiograph or are used to optimize cardiograph performance Upgrade Kit Installation and Software Updates This section is used to enable optional upgrade kits and to download and install software upgrades 2 Touch the button next to Service Utilities The Setup and Service Utilities screen appears Using the About the Cardiograph Screen The About the Cardiograph screen in the Service Utility provides important information about the cardiograph that can help in the troubleshooting process This screen provides information on m software revision levels including application kernel and PIM software a PIM option installed 12 lead or 16 lead networking information such as MAC and IP address storage information such as total RAM percentage of RAM used Compact Flash and USB memory stick usage m battery status such as capacity voltage temperature percent charged and cycle count voltage monitor information such as AC DC input backlight and PIM power a installed options m total pages printed To access the About the Cardiograph screen gt From the Setup and Service Utilities screen touch the About the Cardiograph tab PageWriter TC Cardiograph Service Manual 3 39 Troubleshooting 3 40 Figure 3 12 About the Cardiograp
100. ce the electrodes on flat fleshy parts of the arms and legs and place all limb electrodes equal distance from the heart at the same position on each limb If a limb site is not available amputation injury place the electrodes closer to the torso Ensure that all electrodes are firmly attached and that the lead wires are not pulling on the electrodes If the electrodes can be moved easily the electrode connection is too loose Reassure the patient and make sure that the patient is comfortable If the patient has tremors attach the limb electrodes higher on the patient closer to the torso and assist with limiting patient moving while taking the ECG After ensuring that proper patient preparation techniques are being followed and that fresh electrodes are being applied to the patient review the following table for further assistance PageWriter TC Cardiograph Service Manual 3 7 Troubleshooting Table 3 4 Symptom All leads show leads off red dashed line continuously Signal Acquisition Issues Possible Cause amp Investigation Step PIM communications have been lost due to USB patient data cable connection failure defective leads are connected to the PIM or a Class A PIM is connected to the cardiograph Troubleshooting Cardiograph Issues Solution 1 Check to see if the PIM disconnected icon X appears on the Status Bar top right of the screen 2 Ensure that a Class B PIM is connected to the cardiogr
101. cludes national differences for standards CAN CS A C22 2 No 60601 2 51 2004 EN 60601 2 51 2003 IEC EN 60601 1 2 2001 2nd ed Electromagnetic compatibility Requirements and tests AAMI EC11 1991 R 2001 Diagnostic Electrocardiographic Devices Classification IEC 60601 1 PageWriter TC50 TC30 Cardiograph Class I Internally Powered PageWriter TC70 Cardiograph Class Il Internally Powered Symbol Meaning ECG physio isolation is type CF defibrillator proof Suitable for all patient 4 v F applications including direct cardiac application System is in continuous operation IPXO Cardiograph has ordinary protection against the entry of liquids IPX4 The PIM patient interface module is protected against splashing water Water splashed against the PIM from any direction shall have no harmful effect A 8 PageWriter TC Cardiograph Service Manual Electromagnetic Compatibility EMC Specifications Cardiograph is not suitable for use in the presence of flammable anesthetic mixture with air oxygen or nitrous oxide System is continuous operation WARNING When using additional peripheral equipment powered from an electrical source other than the cardiograph the combination is considered to be a medical system It is che responsibility of the operator to comply with IEC 60601 1 1 and test the medical system according to the requirements For additional information contact Philips Medical Systems Electromagn
102. ct default gateway specified in the cardiograph s server configuration 1 Check the cardiograph s server configuration settings Touch the Setup button on the main toolbar to access the server settings 2 Contact your server administrator for information 1 Check the cardiograph s server configuration settings Touch the Setup button on the main toolbar to access the server settings 2 Contact your server administrator for information 1 Check the cardiograph s server configuration settings Touch the Setup button on the main toolbar to access the server settings 2 Contact your server administrator for information Invalid Primary WINS message Incorrect Primary WINS specified in the cardiograph s server configuration 1 Check the cardiograph s server configuration settings Touch the Setup button on the main toolbar to access the server settings 2 Contact your server administrator for information Invalid Primary DNS message Incorrect Primary DNS specified in the cardiograph s server configuration 1 Check the cardiograph s server configuration settings Touch the Setup button on the main toolbar to access the server settings 2 Contact your server administrator for information Invalid directory message Incorrect directory specified in the cardiograph s server configuration 1 Check the cardiograph s server configuration settings Touch the Setup button on the main toolbar to
103. d Cleaning Solutions a Mild soap and water Isopropyl alcohol consisting of 70 solution a Chlorine bleach 5 25 sodium hypochlorite content mixed as 3 solution in water Quaternary ammonium compounds such as Steris Coverage Plus NPD mixed as one half fluid ounce per gallon water or one part Coverage Plus NPD to 256 parts water Do not use strong solvents or abrasive cleaning materials Do not use any of the following to clean the cardiograph m Acetone m lodine based cleaners m Phenol based cleaners m Ethylene oxide sterilization m Ammonia based cleaners The cardiograph PIM lead wires and patient data cable should not be autoclaved ultrasonically cleaned or immersed To clean the patient data cable and lead wires 1 Dampen a soft cloth with soapy water or with one of the disinfectants or cleaning agents listed in Approved Cleaning Solutions on page 2 4 2 Wiring excess moisture from the cloth before cleaning Do not m Autoclave the patient data cable or lead wires or use ultrasonic cleaners m Immerse m Use abrasive materials m Wet the connectors 2 4 PageWriter TC Cardiograph Service Manual Reusable Electrode Cleaning Cardiograph Care and Maintenance Reusable Electrode Cleaning Reusable limb clamp and Welsh Bulb electrodes must be cleaned after each use WARNING Always clean and disinfect reusable electrodes before patient use Failure to properly clean and disinfect reusable electrodes befor
104. d for the InCenter site Registration for the InCenter site requires the serial number of at least one PageWriter TC cardiograph in active use at your facility The serial number is found on the product identification label located next to the text SN The product identification label is located on the rear panel of the cardiograph see see Figure 1 1 on page 1 4 PageWriter TC Cardiograph Service Manual 1 3 Introduction Using the Philips InCenter Site Figure 1 1 Cardiograph Product Identification Label rear cardiograph view gt e Jo o tiem 876543 QAO OU O CON O OIO CUO TT US80900000 VIRILE TAA Y U A A TININ About Adobe Acrobat Versions Adobe Acrobat Reader version 9 0 must be installed on the PC that is used to access the Philips InCenter site Previous versions of Acrobat Reader are not compatible with the Philips InCenter site and attempting to access InCenter with a previous version of Acrobat Reader will result in error messages when opening documents Uninstall all previous versions of Acrobat Reader and then proceed for a free install of Acrobat Reader 9 0 at www adobe com Any version of Adobe Acrobat Professional or Acrobat Elements are also not compatible with the Philips InCenter site and error messages will appear when opening documents with these applications Acrobat Reader 9 0 must be installed in addition to Acrobat Professional or Acrobat Elements Follow this procedur
105. diograph is shut down When the cardiograph is fully shut down the screen is black and the On Standby button is not illuminated Once the cardiograph is shut down proceed to remove and replace the batteries m When removing batteries from the cardiograph the batteries could feel warm to the touch How often batteries need to be replaced depends on how well the battery is maintained and how much it is used If the batteries are fully charged but lose significant power after only a few ECGs consider replacement For information on ordering replacement batteries see Supplies and Ordering Information on page 5 7 To install the batteries 1 Press and hold the On Standby button located on the front of the cardiograph Ensure that the cardiograph is shut down When the cardiograph is fully shut down the screen is black and the On Standby button is not illuminated 2 Unplug the cardiograph from AC power 3 Open the battery door 2 10 PageWriter TC Cardiograph Service Manual 4 Remove the batteries from the battery compartment by pulling on the gold straps 5 Insert the replacement battery with the external connector facing the bottom rear of the compartment NOTE If operating the PageWriter TC50 or PageWriter TC30 cardiograph with one battery installed the battery may be inserted into either battery compartment 6 Ensure that the battery is fully inserted into the slot The pull tab will insert along with t
106. e To perform the PIM Test 1 Touch the Patient Interface Module PIM Test button 2 See Patient Interface Module PIM Test on page 3 45 for instructions Keyboard Test K A successful Keyboard test is one in which each key is properly recognized when pressed To perform the Keyboard Test 1 Touch the Keyboard Hardware Key Test button 2 See Keyboard Hardware Key Test on page 3 47 for instructions Leadwire Tests LW Run the lead wire open and short tests See Using the Service Utilities on page 3 38 and Lead Wire Shortage Test on page 3 45 for instructions PageWriter TC Cardiograph Service Manual Performance Verification Tests Performance Verification and Safety Tests ECG Simulation ECG Taking an ECG using a 12 lead ECG simulator allows you to verify areas of operation that the extended self test cannot check Integrity of the patient leads a Accuracy of the paper speed not available on all simulators m Accuracy of the gain settings not available on all simulators The recorded ECG trace should look similar to the one shown in the following figure Trace differences may result from differences in simulators simulators settings and from differences in configuration and control settings on the cardiograph Figure 4 29 Simulated 12 Lead ECG 1234567 176 04 3 43 56 PM simlator
107. e Installation option in the software installation wizard See Installing the Software Upgrade on page 6 3 2 Ifthe problem persists after a full software installation procedure contact the Philips Response Center for further assistance See Contacting a Philips Response Center on page 5 13 3 6 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Troubleshooting NOTE Signal Acquisition Issues Before attempting to troubleshoot a signal acquisition error as a mechanical issue ensure that the following patient preparation and basic troubleshooting techniques have first been followed Always follow good skin and patient preparation techniques prior to taking an ECG Proper skin preparation helps to ensure a good quality ECG Skin is a poor conductor of electricity and frequently creates artifact that distorts the ECG signal To prepare the patient for an ECG 1 2 3 Shave hair from electrode sites if necessary excessive hair prevents a good connection Wash the skin thoroughly with soap and water Dry the skin vigorously to increase capillary blood flow to the tissues and to remove the dead dry skin cells and oil Do not use alcohol to clean the skin because it dries the skin If there is no time rub the electrode sites with gauze to remove the dead dry skin and to increase capillary flow Always use disposable electrodes and ensure that the disposable electrodes have not expired Pla
108. e equipotential post when redundant earth ground is necessary according to IEC 60601 1 1 CAUTION The power supply could feel warm to the touch a The PageWriter TC70 cardiograph external power supply part number 453564094411 is designed with a three wire supply system The ground only serves a functional purpose for EMC and not protective earth for electrical safety Use of an appropriate three wire power cord is necessary to provide proper EMC operation 12 PageWriter TC Cardiograph Service Manual Important Patient and Safety Information Introduction Only use the AC power adapter designed to be used with the PageWriter TC70 cardiograph part number 453564094411 in order to ensure continued compliance with the requirements of IEC 60601 1 To disconnect the cardiograph from AC power unplug the cardiograph AC power cord from the mains power supply This equipment complies with the earth leakage current limits as specified in UL 60601 1 2003 Medical Electrical Equipment General Requirements for Safety only when connected to a 120 Volt mains power supply Periodically inspect the patient data cable lead wires and AC power cord for any worn or cracked insulation Ensure that no exposed wires are visible on the AC power cord Only use the Philips Medical Systems AC power cord part number 453564094411 supplied with the cardiograph Use of any other power supply has not been verified and may lead to operator or patient ha
109. e Manual High Level ECG Data Flow and Storage EXTERNAL REMOTE ARCHIVE TraceMasterVue ECG MANAGEMENT SYSTEM ETHERNET H WIRELESS LAN LAN APPLICATION BUFFERS amp TEMPORARY ECG STORAGE ECG MEMORY RAM SICNAL DATA PageWriter TC PATIENT SIGNAL DATA High Level ECG Data Flow and Storage Theory of Operation NOTES Internal Main Archive The internal main archive resides on the internal CompactFlash CF card and is used as the primary ECG data repository This archive is referred to as the Main Archive in the software application ECG XML files and a related index file are stored here in the PhilipsArchivelnternal directory All stored ECG files transition through this archive prior to transfer or copying to other devices such as the USB memory stick Currently the internal main archive is limited to storing 200 ECGs Internal Remote Archive The internal remote archive resides on the internal CompactFlash CF card much like the internal main archive All XML files retrieved from remote sites such as the TraceMasterVue ECG Management System reside in this archive until deleted ECG XML files and related index files are stored in the PhilipsArchiveRemote directory Currently the internal remote archive is limited to a maximum of 100 ECGs External USB Memory Stick Archives The external USB memory stick archives reside on a compatible memory stick connected to the USB port Files
110. e NOU REPE ERI RIP T Edda 1 18 Servicing the Cardiograph 0 cece cece eee eee e 1 18 SOftWale zo eto Pu ones EIER arden va uw bad Bike e RES e Pos 1 18 Touch Screen 205 8 eke ihn e sah Ge ed ee ie eee rei 1 19 USB Memory Sticke so Jace tac cet tot ag tide Gat eei e tate tise Land sts 1 19 PageWriter TC70 Cardiograph Components 2 sees eee eee eee ee eeee 1 19 PageWriter TC50 Cardiograph Components sees eee eee ee ee eee 1 23 Contents 1 Table of Contents PageWriter TC30 Cardiograph Components 2 eee e eee eee eee eee 1 25 Patient Interface Module PIM 0 cece eee 1 27 About Class A and Class B Patient Data Cables and PIMs 008 1 27 Attaching the Patient Data Cable to the PIM and Cardiograph 1 28 Special Note about Patient Interface Module PIM ee eee eee ee 1 30 PIM ECCO BUCO eros eR deo pedea von a estate aC Me eril 1 31 Configuring the 16 Lead PIM PageWriter TC70 and PageWriter TC50 cardiograph only shoes ek ep IRE Dux er DR P bere ace e tds 1 31 Installing the Batteries ox e245 Aad ek os ers REXRBREP ee Rees ERIGI A 1 35 Notes about Battery Installation 0 eee eee eee eee eee eee eee 1 35 Charging the Batteries 0 eee cee cece III 1 38 Calibrating the Batteries 0 20 0 cece ee eee teen ences 1 39 Battery Power Indicator 02 llle 1 39 Using the On Standby Button
111. e no visible cracks in the lead wires 5 Run the lead wire test see page 2 15 6 Replace any of the leads that fail the lead wire test Patient Interface PIM not connected 1 Check that a Class B PIM is connected to the Module PIM not T cardiograph see About Class A and Class B detected message or j xs J panem gaa Patient Data Cables and PIMs on page 1 27 cable aa 2 Check that PIM patient data cable is firmly seated 9 s Faulty PIM to the PIM connector 72 on the rear of the appears on screen f a Class A PIM is cardiograph connected to the 3 If the PIM is firmly attached perform the PIM test cardiograph as described in Patient Interface Module PIM Test on page 2 14 If the PIM Test fails replace the patient data cable PageWriter TC Cardiograph Service Manual 3 9 Troubleshooting Main Screen Issues Table 3 5 Symptom Incorrect language appears on cardiograph software Main Screen Issues Possible Cause amp Investigation Step The main board was recently replaced and the procedure reset the cardiograph software localization language option to an incorrect setting Troubleshooting Cardiograph Issues Solution 1 If the main control board was recently replaced perform a full installation of the cardiograph software using the Biomed Software Installation option in the software installation wizard See Installing the Software Upgrade on page 6 3 2 Ifthe problem pe
112. e patient use may cause infectious materials to be transferred between patients CAUTION Figure 2 1 Welsh Bulb and Limb Clamp Electrode X v To clean reusable electrodes 1 For Welsh Bulb electrodes only detach the rubber bulb from the metal cup by pulling Wash the rubber bulb in warm water Remove all electrolyte gel residue check inside the rubber bulb to ensure that all residue is removed For all reusable electrodes dampen a soft cloth with one of the disinfectants or cleaning agents listed below m Cidex Ortho Phthaladehyde a Cetylcide m Vesphene 2 Aqueous Phenolic Germicidal Agent Do not m Use isopropyl alcohol m Autoclave the reusable electrodes or use ultrasonic cleaners m Use abrasive materials Wiring excess moisture from the cloth before cleaning Dry the bulb and cup of the Welsh Bulb electrode thoroughly before use Store the reusable electrodes away from direct sunlight and excessive heat when not in use PageWriter TC Cardiograph Service Manual 2 5 Cleaning the Print Head Clean the print head periodically as a dirty print head may cause poor or uneven print quality Clean the print head more frequently when printing large volumes of ECGs Figure 2 2 PageWriter TC70 Cardiograph Cleaning the Print Head Figure 2 3 PageWriter TC50 Cardiograph Cleaning the Print Head 2 6 PageWriter TC Cardiograph Service Manual Changing the Printer Pape
113. e 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 the absorption and reflection from structures objects and people A 14 PageWriter TC Cardiograph Service Manual Wireless LAN Card Specifications Specifications Wireless LAN Card Specifications The specifications in the following sections are applicable to the Summit wireless adapters that are offered as options for the PageWriter TC cardiographs Two options are available a Option D21 Summit SDC CF20G wireless adapter Option D22 Summit SDC CF22AG wireless adapter see page A 19 Summit SDC CF20G Wireless Adapter Option D21 Length 72 8 mm 2 87 inches Width 43 mm 1 69 inches Thickness a Card body 3 3 mm 0 13 inches m Antenna 7 3 mm 0 29 inches Weight 21 grams 0 7 ounces System Interface 16 bit Compact Flash Type I with 50 pin connector Antenna 0 dBi gain omnidirectional with diversity Chipset Broadcom BCM4318E Input Power Requirements 3 3 VDC 5 Typical Power Consumption at maximum transmit power setting a Transmit 400 mA 1320mW m Receive 180 mA 594mW a Standby 10 mA 33 mW PageWriter TC Cardiograph Service Manual A 15 Specifications A 16 Operating Temperature 30 C to 75 C 22 F to 167 F Operating Humidity 10 to 90 non c
114. e when accessing documents on the Philips InCenter site To access documents on the Philips InCenter site 1 Exit Acrobat Professional or Acrobat Elements if open 2 Start Acrobat Reader 9 0 3 Open Internet Explorer and go to the Philips InCenter site Keep Acrobat Reader 9 0 open the entire time while accessing the InCenter site 1 4 PageWriter TC Cardiograph Service Manual Safety Summary Safety Summary Introduction Symbols Marked on the Cardiograph or Patient Interface Module PIM Symbol ee Name Attention read the Instructions for Use Description See the PageWriter TC Cardiograph Instructions for Use Type CF ECG physio isolation is type CF defibrillator proof 4 v kF Defibrillator Proof Suitable for all patient applications including direct cardiac application System is in continuous operation DC Polarity Indicates the polarity of the DC power connector oo Direct Current Indicates that the equipment is suitable for direct current only PageWriter TC Cardiograph Service Manual 1 5 Introduction Safety Summary Symbols Marked on the Cardiograph or Patient Interface Module PIM Symbol Name Description Disposal Dispose of in accordance with the requirements of your country HEN ECG output signal The connector near this symbol provides access to an 1L CO analog ECG signal that can be used as a synchronization signal for external devices such as an imaging de
