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Accutorr is a registered trademark of Mindray DS USA, Inc. Masimo

1. 16 8 12 AC RECTIFIER RECTIFIER DC DC OVP amp OCP out INPUT FILTER amp FILTER FLYBACK amp FILTER a CONVERTER CONVERTER gt NEN 5V OUTPUT CONVERTER CURRENT DETECTION gt CHARGING CONTROLLER l gt BATTERY we CIRCUIT COUPLER A FEEDBACK amp OVP amp OPP ISOLATION Y CIRCUIT 3 3V DC DC OUTPUT CONVERTER SWITCH CIRCUIT OVP amp OCP 4 The AC flows through the EMI filter and the rectifier and filter The rectifier and filter converts the AC to 16 8V DC voltage by the Flyback converter The 16 8V DC voltage is the main input to the DC DC converters and charging circuit The DC DC converters convert 16 8V DC to 12V 5V and 3 3V DC The charging circuit charges the lithium battery When the Accutorr V is not connected to the AC mains the battery supplies power to the DC DC converters FIGURE 1 5 Power Board Principle Diagram The 16 8V DC output is protected against over voltage and over power The 12V 5V and 3 3V DC outputs are protected against over voltage short circuit and over current 0070 10 0702 Accutorr V Service Manual Theory of Operation Hardware Structure 1 4 3 Key and Displays Board The key and displays board shown in FIGURE 1 6 provides the user interface The board contains the LCD module 7 segment digital displ
2. NIBP Measurement Cycle oce eh e e me Eb e atu ree et o eie iet cus REM Cuff Pressure Automatic Check Algorithm Automatically Adjusted Inflation Value after First Measurement Rate ac SpO Measurement P e een pe ei LR DPM SpO2 Module Performancen ob a teh deb cedi uis Pulse Rates si eui tige Alarm seting range o oot is etie op EC idee ERR PERS esas Masimo MS 2013 SpO5 Performarce ote ette e n P eee baie SPO ci Pulse Rate Alarm Seting Range a2 e eeu n pui REESE dle Nellcor NELLES S pO Performance ER rester dete ene E Pr egg No Pulse Rate i Alarm Setting Range tea tuse tr rtp Accutorr V Service Manual 0070 10 0702 i Table of Contents e E ces 2 10 Display Area Indicator and Controller 2 0 2 10 Displ y Ar
3. 1 2 5 ee o tae ee 1 4 1 5 Power Bodid iei 1 6 Displays Board e bre 1 7 Parameter Boards 1 8 SpO Module 8 NIBP Module 9 Optional Temperature Module viereisen o ERR E D PENAS 1 9 Recorder let Eton eu 1 10 Bar Code Scanneria d me ee ate etate tv aate beet a NBSP UHR 1 11 Specifications Lees eese eee eee eee ee eee eese eee ense eese sees osos E sesso ses eee esse soos esee E 2 1 InirodUcHon os Ne P De EH BER e EE NIBP Measurement i caecos Rente en de ede b ph b ep age e c spa eod Blood Pressure date a etm Weis agite quts e Static ACCUPGCY sioe bt etate PE bb aid aby Maximum C Pressure etel e to b Hey re b P t Hb bu done dct Cuff Inflation Maximum Leakage Deflation Rdfe 5t p ette ete bu dene adds Update Perl d eos statt et itle pb bie ell n etras seris Initial NIBP Pressure Setup and
4. PART NUMBER DESCRIPTION 63 7000 20 24365 Torsion Spring 64 6006 20 39486 Battery Bar Setscrew 65 6101 20 46739 Fan Gasket 6101 66 04 051172 Screw Flat Head Phillips M3X25 67 6101 20 46731 Fan Binder Plate 6101 68 9201 20 53650 Fan KDE1204PKV3 69 6006 20 39379 Speaker Spacer ITEM PART NUMBER DESCRIPTION 70 6006 20 39385 Speaker and Cables 3 M04 004012 Screw Crosshead M3x6 71 6006 30 39449 Lithium Battery Assembly 56 6101 20 46725 Main Bracket 6101 72 2102 20 17166 Protective Ground Label 57 6101 20 46736 Power Supply Board Isolation Sheet 6101 73 04 004401 6 58 6101 20 46735 51 I O Overlay 6101 74 04 004504 Spring Washer 59 6006 20 3945 1 Main Board Insulating Plate 75 04 021003 Flat Washer 60 0000 10 10996 Spring Strip 76 0509 20 00098 Grounding Terminal 61 6101 20 46738 Battery Box Isolation Sheet 6101 77 04 000405 Screw Crosshead M3x8 62 6101 20 46753 Battery Hook Torsion Spring 78 6006 2 1 39386 Power Board AC Input cable FIGURE 5 7 Main Bracket Assembly 504 ONUDW A 20200140700 04 00 4012 ITEM PART NUMBER DESCRIPTION 82 6006 20 39492 Recorder Power Cable 83 6101 30 46618 NIBP Assembly 84 6006 20 39381 Recorder Signal Cable 85 6006 20 39380 Host Board Power Cable ITEM PART NUMBER DESCRIPTION 86 6006 20 3938
5. 523 to highlight the NORMAL OPEN 15 Once the NORMAL OPEN is highlighted press to select it 16 Press Gm or to highlight either HIGH LOW for ALM LEV 17 Once an ALM LEV is highlighted press to select it 18 Press Cm or to highlight either TECH PHYS for ALM 19 Once an ALM TYPE is highlighted press to select it 20 Trigger an alarm and measure the contact output with the multimeter The output should be square waves with an interval of 1s 21 Press C or e to highlight the SIGNAL DURATION pull down list 22 Once the SIGNAL DURATION pull down list is highlighted press to select it 23 Press to highlight the CONTINUOUS 24 Once the CONTINUOUS is highlighted press to select it 0070 10 0702 Accutorr V Service Manual Test and Calibration Nurse Call Performance Test 25 In the NURSE CALL SETUP dialog set SIGNAL TYPE NORMAL OPEN Trigger an alarm and measure the contact output with the multimeter The output should be continuous high level Contact Technical Support if the nurse call test fails Accutorr V Service Manual 0070 10 0702 6 17 Bar Code Scanner Test 6 9 Test and Calibration Bar Code Scanner Test Required Tool None 1 Connect the barcode reader to the RS 232 connector on the back of the Accutorr V Press to display the SYSTEM SETUP dialog FIGURE 6 13 Press to select MAINTENANCE Once MAINTE
6. DMP SpO Masimo 5 Nellcor SpO Module Module Module FIGURE 4 9 Remove the screw Accutorr V Service Manual 0070 10 0702 4 7 Disassembly 4 3 3 Repair and Disassembly 7 Remove the two 2 screws for the SpO signal cable as shown in Figure 4 10 8 out the signal cable FIGURE 4 10 Remove two 2 screws 9 For DPM only unscrew the plastic nut for the SpO signal cable as shown in Figure 4 11 Plastic Nut FIGURE 4 11 For DPM only unscrew the plastic nut Removing the Main Rack Assembly 1 Remove the two 2 M3x6 cross head screws as shown in Figure 4 12 2 Take out the recorder by pushing the clips inward ul eiod E M3x6 cross head screw M3x6 cross head screw FIGURE 4 12 Remove two 2 M3x cross head screws 0070 10 0702 Accutorr V Service Manual Repair and Disassembly Disassembly 3 Unplug the two 2 cable connectors as shown in Figure 4 13 from the recorder Cable Connector Cable Connector FIGURE 4 13 Unplug two 2 cable connectors 4 If the device is not configured with an optional Temperature module skip to Step 6 5 If the device is configured with an optional Temperature module remove the Temperature module board FIGURE 4 14 Remove optional temperature module board Accutorr V Service Manual 0070 10 0702 4 9 Disassembly Repair and Disassembly 6 Remove the six 6 M3x6 cross head scr
7. 19 to highlight CALIBRATION as shown in FIGURE 6 3 NIBP TOOLS READING TIME 4 INITIAL PRESSURE ACCURACY TEST CALIBRATION LEAK TEST NIBP RESET SPO2 NO SENSOR 01 16 2009 14 42 16 FIGURE 6 3 NIBP TOOLS dialog 9 Once CALIBRATION is highlighted press 18 to display the Enter Password dialog as shown in FIGURE 6 4 ENTER PASSWORD 4 1 4 gt rm ALARM DISABLED 12 15 2008 15 04 51 FIGURE 6 4 ENTER PASSWORD dialog Accutorr V Service Manual 0070 10 0702 6 5 NIBP Calibration Test and Calibration 10 In the Enter Password dialog press 18 See FIGURE 6 4 11 Press 16 Ev 19 to set the first password digit to 3 12 Press 18 13 Press 16 or 8 19 to highlight the second password digit 14 Press 18 15 es 16 or 19 to set second password digit to 2 16 Press 18 17 Press X 16 or C 19 to highlight the third password digit 18 Press 18 19 Press 16 52 19 to set the third password digit to 1 20 Press 18 21 Press 16 or 19 to highlight OK 22 Press 18 When the NIBP CALIBRATION dialog is first displayed INFLATE is highlighted as shown in FIGURE 6 5 NIBP CALIBRATION INFLATE MEASURED PRESSURE 0 REFERENCE PRESSURE ADJ REF PRES USING UP DWN ARROW KEYS CANCEL SPO SENSOR OFF 18
8. Accutorr is registered trademark of Mindray DS USA Inc Masimo SET is a U S registered trademark of Masimo Corp Mindray is a trademark or a registered trademark of Shenzhen Mindray Bio Medical Electronics Co Ltd Nellcor is a US registered trademark of Tyco International Ltd SmarTemp is a trademark of Shenzhen Mindray Bio Medical Electronics Co Ltd Copyright Mindray DS USA Inc 2009 rights reserved Contents of this publication may not be reproduced in any form without permission of Mindray DS USA Inc Accutorr V Service Manual 0070 10 0702 Table of Contents Preface ie v Warnings Cautions and Notes eere en eae S costes vii OE seu Ee A vii enorm viii No rA T Safety Designations Product imitations t toe o e i 911157416 41172 E xi Syimbols arid Descriptioris s rer CRM GER EATER EKAT AEE AA xii Theory of Operation eee e eee eee ee eee ee eee eee ee sees eese see sooo esee ee ses osse eee eessssssseseeeesssssseceecesssssss 7 1 eI I UU INTE 1 2 eee 1 2 Se ar P E
9. to display the data 8 Press to exit to the MAINTENANCE dialog 2 4 Technical Alarm Check If a technical alarm message displays on the LCD eliminate the technical alarm first then troubleshoot according to the following instructions For additional information on technical alarm messages possible causes and corrective actions refer to the Accutorr V Operating Instructions Accutorr V Service Manual 0070 10 0702 3 3 Troubleshooting Guide 3 5 3 5 1 SYMPTOMS The monitor fails to start AC LED or Power On Off Failures POSSIBLE CAUSE AC mains not connected or battery too low Troubleshooting Troubleshooting Guide CORRECTIVE ACTIONS Confirm that the AC mains is properly connected and that the battery capacity is sufficient battery LED does not Power supply protection Refer to Power Supply Failures light Cables defective or poorly connected e Confirm that the cables from the power switch and the LED board to the keyboard keyboard to the main board and the power module to the main board are correctly connected e Confirm that the cables and connectors are not damaged Power switch and LED board defective Replace the power switch and LED board Power module defective Replace the power module Main board Defective Replace the main board 3 5 2 SYMPTOMS The display is black or blank but the monitor still works correctly Display Failure POSSIBLE CAU
10. 002505 Screw M3x6 117 MO9A 20 62082 Communication Cable from Power Isolation Board to Temp Measurement Board 118 6101 20 46745 Rear Inner Cover Plate 6101 119 09 30 62080 Temp Module Power Supply Board PCBA A quiessoqng asnjosaduiay 6 0 Test and Calibration Ifrael esc ierat est ais 6 2 Visual Test 6 4 Power on e C n DR DER UE REINES 6 4 NIBP Calibrafion ice ee ono wet nid 6 4 NIBP Accuracy Test eee Rer eser metet o eee ote Re Tee 6 8 SpO2 lest ci te me ee este 6 12 Testing the Optional Temperature Module 6 14 Nurse Call Performance Tests 6 16 Bar Code Scanner Test eee oe ee t 6 18 Electrical Safety Tesis 2 dete ee e peer Dei D det deep ote 6 20 Recorder Check itt s tt e re reti ies tette ees 6 22 Software Upgrade i cop dis tpe goby canteens ra 6 23 Accutorr V Service Manual 0070 10 0702 Introduction 6 1 Test and Calibration Introduction To ensure the monitor always functions properly qualified personnel should perform regular inspections maintenance and testing This chapter provides the test procedures for the monitor and includes recommended test equipment and frequency Qualified personnel should perform the testing and maintenance procedures as required and use appropria
11. 2 4 1 2 4 1 1 2 4 1 2 2 4 1 3 Specifications SpO Measurement When configured with the DPM SpO module NELLCOR NELL 3 SpO module or MASIMO MS 2013 SpO module the Accutorr V can perform SpO measurements The SpO gt measurement function complies with the requirements of ISO9919 DPM Module Performance The DPM SpO accuracy has been validated in human studies against arterial blood sample reference measured with a CO oximeter Pulse oximeter measurements are statistically distributed and only about two thirds of the measurements can be expected to fall within the specified accuracy compared to CO oximeter measurements 5 0 Range 0 100 Resolution 1 Accuracy in the static condition SPO RANGE PATIENT TYPE 70 TO 100 0 69 Adult or pediatric 2 digits Undefined Neonate 3 digits Undefined Pulse Rate Range 20 254 BPM Resolution 1 bpm Accuracy in the static condition PATIENT TYPE PR RANGE ACCURACY Adult Pediatric Neonate 20 254 bpm 3 digits Alarm setting range SPO MODULE SPO PR DPM module 50 100 0 254 bpm 0070 10 0702 Accutorr V Service Manual Specifications 2 4 2 2 4 2 1 Masimo MS 2013 SpO Performance 5 gt Measurement This section details the performance measurements of the Masimo MS 2013 which is designed in accordance with the requirements of the interface of the Masimo MS 2013 board The Accutorr V interface complies with the re
12. 5 GND 9 VCC5VDC Basic settings of the bar code scanner are listed in the following table HOST PARAMETERS BAR CODE SCANNER FACTORY DEFAULT Baud Rate 9600 9600 Data Bits 8 8 Stop Bits Calibration bit 0 0 Handshaking None None USER PARAMETERS BAR CODE SCANNER FACTORY DEFAULT Beeper Tone Medium Medium Beeper Volume Medium High Trigger Mode Level Auto Aim Parameter Scanning Disable Enable DATA FORMAT BAR CODE SCANNER FACTORY DEFAULT Prefix Valve 7018 CR4 Suffix 1 Value 7013 lt CR gt lt LF gt 7013 lt CR gt lt LF gt Suffix 2 Value Scan Data Transmission Format lt PREFIX gt lt DATA gt lt SUFFIX 1 gt lt SUFFIX 2 gt Data only Accutorr V Service Manual 0070 10 0702 1 11 Hardware Structure Theory of Operation To change parameter settings scan the following bar codes in sequence 1 Set parameter defaults Set All Defaults 2 Set beeper volume Medium Volume 01h 3 Set trigger mode Level 00h 4 Set scan data transmission format PREFIX DATA SUFFIX 1 SUFFIX 2 07h 1 12 0070 10 0702 Accutorr V Service Manual Theory of Operation Hardware Structure 5 Disable parameter scanning Disable Parameter Scanning 00h Accutorr V Service Manual 0070 10 0702 1 13 Hardware Structure Theory of Operation This page intentionally left blank 1 14 0070 10 0702 Accutorr V Service Manual zo Specifications Introductio
