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Spot LXi Service Manual 704432

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1. MESS SRI EU y eS 24 4 25 Connections Iur uu yd epe aeu ME ID O DDI GOR 25 Voltage calibrationic ee be do Sob bri mr oa Qa den rd Me GT FY o o 27 Blood pressure calibrations o1 ra wen be Y RR P DIR 27 Date tirne Set gt su scs shite es acd et er UA EAR C E eue d ie 28 5 TrOSIDIes OO Ig sas ue Ure RUE CREE Res e 29 e detti io tae ars yu OS yn NY b doces ANG TA Aw To ocu 29 Causes and corrective action 30 Battery voltage 33 Wiridow display chetka a a sr Y wg a ote qe ed Y wa pea FFR 33 Blood pressure calibration check LrL t i dusi opi S 33 Temperature functionalchecK L LL Y Y ees 34 Masimo SpO functional check FFF ee 34 Nellcor SpOs functional check 34 Coramunication option Check y ed eae Sa e Ea ese es 34 Functional testing procedures ee ec ALSO A IR ds 34 ioa eL ueste hs S ree Ed dte Oh eate etd 35 Noise levels E SU E 35 Button test c c m Ie xt ee d c e teta eat OB Mese ENT aby 35 Interface asd olas Pete rA A te In REA Bod 36 PRA QUAIL 3 M RIS GN ELE TG m e i UO UVP 36 PHEUMATIC TESTS te icu Aw he oq ba sd s cle dus Iscr ays Ad dd 37 F
2. Replace the X with the following letter abbreviation to order the appropriate language manual Table 16 Printed Material Language List Language Language Language Language Language Language Abbreviation Abbreviation Abbreviation E English G Deutsch PO Polish C Chinese Italiano P Portugu s DK Dansk N Norsk 5 F Francais NL Nederlands SW Svensk Fl Suomi 82 Supplies and Accessories Welch Allyn Spot Vital Signs 83 Miscellaneous Mounting Accessories Wall mount kit REF 4200 62 Caution Attach Bracket to wall before assembling basket See Directions for A Use Welch Allyn is NOT responsible for the integrity of any Wall or IV pole mounting interface Welch Allyn recommends that the customer contact their Biomedical Engineering department or maintenance service to ensure professional installation safety and reliability of any mounting accessory Attach bracket to wall before assembling basket See Directions for use 84 Miscellaneous Mounting Accessories Welch Allyn Spot Vital Signs Mobile stand kit REF 4200 60 85 Miscellaneous Mounting Accessories Service Manual IV pole mount accessory REF 4200 64 Caution Welch Allyn is NOT responsible for the integrity of any Wall or IV pole mountin
3. 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 Spot Vital Signs is used exceeds the applicable RF compliance level above the Spot Vital Signs should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Spot Vital Signs b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 66 Specifications Welch Allyn Spot Vital Signs Recommended Separation Distances Between Portable and Mobile RF Communications Eguipment and the Spot Vital Signs The Spot Vital Signs is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or user of the Spot Vital Signs can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications eguipment transmitters and the Spot Vital Signs as recommended below according to the maximum output power of the communications eguipment Separation Distance According to Freguency of Transmitter m
4. VY FF FF es 69 Cables and pressure hose fie ucc cre be PO eet us eet nes 69 Temperature Probe ene oet e Me eee RS 70 Sp SenSOLo dtc e mere ebd en RUNE SUM E bund edu 70 Battery removal and 1 70 Masimo SpO calibration check YI FY FF FF Yd 71 Nellcor SpO functional check 71 SpO accessory disposal Y Y EFE EF en 71 Temperature calibration check 71 A RepairtestspecificationS a 73 General ee A YN NO I AO O FYR 73 AsD noisetest Jota rout es et ae TD cel ani ey aM 73 beak Test el tach Mes A A oce xod s e s aae AIN MUD recolo eni E AFR RT 73 Inflation test idae Ru ddd mtn C CF ht ioe GE SS 73 Dump teste eire ES ES DR EE DER CPO AN DID AU ag 73 viii Contents Welch Allyn Spot Vital Signs Pneumatic 74 Pneunmaticcaccuracy test i un RW epe BE DW ees 74 Malve Gonttol tests SN Keats dan 74 Voltage Calibration ee hea Pd e ete tied DD ee A 74 Blank mode currenttest LILrlr LL YF FF 74 Backlight dle current teste eu wi receta GG ae eset 75 Valve pump mode current testis 0 0 eee 75 Interface testa do a SAA han BAG FD CD Xe Sa Bl 75 Temperature option requirements sitatea nti ragian nadale ees 75 Accurac
5. 61 hemoximetry All accuracies are expressed as X digits This variation equals plus one standard deviation 1 SD which encompasses 68 of the population Sp02 Accuracy MP205 specification 2002 and 3 in the range of 70 100 earlier Oxygen saturation 1 stand deviation lt 70 unspecified by the OEM Pulse Rate Range 25 to 240 bpm Pulse Rate Range using SpO determination MP205 25 to 245 bpm specification 2002 and earlier Pulse Rate Accuracy 3 bpm 3 bpm low perfusion Pulse Rate Accuracy MP205 Spec 2002 and earlier 5 0 Module Heart Rate 3 bpm Table 20 OxiMax Sensor Models Single Patient Use Sensor Models Sp0 Range 70 to 100 MAX Al 2 O r MAX II 2 MAX RI 35 1 The accuracy specification has been determined between saturations of 80 to 100 Table 21 OxiCliq Sensor Models Single Patient Use Sensor Models Sp0 Range 70 to 100 OXICLIO PI 25 Table 22 Reusable Sensor Models Sensor Models Sp0 Range 70 to 100 D YS Infant to Adult 3 D YS and D YSE 35 D YS and D YSPD 3 5 DS 100A t3 OXI A N Adult Adult 3 OXI P I Pediatric infant 3 62 Specifications Welch Allyn Spot Vital Signs Nellcor patents Covered by one or more of the following US Patents 4 802 486 4 869 254 4 928 692 4 934 372 5 078 136 5 351 685 5 485 847 5 533 507 5 577500 5 803 910 5 853 364 5 865 736 6 083 172 6 708
6. Adult sensor gt 30 kg 24 MAX PI Pediatric sensor 10 50 kg 24 MAX II Infant sensor 3 20 kg 24 MAX RI Adult nasal sensor gt 50 kg 24 SRC MAX Portable oximetry tester Table 9 OxiMax OxiCliq Sensors Reusable cable Catalog Description Weight Range Ouantity 0C 3 OxiCliq sensor cable 3 ft 1 OXICLIO PI Pediatric oxygen transducer user with OC 3 cable 10 50 kg Case of 24 Table 10 OxiMax Reusable Sensors Catalog Description Weight Range Ouantity DS 100A Durasensor adult oxygen transducer 40 kg 1 OXI A N Oxiband OXI A N adult neonatal transducer lt 3kgor gt 40kg 1 sensor 50 wraps OXI P I Oxiband OXI P l pediatric infant transducer 3 40 kg 1 sensor 50 wraps D YS Dura Y9 oxygen transducer 1 kg 1 sensor 40 wraps D YSE Ear clip use with Dura Y sensor gt 30 kg 1 D YSPD PediCheck M pediatric spot check sensor use with 3 40 kg 1 Dura Y sensor Table 11 OxiMax Sensor Cables Catalog Description Quantity DEC 4 5 0 extension cable 4 ft 1 DEC 8 5 0 extension cable 8 ft 1 The Welch Allyn Spot Vital Signs is not intended for use on neonatal patients 80 Supplies and Accessories Temperature Table 12 Accessories and Supplies Welch Allyn Spot Vital Signs Catalog Description Catalog Description 02678 100 Oral axillary probe 9ft 2 7M 05031 110 Disposable probe covers 10 000 covers 25 box 02679 100 Rectal probe 9ft 2 7M 06137 000 Temperature Calibration K
7. Battery Handle with Care Transport Temperature PS Storage Humidity Recycle S we Class Il Equipment IPX Equipment is not protected against the ingress of liquid Do not dispose of this product as unsorted municipal waste Prepare this product for reuse or separate collection as specified by Directive 2002 96 EC of the European Parliament and the Council of the European Union on Waste Electronic and Electrical Equipment WEEE If this product is contaminated this directive does not apply For more specific disposal information see www welchallyn com weee or contact Welch Allyn Customer Service at 44 207 365 6780 Mode of Operation Continuous C US 166292 0297 CERTIFIED TO CAN CSA STD C22 2 NO 601 1 CONFORMS TO UL STD 60601 1 IEC 60601 1 The CE mark on this product indicates that it has been tested to and conforms with the provisions noted within the 93 42 EEC Medical Device Directive European Regulatory Manager Welch Allyn Ltd Navan Business Park e Dublin Road e Navan County Meath Republic of Ireland Tel 4353 46 90 67700 Fax 353 46 90 67756 2 Overview Purpose and scope The Spot Vital Signs Service Manual is intended as a reference for maintenance and repair to the field replaceable unit FRU level and are listed on page 55 This manual provides the technical qualified service person with troubleshooting information repair procedures and calibratio
8. Rated Max Output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz Power of Transmitter W d 1 17 P d 1 17 P d 2 33 P 0 01 0 11667 0 11667 0 23333 0 1 0 36894 0 36894 0 73785 1 1667 1 1667 2 3333 10 3 6894 3 6894 73795 100 11 667 11 667 23 333 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 Pis the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Patents D392 043 and other patents pending Service Manual Specifications 67 Identification label and serial numbering system The identification label for the Spot Vital Signs is located on the bottom of the device The serial number format has 9 digits The first 4 numbers state the year of manufacture and the last 5 numbers state the Spot Vital Signs manufacturing number Therefore 200608000 means the 8000th Spot Vital Signs manufactured in the year 2006 For Spot Vital Signs Version 1 the serial number is any year prior to 2007 and a manufacturing number 04999 or less These serial number
9. Switch Array Version 1 703430 Front Housing Version 1 421049 502 Front Housing Version 1 421049 502 Parts listed below are used in both Version 1 and Version 2 unless otherwise indicated Table 18 Spot Vital Signs Repair Parts List Description Part Number Source Probe Assembly Lathg Conn Oral 9 Ft 02678 100 Welch Allyn Probe Assembly Lathg Conn Rectal 9 Ft 02679 100 Welch Allyn M031 Probe Cover Clear 1K 05031 101 Welch Allyn Cable Tie Mount 113P463 Cable Tie 6 inch 113P464 Switch Array Spot Epoxy Coated Version 1 703430 Welch Allyn Grommet Ribbed Shock Isolation 421019 Assembly Spot Pump Repair 421023 501 Welch Allyn Flex Cable Main to Display 421030 Welch Allyn S N Tracking Label Version 1 402427 Welch Allyn S N Tracking Label Version 2 403430 Screw 4 20 x 31 Plastite PH Torx 421037 Lockwasher 5 16 Internal Tooth 421039 56 Field replaceable units Welch Allyn Spot Vital Signs Table 18 Spot Vital Signs Repair Parts List Description Part Number Source Rear Housing 421040 1 Welch Allyn Door Battery 421042 Welch Allyn Pod Temperature 421044 Welch Allyn IR Window 421045 Welch Allyn Cover 5 0 421048 Welch Allyn Front Housing Assembly Version 1 421049 502 Welch Allyn Assembly Pneumatic Tubing Only 421001 503 Welch Allyn Assembly P
10. one tube 5200 10 Cuff and bladder thigh one tube 5200 02 Cuff and bladder large adult one tube 5200 03 Cuff and bladder child one tube Table 2 One Piece Cuff Durable Cuff Disposable Cuff Catalog Description Catalog Description 5082 203 3 One piece cuff small child one tube 5082 93 3 One piece cuff small child one tube box of 5 5082 204 3 One piece cuff child one tube 5082 94 3 One piece cuff child one tube box of 5 5082 205 3 One piece cuff small adult one tube 5082 95 3 One piece cuff small adult one tube box of 5 5082 206 3 One piece cuff adult one tube 5082 96 3 One piece cuff adult one tube box of 5 5082 207 3 One piece cuff large adult one tube 5082 97 3 One piece cuff large adult one tube box of 5 5082 208 3 One piece cuff thigh adult one tube 5082 98 3 One piece cuff thigh one tube box of 5 Table 3 Replacement Cuffs and Bladders Catalog Description Catalog Description 5200 04 Adult Bladder one tube 5082 01 Adult cuff sleeve 5200 05 Large Adult Bladder one tube 5082 16 Large adult cuff sleeve 5200 06 Child Bladder one tube 5082 18 Child cuff sleeve 5200 11 Thigh Bladder one tube 5082 64 Thigh cuff sleeve Table 4 Miscellaneous Blood Pressure Accessories Catalog Description Catalog Description 5200 12 Straight Pressure Hose 8ft 2 4M 5200 08 Calibration T Connector 5200 19 Straight Pressure Hose 5ft 1 5M 78 S
11. 049 Re 35 122 and foreign equivalents Mechanical Dimensions Height 9 7 inches 24 6 cm Length 5 7 inches 14 5 cm Depth 4 7 inches 12 0 cm Weight Approximately 4 6 pounds 2 2 kg Mounting Self supporting on rubber feet Custom Mobile Stand Custom Wall Mount Custom IV Pole Mount Portability May be hand carried when held by the rear handle Electrical Power Requirements Patient rated isolation transformer is connected to AC mains North American Version 120VAC 60Hz 0 13A Input 7 2VDC 1 0A Output International Version 240VAC 50Hz 0 065A Input 7 2VDC 1 0A Output Australian Version 240VAC 50Hz 13VA Input 7 2VDC 1 0A Output Battery Lead acid with external charger A fully charged battery supports 130 typical blood pressure determinations taken at 7 minute intervals The battery is 90 10096 charged after 12 hours of charging The battery automatically charges when the Spot Vital Signs is powered through the AC power transformer The battery charges faster when the instrument is not in operation Environmental Operating Temperature 410 to 440 Thermometer operating temperature 16 to 40 C 50 to 4104 F Thermometer operating temperature 61 to 104 F Storage Temperature 20 to 450 C 4 to 4122 F Transport Temperature 20 to 449 C 4 to 4122 F Relative Humidity 15 to 9096 non condensing Operating Altitude 170 to 4877 m 557 to 416 000 ft Service Manual Specifications 63 Guidance and manufac
12. 8 0 2F 105 8 0 2F Temperature Cal Key Suretemp 97 3 0 2 F 39 Disassembly and repair This chapter provides the instructions for removing and replacing serviceable modules in the Spot Vital Signs Unless otherwise noted re assembly procedures are the reverse order of the disassembly procedures A WARNING Electric shock hazard There are no userserviceable parts inside Spot Vital Signs other than battery replacement see Battery removal and replacement on page 70 An operator may only perform maintenance procedures specifically described in this manual For service refer the device to an Authorized Service Center WARNING Follow the ESD procedures on see Electrostatic discharge ESD on page 7 Note Always disconnect the sealed lead acid battery in the Spot Vital Signs before performing any repair function Have the following tools available during the procedures Description Part Number Source Bulb and valve 5088 01 Welch Allyn Pneumatic tubing 3 ea 5089 12 Welch Allyn Test Cable IR 66P824 Welch Allyn Test Cable Service Cable Kit 130S60 Welch Allyn Repair Software 130S57E Welch Allyn Welch Allyn 9600 Calibrator 01800 210 Welch Allyn Welch Allyn Calibration Key 06137 000 Welch Allyn Spot Vital Signs Service Manual 4200 145E Welch Allyn Pneumatic clamps 3 21730 001 VWR Scientific 800 932 5000 Pliers Tool Supply Store Wire Cutter Tool Supply
13. IR dongle mounting accessory REF 4200 170 88 rote DE dci E M tact 89 Spot VItalSIgfis aa sr ro Reg eee a ee eger oes YNG dad 89 WCCESSOMES At teo ober c ole uU us ese m coh ee e Ms d ied delis d ep 89 Introduction Welch Allyn has updated the Spot Vital Signs from its original configuration offering a Pressure Preset option Version 2 page 14 instead of a Print option Version 1 page 13 In addition some Version 2 configurations offer Masimo SpO technology Table 1 Version comparison Function Appearance Version 1 Version 2 serial number less than serial number 200705000 200705000 and above Available option Print Pressure Preset Available 5 0 capability Nellcor Masimo or Nellcor Bezel and switch array color Black bezel multi colored Blue switch array Warnings and cautions Familiarize all operating personnel with the general safety information in this summary Specific warnings and cautions are also found throughout this manual Such specific warnings and cautions may not appear here in this summary General warnings A warning statement in this manual identifies a condition or practice which if not corrected or discontinued immediately could lead to patient injury illness or death A WARNING The Welch Allyn Spot Vital Signs is designed for use by medical clinicians Although this manual may illustrate medical spot chec