115. ece RII 2 14 Ping Test fa aie dais ied Pada Peis edly eed puke E Roe ete wR Aci ES 2 15 Lead Wire Performance Testi sei eee eR tok eve aene poen bed e e hes Atte we 2 15 Cardiograph and Accessory Disposal 0 22 e eee eee eee cette ene nee 2 16 Maintaining the Touch Screen 0 eee eee eee cece eee e eee eee eeeee 2 16 Touch Screen Calibration ens reete pe et oy RE vete S ete e dete EA 2 16 Touch Screen Cleaning 00 cece cece cee tenet eee e nee n eens 2 16 Changing the Date and Time 0 0 cece eee cee eee ene ene eens 2 17 Replacing the PageWriter TC50 TC30 Cardiograph Fuse 22 ee eee 2 18 Cardiograph Overall Sensitivity Test 0 2 cee eee eee eee teens 2 19 PageWriter TC Cardiograph Service Manual Table of Contents Before You Begins eo eee tad mE A RA RE GA Pel UE Fa aq ane E 2 19 Performing the Sensitivity Test 00 0 ee eee eee ee eee 2 19 Cardiograph and Accessory Disposal 2 0 cee eee cece eee eee ne eee ees 2 20 Chapter 3 Troubleshooting Troubleshooting Cardiograph Issues cee eee eee eee eee e 3 2 Startup ISsues c sot eR e dE Ue e UE IRE 3 2 Display Issues isso lec Ek nd e I REG hea beaded ead pees 3 3 Keyboard Issues lis eL d E Lea ex i eV reb E 3 5 Signal Acquisition Issues 0 2 2 eee eee III 3 7 Main Screen ISSUES ound lee SOG eee ERCD TR Hing ae eee CRIA OR RSE E RI OE 3 10 Archive Screen Issues 00 e
116. ected filters Artifact Baseline Wander pacing detection setting and report scaling settings being applied to the current patient session The Unknown pacing setting is recommended for most ECGs Status Bar Displays information about the current cardiograph settings including selected Exam Type current patient name network connectivity status PIM status and the current date and time See The Status Bar on page 1 51 Waveform Display Display area for ECG waveforms Lead connection quality is indicated by the color of the waveform Press the up arrow 1 or the down arrow key on keyboard to change the displayed lead format Toolbar All cardiograph ECG acquisition modes and ECG management features Provides information on how to use the cardiograph The settings underneath this button are used to configure or change cardiograph settings or to access the service utilities Access to these screens may require entering a password PageWriter TC Cardiograph Service Manual 1 47 Introduction Table 1 1 Touch Screen Item Touch Screen Overview continued Feature ECG Storage and Management Features Co Archive Using the Cardiograph Touch Screen Description Provides access to the ECG Archive which is used as temporary storage for all ECGs acquired on the cardiograph From the Archive ECGs may be transferred as an XML file or as a PDF file to a TraceMast
117. eed hee ct de Qen ce ireRbevslq 4 1 Internal Repalrs i scot cei oe ose eee Ved ae ae ad E ERE RET ed 4 2 psrades eo gan ERN LRLI NUR SB AE EAE E AE ee ee dau hs 4 2 Test and Inspection Matrix 0 2 eee cece eee eee cece nen e ne eneee 4 4 Test Equipments erie een eee Se EL ee RA EV er Le 4 5 Performance Verification Tests 0 cee cece cece hh hh hh 4 5 Visual Inspection V esc eeu o Roque ex CES Rhen rhe RR RD UAR e Rer Rus 4 5 Power On Test PO sssseseeeeeeeeeee eee 4 6 Individual Functional Tests 0 0 0 cece cece n 4 6 Safety Tests cci bee Leben rud we sel ie e PP bee peered bay 4 12 PageWriter TC Cardiograph Service Manual Contents 3 Table of Contents Chapter 5 Parts and Supplies Ordering Replacement Parts 2 cece eee eee ee eee teen tent e eee teens 5 1 PageWriter TC70 TC50 T C30 Cardiograph Cart Replacement Parts 5 2 PageWriter TC70 TC50 TC30 Customer Replacement Parts 2 2 eee es 5 3 Other PageWriter TC Cardiograph Replacement Parts 02 02 eee eee 5 5 Paper Tray Replacement Parts 0 0 cece cece I 5 6 Patient Interface Module PIM Replacement lesse 5 7 Supplies and Ordering Information 2 ce eee eee eee eee eee een eA 5 7 Ordering S pplies 5 doeet ee Fareed Pale ae ola nasty eas dede 5 7 Special Note about Welsh Bulb Electrodes 20 cece eee eee een eens 5 8 PageWriter TC Card
118. een appears Touch the Patient Interface Module PIM Test button The PIM test automatically starts and the results appear on the screen The Patient Interface Module PIM Test window reports the PIM Option the currently installed software PIM Kernel Version and if the PIM Test has failed or passed If the message PIM Test Passed appears the PIM is communicating properly with the cardiograph Touch the Close button to close the window PageWriter TC Cardiograph Service Manual Ping Test Ping Test Setup 6 Cardiograph Care and Maintenance If the message PIM Test Failed appears check that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph If the error message persists contact the Philips Response Center for assistance The Ping Test is used with a wireless or wired network connection to verify that the cardiograph can successfully communicate over a network connection to an entered IP address To perform the Ping Test 1 EI El Ensure that the LAN cable is securely attached to the LAN connector gj on the rear of the cardiograph or that the wireless LAN connection is associated to an access point and that green bars appear on the Status Bar top of screen indicating a live wireless connection Touch the Setup button on the bottom toolbar The Configuration Setup and Service Utilities menu appears Touch Configure Cardiograph Default Settings On the Default Cardiog
119. embling the Page Writer TC50 TC30 Cardiograph Cart 7 7 Using the Cart Wheel Positioners and Brake 7 12 Safety Summary Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart Symbol Name Description Cart Transport Do not transport the cart with the drawer open 7 1 Cart Assembly Safety Summary Symbol Name Description Cart Drawer Weight Do not place more than 3 kilograms or 6 6 A Limit pounds of weight into the cart drawer 4 lt 3kg lt 6 6 LB Cart Storage Bin Weight Do not place more than 3 kilograms or 6 6 Limit pounds of weight into the cart storage bin lt 3kg lt 6 6 LB 7 2 PageWriter TC Cardiograph Service Manual Assembling the PageWriter TC70 Cardiograph Cart Cart Assembly Safety and Regulatory Symbols Marked on the PageWriter TC50 TC30 Cardiograph Cart Symbol Name Description Cart Storage Bin Weight Do not place more than 3 kilograms or 6 6 Limit pounds of weight into the cart storage bin A lt 3kg 6 6 LB Optional Patient Cable Do not transport the cart with the patient Arm cable arm positioned to the side Only transport the cart with the patient cable arm positioned to the front of the cart Assembling the PageWriter TC70 Cardiograph Cart The PageWriter TC70 cardiograph is available with an optional cart that includes a locking storage drawer storage bin and a built in holder for the P
120. emory onboard CompactFlash CF and internal CompactFlash CF PIM Status USB Detect Individual Functional Tests You perform the Printer Touch Screen PIM and Keyboard tests using the Service Utilities Accessing the Service Utilities To access the Service Utilities 1 From the Main screen touch the Setup button The Configuration Setup and Services Utilities main screen appears PageWriter TC Cardiograph Service Manual Performance Verification Tests Performance Verification and Safety Tests Figure 4 26 Configuration Setup and Services Main screen onfiguration Setup and Service Utilities 12 04 35 200a a uil uu Configure Cardiograph Default Settings This section is used to configure clinical settings including Patient ID settings ECG report format settings pacing detection settings Philips ECGAlgorithm settings password settings filter settings unit and measurement settings and power save feature settings Configure ECG Network Settings This section is used to configure settings for wireless and wired Ethernet LAN connections ECG Management System connections remote PC access orders ADT and fax Service Utilities This section includes diagnostic tests and utilities system error jogs and other tools and utilities that are used to troubieshoot the cardiograph or are used to optimize cardiograph performance Upgrade Kit Installation and Software Updates This section is used to enable optional u
121. enter site incenter medical philips com This Service Manual assumes you are familiar with the controls basic cardiograph operations and capabilities of the device as described in the Instructions for Use This chapter provides information on Who Should Use this Service Manual 0 0 Philips ECG XML Information sees ees Using the Philips InCenter Site 00 004 About Adobe Acrobat Versions 0 00 0000 eee Safety Summary ns eie upa iea r eh Important Patient and Safety Information 1 11 PageWriter TC70 Cardiograph Components 1 19 PageWriter TC50 Cardiograph Components 1 23 PageWriter TC30 Cardiograph Components 1 25 Patient Interface Module PIM 0 0 00 cee eee eee 1 27 About Class A and Class B Patient Data Cables and PIMs 1 27 Attaching the Patient Data Cable to the PIM and Cardiograph eee eee 1 28 Special Note about Patient Interface Module PIM 1 30 PIM ECG Buttons 4 ee SR Rer red 1 31 1 1 Introduction Who Should Use this Service Manual Configuring the 16 Lead PIM PageWriter TC70 and PageWriter TC50 cardiograph only 1 31 Installing the Batteries 1 35 Notes about Battery Installation 1 35 Charging the Batteries 00 0 cece eee eee eee 1 38 Calibrating the Batteries 0 00 eee eee
122. er ECG Management System a third party ECG management system a USB memory stick or as a PDF file only to a configured networked remote PC or server From the Archive a TraceMaster server may be searched for previous ECGs to view and print on the cardiograph The number on the button 9 displays the number of ECGs currently stored in the Archive Rhythm and Disclose Features m 0 Disclose The Rhythm feature is used to print continuous rhythm strips until the Stop button is touched The Disclose feature is used to review captured Events to view continuous data from one selected lead or to print ECG reports in a variety of formats The number on the Disclose button 0 displays the number of Events currently stored in Disclose 1 2 3 Operation Features The Map ID and ECG buttons are used in sequence to acquire and print an ECG 1 48 PageWriter TC Cardiograph Service Manual Using the Cardiograph Touch Screen Introduction Changing the Lead Format on the Main ECG Screen The format of the waveforms that display on the Main screen can be changed at any time The available lead formats are described in Table 1 3 Table 1 3 Main Screen Lead Formats Lead Format 12x1 or 16x1 Description This view provides ten seconds of continuous ECG waveform data for each available lead The 16x1 format is only available with the PageWriter TC70 cardiograph with the 16 lead option The PageWr
123. er MOSFET j i Switch Y gt FPG EE A PWR EN p 33v FPGA witc v CFI PWR ON PHD 26V ON VCC Motor Printer Motor Driver MO UTE Rr IM GM9DS k Dee e sy f mm p Flash Memory amp 33V m Keron a YCC_PRNEDY aeo CPU CPU CPU Power Switch POLIUS AC97 nRESET USB nRST LAN RST 1 Y Y T E TR 4 DAC SHDN P _ MOSFET sy Printer Motor E l CPU Printer Head M 33v Touchscreen AC97 Codec 33V USB_Hub 33V LAN Controller Y gt Wolfson WM9712LGEFL RV USB2504 M LANSICTH PHD 5V 8 12 Voltage Rails The following section describes the various voltage rails used on the PageWriter TC cardiograph Vin The DC voltage is supplied from the AC DC adapter through fuses and diodes The voltage level is between 13 95 to 14 43 VDC with a maximum power output of 80 watts This voltage 1s not monitored VCC Battery 1 2 The battery voltages range between 9 0V to 12 6V Discharge current on each battery is limited to a continuous 6 0 amps with a 6 3 to 8 7 amp limit for short periods These two voltages are monitored through the battery charger PageWriter TC Cardiograph Service Manual Power System Overview Theory of Operation Load_PWR The voltage is supplied by Vin and the battery Its range is between 9 0V to 14 43V This voltage is monitored 3 3V Output from regulator U1401 LTC1628 The input to this regulator is from Loads PWR
124. er Alert wm If this flashing icon appears saved Event markers 9 have not yet been reviewed on the Disclose screen and will be deleted within the next 5 minutes TC70 cardiograph the next 2 minutes TC50 cardiograph or the next 75 seconds TC30 cardiograph m Touch the Disclose button on the toolbar to review saved Events PageWriter TC Cardiograph Service Manual 1 51 Introduction Table 1 4 The Status Bar continued Status Bar Item E Feature PIM Disconnected 99 Using the Cardiograph Touch Screen Description m If this icon appears the Patient Interface Module PIM is not connected to the cardiograph mw Check that the PIM cable is firmly attached to the connector on the cardiograph and that there are no breaks or cracks in the cable Caps Lock LAN and Wireless LAN Connectivity m Indicates that the Caps Lock setting is enabled keyboard types in all capital letters m Touch the Caps Lock key on keyboard to disable the setting LAN connectivity wm Indicates if the cardiograph is connected to a live Ethernet connection through the LAN connector on the rear of the cardiograph Ifno LAN connection is detected a red x mark appears on the icon jai Wireless LAN connectivity m Indicates the signal strength of a the wireless LAN connection m Green bars indicate that the wireless adapter is associated to an access point The higher the number o
125. erent screens and to perform different functions PageWriter TC Cardiograph Service Manual 1 45 Introduction Using the Cardiograph Touch Screen Touch Screen Overview The touch screen is organized into different areas that are grouped by function The following sections provide an overview of each area of the touch screen Figure 1 22 Touch Screen Overview 3 3 k 65 1 31 14 PM fa a n m cD e 4 D E IL L K J I H Table 1 1 Touch Screen Overview Touch Screen Item Feature Description A Selected Exam Type ms The Exam Type selected for the current patient session i Standard 12 Lead The available Exam Types are Resting 12 Lead Resting Extended Lead Page Writer TC70 TC50 only and Timed ECG Touch the button to change the selected Exam Type 1 46 PageWriter TC Cardiograph Service Manual Using the Cardiograph Touch Screen Table 1 1 Touch Screen Item Touch Screen Overview continued Feature Exam Layout Introduction Description The settings underneath this button include the selected ECG report layout settings and the level of interpretation generated by the Philips algorithm that are being applied to the selected Exam Type Any of the settings on this screen may be edited and the new settings are applied to the current patient session Current Operating Settings The settings underneath this button include the sel
126. erify or to optimize cardiograph performance These tests can be used as the first step in identifying a technical problem with the cardiograph a Diagnostic Tests used to identify and to troubleshoot a technical problem with the cardiograph and require a password to access All test results are entered in the Event log that is displayed on the screen Additionally you can save all log files to a USB memory stick See Viewing and Saving Log Files on page 3 50 for information on log files To access the Diagnostic Tests and Utilities screen gt From the Setup and Service Utilities screen touch the Diagnostic and Test Utilities tab Figure 3 14 Diagnostic and Tests Utilities screen Setup and Service Utilities 7 22 10 PM 1 26 2008 kii Maintenance Tests Last Test Results Event Log Printer Tast j Touch Screen Calibration and Test j Patient Interface Module PIM Test j Ping Test j Enter Password for Diagnostic Tests SS o gt Enter P d G T er Passwor SUBM Change Password for Diagnostic Tests Enter Current Password SUBMIT 3 42 PageWriter TC Cardiograph Service Manual Using the Service Utilities Troubleshooting The Maintenance section of the screen lists the four maintenance tests Test Printer Test Page 3 43 Touch Screen Calibration and Test 3 45 Patient Interface Module PIM Test 3 45 Lead Wire Shortage Test 2 15 Ping Test 3 45
127. es and then click Unzip The files are saved to the specified destination Remove the USB memory stick from the computer or other device and proceed to the next section Once you download software to a USB memory stick the software installation program will run whenever you insert this USB memory stick into a cardiograph If you want to use this USB memory stick for copying configuration files or saving log files delete the SYSINT folder after you have installed the software PageWriter TC Cardiograph Service Manual Installing the Software Upgrade Installing PageWriter TC Cardiograph Software and Enabling Tokens Installing the Software Upgrade Before You Begin m Save configuration data to a USB memory stick Although data such as custom configurations archived ECGs and orders are preserved during the software upgrade it is recommended that you back up this data to a USB memory stick before upgrading the software a Transmit archived ECGs to an ECG management system or USB memory stick before upgrading the software To install the software upgrade 1 Ensure that the Patient Interface Module PIM is securely attached to the connector on the rear of the cardiograph Figure 6 7 Connecting the PIM to the cardiograph 2 Insert the USB memory stick into the USB slot 3 Connect the cardiograph to AC power Verify that the green LED on the front of the cardiograph is lit WARNING Always connect the cardiograph to A
128. esponsive Troubleshooting Solution 1 Touch the cardiograph screen anywhere 2 Restart cardiograph See Restarting the Cardiograph on page 3 37 3 Perform the Service Utility Keyboard Hardware Key test on page 3 47 4 Ifthe test passes try using the keyboard again 5 Ifthe test fails replace the keyboard Contact the Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 Touch the cardiograph screen anywhere Keyboard is typing Keyboard has Caps Lock incorrect characters feature enabled 1 Check to see if the Cap Lock icon A appears on the Status Bar See The Status Bar on page 1 51 2 Turn off the Caps Lock feature 3 Usertraining on Caps Lock use Keyboard is typing Incorrect keyboard option is incorrect characters installed Contact the Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 PageWriter TC Cardiograph Service Manual 3 5 Troubleshooting Table 3 3 Keyboard Issues continued Symptom Keyboard is typing incorrect characters Possible Cause amp Investigation Step The main board was recently replaced and the procedure reset the cardiograph keyboard option to an incorrect setting Troubleshooting Cardiograph Issues Solution 1 Ifthe main control board was recently replaced perform a full installation of the cardiograph software using the Biomed Softwar
129. etic Compatibility EMC Electronic devices can either generate or receive electromagnetic interference The PageWriter TC70 TC50 TC30 cardiograph have been evaluated for electromagnetic compatibility EMC with the appropriate accessories according to Medical Collateral standard IEC 60601 1 2 Edition 2 with exceptions noted in proceeding tables This IEC standard has been adopted in the European Union as the European Norm EN 60601 1 2 Edition 2 WARNING Radio frequency RF interference from nearby transmitting devices may degrade performance of the electronic equipment Electromagnetic compatibility with surrounding devices should be assessed prior to using the equipment WARNING Fixed portable and mobile radio frequency communications equipment can also affect the performance of electrical equipment See your Service Provider for assistance with the minimum recommended separation distance between RF communications equipment and the PageWriter TC cardiograph WARNING The use of accessories and cables other than those specified in the Philips PageWriter TC cardiograph service and user documentation can result in increased emissions or decreased immunity of the system WARNING The PageWriter TC cardiograph should not be used next to or stacked on top of other equipment If you must stack the product you must check that normal operation is possible in the necessary configuration before the product is used Reducing
130. etting storage capacity of selected storage media Failed to disconnect from TraceMaster via modem 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 If the problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 If the problem persists save the log files See Viewing and Saving Log Files on page 3 50 3 Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 Selected ECG s exceeds available Archive space on USB Memory Stick message USB memory stick file system limitation Delete unwanted files from the USB memory stick Timed ECG number exceeds available number in Main Archive message Storage capacity check for saving timed ECG Delete unwanted files from the Main Archive PageWriter TC Cardiograph Service Manual 3 27 Troubleshooting Troubleshooting Cardiograph Issues TraceMaster ECG Management System Issues Table 3 10 Symptom Error The lead system used to generate this ECG is not supported on the cardiograph Please print ECG directly from TraceMaster message TraceMaster Issues Possible Cause amp Investigation Step ECG XML version is incomp
131. exico 01 800 710 8128 Puerto Rico 1 787 754 6811 United States 800 722 9377 South America Response Centers Country Telephone Number Argentina 54 11 4546 7698 Brazil 0800 701 7789 Chile 0800 22 3003 Columbia 01 8000 11 10 10 Peru 51 1 620 6440 Europe Response Centers Country Telephone Number United Kingdom 44 0870 532 9741 Fax 44 01737 23 0550 Austria 43 1 60101 820 Belgium 32 2 525 7102 French 32 2 525 7103 Flemish Czech Republic 31 40 2781619 MCR Response Center located in The Netherlands Denmark 45 80 30 30 35 Finland 358 615 80 400 PageWriter TC Cardiograph Service Manual 5 13 Parts and Supplies 5 14 Contacting a Philips Response Center Europe Response Centers Country Telephone Number France 0 810 835 624 Germany 0180 5 47 5000 Greece 31 40 2781619 MCR Response Center located in The Netherlands Hungary 31 40 2781619 MCR Response Center located in The Netherlands Italy 0800 232100 Netherlands 31 40 27 211 27 Norway 47 800 84 080 Poland 31 40 2781619 MCR Response Center located in The Netherlands Romania 31 40 2781619 MCR Response Center located in The Netherlands Russia 31 40 2781619 MCR Response Center located in The Netherlands Slovak Republic 31 40 2781619 MCR Response Center located in The Netherlands Spain 34 90 230 4050 Sweden 46 200 81 00 10 Switzerland 0800 80