13. CALL function is re enabled when the monitor resumes in normal mode The connection with the central monitoring system stays the same as before entering the standby mode To resume normal mode 1 Press any key on the front panel 2 Confirm the resume operation at the confirm dialog After confirming the resume operation the monitor exits the standby mode and enters the normal mode If the operation is not confirmed within 30 seconds the system automatically selects Cancel and the monitor stays in the standby mode In the following conditions the monitor exits the standby mode and enters the normal mode e The monitor receives SpO physiological signals for 5 seconds The predictive temperature sensor is removed from its sheath The monitor is powered by battery and a low battery alarm occurs Once the monitor enters the normal mode The alarm function is re enabled The history data patient information and other settings from before the monitor entered the standby mode are restored Data communication is restored The LCD displays The LEDs display parameter data Saving trend data starts 0070 10 0702 Accutorr V Service Manual Specifications 2 10 2 10 1 2 10 2 2 10 3 2 11 2 12 Accutorr V Service Manual 0070 10 0702 2 Alarm Information Alarm Information Basics There are two types of alarms Physiological alarms The physiological parameters of the monitored pati
14. Menu Display Press to view the menu options Press to switch between the normal views PLETH waveform Patient Info Press to automatically create a patient ID Patient Size Press to change patient size Up Arrow TE Down Arrow Press to perform menu operations on the LCD 0070 10 0702 Accutorr V Service Manual Specifications Audio Indicator 2 6 5 Patient Cable Connectors The patient cable connectors include the NIBP connector SpO connector and the optional thermometer connector CABLE CONNECTOR DESCRIPTION NIBP Cuff The NIBP cuff connector label is 5 2 The SpO connector label is e Connects the DPM Masimo Nellcor cable The Label is SpO with the manufacturer name e Apply standard round DPM 6 pin connector same as used on Trio to the monitor configured with the DPM board e Apply Masimo connector to the monitor configured with the MS 2013 SpO board The monitor configured with the Masimo SpO board must be labeled with the Masimo SET registered trademark e Apply the Nellcor connector to the monitor configured with the Nell 3 SpO board e monitor configured with the Nellcor SpO board must be labeled with the Nellcor mark Temperature Temperature probe connector label is probe e Uses optional Mindray Smartemp predictive temperature module e connector of temperature probe oral axi
15. Temperature Module FIGURE 1 9 shows the Temperature module parameter board diagram PROBE RECOGNIZE CIRCUIT POWER CPU SYSTEM amp ROM amp RAM SIGNAL ARD WATCHDOG ISOLATE CIRCUIT TEMPERATURE A D DETECT CIRCUIT CIRCUIT PROBE HEAT CIRCUIT FIGURE 1 9 Optional Temperature Module Principle Diagram The Temperature Module uses a thermistor as a sensor for measuring temperature The resistance of a given thermistor is nonlinearly relative to the temperature The Temperature Module measures the resistance of the thermistor and converts it into temperature Accutorr V Service Manual 0070 10 0702 1 9 Hardware Structure Theory of Operation 1 4 5 Recorder The recorder receives data from the main board and sends it to the thermal printhead for printing It has a button to start or stop printing and a green LED to indicate the presence or absence of paper 1 10 0070 10 0702 Accutorr V Service Manual Theory of Operation Hardware Structure 1 4 6 Bar Code Scanner The bar code scanner reads one dimensional and two dimensional bar codes to simplify admitting a patient The bar code scanner communicates with the monitor The serial port supplies it with power The scanner s serial port is defined in the following table PIN DEFINITION 2 Barcode_RX 3 Barcode_TX 5 GND 9 VCC5VDC The monitor s serial port is defined in the following table PIN DEFINITION 2 Monitor TX 3 Monitor RX
16. _ OPTIONAL CONFIGURATION ITEM _ PART NUMBER DESCRIPTION 1 801 6101 00003 00 Front Shell Assembly 2 M6G 020015 Hose Silicone 1 6mmODX0 8mmID 10m per 3 M04 0040 1 2 Screw Crosshead M3x6 4 6101 30 46616 Main Bracket Assembly 5 801 6101 00011 00 Recorder module package 6 M04 000605 Screw Pan Head Phillips M3X8 7 6101 20 46742 Rear Overlay 6101 8 9211 20 87369 AC Inlet Retainer Clip 9 801 6101 00010 00 Rear Housing Assembly 10 M04 002505 Screw M3x6 ONUDW A 40Jno2V 040 01 0400 5 2 Front Assembly 6 PLACES 04 051003 6 PLACES M04 021000 FIGURE 5 2 Front Bezel Assembly Y 1 T ITEM PART NUMBER DESCRIPTION 11 0010 20 12194 Machine Pneumatic Socket Subassembly 12 801 6101 00003 00 Front Bezel 6101 13 6101 20 46722 Alarm Light Cover 6101 14 6101 20 46723 Silicon Keypad 6101 15 6101 20 46762 Key Pad Fixer 2 16 04 051003 Screw Pan Head Phillips 2 0 6 17 04 021000 Flat Washer 18 6101 20 46743 Key Pad Fixer 6101 A quiessy 01 00 JONUDW 821AJ9gS A 4J0Jn22V WITH NELLCOR 5 02 WITH MASIMO SPO WITH DPM SPO2 A quiessy ITEM PART NUMBER DESCRIPTION ITEM PART NUMBER DESCRIPTION 21 6101 20 46734 SpO Mounting Bracket 6101 29 801 6101 00015 00 Masimo Power Isolati
17. avoid short circuits When assembling the monitor select proper screws If the wrong size screw is tightened by force the monitor may be damaged and the screw or the part may not function as expected 0070 10 0702 Accutorr V Service Manual Repair and Disassembly Disassembly 4 3 Disassembly 4 3 1 Separating the Front and Rear Halves of the Monitor 1 If the monitor is not configured with an Optional Temperature module proceed to step 2 If the monitor is configured with an Optional Temperature module a Remove two 2 M3x6 cross head screws as shown in Figure 4 1 M3x6 cross head screw M3x6 cross head screw FIGURE 4 1 Remove two 2 3 cross head screws b Disconnect the Temp cable connector from the PCBA as shown in Figure 4 2 Temp cable connector FIGURE 4 2 Disconnect the Temp cable connector Accutorr V Service Manual 0070 10 0702 4 3 Disassembly Repair and Disassembly 2 Remove the four 4 M3x8 cross head screws as shown in Figure 4 3 M3x8 cross head screw M3x8 cross head screw 3 8 cross head screw M3x8 cross head screw FIGURE 4 3 Remove four 4 M3x8 cross head screws 3 Release the clips as shown in Figure 4 4 on the front and rear housings FIGURE 4 4 Release the clips 4 4 0070 10 0702 Accutorr V Service Manual Repair and Disassembly Disassembly 4 Disconnect the cables and air tubing connecting the front and the rear housings 5 Separate the front
18. in the menu to switch on the bar code scanner Incorrect interface cables used Replace interface cables Loose Interface cables Confirm that the interface cables are attached securely Bar code scanner not programmed correctly Bar code scanner cannot decode the target bar Re program the bar code scanner to decode the specified bar codes codes Unreadable bar code Check if bar codes of the same type can be decoded Scanner and bar code at improper distance and angle Aim the scanner at the bar code and adjust the distance between the scanner and the bar code The monitor s bar code recognition configuration does not meet the format of the target bar code Scanned characters incorrectly displayed on the monitor Download the correct bar code recognition configuration for the monitor Scanner serial port output incorrectly set Configure the scanner s serial port output according to the host serial port settings 0070 10 0702 Accutorr V Service Manual Troubleshooting 3 5 12 NIBP Measurement Failures SYMPTOMS POSSIBLE CAUSE Unable to start NIBP Cables detective measurement Troubleshooting Guide CORRECTIVE ACTIONS Confirm that the cables between NIBP module and the main board are in good condition Main board failure Replace the main board Cuff inflation deflation Pump or valve damaged Replace the NIBP module failure Air tubing occluded R
19. software Accutorr V Service Manual 0070 10 0702 6 23 0070 10 0702 Rev D July 23 2010
20. the audio alarm off globally During audio alarm off a remind signal reminds the user every minute The monitor provides the ability to silence an alarm The monitor automatically exits the alarm silenced status if a new technical or physiological alarm occurs Configuration management The monitor provides a factory configuration and a user configuration The monitor loads the selected configuration when it is switched on If no user configuration exists the factory configuration is automatically loaded Barcode scanner The monitor can admit a patient using the barcode scanner Barcode scanner Specifications This page intentionally left blank 2 16 0070 10 0702 Accutorr V Service Manual 30 Lroubleshooting Introd OCHO satis Metis bled atest od Goons 3 2 Part Repldcement 1 3 2 Monitor Status Check o RR UR ABER eed EN ens 3 2 Technical Alarm Check eene 3 3 Troubleshootirig Guide tre amus 3 4 Accutorr V Service Manual 0070 10 0702 Introduction 3 1 3 2 3 3 Troubleshooting Introduction This chapter details potential monitor issues with possible causes and corrective actions For additional information on troubleshooting contact service Part Replacement Printed circuit boards PCBs major parts and components in the monitor are replaceable Isolate a PCB suspected to be defective follow the instructio
21. valve Screw Screw FIGURE 4 34 Remove two 2 screws Accutorr V Service Manual 0070 10 0702 4 19 Disassembly Repair and Disassembly 4 3 12 3 Removing the NIBP Bleed Valve Unplug the bleed valve cable connector from the NIBP board Disconnect the tubing Remove the two 2 screws as shown in FIGURE 4 35 Pon Remove the bleed valve ROLLING pi6807R 710 oken INAGI TOKYO Screws Loc FIGURE 4 35 Remove two 2 screws 4 20 0070 10 0702 Accutorr V Service Manual so Parts Main Assembly Sire ep Melee 5 2 Front Assembly ceperit ertet pa 5 3 Rear Housing Asserfibly io UR DER e UR ER RO RE 5 7 Main Bracket 5 8 NIBP Assembly Pump 6 100003 4 00 5 10 NIBP Assembly Pump 082 000056 00 5 13 Temperature Module 5 6 5 16 Temperature Power Module Subassembly 5 18 Accutorr V Service Manual 0070 10 0702 01 00 JONUDW A 4J0Jn22V 5 1 Main Assembly FIGURE 5 1 Main Assembly 2 3 5 we se E evt aT PS d M04 002505 ud OPTION 1 TEMP MODULE 101 30 46677 Colo 1 30 Ap ed Y OPTION 2 WITHOUT TEMP FUNCTION ies 01 20 46714 _ m
22. 02 2009 08 01 07 FIGURE 6 5 NIBP CALIBRATION dialog with INFLATE highlighted 23 Press 18 to start pressurizing the calibration vessel NOTE Use 16 eH 19 to highlight CANCEL then press 18 to cancel the calibration NOTE After the calibration vessel is pressurized the reference pressure field is highlighted as shown in FIGURE 6 6 NIBP CALIBRATION MEASURED PRESSURE 253 REFERENCE PRESSURE ADJ REF PRES USING UP DWN ARROW KEYS CANCEL SPO2 SENSOR OFF 18 02 2009 10 35 32 FIGURE 6 6 NIBP CALIBRATION dialog with the reference pressure field highlighted 0070 10 0702 Accutorr V Service Manual Test and Calibration NIBP Calibration 24 Press the GJ 16 or 19 to adjust the reference pressure value in 1 increments until it matches the MEASURED PRESSURE valve 25 Press 18 to set the reference pressure value After the reference pressure value is set ACCEPT is highlighted as shown in FIGURE 6 6 NIBP CALIBRATION ACCEPT MEASURED PRESSURE 251 REFERENCE PRESSURE ADJ REF PRES USING UP DWN ARROW KEYS CANCEL ALARM DISABLED 18 02 2009 10 35 51 FIGURE 6 7 NIBP CALIBRATION dialog with ACCEPT highlighted 26 Press the AD 16 or 83 19 to select ACCEPT 27 Press 18 to accept the calibration NOTE Use 16 EA 19 to highlight CANCEL then press 18 to cancel the calibration The Accutorr V uses the new calibration factor until anot
23. 350 1 97 3001 10 07066 T Connector 98 6101 20 46756 NIBP Bracket Manifold 99 6101 20 46755 Manifold 100 6101 20 46610 Cable Main Board to NIBP Module Board 00001 O9W dung Aquiessy qgIN 01 00 JONUDW A 4J0Jn22V 2 Places 04 004905 PART NUMBER DESCRIPTION 101 047 001582 00 NIBP Bracket Label 102 M04 05 1 137 Screw M2x4 103 M90 000002 00 Insulation Washer F2 104 042 001417 00 NIBP Bracket 107 082 000057 00 Valve Solenoid 108 04 004905 Screw M3x18 109 082 000058 00 Valve 105 M6Q 100003 Rolling Pump 106 6101 20 46761 Pump Cushion FRU 801 6101 00018 00 2 Places 009 000588 00 Pump connection cable contains these parts 04 051004 90 000031 Cable Tie CHS 4x150mm Upgrading the old pump 082 000056 00 to the new rolling pump M6Q 100003 requires FRU 801 6101 00018 00 pump kit 047 001582 00 label and 042 001417 00 bracket See section 5 6 pg 5 13 NIBP Assembly Pump 082 000056 00 for the old pump assembly FIGURE 5 11 NIBP Mechanical Pump M6Q 100003 0000 L OOW duing A quiessy dgIN 504 ONUDW A 40Jno2V 20200140700 l 5 6 NIBP Assembly Pump 082 000056 00 Accutorr V models with serial numbers lower than S N A7503017K9 are configured with the old NIBP pump 083 000056 00 CONNECT
24. 4 LCD Signal Cable 3 M04 004012 Screw Crosshead M3x6 87 MO9A 20 6208 1 Communication Cable from Host Board to Isolation Board 37 04 011002 Nut M3 with Spring Washer 88 6006 20 39382 SpO Module Cable 79 6101 30 46601 AC DC Power Supply PCBA 89 6006 20 39383 Keyboard Signal Cable 80 04 000106 Bolt M3x7 90 05 010 Button Battery Lithium 3V35mAh D12 5x2 0 81 6101 20 46611 Keyboard Power Cable 91 801 6101 00001 00 Main Board FIGURE 5 8 Main Bracket Assembly SLDd A quiessy jey2p4g NIBP Assembly Pump M Q 100003 Parts CONNECT TUBING TO AIR TAP Screw M3x6 CONNECT CABLE TO MAINBOARD 04 002505 ITEM NUMBER DESCRIPTION 10 Accutorr V models with S N 7503017 9 and higher are configured with the new NIBP pump M6Q 100003 NIBP Assembly Pump M6Q 100003 i Be uo SS wo Sea E as TI FIGURE 5 9 NIBP Assembly Pump M6Q 100003 5 5 5 10 0070 10 0702 Accutorr V Service Manual ONUDW A 00 01 0200 11 2 Places M04 051004 FIGURE 5 10 NIBP Pneumatics Pump M6Q 100003 ITEM PART NUMBER DESCRIPTION 92 04 051004 Screw PT2 6x6 93 05 1 000064 00 NIBP PCBA Module 94 A21 0000C2 Tubing Silicone 1 8 X1 4 X100ft 2800546 100 95 51 0378 02 0004 Filtered Orifice Restricto 96 51 0008 10 0206 Tubing Silicone 1 16 X3 16 TYGON 3
25. Back Plate FIGURE 5 4 Display Keyboard Assembly A quiessy Front Assembly Parts S T WW WR Portuguese English French German Spanish Dutch j e 7 E Am 4 RN Ty Le ING See m m See ee ee Em nding Washer 6101 eee eee Screw Crosshead M3x6 DESCRIPTION tm Grou F F F F F F 52 53 54 55 56 a ieee PART NUMBER 04 004012 6101 20 46732 3 45 4 6 f WW AH 04 004012 FIGURE 5 5 Front Shell Assembly 5 6 0070 10 0702 Accutorr V Service Manual ONUDW A 40Jno2V 040 01 0400 178 5 3 Rear Housing Assembly PART NUMBER DESCRIPTION 04 021024 Large Washer DA6H 20 22831 Foot Cushion 801 6101 00009 00 Battery Door 6101 and Battery Door Link M04 000802 Flat Washer 04 003105 Tapping Screw PT3x8 6101 20 46751 Recorder Bracket 6101 6006 20 39418 Speaker Spacer 6101 20 46713 Handle Cover 6101 6 Plac M04 00310 FIGURE 5 6 Rear Housing Assembly A quiessy Buisnoy 108 01 00 JONUDW A 4J0Jn22V 5 4 Main Bracket Assembly A quiessy 4 9
