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Series 50 Fetal Monitors Series 50 XM (M1350B)

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1. pegsm74b hpg Figure 12 7 Replacing the Batteries 2 Replace the batteries see 12 7 3 Switch on the monitor 4 Reset the time and date see Chapter 5 Getting Started Basic Considerations and O peration on page 45 If you don t the wrong time and date will be printed on the recorder trace Removal and Replacement Procedures 175 Recorder Assembly To remove the Recorder Assembly proceed as follows psm26sca tif ed Figure 12 8 Removing the Recorder Assembly Turn the system off and disconnect the power cable Remove the recorder paper Remove the monitor top cover Disconnect the two earth straps 1 from the front assembly Loosen screws 2 and 3 Screws 2 are accessible via holes in the paper tray SL EPS a D isconnect the cables 4 and 5 between the D igital nterface board and the recorder Remove screw 3 176 Removal and Replacement Procedures 7 Unlock the flex layer by pulling it slightly forward gt gt UNLOCK CONNECTOR REMOVE FLEX 8 Lift the recorder assembly out of the monitor casing 9 Place it in the new base assembly reversing the above procedure T ake care that the paper eject lever fits back into the paper eject Knob Note Take care not to lose the small O rings when you have removed screws 2 and 3 Replacing the Recorder
2. R M1910A Figure 10 1 Recorder Test Pattern The recorder ON OFF light blinks in time with the display C heck the test pattern to ensure all the heating elements on the printer head are operational Ensure that m No morethan 20 dots are missing over the entire printhead m No morethan 2 adjacent dots are inoperative m Nodotsin the mode annotation for example U S1 are inoperative If any of these conditions occur replace the printhead If you don t release at the end of the test the monitor repeats the pattern D ots printed on the colored grid lines might appear light T hisis not a fault After the test the recorder paper speed is automatically reset to the pre test value If an error occurs it is displayed for 10 seconds See Chapter 11 Troubleshooting for a table of error messages and possible solutions After thistime Err A is printed on the recorder together with the time date annotation Safety Maintenance and Calibration Performance Assurance NIBP W hen to perform 1 2 Accuracy Test 1 2 3 4 5 Leakage Test 1 2 3 4 Linearity Test 1 2 3 4 s Service Tests Regularly once a year After any repair related to the N IBP module this includes N IBP software updates Enter the calibration mode see page 133 Pressurize the gauge to 220 mmH q W ait ten seconds for the measurement to
3. pegtlp2 hpg 4 Attach the two screws and earthing straps 6 rear of assembly 5 Slide the assembly onto the pins at the rear of the base plate T he assembly must be rotated slightly to get the right bracket over its pin Recorder Assembly and Disassembly 211 Paper Box 1 Position the paper eject lever so that the hole locates over the mounting pin the lever will protrude from the paper box at 90 degrees to it 2 Rotate the lever clockwise through 90 degrees lifting the free end slightly to get it over the lip on the paper box M ake sure the end of the lever A in the figure is correctly positioned A T F ial N g NTN A r ti Final Stages 1 Attach the flex layer 10b to the base plate with screw and washer 5 if you have not already done so Be careful of the flex layer as it is easily torn at the junction of the Y 2 Slidethe paper box onto the slides on the base plate Be careful of the eject lever when fitting the tray 3 Pivot the paper drive and feed assembly upwards 4 Attach the paper box links 14 5 Pivot the thermal line assembly upwards 6 Attach the TLP retaining springs 3 and 4 springs T LPH M ake sure the body of the spring fits inside the cut out If the springs are not mounted correctly the paper table will rub against them pegsprng tif 7 Fit the paper table pins into the holes in the bearing casin
4. xmreco01 tif Figure 1 4 Recorder Keys L General Information Recorder O n O ff Light O n when the recorder is switched on Flashes when monitor detects five or fewer pages remaining in the pack or if the paper runs out Recorder O n O ff Key Single press turns recorder on off 2 second press starts N ST timer Recorder must be off Event M arker Key Press to record an event on the paper Acknowledges all alerts and alarms Paper Advance Key Press once to advance the paper automatically to the next fold Press a second time to stop paper before fold T ear paper at fold N ever pull paper to advance it Paper Eject Key Press once to unlock the drawer and then press a second time and hold to remove the paper Setting Keys D aa Test xmoper O1 tif Figure 1 5 Setting Keys l T ime and D ate Key U sed when changing the time and date Press to show the current time in the Cardio 1 C ombi and T oco displays to cycle through the settings to be changed hours minutes day month and year and to return to the normal display Paper Speed Key U sed when changing the paper speed Press to show the current paper speed in the Cardio 1 C ombi display and to return to the normal display T est Key U sed to start monitor self test General Information Rear Panel Figure 1 6 Rear Panel l 2 3
5. xmosysle tif M aximum voltage of 12V Protective Earth To protect hospital personnel and the patient the monitor s casing must be grounded Accordingly the monitor has a 3 wire power cable that grounds it to the power line ground when plugged into an appropriate 3 wire receptacle Do not use a 3 wire to 2 wire adapter with the monitor Any interruption of the protective earth grounding will cause a potential shock hazard that could result in serious personal Injury 234 W henever it is likely that the protection has been impaired the monitor must be made inoperative and be secured against any unintended operation Caution Check each time before use that the monitor is in perfect working order and properly grounded Position the patient cable so that it does not come into contact with any other electrical equipment T he cable connecting the patient to the monitor must be free of electrolyte M ake sure that during operation the monitor is free from condensation T his can form when equipment is moved from one building to another and is exposed to moisture and differences in temperature Warning Possible explosion hazard if used in the presence of flammable anaesthetics Environment Use the monitor in an environment that is reasonably free from vibration dust corrosive or explosive gases flammable agents extremes of temperature humidity and so forth It operates within specificat
6. paitoc30 hpg If the test results are not as outlined above repeat the test with another transducer If this does not solve the problem refer to Chapter 11 Troubleshooting T he transducers are sealed and are NOT repairable but the connectors can be exchanged The external Toco recorder display can be between 0 and 127 units If the test fails repeat using another transducer If it still fails refer to Chapter 11 Troubleshooting After the test you must zero the system by pressing the Toco Baseline K ey Safety Maintenance and Calibration IUP T ransducer Visual Check Ensure there are no cracks in the transducer or its accessories that the cable is not cracked or broken and there are no cracks on the connector plug Electrical Check 1 Connect the transducer to the T oco socket Ensure that e the display shows 0 e when the recorder is switched on the date time mode and paper speed are printed on the recorder trace Choose one of the tests below according to which IU P transducer you are testing e f your IUP transducer has a zero button built into the adapter cable itself press this to intentionally short circuit the cable The monitor display should read 3mmH G while you press the button T his indicates that the monitor and leads are working properly e If your IUP transducer has no zero button press and hold Lest Ensure that the display and recorder
7. TOCO Board Control HR1t Mode Error System HR2 Mode_ Output Clock Digital status outputs Circuit System Bus RS422 a RS422 Receiver Transmitter pegblk32 tif Figure 9 12 OBMS Interface Board TheO BMS Interface board sends heart rate TO CO mode and status information to systems such as M 1370A 80225A 80235A and M 1340A FT TS T he status bit is set if an external test from an O BM S is requested T he clock circuit divides the system clock The Board Control section interfaces the fast processor bus with the local board bus An LED isset if a hardware error is detected T he analog voltages heart rate 1 heart rate 2 and TOCO are generated by a DAC which feeds three sample and hold buffers via a multiplexer T he latch stores mode and status information Status information is passed to the output as a logic signal M ode information is a sum of logic signals and appears as an analog voltage at the output TheUART and RS422 receiver transmitter form a l directional R S422 interface for system notes If a Telemetry System board M 1350 66536 is connected at the same time either the R S422 on the M 1350 66532 or the RS232 on the M 1350 66536 is active See C hapter 4 for information about setting configuration options Theory of Operation Dual Serial Interface Boa
8. Troubleshooting LED Error 3 Cause Solution Display Err 1 W rong transducer in Cardio 1 C ombi socket Connect correct transducer Err 1 W rong transducer in Cardio 2 socket Connect correct transducer Err 2 W rong transducer in T oco socke Connect correct transducer Err 4 Cardio 2 US MECG Combi transducer not allowed in this Only 1 xMECG and 1xDECG are permitted in socket combination Remove transducer Err 6 Cardio 1 W rong pairing of US M ECG Combi transducer Remove one of the transducers M ECG transducer and D ECG transducer Cardio 2 Cardio 1 M 1365A combined patient module being used to M easure FSpO 5 and DECG measure FSpO 5 and M ECG Cardio 2 M 1364A combined patient module being used to M easure M ECG measure DECG Err 8 Cardio 1 D ual Ultrasound T wins option is not fitted Remove one of the transducers Cardio 2 Err9 Cardio 1 Invalid telemetry mode Check the cable from the telemetry receiver and if necessary Cardio 2 replace it Err 14 Cardio 2 2 FHR transducers are being used with single FH R Remove one of the transducers option Invalid Ext parameter status on T ele lF Err 15 Cardio 1 2 FHR transducers are being used with single FH R Remove one of the transducers Cardio 2 option Invalid Ext parameter status on T ele lF Err 16 Cardio 1 W rong pairing of telemetry and transducers Either disconnect the transducers or switch off the telemetry receiver Toco Cardio 2 Err
9. Introduction About this Guide Who This Guide is For W hat to do Next T his guide tells you how to install service and repair a Series 50 XM Fetal M aternal monitor or a Series 50 XM O Fetal M aternal monitor It describes all the system hardware and software and tells you how to test the system and diagnose operating and service problems It also tells you what upgrade paths are available and how to follow them It gives instructions for both a Series 50 XM Fetal M aternal monitor and a Series 50 XM O Fetal M aternal monitor T he features available on the monitor you are installing or servicing depend on which options have been purchased All instructions apply to a fully equipped monitor If your monitor does not have a described parameter then you can ignore that part of the instruction and Skip to the next point T he illustrations in this book show the Series 50 XM O Fetal M aternal monitor with the fetal pulse oximetry FSpO 5 parameter and maternal parameters This guide is for technical personnel installing and servicing the monitor T hey must have a good understanding of medical equipment installation procedures Conventional current technical terms are used throughout this guide Familiarity with such terms is assumed Familiarize yourself with the contents of this guide before attempting to install or service the monitor 1 Currently not available in the U S A General Information 1 Monitor s Intend
10. Put the frontend board back into the monitor sliding it towards the front to click the connectors back into their clips Ensure that all connectors are fully inserted check this from the front before you screw the board back in place Remove the cover blank from slot 9 at the rear of the monitor Insert the FSpO board into the monitor T here is no tubing or cabling to connect Screw the board into position with the screws provided Carefully remove the existing product label from the front of the monitor T he existing label says either Series 50 1X or Series 50 XM Replace this with the label that says Series 50 XMO 1 0 cardio 1 Combi l l l iz xmolabel gif 7 Go to Upgrading ROM Board EPROM s on page 8 87 U pgrades Instruction 8 Upgrading ROM Board EPROMs M ost upgrades require new EPROM S You must fit them now and then reconfigure the monitor For upgrade S01 this is the only procedure you need Options Requiring this Procedure 1 Undo screws 1 at the top and bottom of the ROM Board 2 Movelever 2 upwards and pull the board out of the rear of the monitor 3 Using aflat blade screwdriver reolacethe EPROM set according the diagram below a OSO Colo On Qn On Co O ooo o eS 6 o S Je K pegsm34 hpg O pS 4 Push the board back into the slot inside the rear o
11. Toco for uterine activity NPB for external blood pressure N IBP S p0O gt for maternal pulse oximetry W hen a transducer is connected the monitor automatically selects the correct operating mode The unit can monitor FSpO gt monitor FHR using both direct ECG DECG and ultrasound U S monitor maternal heart rate using ECG monitor twins using ether DECG and ultrasound or dual ultrasound monitor uterine activity T oco externally or internally detect fetal movements FM P using ultrasound measure maternal blood pressure externally measure maternal pulse oximetry display maternal ECG waveform and record snapshot ECG waveform A series of error messages appear in the instrument s display if certain measurements cannot be carried out Built in check facilities give you a greater monitoring confidence because most of the instrument functions can be checked quickly and easily T he Performance Plus Package signal processing technique used by the instrument ensures that the information provided by the monitor is very accurate U Itrasound FH R traces are comparable with direct ECG FHR traces and variability recorded in the ultrasound mode is almost identical to that recorded in the DECG mode T he recorder uses a high resolution thermal array print head which gives a very reliable and good quality trace Automatic annotation capabilities include time date paper speed and monitoring methods
12. O O 9 O 086 O e la 99 O Qo 0 0 38808 9 O O Q 0000 20902090 o o O PEGEH4 TIF l 2 M ains Socket Equipotential Grounding Point To usethe monitor with other equipment in an operating room environment connect the equipotential grounding point 2 to earth potential Use the grounding cable supplied with the monitor 5V input socket for the H BSW 8200 Barcode Reader Socket for the HP M 1310A Series 50 T Fetal T elemetry System 5V input except for Pins1 14 15 and 16 12V input Pin 2 12V output Pin 3 5V output Pin 4 12V output RS232 Digital System Interface Pin2 12V input Pin 3 12V output 233 6 Socket for one of the following e Philips80225A or 80235A B O bstetrical Information M anagement System O BM S e Philips M 1370A O bstetrical Display Information System O DIS e 12V except for Pins 17 18 and 22 which are 5V input 7 Socket 9 pin for an external device Pin 3 12V 8 Socket 25 pin for an external device Pin 2 12V Pins 9 and 10 Volt Service Socket T he Service Engineer can connect a compatible laptop Palmtop or PC to this socket 1 to carry out extended configuration and service functions x et E Toco Cardio 2 28101988 08 30
13. Recorder Assembly and Disassembly 209 Motor It is important that the motor is correctly positioned T he drive cog should be fully visible through the cut out in the plate as shown in the following figure with the cables out towards the bottom narrowest end of the panel Motor Motor Plate Idler Cog Driver Cog Cable See 14 3 1 Locate the motor 37 on the left side plate making sure the idler cog is visible through the cut out 2 Attach screw 33 and screw and washer 34 3 Adjust the belt tension and tighten the motor retaining screws Thermal Line See 14 2 Assembly 1 Attach the flex layer and optical sensor assembly 10a to the T LP assembly using screw and washer 9 It is easier to use a Magnetic screwdriver If you are using a new flex layer it should be folded at its junction with the PCB holding the optical device to make It easier to insert as shown below BEND HERE pegflex tif T he following figure shows the location of the sensor in the T LP assembly 210 Recorder Assembly and Disassembly pegflex2 hpg 2 FixtheTLP brackets 12 using the screws and washers 11 3 Fit theTLP Head 13 and the ESD shield 8 and attach with the screws 7 front of assembly Thethermal line unit must be pushed to the right and to the rear before the screws are tightened
14. T ransformer M 3 5 x 55 0515 2125 4 51 W ashers T ransformer 3050 0060 4 195 196 Table 13 5 Part Numbers Item Description Part Number Qty 52 Insulator T ransformer 0340 0458 4 53 Primary Line Assembly M 1350 61605 1 54 Inlet C over M 1350 44101 1 55 H eat Sink Power Supply M 1350 21104 1 56 Power ON OFF Switch Assembly 3101 2954 1 57 M ounting Screw T ransformer Earth Lead M3x4 0515 1508 1 58 W asher T ransformer Earth Lead 2190 0921 1 59 Recorder Assembly see Chapter 14 M 1350 69602 1 Front Input C onnectors 60 Cardio red Input Connector 1252 3461 1 61 Toco brown Input Connector 1252 3462 1 62 Cardio red Input Connector 1252 3461 1 SpO 5 Cable Assembly M 1350 61610 1 NIBP Connector with tubing M 1350 60007 1 19 Plastic screw 0515 2795 1 13 M arker Input Connector 1252 2702 1 Paper T ake up T ray M 1350 00452 1 Spring H older Battery 1400 0957 1 1 5V Battery 1420 0255 1 Battery H older 45611 40019 1 Spring Battery C ontact 5021 3671 1 Fuses T wo types dependent upon the voltage selected 5A 250V Fuse 2110 0458 2 1A 250V Fuse 2110 0007 2 NIBP Assembly Pump Assembly M 1008 60002 1 Recorder Recorder M 1350 60601 1 Parts Lists Table 13 5 Part Numbers Item Description Part Number Qty Recorder exchange M 1350 69602 1 Parts Lists 197 198 Parts Lists 14 Recorder Assembly and Disassembly Introduction T his chapter is split into three sections Re
15. 4 fit new display l EPROM 9 upgrade ROM board with new CPU firmware configure and test monitor C35 FSpO gt and maternal e new display use Original base assembly parameters to an XM without maternal FSpO board e NIBP board connect NIBP and SpO and fit boards fit FSpO 5 board e SpO gt board e fit new display e new CPU firmware 4 e upgrade ROM board with new CPU firmware EPROM 85 e configure and test monitor S01 latest software e new CPU firmware 4 e upgrade ROM board with new CPU firmware EPROM 85 J10 RS232 interface for O B e RS232 Telemetry board e upgrade ROM board with new CPU firmware TraceVue or Telemetry new CPU firmware 4 e Fit new board Series 50 IX only interface EPROM 5 capability J12 combined analog digital Fit new board system interface for OBMSandODIS J13 maternal parameter e Analog digital interface board e Fit new interface board e upgrade ROM board with new CPU firmware e Interface Board interface e CPU firmware 4 EPROM s e Cableto link monitor to exter nal device Upgrades 75 Initial Inspection T he upgrades are supplied packed in protective shipping cartons Before unpacking visually check the packaging and ensure there are no signs of mishandling or damage Using the table above ensure that you have received the correct components for the upgrade option number check that the contents are complete and that you have the correct upgrade Claims for F