132. exported from the cardiograph the log files are saved to a syslog directory Within the syslog directory the two system log files are found The file system1 log contains the most recent event log information and can reach a maximum size of 2 MB Once the system1 log file reaches 2 MB the data in this file is moved to the system2 log file The system2 log file retains this saved event log information until it is replaced again by more current information being moved from the system1 log file If the cardiograph is configured to automatically transfer log files and configuration files to a remote server the syslog directory will also contain an AutoSave folder This folder contains files that are scheduled for automatic transmission to a remote server The files contained in this folder may or may not be as current as the files saved to the syslog directory this is dependent upon on when the last automatic transmission to a remote server occurred Figure 3 22 The Syslog directory Name Size Type Date Modified AutoSave File Folder 2009 10 04 11 24 PM E system1 log 1 340 KB Text Document 2009 10 04 11 24 PM E system2 log 2 053KB Text Document 2009 07 26 5 53 PM A DumpFiles directory may appear at the same level as the syslog directory The DumpFiles directory contains error information that can be used by Philips personnel for troubleshooting purposes To save log files 1 Insert the USB memory stick into the cardiograph 2 Press Ctrl
133. f applicable Touch the Time Sync button to manually synchronize the cardiograph date and time with a specified TraceMaster server 9 Touch the OK button when done Touch the Exit button lower right corner of screen to exit the Setup screen The new time and date is immediately applied PageWriter TC Cardiograph Service Manual 2 17 Cardiograph Care and Maintenance Replacing the PageWriter TC50 TC30 Cardiograph Fuse Replacing the PageWriter TC50 TC30 Cardiograph Fuse The AC fuse needs to be replaced when the cardiograph is plugged into AC power but the green AC power indicator light does not illuminate NOTE The PageWriter TC70 cardiograph does not have a replaceable fuse Figure 2 6 AC power indicator light on TC50 or TC30 cardiograph A A AC power on indicator light Only use replacement AC fuses with Philips part number 453564131221 or use a 1 6 amp 250V time delay fuse the same size and configuration as the original fuse Figure 2 7 Replacing the AC Fuse BA SN A AC fuse To replace the AC fuse 1 Unplug the cardiograph from AC power Pull out the AC power cord from the AC power connector on the rear of the cardiograph 2 Locate the AC fuse which is directly below the AC power connector 2 18 PageWriter TC Cardiograph Service Manual Cardiograph Overall Sensitivity Test Cardiograph Care and Maintenance 3 Push on both ends of the fuse and pull out the fuse from the fuse holder slot 4 Insert the ne
134. f green bars the better the connection m No bars indicates that the cardiograph is losing the wireless LAN signal and that the cardiograph should be moved to an area with a stronger signal mw Gray inactive bars alil indicate that the wireless adapter is unable to associate to an access point Battery Power Indicator ul a Displays the available battery power For more information see Battery Power Indicator on page 1 39 1 52 PageWriter TC Cardiograph Service Manual Using the Keyboard Shortcuts Table 1 4 Status Bar Item The Status Bar continued Feature Date and Time 1 31 14 PM Introduction Description Displays the current date and time The date and time can be set manually or the cardiograph can be configured to automatically synchronize the date and time with a TraceMaster ECG Management server Go to the Archive or Setup screens to manually change the date and time accessing these screens may require entering a password Tap the displayed date and time to edit the settings Heart Rate Indicator Displays the patient heart rate in beats per minute The icon appears in white when no patient is attached to the cardiograph Note The heart rate indicator measurement has been verified with a simulator that can generate ECG waveforms up to 240 bpm beats per minute Accuracy of this measurement beyond 240 bpm has not been verified Patient Date of Birth
135. fications Table A 2 PageWriter TC70 Cardiograph Guidance and Manufacturer s Declaration Electromagnetic Emissions continued The PageWriter TC70 cardiograph is intended for use in the electromagnetic environment specified in the table below The customer or the user of the PageWriter TC70 cardiograph should assure that it is used in such an environment Emissions Test Compliance RF Emissions Class A CISPR 11 Harmonic Emissions Class A IEC 61000 3 2 Voltage fluctuations Complies flicker emissions IEC 61000 3 3 Electromagnetic Environment guidance The PageWriter TC70 cardiograph is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Table A 3 Guidance and Manufacturer s Declaration Electromagnetic Immunity The PageWriter TC70 TC50 TC30 cardiographs are intended for use in the electromagnetic environment specified below The customer or the user of the PageWriter TC cardiograph should assure that it is used in such an environment Immunity Test IEC 60601 Compliance Electromagnetic Environment guidance Test Level Level Electrostatic 6 kV contact 6 kV contact Floors should be constructed of wood Discharge ESD j 9 py air 8 KV air concrete or ceramic tile If floors are covered IEC 61000 4 2 with synthetic material the relative humidity should be at
136. g on how the cardiograph is configured the ECG may automatically print If not touch the Print button 7 Verify Lead I or II for the following items on the printed report The height of the ECG pulses for the sensitivity setting Measure the peak of the ECG pulse and calculate the voltage for the sensitivity setting Verify that the measured voltage value is 1mV Count the boxes that are contained in the square wave from the top to the bottom using the top left corner of the square wave labeled A in Figure 2 8 as the upper boundary and the lower right corner of the PageWriter TC Cardiograph Service Manual 2 19 Cardiograph Care and Maintenance Cardiograph and Accessory Disposal square wave labeled B in Figure 2 8 as the lower boundary The square wave should measure 10 mm 10 boxes with a 5 margin for error Figure 2 8 Overall Sensitivity Test Results dependingon simulator A B 8 Ifthe results fall outside of the 5 range run the test again If you get the same results try running the test on a different cardiograph If the test fails on the other cardiograph the simulator may be out of calibration If the test passes on the other cardiograph it may indicate a problem with your cardiograph Contact the Philips Response Center for further assistance See Contacting a Philips Response Center on page 5 13 Cardiograph and Accessory Disposal When the cardiograph has reached the end of its product life dispo
137. g the Service Utilities Figure 3 17 Keyboard Test window US Keyboard eyna es To perform test 1 P ich key press will be indicated on image of keyboard 2 Press the CLOSE button to end the test 3 All three blank keys are not included in the test CLOSE eje Jie Me Je Je Me Se Jje ee JE fe Se eJ TEE CILE ejr E Je XUI JJ 500 LS Figure 3 18 Keyboard Test window European keyboard Keyboard Test To perform 1 Press each key and press will be indicated on image of keyboard 2 Click the CLOSE button to end the test 3 48 PageWriter TC Cardiograph Service Manual Using the Service Utilities Troubleshooting Figure 3 19 Keyboard Test window French AZERTY keyboard Keyboard Test To perform 1 Press each key and press will be indicated on image of keyboard 2 Click the CLOSE button to end the test fe a eel se IJ IE ege Je Je JJ JI RE OTT TE XE HT Jog OU J n Figure 3 20 Keyboard Test window Russian keyboard BH Keyboard Test To perform 1 Press each key and press will be indicated on image of keyboard 2 Click the CLOSE button to end the test Ese e w Tig t 1 2 3 4 5 8 7 8 3 0 Tab a w E R T Y U I 0 P RD indi a uy K E H riii uj uj 3j Xi e Caps A s D F 6 Hd K L a Lock o bl B A n P o n n X L Shift 4 z x o v D UN M
138. geWriter TC50 software Visual Inspection V Before beginning the inspection press the On Standby button for 2 to 3 seconds to put the cardiograph in Standby mode and unplug the power cord from the wall outlet Inspect the cardiograph external surfaces for the following Worn or damaged power cord Loose or missing hardware Mechanical damage Evidence of liquid spill Worn printer drive gear Worn printer roller Corroded or damaged reusable electrodes if present PageWriter TC Cardiograph Service Manual 4 5 Performance Verification and Safety Tests 4 6 Performance Verification Tests Damaged patient leads Dirt paper residue on the thermal print head Frayed or damaged wiring Visible touch screen damage Replace any damaged or missing items Clean the patient data cable and patient leads as necessary For more information see Cardiograph and PIM Cleaning on page 2 3 and see Patient Data Cable and Lead Wire Cleaning on page 2 4 Power On Test PO Restart the cardiograph to process a completed Power On test To restart the cardiograph 1 2 Press the On Standby button O for 2 3 seconds to shut down the cardiograph Press the On Standby button again to power on the cardiograph After approximately 20 seconds the PageWriter TC cardiograph software identification screen appears followed by an audible beep The following self tests are automatically performed during reboot Software CRC Test Flash M
139. gical View 0 ccc cece eee hmm he 8 2 Main Board austenite ares uet tle uU a Seen d ede etate selene 8 2 Display erede er Lee Eee t n e eR ae S i 8 4 Patient Interface Module PIM 0 eee eee ee ete e teen ee eens 8 4 Printer Control FPGA 0 eee eee cnet erreren 8 4 Battery Lithium lon 02 ee eee ee III 8 4 Keyboard and Buttons 0 cece eee eect tenet e eee neces 8 4 Contents 4 PageWriter TC Cardiograph Service Manual Table of Contents Touch Screen zio ies See eee PRA RE EIS VIRILE ULCREXdAY va 8 5 LAN Interface 2 uoc brevi a err EE yea eee 8 5 Magnetic Card Reader PS 2 0 0 2 cee eee ce eee cette rreren 8 5 Barcode Reader PS 2 0 2 0 cece eee ee ce eee eee eben ene eeeee 8 5 Smart Card Reader sore pice ci dea ek de rre a 8 5 WSB Memory Stick 2 xe RRLELDESDI DS RR a a et ee 8 5 Wireless LAN Card sce gan See Pas CEU Ss Se nene UR AG ee 8 6 Modem Modu le orii ele reds Dux err Rae Yd Were eee IM ds 8 6 High Level ECG Data Flow and Storage 0 2 cece eect een eee ees 8 6 Internal Main Archive ss 0 0 cee eee RII EARE EA 8 9 Internal Remote Archive 00 cece eee eee cee eee n rererere 8 9 External USB Memory Stick Archives 00 c see eee eee eee eee 8 9 Rendered ECG Report Prints 0 2 ese eee eee cee eee eee n ene eeeee 8 9 Fax Rendered ECG Report Print 0 0 eee eee eee eee eee 8 10 Power System O
140. h local laws or regula tions For further information on available training on the use of this product please contact a Philips Medical Systems representative or the manufacturer Medical Device Directive The PageWriter TC70 TC50 TC30 Cardiograph complies with the require ments of the Medical Device Directive 93 42 EEC and carries the C 0123 mark accordingly Authorized EU represen tative Philips Medizin Systeme B blingen GmbH Hewlett Packard Str 2 71034 B blingen Germany Chapter 1 Introduction Who Should Use this Service Manual 0 ccc ec cee cece reece nn 1 2 Philips ECG XML Information 20 ccc cece RII 1 3 Using the Philips InCenter Site eee cece ce eee ee eee cence 1 3 About Adobe Acrobat Versions 0 cece cece cece cece eee ence nec enes 1 4 Safety SUMMALy 4 xau RUE vee VS RUSS Pe ea oe se Gs ee qe 1 5 Symbols Marked on the Cardiograph or Patient Interface Module PIM 1 5 Safety Symbols Marked on the Cardiograph Packaging 02 eee eee eee 1 8 Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart 1 9 Safety and Regulatory Symbols Marked on the PageWriter TC50 TC30 Cardiograph CARES Metal id e e te tae mte Mente wat aN ti eoa Coa Dat ate don 1 9 Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph AC Power Adapter oer pedir iu gale aero da eeu Sans eee A 1 10 Important Patient and Safety I
141. h screen Using the Service Utilities Setup and Service Utilities 1 36 35 AM 8 4 2008 lui Software Revisions Main Application Revision Kernel Revision Application Revision PIM Kernel Revision FPGA Firmware Revision 4 01 00 12 Storage Information Total RAM Percentage Totel RAM Used 219 MB 209 Internal CF Card FreejTotal 907 3 j 999 6 MB USB Memory Stick Freef Total er Found Installed Options Print this Sc reen as Report PIM Information Installed PIM Option Battery Status Batt 1 Frnt Batt 2 Bck Current Status Ne senvity No activity Battery Voltage 12 5 12 4 w Triton 15oad Expected Max Error amp fi CN Full Capacity mAH 7006 mAh 1006 mAh Remaining Capacity mAH 5355 mAh 912 mah Percent Charged 99 Charge Current Discharge Current Cycle Count Temperature B1 Unique ID B2 Unique ID Tj Coe R FONEMOLT EOL3R 20070829 0042 IFONEMOLT EDL3R 200702 Networking Information MAC Address IP Address Refresh 00 09 5C 01 C2 8F 0 0 0 0 Voltage Monitor Information Volts AC DC Input Backlight yo PIM Power CPU Internal Core Flash Memory Internal Core FPGA Internal Core Printer Information Total Number of Printed Pages 14 790 v 12 063 v 5 172v 1 513 v 1 816v 1 494 v 278 To refresh the screen gt Touch the Refresh button to get the latest information
142. has the WebSelect Utility installed and can also be used to transfer completed ECGs as either an XML or as a PDF file from the cardiograph to a TraceMaster ECG Management System remote networked PC or server or other third party ECG management system The USB memory stick can also be used to save custom settings specified on the Setup screens as a Custom Settings file This Custom Settings file can then be transferred to additional cardiographs to help speed up the configuration process For information on using the WebSelect Utility see the Using OrderVue with PageWriter Cardiographs guide This guide is available for download from the Philips InCenter site For information on the Philips InCenter site See Using the Philips InCenter Site on page 1 3 The PageWriter TC cardiographs only support the USB memory stick that is available for purchase as an optional accessory from Philips Medical Systems Philips does not guarantee that other USB memory sticks are compatible with the PageWriter TC cardiographs PageWriter TC Cardiograph Service Manual 1 43 Introduction CAUTION CAUTION Using the Barcode Reader Figure 1 20 USB memory stick inserted into USB connector A USB memory stick inserted into USB connector tip illuminates when properly inserted The USB memory stick can store up to 200 ECGs and 200 orders Ensure that the USB memory stick is firmly inserted into the USB connector located on the front right side of the card
143. hat it is used in such an environment Emissions Test Compliance Electromagnetic Environment guidance RF Emissions Group 1 The PageWriter TC50 TC30 cardiograph uses RF CISPR 11 energy only for its internal function Therefore its RF emissions are very low are not likely to cause any interference in nearby electronic equipment RF Emissions Class B The PageWriter TC50 TC30 cardiograph is CISPR 11 suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic Harmonic Emissions Class A IEC 61000 3 2 Voltage fluctuations Complies purposes flicker emissions IEC 61000 3 3 Table A 2 PageWriter TC70 Cardiograph Guidance and Manufacturer s Declaration Electromagnetic Emissions The PageWriter TC70 cardiograph is intended for use in the electromagnetic environment specified in the table below The customer or the user of the PageWriter TC70 cardiograph should assure that it is used in such an environment Emissions Test Compliance Electromagnetic Environment guidance RF Emissions Group 1 The PageWriter TC70 cardiograph uses RF energy CISPR 11 only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment PageWriter TC Cardiograph Service Manual Electromagnetic Compatibility EMC Speci
144. he battery Insert the second battery following the same procedure PageWriter TC Cardiograph Service Manual 2 11 Cardiograph Care and Maintenance Battery Calibration 7 Reinstall the battery door 8 Connect the AC power cord to the cardiograph Charge the batteries for five hours before operating the cardiograph on battery power only TC50 T C30 Battery Calibration Battery calibration may be necessary in order to enhance the accuracy of the battery level indicator that displays on the Status Bar If the accuracy of this indicator is affected the other battery indicators included on the Battery Status window that is opened by tapping the battery icon on the Status Bar may also be less accurate 2 12 PageWriter TC Cardiograph Service Manual Battery Calibration Cardiograph Care and Maintenance NOTE Figure 2 5 Battery Power Indicator on the Status Bar em om e S ID 12345 Name Doe DOB 12 21 1968 60 1 51 12 PM 12 21 2009 A Battery level indicator The recommended intervals for battery calibration are dependent upon factors in your clinical use model When the battery power indicators are not functioning so that they are useful in your daily work environment Philips recommends calibrating the batteries following the procedure described in this section The battery calibration procedure requires that the cardiograph be taken out of active use for up to 8 hours To calibrate the batteries on the cardiog
145. he cardiograph WARNING Ensure that the patient data cable is securely connected to the PIM connector E gt on the rear panel of the cardiograph 1 28 PageWriter TC Cardiograph Service Manual Patient Interface Module PIM Introduction WARNING The Philips Medical Systems patient data cable supplied with cardiograph is an integral NOTE part of the cardiograph safety features Use of any other patient data cable may lead to the distortion or corruption of patient ECG data may compromise defibrillation protection and degrade cardiograph performance and overall cardiograph safety may be seriously degraded The PageWriter TC50 cardiograph and the PageWriter TC30 cardiograph with installed software version A 03 00 and higher are only compatible with the Class B patient data cable Philips part number 989803164281 To attach the patient data cable to the PIM and to the cardiograph 1 Align the raised dot on the top of the patient data cable connector with the front of the PIM Insert the patient data cable connector through the metal housing Push the patient data cable connector firmly into the PIM connector The connector clicks when it is locked into position 2 Connect the other end of the patient data cable to the PIM connector port gt located on the rear panel of the cardiograph Align the raised circle on the cable connector upright as shown in the figure Turn the cable connector to the right to lock it into
146. he one or two 11 1V rechargable lithium ion batteries provide power to the PageWriter TC cardiograph and can support full cardiograph functionality without AC when properly charged Built in protection circuitry in each pack prevents damage to the battery by overcharging over discharging over current and over temperature PageWriter TC Cardiograph Service Manual 8 11 Theory of Operation Figure 8 4 Power System Block Diagram Power System Overview 110 240 d WR OUT LOAD PWR BACKLIGHT INVERTER 50 60 Hz SW RGLTR CONT j LCD Logic AC External AC DC Vin e svin e UT CITISEGNA nv 15 LCD NEC NL10276BC30 18 33V ORCI EDO Module I Fuse POWER SWITCH 10 LCD NEC NLB060BC26 28 CPU Switch MW159RA1549F02 CPU 6 LCD AUO G065VNO1 1 Panel PWR ON BKL PWR ON a PWR ON NGGORTC Real Time clock m _ USBI Switch cre o Tao TEEPEE gt VCC BACKUP VCC BATT 33V B 3A Max charging current ower Switel USBI_nEN PWR_ON sv _ US
147. he requirements of your country 1 8 PageWriter TC Cardiograph Service Manual Safety Summary Introduction Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart Symbol Name Cart Transport Description Do not transport the cart with the drawer open 3kg 6 6 LB Cart Drawer Weight Do not place more than 3 kilograms or 6 6 Limit pounds of weight into the cart drawer Cart Storage Bin Weight Do not place more than 3 kilograms or 6 6 Limit pounds of weight into the cart storage bin Safety and Regulatory Symbols Marked on the PageWriter TC50 TC30 Cardiograph Cart Symbol Name Description Cart Storage Bin Weight Do not place more than 3 kilograms or 6 6 Limit pounds of weight into the cart storage bin lt 3kg lt 6 6 LB Optional Patient Cable Do not transport the cart with the patient Arm cable arm positioned to the side Only transport the cart with the patient cable arm positioned to the front of the cart PageWriter TC Cardiograph Service Manual 1 9 Safety Summary Introduction Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph AC Power Adapter Symbol Name Description There are no serviceable parts inside the AC No serviceable parts adapter Do not open the AC adapter case inside Indoor dry location use The AC adapter is only intended for indoor use in a only a dry location
148. hilips DXL ECG Algorithm Information regarding the Philips ECG XML schema can be obtained directly from Philips Medical Systems by sending an email request to ecg philips com Please include your name facility and the serial number of your PageWriter TC cardiograph in the email request The default XML version setting on the cardiograph must be coordinated with the XML version compatibility of the TraceMaster ECG Management System or other third party ECG management system used by your facility For more information on configuring your cardiograph for use with an external ECG management system see the PageWriter TC Network Configuration Guide included on the User Documentation and Training DVD or download the file from the Philips InCenter site Using the Philips InCenter Site The Philips InCenter site provides frequent updates to all Philips Cardiac Systems product documentation and product software including the PageWriter TC cardiographs The Philips InCenter site requires an active registration and password To register go to the InCenter site at incenter medical philips com and click on the Need help link on the main page located under the user login and password fields On the following page under Software Updates lower right corner of page click the Click here for account registration link The Cardiac Systems InCenter Registration page appears Complete all of the information fields on the page to receive a login and passwor