26. CABLE TO MAINBOARD 4 Places 04 002505 CONNECT TUBING TO AIR TAP ITEM PART NUMBER DESCRIPTION 10 04 002505 Screw M3x6 FIGURE 5 12 NIBP Assembly Pump 082 000056 00 00 950000 280 dung A quessv dgIN vl 2020 0 1 0Z00 JONUDW A 4J0Jn22V 2 PLACES 04 051004 FIGURE 5 13 NIBP Pneumatics Pump 082 000056 00 PART NUMBER DESCRIPTION 92 M04 05 1004 Screw PT2 6x6 93 05 1 000064 00 NIBP PCBA Module 94 A2 1 000002 Tubing Silicone 1 8 X1 4 X100ft 2800546 100 95 51 0378 02 0004 Filtered Orifice Restricto 96 51 0008 10 0206 Tubing Silicone 1 16 X3 16 TYGON 3350 1 foot 97 3001 10 07066 T Connector 98 6101 20 46756 NIBP Bracket Manifold 99 6101 20 46755 NIBP Manifold 100 6101 20 46610 Cable Main Board to NIBP Module Board 00 950000 280 dung Ajquiessy dgIN 504 ONUDW A 040 01 0400 l 2 PLACES 04 004905 ITEM PART NUMBER DESCRIPTION 101 6101 20 46737 NIBP Fram Overlay 6101 SLDd 102 M04 051 137 Screw M2x4 103 M90 000002 00 Insulation Washer F2 104 6101 20 46730 NIBP Bracket 6101 105 082 000056 00 Pump 106 6101 20 46761 Pump Cushion 107 082 000057 00 Valve Solenoid 2 PLACES 108 4 004905 Screw M3x18 109 082 000058 00 Valve 2 PLACES Upgrading the old pump 082 000056 00 to the new rolli
27. CRIPTION Attention Consult Accompanying Documents Refer to Manual Equipotentiality Equipotential grounding Alternating Current AC Predictive Thermometer Connector SpO Connector Electrical connectors Battery Connected to AC mains Power On Off Standby Serial number Part Number Patient Information key Main menu key 0070 10 0702 SYMBOL t 9 7 I 0061 gt Symbols and Descriptions DESCRIPTION Type BF Equipment Defibrillator proof Type BF Equipment Adult Pediatric Child Neonate Operating on battery power Manufacturer NIBP Connector Recycle Up key Confirm key Down key Deflate Cuff key Accutorr V Service Manual Symbols and Descriptions SYMBOL Accutorr V Service Manual DESCRIPTION Set alarms key Start NIBP key Display Tabular Trends Pleth Wave NIBP interval key Print key front panel Print key recorder Alarm Silenced indicator on LCD display SYMBOL 5 1 P Introduction DESCRIPTION Patient Size key Alarm Silence key Nurse Call connector RS 232 connector Serial Port 1 Network connector Alarm Disabled indicator on LCD display Audio Alarm Off indicator on LCD display Classified by Underwriters Laboratories Inc with respect to electric shock fire and mechanical hazards only in accordance with UL 60601 1 CAN CSA C22 2 NO 601 1 IEC 60601 1 1 IEC 60601 2 30
28. Cuff Pressure Automatic Check Algorithm If the monitor cannot inflate the cuff to the Pressure Threshold within the expected time period the monitor deflates the cuff cancels the measurement shuts off the pump and displays the message Unable to Measure The cancellation occurs based on the following tables NUMBER OF OPERATING MODE PRESSURE THRESHOLD DURATION RETRIES Adult and Pediatric 15 mmHg 20 sec 3 Neonate 15 mmHg 10 sec 3 TARGET INFLATION NUMBER OF OPERATING MODE PRESSURE RETRIES Adult Pediatric Neonate 60 mmHg 3 0070 10 0702 Accutorr V Service Manual Specifications 2 3 2 2 3 3 NIBP Measurement Cycle Automatically Adjusted Inflation Value after First Measurement In the Interval and Stat modes the inflation value of the next measurement will be automatically adjusted by the NIBP module based on the systolic value of the previous reading After the first unsuccessful measurement the subsequent inflation value will be the previous systolic pressure reading plus P2 Adult Mode P2 50 10 mmHg Pediatric Mode P2 50 10 mmHg Neonate Mode P2 40 10 mmHg Pulse Rate Accuracy 3 BPM or 3 whichever is greater Resolution 1 BPM PATIENT TYPE PULSE RANGE 35 245 8 Pediatric 35 245 BPM Neonate 70 245 BPM Measurements outside of the stated ranges are not guaranteed to be accurate Accutorr V Service Manual 0070 10 0702 2 5 SpO Measurement 2 4
29. Disassembly 4 3 9 Removing the Power Socket 1 Remove the retaining nut securing the grounding post as shown in Figure 4 24 2 Remove the grounding terminal Retaining Nut FIGURE 4 24 Remove the retaining nut 3 Remove the two 2 M3x8 cross head screws as shown in Figure 4 25 4 Remove the power socket M3x8 cross head screw 3 8 cross head screw FIGURE 4 25 Remove Two 2 M3x8 cross head screws Accutorr V Service Manual 0070 10 0702 4 15 Disassembly Repair and Disassembly 4 3 10 Disassembling the Temperature Module 1 Remove the two 2 M3x6 cross head screws as shown in Figure 4 26 2 Take the cover plate off M3x6 cross head screw M3x6 cross head screw FIGURE 4 26 Remove Two 2 M3x 6 cross head screws 3 Remove the three 3 M3x6 cross head screws as shown in Figure 4 27 4 Remove the Temperature module board 5 Remove the mylar sleeve M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw FIGURE 4 27 Remove three 3 M3x6 cross head screws 4 16 0070 10 0702 Accutorr V Service Manual Repair and Disassembly Disassembly 4 3 11 Disassembling SpO Modules 4 3 111 Disassembling DPM SpO module The DPM SpO gt module consists of a single board requiring no disassembly 4 3 11 2 Disassembling a Masimo SpO module 1 Remove the isolation power board by removing the three 3 M3 nuts as shown in Figure 4 28 2 Remove the three 3 M3x6 cro
30. HAMBER DISPLAY gt SOFTWARE obs gt as gt L SCANNER FIGURE 1 1 System Mechanical Hardware and Software Overview 0070 10 0702 Accutorr V Service Manual Theory of Operation System Overview PARAMETER RECEPTACLE FIGURE 1 2 The System PCBA Connections Accutorr V Service Manual 0070 10 0702 22 SpO TEMP NIBP 12 J4 J2 Y P2 JA ISOLATION ISOLATION m MH RECORDER POWER BOARD POWER BOARD 12 1 72 72 13 14 15 MAIN BOARD 8 19 12 POWER t A A P4 gt RS232 2 5 2 KEY amp DISPLAY BDM SPEAKER 3 BOARD PORT 5 33 J4 J5 9 NURSE CALL P2 2 2 BATTERY ic 9 Hardware Structure 1 4 Theory of Operation Hardware Structure FIGURE 1 3 shows the Accutorr V s Hardware Structure The core of the system is the main board which supplies power for all parameter modules The parameter modules directly communicate with the main board The the main board processes measurements and the status of all modules and displ
31. IBP SERIAL PORT 2 SDRAM FLASH 50 15V FPGA p SERIAL Port 3 SERIAL PORT 4 LINEAR POWER RECORDER 3 3V 5 0 12 LCD LED KEY FIGURE 1 4 Main Board Principle Diagram The main board communicates with all parameter modules and the recorder through an FPGA extended serial port The main board supplies information using FPGA to the key and display board It drives the display detects the keys and implements the user interface The main board controls the alarm indicator using FPGA The main board controls the speaker to give audible alarms key tones and Pitch Tone The main board provides the nurse call connection network connection and R232 connection The real time clock is implemented by the RTC chip The RT clock is powered by the AC mains battery or button cell on the main board The button cell ensures the continuous working of the clock in the event that the AC mains and batteries are not ovailable SDRAM stores running program instructions and data temporarily The system memory and trend data memory is flashed The device configuration memory is EEPROM Accutorr V Service Manual 0070 10 0702 1 5 Hardware Structure 1 4 2 Theory of Operation Power Board The power board shown in FIGURE 1 5 converts the input power AC mains or battery to different working voltages for other boards It also charges the battery
32. IEC 60601 2 49 0070 10 0702 xiii Introduction Symbols and Descriptions This page intentionally left blank 0070 10 0702 Accutorr V Service Manual 1o Theory of Operation Introducti nz 252 Bae et ceu A 1 2 Controlssand lndiGators sain re b n te e eb bees 1 2 System OverVlew d e n LO RI NER 1 2 Hardware Shudian niieoee 1 4 Accutorr V Service Manual 0070 10 0702 Introduction 1 1 1 2 1 3 Theory of Operation Introduction The Accutorr V monitors the following patient vital signs non invasive blood pressure NIBP pulse oxygen saturation pulse rate PR and temperature Temp for a single adult pediatric or neonatal patient Temperature is measured using the optional Temperature Module Controls and Indicators For information on controls connectors and indicators refer to the Accutorr V Operating Instructions Part Number 0070 10 0699 02 System Overview FIGURE 1 1 shows the relationship of the Accutorr V monitoring system s mechanical hardware and software components FIGURE 1 2 shows the Accutorr V monitoring system s PC board connections SYSTEM Y y MECHANICAL HARDWARE SOFTWARE gt MAIN UNIT MAIN BOARD Le mm _ tmr C
33. L LNCS Pdtx LNCS Adtx LNCS DC 96 2 without I LNCS DC Pt TCI motion 96763376 with motion Nellcor MAXI 9696 296 80 3 bpm Compatible Sensors DS 100A OXLA N Adult 969 3 OXI A N Neonate 9676475 NOTE The SpO simulator can only be used to verify that the pulse oximeter operates properly It cannot be used to verify the accuracy of the pulse oximeter or the SpO sensor To verify the accuracy clinical tests are required Contact Technical Support if the SpO test fails 0070 10 0702 Accutorr V Service Manual Test and Calibration 6 6 3 6 6 3 1 6 6 3 2 6 6 3 3 SpO Test Summary of Test Methods DPM 5 0 Measurement validation The DPM 5 2 module accuracy has been validated in human studies against arterial blood sample reference measured with a CO oximeter Pulse oximeter measurements are statistically distributed and about two thirds of the measurements can be expected to fall within the specified accuracy compared to CO oximeter measurements Nellcor The Nellcor SpO module was tested for accuracy using a simulator Masimo SpO The Masimo SpO module was tested Masimo to verify accuracy Accutorr V Service Manual 0070 10 0702 6 13 Testing the Optional Temperature Module Test and Calibration 6 7 6 14 Testing the Optional Temperature Module Required Tool Thermostatic oil tank HART 7102 recommended 1 Set the temperature
34. Main Assembly Front Assembly Rear Housing Assembly eire bte etie tee irf Eo e Ed Cohen t o est idees tert eh eee E e ee Tn a NIBP Assembly Pump M Q 100003 NIBP Assembly Pump 082 000056 00 Temperature Module Subassembly s eit petet eite pei Hr os ve RW C MAD RE Temperature Power Module Subassembly rre etr ee e E Hr rebus 5 18 Test and Calibration 11 1 eere ee eee eee eee eee eee een sooo o oos esee esee eee ee eee eessssssssseeeeeeeeeeeeees T Introduction NO od at evt se Hotte tenet 6 2 Test Reportero etc t ee 6 3 Ritus 6 3 Visual mE Poweron Test 2 25 E er pm ET INIBP Accuracy tete deba eee i e neon ptt NIBP Leakage Test SPOS Test cc tot i t Ta n e e e Pa A 5 2 Test Under Normal Conditions t eme bebida iiis 6 12 Summary Of Test Methods ius s ite ete sei erede eene deor o e aestate 6 13 EINE RR MEAM HC NER ENG 6 13 Nellcor 13 Masimo 5 13 Testing the Optional Temperature Module 14 Nurse Call P
35. NANCE is highlighted press to display the MAINTENANCE dialog as shown in FIGURE 6 16 MAINTENANCE Pep QUICK ADMIT NURSE CALL USER MAINTENANCE NIBP TOOLS IP ADDRESS SETUP VERSION SPO NO SENSOR 01 16 2009 14 36 22 FIGURE 6 16 MAINTENANCE dialog 5 Press to select USER MAINTENANCE 6 Once USER MAINTENANCE is highlighted press to display the Enter Password dialog as shown in FIGURE 6 17 ENTER PASSWORD 4 4 1 EUN ALARM DISABLED 12 15 2008 15 04 51 FIGURE 6 17 ENTER PASSWORD dialog 0070 10 0702 Accutorr V Service Manual Test and Calibration Bar Code Scanner Test 7 In the Enter Password dialog press 71 8 Enter the password 321 to display the USER MAINTENANCE dialog as shown FIGURE 6 18 See Section 6 4 steps 10 22 for the password procedure USER MAINTENANCE MIN ALARM VOL BARCODE POWER 5 02 SENSOR OFF OFF AUDIOOFFPROMPT ON LANGUAGE ALARM DISABLED 12 15 2008 15 07 29 FIGURE 6 18 Example USER MAINTENANCE dialog 9 Press to highlight the BARCODE POWER selection field 10 Once the selection field is highlighted press select it 11 Press to select ON 12 Once the selection is highlighted press select it NOTE When the RS 232 connector is used for DIAP barcode power must be set to OFF 13 Aim the bar code scanner at the target bar code Adjus
36. Recorder Failures 3 5 6 SYMPTOMS No printout POSSIBLE CAUSE Recorder module disabled Troubleshooting CORRECTIVE ACTION Confirm that the recorder status LED is on If yes reset the recorder If no check for other possible causes Paper reversely installed Re install the paper roll Cable defective or poorly connected Confirm that the cable between recorder and main board is appropriately connected Confirm that the connecting cables and connectors are not damaged Recorder power supply failure Confirm that the power module outputs 5V DC and 16 8V DC correctly Recorder failure Replace the recorder Poor print quality or paper not feeding Paper roll not properly installed Stop the recorder and re install the paper roll properly Dirty thermal print head e Confirm that the thermal print head and the paper roller do not contain foreign matter e Clean the thermal print head with an appropriate detergent Recorder failure Replace the recorder 3 57 Interface Failures SYMPTOMS POSSIBLE CAUSE No nurse call signals are Incorrect function settings issued CORRECTIVE ACTION 1 Press to display the SYSTEM SETUP dialog as shown in FIGURE 3 1 2 Press to highlight MAINTENANCE 3 Once MAINTENANCE is highlighted press to display the MAINTENANCE dialog as shown in FIGURE 3 2 4 Press select NUR
37. SE Cables defective or poorly connected CORRECTIVE ACTIONS Confirm that the cables from the display to the main board are correctly connected e Confirm that the cables and connectors are not damaged Backlight defective Replace the LCD LCD defective Replace the LCD Images overlapped or FPGA error Update or upgrade FPGA distorted Cables defective or poorly connected Confirm that the cable from the display to the main board is correctly connected e Confirm that the cables and connectors are not damaged 3 5 3 SYMPTOMS LED digital display or indication lamp display abnormally POSSIBLE CAUSE Signal wires damaged LED Digital Display and Indication Lamp Failure CORRECTIVE ACTIONS e Confirm that the LED signal wires are correctly connected e Confirm that the cables and connectors are not damaged LED digital display or indication lamp damaged Replace the LED digital display or indication lamp 3 4 0070 10 0702 Accutorr V Service Manual Troubleshooting 3 5 4 Alarm Problems SYMPTOMS POSSIBLE CAUSE The alarm lamp does Cables defective or not light or is poorly connected extinguished but alarm sounds Troubleshooting Guide CORRECTIVE ACTIONS e Confirm that the cables from alarm LED board to keyboard and keyboard to main board are properly connected e Confirm that the connecting cables and connectors are not damaged Key and d