16. Caution Successful completion of the patient safety tests does not ensure the correct and accurate functioning of the equipment T he test procedures outlined in this section are to be used only for verifying the safe installation or service of the product Safety checks at installation refer to safety aspects directly related to the installation and setup activities and not to intrinsic safety features that have already been checked Safety Maintenance and Calibration during final acceptance testing at the factory FDA 97 4179 M edical Quality Systems M anual A Small Entity Compliance Guide Q SR manual First Edition D ecember 1996 Chapter 14 Storage Distribution and Installation T his document may be viewed at http www fda gov W hen performing safety tests you must use a standard safety tester You can use testers complying with IEC 601 1 internationally You may also use testers complying with any local standards and Statutes applicable to the country of the installation For safety test procedures see the operation instructions of the safety tester used If using the M etron safety tester use your local regulations to perform the test for example e in Europe l EC60601 1 1EC60601 1 1 e intheUS UL2601 1 TheM etron Report should print results as detailed in this chapter along with other data Safety Maintenance and Calibration 123 N ote W hen to Perform Safety T ests 124 For information and ordering g
17. EXPRESSED OR IMPLIED AND PHILIPS SPECIFICALLY DISCLAIMSTHE IMPLIED WARRANTIESOF MERCHANTABILITY AND FITNESSFOR A PARTICULAR PURPOSE 4 Australia and N ew Zealand Only For consumer transactions the warranty terms contained in this statement except to the extent lawfully permitted do not exclude restrict or modify and are in addition to the mandatory statutory rights applicable to the sale of this product to you United States federal law restricts this device to sale by or on the order of a physician Specifications T he following section gives the manufacturer s specification for the monitor Patient Safety The monitor is designed to comply with IEC 601 1 EN 60601 1 UL 2601 1 CSA C22 2 No 601 1 M 90 Monitor Input Resulting Isolation with A Connector transducer patient module CF DECG M 1364A CF M ECG M 1365A CF CF F FSpO gt and ether M ECG or C DECG via M 1365A None of the ECG modes are electrosurgery proof Operating and Environmental Power Requirements O perating V oltage 100 120 V 10 220 240 V 10 Line Frequency 50 to 60 Hz Power Consumption 60 VA max O perating T emperature 0 C to 55 C Storage T emperature 40 C to 75 Relative H umidity 5 to 95 Dimensions and 147 mm 5 prei 422mm 166i without transducers 392mm 154i 1 Transducers can be stored at temperatures of 40 C to 60 C 241 Fetal Display Heart Rate Range 50 to 240 bpm DEC
18. Error 515 iria 147 Figure 11 11 Troubleshooting Error 516 or 517 octet eee eens 148 Figure 11 12 Troubleshooting Error 525 or 527 o oooocconcnconra n eens 149 Figure 11 13 Troubleshooting Error 526 cient ce teeet em haw EAA AA A mon naw ee ead 150 Figure 11 14 Troubleshooting Error 532 cece ete eee nent n eens 151 Figure 11 15 ETOUDIGMOOUNG ENON D33 aora id eee Re oat 152 Figure 11 16 Troubleshooting Error 534 oo e eee e tent e tenes 153 FIQUIe 11 17 FOUDICSIOOUING EMO 535 amena reordenar 154 Figure 11 18 Troubleshooting Error 536 oooccoocoocconcnro ent e ent nens 155 Figure 11 19 Troubleshooting Error 540 vta AAA AA Pe Tae Gees 156 Figure 11 20 Troubleshooting Error 601 1 ccc eee tent n tenes 157 Figure 11 21 Troubleshooting Error 602 asaananaaa naana aaa 158 Figure 11 22 Troubleshooting Ultrasound Parameter Test nunnana nanana 158 Figure 11 23 Troubleshooting Direct ECG Parameter Tet octets 159 Figure 11 24 Troubleshooting M aternal ECG Parameter Test 0 eee 159 Figure 11 25 Troubleshooting Toco Parameter Test 1 nanana 160 Figure 11 26 Troubleshooting M aternal SpO Parameter Test 2 0 eects 161 Figure 11 27 Troubleshooting Fetal SpO gt Parameter Test noaua aaa 162 Figure 11 28 Troubleshooting NIBP Parameter Test 0 0 eee n een ene 163 Figure 11 29 Troubleshooting External M aternal Parameters 0 cc cette 164 Figure 11 30 Troubleshooting Recorder Paper Sensing 0 cect eens 165 F
19. Is E SOT displayed Check as for Err 500 Switch Monitor Off Exchange DSP II PCB Switch Monitor On Is Prout displayed NO gt Error corrected Check as for Err 500 Figure 11 8 Troubleshooting Error 507 Errb0 ap tif Troubleshooting Error 513 CPU Board Error 513 DISPLAYED Switch Monitor Off dy e Exchange C Switch Monit B or On Is Err 513 displayed Use the service tool to write Check as for Err 500 Figure 11 9 Troubleshooting Error 513 Warning gt serial number and FMP T win options to the monitor Errbi3ap tif The serial number and feature settings can only be written once Troubleshooting Error 515 DIF Board Error 515 DISPLAYED Switch Monitor Off Disconnect frontend System Bus Connector Connect new Digital Interface PCB Frontend PCB Leave original frontend assy attached to the monitor Switch Monitor On gt Exchange relevant PCB Switch Monitor Off Disassemble frontend assy Exchange digital PCB for new one Switch Monitor On Are NO aed Exchange relevant PCB Error corrected Err5tbap tif Figure 11 10T roubleshooting Error 515 Troubleshooting 147 Error 516 or 517 oa Error 516 or 517 DISPLAYED Switch Monito
20. M 1599A and cuff M 1574A SpO 5 T ransducer Socket You can connect e An SpO gt transducer M 1940A adapter cable connected to M 1191A transducer Softkeys for operating and setting maternal parameters T hey are NBP selects modes and alarm limits for N BP e mat selects modes and alarm limits for M H R e spo2 selects modes and alarm limits for SpO gt Reset K ey yellow O ne short press e Acknowledges warning message e Acknowledges alarm O ne press held for two seconds from maternal main screen only e Accesses volume and contrast setup T wo presses within one second from maternal main screen only e Displays current maternal alarm limits SpO 5 Value indicates the current reading for patient s oxygen saturation level General Information Recorder Keys M HR Icon indicates source of MHR an indicates heart rate value taken from M ECG measurement ne indicates pulse rate value taken from SpO gt measurement DP indicates average pulse rate taken from N IBP measurement M aternal H eart Rate shows current heart rate or pulse rate Systolic Value shows the value for the systolic parameter of the most recent external blood pressure measurement D iastolic Value shows the value for the diastolic parameter of the most recent external blood pressure measurement
21. Parameter Test NOT AS OUTLINED MECG PARAMETER TEST Y No mode detection or No mode detection or Missing Heart Rate No information printed wrong mode detection wrong mode detection Display on recorder Y Replace Transducer Replace transducer Replace transducer Check recorder On T Y Y Repeat test Repeat test Replace Check paper loaded display PCB Y Y Still noAvrong mode detection Still noAvrong mode detection Check cable to thermal printer check for error code displayed check for error code displayed Y Replace Frontend PCB Y Run Thorough Instrument Test No error code displayed No error code displayed Y replace frontend PCB replace frontend PCB Still no Heart Rate Displayed Replace Digital PCB Y If Test fails Replace Thermal Printer Y Repeat Test Y If Test fails Replace Digital PCB Figure 11 24T roubleshooting Maternal ECG Parameter Test Troubleshooting 159 Toco Parameter TOCO PARAMETER TEST Test NOT AS OUTLINED Y No mode detection or Mis
22. Product Number M 1350 66502 M 1350 66506 M 1350 66513 M 1350 66515 M 1350 66517 M 1350 66532 M 1350 66533 M 1350 66534 M 1350 66535 M 1350 66536 M 1350 66540 Power Supply Board ROM Board Central Processor Unit Board Digital Interface Board Frontend Board O BM S Interface Board D ual Serial Interface Board M aternal Pulse O ximetry Interface Board External Blood Pressure Interface Board Telemetry System Interface Board Fetal Pulse O ximetry Interface board T he following boards are not described Product Number M 1350 60026 M 1350 66501 M 1350 66521 Theory of Operation Abbreviation None None FSpO gt M 1350 66525 XM Display Board None M 1350 66527 XM O 93 System Overview Switch Board IF Board B1 521 FSp0 540 Extern arker O IF Board B2 ade Frontend Board 7 DSIF 333 Combi 517 z an 5 IF Board B3 Toco pm OBMSIF Analog Out na Option 532 RS 422 ardio Combi aa IF Board B4 oating SpO Qs deci NBP O DSPII 507 ED 8 NBP Assy 535 Display Ohm 2 5 525 or E 3 527 S a dAl oar Digital I
23. Top mounting Kit N umber M 1350 68701 allows you to mount auxiliary equipment on top of the monitor for example the M 1310A Telemetry Receiver T his equipment must be fitted with a mounting cam kit to allow the equipment to be secured to the mounting plate To attach the mounting plate onto the monitor 1 Remove the two blanking plugs from the top of the monitor 2 Position the mounting plate on top of the monitor and insert the two screws 3 Insert the two blanking plugs into the holes above the screws 4 Clip the four plastic strips into the slots in the mounting plate T hese are removed when the ancillary equipment is mounted on top of the monitor Installing the Monitor 19 4x 5041 4205 2x 6960 0002 M1350 63201 pin19sca tif Figure 3 1 Attaching the Mounting Plate Fitting the Paper Take Up Tray You can fit a paper take up tray M 1350 00452 to the base of the monitor using the two pre fitted bolts located under the recorder module on the base of the monitor Simply line up the paper take up tray slots and slide the paper tray into position oe a Mm UY JA lu Figure 3 2 Paper Take Up Tray 20 Installing the Monitor Carts You can mount the Series 50 XM and the Series 50 XM O fetal maternal monitors on the Philips CL CM or CX carts Cleaning instructions for the carts and safety details are provided in the Carts Equipment N ote delivered with your ca
24. gt or T emperature measurements T he monitor has been switched on before the Apply sensor 5 minutes before the monitor is appropriate sensor was applied switched on Nelicor N 200 Maternal SpO Monitor O m a OO N o maternal SpO and no M H R measurements The N ellcor monitor is powered by the internal Switch on the AC power at the rear of the are printed on the trace battery Battery power symbol is lit monitor Battery power symbol is not lit See also FSpO 2 M onitor on page 11 166 for FSpO gt troubleshooting instructions Wrong DIP switch configuration of N 200 Check DIP switch configuration of N 200 monitor monitor see page 64 Nellcor N 400 Fetal SpO Monitor O em a O N o FSpO 5 annotation after Rec On in Toco grid Wrong DIP switch configuration of N 400 Check DIP switches see page 64 montes Change C10 setting W rong setting of C 10 Connect transducer mat H R and mat SpO appear as printout instead NO FSpO 2 transducer plugged in Change C10 gt 10 of trace W rong C10 setting System Interfaces 69 Philips C MS and Philips 26 24 Series O m a OO N o maternal measurements are printed on the T he parameters are switched off Switch on the parameters in the Parameters O n trace O ff menu See the O perating Guide supplied with the Component M onitoring System Ensure the interface cable M 1350 61609 is used Other RS232 external devices are blocking the T hisnumber is
25. of monitor 9 of service tests 7 P paper feed error 601 157 incorrect type error 602 158 sensing 165 setting speed and scale 46 varieties available 47 parameter test 7 recorder settings 213 parts list Barcode Reader complete 22 DECG transducer M1364A 220 MECG M1365A 223 recorder replacement parts 214 replacement parts 190 US MECG transducer 226 Patient leakage test 127 patient modules specifications 228 testing 132 patient safety 231 PC based configurating 33 performance assurance checks display 119 quick test 119 recorder 119 performance assurance tests 118 performance plus package 8 permanent test 121 pin connections Combined Telemetry Digital System Interface 58 Dual serial interface 64 systems interface 60 Telemetry interface 58 power source 17 power supply board error 502 flowchart 142 board fuses 172 board output voltage 143 board removing 170 functional description 98 removing 170 reusing 79 pre installation checks 17 print density 213 protective earth 234 protective earth test 127 Q quick installation checks display 71 recorder 71 quick test 7 R reading the error log 40 recorder adjusting 38 paper sensing troubleshooting flowchart 165 paperfeed error 601 157 preparation 30 quick installation check 71 reusing 81 scale 54 settings 213 specifications 245 recorder assembly and disassembly 199 component names diagram
26. removing 180 digital interface board removing 82 Digital System Interface 58 DIP switches for N 400 N 200 64 display assembly Index removing 182 replacing 182 display panel removing 83 replacing 78 display specification 244 display quick visual check 71 DSPII board a functional description 101 dual serial interface connecting external devices 61 functional description 115 setting baudrates 66 E earth connection mounting 85 elecromagnetic compatibility 236 electrical surgery 232 Enclosure leakage current SFC open earth test 127 environment 235 error flowcharts error 500 141 error 502 142 error 506 144 error 507 145 error 513 146 error 515 147 error 516 and 517 148 error 525 and 527 149 error 526 150 error 532 151 error 533 152 error 534 153 error 535 154 error 536 155 error 601 157 error 602 158 error log clearing 30 clearing using the service program 41 printing 30 reading in the service program 40 writing in the service program 41 error messages operator 137 service 140 ESU 232 external devices connecting 62 connecting to Series 50 XM Monitor 15 connecting to the Series 50 XM 61 external maternal parameters 61 external parameter input functions telemetry 54 F Factory information code FIC 32 fetal oxygen saturation board 111 fetal SpO2 parameter test 162 FHR alerting enabling and disabling 44 flowcharts DECG parameter test 159 error
27. should be set to L OV Pins 2 3 and 4 Supplies for small peripheral instruments earth connections through pins 18 and 24 Maximum current allowed 100mA Pin 5 S1 T demetry on L monitor goes to Telemetry M ode Telemetry display field is lit Transducer must be removed from the front panel connectors If they are not removed EE il Lb appears in the display above the transducer socket Status bits pin 7 S3 to pin 13 S9 and pin 25 S10 are activated through the connection to ground pins 18 to 24 and have function 1 T elemetry a Pin 6 S2 must be H igh if not EFFI appears in the display Each transition of S1 starts a complete mode annotation at the recorder Pin 7 S3 DECG inop Pin 8 S4 DECG Mode Pin 9 S5 Reserved M ode Pin 10 S6 US H eart rate mode programming for Telemetry input signal Pin 11 S7 N ot used with Telemetry Pin 12 S8 IU P M ode L Pin 13 S9 Toco Ext M ode L Toco mode programming Activated Toco mode will be displayed on the front panel System Interfaces External Parameter System Interfaces Pin 14 HR 1 Fetal H eart Rate IN PUT Input signal depends upon the selected HR mode The table below gives details of the input signals for each of the H R modes Fetal Heart Rate Mode Input signal Pin 14 U max 3 5 V pp min 35 mVpp Pin 15TOCO DC INPUT Ri gt 10 kQ Input range 3 V to 2 V Sensitivity 1 V Full scale Pin
28. 17 Signal ground for pins 14 and 15 Pin 18 24 Ground for supply and status bits S1 to S10 activation System outputs will be controlled in the telemetry mode asin the front mode Pin 25 M ECG Mode Input gt L M ECG mode programming Activated M ECG mode will be displayed on the front panel T he input signal from pin 1 M ECG Analog Input will be processed by the instrument Pin 6 S2 External Parameter ON L T he external parameter is printed on the recorder in addition to the front mode information Pin 5 S1 must beH igh if not ERRE appears in the display Status bits S3 to S7 have function 2 Pin 7 S3 INOP L Printer disabled for the external parameter Pin 8 S4 MSB and Pin 9 S5 LSB External parameter code AS A 1 see Figure D efinition 1 3 see Figure D efinition 3 4 see Figure D efinition 4 2 see Figure D efinition 2 DEFINITION 1 INPUT VOLTAGE INPUT VOLTAGE NO TUE OEE o AAA A PS A MONARCA rd TTTS AALT TT ANNE SENA READER o 12 10 SERRE Reese a HA AA St HHHH wW hl ai 1 l o oTo T oTa Pa PAS A oR j psm11sca tif Figure 6 3 External Parameter Definition 1 HR Channel 1 V 100 bpm TOCO Channel 1 V 100 T oco units Positive input voltages only when the paper scaling limits are exceeded the external parameter will no longer be recorded DEFINITION 2 INPUT VOLTAGE INPUT VOLTAGE wo psm12sca
29. 18 none Use of paper designed for HP 8040 monitor U se correct paper for this monitor Err 19 Battery low or empty of charge Change the batteries as soon as possible If you do not change the batteries your specific settings will return to their default values when the monitor is switched on For example the date is set to 4 4 44 Err 101 FSpO gt patient module defective Replace patient module Err102 Cardio 1 Communication error no connection between Replace patient module FSpO patient module and monitor Err 103 FSpO gt sensor defective U se a new sensor nop Cardio 1 N o contact or poor contact between reference Use a new spiral electrode Cardio 2 electrode and mother 137 Error Messages on Trace Err bAt Battery low or empty of charge Change the batteries as soon as possible If you do not change the batteries your specific settings will return to their default values when the monitor is switched on For example the date is set to 4 4 44 Err PAP 30 240 3 Incorrect type of paper loaded Load paper with 50 210 scale or change the monitor s paper format setting A see the section Setting Paper Speed and Scale on page 5 46 Err PAP 50 210 A 3 Incorrect type of paper loaded Load paper wiin 20 240 scale or change the monitor s paper format setting see the section Setting Paper Speed and Scale on page 5 46 A xxx Is between 500 and 600 This Contact a Philips Service Engineer or Response
30. 4 Power Cord Connection Equipotential Grounding Point ROM Board M 1350 66506 RS232 lower External Blood Pressure Board M 1350 66535 Telemetry Interface Connector M 1350 66537 and System Interface Connector D igital Signal Processor D SPI1 M 1350 66507 M aternal SpO gt Board M 1350 66534 OBM S O DIS Analog Interface optional M 1350 66532 D ual Serial Interface D SIF M 1350 66533 External Fetal Pulse O ximeter or Adult parameter Interface 10 CPU Board with Barcode Reader Interface M 1350 66513 General Information 16 General Information 2 Pre Installation Checks Power Source Requirements The monitor can be operated from an ac source of 100 to 120 or 220 to 240 volts 10 at 50H z or 60H z 15 T he system will be set to the correct voltage at the factory Prior to installing the system check that the systems voltage has been set correctly T he voltage and fuse values are shown on the rear panel i S BYSS Yea P 1na133 S 135 S BLOA a gt uoIsuaL 10 Fe sesn AOSG VWOGS le AGP GIOeG AOSGNOLLAGCLIOM pa9yJew se asn aeda ell Jo YSIH dq y W YAQ9 2HO9 OS Ar GOGG AOCLIOOL eo Figure 2 1 System Voltage and Fuse Values on the Rear Panel Caution If the voltage has been set incorrectly you must reset it before you connect the system to the local line power supply See Set