14. Mo RA 10 Possible attachments s ets SA ee RM YO Y one YL FAD 10 SERVICC ETE 11 Technical assistance 22 opo dd ead A Y RR RR GENYN eee 11 Field replacement units 11 Service loariers os Du y Ee e RT y O R 11 Service intervals i enn ettet e tate ec Tested DN 12 Spot Vital Signs configurations LL eae 12 Gontrols we EA IG b E Gwd dh vi IAN O dn aides 13 LCD liquid crystal display Va 15 Connections el ot o yu A vet DE S b EDEN ADY DL 16 Blood pressure hose and cuff connections 17 Temperature probe connection VII 17 SpO5 SOrSOl s td eau edie meatal REN CN NR td FFA 17 Quiclereference Cardoso cte unc E y canon Y Ex Yr ER 17 D6powesleonmectiors css s ER ern EMI EELAE RS 18 Charging thieibatteny cs s oed d e ee Ic Ee S erue 18 Standy MOJE Lai Ju cack leta n d ds tut lots rs mie dottor acti tet de ace cht YN 18 vi Contents Welch Allyn Spot Vital Signs 3 Functional overview 19 Power on off and system check 19 Internal configuration mode 20 F tictiorialVeritICatiOr n t aua t teg ante aee P e x Teo FR 21 Temperature functional 22 SPOOZ functional cheksam Tecno Llw
15. Store Tweezers Tool Supply Store Torque Bit T8 Tool Supply Store phillips screw driver Tool Supply Store T10 Torx Bit Tool Supply Store 3 8 Hex Socket Tool Supply Store 40 Disassembly and repair Welch Allyn Spot Vital Signs Description Part Number Source Cable Tie Tool Tool Supply Store Setra Pressure Meter 1 10 PSIG 2270 01 Setra 41 800 257 3872 Netech Pressure Meter 20 200IN Netech 1 800 547 6557 Masimo 5 0 Tester 11593 Masimo 1 800 326 4890 Masimo Extension Cable 4 ft PC 04 WA Masimo 1 800 326 4890 Nellcor Patient Simulator SRC 2 for MP205 Nellcor 1 800 6355267 Nellcor Patient Simulator SRC MAX for Nellcor 1 800 635 5267 MP506 NELL 3 Nellcor Test Cable 8 Dec Nellcor 1 800 635 5267 Calibration Volumes 401028 Welch Allyn IBM compatible computer 486 133 MHz computer or better Digital Multi Meter qty 2 with 4 5 digit displays for accuracy Power Supply 0 20 Vdc adjustable with 0 3A output Battery disassembly 1 21 Disconnect the power and all accessories from the Spot Vital Signs Remove the four screws holding the battery door using a phillips head screwdriver Remove the battery door to expose the battery and lift it out Disconnect the one way connector EN Service Manual Disassembly and repair 41 Temperature disassembly Follow the previous steps and then 1 Remove the three 10 Torx screws from the temperature housing 2 Roll the temper
16. available for a nominal charge and shipment is subject to availability Loaners are shipped pre paid however this charge is added to the service charges 12 Overview Welch Allyn Spot Vital Signs Service intervals Verify Spot Vital Signs annually for blood pressure calibration temperature and SpO5 accuracy Spot Vital Signs configurations Table 2 Available Versions of Spot Vital Signs REF Description 4200B Spot Vital Signs with blood pressure only 420TB Spot Vital Signs with blood pressure and SureTemp thermometer 42MOB Spot Vital Signs with blood pressure and Masimo Sp0 42NOB Spot Vital Signs with blood pressure and Nellcor SpO 42MTB Spot Vital Signs with blood pressure SureTemp thermometer and Masimo SpO 42NTB Spot Vital Signs with blood pressure SureTemp thermometer and Nellcor 5 0 Version 2 configurations only Service Manual Controls Printer press to print the measurements Version 1 only Mode Button holding for 2 seconds while the display is active turns off on the backlight in Standby Mode recalls the last patient information with the temperature probe removed from the probe holder Switches the temperature from Overview 13 Figure 1 Spot Vital Signs with SureTemp Plus Thermometer Version 1 SYS kPa mmHg NA DIA kPa mmHg MINA IM VN SpO BBE 9 min BBBB iBB
17. board two main board connectors 5 Attach the existing SpO board to the new main board reusing all hardware Service Manual Disassembly and repair 45 5 0 circuit board disassembly Note assure proper SpO operation replace the SpO board using only the Welch Allyn specified part To assure patient electrical isolation after the main board is nearly back in position verify that the SpO flex cable is freely floating and not pressed up against the main board Follow all the previous steps and then Masimo board 1 Remove the copper tape and unfold the shielding This exposes the two screws that hold the PCB to the standoffs Phillips screws 2 Remove the two phillips head screws and lift the Masimo adapter board straight up There are four connectors on this board two connect to the main PCB and the other two connect to the Masimo PCB Copper shield tape 3 Unfold the paper to expose the SpO board and remove the two screws holding the board 46 Disassembly and repair Welch Allyn Spot Vital Signs 4 Remove the 2 screws and lift the board and shielding off the standoffs This exposes insulating paper 5 Verify the paper is properly aligned before re installing the shielding and the new PCB assembly Alignment Holes E tH When reassembling lay the shielding on top of the insulating paper and then replace the board Verify shielding lays over top of st
18. internal configuration mode Unless patient has underlying systolic hypertension set pressure preset at 160 mmHg If systolic blood pressure greater than pressure preset the device automatically increases an additional 40 mmHg Table 15 Blood Pressure Cuff Pops Off Possible Cause Explanation and Corrective Action Inappropriate blood pressure cuff size Blood pressure cuff applied inside out Determine blood pressure cuff size with the blood pressure cuff markings If blood pressure cuff continues to pop off notify biomedical department or Welch Allyn Technical Support Re apply blood pressure cuff Make sure Welch Allyn label is facing away from arm Table 16 Blood Pressure Cuff Deflating Too Slowly Possible Cause Explanation and Corrective Action Normal operation Typical time to take a reading is 20 to 45 seconds 165 seconds is the maximum Pressure preset too high Check default pressure preset setting in internal configuration mode Patient movement Have patient sit still Do not have arm tight against chest wall as respiration may affect speed and accuracy of blood pressure measurement Service Manual Troubleshooting 3 Table 16 Blood Pressure Cuff Deflating Too Slowly Possible Cause Explanation and Corrective Action Small leak in pneumatic Check blood pressure cuff tubing and pressure hose for leaks system Battery voltage check 1 2 3 4 Follow
19. labels require the CE0050 mark WelchAllyn QD C 0050 Skaneateles Falls 30222 N0 601 1 420 SERIES NY 13153 USA 74227 CONFORMS TO MADE IN THE U S A IEC 60601 1 WELCH ALLYN PTY LTD UL STD 2601 1 9 digit serial number ennu PATENT NO eee location N344 D392 043 PA For Spot Vital Signs Version 2 the year is 2007 and the manufacture number is 05000 These serial number labels require the CE0297 mark Ke SPOT VITALSIGNS Welch Allyn C 0297 patent No D392 043 4341 State Street Road WELCH ALLYN PTY LTD Skaneateles Falls 5 38 46 SOUTH STREET am USA NSW 2115 CERTIFIED TO MADEINTHEUSA 344 msmaua caem 9 digit model and serial wom m A QR umen AT number location welchallyn IEC 60601 1 com s UL 60601 1 5 amp 166292 ay Firmware identification To confirm the software levels of the Spot vital signs enter the Configuration Mode page 20 The main software versions display as follows In the SW1 screen the top two numbers are the software version of the Spot Module and the remaining numbers are for the SpOs module if available Press the Start or Clear button to cycle through the SpO gt software number In the SW2 screen the two numbers represent the NIBP module software and the temperature algorithm version if temperature is active Note Review the Repair Test Specifications document located in Appendix
20. the steps in Connections on page 25 Set the power supply to 6 5 Vdc 0 0 25 Vdc Use a DMM to check the battery voltage If the voltage is less than 6 0 Vdc charge the battery If an E38 error is present on Version 1 the battery does not charge correctly Clear the error and then proceed To charge the battery place the battery back into the Spot Vital Signs and connect the charger for 8 hours Let the device sit idle for one day and recheck the battery voltage If the voltage is below 6 0 Vdc replace the battery see Battery removal and replacement on page 70 Power on Spot Vital Signs If the device does not power on a Verify the power supply is connected to the device and turned on b Change the main PCB see Main printed circuit board assembly on page 44 c Change the display PCB see LCD disassembly on page 42 Window display check 1 2 Press the Power button to start the Spot Vital Signs Observe the Spot Vital Signs window display and verify the LED segments light up for one to two seconds before the device enters the normal operating mode If there any segments that do not light change the window display see LCD disassembly on page 42 Blood pressure calibration check Perform two or three blood pressure cycles to verify proper cuff inflation deflation and the readings If Spot Vital Signs does not inflate or deflate properly perform the following procedure 1 2 Open the Spo
21. the test If the error is still prsent then change the Main PCB page 44 Functional testing procedures Perform the functional testing procedures in this section before returning Spot Vital Signs into service Verify you are using a calibrated pressure meter with an accuracy of better than x3 mmHg and that the calibration certificate is traceable to NIST Subtract the rated accuracy of the pressure measurement standard from the 3 mmHg rated accuracy of Spot Vital Signs This is the pass fail criteria to determine if the device is within calibration If the differences between Spot Vital Signs and the pressure measurement standard are within the pass fail criteria at all specified pressures then the device is within calibration 1 Follow the steps in Connections on page 25 2 Enter the Internal configuration mode on page 20 Aftering viewing the software versions press the Mode button until CAL displays in the LCD window Spot Vital Signs automatically performs an auto zero once the LCD window displays CAL Service Manual Troubleshooting 35 Connect to the 500 cc cylinder Select Test gt Calibration in the repair software The dialog box displays the Spot Vital signs manometer reading battery reading and valve and pump status Push the Blood Pressure Start Stop button to close the valve Use the hand bulb to verify Spot Vital Signs is within calibration specification at the target pressures of 25055 mmHg 150 5 mm
22. A em F E E TIT 123NNO3 ON E 1NOd aoe srry BOIANAS ovr p 39HVHO 94 j OANA NOIO3NNOO GOl arava nosam um Zoer 8 a07 sor E NOOLONOL B 15 as T me XH E Si EE B euo bi T za anaon a21 3unuesaawai ZOdS OL HOSN3S LNIILYd 3goud awaiduns 244 H SNNLLO3NNOO S3OVUL v jeg 2 A HER auo mavoNosaM gt w ha GOd dWAL GoddWar PE SHOLOSNNOD ZOdS LL 54 Technical overview Welch Allyn Spot Vital Signs Field replaceable units If a Version 1 serial number less than 200705000 is sent in for updates or repair to the 55 main printed circuit board it is necessary to upgrade the keypad and front housing bezel assembly The Spot Vital Signs is then referred to and functions as a Version 2 See Table 1 on page 1 for the specific version differences The following lists identify the available FRUs for Spot Vital Signs To order an FRU contact Welch Allyn Technical Support Table 17 Repair Replacement Table Version 1 only Faulty Part Main PCB assembly 421267 501 Print option Replacement Part s Main PCB assembly 403290 Pressure Preset option Front Housing Version 2 403300 Switch Array Version 2 706213 Directions for Use English 706272 LCD 421020 501 LCD 706062 Switch Array Version 1
23. Blood Pressure Start Stop button while powering up to enter the configuration test mode After the software versions are displayed press the Mode button until the Spot Vital Signs displays CAL in the LCD window Select the Calibrate gt Manometer on the computer Verify the valve is open and select Calibrate 0 Press the Blood Pressure Start Stop button to close the valve and verify the 500 cc cylinder is the only volume in the system Increase the pressure to 250 mmHg 5 mmHg using the bulb and valve Use the bulb and the calibrated digital pressure meter to manually inflate the device to 200 mmHg and enter the pressure meter reading from Spot Vital Signs in the Calibration Gain text field Place the cursor into the box below the Calibrate 0 button and type in the value of the pressure reading seen on the pressure meter Select Calibrate 250 28 Calibration Welch Allyn Spot Vital Signs Date time set After recharging a dead battery or after disconnecting the battery for a few minutes you must program the date and time screen To set the date time after after a power loss Version 1 only 1 Press and hold the Blood Pressure Start Stop Power buttons to enter the Internal Configuration mode The Spot Vital Signs displays an E38 error Press the C button to cancel the error and the revision level of the internal software displays Press the Mode button to advance to the Date Set Screen The day month and year s
24. C to verify the firmware levels 68 Specifications Welch Allyn Spot Vital Signs 69 Maintenance Cleaning Spot Vital Signs Caution Do not use ethyl alcohol to clean the Spot Vital Signs device Caution Do not sterilize or autoclave the Spot Vital Signs Occasionally wipe the Spot Vital Signs as necessary with a cloth slightly dampened with appropriately diluted non staining disinfectant solution Use either 7096 isopropyl alcohol 1096 chlorine bleach solution or mild detergent in warm water Never immerse the Spot Vital Signs in any type of fluid Note Prevent water or other fluids from entering any connectors Should this occur dry the connectors with warm air Check all measurement functions for proper operation Blood pressure cuff Caution Do not press with a hot iron Clean the blood pressure cuff with a damp cloth or wash in water with soap or detergent Before washing the blood pressure cuff remove the tube fitting s close off tubes with plugs available as accessory 5082 163 and place the hook and loop fasteners in the closed position After washing allow the blood pressure cuff to air dry Re assemble the tube fitting s Disinfection You may use glutaraldehyde type liquid disinfectants on the durable blood pressure cuff Prolonged use of these disinfectants at full strength may cause discoloration of the white blood pressure cuff markings Sterilization Do not use steam or heat to sterilize th
25. Hg 50 x5 mmHg and 0 mmHg with each reading within x3 mmHg of the target pressure except for the 0 mmHg reading which is within 21 0 mmHg Press the Mode button until the LCD window displays bat Set the power supply to 5 6 Vdc 0 3 0 0 Vdc Verify the voltage reading meets the specification see Voltage calibration on page 74 After completing this test return the power suppy to 6 5 Vdc 0 0 25 Vdc Select OK in the Test Calibration dialog box Current test Follow the steps in Connections on page 25 Power off Spot Vital signs and then power on in normal mode Select Test Current Levels in the Spot Vital Signs Repair Software Use the reading from the current meter and check the following current levels a Blank b Back Light Idle c Valve Pump d SpO Mode The test result is a pass or fail result Select Ok to exit the dialog box Noise levels Button test Follow the steps in Connections on page 25 Select Test Noise Levels in the Spot Vital Signs Repair Software and press the Test button to retrieve Spot Vital Signs internal pressure channel noise level The test result is a pass or fail result page 73 Select Ok to exit the dialog box Follow the steps in Connections on page 25 36 Troubleshooting Welch Allyn Spot Vital Signs Select Test gt Button Test in the Spot Vital Signs Repair Software and press each button on Spot Vital Signs while verifying that the computer acknowle