38. SE CALL 5 Once NURSE CALL is highlighted press to display the NURSE CALL dialog 6 Select desired nurse call output Main board failure Replace the main board Bar code scanner unable Bar code scanner failure Refer to Bar Code Scanner Failures to be used Serial port failure Replace the main board 3 5 8 SYMPTOMS Fluctuating battery voltage Power Supply Failures POSSIBLE CAUSE Battery failure CORRECTIVE ACTION Replace battery Cable defective or poorly connected e Confirm that the cable between battery interface board and power module is correctly connected e Confirm that the cables and connectors are not damaged Power board failure 0070 10 0702 Replace the power board Accutorr V Service Manual Troubleshooting Troubleshooting Guide SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTION Battery fails to be fully Battery failure Replace battery charged Cable defective or poorly Confirm that the cable between battery interface connected board and the power module is properly connected Confirm that the connecting cables and connectors are not damaged Power board failure Replace the power board Battery unable to be Battery damaged Replace battery and recharge the replacement battery recharged If the replacement battery can be recharged the original one fails Cable defective or poorly Confirm that the cable between battery interface connected
39. TEST Use or 2 to highlight STOP ACCURACY TEST then press to cancel the accuracy test 10 Use the ball pump to pressurize the vessel to each of the three different ranges shown in following table RANGE ACCURACY Low approximately 50 mmHg 3 mmHg Medium approximately 150 mmHg 3 mmHg High approximately 250 mmHg 3 mmHg The pressure value in the MAP LED display should match the value shown on the reference manometer within the accuracy for each test range as shown in the table 11 Use to highlight STOP ACCURACY TEST then press to end the accuracy test If the accuracy test failed send the Accutorr V to service for repair NIBP Leakage Test Required Tools One 1 piece of tubing One 1 Cylinder One 1 Metal Vessel with volume of 500 25 ml To perform the NIBP leakage test 1 Set Patient size to adult by pressing until Adult is selected The patient size changes with each key press Accutorr V Service Manual 0070 10 0702 6 9 NIBP Accuracy Test Test and Calibration Adult Pediatric Neonate FIGURE 6 10 Patient size graphics and indicators The Patient size indicator illuminates to indicate the selected size as shown in FIGURE 6 10 The factory default setting for the Patient size is Adult 2 Connect the metal vessel with the NIBP connector on the Accutorr V monitor Accutorr V Hose Calibration Vessel FIGURE 6 11 Leakage test configurat
40. Troubleshooting Guide 3 5 10 SYMPTOMS Bootstrap upgrade fails POSSIBLE CAUSE upgrade Power failure or unintended power off during bootstrap Troubleshooting Software Upgrade Problems CORRECTIVE ACTIONS Return the main board to the factory for repair Program upgrade fails Incorrect network connection Confirm that the monitor is connected to the network e Confirm that the hub or the switcher is functioning e Confirm that the net cables are of the right type and have been connected correctly Wrong upgrade package has been downloaded Incorrect upgrade package mup files were used Select package according to the program to upgrade Incorrect IP address configuration Configure a fixed IP address in range as specified for the monitor Do not upgrade a program while the monitor is connected to a network 3 5 11 Bar Code Scanner Failures SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS Bar scanner does Bar m 1 Press to display the SYSTEM SETUP dialog as noron powered an shown in FIGURE 3 1 2 Press Ta or to highlight MAINTENANCE 3 Once MAINTENANCE is highlighted press display the MAINTENANCE dialog as shown in FIGURE 3 2 4 Press to select USER MAINTENANCE 5 Once USER MAINTENANCE is highlighted press to display the USER MAINTENANCE dialog 6 Enter the required password 7 Set BARCODE POWER to ON
41. UITRY AMPLIFIER FIGURE 1 7 5 Module Principle Diagram The SpO sensor collects the pulsing red and infrared light signals transmitting through the finger or toe and processes the collected signals to create the measured result The SpO2 module controls the LED drive circuit and the amplifying circuit gain corresponding to the finger or toe perfusions and transmittances 1 8 0070 10 0702 Accutorr V Service Manual Theory of Operation Hardware Structure 1 4 4 2 NIBP Module FIGURE 1 8 shows the NIBP module parameter board diagram PRESSURE OVER PRESSURE SIGNAL PRESSURE CUFF SENSOR AMPLIFIER 9 protect FOR CIRCUITS CIRCUIT ASYCHRONOUS PROTECT FOR SERIAL PROTECT COMMUNICATION 4 gt WATCHDOG 4 gt CPU PRESSURE PRESSURE SIGNAL PRESSURE SIGNAL A D SENSOR P AMPLIFIER CONVERTER CIRCUITS MOTOR CONTROL FEEDBACK SIGNAL MANIFOLD PUMP AND VALVES VALVE FLASH DRAM AND PUMP CONTECH CIRCUIT FIGURE 1 8 NIBP Module Principle Diagram The Accutorr V calculates NIBP values using the oscillometric method of noninvasive blood pressure measurement These measurements correspond to comparisons with auscultatory values measured using the fifth Korotkoff sound within ANSI AAMI SP10 standards for accuracy 1 4 4 3 Optional
42. Use of other oxygen transducers may cause improper oximeter performance When equipped with MASIMO SpO use only MASIMO oxygen transducers including MASIMO LNOP and MASIMO LNCS patient dedicated adhesive sensors and MASIMO PC Series Patient Cable Use of other oxygen transducers may cause improper Oximetry performance 0070 10 0702 Accutorr V Service Manual Cautions CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION Accutorr V Service Manual Inaccurate readings may be caused by incorrect sensor application or use significant levels of dysfunctional hemoglobins i e carbohemoglobins or methemoglobin or intra vascular dyes such as indocyanine green or methylene blue exposure to excessive illumination such as surgical lamps especially ones with a Xenon light source bilirubin lamps fluorescent lights infrared heating lamps or direct sunlight excessive patient movement venous pulsations electro surgical interference and placement of a sensor on an extremity that has a blood pressure cuff arterial catheter or intra vascular line Route cables neatly Ensure cables hoses and wires are kept away from patient s neck to avoid strangulation Keep floors and walkways free of cables to reduce risk to hospital personnel patients and visitors If the sensor or patient cable is damaged in any way discontinue use immediately When
43. age test 9 3 At least once every two years Calibration 5 test Temperature test Bar code scanner test If the user suspects that bar code scan is incorrect Electrical safety tests Enclosure leakage 1 Following any repair or replacement of the power module current test 2 At least once every two years Earth leakage current test Patient leakage current test Patient auxiliary current test Recorder check Following any repair or replacement of the recorder Accutorr V Service Manual 0070 10 0702 6 3 Visual Test 6 2 6 3 6 4 Test and Calibration Visual Test Inspect the equipment for obvious signs of damage Follow these guidelines when inspecting the equipment e Carefully inspect the case the display screen and the buttons for physical damage e Inspect all external connections for loose connectors bent pins or frayed cables Inspect all connectors on the equipment for loose connectors or bent pins Make sure that the labels on the equipment are clearly legible Power on Test Verify that the monitor can power up correctly by following this procedure 1 Insert the lithium battery in the battery compartment and connect the monitor to the AC mains The AC mains LED and battery LED light 2 Press the Power On Off button to turn on the monitor The operating status LED built into the Power On Off button illuminates The system beeps to indicate it has passed th
44. and the rear housings Figure 4 5 Cable Connector Cable Connector Cable Connector Tubing Connection P _ Cable Connector al FIGURE 4 5 Separate the front and rear housings NOTE Exercise care when separating the front and the rear housings Be sure not to damage the cables and connectors Accutorr V Service Manual 0070 10 0702 4 5 Disassembly Repair and Disassembly 4 3 2 Disassembling the Front Housing Assembly 1 Remove the six 6 M3x6 cross head screws as shown in Figure 4 6 and remove the key board M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw FIGURE 4 6 Remove six 6 M3x6 cross head screws 2 Remove the four 4 M3x8 cross head screws as shown in Figure 4 7 M3x8 cross head screw M3x8 cross head screw M3x8 cross head screw M3x8 cross head screw FIGURE 4 7 Remove four 4 M3x8 cross head screws 3 Disconnect the flexible cables on the button board 4 Remove the LCD 4 6 0070 10 0702 Accutorr V Service Manual Repair and Disassembly Disassembly 5 Remove the two 2 M3x6 cross head screws as shown in FIGURE 4 8 and take out the SpO rack M3x6 cross head screw M3x6 cross head screw FIGURE 4 8 Remove two 2 M3x cross head screws 6 Remove the screw as shown in FIGURE 4 9 to remove the SpO module from the SpO rack a
45. assembly Separating the Front and Rear Halves of the Monitor Disassembling the Front Housing Assembly 8 Removing the M in Rack Assembly ert bei HERR E erdum Removing NIBP Module peteret ode qe ten ere lem e d arbusto Removing the Main CPU Board ome e te eee p Oe HUN Removing the Power Bodid eiecit steh piove butt DO ii 0070 10 0702 Accutorr V Service Manual Table of Contents Removing the Battery Connector 4 13 Removingithe Fan and Speaker wis te e e EH eH HIER b HERI et e HER nde 4 14 Remoyving the Power Socket colt sates t ter bre Fe eat tpa ee t perinde lated eos 4 15 Disassembling the Temperature 16 Disassembling SpOs Modules 5 ee tec RUE IAE OS RR FOR 17 Disassembling a DPM module 4 17 Disassembling a Masimo SpO module 17 Disassembling a Nellcor 5 2 module 18 Disassembling the NIBP Module 4 t a E e e ct es 19 Removing the NIBP Purp eese there eee e ee ree eder e n do exe nh e dea spends 4 19 Removing the NIBP Dump Valve eL ee at stel ee eias 4 19 Removing the NIBP Bleed Valve 4 20 Par fs eroe e esee eee oe seco nee ee eee ee eros secos nose esee
46. ay LED indication lamp and keys LCD FSTNLCD SIGNAL MODULE LED L ae CPLD gt LED amp KEY 3 3V START UP DISABLE CIRCUIT p gt DETECTION MN Switch ADV KEY MATRIX 3 3V VSB FIGURE 1 6 Key and displays Board Principle Diagram The LCD module adjusts contrast and brightness The 7 segment digit units display parameter data The AC indicator is driven by the ADV output from the power board and the working status indicator built in the Power On Off key is driven by 3 3V voltage The battery indicator is jointly controlled by the flash control signal ADV signal and VBC signal The keypad contains the power ON OFF key and the other 13 function keys Accutorr V Service Manual 0070 10 0702 1 7 Hardware Structure Theory of Operation 1 4 4 Parameter Boards 1 4 4 1 SpO Module FIGURE 1 7 shows the SpO module parameter board diagram RST L ISOLATED SERIAL WATCHDOG r4 I N OUTPUT PORT 3 7 twoi HOST 4KV ISOLATED DRAM POWER SUPPLY 4 12 DRIVE DAC q 3 3V CPU q 5V Y FLASH 4 5 LED DRIVE CIRCUITRY 4 gt Y SENSOR A D CONVERTER GAIN CONTROL CIRCUITRY OFFSET DAC PROGRAMMABLE OFFSET i M9 GAIN CIRC
47. ays them through the key and display board NIBP MODULE SpO MODULE TEMP MODULE ISOLATION ISOLATION POWER BOARD POWER BOARD COMMUNICATIONS COMMUNICATIONS POWER SUPPLY POWER SUPPLY LED amp KEY 4 31 w ETHERNET amp DISPLAY MAIN BOARD gt RS232 BOARD 4 POWER S PPLY NURSE CALL _ A SPEAKER RECORDER a BATTERY FAN POWER BOARD gt ACCUTORR V FIGURE 1 3 The Accutorr V s Hardware Structure NOTE The SpO isolation power board does not apply to models with DPM Pulse Oximetry 0070 10 0702 Accutorr V Service Manual Theory of Operation Hardware Structure 1 4 1 Main Board FIGURE 1 4 shows the main board which provides resources and support for the overall system It controls the LCD LED keyboard speaker and recorder It also communicates with parameter modules and connectors The main board also controls communication with the speaker the recorder and all external connectors WATCHDOG RTC E2 PROM ETHERNET gt PHY 18201 a 4 NURSE SERIAL PORT 0 4 gt gt RS2321C a gt RS232 AUDIO PROCESS SPEAKER 4 CIRCUIT p gt SERIAL PORT 1 N
48. board and the power module is properly connected Confirm that the connecting cables and connectors are not damaged Power board failure Replace the power board No 3 3 V output Power supply protection e off the monitor then restart it No 5 0 V output Power board failure f the problem remains disconnect the AC mains No 12 V output for 5 seconds and reconnect it then restart the monitor e f the problem still remains replace power board NOTE If the power module fails it may damage other components e g the monitor suddenly shuts down during the start up In this case troubleshoot the power module using the procedure described in the previous table NOTE If the parameter module recorder or bar code scanner malfunctions check if the operating voltage is correct 3 5 9 Network Related Problems SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS The monitor can not No connection to LAN e Confirm that the cables and connectors are in good connect to the CMS condition and that the monitor is connected to the network e Confirm that the hub and switch facilities are correctly configured Frequent dropouts and Improper LAN cable Confirm that the LAN cable is connected The LAN network disconnections connection cable must not be longer than 50 m Incorrect IP address Check for IP address conflict Reconfigure IP address configuration Accutorr V Service Manual 0070 10 0702 3 7
49. cleaning sensors do not use excessive amounts of liquid Wipe the sensor surface with a soft cloth dampened with the cleaning solution To prevent damage do not soak or immerse the sensor in any liquid solution DO NOT ATTEMPT TO STERILIZE Recharge the Lithium ion battery while in the unit at room temperature If using the Accutorr V in a hot environment the Lithium ion battery may not charge when the unit is connected to the AC mains Remove the battery if the Accutorr V is not used for an extended period of time The Communications Connectors on the Accutorr V are only for use with IEC 60601 1 1 compliant equipment Never place fluids on top of this monitor If fluid spills on the unit wipe clean immediately and refer the unit to qualified service personnel Before disassembling the monitor eliminate static charges When disassembling the parts labeled with static sensitive symbols wear electrostatic discharge protection such as antistatic wristband or gloves Follow the correct sequence to disassemble the monitor Otherwise the monitor may be damaged permanently Disconnect all the cables before disassembling any parts Take care not to damage any cables or connectors Properly connect the cables or wires when reassembling the monitor to avoid short circuit When assembling the monitor select proper screws If the wrong size screw is tightened by force the monitor may be damaged and the screw or the part may not function a