31. A is printed every ten minutes together with the time date annotation Safety Maintenance and Calibration Table 10 1 Parameter Test sot tr ta US Cardio 1 Combi using M 1356A US Cardio 2 using M 1356A TOCO using M 1355A DECG using M 1357A using M 1365A M 1364A DECG cable M 1362A must be connected MECG using M 1359A using M 1365A or M 1364A M ECG cable M 1363A must be connected US M ECG Cardio 1 C ombi using M 1358A M aternal SpO gt using M 1940A Fetal SpO 5 using M 1365A 190 is displayed and printed Signal quality indicator is green Fetal heartbeat is heard from loudspeaker 170 is displayed and printed Signal quality indicator is green Fetal heartbeat is heard from loudspeaker A signal alternating between 10 and 60 for periods of 2 secs for as long as the key is pressed is displayed and printed 200 is displayed and printed Signal quality indicator is green Fetal heartbeat is heard from loudspeaker 120 is printed M ECG indicator is on 120 A is displayed on the LCD screen 190 is displayed 190 and 120 are printed Signal quality indicator is green MECG ison Fetal and maternal heartbeats are heard form the loudspeaker 99 is displayed on LCD and printed Pulse 120 ts displayed on LCD screen 88 is displayed The quick test takes approximately 15 seconds and tests the basic electronics of the monitor display recorder and hardware
32. Assembly on page 170 from the Power gt Connect the monitor to line voltage and switch on Supply Board 3 UsingaDVM meter check the voltage output from the pins as shown in 11 5 and in 11 6 It is recommended to use the rear of the board to check the voltages 5V 24V sense GND H2V GND 32 DOOOO00000 u ane BBB ODODaDOo DOODOQO0DODDOOCROOCOO Odo ODDO 01 Pegsm2Za tif Figure 11 6 Power Supply Board Troubleshooting 143 Table 11 4 Power Supply Board Output from Connector Pins ee O o 4 Ifthe output is not as shown replace the board see Power Supply Board on page 170 Error 506 ROM Board Error 506 DISPLAYED Y Switch Monitor Off Exchange EPROM Kit Switch Monitor On Is Err 506 displayed NO Error corrected Switch Monitor Off Exchange ROM PCB Switch Monitor On Is Err 506 displayed NO 2 Error corrected Check as for Err 500 Err506ap tif Figure 11 7 Troubleshooting Error 506 144 Troubleshooting Error 507 DSPII Board Error 507 DISPLAYED Switch Monitor Off Remove DSP board from Monitor Switch Monitor On
33. C M ECG trigger click volume O off 2 1 quiet 2 medium 3 10ud C18 FSpO response time O slow 1 XM O only 1 fast C19 FSpO gt Inop alarm O off XM O only 1 on C20 FSpO alarm volume 2 XM O only 1 To find the correct setting connect a Toco transducer to the monitor and then change the setting until the trace is recording 20 units on the paper Because of the 8 second time out feature and the delay between changing the setting and seeing the change on the paper you may have to repeat this procedure to set the offset 2 If the alert acknowledgement function is on the fetal monitor adds the alert acknowledgement function on the recorder marker button T his alert acknowledgement is given only to the central station after a request from the central station communication is via the digital interface 3 With this setting you can switch the control between the RS232 port on the new Telemetry System board M 1350 66536 and the RS422 port implemented on the System Interface board M 1350 66532 If only one of them is built into the fetal monitor this one will be active regardless of the setting 4 Response mode is an output average filter You can select whether the monitor averages samples over a short time approximately 10 seconds or longer period approximately 50 seconds T he times vary according to the heartrate and signal quality and those quoted here are valid for good signal quality and a heartrate in the 120 bmp range T
34. Conversation T he positions of the other dip switches do not matter To connect a V 24 V 26 to the Philips Series 50 XM or XMO monitor Usetheinterface cable M 1353 61614 Secure the interface cable by the screws at the cable connectors SCHEMATIC OF WIRING 9 PIN D SHELL 9 PIN D SHELL MALE MALE 2 2 ee SIG GND 5 5 SIG GND SHIEUDASAelIL SHELL SHIELD 4 4 gt 6 S ioe T he following tables list the pin numbers the signal at each pin and the signal details Table 6 4 9 Pin Connector RxD RS232 Received data input TxD RS232 Transmitted data output GND Signal ground System Interfaces System Interfaces Table 6 5 25 Pin Connector ea case case chassis for cable Il chassis for cable Il shield connection shield connection ag ground The ne c 9 c 258 e connected to 1 20 nc c 38 amp c 24 3 TxD 1o nc Ge 7 c 238 o 286 RxD 18 TxD 2 RS422 c 6 c 28 2 A TO connected to 4 98e xD 1 RS232 C 21 o 8 e e 20 70O ground C 9 66 c RxD 2 RS422 13 amp 5 C C T e 46 c C 0 3 RxD As232 c 5e RxD 1 RS422 26 TxD RS232 c 114 amp 1 ne pegdser hpg Figure 6 11 Dual Serial Interface 9 Pin and 25 Pin External Device Baudrate Settings and C onfigurations Philips CMS Phil
35. NO PINS 20 35946 a ASA AA Arai art ed 66 SOLID atada bae 66 Mier AAA A EE earn eas 67 atasco De ACCULO ie ee eee Te eee iaa rinda doo its bis 67 NECO N 200 NON OO a a pa ds A dE 67 A A SS rE Po ee ere er 67 External M aternal M easurement on the FHR Trace 1 ete eee n tenn eens 68 TOLDO ca acy ap ta elbow te A Neha Feces aaa Ay ed a ista 69 9 Quick Installation Checks s4 0 chess rara rara ween ee eras 71 CRYNO Ot the CNE K a as s 2 ie c5 d oa oo Aes A eed ke ape O 71 10 UOGlaGGs sicario 73 iV Contents PVT OCI O NN RAN 73 Overview OU DOE O DUONS dsd AA ARA AA A ee 73 WOniCMSEFUCHIONS ata Gila CO ar Gk ee wo ee eee dw ple atado 74 A O hei daa Aa 75 A VAL SIO CEN OI ics neal se vad aaa aso aia Gok lar ean and Ae as an ge wee ea ae 70 AR aati tacit hie Ka a Akad een Gare aha Oa nN ee eee ES 76 VF et OU A E aie a ee atte ea tale See ae 76 A Y A 76 IL Tno OF ODEON ciar 93 JOG O E ta wes ate ae toe ale Savane Pian 93 DVS OVAIVICNS aiii aviar indicios 94 BOONG Nd Sa Me ria adas 96 Opa at ona CNS ara AAA A AE A a A 97 Ware penis eii wig seat ae io a share ane onal 98 AR RR 2 Set Geet ae Sasha Desh GA wb olen eek gh ath wae Re ee ected 98 CPU METS SOS OOOO ant Goat aus ante te semen Boe ate hs geal Mega a ao 99 DSPM A S50500507 et da A da io 101 NOW METS SOOO S00 Surrender opa boe 102 DIF AMS 50266505 icmeirrennea A id ida 103 Frontend Bodd MLS SODA eri aaa 105 M aternal Pulse O ximetry SpO 5 Board M 1350
36. SpO gt cable D etach the connection 4 Removethe board from the monitor BARRI A Colo lo OS09 050 ING elele 0626 026 Lolo o 6 O 3 t Figure 12 5 Replacing a Board To replace a board 1 Push the board into the appropriate slot inside the rear of the monitor You cannot insert the board in the wrong compartment 2 Replace the screws and tighten securely If the CPU board has been replaced you must write the serial number 3 and feature settings of the monitor to the EPROM S on this board and reload the functionality with the PC software See Chapter 4 Configuring the M onitor for details T he serial number and feature setting can only be written once W hen you replace either the SpO 5 or the NIBP boards you must disconnect the SpO cable or N IBP tubing as appropriate before completely removing the boards Perform the Instrument Safety Test as described in page 126 after you have worked on the maternal SpO board Removal and Replacement Procedures 173 Backplane To remove the Backplane proceed as follows psm24sca tif Figure 12 6 Removing the Backplane Turn the system off and disconnect the power cable Removethe M onitor Top Cover Remove all boards from the rear of the monitor Removethe s
37. T he two demodulators a and b are independently controlled by software in their receive windows by the FOCUSIC The demodulated LF signals are bandpass filtered 100 500 H z and amplified by a software controlled gain of 180 to 1860 in eight steps The FM P LF path is independently demodulated bandpass filtered and amplified by a factor of 18 105 106 TOCO Thepinsof the TOCO IUP socket are electrically isolated connected by three transformers excitation sense and mode The excitation voltage is a 2 4 kH z square wave with an amplitude of 3 5 Vays T he frequency is generated in the control chip by dividing the 4 M H z system clock The sense input signal is amplified by 93 75 40uV V mmH g or 750 5uV V mmH o rectified with asynchronous detector and lowpass filtered with a cutoff frequency of 7 5 H z All LF signals are multiplexed sampled at either 1600 or 800 H z and A D converted with 12 bit resolution The marker cable and the switch board are also connected to the Frontend board Theory of Operation Maternal Pulse Oximetry SpO gt Board M1350 66534 Floating Section SDZ transducer FLOATING SECTION Photo Photo Bandpass Variable Gain Demulti Diode Ea Amplifier
38. an electrical signal from which the fetal heart rate is derived Blue U Itrasound transducers are sealed units and are NOT repairable Specifications System Pulsed D oppler O scillator Frequency 998 4 kH z Ultrasound Intensity lt 1 5mW cm Dimensions 75mm diameter 21 5mm depth T ransducer weight with Cable 185 grams Cable Length 2 5m 8ft 2in Watertight to a depth of 0 5m T emperature Storage Range 40 C to 60 C Caution Using ultrasound gel that is not approved by Philips may reduce signal quality and may damage the transducer This type of damage will not be covered by warranty Troubleshooting Ultrasound transducer tests and troubleshooting are described in Ultrasound T ransducer on page 128 218 Transducers and Patient Modules Toco Transducer M1355A o OD psm10sca tif Figure 15 2 Toco Transducer Description TheM 1355A Toco Transducer detects relative measurement of uterine activity Blue Toco transducers are sealed units and are NOT repairable Specifications System Passive Strain G auge Toco o Transducer Sensitivity O to 12N overload protected Dimensions 75mm diameter 25mm depth T ransducer W eight with C able 180 gram Cable Length 2 5m 8ft 2in Watertight to a depth of 0 5m T emperature Storage Range 40 C to 60 C Troubleshooting See TO CO Transducer on page 130 for a description of the functional tests which can be carried out with a Toco transducer Transd
39. are still in place N ow fix the Board board to the metal holder with screws 4 and 6 Put the assembly back into the unit and slidethe complete assembly towards the front to click the connectors back into their clips Ensure that all connectors are fully inserted check this from the front before you fix the board back in place using the two screws 3 and 5 Perform the Instrument Safety C heck see page 126 after working on the Frontend board Removal and Replacement Procedures 179 Digital Interface Board 1 If thisis not already done turn the system off Disconnect the power cable and all transducers and remove the monitor top cover 2 Disconnect all the cables loudspeaker cable 1 e power LED connector 2 e recorder switch board connector 3 e recorder sensing board connector 5 Unlock the flex layer connector by pulling it slightly forwards gt ak gt UNLOCK CONNECTOR REMOVE FLEX e recorder stepper motor 6 e frontend board connector 7 e backplane flat cable 13 180 Removal and Replacement Procedures 3 Disconnect the recorder print head 4 from the recorder assembly 4 Removethe two screws 8 and 11 that hold the board in place 5 Slide the digital interface D IF board towards the rear of the monitor before lifting the board up to give the marker connector a c
40. attached to the monitor O ne label is on the right side of the monitor the other label is identical and attached to the base of the monitor T he first four digits are the Serial Prefix N umber and identify the modification standard of the instrument T he last five digits are the Serial N umber of the instrument T he letter that separates the serial prefix and suffix designates the country in which the instrument was manufactured G G ermany 3650GO2272 rns E ee a Serial N umber Serial Prefix Country of Manufacture W hen the system is ordered from the factory the respective country option including local language standards power cords voltage video format and fetal paper will be automatically allocated apart from Canada Belgium and Switzerland which have more than one language option T he standard unit is delivered in the U SA with 30 240 bpm paper scale selected and in the rest of the world with 50 210 bpm paper scale selected T he default language option for Canada is English O ption ABC selects French T he default language option for Belgium is Dutch O ption ACL selects French T he default language option for Switzerland is German O ption ABQ selects French O ption FACN selects Italian General Information Service Philosophy Any errors produced are marked on the trace paper with the symbol A and a specific error message is shown on the monitor display In addition the errors are reported on the system er
41. atte of a aa aae tart dio gd aa a bth Gade ow Bebe E Slat ded 221 Patient M odules M 1364A and M1305A oooocoocconcncr eet n tent nen eens 228 DADO Ms ra AAA A AAA A ree A 228 SPICAS A aa 228 A er ee ee ee ee ee eee ee eee 230 TOUS gts Pema eee osa ld 230 PRG SAN OLY cot 5 15 ss x cd aes asses es ere ke 9 dat as Wd es Gs war s PE sd Dae ar Se LD la A ae O ee arta ee hie 231 VEO CUI CCIOINS O dea ch tit tit he bers a a a a a ae eaaa eh a sek a he geet deat 231 General Saftey Ito Mao erea ae aa a ea a a a a ee ee 231 aga oe EY a n a E 231 ESU MRI and D efibrillation O 232 HA AAA II aE aa he ha ew Dk ht wg Ht cs 233 M aximum Input utput Voltages toscas doit chow dearer dean hak ed hak a debbie dca adora ds 233 SAVICE SOCK 35 08 E O Ea eis Hew Sasa ee 234 PFO GCE A a cae a Sagas ae acest AA 234 ENVIO cra AA a Beh aed Bet eS laa ete gue Pet dT 235 EIE 0 tai iaa pak eb res cae ias 235 Electromagnetic COMmD DI rias vs e A a caw ech RL ed A Bk 236 EME TEN dale 236 SECO AA III Bada deck n p A a end ate dees 231 ANOIMAS caia da oa aa baii 231 B Manufacturer s Information oooooooooooooorororrrrrrrrros 239 Ue a e E Via awe a pack AN E A EA 239 M anufacturers of Interfacing M onitorS ouau eee eee ete tent n ten nees 239 VSIA UN acest chet a RS past a dt cent rn amma a 239 E A teak hoa ecto O O OR 240 SA a O 241 PP A IN tag toa 241 Oberta ng anden VINE tasa AR nn dk 241 viii Contents O A a ava gel int ted vans ep a
42. board up to givethe marker connector a chance 5 Removethe label from the front end connector area Score carefully around the connectors in the area with a flat bladed knife D o not allow any adhesive to remain on the front panel See Display Assembly on page 12 182 for instructions on how to remove the maternal display panel If your upgrade is O ption C03 C30 or C35 go to Adding SpO 2 and NIBP Capability on page 8 84 If your upgrade is O ption C32 or C34 now go to Adding an FSpO 2 Board on page 8 86 Instruction 6 Adding SpO and NIBP Capability T his adds maternal pulse oximetry and blood pressure measurement capability Options Requiring this Procedure Sp0z NIBP matcable hpg 1 Removethe two plastic parts that pad the two holes already prepared for the NIBP and SpO connectors screws 1 and 2 2 Removethe three cover blanks that cover slots 4 and 5 N IPB and 9 SpO gt from the rear of the monitor 3 FixtheNIBP tubing and SpO 5 cabling with their connectors to the front panel Do not force the screws drilled into the plastic on the front panel 84 U pgrades Next Step Upgrades Replace the DIF board into the monitor checking that the marker connector is raised through the front end Reconnect all the cables Put the frontend board back into the monitor sliding it towards the front to click
43. booted from the ROM board into the 68000 program RAM by DMA the process is initiated by the CPU board TheDSP CPU signal processor software is booted into its program RAM by the DSP CPU 68000 Communication between the signal processor and the 68000 is by DMA controlled by handshake flags data exchange is via the data RAM by DMA TheDMA is controlled by on board logic and hardware T he clock circuit generates all clocks of the 40 M hz backplane master clock Theory of Operation 101 ROM M1350 66506 System Bus Board ID Revisien Bus driver Address decoder Figure 95 ROM Board TheROM board contains the sockets for four 1 M bit ROM pairs The ROM board contains all the system software except NIBP and SpO gt software which is loaded into the corresponding boards 102 Theory of Operation DIF M1350 66515 Recorder Switchboard 7 Paper sensing Sensing HW Seck Heating Strobe Safety siren Timer Tata 2 Printhead Parallel Serial Recorder le Converter Latch Stepper Power LED Display _ to Dimmer money Keys Front UART a Serial Interface Bus Local bus driver System bus System Interrupt ADEMUX Audio Audio i D
44. eet tek ea tt Danae ate eee ed die ss lo be herent ie 210 Thema LINEASEMDIY co AAA bis 210 PDA BOX A O E AN 212 FAN SACS oia ais arta neue ate doin arepa s Ga eal aes Oa 212 Recorder SENOS giana hearse A AA ack Sar Ra ear ale Pike ee 213 REDA eple do 4 0 ea iaaa aa dick aios a Aaa E sande ati a ncaa ies 214 17 Transducers and Patient Modules 0000ooccccoooo 217 E 217 UiTEresoun GM Fansaucer MAS50A ous a A A A 217 e est yc ah ecient er acta iid Fuh car be ace se dae eee at A A ecient acs 217 SOCIAL ONS cases ected droits DA E A aa hab Actes ow sca Ra Sao diac Aia 218 MS sirig teeta o chen clinics Aes 218 TOCOT ron duca MISA sta par eid gee A Sat Nee eee RRP eae somes Cae Ea 219 Contents vii DESIDIA aaa 219 Specifications T oco Ta SAU rss raid ARA aio oie Ae Na dai aida 219 TTOUDIGSHOOUNG chaste ia ada ida 219 DEGG TTNSNUEIMISSIAS arras 220 DESIDIA iii ira 220 PECA ONS maa ANO 220 Hae A e EN ee daira dat de he re ee E E oe ee eae O 221 TOUS OO IN Ostras aria e a oes Gach nn ation aes a een aaa Rae da 221 MEES TASAS MIASSIAD sia A AAA 222 DEDO aa ed Aia ias 222 SDCCHIICAHONS sc dida A E ee ee ew Aa 222 Cia ee ee ee ee ee ee eee ee Se ee ee ee ee 223 TIOUBISSACOUNO asis tada dearth hdr anti dsd dai ta tea een us 223 U SIMECG Compi Transducer M T3584 aid is A AA A AO A cod 224 DESPIERTA ad ibi 224 SPEcmicaci0NS arar o E A areas 225 A a a a a SS AR ee 226 TOLDO db ada eter eo al 226 IU P Pressure Tiran sauna AA AAA 221 NS
45. is available from your Philips Response C enter Alerting or from the Technical M arketing Softserver page on the Philips Intranet T here are two different access codes one enables the alerting and the second disables alerting NOTE Changing the Alert Option is protected by Access Code Alert Option is ENABLED Do you want to DISABLE the Alert option Press lt Y gt for YES or lt N gt for NO MESSAGE To enable or disable the alerting enter the specific code to enable or disable the alerting Configuring the Monitor 5 Getting Started Basic Considerations and O peration Setting the Time and Date You can view and change the time the date and the paper speed using the following keys D ng test J 15 Figure 5 1 Setting the Time and Date Clock key displays the time 1 Paper speed displays the paper speed 2 Volume keys change the time date and paper speed 3 To set the time and date 1 Press and release to display the current time The Cardio 1 C ombi display flashes to show that the hour can be changed 2 Press or to set the hour Press and hold the keys to change the setting more quickly 3 Press and release and the T oco display flashes to show that the minutes can be changed 4 Press or to set the minutes 5 Repeat the procedure e To set the month in N orth America or the day in other countr