26. O5 cable connection port on the top side of the Spot Vital Signs device 2 Push the connector firmly into the SpO cable connection port 3 Align the opposite end of the extension cable to the sensor cable connector and firmly push them together Note Use only Masimo or Nellcor SpOs sensors and accessories with the Spot Vital Signs with Masimo or Nellcor configurations respectively Quick reference card Attach the Quick Reference Card to the Spot handle mobile stand or wall mount using the supplied plastic cable tie 18 Overview Welch Allyn Spot Vital Signs DCpower connection Note assure proper electrical isolation replace the AC power transformer charger using only the Welch Allyn specified part REF 5200 101A 5200 103A 5200 1034 Use the Spot Vital Signs with battery power after charging the battery or battery and DC power supply 1 Insert the round transformer connector into the DC power connection port on the left of the Spot Vital Signs see page 16 2 Insert the line cord into the line connector on the transformer then plug the power cord on the transformer into the AC main power source to charge the battery Charging the battery CHARGE THE BATTERY FOR SIXTEEN 16 HOURS PRIOR TO INITIAL USE Attach the DC power transformer to the Spot Vital Signs then plug the transformer into the AC main power source While charging the charger icon remains on and the battery icon segments continuously segue
27. PCB obsolete update Nell 3 PCB 704870 48 Disassembly and repair Welch Allyn Spot Vital Signs Pump and valve disassembly Note For proper blood pressure operation replace the pump using only the Welch Allyn specifed part To assure patient electrical isolation do not modify the length of the pump wires Follow all the previous steps and then 1 Disconnect the pneumatic tubing from the valve and pump Pneumatic Tubing valve Torx Screws Pneumatic Tubing pump 2 Cutthe wire tie and remove the two Torx screws 3 Lift the valve and the pump from their respective locations on the rear housing Service Manual Disassembly and repair 49 To upgrade the pneumatic tubing 1 Verify you have two pieces of silicon tubing 1 5 inches in length 421051 11 and one elbow fitting 703843 available 2 Remove the 4 4 inch silicon tubing from the T fitting 4 4 inch Silicon Tubing 3 Insert one of the 1 5 inch silicon tubing pieces onto the T fitting 4 Insert the elbow fitting into the 1 5 inch silicon tubing 5 Insert the second 1 5 inch tubing onto the elbow fitting 6 Connect the 1 5 inch tubing to the Spot Vital Signs To assemble the pump filter 1 Verify you have three pieces of silicon tubing 8 inches in length 421051 5 one elbow fitting 703843 one NIBP filter 600 0520 00 and one foam sleeve 706327
28. Service Notification Number see Technical assistance on page 11 Press the Blood Pressure Start Stop button to reset flashing patient alarm conditions Error codes Table 4 General Code E11 Description Internal safety violation Corrective Action Check patient contact Technical Service C12 Ambient temperature out of range Adjust ambient temperature or device location C13 Battery failure Use wall transformer E0 0 E9 9 Temperature module malfunction Contact Technical Service E42 Internal communications error Disconnect the battery and wait 5 minutes Reconnect the battery and then set the date and time E20 E50 General internal malfunction Contact Technical Service Table 5 Blood Pressure Code Description Corrective Action C02 Auto zero failure Check for air obstruction limit patient movement C03 Inflation too rapid Check for kinked blood pressure cuff tubing pressure hose or other air obstruction C04 Excessive inflation time Check for air leaks C05 Excessive noise Check patient condition blood pressure cuff placement limit patient movement 30 Troubleshooting Table 5 Blood Pressure Welch Allyn Spot Vital Signs Code Description Corrective Action C06 Measurement was outside of device s Check patient condition measurement range E10 Blood pressure cuff overpressure condit
29. Under such laws the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is embedded The software may not be copied decompiled reverse engineered disassembled or otherwise reduced to human perceivable form This is not a sale of the software or any copy of the software all right title and ownership of the software remain with Welch Allyn or its vendors For information about any Welch Allyn product call Welch Allyn Technical Support USA 1 800 535 6663 Australia 61 2 9638 3000 1 315 685 4560 800 074 793 Canada 1 800 561 8797 China 486 21 6327 9631 European Call Center 353 46 90 67790 France 433 1 55 69 58 49 Germany 49 7477 9271 70 Japan 81 3 3219 0071 Latin America 1 305 669 9003 Netherlands 31 157 505 000 Singapore 65 6419 8100 South Africa 27 11 777 7555 United Kingdom 44 207 365 6780 Sweden 446 85 853 6551 Reorder No 4200 89E Manual Material No 706317 Rev K Welch Allyn 4341 State Street Road Skaneateles Falls NY 13153 USA Printed in USA CE 0297 WelchAllyn Advancing Frontline Care Service Manual Revision Information Date 3 31 01 ECN Revision A Description Introduction of Service Manual Originator JDB Approval JDB 12 17 01 B Correction made to Section 1 regarding temperature accuracy Section 2 regarding part numbers Section 3 regarding error codes and updates t
30. Welch Allyn Spot Vital Signs Service Manual WelchAllyn Advancing Frontline Care Welch Allyn Spot Vital Signs Service Manual WelchAllyn Advancing Frontline Care ii Welch Allyn Spot Vital Signs Copyright 2007 Welch Allyn All rights are reserved No one is permitted to reproduce or duplicate in any form this manual or any part thereof without permission from Welch Allyn Welch Allyn assumes no responsibility for any injury to anyone or for any illegal or improper use of the product that may result from failure to use this product in accordance with the instructions cautions warnings or statement of intended use published in this manual Welch Allyn and Spot Vital Signs are registered trademarks of Welch Allyn LNCS is a trademark of and SET LNOP and Masimo are registered trademarks of Masimo Corporation Possession or purchase of a Masimo SpO s equipped device does not convey any express or implied license to use the device with unauthorized sensors or cables which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device Nellcor and Oxi Max are registered trademarks of Nellcor Puritan Bennett Inc Software in this product is Copyright 2007 Welch Allyn or its vendors All rights are reserved The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide
31. achable Power Cord Swiss 761076 8 Detachable Power Cord South America 761076 9 Foam Strip 78P567 1vb Label Blank 1 x 4 900242 8 Screw 2 28 750 Pan Tox SS 9P2847 Flex cable main to display 421030 Pump sub assembly 421023 501 IR window 421045 Battery 6 volt 4200 84 Cable assembly power Spot Vital Signs ext 421273 Rear housing 421040 1 Front housing assembly Version 1 only black 421049 502 Temperature pod housing 421044 Sp0 cover 421048 Battery door 421042 Switch array Version 1 only 6 W B 703430 PCB assy temperature pod 421105 501 Cable assy pump pneutr ON valve 421099 Stepper valve 620157 Flex cable main to temp pod 421066 Assy pneumatic tubing 421001 504 Assy Masimo front housing Version 2 only blue 403301 MS 11 OEM PCB Version 2 only 031 0160 00 Standoff set MS 11 left and right Verions 2 only 706070 Shield MS 11 Version 2 only 706053 Masimo adapter PCA Version 2 only 403291 Tape copper Masimo shield Version 2 only 704681 Assy plain front housing blue 403304 Main PCA Version 2 only 403290 Display module 706062 Switch array blue white 706213 MS 11 Nomex Version 2 only 706055 Assy pump filter 403370 Power cord domestic 76400 Assembly Spot pneumatic repair 421001 503 Field replaceable units Table 18 Spot Vital Signs Repair Parts List Welch Allyn Spot Vital Signs Description Part Number Source Battery sub asse
32. ail safe over pressure test 2 LI 37 Service work checkliSt ime eed Lo ee he Dee Aven 38 6 Disassembly and repair 39 battery disassetmmblya a avd Lok Eee E he dob RI Rd O R 40 Temperature 0 5 41 Front housing and key pad 42 L GD disassetmbly se oeste as ete dar ae seh BG REINO ERES 42 Power and battery cable disassembly 43 Main printed circuit board 44 SpOs circuit board 45 Mlasirmo board is eee dees Sy eR Rn YN ice e tds 45 Nellcorsboatrd oe m ce bate atic ect DN s RN e Rad 47 Pump and valve disassembly llle 48 7 Technical overview 51 Syster descriptos d Tur m es aut o UN gee Veo Pros ceder res Lea ee DY 51 Battery charge systerm e oeque ERR PL ER rong 51 Service Manual Contents vii Main CPU power supply eretier eek EARE EET E EEA RE 51 Clock calendar DoWeT uu ac GW ete as 51 Mod B NIBP POWE 4 ceu Mort si bibere sed 52 Thermometer power b2 SPOS a nha dace du CY SAF Y A NWN PA 52 LE 52 COMPHUAICATIONS oe recu io eut see see dt 52 Interconne
33. ailable on normal business days If you are advised to return a product to Welch Allyn for repair or routine maintenance schedule the repair with the service center nearest you Before returning a product for repair you must obtain authorization from Welch Allyn Service personnel will give you a Service Notification number Returns without a Service Notification number will not be accepted for delivery If you need to return the Spot Vital Signs for service e Remove all hoses cables sensors power cords and any ancillary products not associated with the problem e Whenever possible use the original shipping carton and packing materials e Include a packing list and the Welch Allyn Service Notification number e Note the Service Notification number on the outside of your shipping container It is recommended to insure all returned goods The sender may initiate any claims for loss or damage to the product Field replacement units Included with the Service Manual is a complete list of field replacement units Order spare parts from your local Welch Allyn Service Center Service loaners Service loaners are provided on request if a Welch Allyn Service Center provides repair service Loaners for products repaired while under the original warranty or while under service contract are provided free of charge and are shipped within 48 hours of notification of need For service repairs outside of warranty or contract loaners are
34. andoff after folding Service Manual Nellcor board Follow all the previous steps and then 1 Remove the three phillips head screws along with the nuts and spacers from the Phillips screws 40 00 0000 00000 0 000009 9 00 a9 008 rn a 96 e Disassembly and repair Spacers 3 places 2 Remove the SpO module Nellcor MP205 from the main Note and update the Main PCB 403290 The new Main PCB 403290 correctly operates an MP205 an MP506 or a Nell 3 PCB If the Nell 3 is used with the old main PCB an E7 error occurs after connecting the power For MP205 PCB Verify the following e There are two shunts at the top of the jumper row on the PCB before installing on the Main PCB e The two locking tabs on the connectors of the Nellcor MP205 PCB are broken off before installing onto the Main PCB e The nylon washers are located on the main PCB when reassembling the 5 PCB to the Main PCB For MP506 or Nell 3 PCB Verify the following e The DIP switch positions are 1 on 2 on 3 off and 4 off on the new PCB and the two locking tabs on the connectors of the Nellcor MP506 PCB are broken off before installing onto the Main PCB e Verify that the nylon washers are located on the main PCB when reassembling the SpO PCB to the Main PCB 47 If a failure occurs in the MP205
35. atic sensitive and handle them accordingly e Perform all service procedures in a static protected environment Always use techniques and equipment designed to protect personnel and equipment from electrostatic discharge e Remove static sensitive components and assemblies from their static shielding bags only at static safe workstations a properly grounded table and grounded floor mat and only when you are wearing a grounded wrist strap with a resistor of at least 1 megohm in series or other grounding device e Use only grounded tools when inserting adjusting or removing static sensitive components and assemblies e Remove or insert static sensitive components and assemblies only with monitor power turned off e Insert and seal static sensitive components and assemblies into their original static shielding bags before removing them from static protected areas Always test your ground strap bench mat conductive work surface and ground cord before removing components and assemblies from their protective bags and before beginning any disassembly or assembly procedures 8 Introduction symbols Welch Allyn Spot Vital Signs The following symbols are associated with the Spot Vital Signs Safety symbols Agency symbols gt failure x n P Type BF Equipment documents Identifies information within the Caution consult accompanying manual to avoid injury or equipment IN Internally Powered Lead Acid
36. ature housing toward the top of the Spot Vital Signs and carefully lay it on the bench Temperature Housing LEAD ACID BATTERY Model No 4200 B4 WelchAllyn Temperature PCB 3 Unplug the flex cable from the connector on the temperature PCB 4 Remove the two 10 Torx screws from the temperature PCB from the temperature housing 5 Remove the two 10 Torx screws on the temperature probe holder and gently pull out Temperature probe holder screws Temperature connector PCB screws 42 Disassembly and repair Welch Allyn Spot Vital Signs Front housing and key pad disassembly Follow all the previous steps and then 1 Remove the two screws inside the battery housing that are identified with arrows molded into the housing and the two screws underneath the temeprature housing 2 Hold the device together and lay the back housing on the bench 3 Carefully roll the front housing to the right 4 Disconnect the tubing from the front housing Pneumatic Tubing Version 2 Pneumatic Tubing Version 1 5 Gently pull the button switch array out of the cover 6 Align and push the new button switch array into place LCD disassembly Follow all the previous steps and then 1 Gently lift the LCD module from the posts 2 Roll the LCD to the left o
37. available 2 Connect one piece of the silicon tubing at each end of the elbow fitting and then connect the NIBP filter to one of the open ends 3 Connect the last piece of silicon tubing to the opposite end of the NIBP filter 50 Disassembly and repair Welch Allyn Spot Vital Signs 4 Carefully slide and center the foam sleeve over the NIBP filter 5 Remove the open ended tubing from the pump and replace with the pump filter assembly Confirm proper pump fitting 51 Technical overview System description The Spot Vital Signs automatically measures systolic and diastolic blood pressure pulse rate pulse oximetry SpO gt and temperature oral axillary under 4 years and rectal for adult and pediatric patients excluding neonates The device is intended to be used by clinicians and medically qualified personnel It is available for sale only upon the order of a physician or licensed health care provider Refer to the Spot Vital Signs Directions for Use manual for complete information Battery charge system Spot Vital Signs includes a 6 Volt 4 5 amp hour sealed lead acid battery that supplies all power to the device A polarized connector protects against reversing the battery connection An external power supply charges the battery and can operate Spot Vital Signs at the same time The external power supply provides the Spot Vital Signs with up to 1000mA at 72VDC As the battery charges the
38. ce 5 0 accessory disposal Dispose of all finger sensors and cables in accordance with facility local and goverment regulations Temperature calibration check Use the 9600 Plus Calibration Tester to check the SureTemp thermometer accuracy If the thermometer is out of calibration contact Technical Service 72 Maintenance Welch Allyn Spot Vital Signs A 73 Repair test specifications This appendix refers to the Spot Vital Signs without pneumatics tubing and cuff temperature probe SpO probe or main battery attached unless otherwise noted Use the Repair Software for the performing the tests on the Spot Vital Signs The standard test voltage unless otherwise stated is 6 5 Vdc 0 0 25 Vdc Unless otherwise stated all calibrated volumes are 10cc of the stated volume Unit software for the Spot Vital Signs is egual to or greater than 1 07 for Spot software SW 1 and equal to or greater than 1 01 for ModB software SW2 If the Unit has Nellcor SpO MP205 PCB the SpO software is equal to or greater than 1 2 0 0 If the Unit has Nellcor SpO MP506 PCB the SpO software is equal to or greater than 1 72 07 If the Unit has the temperature option the temperature software is equal to or greater than 24 General unit test A D noise test Leak test The A D Noise Test is defined as the amount of noise on the Spot Vital Signs A D pressure channel over a 1 second sample time while 0 0 mmHg