50. d eem eee een 4 13 Removing the Battery Connector 0 0 00 4 13 Removing the Fan and Speaker 4 14 Removing the Power Socket eee 4 15 Disassembling the Temperature Module ess 4 16 Disassembling SpO2 Modules sss 4 17 Disassembling the NIBP 00000 4 19 Accutorr V Service Manual 0070 10 0702 Tools 4 1 4 2 Tools Repair and Disassembly During disassembly and replacement the following tools may be required Phillips screwdrivers Wire cutters Sharp nose pliers e Metric wrenches e Metric nut drivers Preparation for Disassembly Before disassembling the monitor stop monitoring patients turn off the monitor disconnect all the accessories and peripheral devices remove the battery and disconnect the monitor from the mains power supply CAUTION CAUTION Before disassembling the monitor eliminate static charges When disassembling the parts labeled with static sensitive symbols wear electrostatic discharge protection such as antistatic wristband or gloves Follow the correct sequence to disassemble the monitor Otherwise the monitor may be damaged permanently Disconnect all the cables before disassembling any parts Take care not to damage any cables or connectors Properly connect the cables or wires when reassembling the monitor to
51. deviation Plus or minus one standard deviation encompasses 68 of the population 2 4 2 3 Alarm Setting Range SPO MODULE SPO2 PR MS 2013 SpO module 50 100 20 250 bpm 2 8 0070 10 0702 Accutorr V Service Manual Specifications SpO Measurement 2 4 3 Nellcor NELL 3 SpO Performance This section details the performance measurements of the NELL 3 pulse oximeter integrated OxiMax measurement technique which is designed in accordance with the requirement of the interface of the Nellcor NELL 3 board The SHIP Standard Host Interface Protocol mode is used 2431 5 0 Compatible Sensors See Section 6 6 for a list of compatible sensors Measurement Range and Accuracy ACCURACY SENSOR 70 100 0 69 MAX P and MAX 2 Undefined OxiCliq OxiCliq N OxiCliq and OxiClig 2 5 Undefined D YS DS 100A OXLP I 3 Undefined MAX D YSE D YSPD 3 5 Undefined 1 When sensors are used on neonatal subjects as recommended the specified accuracy range increases by 1 digit to account for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood 2 Neonatal accuracy specifications are based upon testing neonatal sensors on healthy adult volun teers in induced hypoxia studies in the range of 70 100 SpO The specified accuracy also takes into account published literature which predicts that there be a small difference in 50 repor
52. e alarm sounds self test All the LEDs on the front panel illuminate The technical alarm lamp illuminates yellow then red and then turns off to indicate it has passed the alarm lamp self test The start up screen clears and the monitor enters the main screen indicating start up is complete NIBP Calibration Required Tools One 1 Three 3 pieces of Tubing One 1 Metal Vessel with volume of 500 25 ml One 1 Reference manometer with accuracy of 1 mmHg To calibrate NIBP 1 Attach the calibration vessel and reference manometer as shown in FIGURE 6 1 Accutorr V Reference Calibration Manometer Hose Vessel FIGURE 6 1 NIBP calibration configuration 2 IF needed press 11 to display the Normal Screen 0070 10 0702 Accutorr V Service Manual Test and Calibration NIBP Calibration 3 Press 12 to display the SYSTEM SETUP dialog 4 Press 29 16 19 to highlight MAINTENANCE 5 Once MAINTENANCE is highlighted press 18 to display the MAINTENANCE dialog as shown in FIGURE 6 2 MAINTENANCE QUICK ADMIT NURSE CALL USER MAINTENANCE NIBP TOOLS IP ADDRESS SETUP VERSION SPO NO SENSOR 01 16 2009 14 36 22 FIGURE 6 2 MAINTENANCE dialog 6 Press 16 19 to highlight NIBP TOOLS 7 Once NIBP TOOLS is highlighted press 18 display NIBP TOOLS dialog 8 Press PY 16 or
53. e installation or its conductors is in doubt the equipment shall be operated from its internal electric power source Degree of protection against electric shock Monitor Type applied part NIBP Type BF defibrillation protected applied part SpO Type BF protected applied part Temp Type BF protected applied part Supply Connection 100 240 VAC 50 60 Hz 0 85 0 5A Mode of Operation Continuous 0070 10 0702 Accutorr V Service Manual Product Limitations Introduction Protection Against Hazard of Explosion Not Protected Ordinary Protection Against Ingress of Liquids IPX1 Degree of Electrical Connection Between Equipment designed for direct electrical and Equipment and Patient non electrical connection to the patient Degree of Mobility Portable Product Limitations Non invasive blood pressure NIBP accuracy depends on the application of the proper cuff size See Chapter 3 0 of the Operating Instructions for detailed information The Accutorr will not operate effectively on patients who are experiencing convulsions or tremors The Accutorr V is a portable device intended for intra hospital use If the pressure cuff is not placed at the patient s heart level the NIBP measurement may be subject to error due to the hydrostatic effect The pulse rate data displayed on the Accutorr V is computed from the measurement of peripheral pulses peripheral pulses taken only during a measurement cycle The rate meas
54. ea ederet o 2 10 E 2 10 7 Segment Digit Display 5 erecto e a OR C e e UR HA ARRAS ENS e 2 10 Monochrome LED Indicator 2 10 Power Indicalor 2 11 Overlay and labeling 2 ecc ee tee eee een ed e a aede dedo o Eo ah ee 2 11 Alarm lamp atate IAE 2 11 andes TT 2 12 Patient Gable onte ied testes tie eid ute 2 13 Audios Indicator Do ue DAR 2 13 Pulse Tone Function 2 13 Multiple tevel Eae en i Pe e a ee Pede 2 13 oe PO eet 2 13 Standby Mode 2 14 Alarm3ntormations EE PURSE E DRE ER t EE ORE 2 15 Pen x 2 15 Alarm Notifications eate e tut Pest e ta ote eese erede 2 15 Audio Alarm Pause Audio Alarm Off and Audio Alarm Silencing sess 2 15 Configuration management Barcode Troubleshootin
55. efore some contents may not be applicable For questions contact Service This manual is for biomedical engineers authorized technicians or service representatives responsible for troubleshooting repairing and maintaining the monitors Contents of this manual are subject to change without prior notice A password is required to access the service mode The service password is 321 The Accutorr V configurations are Accutorr V with Nellcor Pulse Oximetry includes NIBP Nellcor SpOy a Trend Display and Recorder Accutorr V with Nellcor Pulse Oximetry SmarTemp includes NIBP Nellcor SmarTemp a Trend Display and Recorder Accutorr V with Masimo SET Pulse Oximetry includes NIBP Masimo SpO a Trend Display and Recorder Accutorr V with Masimo SET Pulse Oximetry and SmarTemp includes NIBP Masimo SpO2 SmarTemp a Trend Display and Recorder Accutorr V with DPM Pulse Oximetry includes NIBP DPM SpO a Liquid Crystal Display LCD and Recorder Accutorr V with DPM Pulse Oximetry and SmarTemp includes NIBP DPM SpO2 SmarTemp a Liquid Crystal Display LCD and Recorder All Accutorr V configurations can be upgraded with a barcode scanner Masimo Patents This device MASIMO SpO Module is covered under or more of the following U S Patents 5 758 644 5 823 950 6 011 986 6 157 850 6 263 222 6 501 975 and other applicable patents listed at www masi
56. efore use The service personnel should acquaint themselves with the use of the test equipment Electrical safety tests should meet the requirements of the latest editions of EN 60601 1 and UL 60601 These electrical safety tests do not supersede local requirements All devices using the AC mains and connected to medical equipment within patient environments must meet the requirements of the IEC 60601 1 1 medical electrical systems standard and should be put under electrical safety tests at the frequency recommended for the monitor Cautions CAUTION CAUTION CAUTION CAUTION CAUTION viii Observe extreme caution when a defibrillator is in use Do not touch any part of the patient table or monitor when a defibrillator is in use The Accutorr V should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the Accutorr V should be observed to verify normal operation in the configuration in which it will be used The unit should be checked periodically for obstructed vents If an obstruction is found refer the unit to qualified service personnel At the end of their life dispose of the Accutorr V accessories and single use supplies in accordance with local regulations Dispose of packaging waste in accordance with local regulations When equipped with Nellcor SpO use only Nellcor oxygen transducers including Nellcor Oxisensor patient dedicated adhesive sensors
57. ent exceed the specified ranges or the physiological exceptions of the patient cannot be judged according to a single physiological parameter Technical alarms The patient cannot be monitored normally and accurately due to faults in manual operation technical faults or faults in the monitor The high priority alarm indicates only physiological alarms and a low battery alarm The low priority alarm indicates only technical alarms other than low battery The Accutorr V provides functionality for selecting the upper limit and lower limit of each physiological alarm Alarm Notification 1 When an alarm occurs the system notifies the user through the speaker alarm indicator relevant 7 segment LED digit displays and LCD status bar 2 When alarms of multiple levels occur simultaneously the system notifies the user of the alarm with the highest level through the speaker and alarm indicator 3 If the hospital Nurse Call system is available and connected to the monitor the user can be notified of relevant alarms through the Nurse Call system Audio Alarm Pause Audio Alarm Off and Audio Alarm Silencing The monitor provides functionality for pausing disabling an audio alarm for 120 seconds After 120 seconds the audio alarm notification functionality resumes The user can resume the audio alarm notification at any time An alarm causes the monitor to terminate the paused state The monitor provides the ability to turn
58. eplace the air tubing 3 5 13 SpO Measurement Failure SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS Unable to measure SpO sensor failure Replace the SpO sensor Cables defective Confirm that the cable between the module and the main board is in good condition SpO module failure Replace the SpO module Main board failure Replace the main board 3 5 14 Temperature Measurement Failures SYMPTOMS POSSIBLE CAUSE CORRECTIVE ACTIONS Unable to measure patient Temperature probe damaged Replace the Temperature probe temperature Cables detective Confirm that the cable between the Temperature module and the main board is in good condition Main board failure Replace the main board Accutorr V Service Manual 0070 10 0702 3 9 Troubleshooting Guide Troubleshooting This page intentionally left blank 3 10 0070 10 0702 Accutorr V Service Manual x Repair and Disassembly n AU e tat ete s 4 2 Preparation for Disassembly i eicit er Heure tete o ee e deae 4 2 Disassembly zn ere n an REP e eda 4 3 Separating the Front and Rear Halves of the Monitor 4 3 Disassembling the Front Housing Assembly 4 6 Removing the Main Rack 2 4 4 8 Removing NIBP Module 3 tte ER e Re e ee ote ets 4 11 Removing the Main CPU Board eee 4 13 Removing the Power Boar
59. equired Tool S5pO simulator For the monitor equipped with DPM SpO2 module BIO TEK Index 2 5 simulator is recommended For the monitor equipped with Nellcor SpO 2 module an SRC MAX SpO simulator is recommended e For the monitor equipped with Masimo 2 module a BIO TEK Index 2 SpOs simulator is recommended SpO Test Under Normal Conditions 1 Connect the SpO simulator to the SpO sensor 2 Select the model and the manufacturer of the module under test and then configure the SpO simulator as follows SpO 96 PR 80 bpm 3 The displayed 5 gt and PR values should be within the ranges listed below SpO Test in Motion Mode 1 Connect the SpO simulator to the SpO sensor 2 Select the model and the manufacturer of the module under test take measurement in the motion mode preset by the SpO simulator 3 The displayed 5 gt and PR values should be within the ranges listed below MANUFACTURER SPO SENSOR SPO PR BPM DPM 512E 512G 512F 512H 518B 520A 520P 96 2 80 3 Compatible Sensors 5201 520N 96763 376 Masimo LNCS NeoPH LNCS Neo LNOP DCI LNOP 96 3 without 80 3 bpm without Compatible Sensors LNOP TCI LNOP Yi Multisite DCSC motion motion LNOP Adt LNOP Pdt LNOP II Inf L LNOP II Neo 96 3 80 5 bpm Neonatal L LNOP NeoPt Preterm Neonatal Y with motion with motion LNOP NeoPt Preterm Neonatal Y LNCS Inf
60. erformance REDE bane ne 6 16 Bar Code Scanner beer 6 18 El ctrical Sateb Tels sen bo E n m E e Eins 6 20 Enclosure Leakage Cutrent Tesl ode pt be eae a e ese be 6 20 Earth Leakage Current Test sor eI e a ttes de iis 6 20 Patient leakage Current Test Reb o eR ipd vire 6 21 Patient Auxiliary Leakage Current Tests oe ER et UM ee 6 21 Recorder Check Software upgrade Accutorr V Service Manual 0070 10 0702 iii Table of Contents This page intentionally left blank iv 0070 10 0702 Accutorr V Service Manual Preface Introduction Preface This manual provides detailed information about the assembling disassembling testing and troubleshooting of the equipment to support effective troubleshooting and repair It is not intended to be a comprehensive in depth explanation of the product architecture or technical implementation Observance of the manual is a prerequisite for proper equipment maintenance and prevents equipment damage and personnel injury Refer to the Accutorr V Operating Instructions P N 0070 00 0699 XX for information for operating this instrument This manual is based on the maximum configuration Ther
61. ews as shown in Figure 4 15 7 Take out the main rack assembly M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw FIGURE 4 15 Remove six 6 M3x6 cross head screws 4 10 0070 10 0702 Accutorr V Service Manual Repair and Disassembly Disassembly 4 3 4 Removing NIBP Module 1 Unplug the NIBP module from the CPU Board as shown in Figure 4 16 Unplug the NIBP module FIGURE 4 16 Unplug the NIBP module 2 Remove the three 3 M3x6 cross head screws as shown in Figure 4 17 3 Take out the NIBP rack M3x6 cross head screw M3x6 cross head screw 3x6 cross head screw FIGURE 4 17 Remove three 3 M3x6 cross head screws Accutorr V Service Manual 0070 10 0702 4 11 Disassembly Repair and Disassembly 4 3 5 Removing the Main CPU Board 1 Unplug the Main board power cable from the power supply as shown in FIGURE 4 18 2 Cutthe tie wrap to the speaker as shown in FIGURE 4 18 Cable Connector Cable Tie FIGURE 4 18 Unplug the Main board cable connector and cut one 1 tie wrap 3 Unplug the speaker cable J10 from the Main board see FIGURE 4 19 4 Unplug the recorder cable J8 from the Main board see FIGURE 4 19 5 Take out the main board by removing the four 4 M3x6 cross head screws as shown in FIGURE 4 19 M3x6 cross head screw Recorder Cable Speaker Cable M3x6 cross head screw M3x6 cro