149. ic software components for installation a The user cannot change the language lead standard or keyboard configuration of the cardiograph Biomed Software Installation This installation option is only intended for use by internal Philips personnel Software Repair wm This installation option is used to This installation option is reinstall specific software only available in English components and is intended for use by internal Philips personnel a The user cannot change the language lead standard or keyboard configuration of the cardiograph PageWriter TC Cardiograph Service Manual 6 5 Installing PageWriter TC Cardiograph Software and Enabling Tokens Installing the Software Upgrade Table 6 1 PageWriter TC Cardiograph Software Installation Options continued Installation Option Description Notes Service Utility Use to enter the Service Utility For more information on using the Service Utility see Using the Service Utilities on page 3 38 7 Select an installation option and then touch Next 8 The Select software components to install screen appears The install program compares the information on your cardiograph to the information on the USB memory stick and only checks the components that need to be installed In most cases there will be components that are not checked Figure 6 10 Select software components to install Screen PageWriter TC Installer 1 20 Choose software co
150. ice Manual 1 39 Introduction To check the battery power level Installing the Batteries 1 From any screen tap on the battery icon on the Status Bar J The Battery Status window appears This window provides detailed information on the status of the cardiograph batteries The battery icon indicates the overall charge status of the battery Table 1 2 Battery Icon on Status Bar or Battery Status window Icon on Status Bar Battery Level TT Fully Charged Battery 75 power capacity Th 50 power capacity Low Battery Power red battery icon appears when power level is below 25 cardiograph beeps and an error message appears until the unit is plugged into AC power audio feature may be disabled tap the icon to see how many minutes are left of operating battery power If overall battery power is below 15 and the cardiograph is in Standby when the On Standby button is pressed it will flash green five times and the cardiograph will be unable to return to active use Plug the cardiograph into AC power to recharge the batteries 1 40 PageWriter TC Cardiograph Service Manual No or Dead Battery Using the On Standby Button Introduction NOTE If the Plug in the Cardiograph message appears the cardiograph needs to be plugged into AC power immediately Figure 1 19 Battery Status Information with Plug in the Cardiograph message Battery Status Remaining power 16 Recharge required
151. ick is punishable by law m Periodically inspect the USB connectors side and rear of cardiograph for any cracks or breaks If the integrity of a USB connector is not assured do not use the USB connector and contact Philips Medical Systems for further assistance see Contacting a Philips Response Center on page 5 13 PageWriter TC70 Cardiograph Components The following sections include a description of all of the components of the PageWriter TC70 cardiograph including the connection ports on the cardiograph the Patient Interface Module PIM and optional accessories available with the cardiograph For information on ordering any of the optional accessories for the cardiograph see PageWriter TC Cardiograph Supply Part Numbers on page 5 8 PageWriter TC Cardiograph Service Manual 1 19 Figure 1 2 PageWriter TC70 Cardiograph left front view A Touch screen F ECG button B Audio speaker G Paper tray C AC power on indicator light H Keyboard D On Standby button E ID button 1 20 PageWriter TC Cardiograph Service Manual Figure 1 3 PageWriter TC70 Cardiograph right front view Battery compartment J USB memory stick connector PageWriter TC Cardiograph Service Manual 1 21 Introduction PageWriter TC70 Cardiograph Components Figure 1 4 PageWriter TC70 Cardiograph rear view A Modem connector G Wireless LAN card slot with protective cover installed B LAN connector H AC power c
152. in 4 minutes Battery Power Condition Front Battery E 14 Good Back Battery 17 Good Plug in the Cardiograph Close Touch the Close button to close the window Using the On Standby Button The On Standby button is used to CAUTION TIP put the cardiograph into Standby when not in active use in order to conserve battery power shut down all power to the cardiograph for extended periods of inactivity return the cardiograph to active use Ensure that all patient data from an active patient session is saved before entering Standby or shutting down the cardiograph Unsaved patient data patient identification information unreviewed Event Markers unsaved ECGs are deleted when the cardiograph enters Standby To put the cardiograph into Standby power save 1 Press the On Standby button gently to put the cardiograph into Standby When the cardiograph is in Standby the screen is black Plug the cardiograph into AC power whenever possible to recharge the batteries Press the On Standby button again to return the cardiograph to active use The previously viewed screen prior to entering Standby appears PageWriter TC Cardiograph Service Manual 1 41 Introduction Using the Wireless LAN Card NOTES If overall battery power is below 15 and the cardiograph is in Standby when the On Standby button is pressed it will flash green five times and the cardiograph will be unable to return to active use Plug the
153. iograph next to the battery door The tip of the USB memory stick illuminates when it is properly inserted into the USB connector Do not insert a USB memory stick into the cardiograph or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient Only use the USB memory stick to transfer data between a PageWriter TC cardiograph and a computer Do not use the memory stick with other devices Using the Barcode Reader 1 44 NOTE The barcode reader is an optional accessory that is used to quickly enter ID information by scanning a barcode The barcode reader attaches to the barcode reader connector 9 on the rear panel of the cardiograph Attach the barcode reader to the cardiograph before turning on AC power For information on ordering the barcode reader see Supplies and Ordering Information on page 5 7 The Metrologic Scanner Instructions for Use only available in English which provides complete information on configuring and using the barcode scanner is included on the User Documentation and Training DVD or is available for download from the Philips InCenter site PageWriter TC Cardiograph Service Manual Using the Cardiograph Touch Screen Introduction Figure 1 21 The Barcode Reader jJ Using the Cardiograph Touch Screen The touch screen provides access to all of the cardiograph features Simply touch the buttons on the screen to open the diff
154. iograph Supply Part Numbers 22 e eee eee 5 8 Ordering Options and Upgrades 0 eee eect e 5 11 Contacting a Philips Response Center 0 sees eee eect ere 5 13 Chapter 6 Installing PageWriter TC Cardiograph Software and Enabling Tokens Software Upgrades 0 cece cece eee teen eee teen e eee en ence eens 6 1 Obtaining Software 0 0 ec cece ene hmm ene he 6 1 Downloading Software Files from Philips InCenter 0 0 02 ee eee eee 6 1 Installing the Software Upgrade 1 2 1 ce eee eee eee e 6 3 Before You Begin gcc kek ie wes e wat shiek ERE wane ees 6 3 Verifying the Software Installation 2 0 eee cece e 6 7 Enabling Upgrade Options 0 20 cece eee ee II 6 8 Chapter 7 Cart Assembly Safety Summa Yene senene tt vete Hoe ara ale ed aerate aiatater ds arte eret qute 7 1 Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart 7 1 Safety and Regulatory Symbols Marked on the PageWriter TC50 TC30 Cardiograph ET eet te Mat to es A Mo et Moe eda a LE UA I e S AL aar Ue SRM Aa as 7 3 Assembling the PageWriter TC70 Cardiograph Cart 00 eee eee eee eee 7 3 Assembling the PageWriter TC50 TC30 Cardiograph Cart 20 2 e ee ee eee 7 7 Using the Cart Wheel Positioners and Brake 0 eee eee cece eee eee nee 7 12 Chapter 8 Theory of Operation OVERVIEW fs iv Lb is T is Bat ues IR E EN VM RE E LES 8 2 Hardware Lo
155. ion 1 Touch the Setup button on the main toolbar 2 Onthe Cardiograph Setup and Service Utilities main menu touch Upgrade Kit Installation and Software Updates 3 Touch the Upgrade Option button top of screen The Upgrade Option screen appears 4 The cardiograph serial number appears at the top of the screen Confirm that the serial number displayed on the screen is the correct serial number of the cardiograph 5 Enter the Enable Upgrade Option code number provided with the upgrade kit into the Enable Upgrade Code field Touch the Enable Upgrade Option button The cardiograph automatically restarts and the new upgrade option is enabled 6 8 PageWriter TC Cardiograph Service Manual Cart Assembly Follow the instructions in this chapter to assemble the cart attach the bin to the cart and attach the cardiograph to the cart For information on replacing the rear casters see the instruction sheet that comes with the replacement kit For part ordering information for the replacement kit see Page Writer TC70 TC50 TC30 Cardiograph Cart Replacement Parts on page 5 2 This chapter provides the following information Safety SUMMALY 0 cree pv RC eae hae ear 7 1 Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart 7 1 Safety and Regulatory Symbols Marked on the PageWriter TC50 TC30 Cardiograph Cart 7 3 Assembling the PageWriter TC70 Cardiograph Cart 7 3 Ass
156. ion Option screen appears See Table 6 1 on page 5 5 for a description of each software installation option PageWriter TC Cardiograph Service Manual Installing the Software Upgrade Installing PageWriter TC Cardiograph Software and Enabling Tokens Figure 6 9 Select Installation Option Screen PageWriter TC Gardiograph Software Installation Wizard v2 26 Select Installation Option DH LI PS sense and simplicity 8 Basic Software Installation Install cardiograph software from a USB memory stick This installation option is intended for all users Service and Biomed Users only all options below are only available in English Biomed Software Installation Install cardiograph software from a USB memory stick This installation option is intended for biomed users and other authorized service personnel Software Repair Repair previously installed software components This installation option is intended for biomed users and other authorized service personnel O Service Utility Enter the Service Utility NOTE The software application version A 04 03 appears in the lower left corner of the screen Table 6 1 PageWriter TC Cardiograph Software Installation Options Installation Option Description Notes Basic Software Installation wm This installation option is intended This installation option is for general users fully localized a Only recommended software components are installed the user cannot select specif
157. ion information along with operator and device information For information on the Philips ECG XML schema see Philips ECG XML Information on page 1 3 If the Save button on the cardiograph is set to Auto the ECG report is saved in XML format to the internal main archive This archive is non volatile and resides on the internal PageWriter TC Cardiograph Service Manual High Level ECG Data Flow and Storage Theory of Operation NOTE CompactFlash CF card An index file with a CDB extension is also maintained in this archive From the internal main archive the ECG XML data format files can be copied deleted previewed printed and transferred to other devices The internal main archive cannot receive ECG XML files from external devices Retrieved ECG file storage is limited to the internal remote archive PageWriter TC cardiograph generated ECG XML files comply with the Philips Medical Systems ECG XML Schema version They incorporate an embedded CRC32 value which is used to ensure the data integrity of the file PageWriter TC Cardiograph Service Manual 8 7 Theory of Operation Figure 8 2 ECG Flow and Storage l FAX RENDERED ECG REPORT PRINT FAX 0000 O000 Qooo FAX MODEM CF SOCKET non user accessible INTERNAL MAIN ARCHIVE amp REMOTE RETRIEVED ARCHIVE INTERNAL COMPACT FLASH ECG DATA XML INTERNAL THERMAL PRINTER RENDERED ECG REPORT PRINT 8 8 PageWriter TC Cardiograph Servic
158. is test verifies that the onboard Flash memory is working properly To test the onboard Flash memory 1 Touch the Flash Memory Test button A message lets you know if the onboard Flash memory passed the test PageWriter TC Cardiograph Service Manual Using the Service Utilities Troubleshooting 2 Select Close If the onboard flash card fails the test try the test again Internal Compact Flash Test This test verifies that the internal Compact Flash is working properly To test the Internal Compact Flash 1 Touch the Internal Compact Flash button A message lets you know if the Internal Compact Flash passed the test 2 Touch the Close button If the compact flash card fails the test try the test again Audio Test This test determines whether the cardiograph is emitting sounds To test audio 1 Touch the Audio button from the list The test emits audible chime tones Select Yes when the see the message Did you hear the sound playing A message lets you know that the audio test passed Select No if you did not hear the sound playing A message lets you know that the audio test fails Touch the Close button Keyboard Hardware Key Test A successful Keyboard test is one in which each key is properly recognized when pressed To test the keyboard 1 Touch the Keyboard Hardware Key Test button The Keyboard Test window appears PageWriter TC Cardiograph Service Manual 3 47 Troubleshooting Usin
159. iter TC50 cardiograph with the 16 lead option will only display the 12x1 view to view all 16 leads select the split screen view see below 6x2 12 lead option or Split Screen View 16 lead option 3x4 This view provides five seconds of continuous ECG waveform data for each lead on a split screen In the split screen display the limb and augmented leads are on the left and the precordial leads are on the right for both the 12 lead and the 16 lead display option For the TC30 cardiograph only this is the default lead format on the cardiograph see see Figure 1 23 on page 1 50 This view provides 2 5 seconds of waveform data for each lead with 3 total rows with 4 leads in each row In this view the limb and augmented leads are on the left and the precordial leads are on the right In this view only 12 leads are displayed even if the 16 lead option is being used PageWriter TC Cardiograph Service Manual 1 49 Introduction 1 50 Using the Cardiograph Touch Screen Figure 1 23 Main Screen with Split Screen View 12 Leads Displayed E Standard 12 Lead 9 CO ul uud Layout Settings ID 1234 Name DOB 8 65 1 31 14 PM I i ols A Disclose Archive D Ee Limb Leads B Precordial Leads To change the lead display on the main screen 1 Press the down arrow key on keyboard or the up arrow key t to scroll through the available Main screen
160. ith installed software version A 03 00 and higher is only compatible with the Class B 12 lead PIM Philips part number 453564150741 AAMI and 453564150761 IEC or the Class B 16 lead PIM Philips part number 453564150751 AAMI and 453564150771 IEC Always put the cardiograph in Standby before replacing the Patient Interface Module PIM Do not change the PIM while the cardiograph is in active use Printer CAUTION Do not pull on the paper while an ECG report is being printed This can cause distortion of the waveform and can lead to potential misdiagnosis Servicing the Cardiograph a Only qualified personnel may service the cardiograph or may open the cardiograph housing to access internal cardiograph components Do not open any covers on the cardiograph There are no internal cardiograph components that are serviced by the operator m The Philips Medical Systems warranty is applicable only if you use Philips Medical Systems approved accessories and replacement parts See Supplies and Ordering Information on page 1 46 for more information Software WARNING Only install Philips Medical Systems software on the cardiograph The installation or use of software not approved by Philips Medical Systems is strictly prohibited and cardiograph safety and performance are not guaranteed 18 PageWriter TC Cardiograph Service Manual PageWriter TC70 Cardiograph Components Introduction Touch Screen WARNING Do not use sharp
161. l not resolved save the log files more details See Viewing and Saving Log Files on page 3 50 message 4 Contact the nearest Philips Response Center for further assistance Do you want to overwrite the existing patient information with the selected order message You attempted to use an order to overwrite patient information of an archived ECG Check to make sure that you want to overwrite the information If so confirm the operation If not cancel the operation PageWriter TC Cardiograph Service Manual 3 17 Troubleshooting Troubleshooting Cardiograph Issues Configuration Screen Issues Table 3 7 Symptom The maximum number of TraceMaster connections has been configured Please edit or delete an existing TraceMaster connection message Configuration Screen Issues Possible Cause amp Investigation Step There are a limited number of TraceMaster connections that can be configured on the cardiograph Solution Remove one of the TraceMaster connections The maximum number of OrderVue inboxes has been created Edit or delete an existing inbox message Invalid XML version detected Please try again message Invalid XML platform detected Please try again message There are a limited number of OrderVue inboxes that can be configured on the cardiograph Invalid version detected when loading configuration file Invalid platform detected when loading configu
162. lead 137 1cm 54 in leg lead 142 21 cm 56 in chest leads 106 6cm 42 in extended leads 121 9cm 48 in 989803151781 Long 16 Lead Kit for IEC Leads arm lead 137 1cm 54 in leg lead 142 21 cm 56 in chest leads 106 6cm 42 in extended leads 121 9cm 48 in Lead Accessories Part Number Description 989803129231 Alligator Clips for Disposable Tab Electrodes AAMI 10 total per pack 989803129241 Alligator Clips for Disposable Tab Electrodes IEC 10 total per pack 989803101361 Alligator Clip Extender Pediatric for Disposable Tab Electrodes 10 total per pack AAMI 989803101371 Alligator Clip Extender Pediatric for Disposable Tab Electrodes 10 total in pack IEC 989803106061 Wide Disposable Tab Electrode Connector 10 total per pack AAMI IEC PageWriter TC Cardiograph Service Manual 5 9 Parts and Supplies 5 10 Part Number Supplies and Ordering Information Lead Accessories Description 989803166031 Clear Tab with Snap Adapter AAMI 10 total electrodes 989803101701 IEC Snap Lead Adapter converts IEC connector to grabber connector for use with snap disposable electrodes and 4mm banana plug termination cables 989803151701 16 Lead Spare Parts Kit includes color rings shorting plugs lead separators and banana post adapters Part Number 989803100441 989803106051 Disposable and Reusable Electrodes Description Solid gel tab disposable cardiography
163. led to implement Failure to load a 1 Restore the factory default settings custom settings eounguraton iig 2 Try loading the configuration file again The cardiograph will automatically 3 Ifthe problem persists manually configure the restart and restore cardiograph settings current settings Please contact the Philips Response Center for further assistance message 3 2 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Display Issues Table 3 2 Display Issues Symptom Possible Cause amp Investigation Step Screen is dark and Cardiograph is in Standby shows no image Cardiograph battery capacity is below 15 Power issue AC Power AC is applied but AC Power On indicator LED is dark Troubleshooting Solution Press the On Standby button Confirm that the cardiograph can be returned to active use If the cardiograph does not restart connect the cardiograph to AC power and then press the On Standby button User training on proper use of Standby Inspect AC power connections Ensure AC cord is not damaged and is plugged into appropriate live AC power socket Ensure that the power cord is is connected to the power input connector on the back of the cardiograph Power issue Battery AC is not attached and the battery is inserted into the cardiograph Push the On Standby button The screen remains dark Cardiograph battery capacity is below 1
164. lename specified message You did not specify a file name in the Browse dialog box Specify a file name in the Browse dialog box Invalid filename specified message You did not specify a file name in the Save Logs dialog box Specify a file name in the Save Logs dialog box 3 34 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Table 3 14 Symptom USB memory stick is not detected Please ensure that the USB memory stick is fully inserted into the USB connector right side of cardiograph message Log File Issues Possible Cause amp Investigation Step Custom settings or log files cannot be saved because there is no USB memory stick in the cardiograph s USB connector Troubleshooting Possible Solutions Insert a USB memory stick into the cardiograph s USB connector right side of cardiograph as the device is facing you The cardiograph must restart in order to load a new custom settings file message A configuration file has been loaded Restart the cardiograph to use the new configuration settings Lead Map Troubleshooting Table 3 15 Symptom Incorrect lead standard appears on the Lead Map AAMI or IEC Lead Map Troubleshooting Possible Cause amp Investigation Step The main board was recently replaced and the procedure reset the cardiograph lead standard AAMI or IEC to an incorrect setting P