46. is displayed The current limits of the outputs of the PSU board are then checked If any are out of limits the board s error code is displayed T his error doesn t necessarily mean that the PSU board is faulty For example a short on the system bus or one of the other cards could be drawing too much current If the PSU board passes its checks the CPU board takes away the reset to the other boards which leaves the LED slit T he boards are tested in the order shown below TheDIF Board m TheMUXand AD sections of the Frontend Board m TheTeemetry Interface Board TheOBMS Interface Board NIBP Interface Board SpQ gt Interface Board a FSpO Interface Board Any other interface board TheDSPII Board LCD Board LED Board FE Board If any board fails its test its LED stays lit and the error code is displayed TheCPU board boots a test program from the ROM board to the D SPII program RAM and the 96 Theory of Operation Operational Checks Theory of O peration D SPI board runsit The program tests the DSP CPU 68000 and its associated components and writes the results to the DSP CPU 68000 RAM TheCPU board reads the RAM to find out the exit status of the tests If it fails the tests the LED stays lit and the error code is displayed If it passes the tests the CPU board boots a start up program from the ROM board into the D SP C PU 68000 program RAM T he program tests the DSP CPU board If it fails t
47. min 25h at 1cm min Fetal M ovement Profile FM P recording 2 mm high bars on upper T oco scale Test button With no front end connections to the instrument a thorough instrument test is performed including a display and recorder test W th the appropriate transducer connected the respective mode can be tested See Chapter 11 Troubleshooting A ACOG technical bulletin 46 alarm testing NIBP alarm 134 Alerting FHR enabling and disabling 44 B backplane removing 174 Barcode Reader HBCR8200 connecting 22 test barcodes 22 testing 22 batteries removing 175 baudrate settings 66 board positions 15 board removing 173 booting and self test 96 C calibrating the NBP function 133 calibration NIBP 133 care and cleaning 117 cart internal mounting of the Monitor 19 mounting options 19 carts replacement parts 21 specifications 21 cleaning monitor 117 CMS connecting to the monitor 61 configuring the Monitor using a PC 33 using pushbuttons 27 using the service program 37 connecting PC to Monitor 35 conventions 2 CPU board functional description 99 cyclic test using the service program 39 D damage claims 76 date changing the format 46 setting 45 date and time setting 45 DECG input specifications 244 parameter test 159 DECG transducer M1364A cable connections 220 specification 220 troubleshooting 220 defibrillation 232 DIF board functional description 103
48. press e C01 Isshown in the U S1 U S display e Oor1isshown in theT oco display 4 Press again to select the Function M enu e A01 Print the Error Log is shown in the U S1 U S display To print the Error Log press The display showsnnn nnn nnn e Press again to select A02 Clear the Error Log To clear the Error Log press The display showsnnn nnn nnn 30 Configuring the Monitor T he following shows an example of an error log Table 4 6 Example of an Error Log 506 0005 98 09 14 11 27 98 09 14 16 53 FIC 0540 0008 98 09 14 11 27 98 09 14 16 54 E1C6 0005 98 09 14 11 27 98 09 14 16 53 021A 0002 98 09 14 16 24 98 09 14 16 25 OPTIONS FM P UStwin Fet Alert DATE SW _ REV INSTR_ID 95 09 15 C 01 00 M 1350C 2445G 35213 BOARDS Pos 00 515 ID_2 Pos 01 502 Pos 02 506 Pos 03 513 Pos 04 536 ID 2 Pos 05 Pos 06 Pos 07 507 Pos 08 Pos 09 Pos 10 540 Pos 11 SERVICE SETTINGS C01 01 C02 01 C03 00 C04 00 C05 00 C06 02 C07 03 C08 00 C09 01 C010 02 C011 01 C012 02 C013 00 C014 00 C016 01 C017 00 C018 01 C019 00 C20 00 FSP02 SW REV NBP FMHP 5 0 1 N BP FSPO2 ERRORS 540 0002 98 09 14 11 27 98 09 14 16 53 Configuring the Monitor 31 32 T he error log is divided into seven sections that contain the following information Section 1 1 Theerror code For example 506 2 Thenumber of times the error has occurred For example 0005 no
49. printed on both ends of the cable communication to the Fetal M onitor Incorrect interface cable Incorrect Philips C M S software revision Ensurethe PhilipsC M S has Revision C or higher Incorrect configuration of the RS232 port software Disconnect all other RS232 external devices except the fetal monitor from the Philips CM S and turn the power supply switch for the Philips CM S off W ait at least 10 seconds then turn the Philips CM S power supply switch on again Check Philips CM S settings and refer to Philips CMS Service D ocumentation No MHR measurement is printed on the trace Incorrect parameter source If the SpO 5 PLET H module is plugged in set the H R PU LSE sourceto PLETH N o maternal temperature is printed on the trace TEM P1 isnot labeled T 1 Change TEM P1 label to T 1 T emperature sensor is not connected to module Check the cable connection of the tenperature TEMPI sensor M at H R 0 and M at SpO 0 values are printed TheN ellcor and the Philips C M S are connected in Ensure the N ellcor power supply switches front on the trace parallel and the N ellcor front power supply switch and rear are both on or both off Alternatively isin the off position and the rear power supply disconnect the N ellcor monitor completely see switch isin the on position also page 166 70 System Interfaces 7 Quick Installation Checks Carrying Out the Checks After you have installed the monitor perform
50. stabilize Compare the manometer s value with the displayed value D ocument the value displayed by the monitor If the difference is greater than 3 mmH g calibrate the module Enter the calibration mode see page 133 Pressurize the gauge to 280 mmH q W atch the pressure value for 60 seconds After 60 seconds the value should have decreased by less than 6 mmH g Calculate and document Leakage test reference value 280 mmH g displayed value Enter the calibration mode see page 133 Pressurize the gauge to 150 mmH g W ait ten seconds for the measurement to stabilize Compare the manometer s value with the displayed value D ocument the value displayed by the monitor If the difference is greater than 3 mmH g calibrate the module Cyclic Test T he cyclic test is a permanent self test see Running the Cyclic Test on page 39 for instructions on how to perform it Any errors located are written to the error log and can be read using Read Error log see Reading the Error Log on page 40 Permanent You can configure the monitor to perform a permanent continuous test T his is similar to the Test cyclic test which can be performed with the PC based service software To start the permanent test 1 Disconnect all transducers from the monitor and disconnect or switch off T elemetry 2 Makesurethe recorder Is on 3 While pressing press Safety Maintenance and Calibration 121 e C01 isshown in the
51. store the new settings Full details about changing the time and date formats are given in Chapter 5 Configuring the Monitor Using a PC The service software kit M 1360C O ption 875 part number M 1360 68875 allows you to carry out various extended configuration and service functions on the monitor Contact your Philips Sales O ffice for details The service software disk can be run on an industry standard PC T here is also an adapter cable to connect the monitor to the PC Phonejack 3 5mm stereo Pin female Figure 4 1 Cable for an Industry Standard compatible PC Configuring the Monitor 33 Installing the Service Program Before you install the program ensure that the serial port COM 1 Is set up as follows Transmission Rate 9600 BPS Parity None W ord length bits 8 Stop bits 1 T his is done by giving the mode command mode com1 96 N 8 1 at theDOS prompt Refer to your MS DOS M anual for details To install the program k 2 Switch on the PC Create a directory for the program files For example to create a directory called service at the DOS prompt type in md service and press Enter Insert the program disk into drive A At the D O S prompt type A and press AttheA prompt type copy pegserv exe c service and press Where service is the directory you created to contain the program files Theprogram is copied to c Xservice Serial In
52. straps with screws 6 Push the TLP H ead as far back as it will go then as far to the right as it will go right is the side with the paper eject levers See the following figure SS Oe E E a pegtlp2 hpg 8 Hold itin position and tighten the screws 202 Recorder Assembly and Disassembly Full Disassembly 10a Na mn hs gk 3 X 13 CY A _ ME ae i LA _ pegsms07 tif Figure 14 3 Paper Table and Thermal Line Printer Assembly Recorder Assembly and Disassembly 203 Paper Table Thermal Line Printer Assembly TLP Paper Tray 204 See 14 3 1 Remove screw and washer 1 to disconnect the bottom end of the paper table spring 2 2 Thepaper table 4 is located on pins on the end of the bearing casing on the side plate Pull the table away from the pins to release it See 14 3 But if you are changing only the T LP H ead see Replacing Specific Items on page 202 1 Removethetwo TLP retaining springs 3 to free the front of the assembly U se a spring hook to avoid damaging the springs 2 Pivot the TLP assembly backwards TheTLP assembly can be left like this if it isnot to be worked on Proceed as follows to disassemble it taking care not to damage the flex layer if you remove the thermal line assembly without discon
53. successive pressure oscillation magnitudes until it detects two oscillations of similar amplitude By checking two subsequent oscillations it is possible to reect artifacts due to patient movement T he baseline cuff pressure and oscillation magnitudes Theory of Operation 109 are stored in the memory and the cuff pressure is further decremented Subsequent oscillation magnitudes will show decreases until no significant oscillations are seen T he microprocessor displays the arterial mean pressure together with the systolic and diastolic pressures T he pressure in the cuff is automatically released by the deflation system on the board The cuff is completely deflated and depending on the selected cycle time is inflated when the next measurement is to be made T he board has the following maximum limits which ensure the safety of the patient 1 A maximum measurement time of 120 seconds 2 A maximum time of 120 seconds for a cuff pressure greater than 15 mmH q 3 An overpressure system with a limit of 330 mmH g maximum or 300 mmH g for 2 seconds TheNIBP board contains its own RAM as working area and ROM containing the software and a microprocessor supervised additionally by a watchdog timer 110 Theory of Operation Fetal Oxygen An Intel 80C 186 CPU in the PLCC 68 package performs the fetal SpO processing It runs with a Saturation 20M H z clock Besidethe ROM and normal RAM there isa 1 kByte Dual Port RAM for the FSpO Board
54. test 162 internal fetal parameters 162 internal maternal parameters 161 maternal SpO2 parameter test 161 MECG parameter test 159 NIBP overpressure 134 NIBP parameter test 163 patient modules 132 quick test 119 recorder 119 safety 122 self test 245 Toco parameter test 160 Toco transducer 130 transducers 128 ultrasound parameter test 158 ultrasound transducer 128 218 thermal line printer head replacement 202 time changing the format 46 setting 45 time and date setting 45 time format setting 33 time format setting 45 Toco parameter test 160 Toco transducer electrical check 130 recorder scale 54 specification 219 visual check 130 top cover removing 78 top cover removing 169 trace density 213 transducers 217 DECG M1364A 220 IUP 131 227 MECG M1365A 222 SpO2 131 Toco 219 ultrasound 217 US MECG combi 224 troubleshooting DECG parameter test flowchart 159 DECG transducer M1364A 220 external maternal parameters 164 frontend board output 143 internal maternal parameters 161 162 maternal SpO2 parameter test flowchart 161 162 MECG parameter test flowchart 159 MECG transducer M1365A 223 NIBP parameter test flowchart 163 noninvasive blood pressure warning messages 138 operator error messages 137 paper sensing flowchart 165 power supply board 143 recorder paper sensing flowchart 165 service error messages 140 SpO2 warning messages 139 system flowchart
55. the connectors back into their clips Ensure that all connectors are fully inserted check this from the front before you screw the board back in place Place the SpO 5 cable and the NIBP tubing in wide soft curves from the front to the rear card cache and feed them through the appropriate slots Insert the SpO and NIBP boards halfway into the appropriate slots at the rear of the monitor Connect the tubing and the cable and then fully insert the boards Screw the boards into position with the provided screws Attach the self adhesive holders fixing cable and tubing 1 to the top of the card cache so that it allows any subsequent exchange of the boards without removing the top cover M ake sure that the cable and tubing lie in a soft curve without any crossover on top of the card cache Secure the earth connection mounting 2 to hold the SpO cable in place and to ensure the correct shielding 10 Replace the top cover ensuring that the cable and tubing are not squeezed If your upgrade is O ption C32 C34 or C35 go to Adding an FSpO 2 Board on page 8 86 If your upgrade is C03 C30 or C34 go to Upgrading ROM Board EPROM s on page 8 87 Instruction 7 Adding an FSpO Board T his adds fetal pulse oximetry capability Options Requiring this Procedure oy ok a Replace the DIF board into the monitor checking that the marker connector Is raised through the front end Reconnect all the cables
56. the screws 1 2 and 3 to release the holder from the bottom plate Slide the front panel backwards and remove it Release the three metal front panel holders from the front panel BO 20 E E ee Te Replacement is a reversal of the above procedure 186 Removal and Replacement Procedures Switch Boards Recorder Keys Board Function Switches Board Loudspeaker remswsca tif Figure 12 13Removing the Switch Board You can remove the recorder keys board without removing the M onitor s front cover Uncap the Recorder Keys board 1 and lift it clear of the front cover Replacement is a reversal of the above procedure m Removethe Front Assembly and Front Cover from the monitor Uniclip the Function Keys board 2 and putt the board clear of the Front C over Replacement is a reversal of the above procedure Removethe loudspeaker cable going to the DIF board Removethe four screws holding the loudspeaker in place Caution The strong magnet will pull your screwdriver towards the membrane Be careful not to damage the membrane Replacement is a reversal of the above procedure Removal and Replacement Procedures 187 Removal and Replacement Procedures 13 Parts Lists Introduction T his section contains information for identifying locating and ordering replacement parts Ordering Occasionally electronic items in the replacement parts list will be found to carry standard Information com
57. trace alternate between 10 and 60 units for periods of 2 seconds for as long as the key is pressed T he IU P display is limited to 127 99 Gently apply pressure to the transducer diaphragm by pressing the syringe plunger and look for an increase on the display and recorder If the test results are not as outlined above try another transducer If this does not solve the problem refer to Chapter 11 Troubleshooting Transducer Visual Check Ensurethere are no cracks in the transducer and that the cable is not cracked or broken and there are no cracks on the connector plug Electrical Check 1 3 Connect the transducer to the maternal SpO socket Ensure that e theLEDsin the transducer head are lit e theLCD display shows for pulse and for saturation and A no pulse e when the recorder is switched on the date time mode and paper speed are printed on the recorder trace Press and hold the Test Key for a short while Ensure that the display and recorder trace show maternal SpO gt value of 99 and maternal heart rate of 120 bpm To check out the transducer perform a self measurement using your own finger If the test results are not as outlined above try another transducer If this does not solve the problem refer to Chapter 11 Troubleshooting for details about how to check the SpO board and cable Safety Maintenance and Calibration 131 Patient Modules M1365A and M1364A Visual
58. 0 Hz US2 Recelver 4 LP 500 Hz AN DECG2 Gain Contr ontro MECG Cardio 2 Socket DECG2 MECG2 Frontend Control Clocks Ext Marker pgblk1 la tif Figure 9 7 Frontend Board T he Frontend board contains the analog circuitry for measuring all the possible fetal parameters of the monitor It includes the control circuit interface to the DIF board M 1350 66515 The FOCUS ASIC on the board provides the US timing and window control and controlsthe ECG Each type of transducer has a specific mode resistor which is recognized by the monitor when the transducer is connected to an input socket In this way different types of transducer can be used without having to recalibrate the system TheFOCUSIC divides the 4 M H z system clock to generate a 181 KH z clock A power stage generates the power clock for the ECG transducers TheECG signal modulates the supply current of the transducer The modulated current is detected amplified and bandpass filtered 1 250 H 2 T heU S transducer transmits 998 4 kH z ultrasound bursts which are generated by theFOCUSIC The burst widths are controlled by software T he transmitter amplifier supplies 5 V pp at the Cardio sockets T he repetition rate is 3 2 kHz T he received 998 kH z signal is amplified by a high frequency amplifier with a gain of 120 and then split to provide a reference path a and a compare path b
59. 030 41701 Troubleshooting Troubleshooting for the US M ECG Combi Transducer is the same as described for the Ultrasound Transducer and the M ECG Transducer 226 Transducers and Patient Modules IUP Pressure Transducer C PJ840 5 Description domes C PJ 84022 Pressure range M ax overpressure Sensitivity Resonance frequency M ax electrical excitation Bridge resistance N on linearity and hysteresis Zero balance O perating temperature range Storage temperature range Isolation resistance Leakage current Weight Connector Immersion Cleaning Sterilization M ounting Transducers and Patient Modules IU P pressure transducer supplied with transducer holder CPJ84046 Use with sterile disposable 20 to 300 mm Hg 10 000 mm Hg 5uV V mm Hg 300 H z typical transducer and dome 15V DC or AC 1000 Ohms input and output max 0 5 of full scale max 0 15 mm H g C 10 to 50 C 20 to 70 C min 1000 MOhms max 1 5uA at 250V 50H z 24 grams without cable Equipment specified See the U ser D ocumentation that is supplied with the transducer See the U ser D ocumentation that is supplied with the transducer See the U ser D ocumentation that is supplied with the transducer Wrist strap provided for mounting on patient arm transducer holder available as accessory for IV pole mounting 227 Patient Modules M1364A and M1365A M1364A M1365A ecg_only tif co
60. 0V at 60H z 10uA rms With MECG Cable M1363A Patient Auxiliary Current lt 0 1uA dc D electric strength 1500V rms spark gap protected Input Impedance gt 10M Q CMRR with patient cable 51 5kQ 0 047uF imbalance at line frequency gt 80dB N oise referred to input with 25kQ lt 4uVp Contact Potential Difference 500mV Input Voltage Range 80uV p to 4mV p Parts List Table 15 7 Parts List er Exchange Part Part tem esion Ter 0 Combined Patient Module M 1365 69001 M 1365 60001 ECG only Patient Module M 1364 69001 M 1364 60001 DECG Cable M 1362A M 1362A 4 MECG Cable M 1363A M 1363A Troubleshooting T he only functional checks that can be carried out on the patient modules and cables are those outlined in Chapter 10 Safety M aintenance and Calibration 230 Transducers and Patient Modules Safety Introduction T his appendix gives you safety information for patient user and monitor General Safety Information Equipotential T erminal v T his symbol is used to identify terminals that are connected together bringing various equipment or parts of a system to the same potential T his is not necessarily earth potential T he value of potentials of earth may be indicated adjacent to the symbol Protective Earth T erminal CL T his symbol identifies the terminal for connection to an external protective earth Battery Symbol 2x1 5V HF A T his symbol identifies the battery holder con