39. ct diagram sre cp E V PEGE Rede Y GN GN UD GU 53 8 Field replaceable 55 Oe DEC OS aai S ERE eset Tbe rase 59 Patient pOpUlation ss v eos e Re E RR RR M RR 59 Blood pressure s is odd EU LE ERE ML Vs MEE Ee 59 Temperature ue ue A ur oret Ape nce trie ii d Kate MERE 59 PulsepXIIetty 42 2 35 sees eb tees d er SE Hd bale Ae tM reed 60 Masimo sensor accuracy 60 cte bet m ees e Dep we o PPM 60 Nellcor amp sensor accuracy guide 61 NellconpatentSu er emer Er bre Tw e s 62 MECHANICAL uis ni dcr decode ho mordet tinted AAS dr yd teach 62 Electrical su D Y e A isd DAU yd Pr ade 62 EDvIrontrientalk ieu y dw arw eR RR Sd etd Y gyd a ect 62 Guidance and manufacturer s 63 Emissions and immunity 63 Patents Y ND Yg eite diete e SG pe ER T yd ete 66 Identification label and serial numbering system 67 Firmware 67 10 Maintertatices cud uera gos ee RR BA eee we Rua AP 69 Cleaning su edu au scia hu erri Aa Pul Ax SM M ERE etat Mr 69 Spor vital SONS 5 NEED ede ey teu t od dened tuk DAN AG 69 Blood pressure cuff
40. dges each button in the Button Pressed display Select Ok to exit the dialog box Interface test Follow the steps in Connections on page 25 Select Test gt Display in the Spot Vital Signs Repair Software to confirm the Window Display shows all of the segments Select all on in the Spot Vital Signs Repair Software to confirm the Window Display shows all of the segments Select all off in the Spot Vital Signs Repair Software to confirm the Window Display clears all of the segments Select Normal in the Spot Vital Signs Repair Software to confirm the Window Display returns to the normal display Select Segment in the Spot Vital Signs Repair Software to confirm the Window Display shows each number is correct as the test progresses one cycle Select on in the backlight Spot Vital Signs Repair Software to confirm the Window Display backlight comes on Select off in the backlight Spot Vital Signs Repair Software to confirm the Window Display backlight goes out Select buzzer test to confirm the buzzer of Spot Vital Signs is on Select Ok to exit the test and turn the buzzer off 10 Select Ok to exit the dialog box Print guality This section affects Spot Vital Signs Version 1 only This test requires the use of the TTL service port You cannot complete the test using IR for communication 1 2 o ox T Follow the steps in Connections on page 25 Verify the printer is the HP IR printer that works with Spo
41. e blood pressure cuff or pressure hose If necessary use gas sterilization Cables and pressure hose Wipe the cabling and pressure hose with a damp cloth moistened in a mild detergent solution Do not immerse 70 Maintenance Welch Allyn Spot Vital Signs Temperature probe Periodically wipe the temperature probe clean with an alcohol dampened cloth warm water or properly diluted non staining disinfectant Do not immerse the probe SpO sensor WARNING Do not immerse the sensor in water solvents or cleaning solutions the sensors and connections are not waterproof Do not use irradiation steam or ethylene oxide for sterilization Clean the reusable SpO sensor with a 70 isopropyl alcohol solution and allow to air dry Do not immerse the sensor or cable Every months inspect the temperature probe SpO s cord and accessories for fraying or other damage Replace as necessary Battery removal and replacement A Caution Only use the Welch Allyn 4200 84 lead acid battery Using the incorrect battery will cause damage to the Spot Vital Signs and void the warranty As necessary replace the internal battery after heavy use or the battery no longer charges Use a battery with the same part number 1 Turn the Spot Vital Signs off and disconnect the DC power transformer cord 2 Remove the 4 screws holding the battery door using a phillips head screwdriver Remove the battery door to expose the battery 3 Tip the Sp
42. e blood pressure pneumatic tubing to the Spot Vital Signs and to the test station part number 401028 Connect the IR Data Interface cable to the computer Start the Spot Vital Signs repair software on the computer Remove the battery and connect the power supply to the Spot Vital Signs OV o N Confirm the IR Data Interface is not obstructed 26 Calibration Welch Allyn Spot Vital Signs Figure 5 Connect Diagram Part Number 401028 100 ml Vol 250 ml Vol Service Manual Calibration 21 Voltage calibration 1 2 3 Follow the steps in Connections Adjust the power supply to 5 6 Vdc 0 1 Vdc 0 3 0 0 Vdc Hold down the Blood Pressure Start Stop button while powering up to enter the configuration test mode After the software versions are displayed press the Mode button until the Spot Vital Signs displays BAT in the LCD window Select Calibrate Voltage in the repair software The Spot Vital Signs display window goes blank Read the voltage on the digital multi meter DMM connected to the power supply Type the voltage reading in the Calibrated Voltage box and select Update Enter your initials in the Calibration Signature field to complete the voltage calibration and select OK The voltage on the LCD display matches that of the DMM Blood pressure calibration 1 2 3 Follow the steps in Connections on page 25 Adjust the power supply to 6 5 Vdc 0 0 25 Vdc Hold down the
43. eadings and the valve and pump status To verify the blood pressure calibration 1 Push the Spot Vital Signs Blood Pressure Start Stop button to close the valve 2 Pump the hand bulb to the set the pressures 0 mmHg 50 5 mmHg 150 25 mmHg 250 5 mmHg Verify each pressure is within 3 mmHg of the target pressure except for 0 mmHg which should be within 1 0 mmHg 3 Press the Mode button until the LCD window reads bat To verify the voltage reading 1 Set the power supply to 5 6 40 3 0 0 Vdc 2 Verify that the voltage reading meets the test specification 3 Return the power supply to 6 5 Vdc 0 0 25 Vdc upon completion of this test 4 Select OK to exit the Test Calibration dialog box 2 Functional overview Welch Allyn Spot Vital Signs NOTE The pass fail criteria for the blood pressure calibration check depends upon the accuracy of the pressure measurement standard used e If the pressure measurement standard used is rated with an accuracy of 0 1 mmHg the pass fail criteria is 22 9 mmHg in order to guarantee that the instrument under test is within x3 mmHg of NIST e fthe pressure measurement standard used is rated with an accuracy of 1 0 mmHg the pass fail criteria is 22 0 mmHg in order to guarantee that the instrument under test is within x3 mmHg of NIST Temperature functional check The 9600 Plus Calibration Tester takes approximately 20 minutes to heat to the lowest setting When testing seve
44. elch Allyn 9600 Plus Calibrator If using a water bath to take temperatures verify the bath themperature is between 84 F and 106 F 28 8 C and 41 19C The reading must agree within 21 0 F 0 8 C measuring against a temperature stated that is accurate to within x 1 0 F 0 8 C Temperature probe test Spot Vital Signs displays 188 8 and then after you remove the oral probe from the probe housing 5 0 option requirements These tests only valid on Spot Vital Signs models with the Masimo or Nellcor SpOs option SpO0 functional test See Masimo or Nellcor starting on page 24 for the functional test 5 0 mode current test The SpO Mode Current Test is defined as the amount of current less the Blank Mode Current that is drawn through the battery terminals placing Spot Vital Signs in the Blank 76 Repair test specifications Welch Allyn Spot Vital Signs Mode actuating the SpO5 mode and applying any SpO signal to the device The maximum limit is 120 mA maximum Fail safe test Over pressure test Verify that Spot Vital Signs can detect over pressure on the pneumatic system between 296 0 mmHg and 329 mmHg Over 15 mmHg Verify that Spot Vital Signs can detect static pressure over 15 mmHg for 180 seconds 71 B Supplies and Accessories Latex free blood pressure Table 1 Cuff and Bag Combination Catalog Description Catalog Description 5200 01 Cuff and bladder adult
45. ement circuit calibration Spot Vital Signs memory will store a calibration signature of up to four printable characters Blank mode current test The Blank Mode Current Test is defined as the amount of current drawn through the battery terminals All LCD segments the back light and the SpOs mode are all turned off The limit is 200 mA maximum Service Manual Repair test specifications 75 Back light Idle current test The Back Light Current Test is defined as the amount of current drawn through the battery All LCD segments and the back light are turned on while the SpO mode is turned off The limit is 400 mA maximum Valve pump mode current test The Valve Pump Mode Current Test is defined as the amount of current that is drawn through the battery terminals Spot Vital Signs is in the Blank Mode while the valve and pump are actuated to on The limit is 700 mA maximum Interface test When given the proper commands the Display Window will turn on or off all segments and turn on or off the back light When given the proper command the buzzer sounds to verify operation The user determines the pass fail criteria Temperature option requirements Accuracy test Verify the accuracy of the temperature module is within 0 2 F for readings with a nomal temperature of 97 39 F 36 3 C using a Cal Key 5200 25 Verify Spot Vital Signs can read a temperature of 96 4 F 35 8 C and 106 F 41 1 C within 20 3 F 0 2 C using a W
46. emperature is displayed starts to flash and continues flashing until the cavity reaches the eauilibrium at the new set point 24 Functional overview Welch Allyn Spot Vital Signs Sp02 functional check Masimo Nellcor There is no way to change the functionality of the SpOs module If the SpO is not functioning properly contact Technical Service This section applies to Version 2 only Use the Masimo Tester to perform to functionally check the Masimo sensors 1 Orient the Masimo extension cable such that the DB 9 connector connects to the SpO connector on Spot Vital Signs Connect the opposite end of the extension cord to the Masimo Tester part number 11593 2 Power on Spot Vital Signs and confirm the SpO reading in the Display Window is 8196 3 and the pulse reading is 61 bpm 1 bpm If the reading is outside the range contact Welch Allyn Technical Service 3 Place the thumb and index finger on the gray buttons on either side of the Masimo Tester connector press the buttons firmly and gently pull to remove the tester Nellcor MP205 SpO module This section applies to Version 1 only Use a Nellcorapproved SpO simulator SRC 2 to check the SpO functionality 1 Confirm the settings of the simulator Rate 112 Light High 1 Modulation High RCAL Mode RCAL63 local 2 Connect the Nellcor 5 simulator test cable to the Spot Vital Signs 3 Verify the Spot Vital Signs reading meets the requiremen
47. energy required to charge it decreases and the external power supply voltage rises to 8 VDC while supplying 750mA The voltage to the external power supply is approximately 12 5VDC with no load attached The Spot Vital Signs monitors the battery voltage to control the fast and trickle charge modes The CPU allows fast charge until the battery reaches approximately 70 VDC and then the CPU Switches the charger circuit to trickle charge mode For a dead battery the external charger supplies sufficient power to allow the Spot Vital Signs to power on but not enough energy for a blood pressure cycle A 5 amp surface mount fuse is populated on the Spot Vital Signs main board at location F301 Main CPU power supply A single 45VDC linear regualtor U319 powers the CPU and provides power to other digital circuitry on the main printed circuit board Clock calendar power The battery directly powers the internal real time clock U309 through a voltage divider The Spot Vital Signs always has power if a battery is connected A 100uF capacitor C308 delivers energy to the real time clock during a battery exchange If the battery is disconnected for longer than 1 minute reset the real time clock after restoring the battery power 52 Technical overview Welch Allyn Spot Vital Signs Mod B NIBP power The main board contains the circuitry required for blood pressure measurement The main CPU controls the battery power to this module through a 5V linear re
48. essory REF 4200 170 INSTALLATION INSTRUCTIONS Step 1 Remove rubber base from IR dongle Step 2 Place IR dongle into bracket clamps Step 3 Tighten screws Step 4 Clean side of device housing using alcohol wipe Step 5 Remove adhesive protective paper from back of bracket Step 6 Place bracket flange A on device surface B and hole in bracket C over IR window D as shown Press firmly to secure adhesive Note Max adhesive strength achieved in 24 hours CAUTION DO NOT Download any drivers during the installation process for this IR Rs232 device Drivers are not reguired and will interfere with communication between the device and the Electronic Medical Record IR DONGLE 89 Warranty Spot Vital Signs Welch Allyn warrants Spot Vital Signs when new to be free of defects in material and workmanship and to perform in accordance with manufacturer s specifications for a period of two years from the date of purchase from Welch Allyn or its authorized distributors or agents The battery is covered by a one year warranty against original defects in material or workmanship Welch Allyn will either repair or replace any components found to be defective or at variance from manufacturer s specifications within this time at no cost to the customer It shall be the purchaser s responsibility to return Spot Vital Signs to Welch Allyn or an authorized distributor agent or service represen
49. europathy WARNING Do not change the connector s on the blood pressure cuff tubing of this device to luer type Luer type connectors are commonly used in intravenous infusion systems Using the luer connectors on blood pressure cuff tubing creates the risk that the blood pressure tubing could be mistakenly connected to a patient s intravenous line resulting in the introduction of air into the patient s circulatory system 4 Introduction 5 0 warnings A Welch Allyn Spot Vital Signs WARNING Only use Spot Vital Signs with Masimo or Nellcor SpO option with Masimo or Nellcor brand sensors and accessories respectively Using the wrong or unapproved sensors or cables may cause improper performance WARNING The SpO sensors and extension cables are intended for use only for pulse oximetry measurements Do not attempt to connect these cables to a PC or any similar device WARNING Before use carefully read the sensor s directions for use including all warnings cautions and instructions WARNING not use a damaged sensor or SpO gt cable Do not use a sensor with exposed optical components WARNING Tissue damage can be caused by incorrect application or duration of use of an 5 sensor Inspect the sensor site as directed in the sensor s Directions for Use WARNING Do not use the sensors during magnetic resonance imaging MRI scanning Induced current could potentially cause burns The pulse oximeter may affect the MRI
50. ey 05031 101 Disposable probe covers 1 000 covers 25 box 01802 110 Model 9600 Plus Calibration Tester Mounting Table 13 Accessories and Supplies Catalog Description Catalog Description 4200 60 Mobile Stand 4200 64 IV Pole Mount 4200 62 Wall Mount 4200 70 Anti Theft Kit Extended warranty Table 14 One year extended warranty Catalog Description Catalog Description 4200 00B Model 4200B 4200 M0B Model 42M0B 4200 0TB Model 420TB 4200 NTB Model 42NTB 4200 NOB Model 42N0B 4200 MTB Model 42MTB Service Manual Miscellaneous Table 15 Accessories and Supplies Supplies and Accessories 81 Catalog Description Catalog Description 4200 84 Lead Acid Battery 5200 101A AC Power Transformer US Canada Japan 120V 60Hz 4200 87X Directions for Use 5200 103A AC Power Transformer Europe UK 240V 50Hz 4200 88X Quick Reference Error Code Card 5200 1034 AC Power Transformer Australia 240V 50Hz 4200 155 Inservice CD English only 76400 Line Cord US Canada Japan 4200 89E Service Manual English only 76402 Line Cord Europe 4200 100 Carrying Case 76404 Line Cord UK 4200 170 Connectivity Accessory Kit 76406 Line Cord Australia 53600 Printer paper 24 rolls 4200 250 Pediatric accessory kit small child child small adult cuffs and Nellcor SpO5 sensor 53600B Printer paper 4 rolls 4200 350 Pediatric accessory kit small child child small adult cuffs and Masimo 8 0 sensor