165. m Power Switch rear panel Connector USB Port 2 Reserved Internal Header Current Monitor Board USB Port 1 Connector Black Light Type Aon Voltage Side Panel Regulator f l O INTERFACE BOARD PS 2 RS232 Port Mini DIN Voltage Buffer Power Monitor on off Control LaNPort Rutt js LAN Port RJ11 FPGA Test FPGA amp SRAM Buffer Phone Port RJ45 Connector Recorder Black Light PCMCIA PS 2 Voltage 1 0 an PWR Regulator x control etc Modem Socket Internal Compact Flash Socket Battery 2 donaires NTER ASSEMBLY Coniecbr amp SDIO Socket gt Battery 1 Furl Controller Connector Printer Charger Connector Door amp Paper Sensor Print Head Voltage and Temperature Monitor AC Connector The main control board together with interface boards and cables allows the user to access interfaces including Compact Flash wireless LAN USB connector the PS 2 connection for a barcode reader device the phone connector for a modem and an RJ45 connector for LAN PageWriter TC Cardiograph Service Manual 8 3 Theory of Operation Hardware Logical View 8 4 NOTES Display The PageWriter TC70 cardiograph display is 1024 x 768 pixels up to 65536 color TFT LCD with backlight All display functions are handled by the main control board using the CPU LCD port The PageWriter TC50 cardiograph display is
166. ment Power Modes Control The system host processor controls transition between power modes including Entering Standby if no activity is detected for a preset period of time upon configuration a Powering off the unit if no activity is detected for a preset period of time upon configuration a Entering Standby or shut down when battery remaining capacity is below preset level and no AC power is applied PageWriter TC Cardiograph Service Manual Power System Overview Theory of Operation NOTE Battery Charging Logic Battery charging is controlled by the charger chip The charger chip can Charge the battery when the system is in off mode Standby and run mode Alert the user when charging is recommended for the battery when the system is powered by battery only Battery Power Indicator The battery power indicator appears on the Status Bar and is always visible The indicator displays the current battery power level The cardiograph can operate on AC power while the batteries are charging Figure 8 5 Battery Power Indicator on the Status Bar amp Standard 12 Lead Layout V DX BEP ull Lud Name Doe Jane 2 43 40 PM 12 21 2008 A Battery level indicator You can touch the Battery Power Indicator on the Status Bar to ensure that the batteries are fully charged The Battery Status Information window appears This window provides detailed information on the status of the cardiograph batteries The
167. mponents to install PH l LI PS sense and simplicity The following selected actions will be performed during installation Action Installed Version Source Version v Install loader nbO 3 12 12000 3 12 12000 v Install fpga nbO 1 5 12 1 5 12 v Install kernel bin 3 12 12000 3 12 12000 Mistal athenaapp bin ee 3 12 12000 M Install pimkernel nbO T 009 T 009 Reset registry Backup images Check integrity before installing V Update manufacture information 9 The software installation progress screen appears When installation is complete the Installation Complete screen appears prompting you to remove the USB memory stick and restart the cardiograph Remove the USB memory stick and touch Restart NOTE If the cardiograph s registry was updated you may see a message asking if you want to keep your current default settings or reset all settings to factory defaults Select Yes or No 6 6 PageWriter TC Cardiograph Service Manual Verifying the Software Installation Installing PageWriter TC Cardiograph Software and Enabling Tokens Figure 6 11 Installation Complete Screen PageWriter TG Installer 1 20 Installation Complete PH l LI PS sense and simplicity The PageWriter TC software has been successfully installed Please remove the USB drive and restart the unit to take effect Restart PageWriter TC to enter service mode Cancel Finish Verifying the Software Installation Complete the following procedure to
168. n be stored on the cardiograph ECG File Formats XML and XML SVG PDF Power and Environment PageWriter TC70 Cardiograph AC Adapter Input voltage 100 to 240 VAC m Input voltage frequency 50 to 60 Hz a Input current 1 4A 0 7A a Output 15 Volts DC 5 33A 80W PageWriter TC50 TC30 Cardiograph AC Input Voltage m Input voltage 100 to 240 VAC m Input voltage frequency 50 to 60 Hz PageWriter TC Cardiograph Service Manual Technical Specifications Specifications a Input current 1 2A PageWriter TC50 TC30 Cardiograph AC Output Voltage Output 15 Volts DC 4 0A 60W PageWriter TC70 TC50 TC30 Cardiograph Environmental Operating Conditions m 10 to 40 C 50 to 104 F m 10 to 90 relative humidity non condensing Up to 4 247m 14 000 ft altitude 597 hPA PageWriter TC70 TC50 TC30 Cardiograph Environmental Storage Conditions m 20 to 50 C 4 to 122 F m 10 to 90 relative humidity non condensing m Up to 4 572 m 15 000 ft altitude 572 hPA TC30 Cardiograph Dimensions 310 mm wide x 405 mm deep x 205 mm height 12 20 inches wide x 15 94 inches deep x 8 07 inches height TC30 Cardiograph Weight m 8 6 kg 19 Ib including accessories 2 batteries installed 200 sheets of ECG recording paper Patient Interface Module patient data cable AC power cord PageWriter TC50 Cardiograph Dimensions a 405 mm wide x 310 mm deep x 130 mm height 15 94 inches wide x 12 2 inches deep x 5 11 inche
169. n to the beam 8 Slide out the tray on the top shelf 7 10 PageWriter TC Cardiograph Service Manual Assembling the PageWriter TC50 TC30 Cardiograph Cart Cart Assembly 9 Attach the top shelf to the beam using the bolt screws Tighten the bolts using the provided wrench Ensure that the bolt screws are tightened to 80 100 in Ibs amp 80 100 in Ibs He 9 11 Nm 10 Align the rear feet of the cardiograph with the rear holes on the cart Lower the front feet of the cardiograph into the front holes on the cart and push the cardiograph into place Ensure that the cardiograph is locked into the slot on the front right of the cart PageWriter TC Cardiograph Service Manual 7 11 Cart Assembly Using the Cart Wheel Positioners and Brake 11 Insert the screws through the bottom of the base and tighten Using the Cart Wheel Positioners and Brake Both cart models include one wheel brake and two wheel positioners Lock the wheel positioners at all times when using the cart The wheel positioners keep the cart straight when moving forward or backward or when turning corners The wheel positioners also help the cart to maneuver in tight spaces To use the cart wheel positioners and brake 1 Align the front wheels so that they are straight Step on both wheel positioners Move the cart forward until the wheels lock into position The cart will move forward or backward in a straight line 7 12 PageWriter TC Ca
170. nal surfaces of the cardiograph and the PIM with a soft cloth dampened in any of the approved cleaning solutions listed below CAUTION When cleaning avoid the lead wire connectors and patient data cable connectors Approved Cleaning Solutions a Mild soap and water Isopropyl alcohol consisting of 70 solution a Chlorine bleach 5 25 sodium hypochlorite content mixed as 3 solution in water Quaternary ammonium compounds such as Steris Coverage Plus NPD mixed as one half fluid ounce per gallon water or one part Coverage Plus NPD to 256 parts water CAUTIONS Do not use strong solvents or abrasive cleaning materials Do not use any of the following to clean the cardiograph m Acetone m lodine based cleaners m Phenol based cleaners m Ethylene oxide sterilization Ammonia based cleaners The cardiograph PIM lead wires and patient data cable should not be autoclaved ultrasonically cleaned or immersed PageWriter TC Cardiograph Service Manual 2 3 Cardiograph Care and Maintenance Patient Data Cable and Lead Wire Cleaning Patient Data Cable and Lead Wire Cleaning CAUTIONS CAUTION Prior to cleaning the patient data cable inspect the patient data cable for any cracks or breaks in the cable insulation If the integrity of the patient data cable is not assured replace the patient data cable Contact Philips Medical Systems for further assistance see Contacting a Philips Response Center on page 5 13 Approve
171. nd of the patient data cable Both Class A and Class B patient data cables have 5 pins on the connector end that attaches to the cardiograph Class A patient data cables can only be used with a Class A PIM on the PageWriter TC70 cardiograph Class B patient data cables can only be used with a Class B PIM on any model of the PageWriter TC cardiograph When ordering replacement patient data cables or PIMs from PageWriter TC Cardiograph Service Manual 1 27 Introduction Patient Interface Module PIM Philips Medical Systems check the number of connectors on the PIM and also check the number of pins on the PIM connector end of the patient data cable to ensure that you are ordering the correct Class A or Class B device NOTE If you are unable to connect a patient data cable to a PIM connector check that both devices are compatible You cannot connect a Class A patient data cable to a Class B PIM Figure 1 10 Class A and Class B Patient Data Cable Connectors A Class A patient data cable 5 pins B Class B patient data cable 8 pins Figure 1 11 Class A and Class B Patient Interface Module PIM Connectors A Class A PIM 5 connectors B Class B PIM 8 connectors Attaching the Patient Data Cable to the PIM and Cardiograph The patient data cable must be attached to the PIM connector before use Once attached to the PIM the patient data cable is then attached to the cardiograph through the appropriate PIM connector on the rear of t
172. nd shorting plugs For information on ordering the 16 lead PIM option see Supplies and Ordering Information on page 5 7 NOTE The 16 lead PIM is not available with the PageWriter TC30 cardiograph PageWriter TC Cardiograph Service Manual 1 31 Introduction CAUTION CAUTION 1 32 NOTE Patient Interface Module PIM When using the 16 lead PIM always ensure that the leads connected to the Patient Interface Module PIM are the same leads that are displayed on the cardiograph screen Figure 1 14 16 Lead PIM Kit A Color identification clips C Lead separator B Optional leads 4 total D Shorting plug 6 total To configure the 16 lead PIM 1 Press the On Standby button to put the cardiograph into Standby Always put the cardiograph in Standby before connecting or disconnecting the Patient Interface Module PIM Do not disconnect or connect the PIM to the cardiograph while the cardiograph is in active use Disconnect the PIM from the cardiograph if necessary There are six optional lead connectors available on the PIM These optional lead connectors are labeled C3R V3R C4R V4R C5R V5R C7 V7 C8 V8 and C9 V9 Any of these optional leads up to a maximum of four may be configured for use with the cardiograph The cardiograph does not support the configuration of 18 leads Any of the optional leads up to a maximum of 4 may be configured for use with the cardiograph PageWriter TC Cardiograph Ser
173. nformation 0 0 cece eee ee eee eee 1 11 Accessories and Supplies 2 0 cece cece cece e 1 11 AC Power Adapter and AC Power Cord 2 sec e eee eee eee eee eese 1 12 Analog ECG Output Signal Port 2 0 cece cece ee eee 1 13 Batteries cat Sein vate doh een Gilad ERAS ERE Gaede 1 13 PageWriter TC50 TC30 Cardiograph One Battery Operation 1 14 CABE UT uae te uii est eM eroe E eps AA ig elas Mite teu dfe s 1 14 Defibrillation c 223 2202 Abe vache nid daw ean Ae Hye bes cae eM EeRERIE amp 1 14 Diagrams z 42 2 055 eie TUS ERE US Oa eA eA Pa ORA NC Deedee 1 14 Display Accuracy 2 e Rn RR Ee ur erue Re RECTE RSS 1 14 ECG Interpretation 5o RR AIR he Seen ERES Aenean 1 15 Electiodes i i lei Rum ER IRG Gaps calle ERU M erum gene 1 15 Faxed ECGS eb cscs aia eda tese ott dre eive os ra shoe D atn s 1 15 General Cardiograph Use 0 0 cece cece ee eee e 1 15 IE GOGO 12 5 ids uso ze od sre ORENSE SIRO Qe UR aime e he 1 16 Lead Wires vede re y RIS We PoeduePIane PING bed hed ee ene Debe 1 16 Main Waveform Display Screen 0 2 0 eee ee cee nee 1 16 Modem Card and Fax Feature 2 0 2 eee eee eee ee eee eee ences 1 17 Pacemakers eei epe danen Rel dee c E RePEESERe NI ERRAVERUCERERA T ERE eee 1 17 Patient Data Cable 224 06 24h ede eb ee ok LI mee p LES 1 17 Patient Interface Module PIM 2 eee eee eee eee teen eee ees 1 18 Printer nui 22035 dad bb quede AERIS Ba
174. ng along with the time and date of each event Figure 3 21 shows the Event Log as it appears on the Diagnostic Tests and Utilities screen Figure 3 21 Event Log Screen Setup and Service Utilities 7 18 55 PM 1 26 2008 lu wher Test Passed 1 26 2008 7 16 14 PM Maintenance Tests Last Test Results Event Log Prriter Test Passed 1 26 2008 7 16 14 PM Touch Screen Test Passed 1 26 2008 7 17 14 PM Printer Test J PIM Test Passed 1 26 2008 7 17 17 PM gt Flash Memory Test Passed 1 25 2008 7 16 00 PM Touch Sereen Calibration and Test J Touch Soroan Tost Passed 1 28 2008 7 17 14 PM ede de ru 2Audio Test Passed 1 26 2008 7 18 18 PM gt Keybosrd Hardware Key Test Passed 1 26 2009 7 10 Patient Interface Module PIM Test J p Test Passed 1 26 2008 7 17 17 PM Ping Test J Diagnostic Tests Flash Memory Test J pus Memory Test Passed 1 26 2008 7 18 00 PM Internal Compact Flash Test j rema Compact Flash Test Passed 1 26 2008 7 15 05 PM Audio Test j pose Test Passed 1 26 2008 7 18 18 PM Keyboard Hardware Key Test j ertoardiardmare Key Test Passed 1 26 2000 7 10 51 PM PageWriter TC Cardiograph Service Manual Viewing and Saving Log Files Troubleshooting NOTE Saving Log Files The following log files can be saved to a USB memory stick or can be transferred to a specified remote server systeml log m system2 log a CFGxml These log files are useful in troubleshooting cardiograph issues When
175. ning Capacity Temperature deg C a Discharge Current mA m Charge Current mA Low battery audio and visual alerts Recharge m Less than 4 hours if cardiograph is in Standby not in active use to at least 95 capacity Less than 8 hours if the cardiograph is in active use to at least 95 capacity Ethernet LAN Network Connection a 10 100 Base T IEEE 802 3 Ethernet via RJ45 connector standard Wireless LAN Network Connection Optional software required for wireless LAN connection Wireless LAN connection is 802 11a g i WPA WPA2 and CCX compatible FAX Capability optional a Group 3 Class 1 or 2 fax Modem m V 90 K56flex enhanced V 34 V 32bis V 32 V 22bis and below Barcode Reader optional m Reads Code 39 standard and full ASCII m Flexible field data entry PageWriter TC Cardiograph Service Manual A 5 Specifications Technical Specifications A 6 Magnetic Card Reader optional Reads cards adhering to ISO 7810 7811 1 2 3 4 5 Smart Card Reader optional m Reads cards adhering to ISO IEC 7816 Smart Card Reader optional Reads cards adhering to ISO IEC 7816 and EMV 3 1 1 m Supports SLE 4418 28 and SLE 4443 42 ECG Storage a XML File Format in version 1 03 1 04 1 04 01 and 1 04 02 Up to 200 ECGs to internal flash memory m Up to 200 ECGs per USB Memory Stick optional Full fidelity at 500 Hz of all 10 seconds of all 12 leads Orders m Up to 200 pending orders ca
176. ns may require entering a password If a password is lost and cannot be retrieved call the Philips Response Center for further assistance See Contacting a Philips Response Center on page 5 13 To set the date and time 1 Touch the Setup button on the main toolbar 2 The Configuration Setup and Service Utilities menu appears Touch the button next to Configure ECG Network Settings 3 The Configure Network Settings screens appear Touch the ECG Mgmt Systems button top of screen 4 The TraceMaster settings screens appear The Create TraceMaster Connection tab is selected Touch the Edit Delete TraceMaster Connection tab top of screen 5 Under Time Synchronization Settings middle of screen touch the Set button next to Manual Time Set 6 The Date and Time Settings window appears with the current specified date and time displayed To change the current date touch the back or forward arrows next to the name of the displayed month to change the month or touch a date on the calendar to change the date within the displayed month 7 To change the displayed time touch the hour and minutes displayed under Current Time or touch the up or down arrow buttons next to the displayed time to manually change the time Touch the time designator to change it to AM or to PM 8 Touch the dropdown arrow button under Time Zone to change the selected time zone The time displayed on the cardiograph automatically adjusts for Daylight Savings Time i
177. nsmitter Recommended separation distance d 1 24P d 1 2 P 80 MHz to 800 MHz d 2 3 P 800 MHz to 2 5 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m 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 Cp Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from surfaces objects and people PageWriter TC Cardiograph Service Manual A 13 Specifications Electromagnetic Compatibility EMC a 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 PageWriter TC cardiograph are used exceeds the applicable RF compliance level above the PageWriter TC cardiograph should be observed to verify normal opera
178. nt 8 10 Power System Overview 0 0 eee eee eee eee 8 11 Battery i ree alec ge dues e deter mE eder atm 8 11 Voltage Rails ise iueentes enevsspee DER ev vate 8 12 Power Management 00 00 00 00005 8 14 Battery Power Indicator 00 00 00 008 8 15 Battery Discharging 0 eee eee eee 8 16 Battery Charging 8 16 Charge Current 2 eol en pe rens 8 16 Battery Information 0 0 0 eese 8 16 8 1 Theory of Operation Overview Overview At a system level the PageWriter TC cardiograph performs acquisition analysis printing storage and transfer of ECG waveforms and other patient clinical data The PageWriter TC cardiograph consists of three major subsystems a Main board A main control board built around a powerful embedded processor Marvell PXA270 with extensive I O facilities running Windows CE 5 0 The PageWriter TC cardiograph software application runs on the main board which supports the display and user input subsystems m Print controller A FPGA based Altera Cyclone I control circuit embedded in the main board that provides all the real time management of the printer m Patient Interface Module PIM An embedded processor Marvell PXA270 running Windows CE 5 0 coupled with a signal acquisition board employing Philips proprietary mixed signal ASIC technology for ECG acquisition The PIM communicates with the main board through USB
179. nt The level of testing required corresponds to the type of service performed Installation and Preventive Maintenance are not considered service events since the cardiograph is designed to be installed and maintained by the user Service Events are divided into two categories Repairs and Upgrades Repairs are then further divided into External Repairs and Internal Repairs External Repairs External Repairs consist of repairs or replacements of one or more items Repair or replacement of these items does not require you to open the cardiograph case therefore only a limited number of tests are necessary to verify performance post repair External repairs that involve the PIM PIM data cable and PIM lead set require an ECG simulation test to verify proper ECG signal path The typical external repairs include PIM 4 1 Performance Verification and Safety Tests Patient Leads PIM data cable Labels Batteries Paper Tray AC Power Cord AC Power Supply Wireless LAN card USB external devices Barcode reader Trolley External cables Internal Repairs Refer to Table 4 18 for the required test blocks that must be performed after any external repair occurs Internal Repairs If the case was opened regardless of the repair you must perform additional Performance Verification Tests Refer to Table 4 18 for the required test blocks that must be performed after any internal repair Upgrades NOTE There are no upgrades availa
180. nter test points as described in the previous table but the message Printer Test Passed appears it is possible the print head is damaged If the printer test page does not match the printer test points and the message Printer Test Failed appears the cardiograph has failed the print test Proceed with troubleshooting and possibly replacing the print head assembly Contact the Philips Response Center for further assistance see Contacting a Philips Response Center on page 5 13 Touch Screen Calibration and Test For information on Touch Screen Calibration and Test see Maintaining the Touch Screen on page 2 16 Patient Interface Module PIM Test For information on the Patient Interface Module PIM Test see Patient Interface Module PIM Test on page 2 14 Lead Wire Shortage Test For information on the lead wire shortage test see Lead Wire Performance Test on page 2 15 Ping Test For information on the Ping Test see Ping Test on page 2 15 Using the Diagnostic Tests More comprehensive diagnostic tests and operating statistics are provided in the Diagnostic Tests section of the Service Utility These tests are used to identify and to troubleshoot a technical problem with the cardiograph and require a password to access All test results are entered in the Event log that is displayed on the screen Additionally you can save all log files to a USB memory stick See Viewing and Saving Log Files on page 3