61. 10A USA C anada M 1911A Europe M 1913A Japan Aquasonic Gel 40483A 1 or Ultrasound Transmission Gel 40404A Documentation Instructions for Use 1 language as appropriate for your country Quick Reference Guide 1 language as appropriate for your country Installation and Service Guide CD ROM 1 Enolish only Error Reference Card English only 1 Sensor Placement Guide 1 FSpO gt Subscriber s M anual U S A only 1 Application N ote N ellcor O xiFirst Fetal 1 O xygen Saturation M onitoring Technical ssues language as appropriate for your country Pocket Guide to Fetal M onitoring only 1 Supplied with English shipments 1 Only one transducer is supplied if option C 01 was ordered General Information Optional Accessories In addition to the items mentioned in the previous table the following are delivered when the appropriate option has been ordered Table 1 2 Optional Accessories pe Oring Nan M aternal Accessories IUP Transducer 5uV and Kit 1290C Option 05 Pressure Transducer with IU P Kit 14099C and Transducer H older Barcode Reader H BCR8200 plus Barcode Booklet D ual Serial Interface Board M 1350 66533 C able Serial M 1350 61609 for external devices OBM S O DIS System Interface M 1350 66532 Board inc RS422 Instrument Identification Localization Options Philips uses a two section serial number XXXXG00000 for instrument identification T his is located on labels
62. 135 Toco parameter test flowchart 160 ultrasound 218 ultrasound parameter test flowchart 158 US MECG combi transducer 225 troubleshooting flowcharts error 500 141 error 502 142 error 506 144 error 507 145 error 513 146 error 515 147 error 516 or 517 148 error 525 and 527 149 error 526 150 error 532 151 error 533 152 error 534 153 error 535 154 error 536 155 error 601 157 error 602 158 U ultrasound parameter test 158 ultrasound transducer electrical check 128 specification 217 testing 218 troubleshooting 218 visual check 128 Upgrade option S01 87 upgrade options 75 US MECG combi cable connections 226 dismantling 225 specifications 225 V voltage fuse values 45 output from frontend board 143 output from system interface connection 61 power supply board output 143 setting 17 18 system 17 system voltage checking 45 W warnings 2 writing the error log 41 249 250 251 252 253 254
63. 155 Error 540 Fetal SpO gt Board Error 540 DISPLAYED Y Switeh Monitor Off Remove FSpQ board Switch Monitor On Is Frr 540 NO displayed Switch Monitor Off Remove all B type Interfaces from the Monitor Switch Monitor On Is Err 540 NO Replace FSp PCB displayed YES Check as for Err 500 Figure 11 19 Troubleshooting Error 540 interface PCB gt Replace remaining B type Err540ap tif Troubleshooting Error 601 Recorder Paperfeed Troubleshooting Err 601 DISPLAYED Is correct NO paper loaded A Replace with correct paper YES Is Clean amp check optical YES Err 601 NO Seer ae paper Sensor displayed Is Err 601 displayed NO gt Error corrected Press marker Time for 1minute Press marker again Measure distance between arrows Distance should relate to Speed recorder set to e g recorder set to 3cm min marks Should be 3cm apart Is distance correct NO 7 Exchange recorder assy replace stepper motor Check as for Err 500 Check Paper Sensor Detector connection to Digital PCB Is Err 601 displayed NO NO cord ErroO1p tif Figure 11 20T roubleshooting Error 601 Caution The use of recorder pa
64. 201 eject mechanism and base assembly 207 motor 205 210 motor and side plates diagram 205 paper box 212 paper eject mechanism and base assembly 208 paper table 204 paper tray 204 printer table and thermal line printer as sembly diagram 203 recorder assembly removal 176 recorder settings 213 replaceable parts 214 side plates 205 side plates and platten 208 thermal line assembly 210 thermal line printer 204 thermal line printer head 202 tools 200 recorder maintenance 128 recorder print offset 213 recorder settings 213 regular maintenance 128 replacement and removal backplane 174 batteries 175 boards 173 digital interface board 180 display assembly 182 front panel assembly 186 frontend board 178 NIBP connector tubing 185 power supply 170 power supply board 170 power supply board fuses 172 recorder assembly 176 SpO2 cable 185 switch boards 187 top cover 169 response mode 28 ROM board a functional description 102 safety test connector Metron 123 Safety test S2 protective earth test 127 Safety test S3 patient leakage test 127 Safety test S6 enclosure leakage current test 2 127 Safety tests instrument safety test 126 overview 7 Index performance tests 125 power on test 125 visual inspection 125 when to perform 124 securing device 182 self test 118 245 self tests overview 7 serial number 77 serial prefix numb
65. 5 Error 540 Fetal SPO gt BOA rasa lato a ace dm aie ek Shed ik hte oe abd Sasa aoe cie 156 Error 60 F Recorder Pan Ce ssscracdesshan ies iaa Werke adidas 157 Error 602 INCOTERMS AAA 158 Mis AR ace Weta a a ecole aie te race Se Radi hela a a grate ae es 158 Direct ECG Parameter TCS iaa A A iho A daa ch aca ad 159 Material ECG Parameter Tetra ii weak deh ane whack eee de ede ias 159 TOGO Pares wien ude tod idee A bee eu tener use Eas 160 Maternal SpO gt Parana Te ticki Ghresea tae heer ASA 161 Fed SPO gt Paramar TET erario ie acabas apo des 162 NIBP Parametros aca ca 163 External M aternal Parameters ad A AAA A A ee ad 164 Recorder Pape Sensing ar AAA ae a 165 FSO MONITOF a ets eta a gal dest a A aC A acai nea e Aena 166 14 Removal and Replacement ProcedureS ccccceeeneeeeeeeeeeeeeeeeeenneees 167 PEVEIO CHLICELOIN speceag sf Spaz sans craeva ee O Bea eee abana ah eh behead pe 167 T est Inspection and Safety Procedures ooo a dd a AR ea ee 168 T OO eee A O RN 168 REMOVING Me Top COVE oa aa io io ad ci 169 Contents vi RETASEMDIY cutters tence gas aie ate alanis A aoa tr oe a rete aca ee eae eee anes eae 170 POWEr SUD DIV BOI A ee nal ear ein eel ea ee ee 170 BOOS napa facing bot wae deadline Wg a ie eee aes Oy arate E eb oe cea 173 OG NGS ce Se O 174 BOOMS ri RAE a idad 175 REAT o A RS E NS 176 o A O EN 178 ReplacementorFrONtena BO cir acia 179 Digital Interface Board sind a AA deta 180 DISPO ASEDIO ara AAA A pea e
66. 500 141 error 502 142 error 506 144 Index error 507 145 error 513 146 error 515 147 error 516 and 517 148 error 525 and 527 149 error 526 150 error 532 151 error 533 152 error 534 153 error 535 154 error 536 155 error 601 157 external maternal parameters 164 fetal SpO2 parameter test 162 internal fetal parameters 162 internal maternal parameters 161 maternal SpO2 parameter test 161 MECG parameter test 159 NIBP parameter tes 163 recorder paper sensing troubleshooting 165 Toco parameter test 160 troubleshooting the system 135 ultrasound parameter test 158 FMP option setting 48 front end board removing 82 front panel assembly removing 186 frontend board error 516 and 517 flowchart 148 functional description 105 output voltage 143 frontend board removing 178 FSpO2 adding 86 functional description CPU board M1350 66513 99 DIF board M1350 66515 103 DSPII board M1350 66507 101 Dual serial interface board M1350 66533 115 Frontend board M1350 66517 105 maternal oxygen saturation SpO2 board 107 Noninvasive Blood Pressure Board 109 OBMS interface board M1350 66532 114 power supply board M1350 66502 98 ROM board M1350 66506 102 system overview 94 Telemetry System interface board M1350 66536 112 fuse checking 45 fuses 17 G grounding cable 233 I initial inspection 76 input specifications 244 installing monitor 19 installing the service
67. 533 displayed on Fetal Monitor f Is the interface cable connected to the correct Internal maternal parameters override the external maternal parameters Proceed as for Error 533 socket on the IF board interface cable i Port 2 Nellcor Port 1 All other external devices in the correct port on external device the correct No IF cable used DIP switch setting No on the dual IF board correct correct SW Revision gt installed in the Fetal Monitor gt values shown on external device Yes Check the external device settings and function Refer to chapter 7 and the Service documentation provided with the external devices gt Refer to chapter for details 2 CMS M1350 61609 required Refer to chapter 7 for details 1 Check SW Rev via Error Log 2 Refer to chapter 5 for correct software version Refer to the Service Documentation provided with the external device Materpar tif Figure 11 29T roubleshooting External Maternal Parameters 164 Troubleshooting Recorder Paper Sensing NO PAPER SENSING Is correct paper used 7 NO gt Replace paper with correct type Check recorder ON Does error still occur NO Error corrected Check connecti
68. 66534 kee eens 107 External Blood Pressure NIBP Board M1350 66535 o oooocommccncca 109 Fetal O xygen Saturation FSpO gt Board M3000540 AO Eno o O 111 Telemetry System Interface M 1350 66536 ooooccoccococonon ete eee e nent ennes 112 OBMs bntetace Board M 1350 66532 gt sas orar en 114 D ual Serial Interface Board M 1350 660533 cria ht Gi ied e tits 115 12 Safety Maintenance and Calibration 0cccce cece eee e seer eens 117 PROC CEO CORR PO POS EE E O 117 CCA AG NGM ONICON aida odiada 117 PRIORI aCe ASUNE TeS reae p Be add do adi lea 118 SCM A weather ee 118 arameo retiraba dai daa Gaia De met ads pdas 118 ONT Ip gt Camm a ete ee AE Ae aaa 119 Performan E A Soul oi N TBP ista da dada tas 121 ACCURACY A he Settee en hee eee eee Ree eee Lea eee anew ae tes 121 Leke FEN serra ee Gates ip Eh boa ae 121 Lince ii is eae Gn tate Arn ae de ae dents ah ee hy ap a aaah tiene aa Game oe UR Banc edo a ane es 121 SS Loud oo E ee ee EE RR ee Ee eae ee ee mee am eee O 121 EVITE its AA ae ea ne RO Oe BER Rowe ice ene 121 Pa maneta Sordos rosita aborde bardas Ghee all Gea tas whee 121 SM TES DA A A A AS A ii 122 sy EN BES la ROCCE OS east OEP A 122 Wien to Paton Salary Test ada ada aa 124 H ow to Carry O ut the Safety Teran ii 125 Reg la Mantente SA ome hee aoe ee 128 Mechanical SO CCE std AA zi 128 Recorde Mantan e anana E a ae 128 WItSSOMA Trn arrieros radial sa pda 128 TORO TRUC irradia 130 ME EA
69. AC Amplifier Speaker Quiet j AD Result bus Quietbus AD Control to Frontend driver pegblk10 tif Figure 96 DIF Board T he Digital Interface D IF board provides the interfaces to recorder display speaker Frontend board and external service computer After system startup the CPU starts the A D control chip ADEM UX a proprietary Philips C which divides the signal from the clock circuit and generates an interrupt every 2 5 ms T he 68000 on the CPU board then programs the AD EM U X to select the analog channels for A D conversion the analog digital conversion of up to eight channels is done by ADEM UX without further intervention by the CPU A D conversion is by successive approximation After the next interrupt the CPU reads the results stored in registers within ADEM UX ADEM UX also receives values from the CPU for audio output The quiet bus is only enabled during CPU access to the Frontend board to minimize noise on the analog amplifiers on the Frontend Address and data bus drivers decrease the load on the system bus T he recorder interface consists of Theparallel serial converter for the thermal array data A heating timer to control the heating pulse for the thermal array T he voltage from a thermistor on the thermal array isA D converted and the CPU programs the heating timer with a value which compensates the ambient temperature Therecorder sensing hardware consists of two reflective light sensors one d
70. Assembly is a reversal of the above procedure Caution The use of recorder paper that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty Removal and Replacement Procedures 177 Frontend Board To remove the Frontend board proceed as follows serv6_10 hpg Figure 12 9 Removing the Frontend Board T urn the system off disconnect the power cable and all transducers L Remove the monitor top cover 2 Removal and Replacement Procedures 178 Disconnect the switch board cable 1 Disconnect the cable 2 from the connector on the DIF board Remove screws 3 and 5 and release the clips on either side of the transducer connectors Remove the Frontend board with its metal holder from the monitor Slide the Frontend board carefully to the rear of the monitor and lift it up out of the unit OO A ey OY a Remove screws 4 and 6 to renove the Frontend board from the metal part Replacement To replace the Frontend board reverse the above procedure Ensure that you position the board of Frontend under the two metal holders 7 and 8 and the ground clips 9
71. C enter Err xxx indicates a technical failure diagnosed by the monitor s self test program Error 601 3 Paper speed Check that correct paper is used Check the speed by timing how long it takes for the paper to advance 1cm 60 seconds 1cm min 30 seconds 2cm min 20 seconds 3cm min Contact a Philips Service Engineer or Response C enter if the speed is incorrect 3 Incorrect type of paper loaded Load with appropriate scale paper or change monitor s paper format setting 1 Displayed for ten seconds when the monitor is first switched on 2 Printed every 10 minutes 3 Printed every three pages LCD Display W arning Messages Table 11 1 Noninvasive Blood Pressure Audible i i e Action Required Indication eq Cuff pressure increases above Yes Check to see if cuff is being pressed manually perhaps serere 330mmH g or remains above cannot be switched off by patient movement and restart the measurement 300mmH g for 2 sec Cuff deflates automatically A es Patient is moving Yes if alarming is on Restrain patient movement and restart the measurement Inflation deflation takes too Yes if alarming is on Check that all tubes are connected properly not long blocked leaking or defective Ensure that the correct cuff is being used Restart the measurement N BP error Tubing obstructed or hardware Yes if alarming is on Check tubing Switch monitor off and try measurement A problem again If problem persist
72. CG electrodes Specifications Input Impedance gt 10M Q CMRR with patient cable 51 5kQ 0 047uF imbalance at line frequency gt 90dB N oise referred to input with 25kQ lt 4uVp Contact Potential Difference 500mV Input Voltage Range 80uV p to 4mV p Patient Leakage C urrent 120V at 60H z 10uA rms Patient Auxiliary C urrent lt 0 1uA dc D ielectric strength 1500V rms spark gap protected T ransducer W eight with C able 175 grams Cable Length 2 5m 8ft 2in 222 Transducers and Patient Modules Parts List Table 15 3 Cable Connections Pin Cable Color 2 Pa Bridged by Code Resistor 12 4 KQ 0698 3519 Table 15 4 MECG Transducer Parts List tm rr oy Complete T ransducer M 1359 60001 O e Electrode C able not shown M 1531B po Patient Electrode not shown 40493D os Connector Rose 1252 4830 po Cable Boot 08030 41701 Troubleshooting T he only functional checks that can be carried out on the M 1359A M ECG Transducer are those outlined in Chapter 10 Safety M aintenance and Calibration Transducers and Patient Modules 223 US MECG Combi Transducer M1358A Figure 15 5 US MECG Combi Transducer Description TheM 1358A US M ECG Combi Transducer gives the end user the possibility to monitor both the FHR and M HR using onetransducer T he U Itrasound transducer operates in exactly the same way as the standard U Itrasound transducer The M ECG transducer has two press fit type c
73. Check Ensure there are no cracks in the patient module and that the cable is not cracked or broken and there are no cracks on the connector plug Electrical Check Connect the patient module to the Cardio 1 C ombi socket FSpO 5 channel DOOR m 2 Connect the FSpO gt sensor Check that the red LED s on the sensor are working and that the y E io 00 0 monitor FSpO gt display shows ECG channad 1 Ensure that the Cardio 1 Combi channel display shows NOP without adapter cable M 1362A or M 1363A 2 Connect theM ECG adapter cable M 1363A alternatively if no maternal parameters are installed on the monitor you can use the DECG adapter cable M 1362A instead 3 Makea short between the two wire contacts you can use a wire or bent paperclip NOD should disappear 1 M 1364A in the presence of strong electrical fields 50 60H z NOP may disappear even without additional cabling 132 Safety Maintenance and Calibration NIBP Calibration Philips recommends that you calibrate the NIBP module at least once every year or whenever the validity of the readings is in doubt Use a calibrated pressure gauge kit to calibrate the NIBP module If you use a mercury manometer you must connect an expansion container volume 250ml 10 to the pressure circuit to simulate the cuff air volume connecting material can be ordered under part number 78354 67001 A mercury manometer is not as accurate as the recommended
74. D Description Size number Qty 36 T ube Flex 0890 1767 2 36 Screw Shldr 0515 2524 2 1 Spring screw side plate M3x4 0515 1508 1 1 W asher 3050 0681 1 Flex Layer 10a 10b Flex layer M 1350 46551 1 5 9 Screw M2x4 0515 0977 2 5 9 W asher 3050 1283 2 Paper take up tray not shown M 1350 00452 216 Recorder Assembly and Disassembly 15 Transducers and Patient Modules Introduction T his section deals with troubleshooting specifications dismantling and assembly and parts listing of the transducers used on the monitor TheBluetransducers can only be immersed in water while monitoring when they are used with the HP Series 50 T T elemetry System T he telemetry transmitter must NEVER be immersed in water T heblue ultrasound and T oco transducers are protected against the effects of continuous immersion in water according to IEC 529 IP 68 Warning NEVER immerse any transducer in water when it is connected to the Fetal M onitor Ultrasound Transducer M1356A Do Description TheM 1356A Ultrasound Transducer detects fetal heart movements by directing a low energy pulsed D oppler ultrasound beam towards the fetal heart T he transducer contains seven crystals which transmit the ultrasound signal and receive the reflected signal from the fetal heart The psm9sca tif Figure 15 1 Ultrasound Transducer Transducers and Patient Modules 217 frequency shift caused by fetal heart movement is converted into
75. DSAO 3 H Shake T O Battery R Backup IRPT IRPT Slot Circuit logic SIRQ1 2 pegblk03 tif Figure 9 3 CPU Board T he Central Processor Unit CPU board is the heart of the system and as master of the system bus it controls most other boards The 68000 microprocessor and associated support IC s provide system functions interface control Cs support the Barcode Reader Interface and the bus control section controls the system bus T he card is directly connected to the ROM board which contains all the system software Theory of Operation 99 100 T he board includes the following sections M icroprocessor section 68000 microprocessor CMOSRAM memory partially backed by a battery to store short time device settings etc A non volatile EEPROM memory for permanent device and user settings A real time clock battery backed and power fail protected T he processor has access to all clock registers The W atchdog ASIC monitors the operation of the microprocessor and restarts the system if it is not served at a constant rate O utside interface section TheCPU M 1350 66513 interfaces barcode readers which use a RS232 connector A battery drawer which contains two batteries of type IEC LR1 sizeN Battery control and test circuit to provide battery voltage when the power line is switched off and to detect battery low condition Bus control section Address and data bus control chips Board select logic to access all s