51. f the Spot Vital Signs and lay it on the bench LCD Flex Cable 3 Remove the flex cable from the LCD and set the LCD aside Service Manual Disassembly and repair 43 Power and battery cable disassembly Follow all the previous steps and then 1 Push down on the tab that connects the power cable to the main PCB and pull it toward the bottom of the Spot Vital Signs Da Ferrite Bead D Power cable to main PCB connection Wire tie 2 Lift the ferrite from its holder 3 Use a 3 8 Hex socket to remove the nut from the outside of the transformer connector Slide the cable through the rear housing opening 4 Cutthe wire tie and slide the battery connector out of the rear housing to remove the cable assembly 44 Disassembly and repair Welch Allyn Spot Vital Signs Main printed circuit board assembly Follow all the previous steps and then 1 Remove the pneumatic tubing from the transducer on the main PCB Torx Screws Battery Valve Connector Pneumatic Tubing 2 Remove the battery valve cable connector from the bottom of the PCB 3 Remove the 4 10 Torx screws from the PCB 4 Lift Main PCB from housing If the Spot Vital Signs uses SpO then remove the three screws on the underside of the Main PCB and lift the SpO PCB off the main
52. f the blood pressure cuff is not at heart level the difference in reading due to the hydrostatic effect should be noted The value of 1 80 mmHg must be added to the displayed reading for every inch 2 5 cm above heart level The value of 1 80 mmHg must be subtracted from the displayed reading for every inch 2 5 cm below heart level Caution Proper blood pressure cuff size and placement is essential to the accuracy of the blood pressure determination Caution When measuring blood pressure on children younger than 3 years of age It is recommended that the Pressure Preset initial inflation pressure be set at 160 mmHg or lower Caution The pulse oximeter is calibrated to determine the percentage of arterial oxygen saturation of functional hemoglobin Significant levels of dysfunctional hemoglobin such as carboxyhemoglobin or methemoglobin may affect the accuracy of the measurement Caution Physiological conditions medical procedures or external agents that may interfere with the pulse oximeter s ability to detect and display measurements include dysfunctional hemoglobin arterial dyes low perfusion dark pigment and externally applied coloring agents such as nail polish dye or pigmented cream Caution Some sensors may not be appropriate for a particular patient If at least 15 seconds of perfusion pulses cannot be observed for a given sensor change sensor location or sensor type for perfusion to resume Caution When selecting a sens
53. f tubing or pressure hose may cause system errors to occur in the device WARNING Care should be taken to prevent water or other fluid from entering any connectors on the device Should this occur the connectors should be dried with warm air All operating functions should then be checked for proper operation WARNING Any Spot Vital Signs which has been dropped or damaged should be checked by qualified service personnel to ensure proper operation prior to use Do not use the Welch Allyn Spot Vital Signs if you notice any signs of damage Contact the Welch Allyn Customer Service Department for assistance WARNING Every three months inspect the temperature probe SpO cord and accessories for fraying or other damage Replace as necessary WARNING There are no userserviceable parts inside the device other than battery replacement Refer Spot Vital Signs to the Authorized Service Center WARNING The Spot Vital Signs should not be used on patients who are linked to heart lung machines WARNING The Spot Vital Signs does not operate effectively on patients who are experiencing convulsions or tremors WARNING This device complies with current required standards for electromagnetic interference and should not present problems to other equipment or be affected by other devices As a precaution avoid using this device in close proximity to other equipment WARNING This device is not intended for hand held use during operation WARNING Welch A
54. ferences of up to 10 mmHg are considered normal and occur for a number of reasons including intra patient blood pressure variability observer hearing differences and auscultatory deflation rate Table 9 Cuff Inflation and Deflation with No Blood Pressure Reading Displayed or Error Code in Display Possible Cause Explanation and Corrective Action Leak in pneumatic system Ensure all blood pressure cuff attachments are tight Carefully check for leaks in the blood pressure cuff tubing and pressure hose attached to the device Arm movement during cycle Keep arm still during blood pressure cycle Movement may cause inaccuracies from artifact Blood pressure cuff tubing or pressure hose Do not contact blood pressure cuff tubing or pressure hose movement artifact during blood pressure cycle Movement may cause inaccuracies from artifact Table 10 No Blood Pressure Cuff Inflation Possible Cause Explanation and Corrective Action Connections between device and blood Check all connections do not overtighten pressure cuff loose Table 11 Temperature Malfunction Possible Cause Explanation Corrective Action Error code displayed Broken probe Replace probe Consult Service Manual Notify biomedical department or Welch Allyn Technical Support Low temperature Improper probe Place probe in most posterior sublingual pocket when in readings placement Oral Mode Verify patient has had nothing to eat or drink
55. for 20 minutes 32 Troubleshooting Welch Allyn Spot Vital Signs Table 11 Temperature Malfunction Possible Cause Explanation Corrective Action No temperature displayed Probe not replaced Replace probe in holder prior to taking another temperature Table 12 Sp0 Malfunction Possible Cause Corrective Action Sensor in place but Sp0 on display Insert the patient s finger completely into sensor Verify blood pressure and SpO measurements not taken on the same extremity Verify the sensor cable is correctly plugged into device Verify you are using the correct sensor Use only Masimo or Nellcor 5 0 sensors and accessories with the Welch Allyn Spot Vital Signs with Masimo or Nellcor configurations respectively Table 13 Device Does Not Turn On Possible Cause Explanation and Corrective Action Low battery Check connections between device and transformer and transformer and wall receptacle Device not powering up Unplug unit from wall receptacle and check for breaks in cord If connections are secure check electrical outlet Charging indicator is on if connections are good and the device is plugged into a working outlet Notify biomedical department or Welch Allyn Technical Support Table 14 Blood Pressure Cuff Too Tight Over Inflation Possible Cause Explanation and Corrective Action Pressure preset too high Check default Pressure Preset setting in
56. for devices with SpO only Pulse Display shows the pulse rate Temperature Display and Indicator shows the temperature in Fahrenheit or Celsius for devices with SureTemp only Monitor Mode Temperature indicates the thermometer is in Monitor Mode for devices with SureTemp only Out of range indicator shows the patient s temperature reading above or below the measurement range limits for devices with SureTemp only Icon not used Battery Level indicator displays the battery charge level Battery Charging indicates the device is powered through the AC power transformer 16 Overview Welch Allyn Spot Vital Signs Connections Use the following instructions to connect the blood pressure hose thermometer probe and optional attachments to the Spot Vital Signs Figure 3 Spot Side and Rear Panel Connections Probe Cover Storage Compartment storage space for one box of probe covers Sp0 Cable Connection Port for units with SpO only Temperature Probe Holder storage space for the temperature probe when not in use for devices with SureTemp only Suretemp Thermometer Connection Port for devices with SureTemp only IR Data Interface Port for communicating with an external device Battery Door DC Power Connection Port Threaded Insert to mount the Spot Vital Signs to a mobile stand Service Manual Overview 17 Blood pressure hose and cuff connections Have available the Spo
57. for use in the electromagnetic en Specifications 65 Electromagnetic Immunity it is used in such an environment vironment specified below The customer or user of the Spot Vital Signs Immunity Test IEC 60601 Compliance Electromagnetic Environment Guidance Test Level Level Portable and mobile RF communications equipment should be used no closer to any part of the Spot Vital Signs including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms V1 3Vrms d 1 17 JP IEC 61000 4 6 150 kHz to 80 MHz Radiated RF 3 V m E1 3V m_ d 1 17 P 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 2 33 P 800 MHz to 2 5 GHz where Pis the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres 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 gt Note 1 At 80 MHz and 800 MHz the higher frequency range appl Note 2 These guidelines may not apply in all situations Electrom objects and people ies agnetic propagation is affected by absorption and reflection from structures
58. g interface Welch Allyn recommends that the customer contact their Biomedical Engineering department or maintenance service to ensure N professional installation safety and reliability of any mounting accessory WIV Welch Allyn Spot Vital Signs 86 Miscellaneous Mounting Accessories Anti theft kit REF 4200 70 1 j3 1 0 Service Manual Miscellaneous Mounting Accessories 87 Transformer mounting plate accessory REF 4200 75 The Transformer Mounting Plate Kit 1 Align the bottom of the Spot Vital Signs with the mounting Wire Clamp plate 2 Slide the Spot Vital Signs onto the 3 Tighten the integral mounting plate and start integral screw until snug Do screw into brass nut located on c Brass Nut not overighten Verify the back of the Spot unit the Spot Vital is fastened securely to the transformer mounting plate 5 Place the transformer onto the mounting plate 4 Remove the wire clamp screw and save it for later use 7 Replace the screw and firmly tighten it down so that the clamp is secure 6 Place the wire clamp over the transformer and hook the two ends into the slots The ends must slip underneath the plate 88 Miscellaneous Mounting Accessories Welch Allyn Spot Vital Signs IR dongle mounting acc
59. gBs Ade D Oral to Axillary Mode Thermometer Eject Button push to remove used temperature probe cover Next Patient Clear Cancel Button active display clears the display in Standby Mode recalls the last patient information Pressing a second time clears the screen cancels an active blood pressure measurement and deflates the cuff Blood Pressure Start Stop Button initiates a new blood pressure cycle Pressing again cancels an active blood pressure measurement and deflates the cuff Pressure Hose Connector port for blood pressure hose Power Button controls power to the device 14 Overview Welch Allyn Spot Vital Signs Figure 2 Spot Vital Signs with SureTemp Plus Thermometer Version 2 7 kPa rena PUE DIA kPa mmHg J SpO 96 9 min Pressure Preset Button press to change the factory inflation OF default for one reading Version 2 i JB only Mode Button e holding for 2 seconds while the display is active turns off on the backlight in Standby Mode recalls the last patient information with the temperature probe removed from the probe holder switches the temperature from Oral to Axillary Mode Thermometer Eject Button push to remove used temperature probe cover Next Patient Clear Cancel Button active display clears the display in Standby Mode recalls the last patient information Pressing a second ti
60. gulator U6 In the event of a critical blood pressure module error the main CPU disconnects power from the module through the BPEN signal at Q11 A separate 5V linear regulator U1 powers the ModB analog circuitry to keep digital signal noise separated from the analog components Thermometer power A combination of the main CPU 5V and the ModB 5V supply the SureTemp thermometer circuitry If the main CPU disconnects power from the ModB blood pressure circuitry then the SureTemp circuitry is also disabled 5 0 power The battery supplies power to the SpO through a 5V linear regualtor U322 If there is no SpO module connected to the Spot Vital Signs main board the SpO2 power supply is disconnected LCD power The main CPU supplies power to the LCD module through the J307 connector and the FET Q312 and comparator U324A control the backlight This comparator and FET create a pulse width modulated signal that allows the backlight to maintain constant brightness during changing battery voltages The white backlight LEDs are connected in series inside the LCD module This configuration causes some LEDs to look brighter or dimmer than adjacent LEDs This is normal and expected Communications A Spot Vital Signs and computer can communicate through the IR or service communication ports IR communication is the default mode and works as a standard serial port 9600 baud 8 data bits no parity 1 stop bit no flow control
61. heart rate palpate pulse or check device e Moderate to severe heart rate irregularities may make blood pressure difficult to measure Service Manual Troubleshooting 31 Table 8 Inaccurate Blood Pressure Readings Possible Cause Explanation and Corrective Action Incorrect reference Use the correct Korotkoff sound to determine diastolic blood pressure e Many listeners incorrectly equate diastolic blood pressure with the disappearance of sound only phase 5 The Welch Allyn Spot Vital Signs was developed using the American Heart Association recommendations which state that phase 5 be used unless sound continues to 0 mmHg in which case the change in the quality of sound phase 4 is to be used Deflate blood pressure cuff no faster than 3 mmHg per second e One of the major sources of error in auscultatory blood pressure measurement is deflating the blood pressure cuff too quickly The American Heart Association recommends deflation no faster than 3 mmHg per second Only use a sphygmomanometer that is calibrated e Anuncalibrated sphygmomanometer may take inaccurate blood pressure measurements Change in blood pressure Check blood pressure immediately prior to Welch Allyn Spot Vital Signs reading between auscultatory reading and Welch Allyn Spot Vital Signs reading Poor auscultatory sound Use higher guality stethoscope Have a different observer check patient s blood recognition by observer pressure Note Dif
62. how in the systolic diastolic and heart rate displays respectively Use the Mode button to select the date item for change When a date option is selected the respective display flashes Use the Next Patient Clear or Blood Pressure Start Stop buttons arrow up or arrow down to change the selected date option After making all the desired date changes press the Mode button once to save the change and advance to the Time Set Screen When in the Time Set Screen the hour in 24 hour format and minutes appear in the systolic and diastolic displays respectively Use the Mode button to select the time item for change When selected the time option flashes Use the Next Patient Clear or Blood Pressure Start Stop buttons to set the time in the same manner as described previously Press the Mode button to save the time and advance to the next screen Press the Power button to turn off the Spot Vital Signs To update the displayed date and time 1 Press and hold the Blood Pressure Start Stop Power buttons to enter the Internal Configuration Menu Spot Vital signs displays the revision level of the internal software Press the Mode button to advance to the Date Set Screen The day month and year appear in the systolic diastolic and heart rate displays respectively Use the Mode button to select the date option for change When a date item is selected the respective display flashes Use the Next Patient Clear or Blood Pressu