181. nual 3 33 Troubleshooting Fax Issues Table 3 13 Symptom Fax transmission did not complete message Fax Issues Possible Cause amp Investigation Step Fax not completed Troubleshooting Cardiograph Issues Possible Solutions Retry the fax operation There is no fax recipient available to edit message You attempted to edit a fax recipient without first selecting one 1 Select a fax recipient 2 Edit the fax recipient Missing fax recipient information Please enter correct fax recipient settings message You attempted to enter a fax recipient without all of the required information Enter all of the required information in the Fax configuration screens Log File and Custom Settings Issues Table 3 14 Symptom Error accessing file message Log File Issues Possible Cause amp Investigation Step You can t copy files from a USB memory stick when attempting to load a configuration or log file Possible Solutions 1 Retry the operation 2 Make sure the file exists on the USB memory stick Error damaged file message File already exists message You can t open a file due to a corrupted file You attempted to save a log file to an existing file Retry the operation Rename the log file and retry the operation Input error message Invalid path and file name were specified Check the path and file name and ensure they are correct No fi
182. oard Contact the nearest Philips Response Center for further assistance see Contacting a Philips Response Center on page 5 13 Printer voltage low message Printer supply voltage on main board is outside of expected ranges on the low side 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Ifthe problem persists replace the main control board Contact the nearest Philips Response Center for further assistance see Contacting a Philips Response Center on page 5 13 Printer Door is Open message Printer door is open 1 Close the printer door 2 Restart the cardiograph See Restarting the Cardiograph on page 3 37 3 22 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Troubleshooting Table 3 8 Printer Issues continued Symptom Possible Cause amp Investigation Step Solution Check Printer Printer controller error 1 Open and close printer paper drawer message appears Printer cable inside cardiograph has Message does not reoccur win AD appare become dislodged 2 If message persists replace the print printer problem present head assembly Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 Printed report looks Printer controller error 1 Runthe Printer Test from the Service too small or Utilities on page 3 43 compressed 2 If test passes retry print
183. oftware version that is currently installed on the unit Follow the same procedure to upgrade the software in an existing working unit or to install software on a new system Obtaining Software The software installation procedure requires the use of acomputer with a USB slot m internet access mw blank USB memory stick The following procedure describes how to download the cardiograph software files to the USB memory stick If the USB memory stick with the applicable software is available proceed to page 6 3 Downloading Software Files from Philips InCenter All software upgrade files may be downloaded from the Philips InCenter web site found at www incenter medical philips com The InCenter site requires an active login and password Instructions for obtaining a login and password are located on the right side of the main InCenter home page 6 1 Installing PageWriter TC Cardiograph Software and Enabling Tokens Obtaining Software 6 2 To load the software upgrade files to the USB memory stick 1 2 NOTE NOTE NOTE NOTE Software Insert the USB memory stick into a compatible slot on a computer or other device Go to the InCenter site incenter medical philips com and enter your login information For information on registering for the InCenter site see Using the Philips InCenter Site on page 1 3 On the top menu bar top of screen click on Service From the drop down menu select Software Software
184. ol for verifying computerized ECG analysis The analysis software is biased to process human ECG data m Noise may be an artifact of poor connections to the simulator or position of the cables If noise appears check the connectors or adjust the cable drape Safety Tests This section covers tests of the cardiograph s electrical safety NOTE The PageWriter TC70 cardiograph is an electrical Class Il device in which the protection against electrical shock does not rely on basic insulation and a protective earth conductor but on double and reinforced insulation Test Notes m Use the procedures called out by the manufacturer of the safety analyzer in use m Test both Normal and Reverse polarity line connections for each test and record the worst case value m Use the barrel of the PIM connector to connect a test lead to chassis bare metal for the leakage tests PIM connector 4 12 PageWriter TC Cardiograph Service Manual Performance Verification Tests Performance Verification and Safety Tests Safety Test S1 Earth Resistance Test a Limits 200 mOhm using a reduced 200 mA test current Safety Test S2 Equipment Leakage m Applicable to Class 1 and 2 type B BF CF For Class 1 Protective Earth conductor is not connected S open Measure equivalent leakage current to mains part from all Applied Parts and enclosure in parallel Measures grounded and ungrounded metal parts a Maximum leakage current lt 1000 u
185. om of the battery The cardiograph cannot operate with two batteries that contain different part numbers If the cardiograph is operated with two batteries with different part numbers the cardiograph will display an error message and will not operate PageWriter TC Cardiograph Service Manual 1 35 To install the batteries 1 Open the battery door 2 Locate the two gold pull tabs inside of the battery compartment Pull the tabs straight out of the battery compartment and lay flat 1 36 PageWriter TC Cardiograph Service Manual 3 Insert the battery with the external connector facing the bottom rear of the compartment NOTE If operating the PageWriter TC50 or the PageWriter TC30 cardiograph with a single battery installed the battery may be inserted into either battery compartment 4 Pushin the battery and ensure that the battery is fully inserted into the slot The pull tab will insert along with the battery If necessary insert the second battery following the same procedure PageWriter TC Cardiograph Service Manual 1 37 Introduction Installing the Batteries 5 Reinstall the battery door 6 Connect the AC power cord to the cardiograph Charge the batteries for five hours before operating the cardiograph on battery power only TC50 T C30 Charging the Batteries Charge the batteries for five hours prior to initial use Plug the cardiograph into AC power whenever possible and fully charge the batterie
186. on Delete unwanted orders Delete unwanted orders Not all orders can be downloaded because the Worklist is full message Application limitation Delete unwanted orders Orders cannot be downloaded because they have been previously archived with ECGs Please check ECGs saved to the Main Archive message Order specified for download is already associated with an ECG that is currently saved to the Main Archive Transmit completed ECGs to TraceMaster 3 30 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Table 3 11 Symptom Invalid default TraceMaster connection for selected OrderVue inbox Please select the correct TraceMaster connection for the inbox message Orders Issues continued Possible Cause amp Investigation Step Incorrect TraceMaster specified in the configuration Troubleshooting Possible Solutions 1 Check the cardiograph s TraceMaster configuration settings 2 Check the cardiograph s LAN WLAN configuration settings Touch the Setup button on the main toolbar to access the TraceMaster LAN and WLAN settings Order Error Requested function failed message Order Error XML error message Order application error XML order error 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Repeat the order procedure that generated the error message If the error persists record the date and time
187. ondensing Mounting 50 pin connector Network Standards IEEE 802 11b 802 11g 802 111 Frequency Band 2 4 to 2 4897 GHz Wireless Media m Direct Sequence Spread Spectrum DSSS m Orthogonal Frequency Divisional Multiplexing OFDM Media Access Protocol Carrier sense multiple access with collision avoidance CSMA CA Data Rates Supported 802 11b DSSS 1 2 5 5 11 Mbps 802 11g OFDM 6 9 12 18 24 36 48 54 Mbps Modulation 1 6 9 Mbps BPSK 2 12 18 Mbps QPSK 5 5 11 Mbps CCK 24 36 Mbps 16 QAM 48 54 Mbps 64 QAM Regulatory Domain Support a FCC Americas parts of Asia and Middle East a ETSI Europe Middle East Africa and parts of Asia a TELEC Japan PageWriter TC Cardiograph Service Manual Wireless LAN Card Specifications Wireless LAN Card Specifications Specifications Operating Channels a FCC 11 3 non overlapping a ETSI 13 3 non overlapping a TELEC 14 3 non overlapping Transmit Power Settings NOTE Maximum transmit power will vary according to individual country regulations All values nominal 1 5dBm Dsss OFDM 19 dBm 80 mW 15 dBm 30 mW 17 dBm 50 mW 10 dBm 10 mW 15 dBm 30 mW 0 dBm 1 mW 10 dBm 10 mW 0 dBm 1 mW Typical Receiver Sensitivity 1 Mbps 96 dBm 12 Mbps 88 dBm 2 Mbps 95 dBm 18 Mbps 86 dBm 5 5 Mbps 94 dBm 24 Mbps 83 dBm 6 Mbps 94 dBm 36 Mbps 78 dBm 9 Mbps 91 dBm 48 Mbps 76 dBm 11 Mbps 90 dBm 54 M
188. one 1 Select the TraceMaster server to delete 2 Delete the TraceMaster server Missing network settings information Please enter correct and complete network settings message You attempted to configure a TraceMaster without specifying all of the correct information 1 Check the cardiograph s TraceMaster configuration settings and ensure that all of the necessary information has been entered 2 Check the cardiograph s LAN WLAN configuration settings Touch the Setup button on the main toolbar to access the TraceMaster LAN and WLAN settings PageWriter TC Cardiograph Service Manual 3 29 Troubleshooting Orders Issues Table 3 11 Symptom Command cannot be completed message Orders Issues Possible Cause amp Investigation Step The TraceMaster system is busy Troubleshooting Cardiograph Issues Possible Solutions Retry TraceMaster operation Transfer operations use network and server resource which may occasionally be unable to service the requests Command canceled message You canceled the action or specified invalid information Check the information specified and try again Internal error message There is not enough internal storage available to save new orders message There is not enough internal storage available to download new orders message The orders list does not refresh Application limitation Application limitation Retry the operati
189. onnector C Barcode reader or magnetic card reader connector D Analog ECG output signal connector not supported E USB connector F PIM connector WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient CAUTION Do not insert a USB memory stick into the cardiograph or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient 1 22 PageWriter TC Cardiograph Service Manual PageWriter TC50 Cardiograph Components Introduction PageWriter TC50 Cardiograph Components The following sections include a description of all of the components of the PageWriter TC50 cardiograph including the connection ports on the cardiograph the Patient Interface Module PIM and optional accessories available with the cardiograph For information on ordering any of the optional accessories for the cardiograph see Supplies and Ordering Information on page 5 7 Figure 1 5 PageWriter TC50 Cardiograph right front view o f A Touch screen F Keyboard B Audio speakers G AC power on indicator light C Battery compartment H On Standby button D USB memory stick connector ID button E Paper tray J ECG button PageWriter TC Cardiograph Service Manual 1 23 Introduction PageWriter TC50 Cardiograph Components Figure 1 6 PageWriter TC50 Cardiograph rear view s Crete HOC E TG SOC OG
190. operation 3 If test fails restart the cardiograph See Restarting the Cardiograph on page 3 37 4 Ifthe problem persists replace the print head assembly Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 After opening and Printer controller error 1 Restart the cardiograph See closing the paper Restarting the Cardiograph on drawer rapidly many page 3 37 times the Cardiograph restarts and boots cardiograph Was correctly Reports print correctly unresponsive 2 Ifthe problem persists replace the print head assembly Contact the nearest Philips Response Center for assistance see Contacting a Philips Response Center on page 5 13 PageWriter TC Cardiograph Service Manual 3 23 Troubleshooting Table 3 8 Symptom Printer Error Out of Paper Paper Jam Door Open messages Printer Issues continued Possible Cause amp Investigation Step m Paper drawer is not fully closed Out of paper or paper loaded incorrectly with top of form hole on wrong side Incompatible paper loaded a Defective paper tray assembly m Top of form sensor or door closed sensor issue Troubleshooting Cardiograph Issues Solution 1 Make sure paper drawer is fully closed 2 Reload the paper Confirm that paper is loaded correctly 3 Confirm that the paper is compatible with the Philips approved paper see Ordering Supplies in Chapter 4
191. ormation CAUTION The use of equipment that applies high frequency voltages to the patient including electrosurgical equipment and some respiration transducers is not supported and may produce undesired results Disconnect the patient data cable from the cardiograph or detach the leads from the patient prior to performing any procedure that uses high frequency surgical equipment a The use of non Philips equipment connected to or operating with the PageWriter TC70 cardiograph PageWriter TC50 cardiograph or the PageWriter TC30 cardiograph is not tested or supported and may produce undesired results Connecting multiple cardiographs to the same patient may pose a safety hazard due to the summation of leakage currents Any combination of instruments should be evaluated by local safety personnel before being put into service IEC 60601 2 51 For information on the standard IEC 60601 2 51 please go to the Philips InCenter web site incenter medical philips com For information on using the Philips InCenter site see page 1 4 Lead Wires WARNING Electrical shock hazard Do not touch accessible connector pins and the patient simultaneously WARNING Do not touch any loose or exposed leads during defibrillation Death or injury may occur from the electrical shock delivered by the defibrillator WARNING Ensure that the electrodes or lead wires do not come in contact with any other conductive materials including earth
192. ossible Solutions 1 Ifthe main control board was recently replaced perform a full installation of the cardiograph software using the Biomed Software Installation option in the software installation wizard See Installing the Software Upgrade on page 6 3 2 Ifthe problem persists after a full software installation procedure contact the Philips Response Center for further assistance See Contacting a Philips Response Center on page 5 13 Wireless Troubleshooting All wireless LAN troubleshooting topics are included in this section For further assistance with configuring the cardiograph for wireless transmission to a TraceMaster ECG Management System or other third party ECG management system see the PageWriter TC PageWriter TC Cardiograph Service Manual 3 35 Troubleshooting Troubleshooting Cardiograph Issues Cardiograph Network Configuration Guide available for download from the Philips InCenter web site incenter medical philips com Table 3 16 Symptom LAN WLAN connection is not available message Wireless LAN Troubleshooting Possible Cause amp Investigation Step The network connection has been broken Possible Solutions Contact your IT department Invalid IP Address message Invalid Subnet Mask message Invalid Default Gateway message Incorrect IP address specified for the server connection Incorrect subnet mask specified in the cardiograph s server configuration Incorre
193. osure Statement ECG Interpretation CAUTION Always enter accurate patient information including age and gender if using the Philips DXL ECG Algorithm or Philips 12 Lead Algorithm for ECG interpretation Electrodes m Philips recommends the use of disposable electrodes at all times for all patient applications Choose either adult or pediatric disposable electrodes based on the age and size of the patient See Disposable and Reusable Electrodes on page 1 49 for information on ordering disposable electrodes Faxed ECGs CAUTION No guarantee is made as to the suitability of a faxed ECG for any particular purpose due to the variability inherent in fax technology CAUTION Faxed ECGs should only be sent to secure recipient fax machines General Cardiograph Use WARNING Electrical shock hazard Keep the cardiograph Patient Interface Module PIM and all cardiograph accessories away from liquids Do not immerse the cardiograph PIM or other accessories in any liquids WARNING Do not use this cardiograph near flammable anesthetics It is not intended for use in explosive environments or in operating rooms The disconnection or connection of AC power or electrostatic discharge ESD may result in an electrical spark CAUTION The cardiograph may generate electromagnetic interference EMI that may cause nearby equipment to fail PageWriter TC Cardiograph Service Manual 1 15 Introduction Important Patient and Safety Inf
194. ot created by a PageWriter TC cardiograph Troubleshooting Solution Inspect the printed report date and information Retrieving and printing older ECG files that were not sourced by the PageWriter TC cardiograph can have the following differences when printed Algorithm version appears as HPxxx on TraceMaster and PH on PageWriter TC cardiograph Pacer tick marks are not present on Page Writer TC cardiograph printout Frank lead system generates 3 rhythm traces with flat line and no lead label on Page Writer TC cardiograph printout Custom lead names do not appear on PageWriter TC cardiograph printout PageWriter TC cardiograph prints full interpretations regardless of original Xli ECG settings Error occurred Internal Compact Flash 1 Retry the operation whendeicnng the ie Wa ene 2 If the problem persists restart the cardiograph See selected ECGs Restarting the Cardi h 3 37 Please check the estarting the Cardiograph on page 3 37 Error List below 3 Ifthe issue is still not resolved save the log files message See Viewing and Saving Log Files on page 3 50 4 Contact the nearest Philips Response Center for further assistance Error occurred Transmission error 1 Retry the operation Wherttrnsterring 2 If the problem persists restart the cardiograph See the selected ECGs Restartine the Cardi h 3 37 Please check the estarting the Cardiograph on page 3 37 Error List below for 3 Ifthe issue is stil
195. oth open As described in the LW P pass LW and shorts page 4 10 test procedure LW F fail ECG Simulation Connect a 12 Lead Patient If there is trace ECG P pass ECG Simulator to the lead set and print activity in all leads ECG F fail a 12 lead ECG Visually analyze the printout page 4 11 with no notable distortion or noise and cal pulses of proper duration and amplitude then the ECG Simulation passes 4 4 PageWriter TC Cardiograph Service Manual Test Equipment Table 4 2 Test Block Name Safety S1 Test and Inspection Matrix continued Test or Inspection to Perform Earth Resistance Test page 4 13 Performance Verification and Safety Tests Expected Passing Test Results Test limits 200 What to Record ona Service Record Example Page Writer mOhm using a S1 P 100 mOhm TC50 TC30 reduced 200 mA test cardiographs current only Safety S2 Equipment leakage current SF Maximum leakage Example 4 13 current 82 P 999 IARE 1000 uA Safety S3 Leads leakage current page 4 14 Example a S3 P 5 20 Source Normal condition lt 10uA xl ms With Mains on applied part lt 50uA x3 Single Fault Condition Test Equipment Performance Verification Tests The following test equipment is required to perform the complete set of Performance Verification tests ECG Simulator Electrical Safety Tester USB memory stick with the most recent Pa
196. own time to be greater than the Standby time 3 20 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Printer Issues Table 3 8 Symptom The message Busy appears after you have sent a job to the printer Printer Issues Possible Cause amp Investigation Step A new print job has been sent to the printer and the printer cannot accept a new print job Troubleshooting Solution Restart the cardiograph See Restarting the Cardiograph on page 3 37 The message USB appears when attempting to print a rhythm strip A new print job has been sent to the printer and the printer cannot accept a new print job Restart the cardiograph See Restarting the Cardiograph on page 3 37 Printing is disabled with one battery only please check the battery message PageWriter TC70 cardiograph only Low battery warning printing is disabled Connect the cardiograph to AC power and recharge the batteries message appears after you have sent a job to the printer The PageWriter TC70 cardiograph must operate with two batteries at all times No battery or dead battery Insert the second battery Plug the cardiograph into AC power or replace the battery Field Programmable Gate Array FPGA communication is incorrectly configured Please contact the Philips Response Center for further assistance message Internal error 1 Restart the cardiograph See
197. pgrade kits and to download and install software upgrades 2 Touch Service Utilities The Setup and Service Utilities screen appears with the About the Cardiograph tab displayed PageWriter TC Cardiograph Service Manual 4 7 Performance Verification and Safety Tests 4 8 Figure 4 27 Setup and Service Utilities About the Cardiograph screen Performance Verification Tests Setup and Service Utilities 1 36 35 AM 8 4 2008 Software Revisions Main Application Revision porosz 707 3 12 12000 ps Kernel Revision Application Revision PIM Kernel Revision FPGA Firmware Revision Storage Information Total RAM 219 MB 20 Internal CF Card Freeffotel 907 3 999 6 MB Percentage Total RAM Used USB Memory Stick Freef Tota er Found Installed Options Print this Screen as Report Print PIM Information Installed PIM Option Triton 164ead Battery Status Batt 1 Frnt Batt 2 Bek Current Status fie rovey fio servey Battery Voltage 12 5 v 12 4 v Expected Max Error fi S Full Capacity mAH oce man P005 mAh Remaining Capacity mAH ses man p 98 pw pm pw mA Percent Charged Charge Current Discharge Current Cycle Count n 20 Temperature 23 24 B1 Unique ID JEONEMOLI EOLSRI 20070529 0042 B2 Unique ID fEONEMOLI EOL3RI20070214 0025 Networking Information MAC Address IP Address 00 09 5C 01 C2 8F 0 0 0 0 Voltage Monitor Information Volts ACJDC Inpu