76. ESSAGE Select with gt cursor keys lt or gt E S D X lt then press lt ENTER gt to execute Running the Cyclic The Cyclic Test is a continuous Self Test Any errors are written to the Error Log and can be read Test using Read ErrorLog Press any key to stop the test and return to the Service M enu During the test the keys on the front of the monitor are disabled CYCLIC TEST is started It starts a continuous self test of the monitor Press any key to stop this test Read ErrorLog to see the errors that occurred while self testing MESSAGE Configuring the Monitor Reading the O ptions T his lists the options installed on the monitor Press any key to return to the Service M enu The options on your monitor may be different from those shown Implemented Options Fetal Movement Profile External Twin Monitoring MESSAGE Press any KEY to continue Reading the Error T his displays the error log See Chapter 11 for a list of error log messages Log gt PAGE 1 lt Errorlog of 2948G00010 Err Count lst Date Time last Date Time Code nnnn yy mm dd HH MM yy mm dd HH MM Use gt W lt to Write ErrorLog Data to File gt ErrLog DAT lt use CursorKey gt Down lt or gt X lt to see next Page lt ENTER gt to leave T he error log lists Themonitor s serial number Theerror code and the number of times the error has occurred T hedate and time the error first occurred T h
77. F Board CD 515 IF Board A2 Display Telemetry IF and 526 RS232 536 O Service RS232 CPU Board 513 Barcode IF RTC Battery Config EPROM Recorder Assy ROM Board 506 Stepper Printhead A Paper sensing Powersupply 502 28 Y 7 Backplane 24 Y Switch Board 50 ra ey d 5V pgblk8Qa tif Figure 9 1 System Overview 94 Theory of Operation 9 1 shows the boards and their interconnections TheCPU board which has overall control of the entire system is connected to the ROM board which contains all the system software by the system bus T he software for individual boards is loaded from ROM at startup T he signals from the transducers receive some analog conditioning and are then digitized and loaded via the DIF board into the CPU board RAM TheCPU passes the data to the D SPI board which processes it in the two signal processors M ost data movement is by Direct M emory Access DMA The maternal parameters NIBP and maternal SpO and fetal SpO 5 are processed completely by their respective modules T he results of the processing are transferred from the signal processors via the D SPI to the CPU board RAM and then distributed to the outputs for example the recorder traffic lights and interface boards T he backplane is passive all decoding and similar functions take place on the individual boards TheCPU also handles data exchange between the maternal interface and the soft keys Theory of Ope
78. Filter Amplifier plexer j Ambient Light Tee Detector Resistor 16 Bit A to D Converter Variabl Ae hina Digital Filter and nirared ir uren p Gain Control EDs Source Floating Power OP TO Floating td 7 Coupler Power Supply NON FLOATING SECTION RAM j lt Micro lt NJ Communication ROM dl Processor with instrument SpOZbd tif Figure 9 8 Maternal SpO Board The maternal oxygen saturation SpO gt parameter is based on the principle of pulse oximetry in which arterial blood flow through tissue is detected optically An adaptor holds two LED s against one side of the patient s finger or ear One LED emits red light the other infra red light Against the other side the adaptor holds a photo diode T he device can register small changes in the conductivity of light in response to patient pulse By isolating the pulsatile component of the signal the maternal SpO 5 board eliminates the effects of absorption from tissue bone and venous blood T he more heavily blood is oxygenated the brighter red it becomes H ence an algorithm comparing the conductivity of red and infra red light thereby measuring the color of the blood can also offer an indication of oxygen saturation The maternal SpO 5 board is divided into two distinct areas floating and grounded T hese are connected by two high voltage optocouplers for data transfer together with the power transformer for power transfer The sampling o
79. G 30 to 240 bpm Maternal External Blood Pressure Pressure Transducer 15 C to 25 C Accur oom 10 C to 35 C 43 mmHg 0 6 of reading 1 7 of reading 2 5 10 15 30 60 minutes Cycle Time Auto manual Typical at HR over 60 us a Limit Alarms Adjustment O verpressure Safety 300 mmHg for more than 2 Limit seconds or 330mmH g immediately Pulse Rate Range M easurable within heart rate range of 30 to 240 bpm averaged during NIBP measurement Maternal Pulse Oximetry Percentages E OO CC ET EC EI O EI EC O Pulse Rate Limit Alarms Raae 70 90 Adjustment 1 steps 4 Accuracy at 1 standard M1191A 70 to 99 deviation M 11924 7010 99 M 1194A 70 to 99 N ellcor sensors 80 to 99 Maternal ECG and Heart Rate Resolution Recorder 0 25 bom D isplay 1 bpm Heart rate Alarm Limits 30 to 250 bpm excluding NIBP Adjustment 5 bom steps Maternal Display Section Numerical Two heart rate displays orange and one uterine activity display green Display Type 10mm 7 segment LEDs Maternal The maternal display shows Display systolic measurement diastolic measurement SpO gt level maternal heart rate if derived from M ECG pulse rate 1f derived from pulse oximetry or average pulse rate if derived from N IBP Alarm status for each parameter except N IBP pulse rate Warning message if any Instrument Displays Mode Display M ode display for M ECG and Telemetry
80. N ursing notes can also be documented using an optional barcode reader Either of the monitors can be upgraded to include all parameters depending on availability within the country of purchase 8 General Information Overview of the Monitor Figure 1 1 Major Parts Re M onitor On Off Switch M onitor On Off Light UJ Recorder K eys Recorder M aternal Parameters Cardio 2 Channel Toco Channel Cardio 1 Combi Channel Oo ae oes Ie General Information 10 11 12 13 14 15 Function Key T elemetry Indicator FSpO gt parameter O pening Recess Socket for Remote Event M arker Setting Keys Service Socket Cardio and Toco Channels 10 feta4 tif 10 xmeteta4 tif Figure 1 2 Cardio and Toco Channels Toco Display shows uterine activity Fetal SpO 5 display shows fetal pulse indicator signal quality alarm status and cross channel verification plus indicator Cardio D isplay shows the FHR Signal Q uality Indicator shows the quality of heart rate signal detected by the transducer e Green optimum e Yellow fair to potentially poor e Red unacceptable Function Key selects menus for e FMP twins offset logic FH R alert and FSpO 5 returns to normal display MECG Indicator shows when M ECG is being measur
81. OVES airis droit id 94 Powa SUDY BOTA PSU pri O Ada at 98 eP UBO ei eeaga nee NS ae Te tol ee eee a 99 SPINE ONG scant cura O che Gti Eee ase OO neg ae eee 101 ROM BOJO risa ais ar ie 102 DIP COAG seria rra Narea bebe s 103 FIONUCNG BOG saci etn A eee eee ara 105 Maka nelspOSBOdd itunes irene a Greene a 107 External Blood PressureBoard ow ccc eet eee ete eens 109 Fea SPOS BOA 4246240 ci cee moder han phe eun Ms es onde Lee teem dake iid 111 Telemetry System Interface nuanua nanne 112 OBM Ss INnteiaceBOdld rra vote then diy Lid oud bree baa thee 114 Dial Serial lntefaceBoda currada as dae Eee aaa Made VS esa 115 Recorder TETP cursis dcir iaa 120 Testing an Ultrasound Transducer usinga Pen ccc cece eee eens 129 Position of Crystals in an Ultrasound Transducer oo cece es 129 Checking an Ultrasound Transducer ww kt tent e eens 129 Connecting the Pressure Gauge 6 nananana nana 133 Troubleshooting Flowchart for the Sytem ketenes 135 Xi Figurell 2 LEDSIM MERC PANG sexista ten eR ONDA Reha a a ei 136 Figure 11 3 LEDsontheDIF and Frontend Boards ccc ccc eens 136 Figure 11 4 Troubleshooting Error 500 arranca 141 Figure 11 5 Troubleshooting Error 502 uaaa naana aaaea 142 FIGUFE L126 Powe SUppiy BOIA rra is aa A 143 Figure 11 7 Troubleshooting Error 506 ciar AAA AA AA 144 Figure 11 8 Troubleshooting Error 507 orar aaa 145 Figuretl 9 Troublenooung EMOS ri A diia 146 Figure 11 10 Troubleshooting
82. Procedures Removing the Spring and Spacer 4 E A a PN spring1 hpg M ake sure that the display panel is shut U nscrew the spacer 1 from the frontend board as shown in the diagram Remove the end of the spring from the small hole on the protruding tab of the edge of the display assembly M ove the other end of the spring from the groove in the spacer Reverse this procedure to replace the spring and spacer Removal and Replacement Procedures Figure 12 10Removing the Display Assembly To remove the complete display assembly with the tilt mechanism l A E 6 If you have not done this already turn the system off disconnect the power cable and all transducers Remove the monitor top cover Remove screws 1 2 3 and 4 Disconnect the cables from their connections on the DIF board Slide the entire display assembly a small way through the front panel Remove the ground cable and then remove the assembly completely Replacement is a reversal of the above procedure Insert all four screws to center the closed display assembly before you tighten the screws It isimportant to use the correct screws and exert a minimum of pressure when doing up the screws Excess force can damage the display assembly Caution Ensure that you use the correct screws Exert a mini
83. R Check as for Err 500 Figure 11 13T roubleshooting Error 526 Erro26bap tif Troubleshooting Error 532 System Interface Board Error 532 DISPLAYED Switch Monitor Off Remove System PCB Switch Monitor On Is Err 532 NO displayed Switch Monitor Off Remove all B type interfaces from the Monitor Switch Monitor On PCB Replace system interface Check as for Err 500 Figure 11 14T roubleshooting Error 532 interface PC gt Replace remaining B type B Err 32ap tif Note If Philips M 1350 66536 is connected at the same time check the correct setting of C13 see Chapter 5 Troubleshooting 151 Error 533 Dual Serial Interface Board 152 Error 533 DISPLAYED Switch Monitor Off Remove Dual Serial PCB Switch Monitor On Switch Monitor Off Remove all B type interfaces from the Monitor Switch Monitor On Is Err 533 NO Replace Dual Serial PCB displayed YES Check as for Err 500 Figure 11 15T roubleshooting Error 533 interface PCB gt Replace remaining B type Err533ap tif Troubleshooting Error 534 Board Error 934 DISPLAYED Switch Monitor Off Remove SpO board Switch Monitor On Is Err 534 displayed NO Switch Monitor Off Remov
84. RIqQUre 2 1 RAENOVING The TOP COVE currada iran 169 Figure 12 2 Removing the Power Supply cette eee tenet e etn eens 170 Figure 12 3 Removing the Power Supply board ww cette eee 171 Figure12 4 Output Voltage from Power Supply board eens 172 Figure 12 5 ReplacingaBoard vir RADA AA a 173 Figure 12 6 RemovingtheBackplane ccc eee tee eet a teen tenes 174 Figurel2 7 Replacingthe Batteries icc ete e tenet eee ESEE ENA 175 Figure12 8 Removing the Recorder Assembly 1 cee tent eee nenes 176 Figure 12 9 RemovingtheFrontend Board ccc ttt 178 Figure 12 10 Removing the Display Assembly 1 1 ccc ttt ete tent nes 184 Figure 12 11 Removing theSpO 5 Cable and NIBP Connector Tubing cece eae 185 Figure 12 12 Removing the Front Panel Assembly oo tet e teen enes 186 Figure 12 13 Removing the Switch Board sanasa saaana aeaaaee 187 FIGUFGIS PareDiegianl oir ia ie 193 Figure 14 1 Component NAMES ciar 201 Figure 14 2 ReplacingtheT hermal Line Printer Head o ooooocoococoncoc 202 Figure 14 3 Paper Table and Thermal Line Printer Assembly ccc cece eee 203 Figure 14 4 Motor and Side Plates o0oo oooooocrrrncn teeeten tenet etennennae 205 xii List of Figures Figure 14 5 Eject Mechanism and Base Assembly 1 ccc cette tenets 207 Figure 15 1 Ultrasound Transducer 1 cece tenet ete e etn tee ntennees 217 FEIQUIS1S Z TOOT RAMSQUES rias ts 219 moure ios DECO TIMAC erra
85. ST a oi Ed da dais 131 Contents Vv Maternal PO ransalice irrita iia 131 Patient M odules M 1365A and M1364A ooocooccoccrcrr eee nent n tenn nnees 132 NIBP C alDiatl ON ida dd A A eee eee ene whi eee anes 133 NIBP O Va pressure TO usara ain eect hae ea eae oi 134 13 LFOUDICSNOOUNG 220 ect ietn ent needa wee OO MOHO yr aia AD aA ode cone nc 135 Operator Error M CSSA GS e u ards h od Alec AAA lak dete Sided Wolk aed hob At Aca ed Ab ad wet Se 137 LCD Display W arning M essagesS sick os sie hte dalla aaa ina lc 138 SOMESENOES td ri e Races E AA NI ee ask 140 Error 500 General Failure sour AAA DEN GEOR TNR w COREA era iaa 141 Error 502 PONS SUDOV vs di TI a AAA NOE Eaa aoe 142 Error 506 ROM BOAR rra a EA bth Pak ee aaa 144 Error 507 SPR OAR id Ge An Aetna ma GA Noe EOE Moon A eee 145 Error 513 CPU BOSU arrays er la be bd ee eee A bees rate 146 Error 515 DIRBOTA weasels cadee ose nad aed a iol Pea eee aoe O ADO AAA 147 Error 516 or 517 Frontend BONA se fo sicace catg case ro ra date ty ded A a AAC th Rak eae Ede wore Mek las aS 148 Error 520927 LED Display BOA airada dida abc ace dc 149 ETTOFOZO LED DiDa Board Cirsa A A ida 150 ERO D 32 System Intafxe Boda india ia 151 Error 533 DUal Serial MCG ACe BOLO sida Aa ad dao aa 152 Eton 3d Matana SPOS Bod inc ada roo rbd haath ddr 153 ERRORS 9 NARBONA ecw hh eal Boe a OR eo a 154 Error 536 Telemetry InterfaceBoard n n ce eet tenet ent etn tent ennees 15
86. Series 50 Fetal M onitors Series 50 XM M 1350B Series 50 XMO M1350C INSTALLATION AND SERVICE GUIDE M 1350 90008 Printed in Germany April 2002 PHILIDS Notice Philips makes no warranty of any kind with regard to this material including but not limited to the implied warranties of merchantability and fitness for a particular purpose Philips M edical Systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing performance or use of this material T his document contains proprietary information that is protected by copyright All rights are reserved N o part of this document may be photocopied reproduced or translated to another language without prior written consent of Philips M edical Systems The information contained in this document is subject to change without notice Philips assumes no responsibility for the use or reliability of its software on equipment that is not furnished by Philips Purchase of this instrument confers no express or implied license under any N ellcor patent or copyright to use this instrument with any fetal oximetry sensor that is not manufactured or licensed by N ellcor TMD inamap is a trademark of General Electric TMPress M ate is a trademark of the COLIN Corporation Federal Law US restricts this device to sale by or on the order of a physician Caution Failure on the part of the responsible individual hos
87. Supply PSU board operates as a linear regulated power supply with rectifier capacitor and regulator It generates the following voltages Regulated DC 12 V 5 V and 24 V Unregulated D C 28 to 35 V AC 28 V 98 Theory of Operation The regulated voltages have an electronic short circuit current limit The 24V DC regulator works independently from the others T he internal 2 5 V reference voltage is generated from the 24 V so if the 24 V section is inoperative the rest of the power supply won t work The 12 V regulator also needs the regulated 5 V to work correctly T hetwo resets open collector outputs are active low when either the V is lower than 4 6 V or the 24 V islower than 14 8 V The CPU reads the PSU board ID and its four status bits T he Status bits are Linefrequency clock to differentiate 50 and 60 Hz 5V over voltage protection bit PSU error 12 V current limit bit overload of 12 V or PSU error m 12 V current limit bit overload of 12 V or PSU error RAM Clock Reset Clock RAM bat back Control Circuit Cntr 64 kByt 64 kByt Reset N yte yte 80 MHz 128 Byte Board Board an Selects ea 051 real time 68000 clock Adar CPU Buffer alle A1 23 Barcode 10 Mhz i Data C interface Buffer Data O DO 15 N N DMA E Watchdog DSA C logic Battery
88. Telemetry mode will be displayed when an 80240A or M 1310 Ultrasound Telemetry System is connected and powered up Two signal quality indicators cardio channels only green yellow and red show signal quality Acceptance lamps flash with valid heart rate measurement M 1350B only Ultrasound External and Internal Toco Ultrasound Pulsed D oppler oscillator Mode U Itrasound Intensity 1 5mW cm average for each of the seven active surfaces using M 1356A transducer External Signal Range 0 to 100 units Labor O ffset Compensation 200 units Intrauterine Signal Range 99 to 12 mmH g Pressure Patient Leakage C urrent 10uA Displayed pressure unit mmH g Sensitivity Automatically selectable between 40uV V mmH g 1290A and 5uV V mmH g 1290C Recorder FHR Cardio Scales Testing Facilities Recorder mechanism 5 channel high resolution 8 dots per mm 200 dots per inch thermal array recorder paper end detection Paper speeds 1 2 and 3cm min Annotation time of day and date automatic annotation every 10 minutes paper sensing mode annotated with each alteration of parameter Paper advance speed 24cm min Automatic stop at perforation line Uterine activity Toco scale Vertical Scale Size Icm 8cm Vertical Scale Sensitivity 30 bpm cm 20 bpm cm Range 30 to 240 bpm 50 to 210 bpm 0 to 100 units Z fold paper with numbered pages Recording times per pack 8h 20min at 3cm min 12h 30min at 2cm
89. To carry out the test QuickT est 1 Remove any monitoring equipment plugged into the input sockets Switch off or disconnect the telemetry receiver and any external devices connected to the monitor 2 Switch on the monitor 3 Press and release the test key Check that all parts of the LED display windows light followed by all the mode symbols The upper and lower parts of the display flash alternately for about 10 seconds The left half and the right sides of the LCD display flash light and dark alternately Safety Maintenance and Calibration 119 120 A test pattern is printed on the paper During the test the recorder paper speed is automatically set to 3cm min and a test pattern is printed onto the recorder paper gt N o o S IN A BO So SO iN GS 3 ee Wi D O D O g So
90. US1 US display e QOorlisshown in theT oco display 4 Press F A again to select the Function M enu e AO01 Print the Error Log is shown in the U S1 US display 5 Press repeatedly to select A03 6 Connect one or more transducers the test performed depends on the transducers connected 7 Plugin the marker and hold its button down with tape You can also use a shorted phone jack to simulate the action of the marker 8 Press M to start the permanent test T he permanent test runs until you release the marker button Caution DO NOT perform this test while a patient is being monitored Safety T ests Safety T est Procedures 122 This section defines the test and inspection procedures applicable to the Series 50 XM and XM O Usethe tables in the following section to determine what test and inspection results must be reported after an installation upgrade or repair has been carried out Test Blocksin T ableT able 10 2 tells you when to carry out the safety tests Testand Inspection M atrix in T able T able 10 3 tells you how to carry out the safety tests Warning Apply the safety test limits set by the local standards and statutes applicable to the country of installation such as IEC 60601 1 UL2601 1 CAN CSA C 22 2 No 601 1 M 90 T he safety tests defined in this chapter are derived from local nand international standards but my not be equivalent They are NOT a substitute for local safety testing