63. ied by this service manual is calibrated and the calibration certificate of the meter is traceable to NIST The pressure meter testing the Spot Vital Signs must have an accuracy of better than 3 mmHg Subtract the rated accuracy of the pressure measurement standard from the 3 mmHg rated accuracy of Spot Vital Signs This is the pass fail criteria to determine if the device is within calibration If the differences between Spot Vital Signs and the pressure measurement standard are within the pass fail criteria at all specified pressures then the device is within calibration All test specifications are found in Appendix A 1 Use the pneumatic tubing to connect the Spot Vital Signs to the test station page 26 Disconnect the battery and connect the power supply Verify the IR Data Interface is free from obstacles 2 Open the Spot Vital Signs repair software and verify the computer is communicating with the Spot Vital Signs 3 Hold down the Blood Pressure Start Stop button while powering on the Spot Vital Signs The Spot Vital Signs enters the configuration test mode After the LCD displays the software versions press the Mode button to display CAL Spot Vital Signs automatically performs an auto zero 4 Attach a pneumatic clamp to the 100 cc and the 250 cc cylinder and then remove the clamp from the 500 cc cylinder 5 Select Test Calibration on the computer screen The dialog box displays the Spot Vital Signs manometer and battery r
64. ill out the warranty card and mail it today Blood Pressure Cuff Latex free blood pressure cuff with connectors Other size cuffs are available separately Blood Pressure Hose Latex free pressure hose with connectors to attach various sizes of blood pressure cuffs to the Spot Vital Signs AC Power Transformer and Cord Assembly Provides power to the Spot Vital Signs and charges the internal battery Quick Reference Error Code Card Attach this quick operating and error code guide to the device handle mobile stand or wall mount attachments Spot Vital Signs may include the following items based on the model and accessories purchased SureTemp Temperature Probe and Covers One oral temperature probe blue cap and one box of 25 single use disposable probe covers Pulse Oximetry SpO The finger clip SpO sensor and extension cable are for use with adult and pediatric patients Other sensors are available separately Service Manual Service Overview 11 Caution Unauthorized repairs will void the warranty A Welch Allyn Service Center must perform all repairs on products under warranty Unauthorized repairs will void the warranty Qualified electronics personnel or a Welch Allyn Service Center should repair products out of warranty Technical assistance If you have an equipment problem that you cannot resolve call the Welch Allyn Service Center nearest you for assistance Technical service telephone support is av
65. image and the MRI unit may affect the accuracy of the pulse oximetry measurements WARNING Certain ambient environmental conditions sensor application errors and certain patient conditions may affect SpO readings and pulse signal WARNING Do not immerse the sensor or patient cables in water solvents or cleaning solutions the sensors and connections are not waterproof Do not use irradiation steam or ethylene oxide for sterilization WARNING Do not use the SpO cable or power cord to lift the unit because the cable or cord could disconnect from the unit causing the unit to drop on the patient WARNING SpO in the Welch Allyn Spot Vital signs is not intended for use as an apnea monitor WARNING Consider the SpOs an early warning device As a trend toward patient deoxygenation is indicated use laboratory instruments to analyze blood samples to completely understand the patient s condition Service Manual Introduction 5 Temperature warnings A WARNING Single use disposable probe covers available from Welch Allyn limit patient cross contamination The use of any other probe cover or the failure to use a probe cover may produce temperature errors and is specifically not recommended WARNING Use only oral probes blue cap for taking oral and axillary temperatures Use only rectal probes red cap for taking rectal temperatures The use of the wrong probe may produce temperature errors WARNING Do not allow the
66. ion Always perform this functional verification procedure after performing any calibration This procedure contains additional tests that are not included in calibration procedures Power on off and system check procedure Press the Power button to turn the device on or off Upon each power up all the LCD segments in each display turn on briefly and two beeps sound If the internal self check is successful the display shows its normal functions see page 15 and the device is ready for operation If the self check fails an error code is shown in the on the display To turn the unit off press the Power button Note Turning the unit off erases measurement data 20 Functional overview Welch Allyn Spot Vital Signs Internal configuration mode You can change several device operating parameters in the Internal Configuration Mode When changed these settings become the default powerup settings You will also see non changeable device configurations for technical service purposes To enter the Configuration Mode 1 2 Turn the Spot Vital Signs off Press and hold the Power Blood Pressure Start Stop buttons The device enters the Internal Configuration Mode and displays the software version Press the Mode button to cycle through the Internal Configuration menu until you see the menu option displayed on the screen Use the Next Patient Clear Cancel or Blood Pressure Start Stop button to change the default setting Pres
67. ion Check patient condition Table 6 Temperature Code Description Corrective Action C20 Broken missing probe Replace probe P Loss of tissue contact Ensure proper probe positioning E0 2 E0 3 Ambient temperature out of range Adjust ambient temperature or device location C22 10 minute diagnostic time exceeded Table 7 Sp0 Remove probe discard probe cover retake temperature Code Description Corrective Action E7 Internal SpO error Retake reading C6 SpO pulse rate out of range Check patient condition C8 Faulty 5 0 sensor Replace sensor C9 SpO time limit exceeded Remove sensor from patient Reapply sensor and retake reading Causes and corrective action Table 8 Inaccurate Blood Pressure Readings Possible Cause Explanation and Corrective Action Incorrect blood pressure cuff Determine correct blood pressure cuff size size e Use reference markings on blood pressure cuff Use Welch Allyn approved e Measure patient s arm circumference midway between elbow and shoulder to blood pressure cuffs only select correct blood pressure cuff size Patient s arm position Ensure patient s arm is at heart level Arm movement during blood Keep arm still during blood pressure cycle pressure cycle Movement may cause inaccuracies from artifact Blood pressure taken over Take blood pressure on a bare arm clothing Arrhythmia Check for regularity of
68. ir parts lists AMJ FL Drawings and or illustrations and or part numbers in this document are for reference only For the most current revision call the Welch Allyn Customer Service phone number see page ii Welch Allyn Spot Vital Signs Contents BO hs ae ew nde 1 WA rfinids and eautlons 3 s mI hee bon Ud o ERR 1 Generali warhlhgss tse m eee rie qeu eI ead ddp 1 Blood pressure warnlrgs ss 422a teh wed Glog tlle dene en 3 SDO WalTill gs Shek E E e e e P REO RR RE EA ARRA ARA EUR 4 Temperature warnings x id au be qp LE S ROSE DE e 5 IR communications port 5 5 Generalicautions ce dede spe Ie E Een uidere ed Mel 5 Blood pressure 5 6 SpOcautlOnS iut o mi oc FAD eset eR 6 Temperature cautions s sin de de e ende ege 6 Electrostatic discharge ESD ioi raninus nd ii Y FF eee 7 OV ITI OS Y Y LIE 8 Safety symbols aues V este bee D et e e tet 8 Agency Symbols v dep ne t e m LB 8 2 UO UIBWL d c baa ot banks be OY Weg X lowers acd ng Silene 9 Purpose rnd Scopes isis hA EA E ELE EISE EE Ap nbi venus 9 Other applicable 9 GontentsehieckllSt e e ALAA ce e e ob RNa Ao ge tte Mos m yd
69. is applied to the device pressure port The maximum limit is 0 050 mmHg The Leak Test is defined as the amount of pressure drop that is recorded over a 15 second interval with a 100cc cylinder attached to the Spot Vital Signs pressure port and that volume having a stabilized pressure of 250 mmHg The limit is 5b mmHg maximum Inflation test Dump test The Inflation Test is defined as the amount of time the Spot Vital Signs pump can inflate a 250 cc cylinder from 5 mmHg to 210 mHg The limit is 7 seconds maximum The Dump Test is defined as the amount of time it takes Spot Vital Signs to deflate a 500 cc cylinder from 260 mmHg to less than 15 mmHg The limit is 10 seconds 74 Repair test specifications Welch Allyn Spot Vital Signs Pneumatic calibration Note not calibrate the Spot Vital signs if the internal temperature is greater than 89 99 F 329 C Calibrate the Spot Vital Signs with 0 and 250 mmHg applied to the pressure port with the following algorithm Adjust the pressure calibration offset value with the following formula Last auto zero pressure value current Unit pressure 16384 pressure offset correction value pressure gain correction value The pressure offset value must be 15384 to 15384 Verify that Spot Vital Signs successfully performs an auto zero Adjust the pressure gain value until the pressure deviation from the applied pressure is less than 0 1 mmHg Continue to utilize the following formu
70. its Motion Adults Pediatrics 3 digits Low Perfusion Adults Pediatrics 2 digits Pulse Rate Accuracy Pulse Rate 25 to 240 bpm No Motion Adults and Pediatrics 3 digits Motion Adults and Pediatrics 5 digits Low Perfusion Adults and Pediatrics 3 digits Table 19 Masimo Sensor Accuracy Guide Saturation Accuracy Pulse Rate Accuracy Sensor Weight Range No Motion Motion No Motion Motion LNCS DCI 30 kg 296 396 3 bpm x 5 bpm LNCS DCIP 10 to 50 kg 2 3 3 bpm x 5 bpm LNCS ADTX 30 kg 2 390 3 bpm x 5 bpm LNCS PDTX 10 to 50 kg 2 3 3 bpm x 5 bpm LNCS INF L 3 to 20 kg 2 3 3 bpm x 5 bpm LNOP DCI 30 kg 2 3 3 bpm x 5 bpm LNOP DCIP 10 to 50 kg 296 390 3 bpm x 5 bpm LNOP ADT 30 kg 2 3 3 bpm x 5 bpm LNOP PDT 10 to 50 kg 2 3 3 bpm x 5 bpm LNOP INF L 3 to 20 kg 2 3 3 bpm 5 bpm Masimo patents The Masimo sensors and cables are covered under one or more of the following U S A patents 5 758 644 5 823 950 6 011 986 6 157850 6 263 222 6 501 975 and other applicable patents listed at www masimo com patents htm Service Manual Specifications Nellcor sensor accuracy guide Accuracy specifications are based on controlled hypoxia studies with healthy non smoking adult volunteers over the specified saturation SpO range Pulse oximeter SpO readings were compared to SaO values of drawn blood samples measured by
71. k techniques only a trained clinician who knows how to take and interpret a patient s vital signs should use this system WARNING The information in this manual is a comprehensive guide to the operation of the Welch Allyn Spot Vital Signs To achieve satisfactory results you should read the manual thoroughly before attempting to use the device WARNING Spot Vital Signs is not intended to take measurements on neonatal patients The AAMI SP10 1992 standard defines neonates as children 28 days or less of age if born at term 37 weeks gestation or more otherwise up to 44 gestational weeks WARNING The Welch Allyn Spot Vital Signs is not defibrillator proof 2 Introduction A Welch Allyn Spot Vital Signs WARNING The Welch Allyn Spot Vital Signs is not intended for continuous monitoring Do not leave the device unattended while taking measurements on a patient WARNING To ensure patient safety use only accessories and supplies i e blood pressure cuffs hoses temperature probes SpO sensors etc recommended for or supplied with Spot Vital Signs Using unapproved accessories with Spot Vital Signs can affect patient and or operator safety WARNING This device is not suitable for use in the presence of a flammable anesthetic mixture with air or oxygen or nitrous oxide An explosion may result WARNING Avoid compression of the blood pressure cuff tubing or pressure hose of the Welch Allyn Spot Vital Signs Compression of the cuf
72. la until the pressure is less than 0 1 mmHg Applied pressure Unit pressure pressure gain value The pressure gain value must be 1000 to 31767 When the pressure transducer calibration is performed only when successful a calibration signature four printable characters and the calibration date time is stored in the Spot Vital Signs memory any of four printable characters Pneumatic accuracy test Enter the Internal Configuration Mode to perform this test see Internal configuration mode on page 20 Perform an Auto zero before starting this test To verify the blood pressure calibration Step 1 on page 27 through Step 4 on page 27 The Pneumatic Accuracy test is defined as the comparison of Spot Vital Signs pressure measurement and applied pressure at O 50 150 and 250 mmHg The specification for each reading is within x3 mmHg of the target pressure except for the 0 mmHg reading which is within 1 0 mmHg Valve control test Connect a 100 cc cylinder to the Spot Vital Signs pressure port and pressurize to 160 mmHg Give Spot Vital Signs the commands to open the valve for 10 mmHg s 15 mmHg s and 25 mmHg s Record each pressure drop 4 to 12 mmHg 4 to 15 mmHg and 4 to 2bmmHg respectively Voltage calibration Calibrate the Spot Vital Signs battery voltage measurement circuit at 5 5 Vdc 0 1 0 0 Vdc Verify the battery calibration factor is 14 384 to 18 384 After performing a successful battery measur
73. llyn recommends leaving the battery in the device regardless if the device is not used for long periods of time since there is no hazard of leaving the battery in the device WARNING Do not autoclave WARNING Welch Allyn is not responsible for the integrity of any mounting installation Welch Allyn recommends that the customer contact their Biomedical Engineering Department or maintenance service to ensure professional installation for safety and reliability of any mounting accessory Service Manual Introduction 3 Blood pressure warnings A WARNING To ensure pediatric blood pressure accuracy and safety the Welch Allyn Child Print Cuff 5200 03 the Welch Allyn Small Child Durable One Piece Cuff 5082 203 3 and the Welch Allyn Small Child Disposable One Piece Cuff 5082 93 3 are the smallest cuffs allowed for use with young children and infants The circumference of the child s arm must fit within the range markings on the cuff WARNING _ You may experience inaccurate blood pressure measurements if blood pressure cuffs and or hoses other than those provided by Welch Allyn for the Spot Vital Signs are used WARNING Patients who are experiencing moderate to severe arrhythmias may give inaccurate blood pressure measurements WARNING When several blood pressure measurements are taken on the same patient it is recommended that the blood pressure cuff site and extremity are checked regularly for possible ischemia purpura and or n