198. power indicator light on the front of the cardiograph is lit The batteries will charge while the cardiograph is in use but will charge at a slower rate Operate the cardiograph charge the batteries and store the batteries at a room temperature of 25 C 77 F or lower Exposure to higher temperatures may reduce battery life damage the batteries and degrade overall cardiograph performance If the cardiograph will be stored for more than sixty days without use fully charge the batteries and after the batteries are fully charged remove AC power from the cardiograph and then remove the batteries from the cardiograph Store the batteries in a cool dry location A set of fully charged batteries stored outside the cardiograph will need to be recharged every sixty days PageWriter TC Cardiograph Service Manual 2 9 Cardiograph Care and Maintenance Battery Maintenance and Care Replacing the Batteries WARNING Properly dispose of or recycle depleted batteries according to local regulations Do not disassemble puncture or incinerate the disposed batteries WARNING Carefully follow the instructions for replacing the batteries Only use batteries with Philips part number 989803160981 or Philips part number 989803170371 CAUTIONS nm Before removing and replacing batteries from the cardiograph press down and hold the On Standby button located on the front of the cardiograph to shut down the cardiograph Ensure that the car
199. r Cardiograph Care and Maintenance Figure 2 4 PageWriter TC30 Cardiograph Cleaning the Print Head A Print head To clean the print head 1 Open the paper drawer 2 Wipe the print head lightly with a foam swab dipped in 90 alcohol 3 Allow the print head to dry Changing the Printer Paper Replace the printer paper when a red stripe appears on the printed ECG report Only use Philips Medical Systems replacement printer paper For part ordering information see Supplies and Ordering Information on page 5 7 To change the printer paper 1 Open the paper drawer and remove any remaining sheets Lift up the paper hold down bar A Paper hold down bar PageWriter TC Cardiograph Service Manual 2 7 Changing the Printer Paper Cardiograph Care and Maintenance 2 Insert a new pack of printer paper with the printed side facing up Make sure that the hole for the paper sensor is positioned as shown below A A Paper sensor hole 3 Drape the first sheet over the roller and place the paper hold down bar on top of the paper A Paper hold down bar 4 Close the paper drawer PageWriter TC Cardiograph Service Manual 2 8 Battery Maintenance and Care Cardiograph Care and Maintenance Battery Maintenance and Care The PageWriter TC70 cardiograph operates with two removable lithium ion batteries that supply power to the cardiograph during mobile use The PageWriter TC50 and PageWriter TC
200. raph 1 Attach the AC power cord to the cardiograph Ensure that the AC power supply is connected to a grounded electrical outlet and that the cardiograph is receiving AC power Check that the AC power indicator light located next to the On Standby button is lit 2 Fully charge the batteries 3 To ensure that the batteries are fully charged view the Charge Current field in the Service Utility Touch the Setup button on the toolbar Select the Service Utility from the Configuration Setup and Service Utilities menu Accessing the Service Utility may require entering a password If a password is lost and cannot be retrieved contact the Philips Response Center for assistance see page 5 13 4 Fromthe Service Utility screen ensure that the About the Cardiograph button is selected top of screen A selected button is highlighted in blue 5 Underneath the Battery Status column middle of screen check that the Charge Current field for both batteries display 0 mA ensuring that both batteries are fully charged 6 Touch the Print button top of screen to print out a report of the cardiograph settings displayed on this screen 7 Touch the Exit button lower right hand corner of screen Touch the Exit button again on the Setup main menu 8 Once the Main screen appears touch the ID button to open the ID entry screen Ensure that the ID screen remains open 9 Unplug the cardiograph from AC power Ensure that the AC power indicator light
201. raph Settings screen touch the Maintenance Test button upper right side of screen On the Maintenance Test screen touch the Ping Test button The Ping Test window appears Enter the IP address to ping Touch the Ping button The Ping Test results window appears and reports the test results Lead Wire Performance Test Setup The Lead Wire Performance Test should be run on a weekly basis This test examines all of the lead wires for shortages and reports the results Lead wire shortages can often be subtle and appear as intermittent ECG signal loss signal noise or reduced signal amplitude Any lead that is reported as having a shortage must be replaced To perform the Lead Wire Performance Test 1 Ensure that the patient data cable is securely attached to the PIM connector E gt on the rear of the cardiograph Ensure that the PIM disconnected icon D does not appear on the Status Bar top of screen Ensure that all leads are securely attached to the lead connectors on the PIM Disconnect the PIM from a patient or patient simulator before starting the test Touch the Setup button on the bottom toolbar The Configuration Setup and Service Utilities menu appears Touch Configure Cardiograph Default Settings On the Default Cardiograph Settings screen touch the Lead Wire Performance Test button PageWriter TC Cardiograph Service Manual 2 15 Cardiograph Care and Maintenance Cardiograph and Accessory Disposal 6 The
202. ration file Remove one of the OrderVue inboxes If the problem persists manually configure the cardiograph settings If the problem persists manually configure the cardiograph settings Invalid XML file detected Please try again message Invalid configuration file detected when loading configuration file 1 Ensure you are selecting a configuration file 2 Ifthe problem persists manually configure the cardiograph settings Failed to implement custom settings The cardiograph will automatically restart and restore custom settings message Corrupted configuration file detected when loading configuration file 1 Cardiograph automatically restarts and loads current configuration 2 Ifthe problem persists manually configure the cardiograph settings Duplicate Profile name Please enter a unique name message You attempted to save an exam profile under an existing name Choose another name and save the exam profile 3 18 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Table 3 7 Symptom Password is missing Please re enter your password before continuing message Possible Cause amp Investigation Step The Configuration screen is password protected and you did not enter a password Troubleshooting Configuration Screen Issues continued Solution Enter the correct password to gain access to the configuration screens P
203. rd WLAN capability The PageWriter TC cardiograph communicates with the TraceMaster ECG Management System networked PC or server or other third party ECG management system Modem Module A modem module is available as an option for the PageWriter TC cardiograph The modem is installed on the I O module and interfaces to the main board through an RS232 connection providing standard modem capability The PageWriter TC cardiograph faxes ECG data to remote receivers or communicates with a TraceMaster ECG Management System or other third party ECG management system through the modem module WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient High Level ECG Data Flow and Storage General ECG data flow begins with acquisition by the Patient Interface Module PIM from electrodes placed on a patient Data is streamed real time to the main control board where it is received into the application buffers in RAM These buffers are used to present the signal data on the real time screen When the user initiates an Auto ECG print the corresponding 10 second segments of the signal data are then copied to the temporary ECG storage memory in RAM These 10 second segments are named ECG reports that can be previewed and printed In the case of Auto mode the ECG report may be configured to automatically print An ECG report contains signal data analysis information patient demographics and acquisit
204. rdiograph Service Manual Using the Cart Wheel Positioners and Brake Cart Assembly 2 Step on the gray rear wheel brake to lock the cart wheels The cart will not move Step on the wheel brake again to unlock the wheels PageWriter TC Cardiograph Service Manual 7 13 7 14 PageWriter TC Cardiograph Service Manual Theory of Operation This chapter provides the following information OVerVIeW cusa ses dM ES nha Aves wes eta w oe iee ees 8 2 Hardware Logical View 0 0c cee eee ee eee 8 2 Main Board 5 eheu bI ebd e eve LE ORE 8 2 Display sim ours Recher ears Bee se 4 eas ie 8 4 Patient Interface Module PIM 2 0055 8 4 Printer Control FPGA 00 8 4 Battery Lithium Ion 0 0 c ee eee ee 8 4 Keyboard and Buttons 0 00 eee ee eee 8 4 TOUCH Sereen a us Sg ae th a AN OMI 8 5 LAN Interfaces v eI eaten Seen kee et 8 5 Magnetic Card Reader PS 2 lllllslsessus 8 5 Barcode Reader PS 2 e erna ccc eee 8 5 smart Card Readers 03 0 8 kod na cn te aban es 8 5 USB Memory Stick 0 0 0 esee 8 5 Wireless LAN Card o s ee Serpens ex 8 6 Modem Module 00 0 cece eee nee 8 6 High Level ECG Data Flow and Storage 8 6 Internal Main Archive 8 9 Internal Remote Archive 0 00 e eee eee 8 9 External USB Memory Stick Archives 8 9 Rendered ECG Report Prints 0008 8 9 Fax Rendered ECG Report Pri
205. re that both batteries contain the same Philips part number The battery part number identification label is found on the bottom of the battery The cardiograph cannot operate with two batteries that contain different part numbers If the cardiograph is operated with two batteries with different part numbers the cardiograph will display an error message and will not operate Keyboard and Buttons The PageWriter TC cardiograph includes a laptop format PS 2 sealed full key action keyboard Also included are three function buttons used to turn the cardiograph on and off for patient ID input and ECG capture These three function buttons are designed to support the 1 2 3 ECG capture operation and also have LED backlights to illustrate their current status The keyboard function includes a keyboard matrix a PS 2 encoding chip on an interface board and is managed through standard Win CE device drivers PageWriter TC Cardiograph Service Manual Hardware Logical View Theory of Operation NOTE NOTE Touch Screen The PageWriter TC cardiograph includes a 5 wire resistive touch screen in front of the LCD panel The touch screen provides access to all of the cardiograph features Users simply touch the buttons on the screen to open the different screens and to perform different functions The touchscreen is controlled by WM9712 Wolfson on the main board to sense the touched position while application software responds accordingly in differen
206. reless Equivalent Privacy WEP a Wi Fi Protected Access WPA Personal and Enterprise a IEEE 802 111 or WPA2 Personal and Enterprise Encryption Protocols m Wireless Equivalent Privacy WEP RC4 Algorithm a Temporal Key Integrity Protocol TKIP RC4 Algorithm Advanced Encryption Standard AES Rijndael Algorithm Encryption Key Provisioning 40 bit and 128 bit key lengths m Static m Pre shared via WPA PSK or WPA2 PSK a Dynamic via EAP authentication 802 1X Extensible Authentication Protocol Types a LEAP a EAP FAST a EAP TLS a PEAP GTC a PEAP MSCHAPv2 Compliance ETSI Regulatory Domain EN 300 328 EN 301 489 1 EN 301 489 17 m EN 301 893 EN 60950 1 EN 50371 a EU 2002 95 EC RoHS PageWriter TC Cardiograph Service Manual A 23 Specifications Wireless LAN Card Specifications FCC Regulatory Domain a FCC Part 15 247 Subpart C a FCC Part 15 407 Subpart E Industry Canada a RSS 210 m RSS Gen Issue 2 TELEC Regulatory Domain a RCR STD 33 a ARIB STD T66 ARIB STD T71 Certifications Wi Fi Alliance m 802 11a 802 11b 802 11g a WPA Personal and Enterprise a WPA2 Personal and Enterprise Cisco Compatible Extensions CCX Version 4 A 24 PageWriter TC Cardiograph Service Manual Numeric 16 leads attaching color clips to leads 1 33 1 34 configuring PIM 1 31 options 1 34 A A4 paper tray guide 5 6 A4 paper tray spacer 5 6 AAMI leads part number 5 8 About the
207. rm including electrical shock Periodically inspect the AC power cord and AC power connector to ensure that both are in a safe and operable condition If the AC power cord or AC power connector are not in a safe or operable condition operate the cardiograph on battery power and contact Philips Medical Systems for service Analog ECG Output Signal Port Batteries CAUTIONS Do not use the analog ECG output signal port not supported on cardiograph for diagnostic purposes and do not use this signal for critical synchronization timing Do not connect any equipment to the cardiograph analog ECG output signal port that does not meet medical safety requirements and that has not been evaluated by local safety personnel Before removing and replacing batteries from the cardiograph press down and hold the On Standby button located on the front of the cardiograph to shut down the cardiograph Ensure that the cardiograph is shut down When the cardiograph is fully shut down the screen is black and the On Standby button is not illuminated Once the cardiograph is shut down proceed to remove and replace the batteries When removing batteries from the cardiograph the batteries could feel warm to the touch The battery capacity for the PageWriter TC50 cardiograph or PageWriter TC30 cardiograph with a single battery installed using the battery with Philips part number 989803170371 is 30 minutes of continuous Rhythm printing or 30 total EC
208. rofiles can be specified 12 Lead Report Formats 3x4 IR 3R m 3x4 IR 8ST m 3x4 IR 10ST m 6x2 Panoramic 12 Cabrera sequence only PageWriter TC Cardiograph Service Manual A 3 Specifications Technical Specifications A 4 m 12x1 Extended Measurements PageWriter TC70 TC50 16 Lead Report Formats 3x5 IR 3R 3x5 IR ST 4x4 1R 4x4 1R ST Extended Measurements STEMI Diagnostic Aids Graphical ST Vector Polar ST Maps with frontal and transverse planes available on two ECG report formats a STEMI CA criteria m Critical Values Rhythm Report Formats Rhythm up to 12 or up to optional 16 selected leads Battery Operation a SMBus compliant batteries Voltage a 11 1 VDC nominal 7100 mAH per battery Current 6 0 A max per battery continuous Power m 54 W max per battery continuous PageWriter TC70 TC50 TC30 Two Battery Operating Capacity a 45 minutes of continuous Rhythm printing or a maximum of 237 individual sheets of ECG recording paper PageWriter TC Cardiograph Service Manual Technical Specifications Specifications PageWriter TC50 TC30 One Battery Operating Capacity m The battery capacity for the PageWriter TC50 or PageWriter TC30 cardiograph with a single battery installed using the battery with Philips part number 989803170371 is 30 minutes of continuous Rhythm printing or 30 total ECG reports Status Display Full Charge Capacity mAHR a Remai
209. rounding Post Equipotential grounding post used for establishing common ground between instruments Y L3 E Class II Protection against electric shock PageWriter TC70 Cardiograph only Fuse The PageWriter TC50 Cardiograph and PageWriter TC30 Cardiograph contains a 1 6 amp 250V time delay fuse PageWriter TC Cardiograph Service Manual 1 7 Introduction Safety Summary Safety Symbols Marked on the Cardiograph Packaging Symbol Description Keep dry n O e pS c Ambient temperature range of 20 C 4 F to 50 C 122 F non condensing for transport and storage Note the batteries will discharge at a rapid rate if the cardiograph is stored at a high temperature 1014hPe 572hPa Atmospheric pressure range of 0 to 4572 meters 15 000 feet 572 hPA above sea level for transport and storage 9096 RH a e 1096 RH Relative humidity range of 10 to 90 non condensing for transport and storage Made from recycled materials Fragile Lithium ion battery Do not dispose of in trash Follow local regulations for disposing of as small chemical waste This product consists of devices that may contain mercury which must be recycled or disposed of in accordance with local state or federal laws Within this system the backlight lamps in the monitor display contain mercury lxiix ax rq amp Dispose of in accordance with t
210. rsists after a full software installation procedure contact the Philips Response Center for further assistance See Contacting a Philips Response Center on page 5 13 Waveform display is no longer updating system is unresponsive Software is frozen 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Export the log file See Viewing and Saving Log Files on page 3 50 3 Report the software issue to the nearest Philips Response Center see Contacting a Philips Response Center on page 5 13 Waveform display is no longer updating system is unresponsive Main board failure 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 If this fails remove and replace the main board Contact the nearest Philips Response Center for further assistance see Contacting a Philips Response Center on page 5 13 Invalid Report Handle message Report handle is invalid when preview printing saving ECGs 1 Restart the cardiograph See Restarting the Cardiograph on page 3 37 2 Wait 2 minutes and perform full software installation See Installing the Software Upgrade on page 6 3 3 Confirm successful software installation See Verifying the Software Installation on page 6 7 3 10 PageWriter TC Cardiograph Service Manual Troubleshooting Cardiograph Issues Table 3 5 Symptom No Report message Main Screen Issues continued Possible C
211. s Proper battery maintenance and care including frequent and full charging of the batteries will help to prolong battery life There are configurable power saving features available on the cardiograph These features are used to help prolong overall battery life and to optimize battery power use between battery charges 1 38 PageWriter TC Cardiograph Service Manual Installing the Batteries Introduction CAUTION When removing the batteries from the cardiograph the batteries could feel warm to the touch Calibrating the Batteries The batteries may require periodic calibration to ensure the continued accuracy of the battery power and overall battery status information displayed on the cardiograph When battery calibration is required a message appears on the Battery Status window see Figure 1 19 on page 1 41 For more information on battery calibration see Battery Calibration on page 3 12 Battery Power Indicator The battery power indicator LLL appears on the Status Bar and is always visible The indicator displays the current battery power level After installing and initially charging the batteries for five hours the cardiograph can operate on AC power while the batteries are charging but the batteries will charge at a slower rate Figure 1 18 Battery Power Indicator on the Status Bar E Standard 12 Lead Layout Settings 65 1 31 14 PM A Battery level indicator PageWriter TC Cardiograph Serv
212. s height with top cover in down position PageWriter TC50 Cardiograph Weight m 13 kg 28 Ib including accessories PageWriter TC70 Cardiograph Dimensions 330 mm length x 405 mm width x 135 mm height 12 99 inches wide x 15 94 inches deep x 5 31 inches height with top cover in down position PageWriter TC Cardiograph Service Manual A 7 Specifications Safety and Performance PageWriter TC70 Cardiograph Weight 9 kg 19 84 Ib including accessories PageWriter TC70 TC50 TC30 Cardiograph Shipping Container Weight Maximum shipping weight of packaged PageWriter TC cardiograph including all accessories is 17 1 kg 37 69 Ib Safety and Performance Meets the following requirements for safety and performance IEC 60601 1 1988 A1 1991 A2 1995 Medical electrical equipment Part 1 General requirements for Safety Includes national differences for standards AS NZS 3200 1 0 1998 CAN CSA C22 2 No 60601 1 M90 B 90 S1 94 EN 60601 1 1990 A1 1993 A11 1993 A12 1993 A13 1996 JIS T 0601 1 1999 UL 60601 1 2003 IEC 60601 2 25 1993 A1 1999 Particular requirements for the safety of electrocardiographs Includes national differences for standards AS NZS 3200 2 25 1993 CAN CS A C22 2 No 60601 2 25 1994 A1 2002 EN 60601 2 25 1995 A1 1999 IEC 60601 2 51 2003 Particular requirements for safety including essential performance of recording and analyzing single channel and multi channel electrocardiographs In
213. se of it according to local ordinances When any of the cardiograph accessories reach the end of their product life dispose of these items in accordance with manufacturer instructions and local ordinances 2 20 PageWriter TC Cardiograph Service Manual This chapter provides information for localizing cardiograph problems to the subassembly Troubleshooting level This information is designed for use with the cardiograph s diagnostic self tests to help you efficiently repair the cardiograph with a minimum of equipment The Philips Response Center can assist with product troubleshooting and provide technical expertise to help with any issue with the PageWriter TC cardiograph or any of its accessories For a full listing of contact phone numbers see Contacting a Philips Response Center on page 5 13 This chapter provides the following information Troubleshooting Cardiograph Issues 000 3 2 Start up Issues lese 3 2 Display Issues MEL RE LEADER 3 3 Keyboard Issues 0 0 cece eee eee eres 3 5 Signal Acquisition Issues 0 0 00 eee eee ee eee 3 7 Main Screen Issues haeresi 0000 0b eee be eee bee 3 10 Archive Screen Issues 0 0 00 0 c eee eee eee eee 3 12 Configuration Screen Issues 0 000000 ee eee 3 18 Printer ISSUES 4 525 4 eed aba ee etek eles ve 3 21 Compact Flash CF Card USB Memory Stick Issues 3 25 TraceMaster ECG Management System Issues 3