62. g eee eee eee eee eee e eee e e enses esas eee soos e sees soe e sesso ees sseeeesssoeeessseeeessocoees Introduction Part Replacement Monitor Status Check Technical Alarm ott teta ba tee ee de MO Troublesliootitig aUlde one bet tt Orte eei v e te ERES Power On Olf FdilUres 31 res eoo etti Hes hee tres Display Fail re EET LED Digital Display and Indication Lamp Failure Alarm Problems 5 3 tette etie etae T Recorder Failures Interface Failures Power Supply Fail res subs dance dns er ir Vi E is petto Network Related Problems e e Software Upgrade Problems 6 be en pere e epe rage ee e Bar Code Scanner Failures t et Et S GI Lote eee NIBP Measurement Failures lt is PNE VER bets CORES SpOs Measurement Failure tans te e Re Temperature Measurement Failures 06 stt tettas tist EES Repair and Disassembly Preparation for Disassembly Dis
63. gment digit display and 7 groups of monochrome LED indicators LCD LCD type Monochrome FSTN Size and resolution Matrix 320x160 dot pitch 0 24x0 24 Displayed contents Startup screen menus dialogs time and date prompt messages patient ID patient size trend data including scroll bar SpO waveform and time to the next NIBP measurement The brightness and contrast of the LCD are adjustable 7 Segment Digit Display Seven groups of 7 segment digit displays display the systolic pressure red LED diastolic pressure red LED mean pressure cuff pressure red LED green LED PR red LED temperature red LED and NIBP interval red LED Monochrome LED Indicator Seven groups of monochrome LED indicators display or indicate the pulse strength green LED ADULT PEDIATRIC NEO patient type green LED Pulse Rate Source or NIBP green LED F C unit of temperature red LED silence function yellow LED NIBP measurement status green LED and temperature measurement type red LED 0070 10 0702 Accutorr V Service Manual Specifications Display Area Indicator and Controller 2 6 1 4 Power Indicator AC power indicator Green LED Illuminates when the Accutorr V is connected to the AC mains Battery indicator Green LED llluminates when the unit is on and the battery is inserted Flashes when the battery voltage is too low On Standby indicator Green LED Illuminates when the device is po
64. he monitor Electrical safety tests are intended to check the potential electrical hazards to the patient operator or service personnel Electrical safety tests should be performed under normal ambient conditions of temperature humidity and atmospheric pressure The electrical safety test plan described here uses the 601 safety analyzer Different safety analyzers may be used Choose an applicable safety analyzer and test plan Enclosure Leakage Current Test 1 Connect the 601 safety analyzer to an AC power supply 2 Connect SUM terminal of the applied part connection apparatus to RA input terminal of 601 safety analyzer another terminal to the applied part of EUT 3 Connect the EUT to the 601 analyzer s auxiliary output connector by using a power cord 4 Attach on end of the red lead to the red input terminal of the analyzer and the other end to tinsel over the enclosure of the EUT 5 Power on the 601 safety analyzer and then press the 5 Enclosure leakage button on the analyzer s panel to enter the enclosure leakage test screen Under normal condition the enclosure leakage current should be no greater than 100pA Under single fault condition the leakage current should be no greater than 300pA Earth Leakage Current Test 1 Connect the 601 safety analyzer to an AC power supply 2 Connectthe SUM terminal of the applied part connection apparatus to RA input terminal of 601 safety analyzer another terminal to the ap
65. he red LED flashes NOTE The audio alarm indication complies with EN60601 1 8 Accutorr V Service Manual 0070 10 0702 2 11 Display Area Indicator and Controller Keys Specifications There are 14 keys on the front panel of the monitor KEYS On Standby indicator Start NIBP DESCRIPTION Turn the monitor on off or switch to standby In the operating state press and hold for less than 1 second to switch the device to the standby or press and hold for 2s to turn the device off Press to start an NIBP measurement Deflate During an NIBP measurement stops the measurement Also suspends interval mode until the next time NIBP Start is pressed Print Start recording trend data realtime waveform Press again to stop recording When recording trend data press and hold for less than 1 second to record the current data displaying on the LCD or press and hold for 2 seconds to record all data of the current patient fX Silence V B Set Alarms This button has dual functions Press and hold for less than 1 second to pause an audio alarm parameters in alarm continue to flash Press and hold for 2 seconds to silence an alarm Sets alarm parameters Interval Sets the measurement mode and time interval Option STAT mode Off and interval mode options 1 2 3 5 10 15 20 30 60 120 and 240 minute intervals In the Off mode perform measurement manually
66. her calibration sequence is performed Accutorr V Service Manual 0070 10 0702 6 7 NIBP Accuracy Test 6 5 Test and Calibration NIBP Accuracy Test Required Tools Two 2 T Connectors Five 5 pieces of tubing One 1 Metal Vessel with volume of 500 25 ml One 1 Reference manometer with accuracy of 1 mmHg One 1 Ball Pump To calibrate NIBP 1 Attach the calibration vessel ball pump and reference manometer as shown in FIGURE 6 8 Accutorr V Hose Reference Manometer Calibration Vessel Ball Pump FIGURE 6 8 NIBP accuracy test configuration 2 If needed press to display the Normal Screen 3 Press to display the SYSTEM SETUP dialog 4 Press to highlight MAINTENANCE 5 Once MAINTENANCE is highlighted press to display the MAINTENANCE dialog 6 Press to highlight NIBP TOOLS 7 Once NIBP TOOLS is highlighted press display the NIBP TOOLS dialog as shown in FIGURE 6 3 0070 10 0702 Accutorr V Service Manual Test and Calibration 6 5 1 NIBP Accuracy Test 8 Press or to highlight ACCURACY TEST 9 Once ACCURACY TEST is highlighted press to start the ACCURACY TEST as shown in FIGURE 6 9 READING TIME QUT 15 SPO2 SENSOR OFF 18 02 2009 08 05 15 FIGURE 6 9 NIBP TOOLS dialog running the accuracy test NOTE The ACCURACY TEST button changes to STOP ACCURACY
67. if battery is incorrectly replaced Replace only with the same or equivalent type recommended by the manufacturer Dispose of used batteries according to the manufacturers instructions and local regulations Batteries used in this device may present a risk of fire or chemical burn if mistreated Do not incinerate battery possible explosion may occur Do not use a damaged or broken unit or accessory Operation of the Accutorr V below the minimum amplitude or value of patient physiological signal may cause inaccurate results 0070 10 0702 vii Introduction WARNING WARNING WARNING WARNING WARNING WARNING WARNING Cautions Use of accessories transducers and cables other than those specified in the manual may result in increased Electromagnetic Emissions or decreased Electromagnetic Immunity of the Accutorr V It can also cause delayed recovery after the discharge of a cardiac defibrillator Perform the decontamination or cleaning process with the unit powered down and power cord removed Electrical safety tests are a proven means of verifying the electrical safety of the monitor They are intended for determining potential electrical hazards Failure to identify these hazards in a timely manner may cause personnel injury Commercially available test equipment such as a safety analyzer can be used for electrical safety tests Verify that the test equipment can be safely and reliably used with the monitor b
68. iliary output connector by using a power cord 3 Connect the sensors of the applied part to the applied part connection apparatus whose RA P terminal is connected to 601 safety analyzer s RA terminal and SUM terminal to 601 safety analyzer s LA terminal RA terminal is switched on 4 Power on the 601 safety analyzer and then press the 8 Patient Auxiliary Current Test button on the analyzer s panel to enter the patient auxiliary current test screen 5 Repeatedly press the APPLIED PART button to measure AC and DC leakage alternatively DC leakage reading is followed by DC Under normal status the patient leakage current should be no greater than 100pA AC 10pA DC Under single fault condition the leakage current should be no greater than 500pA AC 50pA DC Contact Technical Support if the electrical safety test fails Accutorr V Service Manual 0070 10 0702 6 21 Recorder Check Test and Calibration 6 11 Recorder Check 1 Print 5 Pleth waveforms The recorder should print correctly and printout should be clear 2 Open the recorder door and verify the monitor gives the proper message Close recorder door before proceeding to the next step 3 Set the recorder to print trend data Check that the recorder prints accordingly Contact Technical Support if the recorder test fails 6 22 0070 10 0702 Accutorr V Service Manual Test and Calibration 6 12 Software upgrade Software upgrade CAUTION Discon
69. ion 3 If needed press to display the Normal Screen 4 Press to display the SYSTEM SETUP dialog 5 Press E to highlight MAINTENANCE 6 Once MAINTENANCE is highlighted press to display the MAINTENANCE dialog 7 Press highlight NIBP TOOLS 8 Once NIBP TOOLS is highlighted press to display the NIBP TOOLS dialog as shown in FIGURE 6 3 9 Press to highlight LEAK TEST 10 Once LEAK TEST is highlighted press ga to start the leak test The Accutorr V automatically deflates in approximately 60s and the NIBP leakage test is complete NIBP TOOLS STOP LEAK TEST NIBP RESET SPO2 SENSOR OFF 18 02 2009 08 06 41 FIGURE 6 12 NIBP TOOLS dialog running the leak test NOTE The LEAK TEST button changes to STOP LEAK TEST Use 777 or ca to highlight STOP LEAK TEST then press to cancel the leak test 0070 10 0702 Accutorr V Service Manual Test and Calibration NIBP Accuracy Test 11 If the system leaks the message PNEUMATIC LEAK will be displayed in the technical alarm area prompt area In this case check for a loose connection and perform the test again NOTE If the system does not leak the Accutorr V does not display a message Accutorr V Service Manual 0070 10 0702 6 11 Test 6 6 6 6 1 6 6 2 Test and Calibration 5 Test NOTE A functional tester cannot be used to assess the accuracy of a pulse oximeter probe or a pulse oximeter monitor R
70. isplay board failure Replace the key and display board Main board failure Replace the main board Audio alarm disabled Alarm does not sound but alarm lamp lights properly 1 Press to display the SYSTEM SETUP dialog as shown in FIGURE 3 1 2 Press an to highlight MAINTENANCE 3 Once MAINTENANCE is highlighted press to display the MAINTENANCE dialog as shown in FIGURE 3 2 4 Press select USER MAINTENANCE 5 Once USER MAINTENANCE is highlighted press to display the USER MAINTENANCE dialog 6 Enter the required password 7 In the pop up menu set the MIN ALARM VOL to a value other than zero Cable defective or poorly connected e Confirm that the cable between speaker and main board is properly connected e Confirm that the connecting cables and connectors are not damaged Audio program error identified in the system program Upgrade system programs Speaker failure Replace the speaker Main board failure Replace the main board 3 5 5 SYMPTOMS Keys do not work Key Failure POSSIBLE CAUSE Cables defective or poorly connected CORRECTIVE ACTIONS e Confirm that the cable between keyboard and main board is properly connected e Confirm that the connecting cables and connectors are not damaged Keyboard failure Replace keyboard Accutorr V Service Manual 0070 10 0702 3 5 Troubleshooting Guide
71. llary or rectal is labeled T1 The oral axillary probe is blue and the rectal probe is red 2 7 Audio Indicator A builtin speaker sounds audio alarms button tones and pulse tones The Accutorr V supports pitch tone and multiple level volume 2 71 Pulse Tone Function The pitch of the pulse tone is modulated according to the SpO value and the frequency increases as the SpO value increases The monitor can perform automatic 22 level modulation of the pulse tone s pitch 2 7 2 Multiple Level Volume There are 11 alarm levels The alarm may be disabled or set to a level between 1 and 10 2 8 Real time Clock Range 0 0 0 2001 23 59 59 2099 Accuracy At 21 3 1 min month Resolution 1 second The real time clock is powered by an independent battery and functions when the device is powered off Accutorr V Service Manual 0070 10 0702 2 13 Standby Mode Specifications 2 9 Standby Mode To enter the standby mode the monitor must be disconnected from the patient and receive no physiological signals from a patient with no low battery alarm To enter the standby mode press and confirm the operation in the pop up dialog After the monitor enters the modes The LCD and the LEDs no longer display data The SYS LEDs Display flashes The current monitoring configuration and history data are saved All current alarms are cleared The NURSE CALL function is disabled The NURSE
72. mo com patents htm Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device Accutorr V Service Manual 0070 10 0702 v Introduction Preface Nellcor Patents This device Nellcor 5 Module is covered under one or more of the following U S Patents Patent No 5 485 847 5 676 141 5 743 263 6 035 223 6 226 539 6 411 833 6 463 310 6 591 123 6 708 049 7 016 715 7 039 538 7 120 479 7 120 480 7 142 142 7 162 288 7 190 985 7 194 293 7 209 774 7 400 919 and 7 212 847 Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device vi 0070 10 0702 Accutorr V Service Manual Warnings Cautions and Notes Introduction Warnings Cautions and Notes Read and adhere to all of the warnings and cautions listed throughout this manual A WARNING is provided to alert the user to potentially serious outcomes death injury or serious adverse events to the patient or the user A CAUTION is provided to alert the user that special care should be taken for the safe and effective use of the device They will include actions to be taken to a