91. adING the Sevice Progra diia rr dada eek eee ik 35 USAGE Sevice PLONE ARAS AAA AAA 36 MAMA AAA A AS Aa 36 Contigua te MONITO deis dsp Pee aah ences t ore ahaa nae paw pa a a 37 AQIUSHNO TNE Recon E aw ea ae Aaa 38 ne hd Me ERC ee ee ee ee OR 39 7 Getting Started Basic Considerations and Operation n acca cece eters 45 SELECTS MINS ANG Date ias aaa dr aia cian 45 ChanamdatnetIM FO ME turcas A A ee adie did 46 Setting Paper Speed and id A AAA AAA AAA 46 Sang THE PADS Speed vii rn AAA A a a AAN A AA 46 SEUNG ING FAR Paper Scales sitas arica ideada add dada 47 o A A a ee Ae ae 48 Separating FH R T races T wins Offset o a A A A ae 48 Switching FMP O Ti and OT mecina a a dl aet cape aea d Dd AA AA ds 49 6 System INTA aa aa AAA 51 MORIRSE esa A AA ARTES 51 RETO PAMO AP E A 52 Functions for External Parameter Input oooooocooococnr 54 PAMAN ete eo E E E EA E E T 54 Dl Pa MAT A A O A O ATE 55 SS UCN ANN nn ON 58 A APP IN PI 59 R9232 DUal Seal terrace O PUNTAS ar a AAA hahaa ees acetate ness 61 Connecting Extermal DVC ds tod ida A A A o a a 62 Philips CM S Philips 78352C 78354C Dinamap 1846 8100 Datascope Accutorr M onitor 63 COLIN DO os picada aa ee eee ea ee ee ae eee ee ee ee a aia e 63 NSICOr N 200 0rN A00 MONO AS aw eaves AA AA ar aed AE 64 AS PI E N E EAR E AEA 64 External D evice Baudrate Settings and Configurations 0 0c aaraa aeara 66 FAM Ge CM a sce PI A 66 PADS 093926
92. ade tone or you hear the upgrade failed tone a series of short beeps lasting 2 seconds there may be several reasons e Thebattery in the upgrade key may be low Replace the battery e You may already have carried out the maximum number of upgrades T he upgrade key is programmed to perform the number of upgrades ordered to amaximum of 8 If you hear the upgrade failed tone a series of short beeps lasting 2 seconds disconnect the upgrade key and try again from step 3 above If the upgrade still fails carry out the quick test described in Chapter 10 If the response is not the same as that described in this manual contact Philips Support Service 90 U pgrades 5 Writethe serial number of the upgraded monitor in the space provided on the key In this way you can keep a record of the monitors that have been upgraded M1350 Mode in Germany 6 Stick the feature label to the front of the monitor as in the example below A Fetal M ovement Profile B Dual Ultrasound of_ pl DECG us mi Toco ext DELG US OO EDO EJ kPa mmHg OO O EJ 96 FMP MECG 406 MECG EA EJEA cordia 1 Taco Cordia 2 0 OR i A h PB Q 7 Switch the monitor off and then on it will perform the power on self test If an error message is displayed contact Philips If 8 is displayed the upgrade was not successful T ry the upgrade again from the beginning If is displayed the new sof
93. an upgrade Instruction 2 Checking Current Configuration T he first step in the upgrade process for all upgrade options is checking the current configuration You do this by printing the error log to provide you with arecord of the current configuration After you have finished upgrading the monitor you will need this record to help you to restore the initial configuration See page 30 for instructions on printing the error log Options Requiring this Procedure U pgrades 77 Instruction 3 Removing the Top Cover See Removing the Top Cover on page 12 169 for instructions Options Requiring this Procedure Instruction 4 Using the New Base Assembly W hen you upgrade a Philips Series 50 IX monitor you receive a new base unit that is fully fitted with the options that were ordered All you have to do is transfer some components from the original monitor into the new base unit and perform a firmware upgrade From the original monitor you must reuse the cover the power supply the recorder and the ROM board Options Requiring this Procedure 78 U pgrades Reusing the To removethe power supply from the monitor Power Supply 1 Undo the four screws at the rear of the power supply 2 Pull the power supply out of the rear of the monitor 3 Put the power supply into the new card cache of the upgrade kit T his is basically a reversal of the above procedure H old t
94. be subjected to a field of 3V m over a frequency range of 26 to 1000 M H z with no degradation of performance At many of the test frequencies over the specified range no anomalies were observed H owever increased jitter of SpO 5 values and D ECG derived fetal heartrate values was observed at anumber of test points For these test points the radiated field was reduced to the level at which the trace returned to normal T hese reduced levels are shown in the table below DECG M 1357A 60 M Hzto 68 MHz 2 5 V m 1290C 26 MHzto1000MHz lt 0 7V m SpO gt M1191A 52MHzto 70MHz 2 3 V m M 1192A M 1194A IEC 801 4 specified that the product is subjected to high speed pulses up to 1000 V applied to the power cord and all I O cables During and after most of the test pulses no anomalies were observed H owever in rare cases the ultrasound channel had been triggered Ultrasound M 1356A 600 V M 1358A SpO 5 with adapter M 1191A lt 200V cable M 1940A M 1192A M 1194A System Characteristics Avoiding Interference The phenomena discussed above are not unique to the monitor but are characteristic of patient monitors in use today T his performance is due to very sensitive high gain front end amplifiers used to process the physiological signals from the patient Among the many similarly performing monitors already in use by customers interference from electromagnetic sources is rarely a problem W hen electromagnetic interference EM i
95. breviations AP Applied Parts IUT Instrument U nder T est GND Ground PE Protective Earth 127 Regular Maintenance Mechanical Inspection Recorder Maintenance Ultrasound Transducer The care and cleaning requirements that apply to the monitor and the monitoring accessories are described in the M anual N ame T his section details the periodic maintenance recommended for the monitor and accessories Inspect all exposed screws for tightness Check all printed circuit boards are firmly seated in their connectors All rear panel connections must be tight Check the condition of all external cables especially for splits or cracks and signs of twisting If serious damage is evident the cable should be reolaced immediately T he recorder platen thermal print head and paper sensing mechanism must be cleaned at least once per year or when needed when traces become faint Clean the assemblies as follows Clean the recorder platen with a lint free cloth using a soap water solution m Wipethethermal array using a cotton swab moistened with 70 Isopropyl alcohol based solution Check the paper sensing mechanism is dust free Batteries Replace the batteries with two alkaline 1 5 Volt size N batteries recommended type MN 9100 For instructions refer to Batteries on page 175 Use of ultrasound gel that is not approved by Philips may reduce signal quality and may damage the transducer T his type of damage i
96. cally if you do not press a key for a few seconds Using the Enter Twins O ffset from the barcode sheet Barcode Reader Getting Started Basic Considerations and O peration Switching FMP Off and On The default setting for FM P ison FM P isan option Using Keys To change the setting do the following Connect a transducer to the Cardio 1 C ombi socket Press repeatedly until FLIP is displayed T he Signal Q uality Indicator shows e RED if FMP isOFF e GREEN ifFMPIsON Press or to change the setting Press repeatedly to return to the normal display You also return to the normal display automatically if you do not press a key for a few seconds Usingthe Enter FMP Off or FMP On from the barcode sheet Barcode Reader Getting Started Basic Considerations and O peration Getting Started Basic Considerations and O peration 6 System Interfaces Monitor Rear Panel System Interfaces MES 0 SY STEMI SYS TE a2 O SS Figure 6 1 Sockets for Peripheral Devices 1 Interface for optional barcode reader 2 Interface for Philips Series 50 T Fetal T elemetry System M 1310A and external device See Connecting External D evices on page 62 and Interface for Philips M 1310A on page 52 for details 3 System interface for connection to 80225A 80235A O BM S System and or M 1340A Fetal Tra
97. cations printelem hpgl 52 loco Ext Mode UP Mode Toco Ch US Mode Reserved Mode EPO MSB NOR Ext Parameter Telemetry 12V TRN 12V System Interfaces System Interfaces Table 6 1 Telemetry Interface Pin Connections Function 2 External Parameter marae S MA Ext Par On L Input S Ext Par Code M SB scaling Input S5 Ext Par Code LSB scaling Input S6 US Mode L Input Cardio Channel L Input 12 S8 IUP Mode L RAH pre INC pe fesem o M CA O ETT op I E DCI ETT OOOO o fma TC ooo E 23 N C if ID N ew Interface D o not connect Old Interface connect to Gnd S III 1 If pin 5 ishigh telemetry is off the other inputs have different functions Tele O n pin 5 L and Ext para on pn 6 L are not allowed at the same time H CM OS threshold L Low 0 to 1 5V H High 3 5 to 5V Function 1 Telemetry 53 Ext Par Code Recorder T oco scale Recorder Philips scale US EU EA 0 wioounts oviv avpioomem oov2av oov tev po fol 1V 100 units 0V1V 1v 100bpm 0 3V 2 4V 0 5V 2 1V pr foo 2v 100 units 1V1V 1V 100bpm 0 0V 2 1V 0 0V 1 6V 10V 100 unit 5v5V 1V 100bpm 0 0V2 1V 0 0V 1 6v Functions for External Parameter Input Telemetry Pin LHR 2 MECG Analog Input Analog Signal Specification E Ri gt 10 kQ U max 6 Vpp min 40 mV pp M ECG M ode L Input pin 25
98. ce Transmitter or M 1370A O DIS System optional See System Interface O ption J 12 on page 59 for details 4 Serial RS232 RS422 system interface for connection of maternal monitors such as Philips CM S See RS232 Dual Serial Interface O ption J 13 on page 61 for details 5 RS232 digital system interface for connection to a Philips O B T raceVue system or an IBM compatible PC See the table T elemetry Interface Pin Connections on page 53 for details 6 Serial RS232 RS422 system interface for connection of N ellcor N 200 maternal SpO gt monitor and N 400 fetal SoO 5 monitor for an M 1350 XM without fetal SpO gt See Rear Panel on page 1 15 for a table of the board slot positions 51 Interface for Philips M1310A The Telemetry input allows connection to the Philips Fetal Telemetry Systems Full functionality is provided by the Philips Series 50 T Fetal Telemetry System M 1310A and monitor software revision higher than A 04 00 Thepin allocations for the various signals are shown below Case Chasis for cable shield connection 39 HR 2 12 8 ce Gnd 24 8 0 If New Interface Do not use It Old Interface Gnd S e Reserved 22 8 se FM 08 el FMP on 0S e Mark 19 amp se Gnd Be Gnd Signal 18 0 Ext Parameter 16 8 36 Toco DO 15 amp 0 NS Figure 6 2 Telemetry Input Signal Allo
99. cesta asa lca Aarts aa a cas nally Gan ae fara asec 242 Maternal External Blood Preire iian thence eh ot co ean eek Beata et ce ed a Se od we ae 242 Maternal USE KUNE tia aiii Aw fed ain gg aid ia AE duane 243 Matema ECG and Heat Rate cc224 246 ica dais iaia 243 Maternal Display Secon dorar ag oes bw vam Gia Ae 244 NUM Cal DIS tota meh a ee ee eae eee ha a eae ds 244 Matena A ea Roane ania arity e Bd od bt a an ee hn ede og eg haa ae be eae 244 ASUME ED ISON Societat gh yeu oh We we itn Saleen nae an on diia 244 PSL I SIO Aspe cic Sea pas an do ecco ag eee enn O TAE 244 Ultrasound External and Intenal TOO sida ee dike Ses See th an eth ia balas 244 RE OR A NN 245 A SCaleS 5 irat Grae at oo Gm kG bsp ahaen Mase pane aia OA gea ae Bala pa nS Sala Ra ee koa 245 AN SENN F e E at i EE PR PUPE EO ace spine evn tae oe weed encase eve ae Baoan Ge BAR a deers es 245 Contents Contents Figure 1 1 Figure 1 2 Figure 1 3 Figure 1 4 Figure 1 5 Figure 1 6 Figure 2 1 Figure 2 2 Figure 2 3 Figure 3 1 Figure 3 2 Figure 3 3 Figure 3 4 Figure 3 5 Figure 4 1 Figure 4 2 Figure 5 1 Figure 6 1 Figure 6 2 Figure 6 3 Figure 6 4 Figure 6 5 Figure 6 6 Figure 6 7 Figure 6 8 Figure 6 9 Figure 6 10 Figure 6 11 Figure 9 1 Figure 9 2 Figure 9 3 Figure 9 4 Figure 9 5 Figure 9 6 Figure 9 7 Figure 9 8 Figure 9 9 Figure 9 10 Figure 9 11 Figure 9 12 Figure 9 13 Figure 10 1 Figure 10 2 Figure 10 3 Figure 10 4 Figure 10 5 Figure 11 1 Li
100. communication with the M 1350C main processor a M otorola 68H C000 M1350 66540 T he communication time frame is 17 5 msec a multiple of 2 5 msec the main tick of the M 1350C operating system Thefollowing diagram shows the functional blocks of the fetal SpO 5 processing board clock gen 20 M Hz clock erator CPU Intel Board ID 30C 186 PLCC 68 E E E onra y address control ye ES V E Register ay Q 16 16 py o ja Dd RAM ROM ial 64 kByte 256 kbyte Port 2 x 32 kByte 2 x 128 kByte RAM Q SO 28 DIL 32 8 12V V 12V m 3V backup battery voltage Figure 9 10 Fetal SpO Board Theory of Operation 111 Telemetry System Interface M1350 66536 112 System Bus pegbik31 tif Board ID Revision Status ft Dita Tela Ext Par inputs HRi LF 4 Board Control Gain Control HR2 LF Error LED 4 Tele Cal inputs BA MUX ain Contro TOCO q Ext Par Clock Circuit Gain Control ADC Control Circuit Selftest Circuits Figure 9 11 Telemetry System Interface The Telemetry Interface board processes analog input signals from Philips telemetry systems for example the M 1310A Alternatively an external analog parameter can be input to be recorded by the fetal maternal monitor T he board contains an analog signal filter section an a
101. cuff around the patient s limb partially occludes the artery T he pulsatile arterial flow causes oscillations superimposed on the cuff pressure the amplitude of which can be analyzed to obtain the systolic and diastolic pressure values T he procedure is microprocessor controlled T he board offers three methods of obtaining the external blood pressure measurement Manual T his method takes one measurement of systolic and diastolic on each request Auto T his method takes repeated blood pressure measurements of systolic and diastolic at specific user selected time intervals Stat T his method immediately takes repeated blood pressure measurements of systolic and diastolic over a period of five minutes T his method uses a faster measurement procedure than the other two The cuff around the patient s limb is connected to the board via a single tube T he cuff is inflated by the pressure pump once or repeatedly depending on the measurement method used to a cuff pressure above the patient s systolic pressure For the first measurement the cuff inflates to approximately 165 mmH g For further measurements the cuff inflates to approximately 20 mmH g above the previously measured systolic pressure T he pressure transducer detects both the cuff baseline pressure and pressure oscillation T hese signals are amplified and filtered to separate the cuff baseline pressure and the pressure oscillations T he microprocessor compares
102. da EP A de 220 Figure lo 4 MECO TranSaucer surcar a aid 222 Figure 15 5 US MECG Combi Transducer ora dt it ee 224 List of Figures xiii XIV List of Figures Tables Tableisl Contents CHECKS nance ead A A A ee 4 Table1 2 Optional ACCESOS civic ra wild dui wwe daw ee eet di 6 Tabl 3 1 lt PhilIps Cats SDCCHICALONS earr ton rada dadas aida 21 Table3 2 Philips Carts Replacement Parts 0 0 ccc eet eee ete ee enees 21 Table4 1 ConfiguringtheMonitor 0 0 00 cee eee eee eee eevee ete eevee eanes 26 TeDies 2 gt SCOMTIGUIFALIGM OPUS rca a Ai ASUS Woh A Ase Woke eee asus 27 Table4 3 Service Setting C10 O ptions D SIF Configuration O pti0NS o ooooo o 29 Table4 4 Service Setting C10 0 DIP Switch Settings on the D SIF Board 29 Table4 5 ServiceSettingCl2 Options ccc eee eee een eee 30 Table4 6 Exampleof an ErrorlLog cc ccc cece eee eee ee ete neuen 31 Table5 1 TypesofT race Paper Available 0 ccc ccc eet tent e tent e nes 47 Table6 1 Telemetry Interface Pin Connections cc cece teen tent n tenes 53 Table6 2 System Interface Pin Connections cc ete tenets 60 Table6 3 Pin 21 Output Voltage Values aaea 61 Taple6 4 9 Pin COnnecOM rriren anaa arar 64 Tables 25 PIN CONNOR enii teniras truy een eee 65 Table6 6 External Maternal M easurement Frequency 1 ccc ete eens 68 Tape lO Parameter Testy au srir eu wus ee ead tha cae Ra ee ea a ee esa a
103. de plate screws M 3 x12 0515 1110 4 22a 22b Spring adapter screw M3x10c sunk 0515 1005 2 22a 22b Spring adapter M 1350 23253 2 23 31 Platen bearing washer M 1350 28851 2 24 24a Shaft bearing washer M 1350 28852 2 30 Right platen spacer M 1350 44752 1 Left platen spacer M 1350 44751 1 29 Platen 1530 2223 1 D rive belt 1500 0822 1 Recorder Assembly and Disassembly Table 14 1 Replaceable Parts dd Description Size peaa d Qty 37 M otor 3140 0847 1 34 33 M otor screw M3x6 0515 0886 2 34 M otor washer 3050 0891 1 Base Plate Assembly Base plate assembly M 1350 67752 1 43 Base plate screws M3x16 0515 1111 3 43 O ring 0900 0010 3 39 Left eject lever M 1350 45052 1 38 Left eject lever screw M3x4 0515 1508 1 38 Left eject lever washer 3050 0891 1 41 Right eject lever M 1350 45053 1 16 Eject lever spring 1460 2260 1 40 Eject distance rod M 1350 23752 1 45 Eject key adapter M 1350 43251 1 18 P clip 1400 0624 1 17 P clip screw M3x6 0515 0886 1 17 P clip washer 3050 0891 1 Paper T ray 15 Paper tray M 1350 65551 1 44 Paper eject lever M 1350 45055 1 14 Paper box lever M 1350 45054 2 Paper T able 4 Paper table M 1350 07752 1 4 Right paper table guide M 1350 43157 1 4 Left paper table guide M 1350 43156 1 2 Paper table spring M 1350 29152 1 Spring screw table end M3x4 0515 1508 1 W asher 3050 0681 1 215 Recorder Assembly and Disassembly Table 14 1 Replaceable Parts Figure Philips part I
104. ds in the system M ost of the signal processing is digital and makes use of ASICs As the boards contain mainly surface mounted components and are not repairable details of the hardware are not covered PSU M1350 66502 SIN LINE FREQUENCY S OVERVOLTAGE gt CURRENT LIMIT V gt System s STATUS CURRENT LIMIT 1V gt as Processor BOARD ID Bus REY CODE F906 o AC Fan 28V F900 7V RMS Ai 5V e ig gt 5V 5V RMS gt ch 1 Regulator a 5 Protection F901 5V RMS gt 3 TRANSFORMER 7V RMS Se POWER SWITCH ouan une 4 1 gt ia CPU RESE 900 VOLTAGE HA RESET SYS ESET 190V 120V 4 FILTER lt F302 220v240v __ 25V RMS Regulator O O O A 24V LINE VOLTAGE AS Voltage T SELECTOR o o0 oT OS LINE ae o ad gt 28V A 24V Reference gt 25V RE o 12 12V y ch Regulator K F906 K e EH 12V gt 12V ll Regulator pegblk02 tif Figure 9 2 Power Supply Board PSU T he Power
105. e D ual Serial interface at the rear of the monitor External devices connected to socket 1 that can monitor SpO have priority over the N ellcor O xiFirst O xygen Saturation monitor N 200 Warning Before connecting an external device to the monitor connect the equipotential grounding point 3 to earth potential Use the grounding cable supplied with the monitor T he power cord of oye rr device must be plugged into a wall mounted power outlet not into an extension block The Dual Serial Interface has two sockets see 6 1 1 Usesocket 1 9 pin for connecting Philips M 1165A 1166A 1175A 1176A CMS all models Philips 78352C 78354C Compact Configurable M onitor Dinamap 1846 8100 NIBP M onitor COLIN Press M ate N ippon Colin Listmini M odel BP 8800 Datascope Accutor 3 4 3SAT and 4SAT 2 Usesocket 2 25 pin for connecting Nelcor Maternal O xygen Saturation monitor N 200 and N ellcor O xiFirst Fetal O xygen Saturation monitor N 400 62 System Interfaces Philips CMS To connect either a Philips CM S a Philips 78352C or 78354C a Dinamap 1846 8100 or a Philips D atascope Accutorr monitor follow the instructions below T he screws for the Philips CM S and 78352C Philips 78352C or 78354C are metric and should be tightened by hand only and not with a 78354C screwdriver Dinamap 1846 8100 Datascope y Accutorr a Monitor i U se interface cable M 1350 61609 Connect the 9 pin end of