214. sidered to be a medical system It is che responsibility of the operator to comply with IEC 60601 1 1 and test the medical system according to the requirements For additional information contact Philips Medical Systems WARNING Do not use non medical peripherals within 6 feet of a patient unless the non medical peripherals receive power from the cardiograph or from an isolation transformer that meets medical safety standards CAUTION The Welsh bulb electrodes contain natural rubber latex which may cause allergic reactions CAUTION The use of equipment that applies high frequency voltages to the patient including electrosurgical equipment and some respiration transducers is not supported and may produce undesired results CAUTION Only use Philips Medical Systems replacement parts and supplies with the cardiograph The use of non approved replacement parts and supplies with the cardiograph is strictly prohibited Cardiograph safety and performance are not guaranteed when non approved replacement parts and supplies are used with the cardiograph PageWriter TC Cardiograph Service Manual 1 1 Introduction Important Patient and Safety Information a Using accessories peripherals or cables that are not supplied with the cardiograph or that are not recommended by Philips Medical Systems can result in increased emissions or decreased immunity of the cardiograph Connect other equipment in accordance with IEC 60601 1 1 Medical Elec
215. t Backlight yo PIM Power CPU Internal Core Flash Memory Internal Core FPGA Internal Core Printer Information Total Number of Printed Pages 14 790 v 12 053 v 5 172v 1 9139v 1 816v 1 494 v i278 For detailed information about the components of this screen see Using the About the Cardiograph Screen on page 3 39 3 Touch the Diagnostic and Test Utilities tab PageWriter TC Cardiograph Service Manual Performance Verification Tests Performance Verification and Safety Tests Figure 4 28 Diagnostic and Tests Utilities screen Setup and Service Utilities 7 22 10 PM 1 26 2008 a lul Maintenance Tests Last Test Results Event Log Printer Test J Touch Screen Calibration and Test J Patient Interface Module PIM Test J Ping Test J Enter Password for Diagnostic Tests Enter P d CIRM er Passwort SUBM Change Password for Diagnostic Tests Enter Current Password SUBMIT SUBM Printer Test P The Printer Test is used to verify that the cardiograph printer is able to correctly print the test page Use this test to verify proper printer performance or when reports appear to have print quality errors To perform the Printer test 1 Touch the Printer Test button 2 See Printer Test on page 3 43 for instructions Touch Screen Display and Calibration Test TD The touch screen can be calibrated at any time Calibration is recommended if it requires many
216. t Number Description 989803151631 Complete AAMI Lead Set for Standard 12 Leads arm lead 99 cm 39 in leg lead 104 1 cm 41 in chest leads 69 8 cm 27 5 in 989803151641 Complete IEC Lead Set for Standard 12 Leads arm lead 99 cm 39 in leg lead 104 1 cm 41 in chest leads 69 8 cm 27 5 in 989803151711 Limb Lead Set AAMI IEC arm lead 99 cm 39 in leg lead 104 1 cm 41 in 5 8 PageWriter TC Cardiograph Service Manual Parts and Supplies Complete Lead Sets Part Number 989803151671 989803151651 Supplies and Ordering Information Description Complete Chest Lead Set AAMI IEC chest leads 69 8 cm 27 5 in Long Complete AAMI Lead Set for Standard 12 Leads arm lead 137 1cm 54 in leg lead 142 2 cm 56 in chest leads 69 8 cm 27 5 in 989803151661 Long Complete IEC Lead Set for Standard 12 Leads arm lead 137 1cm 54 in leg lead 142 2 cm 56 in chest leads 106 6 cm 42 in 989803151731 Long Limb Lead Set AAMI and IEC arm lead 137 1cm 54 in leg lead 142 2 cm 56 in 989803151691 Long Chest Lead Set AAMI IEC chest leads 106 6 cm 42 in 989803151751 16 Lead Kit for AAMI Leads arm lead 99 cm 39 in leg lead 104 1 cm 41 in chest leads 69 8 cm 27 5 in extended leads 83 8 cm 33 in 989803151761 16 Lead Kit for IEC Leads arm lead 99 cm 39 in leg lead 104 1 cm 41 in chest leads 69 8 cm 27 5 in extended leads 83 8 cm 33 in 989803151771 Long 16 Lead Kit for AAMI Leads arm
217. t screens LAN Interface The PageWriter TC cardiograph provides standard LAN capability through a LAN91C111 SMSC 10 100M LAN controller The PageWriter TC cardiograph communicates with the TraceMaster ECG Management System networked PC or server or other third party ECG management system through a LAN interface Magnetic Card Reader PS 2 A magnetic card reader is available as an option for the PageWriter TC cardiograph The reader connects to the cardiograph through an external PS 2 connector and provides ISO and standard encoded magnetic strip support Manual removal and insertion is required The PS 2 port is not a plug and play port You must attach the magnetic card reader to the port before powering on the cardiograph Barcode Reader PS 2 A barcode reader is available as an option for the PageWriter TC cardiograph The reader connects to the cardiograph through an external PS 2 connector and provides standard barcode scanning capability It emulates a keyboard allowing scanned codes to be presented to the PageWriter TC cardiograph as if they had been typed on the standard keyboard powered by a PS 2 connection The barcode reader can be configured using special barcodes For more information see the Metrologic Barcode Scanner Instructions for Use available on the User Documentation DVD or can be downloaded from the Philips InCenter site The PS 2 port is not a plug and play port You must attach the barcode reader to the port
218. tered Enter the required ECG information and try the archive operation again For more information see Chapter 3 The Patient Session of the PageWriter TC Cardiograph Instructions for Use Selected ECG s exceeds available space on TraceMaster Remote site message 3 12 The TraceMaster system is out of available disk space PageWriter TC Cardiograph Service Manual Contact the TraceMaster system administrator and report the error Troubleshooting Cardiograph Issues Table 3 6 Symptom Requested Function could not be completed message Archive Screen Issues continued Possible Cause amp Investigation Step Network or modem phone line was Troubleshooting Solution Retry operation intettipted durig 2 Inspect cabling to network or analog phone line operation 3 Transfer or query operations require reliable access to the network transport USB memory stick was 1 Verify that the USB memory stick is inserted not fully inserted into correctly Attempting to save ECGs to USB the slot on the memory stick that is not accessible will result in an cardiograph error message 2 Retry the operation with fully functioning USB memory stick that is fully inserted into the USB slot on the cardiograph See Using the USB Memory Stick on page 1 43 An attempt to transfer Inspect ECG that failed the requested operation for an unsupported ECG selected format report type report type
219. tion If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the PageWriter TC cardiograph b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Table A 5 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the PageWriter TC Cardiograph for equipment and systems that are not life supporting The PageWriter TC70 TC50 TC30 cardiographs are intended for use in the electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the PageWriter TC cardiograph can help to prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the PageWriter TC cardiograph as recommended below according to the maximum output power of the communications equipment Rated Maximum Output Power of Transmitter W Separation Distance According to Frequency of Transmitter m 150 KHz to 800 KHz 800 MHz to 2 5 GHz dz1 2 JP d 2 3 JP 0 01 0 1m 0 2 m 0 1 0 4m 0 7 m 1 1 2m 2 3m 10 40m 7 0m 100 12 0m 23 0 m For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m 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 W according to th
220. trical Systems Standard or IEC 60601 1 2005 3rd Edition Medical Electrical Equipment Standard Clause 16 Medical Electrical Systems a When connecting the cardiograph to other AC powered equipment only connect equipment approved to IEC 60601 1 Medical Electrical Equipment or IEC 60950 1 Information Technology Equipment Only use patient electrodes that are approved by Philips Medical Systems The use of non approved patient electrodes may degrade cardiograph performance To prevent burns to the patient remove all ECG electrodes and lead wires prior to the use of high frequency surgical equipment including electrosurgical equipment and some respiration transducers AC Power Adapter and AC Power Cord WARNING Only use the external power supply with part number 453564094411 with the PageWriter TC70 cardiograph in order to prevent electrical safety hazards The use of any other power supply is not approved by Philips Medical Systems WARNING Whenever the AC power cord is connected to a live power outlet ensure that it is also securely attached to the cardiograph Always disconnect the AC power cord from the power outlet when it is not connected to the cardiograph WARNING Only use grounded power cords three wire power cords with grounded plugs and grounded electrical outlets that are labeled as Hospital Only or Hospital Grade NEVER adapt a grounded plug to fit an ungrounded outlet by removing the ground prong Use th
221. ty Test S2 4 13 Safety Test S3 Leads Leakage Current 4 14 screen capture 1 55 sensitivity test 2 19 Service Diagnostics Printed Report 3 41 Service Utility accessing and using 3 38 keyboard test 3 47 printed status report 3 41 using diagnostic tests 3 42 signal acquisition issues troubleshooting 3 7 simulation test 4 11 software downloads 1 3 installation 6 1 overview 1 45 split screen display 1 49 Standby cardiograph not exiting 8 16 start up issues troubleshooting 3 2 Index 2 Status Bar icon description 1 51 LAN network connection status indicator 1 52 supplies ordering information 5 7 part numbers 5 8 Syslog directory 3 51 T technical assistance phone numbers 5 13 technical specifications A 1 test and inspection matrix 4 4 time changing 2 17 Time Synchronization feature 2 17 tokens enabling 6 8 touch screen calibration 2 16 3 45 calibration keyboard shortcut 1 53 cleaning 2 16 maintenance 2 16 overview 1 45 TraceMaster issues troubleshooting 3 28 troubleshooting archive 3 12 Compact Flash issues 3 25 configuration screen 3 18 custom settings issues 3 34 display 3 3 fax issues 3 34 inaccurate battery power display 2 12 keyboard 3 5 leads off 2 15 3 7 log file issues 3 34 main screen display 3 10 orders issues 3 30 Philips Response Center phone numbers 5 13 printer issues 3 21 red stripe on printed report 2 7 remote query issues 3 32 restarting the cardiograph 3 37 signal acquisition
222. value may not change if the full charge capacity has been decreased by more than 256 mAh or increased by more than 512 mAh If this occurs another calibration procedure is recommended as soon as it is convenient to further improve the accuracy of displayed battery status information For batteries with more than 8 of error the maximum error will remain unchanged if a limited calibration cycle occurs Patient Interface Module PIM Test This test is used to confirm that the Patient Interface Module PIM is communicating with the cardiograph This test can be performed when the cardiograph displays PIM error messages or when the cardiograph is unable to acquire data from the PIM Be sure that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph before performing the test 2 14 If this test fails it may indicate a problem with the PIM or with the PIM patient data cable To perform the PIM Test 1 Ensure that the patient data cable is securely attached to the PIM connector E gt on the rear of the cardiograph Ensure that the PIM disconnected icon EX does not appear on the Status Bar top of screen Touch the Setup button on the bottom toolbar The Configuration Setup and Service Utilities menu appears Touch Configure Cardiograph Default Settings On the Default Cardiograph Settings screen touch the Maintenance Test button upper right side of screen The Maintenance Test scr
223. verify that the software application has been successfully installed To verify the software installation is complete 1 From the cardiograph main screen touch the Setup button 2 Touch the button next to Service Utilities The Setup and Service Utilities screen appears 3 Check the following information under Software Revisions upper left corner on the About the Cardiograph screen to ensure they are at the correct revisions Main Application Revision Kernel Revision Application Revision PIM Kernel Revision PageWriter TC Cardiograph Service Manual 6 7 Installing PageWriter TC Cardiograph Software and Enabling Tokens Enabling Upgrade Options Figure 6 12 Software Revisions Software Revisions Main Application Revision Roroni2 00 Kernel Revision pio 707 Application Revision ET PIM Kernel Revision m Enabling Upgrade Options The PageWriter TC50 and PageWriter TC30 cardiographs have optional upgrades available and these upgrade options can be selected either prior to or after initial cardiograph purchase If an optional upgrade is purchased after the cardiograph is in active use at your facility the optional upgrade will need to be enabled directly on the cardiograph from the Upgrade Option screen in Setup For information on purchasing optional upgrades see Ordering Options and Upgrades on page 5 11 There are no upgrades available for the PageWriter TC70 cardiograph To enable a token upgrade opt
224. verview 2 c eee e cece eee cece tence eee eee eeeee 8 11 Batt bys ites ened aeuies uae hee ne hae Salto WES Ad eet adie een ey 8 11 Voltage Rails unc bes ee oe a ea bent de ee e rer ae e ed pr laa 8 12 Power Management 0 cece cee ehh HH teen eens 8 14 Battery Power Indicator 20 llle 8 15 Battery Discharging 0 2 0 cc cee eee ee eee Ih 8 16 Battery Chargirig 08 sue keel ee bL a AVP RC RE e adalat 8 16 Charg Current 223 scd RR UR ee ee eee ad Gece HEU pe 8 16 Battery Information 0 0 cece eee cette eee eee een cence 8 16 Appendix A Specifications Technical Specifications 2 2 1 eee cee ee eee renee KE O N A 1 PageWriter TC70 Cardiograph ECG Acquisition llle A 1 PageWriter TC50 Cardiograph ECG Acquisition 00 eee eee eee ee A 1 PageWriter TC30 Cardiograph ECG Acquisition 0 e eee eee eee ee A 1 PageWriter TC70 Keyboard 0 cece cece ce ene e ene ences A 1 PageWriter TC50 TC30 Keyboard A 2 PageWriter TC70 Touch screen Display llle eee A 2 PageWriter TC50 Touch screen Display eee A 2 PageWriter TC30 Touch screen Display llle eee A 2 Patient Interface Module RENTE ee E RR EAS et ae A 2 Patient Interface Module Signal Acquisition lees A 2 Signal Processing Acquisition l l A 2 Auto Frequency Response 020s cece eee ee tee ee nent e en n A 3 Rhythm Frequency Response
225. vice This analog ECG signal is not diagnostic quality and should not be used for ECG analysis purposes Local Area Network LAN Connector Connect the Ethernet RJ45 LAN cable to the connector directly above this symbol to establish LAN connectivity Modem Connector Attention read the Instructions Connect an analog phone line to the connector directly above this symbol See the PageWriter TC Cardiograph Instructions for for Use Use Patient Interface Module PIM Connector Connect the PIM patient data cable to the connector located directly above this symbol PCMCIA icon PS 2 Connector Insert the wireless LAN card into the slot located directly above this symbol Connect the Magnetic Card Reader or Barcode Reader to the connector located directly above this symbol geQ t bs Serial Number The number next to this symbol is the serial number of the cardiograph 1 6 PageWriter TC Cardiograph Service Manual Safety Summary Symbols Marked on the Cardiograph or Patient Interface Module PIM Symbol Name On Standby Introduction Description Pressing the button with this symbol on it puts the cardiograph into Standby power saving mode USB Connector The connector near this symbol is used with a USB device Non ionizing electromagnetic to radiation Interference may occur in the vicinity of equipment marked with this symbol Equipotential G
226. vice Manual Patient Interface Module PIM Introduction 16 Lead PIM Optional Lead Connectors AAMI IEC Gap Gu Gp Figure 1 15 A Optional lead connectors 4 Attach the appropriate color coded identification clip included in the lead kit to the lead and attach the small color clip near the connector end of the lead wire Figure 1 16 Attaching the color clips to the lead 210 mm 0 4 in PageWriter TC Cardiograph Service Manual 1 33 Introduction Patient Interface Module PIM 5 Attach the lead to the correct lead connector on the PIM If any lead connectors on the PIM are left empty insert a shorting plug included in kit Figure 1 17 Shorting Plug included in Lead Kit NOTE To configure the 16 lead PIM for standard 12 leads insert shorting plugs into all of the optional lead connectors 6 Ensure that each lead is firmly connected to the PIM Recommended 16 Lead Configurations Table 1 1 provides some suggested configurations of the 16 lead Patient Interface Module PIM for adult and pediatric application NOTE Therecommended 16 lead configuration options described in Table 1 1 are the only 16 lead options that are compatible with the TraceMaster ECG Management System Table 1 1 15 and 16 Lead PIM Configuration Options Lead Option Standard 12 leads plus extended Lead Placement leads AAMI IEC Pediatric V3R C3R VAR CAR V7 C7 15 leads Posterior V7 C7 V8 C8 V9 C9 wx d cn 15 leads va
227. w fuse using the same orientation 5 Push the fuse all the way into the fuse holder slot The fuse snaps into place Cardiograph Overall Sensitivity Test The overall sensitivity test is used to test the calibration voltage According to IEC 60601 2 51 this test should be run regularly Taking an ECG using a 12 lead simulator allows you to verify areas of operation that the extended self tests cannot check and allows you to verify the accuracy of the sensitivity settings This test should be run approximately once a year Before You Begin To perform this test you need an ECG simulator that is calibrated and is able to produce a 1mV 2 Hz square wave on Lead I or Il The lead you use is dependent on the simulator Performing the Sensitivity Test To perform the test 1 Set the simulator to the 2Hz square wave setting and the amplitude to 1mV 2 Ensure that the Simulated Waveform feature cardiograph displays simulated patient ECG waveforms is not enabled on the cardiograph 3 Touch the Exam button on the Status Bar and then touch the Resting 12 Lead button 4 Touch the factory default Standard 12 lead Exam Profile button 5 Touch the Settings button on the Status Bar a Set the Artifact filter to OFF Set the Limb Leads setting to 10 mm mV c Set the Speed setting to 25 mm sec d Touch OK 6 Touch the ECG button on the toolbar If a message appears that no patient information has been entered touch the Continue button Dependin
228. which is 1 8V power for the CPLD core The input to this regulator is from the 3 3V supply and can supply up to 100mA of current This voltage is not monitored PageWriter TC Cardiograph Service Manual 8 13 Theory of Operation Power System Overview 8 14 5V Output from regulator U1401 LTC1628 which supplies all the 5 V power to the system Input is from Load_PWR and output is 4 87 to 5 24 VDC with a maximum current of 3A This voltage is monitored USB4_VCC Output from switch U702 LM3525 which supplies the PIM power Input is from 5V and output is 5V with maximum current of 1 0A This voltage is monitored VM Output from regulator U1501 LM2588 which supplies 26V power to the print head and motor This voltage is not monitored VCC PRNHD Output from switch Q1503 which supplies 26V power to the print head It is controlled by FPGA on the main board VCC PRNHD provides power only when a print session starts Otherwise VCC_PRNHD does not provide power This voltage is monitored by FPGA VCC MOTOR Output from switch Q1501 which supplies 26V power to the print motor It is controlled by FPGA on the main board VCC MOTOR provides power only when a print session starts Otherwise VCC MOTOR does not provide power This voltage is not monitored VCC BKLGT Output from regulator U1504 LTC3780 which supplies display backlight Input is from Load PWR and output is 12V with a maxim current of 3 5A Power Manage
229. y Domain Support a FCC Americas parts of Asia and Middle East a ETSI Europe Middle East Africa and parts of Asia a TELEC Japan a KCC Korea Operating Channels a FCC 11 3 non overlapping a ETSI and KCC 13 3 non overlapping a TELEC 14 4 non overlapping PageWriter TC Cardiograph Service Manual A 21 Specifications Wireless LAN Card Specifications Transmit Power Settings NOTE Maximum transmit power will vary according to individual country regulations All values nominal 2dBm 802 11a 802 11b 802 11g 15 dBm 30 mW 18 dBm 63 mW 15 dBm 30 mW 10 dBm 10 mW 17 dBm 50 mW 10 dBm 10 mW 0 dBm 1 mW 15 dBm 30 mW 0 dBm 1 mW 10 dBm 10 mW 0 dBm 1 mW Typical Receiver Sensitivity NOTE Per lt 10 802 11a 802 11b 802 11g 6 Mbps 85 dBm 1 Mbps 96 dBm 6 Mbps 94 dBm 9 Mbps 84 dBm 2 Mbps 95 dBm 9 Mbps 91 dBm 12 Mbps 83 dBm 5 5 Mbps 94 dBm 12 Mbps 88 dBm 18 Mbps 80 dBm 11 Mbps 90 dBm 18 Mbps 86 dBm 24 Mbps 76 dBm 24 Mbps 83 dBm 36 Mbps 73 dBm 36 Mbps 78 dBm 48 Mbps 70 dBm 48 Mbps 76 dBm 54 Mbps 65 dBm 54 Mbps 75 dBm Delay Spread 1 Mbps 600 ns 12 Mbps 350 ns 2 Mbps 500 ns 18 Mbps 350 ns 5 5 Mbps 400 ns 24 Mbps 250 ns 6 Mbps 400 ns 36 Mbps 250 ns 9 Mbps 400 ns 48 Mbps 150 ns 11 Mbps 200 ns 54 Mbps 150 ns A 22 PageWriter TC Cardiograph Service Manual Wireless LAN Card Specifications Specifications Security Standards a Wi

PageWriter TC Cardiograph Service Manual

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