73. n to replace it and retest If the trouble remains exchange the replacement PCB with the original suspicious PCB and continue troubleshooting as directed in this chapter Monitor Status Check Some troubleshooting tasks may require identifying the hardware version and status of the monitor To view the system software version and FPGA version 1 Press to display the SYSTEM SETUP dialog as shown in FIGURE 3 1 2 Press E 0 highlight MAINTENANCE SYSTEM SETUP COMMON SETUP TIME SETUP DEFAULT MAINTENANCE TEMP SETUP ALARM DISABLED 01 16 2009 14 35 03 FIGURE 3 1 SYSTEM SETUP Dialog 3 Once MAINTENANCE is highlighted press to display the MAINTENANCE dialog as shown in FIGURE 3 2 MAINTENANCE QUICK ADMIT NURSE CALL USER MAINTENANCE NIBP TOOLS IP ADDRESS SETUP VERSION SPO NO SENSOR 01 16 2009 14 36 22 FIGURE 3 2 MAINTENANCE dialog 4 Press to highlight VERSION 0070 10 0702 Accutorr V Service Manual Troubleshooting Technical Alarm Check 5 Once VERSION is highlighted press to display the VERSION dialog as shown in FIGURE 3 3 VERSION Hardware Version FPGA 3 0 PCBA 1 Software Version 01 00 00 Dec 02 2008 Copyright c Mindray DS USA Inc TOTAL RUN TIME MODULE VERSION PRESS START NIBP 02 02 2009 13 14 34 FIGURE 3 3 Example VERSION dialog 6 Press ma or to highlight TOTAL RUN TIME MODULE VERSION 7 Once the selection is highlighted press
74. nect the monitor from the patient and make sure that important data is saved before upgrading the monitor CAUTION Do not shut down or power off the equipment when upgrading the bootstrap program Otherwise it may cause the equipment to break down CAUTION Program upgrades should be performed by qualified service personnel only NOTE After upgrading the boot program re upgrade the system program and other programs to ensure compatibility NOTE Make sure the version of the upgrade package is the correct one To obtain the latest upgrade package contact Service The following is a list of upgrade programs Bootstrap program e System program Bar code recognition configuration Multilingual library General configurations including passwords company logo System functional configuration e FPGA program Parameter module programs SpO module DPM NIBP module and optional Temperature module 1 In the MAINTENANCE dialog see FIGURE 6 19 check the installed software version and compare it with the currently released version to determine if an upgrade is needed MAINTENANCE QUICK ADMIT NURSE CALL USER MAINTENANCE NIBP TOOLS IP ADDRESS SETUP VERSION SPO NO SENSOR 01 16 2009 14 36 22 FIGURE 6 19 MAINTENANCE dialog 2 Download the upgrade software through a network to a portable PC or desktop PC Connect the PC to the monitor using a cable plugged into the network connectors 3 Run the upgrade
75. ng pump M Q M90 000002 00 100003 requires FRU 801 6101 00018 00 pump kit 047 001582 00 label and 042 001417 00 bracket See section 5 5 pg 5 10 NIBP Assembly Pump M6Q 100003 for the new rolling pump assembly FIGURE 5 14 NIBP Mechanical Pump 082 000056 00 00 950000 280 dung A quessv dgIN 91 20Z0 01 0Zz00 JONUDW A 4J0Jn22V 5 7 Temperature Module Subassembly 5 PLACES M04 002505 FIGURE 5 15 Temperature Module Subassembly Hi p c Je ITEM PART NUMBER DESCRIPTION 10 04 002505 Screw M3x6 110 6101 20 46759 Temp Module Water Ingress Blocker 111 MO09A 30 62103 Temp Measurement Board Subassembly 112 6101 20 46716 Temp Module Inner Cover A quiessoqng ainjosedwiay 504 ONUDW A 20200140700 Zl 3 PLACES 04 003905 FIGURE 5 16 Temperature Module Subassembly ITEM PART NUMBER DESCRIPTION 113 6101 20 46717 Temp Probe Holder 114 6101 20 46715 Temp Module External Cover 115 6101 20 46724 Temperature Probe Holder Ring 6101 116 04 003905 Screw Phillips PT3x6 SLDd A quiessoqng eunjpiedure 81 01 00 JONUDW A 4J0Jn22V 5 8 Temperature Power Module Subassembly 3 PLACES 04 002505 FIGURE 5 17 Temperature Power Module Subassembly ITEM PART NUMBER DESCRIPTION 10 04
76. nis eiim 2 2 NIBP Measurement te 2 2 NIBP Measurement Cycle esse 24 SpO2 Measurements eroe o Reed Ee 2 6 Temperature x enu Ghee Mad Bete tempe ens 2 10 Display Area Indicator and Controller 22 2 2 2 2 10 Jos tos desit 2 13 Realtime tert metuis ett eee ers 2 13 Standby Mode pee t ete Geek ees 2 14 Alarm Information er et e titel ttes 2 15 Configuration management 2 15 Barcode scanneies sce npe DEDE ME MES 2 15 Accutorr V Service Manual 0070 10 0702 Introduction 2 1 2 2 2 2 1 2 2 2 2 2 3 Specifications Introduction The Accutorr V monitors patient vital signs including non invasive blood pressure NIBP pulse oxygen saturation and pulse rate PR for a single adult pediatric or neonatal patient It also monitors oral or rectal mode temperature Temp for a single adult or pediatric patient or axillary mode temperature for a single neonate adult or pediatric patient using the optional Temperature Module NIBP Measurement The NIBP module is used to measure the systolic pressure diastolic pressure and mean pressure in the neonatal pediatric and adult modes The Accutorr V calculates NIBP values using the oscillometric method of noninvasive blood pressure measurement These measurements correspond to comparisons with auscultatory
77. of the oil tank to 37 C and conduct the test after the temperature stabilizes 2 Press to display the SYSTEM SETUP dialog as shown in FIGURE 6 13 SYSTEM SETUP COMMON SETUP TIME SETUP DEFAULT MAINTENANCE TEMP SETUP ALARM DISABLED 01 16 2009 14 35 03 FIGURE 6 13 SYSTEM SETUP dialog 3 Press to highlight TEMP SETUP 4 Once TEMP SETUP is highlighted press to display TEMP SETUP dialog as shown in FIGURE 6 14 TEMP SETUP TEMP TYPE PREDICTIVE TEMP POSITION TEMP UNIT SPO2 NO SENSOR 01 16 2009 14 54 28 FIGURE 6 14 Example TEMP SETUP dialog 5 6 7 8 9 Press to highlight TEMP TYPE pull down list Once the pull down list is highlighted press to view the selections Press m or to change selection MONITOR Once MONITOR is highlighted press to set it Press highlight the TEMP UNIT pull down list 10 Once the pull down list is highlighted press to view the selections NOTE For this test the monitor and test tank temperature units are in Celsius 11 Press to change the selection to 12 Once C is highlighted press to set it 13 Once the choices are set press to exit the TEMP SETUP dialog 0070 10 0702 Accutorr V Service Manual Test and Calibration Testing the Optional Temperature Module 14 Remove the Temperature probe from the probe sheath insert a probe cover and place the p
78. on Board PCBA 22 6101 30 46622 Nellcor SpOz module package 30 0010 30 12436 Masimo SpO Flex Cable 23 0010 10 42656 Nellcor Board 31 6101 20 46720 5 1 Masimo SpO Interface Bracket 24 801 6101 00017 00 _Nellcor Power Isolation Board 32 6101 30 46620 DPM SpO Module Package 25 0010 30 12435 Nellcor Flex Cable 33 9006 30 33900 DPM Board 26 1610120 40719 51 5 Interface Bracket 24 60062139390 DPM SpO Signal Cable 27 6101 30 46621 Masimo SpO Module Package 35 6101 20 46718 51 DPM SpO Interface Bracket 28 801 6101 00016 00 Masimo 5 Board 36 6101 20 46733 DPM SpO Interface Bracket Plate FIGURE 5 3 5pO Assembly 504 ONUDW A 040 01 0400 2 PLACES 4 PLACES M04 004012 M04 011002 WW WW AN gt gt il NS 4 A AN ITEM PART NUMBER DESCRIPTION 3 04 004012 Screw Crosshead M3x6 37 04 011002 Hex Locknut with Conical Washer M3 38 0000 10 10997 LCD Module FSTN 320x160 LED White Backlight 39 6101 30 46609 Display Keyboard PCBA 40 6101 20 46752 Ferrite Fixer Plate 41 6101 20 46763 Ferrite Fixer Plate Isolation Sheet 4 PLACES 2 PLACES nh Mod 004015 42 04 004015 Screw Pan Head Phillips with Washer M3X8 43 04 021024 Large Washer 44 6006 20 39502 LCD Display
79. ow selections OFF manual STAT or 1 2 3 5 10 15 20 30 60 120 240 minutes NOTE When the NIBP STAT interval is selected the Accutorr V takes back to back one right after the other blood pressure readings As a safety precaution there is a five minute or 10 measurement limit for continuous NIBP measurements After 5 minutes or 10 measurements the NIBP module automatically switches to the mode in use before NIBP STAT was selected This reduces the chance of surface vessel rupture petechia The maximum adult and pediatric measurement cycle is 180 seconds The maximum neonatal measurement cycle is 90 seconds The NIBP module adjusts the inflation pressure automatically according to the systolic pressure of the last measurement If the first measurement is unsuccessful the subsequent inflation pressures change to 50 mmHg higher than the previous systolic pressure in adult or pediatric mode and 40 higher than the previous systolic pressure in neonate mode The subsequent inflation pressure should be greater than the systolic pressure in the previous measurement Cuff Inflation Time If the cuff pressure does not attain 15 mmHg within 20 seconds for adult and pediatric patients or 15 mmHg within 10 seconds for neonate patients from the start of inflation the Accutorr V retries measuring up to three times If the target pressure is not reached after three retries the cuff is deflated and a status code displays
80. plied part of EUT 3 Connect the EUT to the 601 analyzer s auxiliary output connector by using a power cord 0070 10 0702 Accutorr V Service Manual Test and Calibration Electrical Safety Tests 4 Power on the 601 safety analyzer and then press the 4 Earth leakage button on the analyzer s panel to enter the earth leakage test screen Under normal condition the earth leakage current should be no greater than 300pA Under single fault condition the leakage current should be no greater than 1000 pA 6 10 3 Patient Leakage Current Test 1 Connect the 601 safety analyzer to an AC source 2 Connectthe SUM terminal of the applied part connection apparatus to RA input terminal of 601 safety analyzer another terminal to the applied part of EUT 3 Connect the EUT to the 601 analyzer s auxiliary output connector by using a power cord 4 Power on the 601 safety analyzer and then press the 6 Patient leakage on the 601 analyzer s panel 5 Repeatedly press the APPLIED PART button to measure AC and DC leakage alternatively DC leakage reading is followed by DC Under normal status the patient leakage current should be no greater than 100pA AC 10pA DC Under single fault condition the leakage current should be no greater than 500pA AC 50pA DC 6 10 4 Patient Auxiliary Leakage Current Test 1 Connect the 601 safety analyzer to an AC source 2 Connect the equipment under test EUT to the analyzer s aux
81. quirements of the Masimo MS 2013 board communication protocol 5 0 Compatible Sensors See Section 6 6 for a list of compatible sensors Measurement range 100 Resolution 1 Accuracy no motion conditions PATIENT TYPE SPO RANGE 70 100 SPO RANGE 1 69 Adult 2 digits Undefined Pediatric 2 digits Undefined Neonate 3 digits Undefined Accuracy During motion conditions PATIENT TYPE SPO RANGE 70 100 SPO RANGE 1 69 Adult 3 Undefined Pediatric 3 Undefined Neonate 3 Undefined 5 response time Under the condition that the PR is 75 BPM and the averaging is 8 seconds the maximum response time for the SpO value to increase from 60 to 95 is 20 seconds Low Perfusion Performance LOW PERFUSION CONDITION LIGHT PULSE AMPLITUDE TRANSMISSIBILITY SPO ACCURACY PR ACCURACY 0 0276 gt 5 2 digits 3 digits Accutorr V Service Manual 0070 10 0702 SpO Measurement Specifications 2 4 2 2 Pulse Rate Resolution 1 BPM Update frequency 1 Hz Range and Accuracy ACCURACY IN ACCURACY IN STATIC MOTION PATIENT TYPE PR RANGE CONDITION CONDITION 34 Adult Pediatric Neonate 25 240 BPM 3 digits 5 digits 1 Masimo MS 2013 pulse oximeter with an LNOP Adt sensor was validated for no motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies in the range of 70 to 100 SpO against a laboratory co oximete
82. r and ECG monitor This variation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population 2 The Masimo MS 2013 pulse oximeter with LNOP Adt sensor has been validated for motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies while performing rubbing and tapping motions at 2 to 4 Hz At an amplitude of 1 to 2 cm non repetitive motion between 1 to 5 Hz at an amplitude of 2 to 3cm in induced hypoxia studies in the range of 70 to 100 SpO against a laboratory co oximeter and ECG monitor This variation equals plus or minus one standard devia tion Plus or minus one standard deviation encompasses 68 of the population 3 The Masimo MS 2013 pulse oximeter with LNOP Neo and Neo Pt sensors has been validated for neona tal motion accuracy in human blood studies on neonates while moving the neonate s foot at 2 to 4 Hz at an amplitude of 1 to 2 cm against a laboratory co oximeter and ECG monitor This variation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population 4 The Masimo MS 2013 pulse oximeter has been validated for low perfusion accuracy in bench top test ing against a Biotek Index 2 simulator and Masimo s simulator with signal strengths of greater then 0 02 and transmission of greater than 5 for saturations ranging from 70 to 100 This variation equals plus or minus one standard
83. r equal to 10 seconds Maximum Leakage The Non Invasive Blood Pressure Cuff driver allows a pressure drop to be at most 1 mmHg in 10 seconds as measured with a 200 cc volume at differential pressures of 250 mmHg 150 mmHg and 50 mmHg Deflation Rate The Non Invasive Blood Pressure Cuff venting mechanism in adult mode vents a volume of 500 cc reduced from a pressure of 260 mmHg to a pressure of 15 mmHg in a maximum of 10 seconds The Non Invasive Blood Pressure Cuff venting mechanism in neonatal mode vents a volume of 500 cc reduced from a pressure of 150 mmHg to a pressure of 5 mmHg in a maximum of 5 seconds Update Period The Non Invasive Blood Pressure Parameter has an update period of one 1 second Initial NIBP Pressure Setup and Range The initial pressure is adjustable and should be set to the following default values PATIENT TYPE DEFAULT INITIAL PRESSURE ADJUST RANGE 180mmHg 22 100 280 0 Pediatric 140 mmHg 60 180 mmHg Neonate 100 mmHg 40 120 mmHg Manual pressure changes in increments of 5 mmHg Accutorr V Service Manual 0070 10 0702 2 3 NIBP Measurement Cycle Specifications 2 3 2 3 1 2 3 1 1 NIBP Measurement Cycle There are two different modes of measurement operation manual and interval modes The manual mode requires the operator to initiate the measurement cycle The interval mode follows a configured plan of automatically initiated measurement cycles using the foll