74. mbly 421002 501 Transformer 120VAC 60 Hz 8 Vdc 5200 101A Transformer 220VAC 50 Hz 8 Vdc 5200 103A Calibration key temperature probe calibration 5200 25 Power cord Europe 76402 Power cord UK 76404 Patent label Masimo Version 2 only 704608 Screw 4 20 250 pan phillips Version 2 only 106124 4 DFU English 706272 Flex cable main to display 421030 Pump sub assembly 421023 501 IR window 421045 Battery 6 volt 4200 84 Cable assembly power Spot Vital Signs ext 421273 Rear housing 421040 1 Front housing assembly Version 1 only black 421049 502 Kits Available Spot Temperature Upgrade 130561 Nellcor 5 0 Upgrade 130S62 Masimo 5 0 Upgrade 130S64 Pneumatic Assembly Upgrade Fitting Elbow 1 8 REF 1230 2 703843 Tubing Silicone 1 8 x 1 4 x 80 421051 5 Tubing Silicone 1 8 x 1 4 x 1 50 421051 11 Filter NIBP 600 0520 00 Foam Sleeve 706327 59 E Specifications Consider the accessories connected to the Spot Vital Signs as Type BF applied parts Patient population The Welch Allyn Spot Vital Signs is designed for use with adult and pediatric patients Welch Allyn defines a pediatric patient as 29 days or more of age THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATES Welch Allyn defines neonates as children 28 days or less of age born at term 37 weeks gestation or more otherwise up to 44 gestational weeks Blood pressure Cuff Pressure Range 0 mmHg to 300 mmHg Cuff Inflation Factor
75. me clears the screen cancels an active blood pressure measurement and deflates the cuff Blood Pressure Start Stop Button initiates a new blood pressure cycle Pressing again cancels an active blood pressure measurement and deflates the cuff Pressure Hose Connector port for blood pressure hose Power Button controls power to the device Service Manual LCD liquid crystal display The LCD may indicate any of the following systolic blood pressure mmHg or kPa diastolic blood pressure mmHg or kPa temperature F or C thermometer mode pulse rate pulse signal level S002 MAP mmHg or kPa and battery charge level Option no longer available Date Time indicates that the user must set re set the current date and time Measurement Indicator displays the blood i 4 pressure SpO2 or temperature icon as Spot or amp Vital Signs is taking the respective measurement Thermomet r Mode icon shows temperature mode for devices with SureTemp only Temperature Probe Problem indicates a temperature probe problem for devices with SureTemp only En SYS mmHg x E mmHg T var 90 b Overview 15 Systolic and Diastolic display if MAP is turned on the screen toggles between the systolic and diastolic values and the word MAP and the MAP value Sp0 Display shows the percent saturation of arterial hemoglobin
76. n and performance verification instructions A technical overview of the Spot subsystems is provided as an introduction to the device s circuitry and pneumatics This manual is intended for the technical qualified service person Service training classes on Welch Allyn s products are available Contact Welch Allyn Technical Service for information Other applicable documents The Spot Vital Signs Directions for Use manual is also available Refer to this document for information other than maintenance and repair Welch Allyn 9600 Plus Calibration Tester Directions for Use for all models Masimo Directions for Use for models 42MOB and 42MTB Nellcor Directions for Use for models 42NOB and 42NTB 10 Overview Welch Allyn Spot Vital Signs Contents checklist Possible Unpack the Welch Allyn Spot Vital Signs and applicable accessories identify each item with the following checklist and inspect for missing items Retain the shipping materials in the event of shipping damage or for return if necessary to Welch Allyn for repair or warranty service All Spot Vital Signs include the following components Spot Vital Signs Device This device automatically measures and displays blood pressure and pulse rate Options include thermometry and pulse oximetry Directions for Use Manual Read this manual thoroughly before using Spot Vital Signs Save this manual for reference Warranty Card This card validates the Spot Vital Signs warranty F
77. nce When the battery is fully charged all battery icon segments display As the battery voltage level drops the segments turn off from left to right If the Spot Vital Signs is not plugged in to charge when the second last segment is turned off the Spot Vital Signs issues a warning beep As the voltage level drops to compromise measurements an error beep is heard and all other display fields turn off Spot Vital Signs beeps at increasingly frequent intervals until it finally powers itself off If not used for extended periods of time then recharge the battery standby mode Standby Mode conserves battery power When the device is powered up but has not been used for 2 minutes it goes into Standby Mode Z Z Z shows across the top of the display with no backlight To bring the Spot Vital Signs out of Standby Mode press the Mode or Pressure Preset button or begin a patient measurement 19 3 Functional overview This functional verification procedure helps to confirm the proper operation of the Spot Vital Signs and options This procedure supports the requirements of routine preventative maintenance It is not necessary to disassemble the Spot Vital Signs to perform this procedure For the calibration procedures see Calibration on page 25 If the Spot Vital Signs fails certain functional tests or a circuit board is replaced the device may require calibration It is necessary to disassemble the Spot Vital Signs for calibrat
78. neumatic Fittings and Tubing 421001 504 Welch Allyn Fitting Y 1 8 x 1 8 x 1 8 620216 Fitting T 1 8 x 1 16 x 1 8 620217 Fitting Elbow 1 8 Ref L230 2 703843 Tubing Silicone 1 8 x 1 4 x 80 421051 5 Tubing Silicone 1 8 x 1 4 x 3 60 421051 6 Tubing Silicone 1 8 x 1 4 x 9 0 421051 8 Tubing Silicone 1 8 x 1 4 x 1 50 421051 11 Tubing Silicone 1 16 x 3 16 x 50 421052 1 Filter NIBP 600 0520 00 Foam Sleeve 706327 Flex Cable Main to Temperature Pod 421066 Welch Allyn Cable Assembly Pump Pneutron Valve 421099 Welch Allyn PCB Assembly Temperature Pod 421105 501 Welch Allyn Battery Label Rear Housing 421219N Welch Allyn Cable Tie 6 Releasable 421220 Cable Assembly Power Spot Ext 421273 Welch Allyn Label Caution Button 421278 Welch Allyn Packet Desiccant 2 Unit 618E50 1 Pump 620156 Welch Allyn Stepper Valve 620157 Welch Allyn Nellcor Label carton 620038 Welch Allyn Nellcor Works Here Label 620377 1 Nellcor Nell3 Pulse Oximetry 704870 Nellcor Nel 3 Patent Label 705224 Washer Flat 4 Nylon 22P1451 Standoff 4 x 0400 421018 4 40 x 250 Hex Nut 790043 Screw 4 40 750 Pan Phillips w Nyloc 9P2486 Latch 5 0 421047 Table 18 Spot Vital Signs Repair Parts List Field replaceable units 57 Description Part Number Source Label SureTemp Technology 70999 0000 Detachable Power Cord Aust 400627 Det
79. o the drawings JDB JDB 9 12 02 Added New PCB layout and schematic for Spot Extensions Added tool SRC MAX to tool list in Section 2 3 Removed old PCB and Old 5 0 PCB and replaced with new Main and New 5 0 PCB in section 2 4 Changed section 4 7 to cover both Spot and Spot Extensions 5 0 PCB removal and replacement Changed section 5 8 to cover both Spot and Spot Extension Sp0 testing General Spelling and grammar clean up JDB JDB 02 02 03 05 01 03 5 45656 5 45893 Arden document release to SKF Updated USA Service Center contact information Correction to tools required for service Corrected General Information phone numbers JDB DLK DLK DLK 09 16 03 5 46550 Updates repair BOM Updated Accessories Re formated manual to meet Welch Allyn service manual work instructions DLK DLK 12 12 03 5 46989 Correction to page numbering and to voltage calibrations Re formatted all systems of measurement to meet NIST Standards Reformatted Appendix E Corrected grammar and punctuation Revised service and support details in Section 1 Removed schematics DLK RJS 3 9 06 1007069 Removed references to Nellcor motion tolerance AMJ JPK 3 21 07 XXXXXX SAP new version glitch AMJ FL 3 21 07 1010684 Update section on Setting the Date and Time Include testing and disassembly assembly for the Masimo 5 0 feature and updated repa
80. o zero once the LCD window displays CAL Connect the Spot Vital Signs to the 500 cc cylinder and press the Blood Pressure Start Stop button to close the valve Pump the hand bulb until an E10 error occurs and record the highest pressure observed on the pressure meter Press the Cancel button to return to CAL mode Press the Blood Pressure Start Stop button to close the valve Apply 70 mmHg and start a timer When an E11 error code is triggered stop the timer and record the time 38 Troubleshooting Service work checklist Spot Vital Signs Welch Allyn Spot Vital Signs Model Number Serial Number BP Cycle Count Technician Date Test Test Data Pass Fail Test Specification Unit SW Version SP02 SW Version Thermometry SW Version Unit Pressure 0 mmHg 1 mmHg Unit Pressure 50 mmHg 1 mmHg Unit Pressure 150 mmHg 1 5 mmHg Unit Pressure 250 mmHg 2 0 mmHg Test Voltage 5 5V 0 1 VDC Current Test Sleep State lt 05 Current Test Valve Pump lt 20A Noise Level lt 0 05 mmHg Button Test Pass Fail Interface Test Pass Fail Leak Test lt 6 mmhg in 15 seconds Dump Test lt 10 Seconds Inflation Test lt 7 Seconds Valve Control Test Pass Fail Over Pressure Test 296 to 329 mmHg SP02 Sensor Masimo 81 3 61bpm 1bpm SP02 Sensor Nellcor 90 1 60bpm 1bpm Temperature Calibration 96
81. or consider the patient s weight and activity level the adequacy of perfusion the available sensor sites the need for sterility and the anticipated duration of monitoring Temperature cautions Caution The Welch Allyn Spot Vital Signs is FDA cleared to measure the axillary temperature in Normal Mode for children under the age of 4 Normal Mode axillary temperatures may not be accurate on older children or adults THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED TO BE USED ON NEONAIAL PATIENTS Service Manual Introduction 7 Electrostatic discharge ESD A Aia ATTENTION OBSERVE PRECAUTIONS FOR HANDLING ELECTROSTATIC SENSITIVE DEVICES CAUTION SENSITIVE ELECTRONIC DEVICES DO NOT SHIP OR STORE NEAR STRONG ELECTROSTATIC ELECTROMAGNETIC MAGNETIC OR RADIOACTIVE FIELDS Electrostatic discharge is a sudden current flowing from a charged object to another object or to ground Electrostatic charges can accomulate on common items such as foam drinking cups cellophane tape synthetic clothing untreated foam packaging material and untreated plastic bags and work folders to name only a few Electronic components and assemblies if not properly protected against ESD can be permanently damaged or destroyed when near or in contact with electrostatically charged objects When you handle components or assemblies that are not in protective bags and you are not sure whether they are static sensitive assume that they are st
82. ot Vital Signs to slide the battery out Disconnect and discard the old battery per local regulations Reconnect the new battery as shown as quickly as possible to prevent loss of power to the unit and subseguent loss of clock time Battery Connector Service Manual Maintenance 71 4 Slide the new battery completely into the compartment Lay the connector on the battery The relief pocket in the battery door purposely provides sufficient clearance for the battery connector Relief Pocket Battery Battery Connector 5 Replace the battery door and tighten each of the 4 screws 6 Connect the AC power transformer to the Spot Vital Signs and charge the new battery for 16 hours It is possible to use the Spot Vital Signs during this charging period The battery is a lead acid battery In the USA call 1 800 SAV LEAD for instructions on how to recycle For users outside the US please contact your local authorities on recycling Masimo 5 0 calibration check Use a Masimo approved SpO simulator Fluke Biotek Index 2 or Clinical Dynamics SmartSat to check the SpO accuracy There is no way to change the calibration of the SpO module If the 5 is out of calibration contact Technical Service Nellcor SpO functional check Use a Nellcor SpO simulator SRC MAX to check the SpOs functionality There is no way to change the functionality of the SpO5 module If the SpO is not functioning properly contact Technical Servi
83. ral thermometers at all three temperatures it is recommended to test all probes at one Calibration Set Point Temperature before proceeding to the next Calibration Set Point Temperature To further expedite testing start at the lowest Calibration Set Point Temperature The 9600 Plus Calibration Tester does not have an internal fan this causes a longer cool down time than warm up time Refer to the 9600 Plus Calibration Tester Directions for Use manual for specific information regarding the LCD window or the control buttons 1 Choose the proper mains plug insert and slide it over the two prongs in the power converter Figure 4 Power Adapter and Mains Plug Inserts Two prongs in the power adapter A AN y as z 2 8 wae B E 2 6 US UK AUS EU 2 Plug the power adapter into the 9600 Plus Calibration Tester Figure 4 and the opposite end into a wall outlet 3 Place the 9600 Plus Calibration Tester on a level surface away from sunlight drafts and other sources of heat or cold 4 Observe the Set Point Mode in the upper left hand corner of the LCD display If the unit displays a D itis in Default Mode and will heat to the lowest Set Point Temperature If you do not want to conduct testing at this Set Point Temperature press and hold the Temperature Selection button to select the desired setting The temperature display will flash before staying on continuously to indicate the 9600 Plus Calibration Tester has s
84. re Start Stop buttons arrow up or arrow down to change the selected date option After making all the desired date changes press the Mode button once to save the change and advance to the Time Set Screen When in the Time Set Screen the hour in 24 hour format and minutes appear in the systolic and diastolic displays respectively Use the Mode button to select the time item for change When selected the time option flashes Use the Next Patient Clear or Blood Pressure Start Stop buttons to set the time in the same manner as described previously Press the Mode button to save the time and advance to the next screen Press the Power button to turn off the Spot Vital Signs 29 Troubleshooting When the main printed circuit board PCB is replaced on a Spot Vital Signs version 1 the print function is no longer available The new function Pressure Preset raises or lowers the blood pressure maximum inflation level for one measurement only When replacing the main PCB replace the switch array as well The following table of conditions and error codes provides a guick reference of the descriptions and probable causes of error codes To clear the error code Power the Spot Vital Signs off wait five seconds and power on If the error code reappears then power the Spot Vital Signs off and disconnect the battery for five minutes Reconnect the battery and power on If the error code continues to reappear call Welch Allyn for a
85. s the Mode button once to save the change and press the Power button to exit the Internal Configuration Mode Table 3 Configuration Menu Options Setting Description Blood Pressure Calibration Disp Inflation Pressure Preset Level Disp ays Cal ays PrP Pressure Preset Level Disp Back Disp Mea Disp Date ays PrP light ays n Arterial Pressure ays MAP Time Temperature Scale Disp ays TMP MOD Blood Pressure Units Disp ays BP Battery Readings Disp ays BAT Battery Life Disp ays LFE Prepares the Spot Vital Signs for calibration Only qualified personnel should verify the Spot Vital Signs blood pressure calibration For more details see Blood pressure calibration on page 27 120 140 160 180 200 240 280 mmHg Factory default is 160 mmHg On or off Disables or enables the front panel Pressure Preset button On or off On or off Changes or updates the actual date and time Fahrenheit F or Celsius C Normal Mode Fahrenheit F or Celsius C Monitor Mode mmHg or kPa Displays the total battery voltage Total number unit measurements Displayed information only operator cannot change Service Manual Functional overview 21 Functional verification Complete all steps in this section before returning a Spot Vital Signs for service Verify that the pressure meter used if not specif