84. robe into the oil tank 15 Wait till the Temp value displayed on the monitor stabilizes Verify that the displayed value is 37x0 1 Contact Technical Support if the temperature test fails Accutorr V Service Manual 0070 10 0702 6 15 Nurse Call Performance Test Test and Calibration 6 8 Nurse Call Performance Test Required Tool Multimeter Connect the nurse call cable to the analog output connector If needed press to display the Normal Screen Press to display the SYSTEM SETUP dialog Press CJ to highlight MAINTENANCE 5 Once MAINTENANCE is highlighted press to display the MAINTENANCE dialog shown in FIGURE 6 2 6 Press to highlight NURSE CALL 7 Once NURSE CALL is highlighted press to display the NURSE CALL SETUP dialog shown in FIGURE 6 15 NURSE CALL SETUP SIGNAL DURATION SIGNAL NORMAL CLOSE ALM LEV ALM TYPE Reps LJ HIGH LJ TECH O LOW O PHYS ALARM DISABLED 12 15 2008 10 21 53 FIGURE 6 15 NURSE CALL SETUP dialog 8 Press 5 or to highlight SIGNAL DURATION pull down list 9 Once the SIGNAL DURATION pull down list is highlighted press to select it 10 Press c9 or to highlight the PULSE 11 Once the PULSE is highlighted press to select it 12 Press 8 to highlight SIGNAL TYPE pull down list 13 Once the SIGNAL TYPE pull down list is highlighted press to select it 14 Press
85. s expected All tests should be performed by qualified personnel only Disconnect the monitor from the patient and make sure that important data is saved before upgrading the monitor Do not shut down or power off the equipment when upgrading the bootstrap program Otherwise it may cause the equipment to break down 0070 10 0702 Introduction Introduction Notes CAUTION Program upgrades should be performed by qualified service personnel only Notes NOTE The Accutorr V should be operated only by trained and qualified personnel NOTE Use disposable and single use accessories only once NOTE Place the equipment in a location where the screen can easily be seen and the operating controls can easily be accessed NOTE The instructions in this manual are based on the maximum configuration NOTE The optional Temperature module kit must be installed only by trained personnel and proper ESD prevention methods must be followed NOTE Only devices specified by Mindray DS USA Inc shall be connected the RS 232 port NOTE When the RS 232 connector is used for DIAP barcode power must be set to OFF NOTE Disconnect the Accutorr V from the mains to isolate it from the mains power during an emergency Safety Designations Safety designations per IEC 60601 1 Standard Type of protection against electric shock Class 1 with internal electric power source Where the integrity of the external protective earth ground in th
86. ss head screw M3x6 cross head screw screws 4 12 0070 10 0702 Accutorr V Service Manual Repair and Disassembly Disassembly 4 3 6 Removing the Power Board 1 Unplug the battery connector cable 2 Remove the power board by removing the three 3 M3x6 cross head screws as shown in Figure 4 20 3 Unplug the remaining cable connectors fan AC mains connector and Main CPU board from the Power board M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw O FIGURE 4 20 Remove three 3 M3x6 cross head screws 4 3 7 Removing the Battery Connector Assembly Remove the three 3 M3x6 cross head screws as shown in Figure 4 21 M3x6 cross head screw M3x6 cross head screw M3x6 cross head screw FIGURE 4 21 Remove three 3 M3x6 cross head screws Accutorr V Service Manual 0070 10 0702 4 13 Disassembly 4 3 8 Repair and Disassembly Removing the Fan and Speaker 1 Cut the cable ties on the fan speaker and the main rack 2 Remove the fan cushion as shown in Figure 4 22 Fan Cushion FIGURE 4 22 Remove the Fan Cushion 3 Remove the three 3 M3x25 cross head screws as shown in Figure 4 23 4 Remove the fan 5 Remove the speaker from the main rack M3x25 cross head screw M3x25 cross head screw M3x25 cross head screw FIGURE 4 23 Remove Three 3 M3x25 cross head screws 0070 10 0702 Accutorr V Service Manual Repair and Disassembly
87. ss head screws M3 Nut M3x6 cross head screw M3 Nut M3x6 cross head screw M3 Nut M3x6 cross head screw FIGURE 4 28 Remove three 3 M3 nuts and three 3 M3x6 cross head screws 3 Remove the SpO board FIGURE 4 29 Masimo SpO board and isolated power supply Accutorr V Service Manual 0070 10 0702 4 17 Disassembly Repair and Disassembly FIGURE 4 30 Masimo isolated power supply 4 3 11 3 Disassembling a Nellcor SpO module 1 Remove the M3x cross head screw as shown in FIGURE 4 31 to separate the module from its isolated power supply as shown in FIGURE 4 32 M3x6 cross head screw A DABK 20 14438 V C FIGURE 4 32 Nellcor SpOs board and isolated power supply 4 18 0070 10 0702 Accutorr V Service Manual Repair and Disassembly Disassembly 4 3 12 Disassembling the NIBP Module 4 3 12 1 Removing the NIBP Pump 1 Unplug the pump cable connector from the NIBP board 2 Disconnect the tubing 3 Cut the two tie wraps holding the NIBP pump as shown in FIGURE 4 33 4 Remove the pump Pump Tubing 3 T RON d 16307 7 10 f OKEN SEKO ri E M Tie Wraps Pump Cable Connector FIGURE 4 33 Cut two 2 tie wraps 4 3 12 2 Removing the NIBP Dump Valve Unplug the dump valve cable connector from the NIBP board Disconnect the tubing Remove the two 2 screws on the bottom of the NIBP rack as shown in FIGURE 4 34 Peps Remove the dump
88. t the field of view to capture the bar code 14 Hold the trigger until the bar code scanner beeps indicating the bar code is successfully decoded The indication lamp turns green and scanned characters are displayed on the monitor Contact Technical Support if the bar code scanner does not work as described Accutorr V Service Manual 0070 10 0702 6 19 Electrical Safety Tests 6 10 6 10 1 6 10 2 Test and Calibration Electrical Safety Tests WARNING Electrical safety tests are a proven means of verifying the electrical safety of the monitor They are intended for determining potential electrical hazards Failure to identify these hazards in a timely manner may cause personnel injury WARNING Commercially available test equipment such as a safety analyzer can be used for electrical safety tests Verify that the test equipment can be safely and reliably used with the monitor before use The service personnel should acquaint themselves with the use of the test equipment WARNING Electrical safety tests should meet the requirements of the latest editions of EN 60601 1 and UL 60601 WARNING These electrical safety tests do not supersede local requirements WARNING All devices using the AC mains and connected to medical equipment within patient environments must meet the requirements of the IEC 60601 1 1 medical electrical systems standard and should be put under electrical safety tests at the frequency recommended for t
89. te test equipment The testing procedures provided in this chapter are intended to verify that the monitor meets the performance specifications If the monitor or a module fails to perform as specified in any test repair or replacement is required to correct the problem If the problem persists contact service CAUTION All tests should be performed qualified personnel only NOTE Qualified personnel should acquaint themselves with the test tools and confirm that test tools and cables are applicable NOTE When fields or buttons in a dialog have a line through them they are not available for selection or modification 0070 10 0702 Accutorr V Service Manual Test and Calibration Introduction oN 11 Test Report After completing the tests service personnel should record test results in this table and retain them for hospital records TEST EQUIPMENT Name Model PN Next Calibration Due Date TEST RECORD No Test Test Site Test Results 2 CONCLUSION Pass Fail Tested by Date 6 1 2 Recommended Frequency CHECK MAINTENANCE ITEM FREQUENCY Visual test When first installing or after reinstalling Power on test 1 When first installing or after reinstalling 2 Following any maintenance or replacement of any main unit parts NIBP tests Accuracy test 1 If the user suspects that the measurement is incorrect 2 Following any repairs or replacement of the NIBP module Leak
90. ted by the oximeter when measurements from adult and fetal blood with 100 fetal hemoglo bin are compared Fetal hemoglobin is present in concentrations varying from 10 to 90 in neo natal blood and this percentage declines over time As the percentage of fetal hemoglobin in neonatal blood declines the theoretical effect on accuracy due to this source is reduced 2 4 3 2 Pulse Rate MEASUREMENT RANGE ACCURACY 20 250 BPM 3 BPM 25 300 BPM Undefined 2 4 3 3 Alarm Setting Range SPO MODULE SPO PULSE RATE Nell 3 SpOz module 50 100 20 250 bpm Accutorr V Service Manual 0070 10 0702 2 9 Temperature 2 5 2 6 2 6 1 2 6 1 1 2 6 1 2 2 6 1 3 Specifications Temperature TYPICAL MEASUREMENT MEASUREMENT MODE RANGE ACCURACY TIME monitor 25 44 C 25 C 77 F 32 C 02 C 0 4 F 60s 77 F 111 2 F 89 6 F not including 32 C 89 6 F 32 C 89 6 44 0 1 C 0 2 F 111 2 F including 32 C 89 6 F predict 35 43 Not defined typically 105 125 95 F 109 4 F from the moment when temperature displays dynamically Display Area Indicator and Controller On the front panel of the Accutorr V there are a panel display area a red yellow LED group on the top of the device a set of buttons and patient cable connectors Refer to Chapter 2 of the Accutorr V Operating Instructions P N 0070 10 0699 Display Area The display area includes 1 LCD 7 groups of 7 se
91. ured by the Accutorr V may differ from the rate of an ECG monitor This is because the ECG is an electrical signal that may not always result in a peripheral pulse Administration of certain vasoconstrictor drugs for example norepinephrine may reduce peripheral perfusion to a level that prevents the Accutorr V from taking pulse rate measurements Arterial compression tricuspid regurgitation or other conditions may reduce perfusion to a level that prevents the Accutorr V from taking pulse rate measurements The presence of arrhythmias may increase the time required to complete a measurement and may extend this time so that a measurement cannot complete The Accutorr V is not intended for use during CPR The monitor uses an oscillometric technique based on normal peripheral circulation to compute blood pressure Unpacking Remove the instrument from the shipping carton and examine it for signs of shipping damage Save all packing materials invoice and bill of lading These may be required to process a claim with the carrier Check all materials against the packing list Contact the Customer Service Department 800 288 2121 or 201 265 8800 for prompt assistance in resolving shipping problems NOTE The Accutorr V should only be shipped in its original packing materials to avoid shipping damage Accutorr V Service Manual 0070 10 0702 xi Introduction Symbols and Descriptions SYMBOL 6200 DES
92. values measured using the fifth Korotkoff sound within ANSI AAMI SP10 standards for accuracy Blood Pressure PARAMETER PATIENT SIZE RANGE Systolic pressure measurement Adult 55 235 mmHg Pediatric 55 160 mmHg Neonate 45 120 mmHg Diastolic pressure measurement Adult 30 200 mmHg Pediatric 30 150 mmHg Neonate 20 100 mmHg Mean pressure measurement Adult 30 235 mmHg Pediatric 30 160 mmHg Neonate 20 120 mmHg Measurement accuracy Mean error x5 mmHg Standard deviation x8 mmHg Measurements outside of the stated ranges are not guaranteed to be accurate Static Accuracy Measurement range O 300 mmHg Static pressure measurement accuracy 3 mmHg Maximum Cuff Pressure Normal Use Over Pressure Protection In normal use the over pressure detection is controlled by software Once the cuff pressure exceeds the threshold the software enables the system to deflate the cuff Adult 300 mmHg Pediatric 200 mmHg Neonate 150 mmHg 0070 10 0702 Accutorr V Service Manual Specifications 2 2 4 2 2 5 2 2 6 2 2 7 2 2 8 NIBP Measurement Single Fault Over pressure protection In single fault conditions the hardware controls the cuff deflation to prevent the cuff pressure from exceeding the following ranges Adult 330 mmHg Pediatric 220 mmHg Neonate 165 mmHg Cuff Inflation The Non Invasive Blood Pressure inflation source brings a volume of 200 ccs to a pressure of 300 mmHg in less than o
93. void effects on patients or users that will not be potentially life threatening or result in serious injury but about which the user should be aware A NOTE is provided when additional general information is available Warnings WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING Accutorr V Service Manual Internal Electrical Shock Hazard This unit does not contain any user serviceable parts Do not remove instrument covers Refer servicing to qualified personnel When the integrity of the protective earth conductor in the installation or its arrangement is in doubt the equipment should be operated from its internal battery Observe all CAUTION and WARNING labels on the unit Possible explosion hazard Do not operate machine near flammable anesthetic agents or other flammable substances Do not use flammable anesthetic agents i e ether or cyclopropane Always place the unit on a flat rigid surface or onto a Mindray approved stable mounting bracket To ensure proper performance and safety and to prevent the voiding of the warranty only use authorized parts and accessories with the Accutorr V Use of unauthorized accessories may result in erroneous readings Use only cuffs with approved quick connect type connectors The Accutorr V is not intended for use in a magnetic resonance imaging MRI environment and may interfere with MRI procedures Danger of explosion
94. wered or in standby mode Darkens when the device is shut down 2 6 2 Overlay and labeling The front panel overlays are displayed in English and extended to other languages The labeling is displayed only in English Startup screen menu fonts and LCD prompting characters can be changed through a software upgrade The default start logo is Accutorr V The format of the date can be set in the maintenance mode Chinese style year month day European style day month year American style year day month Display of NIBP data The LCD display order is systolic pressure data diastolic pressure data and mean pressure data For legibility a separates the data of the three pressures Data displayed by LED digit displays The systolic pressure data and diastolic pressure data in the same fonts are displayed in parallel The font of the mean pressure data is smaller than the systolic pressure data and diastolic pressure data and displays next to them 2 6 3 Alarm Lamp The monitor provides 2 alarm priority levels high level alarms or low level alarms The Alarm lamp is on the front panel of the monitor It is a group of red yellow LED indicators During a high alarm the red LED of which the duty cycle is 5076 flashes at a frequency of 1 4 2 8 Hz 84 times per minute During a low alarm the yellow LED illuminates continuously In case a high alarm and a low alarm occur simultaneously only t

Accutorr is a registered trademark of Mindray DS USA, Inc. Masimo

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