86. t Vital Signs Select Test Print Quality Select test pattern 1 The printer prints out a pattern of large and small ASCII characters Verify the quality of the printer output Select test pattern 2 The printer prints out a solid gray field Verify the quality of the printer output Select Ok to exit the dialog box If the print quality is poor for either test then replace the printer batteries and re test Service Manual Troubleshooting 37 Pneumatic tests Fail safe Follow the steps in Connections on page 25 Attach the test system to the 100 cc cylinder Select Test gt Pneumatic gt Leak Test The software tests for leaks and provides a Pass or Fail indication Attach the test system to the 500 cc cylinder Select Dump Test The software tests for the dump speed and provides a Pass or Fail indication Attach the test system to the 250 cc cylinder Select Inflation Test The software tests for the inflation time and provides a Pass or Fail indication Attach the test system to the 100 cc cylinder Select Valve Control Test The software tests for valve control and provides a Pass or Fail indication Select Ok to exit the dialog box over pressure test 1 2 Follow the steps in Connections on page 25 Enter the Internal configuration mode on page 20 Aftering viewing the software versions press the Mode button until CAL displays in the LCD window Spot Vital Signs automatically performs an aut
87. t Vital Signs blood pressure cuff and blood pressure hose 1 Inspect the pressure hose note that one end has a connector fitting and the other end does not Attach the end without the connector fitting to the pressure hose connector see page 14 Verify that the pressure hose is completely inserted over the connector and that the fit is snug 2 Join the other end of the pressure hose to the blood pressure cuff pneumatic tubing Twist the connectors together until fingertight DO NOT OVERTIGHTEN Temperature probe connection The Welch Allyn Spot Vital Signs is available with two probes one for oral axillary temperatures blue cap and one for rectal temperatures red cap The rectal probe is an accessory item that is ordered separately Press down on the tab on top of the connector and insert the connector into the temperature probe connector port on the back of the Spot Vital Signs The probe connector only fits into Spot Vital Signs one way Verify the connector clicks into place Insert the temperature probe into the probe holder on the top of the Spot Vital Signs To remove the temperature probe press down on the connector tab and lift out 5 0 sensor Spot Vital Signs is available with a wide variety of SpO sensors and ships with a reusable finger sensor and extension cable All other sensors are accessory items that are sold separately 1 Align the shape and pin configuration of the extension cable connector to the Sp
88. t Vital Signs housing see Front housing and key pad disassembly on page 42 Check Spot Vital Signs for pinched tubing and reroute if necessary Re run the blood pressure cycle to confirm the problem is fixed If there are no pinched tubes change the valve page 48 34 Troubleshooting Welch Allyn Spot Vital Signs 3 Power off Spot Vital signs and enter the Configuration Mode see Internal configuration mode on page 20 4 Press the Mode button until Cal displays in the LCD window 5 Press the Start button to close the valve and use the bulb to manually inflate the device to 250 mmHg and confirm Spot Vital Signs meets the leak test specification see Leak test on page 73 Temperature functional check Use the 9600 Plus Caligration Tester to check the thermometer accuracy see Temperature functional check on page 22 Masimo SpO functional check Use the Masimo Tester to check the functionality of the SpO module of Spot Vital Signs see Masimo on page 24 Nellcor SpO functional check Use a Nellcor approved simulator to check the functionality of the SpO module of Spot Vital Signs see Nellcor on page 24 Communication option check 1 Select Tools Options and confirm that communication port and the cable are selected 2 Select Test and confirm that the Spot Vital Signs responds accordingly If an error is present then confirm that there are no obstacles in the way of the IR Data Interface Re try
89. tabilized and is ready for use Service Manual Functional overview 23 To begin functional verification of the SureTemp thermometer Caution Store thermometers for testing in the same room as the 9600 Plus Calibration Tester for approximately 30 minutes prior to testing to allow for thermal accommodation 1 Remove the probe from the probe well and clean it with either a 7096 isopropyl alcohol solution a 1096 chlorine bleach solution or a non staining disinfectant Let the probe air dry Do not apply a probe cover 2 Place the thermometer in Monitor Mode refer to the thermometer s Operator s Manual 3 Insert the probe into the Thermistor Device Port 4 Wait for approximately one minute or until temperature on the thermometer is stable for ten seconds Compare the thermometer s temperature reading to the 9600 Plus Calibration Set Point Temperature If the temperatures are within 0 1 C 0 2 F the thermometer is within calibration 5 Test all available thermometers for calibration verification at the current Calibration Set Point Temperature Proceed to the next Calibration Set Point Temperature see Changing the calibration set point temperature on page 23 Changing the calibration set point temperature To scroll from one set point to the next press and hold the Temperature Selection button untila beep is heard The newly selected set point appears in the upper left corner of the LCD display The device s current t
90. tative This warranty does not include breakage or failure due to tampering misuse neglect accidents modification or shipping This warranty is also void if the instrument is not used in accordance with manufacturer s recommendations or if repaired by other than Welch Allyn or an authorized agent Purchase date determines warranty requirements No other express warranty is given Remember to submit the instrument registration warranty card for warranty validation Complete the information and mail the pre addressed card to Welch Allyn Accessories The Masimo finger sensor and cable are covered by a sbemonth warranty against original defects in material or workmanship The Nellcor DS 100A is covered by a one year warranty and the Nellcor DEC 4 cable is covered by a three month warranty against original defects in material or workmanship The Reusable Two Piece Blood Pressure Cuff is covered by a two year warranty against original defects in material or workmanship The SureTemp probe is covered by a one year warranty against original defects in material and workmanship Probe covers are intended for single use only 90 Warranty Welch Allyn Spot Vital Signs WelchAllyn Advancing Frontline Care Reorder No 4200 89E Material No 706317 Rev K
91. tip of the temperature probe to come into contact with any heat source e g hands or fingers prior to taking a temperature measurement If this occurs discard the probe cover and start the temperature determination again WARNING Long term continuous monitoring beyond three to five minutes is not recommended in any mode IR communications port warnings A WARNING The Welch Allyn Spot Vital Signs contains an infrared communications port for isolated communications with external devices The port is located on the side of the device to preclude direct eye contact on a continual basis when viewing the display As a precaution do not look directly into the infrared port during operation General cautions A caution statement in this manual identifies a condition or practice which if not corrected or discontinued immediately could lead to equipment failure equipment damage or data loss A Caution f the accuracy of any measurement is in question check the patient s vital sign s by an alternate method then check to make sure the device is functioning properly Caution Ensure the device is placed on a secure surface or use one of the optional mounting accessories Caution Do not place fluids on the device 6 Introduction Welch Allyn Spot Vital Signs Blood pressure cautions N SpO cautions A Caution Extremity and blood pressure cuff motion should be minimized during blood pressure determinations Caution
92. ts of the Repair Test Specification in Appendix C 4 Reconnect the SpO sensor Place the sensor onto your finger and check Spot vital Signs for a reading Nellcor MP506 and Nell 3 SpO modules Use a Nellcorapproved SpO simulator SRC MAX to check the SpO functionality 1 Confirm the settings of the simulator e HR 60 and 200 e SpOg90 75 and 90 2 Connect the Nellcor 5 simulator test cable to the Spot Vital Signs 3 Verify the Spot Vital Signs reading meets the requirements of the Repair Test Specification in Appendix A 4 Reconnect the SpO sensor Place the sensor onto your finger and check Spot Vital Signs for a reading 25 Calibration This chapter provides procedures to perform all adjustments reguired to calibrate the Spot Vital Signs to conform to Welch Allyn specifications Calibration reguires gualified personnel to open the device housing A WARNING Electric shock hazard There are no userserviceable parts inside Spot Vital Signs other than battery replacement see Battery removal and replacement on page 70 An operator may only perform maintenance procedures specifically described in this manual For service refer the device to an Authorized Service Center Note Always disconnect the sealed lead acid battery in the Spot Vital Signs before performing any calibration function Gather the tools listed on page 39 to have available during the procedures Connections Connect th
93. turer s declaration Emissions and immunity information Electromagnetic Emissions The Spot Vital Signs is intended for use in the electromagnetic environment specified below The customer or user of the Spot Vital Signs should assure that it is used in such an environment Emissions Test Compliance Electromagnetic Environment Guidance RF emissions Group 1 The Spot Vital Signs uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic CISPR 11 eguipment RF emissions Class B The Spot Vital Signs is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage CISPR 11 power supply network that supplies buildings used for domestic purposes Harmonic emissions Class A IEC 61000 3 2 Voltage fluctuations Complies flicker emissions IEC 61000 3 3 64 Specifications Welch Allyn Spot Vital Signs Electromagnetic Immunity The Spot Vital Signs is intended for use in the electromagnetic environment specified below The customer or user of the Spot Vital Signs should assure that it is used in such an environment Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment Guidance Electrostatic discharge ESD kV contact 6 kV contact Floors should be wood concrete or ceramic tile If floors are covered
94. upplies and Accessories Welch Allyn Spot Vital Signs Pulse oximetry accessories and supplies Masimo Table 5 Adhesive Sensors Single Patient Use Catalog Description Weight Range LNCS ADTX Adhesive Finger Sensor Adult 20 per case gt 30 kg LNCS PDTX Adhesive Finger Sensor Pediatric 20 per case 10 to 50 kg LNCS INF L Adhesive Finger Sensor Infant 20 per case 3 to 20 kg LNOP ADT Adhesive Adult sensor 20 per case 66 Ibs 30 kg LNOP PDT Adhesive Pediatric sensor 20 per case 22 to 110 Ibs 10 to 50 kg LNOPINF L Adhesive Infant sensor 20 per case 3 to 20 kg Table 6 Reusable Sensor Catalog Description Weight Range Ouantity LNCS DCI Finger sensor adult gt 66 Ibs 30 kg 1 LNCS DCIP Finger sensor pediatric 10 to 50 kg 1 LNOP DCI Finger sensor adult gt 66 Ibs 30 kg 1 LNOP DCIP Finger sensor pediatric 10 to 50 kg 1 Table 7 Sensor Cables Catalog Description Weight Range Ouantity LNC 4 WA 4 cable with DB 9 connector for LNCS NA 1 LNC 10 WA 10 cable with DB 9 connector for LNCS NA 1 PC 04 WA 4 cable with DB 9 connector for LNOP NA 1 PC 08 WA 8 foot cable with DB 9 connector for LNOP NA 1 Service Manual Nellcor Table 8 OxiMax Adhesive Sensors Single patient use Supplies and Accessories 79 Catalog Description Weight Range Ouantity
95. when used with Welch Allyn 130S57E communications kit The hard wired service port is positioned behind the battery Connect the port as described in the interconnect diagram The hard wired port is intended for service use only Never use the hard wire communications port while the device is connected to a patient because it has no patient isolation protection 53 Technical overview Service Manual Interconnect diagram omo eo JINON zods OWISVIN GHVOd Haldvav OWISVN HO AINGOW cOdS HOOTI3N 6 80 Socr HOSN3S LNALLWd OL 69 2045 a TT sm t 1 1 Y M mod m mesova dO NOLLO3NNOO 3SOH d8 TVNH31X3 L1 WALU 2 E SOINOH1O313 898 3HVMLJOS 3 vA Gwaen Hee s MalndWoo 8 deti ELLL 1SOH ip za b eaa eaa BT u3OndsNVvML Lu au 3MDSS3ud ees 1NOd Hi WWOO B8B 2 2 D 9 Nid ioa yniad 586 LL s p MHONVHO a
96. with synthetic material the relative humidity should 8 kV air 8 kV air be at least 30 IEC 61000 4 2 Electrical fast transient 2 kV for power supply 22 kV for power supply Mains power quality should be that of a typical commercial or burst lines lines hospital environment IEC 61000 4 4 1 kV for input output 1 kV for input output lines lines Surge 1 kV differential mode 1 kV differential mode Mains power quality should be that of a typical commercial or hospital environment IEC 61000 4 5 2 kV common mode 2 kV common mode Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 Power frequency 50 60Hz magnetic field IEC 61000 4 8 gt 95 dip in 0 5 cycle 6096 dip in 5 cycles 3096 dip for 25 cycles gt 95 dip in 5 seconds 3 Mm gt 95 dip in 0 5 cycle 6096 dip in 5 cycles 3096 dip for 25 cycles gt 95 dip in 5 seconds 3 A m Mains power quality should be that of a typical commercial or hospital environment If the user of the Spot Vital Signs requires continued operation during power mains interruptions it is recommended that the Spot Vital Signs be powered from an uninterruptible power supply or battery Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment Service Manual The Spot Vital Sign should assure that s is intended
97. y 160 mmHg Default Systolic Range 60 mmHg to 250 mmHg Diastolic Range 30 mmHg to 160 mmHg Accuracy Blood pressure accuracy meets or exceeds SP10 1992 AAMI standards for non invasive blood pressure accuracy AAMI standard 5 mmHg mean error 8 mmHg standard deviation Blood pressure accuracy is validated for pressure measurement using the upper arm only Determination Time Typical 20 to 45 seconds Maximum 165 seconds Pulse Rate Range 40 bpm to 200 bpm Pulse Rate Accuracy 5 0 Overpressure Cutoff 305 mmHg 0 15 mmHg Temperature Accuracy Calibration accuracy 0 2 F 0 1 C Range Maximum 109 4 F 43 0 C Minimum 86 0 F 30 0 C Determination Time Oral approximately 4 seconds Axillary approximately 10 seconds Rectal approximately 15 seconds 60 Specifications Welch Allyn Spot Vital Signs Pulse pximetry Masimo sensor accuracy guide Accuracy specified when used with Masimo SET pulse oximetry monitors or with licensed Masimo SET pulse oximetry modules using Masimo patient cables during no motion Numbers present 1 standard deviation Plus or minus one standard deviation represents 68 of the population SpO accuracy from 7096 to 10096 Pulse rate accuracy from 25 to 240 bpm This accuracy guide only affects Version 2 Performance Measurement Range SpO5 70 to 100 Pulse Rate 25 240 beats per minute BPM Perfusion 0 02 to 20 5 0 Accuracy Saturation 70 to 100 No Motion Adults Pediatrics 2 dig
98. y test o tee RERO o d PER ae 75 Temperature probe tests acd A e EE AO 75 SpOs option requirements 75 SpO t nctional test Dd ete a ebd 75 SpO mode current test xovg s sepa we e e y ee 75 ee E eR b ro OR be poa du ies NR nt 76 Over pressure test ENG RI ee WG NR HYN WR yD EN 76 OVE TSM Gi za Percale ANRH idea dtr cal 76 Supplies and Accessories 77 Latexfree blood 77 Pulse oximetry accessories and 78 TO ee pha EDEN Sgt Ave SR 78 LALU reso rh htt e Core YE ec erf Basis psp e d 79 Temperature o LL LA LRL DR PI eC IMPR P Mp 80 cene Si EL AU M 80 Extended warranty abesse p bares e DR e EN e YF DD a 80 Miscellaneotn Se oett ier I etes a EM terc MATS 81 C Miscellaneous Mounting 83 Wall mount kit REF 4200 62 FL FF 83 Mobile stand kit REF 4200 60 84 IV pole mount accessory REF 4200 64 85 Anti theft kit REF 4200 70 a yng dog leh oe eC ek E A WWW wc 86 Transformer mounting plate accessory REF 4200 75 87

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