106. e Digital PCB Sound Still no Heart Rate Displayed Replace Digital PCB Y If Test fails Replace Thermal Printer Repeat Test Y If Test fails Replace Digital PCB Figure 11 22T roubleshooting Ultrasound Parameter Test 158 Troubleshooting Direct ECG Parameter Test DECG PARAMETER TEST NOT AS OUTLINED Y Y No Sound No mode detection or Missing No information printed Wrong mode detection Heart Rate Display on recorder Replace Transducer Y Replace transducer or Replace Transducer fj Check recorder On try other Cardio socket Press Recorder keys Y or Function Keys Repeat test Replace Check paper loaded Display PCB Y Still noAwrong mode detection Check cable to thermal printer Click from NO check for error code displayed Y es esaler Replace Loudspeaker P Replace Frontend PCB Y YES Run Thorough Instrument Test No Error code displayed Still no Replace Frontend PCB Y Replace Digital PCB Sound Still no Heart Rate Displayed Replace Digital PCB Y If Test fails Replace Thermal Printer Y Repeat Test Y If Test fails Replace Digital PCB Figure 11 23T roubleshooting Direct ECG Parameter Test Maternal ECG
107. e all from the Monitor Switch Monitor On B type interfaces Replace SpO PCB Replace remaining B type interface PCB Check as for Err 500 Figure 11 16T roubleshooting Error 534 Troubleshooting Err 34ap tif 153 Error 535 NIPB Board Error 535 DISPLAYED Switch Monitor Off Remove NIBP PCB Switch Monitor On Is EN O23 NO displayed Switch Monitor Off Remove all A type interfaces from the Monitor Switch Monitor On Is Err 535 NO Replace NIBP PCB displayed YES Check as for Err 500 Figure 11 17T roubleshooting Error 535 interface PC Replace remaining A type B Err 35ap tif Troubleshooting Error 536 Telemetry Interface Board Err 536 DISPLAYED y Switch Monitor Off Remove System PCB Switch Monitor On ls Err 531 NO Replace System Interface displayed PCB 7 I Switch Monitor Off Remove all A type interfaces from the Monitor Switch Monitor On Is Err 536 NO 5 Replace remaining A type displayed Interface PCB Check as for Err 500 Errb36ap tif Figure 11 18T roubleshooting Error 536 N ote If the O BM S M 1350 66532 board is connected to the Fetal M onitor at the same time check the C13 setting see Chapter 5 Troubleshooting
108. e any component from the system the power to the system must be disconnected Access to most of the items within the monitor is only possible with the top cover of the monitor removed To remove the top cover 1 Turn the system off and disconnect the power cable 2 Undo the four screws situated on the sides of the monitor 3 Slide the cover towards the rear of the monitor and lift it off psml9sca tif Figure 12 1 Removing the Top Cover Replacement of the cover s a reversal of the above procedure The boards and power supply can be removed from the rear of the monitor without removing the top cover If you do remove the top cover take care when you slide it back that the RFI spring does not fall into the Fetal M onitor T his could damage the components Removal and Replacement Procedures 169 Rear Assembly Power Supply 1 Turn thesystem off and disconnect the power cable Board 2 Unplug the power cable from the rear of the system 3 Undo the four screws from the rear of the power supply 4 Pull the power supply out of the rear of the monitor psm20sca tif Figure 12 2 Removing the Power Supply 170 Removal and Replacement Procedures 5 Turn the power supply over and remove the two screws holding the board in place psm15sca tif Figure 12 3 Removing the Power Supply board Replacement of the Power Supply board is a reversal of the above procedure W hen
109. e been delivered You should have Table 1 1 Contents Checklist Fetal and Sree Fetal and Fetal and maternal Description maternal Fetal only ESpO Rd FSpO Fetal M onitor M 1350B M 1350B M 1350C M 1350C O ption O ption C03 C03 Fetal Accessories Combined FSpO 9 D ECG M ECG Patient 0 0 1 1 M odule M 1365A with DECG adapter cable M 1362A External Toco Transducer M 1355A 1 1 1 1 Ultrasound Transducer M 1356A 21 21 21 21 DECG Transducer M 1357A or ECG only 1 1 0 0 Patient M odule M 1364A with DECG cable M 1362A Reusable Transducer Belts includes belt 4 4 4 4 fastening buttons M 1562A Transducer K nob Adapters M 1356 43203 lpackof3 lpackof3 1packof3 1packof3 pieces pieces pieces pieces Fetal Scalp Electrodes 5 5 5 5 15133D Europe or 15133E U SA Fetal Scalp Sensor FS14 M 1366 60001 0 0 1 1 M aternal Accessories Patient M odule M 1364A with M ECG 1 1 1 1 adapter cable M 1363A Adult NIBP Cuff M 1574A 1 0 0 1 Large Adult N IBP Cuff M 1575A 1 0 0 i NIBP monitor to cuff interconnect tubing 1 0 0 1 3 0m M 1599A Reusable adult finger SpO gt transducer 1 0 0 1 M 1191A and cable M 1940A Standard Accessories 4 General Information Table 1 1 Contents Checklist Fetal and Description Fetal only Besa FSpO Remote Event M arker 15249A 1 Power C ord 1 Part no depends on country option Grounding Cable 1 8120 2961 USA 8120 4808 Europe Fetal Recording Paper 1 pack M 19
110. ed Use The Philips Series 50 XM Fetal M aternal monitor and the Philips Series 50 XM O Fetal M aternal monitor are designed for suitably trained healthcare professionals for use in the patient environment to monitor fetal and maternal condition prior to and during labor and delivery Conventions Used in This Guide T his guide uses the following conventions for notes cautions and warnings Warning A warning alerts you to a potential serious outcome adverse event or safety hazard Failure to observe a warning may result in death or serious injury to the user or patient Caution A caution alerts you to situations where special care is necessary for the safe and effective use of the product Failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property and possibly in a remote risk of more serious injury Note A note calls your attention to an important point in the text Symbols Symbols used in this guide are Equipotential T erminal Y This symbol is used to identify terminals which are connected together bringing various parts of an equipment or system to the same potential not necessarily being earth potential the value of potentials of earth may be indicated adjacent to the symbol International C aution Symbol A This symbol indicates that the operator should refer to the product instruction manual before beginning a procedure Protective Earth T ermina
111. ed through this channel Indicator location different for Series 50 XM Fetal SpO 5 display shows current value of FSpO 2 Speaker Lamp shows which heartbeat is heard from the loudspeaker Volume Keys set the volume and select the channel to which you are listening Changes current setting of FM P twins offset logic FH R alert and FSpO gt alarms Recess for use when tilting the display General Information 11 12 13 14 15 General Information Remote Event M arker Socket for connecting remote event marker 15249A Cardio 1 C ombi T ransducer Socket You can connect e FSpO gt 5 ECG combined patient module M 1365A e ECG only patient module M 1364A e An ultrasound transducer M 1356A e A DECG transducer M 1357A e AUS MECG Combi transducer M 1358A e An MECG transducer M 1359A T oco T ransducer Socket You can connect e An external T oco transducer M 1355A e An IUP transducer 1290C or M 1333A T oco Baseline Key zeroes the T oco display and trace to 20 units when monitoring uterine activity externally or 0 units when monitoring uterine activity internally Cardio 2 T ransducer Socket for connecting e ECG only patient module M 1364A e US transducer M 1356A e DECG transducer M 1357A e MECG transducer M 1359A 11 Maternal Parameters 12 xmmateO2 tif Figure 1 3 Maternal Parameters N BP Cuff Socket You can connect e An NBP cuff interconnect tubing
112. edate and time the error last occurred Up to 16 error messages can be displayed on a screen To see the next or previous screen use the 4 or Y keys on the keypad or the E or X keys At the end of the Error Log No more Data 40 Configuring the Monitor available is displayed Press to print a page on LPT 1 Press to return to the Service M enu To write the error log data to a file press the W key T he data is then stored as ERRLOG DAT In the directory containing PEGSERV EXE T he data is stored as ASCII characters and therefore the file can be printed using the DOS Command print ERRLOG DAT T hefile is overwritten each time you press the W key Clearing the Error Log Serial Number 2948G00010 Software Revision A 02 03 Cyclic Test Read options Read ErrorLog Clear ErrorLog Are you sure Write Ser nr Set Options Fetal Heart Rate Alerting Return to Main Menu MESSAGE Select with gt cursor keys lt or gt E S D X lt then press lt ENTER gt to execute Theconfirmation message Are You Sure asks if you do want to clear the error log Press Y to clear the error log OR Press N You then return to the Service M enu Configuring the Monitor 41 Writing the You can write the serial number to the monitor only if you have reolaced the CPU Board with an Serial Number exchange board T he serial number can be written only once to the exchanged board If you accidently enter the wrong serial numbe
113. ee ues 182 Removing the M aternal Display Panel o oooccoocccocrn cette nent n tent n teens 182 5pO Cable ana NIBPCOnnectOr TUDING xtiuhetctssddd anit e ite bottle bei te aeii 185 FION Pe ASENDI pair dar as ea a ey aR ae dae 186 SWILGIMBOkOS GA A sea de anak A AAA de eee Oa 187 Recorde GS BOTO NN 187 FUNCION SWIKCNCS BO arts caida iaa iia 187 LOUG ole lt pinar AREA ds 187 15 PARES LIS ee ee ee ee ee 189 NTOJUCLON ria a did 189 Ordena MALTON Man O aaa ada 189 Replacement Pat yr rada a is A A Ci ee 190 16 Recorder Assembly and Disassembly 0ccccceeuecee neces eneeeeeeeaneeae 199 MOJU CHON acntea tesa A O NA 199 TOONS cape nce toate TO 200 Rie aCiiG SPec IENS errada arras Ge od Atte Sa eae wee 202 Termal Line Printa A ria AE ea 202 FUL Sassari cda E ataco 203 Paper Tal di aaa ca 204 Thermal Line Printer Assembly TLP cainnean ene e tent ete tent e nena 204 PDG TOV rca eae deena aden ane ede teach aC ach Een eae 204 MOO iy te E O EA 205 RON SIGE P tales aia wats ee eae San Se Oe ORs hs OS Aia 206 ete SIGE re eataa eacew ante be ie anata ie wh Reena a ena wad back eet nea maa 206 Eject Mechanism and Base Assembly oo cect tte n tent e tent etn tenn nes 207 PUM E aSo oers tesa rran gutnies Nate ctaan ace ah wictnie Cio ial RNa sek Muted aden basen twat AE nE 208 Paper Eject M echanism and Base Assembly 0 ccc teen etter eet n ene nnes 208 PEE SIGE Place MR aria Pande Rah ed aan a 208 MEOLO gt steep heated teat
114. em in a schematic approach Also explained are the procedures to be followed when the Parameter Test and Q uick Test are not as described in Chapter 10 Safety M aintenance and Calibration on page 117 SYSTEM POWER TURNED ON Is There an Error in Display yes Check amp Correct Error no Are Display amp Green Power LED LIT no Are fuses NO Replace Fuses OK Green Power LED Only Do RED LED s in Rear of Monitor Light during Power ON Dis play nly yes Check as for Err 515 Check Green LED Replace if necessary no Reset Voltage iih 2 o ja no Check as for Check as for Err 500 Err 500 Green LED O K Check Power Line Replace Power Supply Check as for yes Err 500 Figure 11 1 Troubleshooting Flowchart for the System Troubleshooting 135 W hen troubleshooting some of the error messages you will have to check LED s that are situated on the boards T he following two diagrams show the locations of the LEDs Y Yo 1 ae E E l O Ey O gt f SE 5 Sal amp EY me E Za Q pu gt O MOSgiBeso MISSBBccoss Figure 11 2 LEDs in the Rear Panel Digital Interface PCB LED ceda 7 Frontend PCB LED Figure 11 3 LEDs on the DIF and Frontend Boards Troubleshooting Operator Error Messages
115. embly Power M 1350 61607 1 24 Function Key Switch Assembly M 1350 66521 1 25 Recorder Key Switch Assembly M 1350 66521 1 26 D isplay Assembly Fetal M aternal M 1350 69201 1 26 D isplay Assembly Fetal only M 1350 69203 1 26 D isplay Assembly Fetal with FSpO 5 M 1350 69206 1 26 D isplay Assembly Fetal and maternal with FSpO gt M 1350 69205 1 Parts Lists Parts Lists Table 13 5 Part Numbers Item Description Part Number Qty 19 D isplay Assembly M ounting Screws 0515 2795 1 21 M ounting Screws DIF Board M 3 x 6 0515 0886 2 M ounting Screws Frontend Board M 3 x 6 0515 0886 2 30 Complete C hassis Assembly M 1350 60102 1 31 Backplane M ounting Screws M 3 x 4 0515 1508 3 Boards Fetal SpO 5 Board M 1350 66540 1 35 Backplane Board M 1350 66501 1 36 CPU Board M 1350 69513 1 37 D SPII Board M 1350 69507 1 39 Blank ROM Board M 1350 69506 1 40 DIF Board M 1350 69515 1 28 Frontend Board M 1350 69517 1 NIBP Assembly M 1350 69535 1 M aternal SpO gt Assembly M 1350 69534 1 42 T elemetry Interface Board M 1350 66536 1 43 System Interface Board M 1350 66532 1 D ual Serial Interface Board M 1350 66533 1 39 Rear Blank C over M 1350 04106 Power Supply 44 M ounting Screws Power Supply M 3 x 12 0515 1110 4 45 PSU Assembly M 1350 66502 1 46 M ounting Screws PSU Board M3 x8 0515 0897 2 47 Shield T ransformer M 1350 00601 1 48 M ounting Screws Shield M 3 x 8 0515 0897 4 49 T ransformer 9100 4810 1 50 M ounting Screws
116. er 6 serial suffix number 6 service error message 140 philosophy 7 tests 7 tests an overview 7 service program adjusting the recorder 38 clearing the error log 41 configuring the Monitor 37 cyclic test 39 installing 34 loading 35 main menu 36 option number 33 reading options 40 reading the error log 40 service menu 39 using 36 writing the error log 41 service tests overview 7 permanent test 121 setting FHR paper scale 47 FHR Traces with a Barcode Reader 48 FMP option using keys 48 FMP option with a Barcode Reader 48 paper speed and scale 46 time and date 45 specifications DECG with M1362A cable 229 display 244 inputs 244 IUP transducer 227 M1364A 228 M1365A 228 MECG with M1363A cable 229 recorder 245 Spillage 235 SpO2 board error 535 flowchart 154 monitors 61 removing the cable 185 warning messages 139 SpO2 capability adding 84 SpO2 transducer testing 131 spring and spacer 182 supported external devices 61 switch boards removing 187 system fuse values 17 interfaces 51 overview 94 voltage 17 Index T Telemetry external parameter input functions 34 input signal connections 15 interface board error 536 flowchart 155 interface functional description 112 interface pin connections 38 Telemetry Digital System Interface 58 testing Barcode Reader HBCR8200 22 DECG parameter test 159 display 119 external maternal parameters 164 fetal SpO2 parameter
117. er M 1357A and Connecting the transducers to a Cardio channel results M ECG transducer M 1359A CF Y in aCF condition B US M ECG combi transducer Connecting the transducer to a Cardio channel results M 1358A Ultrasound in aB condition y Connecting the transducers to a Cardio channel results CF MECG in aCF condition SpO 2 transducer M 1191A Connecting the transducers to a Cardio channel results adapter cable M 1940A in aCF condition NIPB cuffs M 1574A and M 1575A Interconnect tubing M 1599A FSpO ECG patient module Connecting the transducers to a Cardio channel results M 1365A in a CF condition ECG only patient module M 1364A ESU MRI and Defibrillation Remove all transducers patient modules sensors and accessories before performing electrical surgery defibrillation M RI and so forth H igh frequency current can flow through the equipment and burn the skin 232 Leakage Current Leakage current can be hazardous to the patient Leakage current can increase If the monitor is connected directly to other equipment such as an additional patient monitor a second monitor is applied directly to the mother Maximum Input O utput Voltages T he following diagram shows the sockets for peripheral devices O 032 go Oca oc Q O go O lt QD 000 SS O amp 00 0 8080 080900090 So OnO BORO 026 O lo 909 o 25 089 ae O a 00 O Q 9 0
118. ervice the recorder Small crosshead screwdriver Large crosshead screwdriver Medium slothead screwdriver Spring tool T he following tools are useful but not essential Universal vice to hold the base plate Small pincers or tweezers 200 Recorder Assembly and Disassembly Thermal line printer head Paper table ESD shield Right side plate Paper table spring pe a Left platen Creone ZO spacer a el gt X e ES Co is oe Pl of V _ po 9 IN a TLP assembly spring q Oe Ie Paper box eject lever Paper N Platen i E 6 Orbs Mj tater cog Drive cog Right paper eject lever a ee Y r A Paper eject rod gt 429 AS ES r gt ZW ee Oe _ Wi we a Base plate Left paper eject lever pegsms05 tif Figure 14 1 Component Names Recorder Assembly and Disassembly 201 Replacing Specific Items Thermal Line Printer Head pegsms06 tif Figure 14 2 Replacing the Thermal Line Printer Head It is not necessary to disassemble the recorder to replace the T hermal Line Printer TLP head Pull the front assembly forward as though you were changing the paper Removethetwo screws and ESD earth straps 6 Removethetwo screws 7 and the ESD shield 8 Slide the T LP H ead forward Slide the new TLP H ead into position Place the ESD shield 8 in position and loosely attach screws 7 Loosely attach the ESD earth
119. ested T his test is applicable for ECG and SpO gt Safety Test according IEC 60601 1 Clause 19 4h Report the highest value T est to perform T he enclosure leakage current normal condition is applicable to Class 1 and 2 equipment type B BF and CF Applied Parts T he test measures leakage current of exposed metal parts of the Instrument U nder T est it tests normal and reversed polarity For T ype BF and CF Applied Parts the test measures AP GN D Safety T est according to IEC 60601 1 Clause 19 49 Report the highest value T est to perform T he enclosure leakage current single fault condition open supply is applicable to Class 1 and 2 equipment tyoeB BF and CF Applied Parts T he test measures leakage current of exposed metal parts of Instrument U nder T est with one supply lead interrupted it tests normal and reversed polarity For type BF and CF Applied Parts measures AP GN D Safety T est according IEC 60601 1 Clause 19 40 Report the highest value T est to perform T he enclosure leakage current single fault condition open earth ground is applicable to Class 1 equipment type B BF and CF Applied Parts T he test measures leakage current of exposed metal parts of Instrument U nder T est with Protective Earth open circuit it tests normal and reversed polarity For type BF and CF Applied Parts the test measures AP GND Safety T est according IEC 60601 1 Clause 19 40 Report the highest value Ab
120. etecting that the recorder is open the other detecting the black marks on the paper and paper out The display interface uses the same parallel serial converter as the recorder T he complete display is blanked frequently for a longer or shorter period depending on the signal from the light sensor on Theory of Operation 103 104 the display board T he digital functions of this recorder serial interface RSI are integrated in the RESI ASIC An RS232 serial interface is provided for use during production and service Connection is via a stereo phone on the front panel The board also contains test hardware which is not shown in the diagram T he serial data communication to and from the LCD display is controlled by the DUPLO ASIC This ASIC also controls the LCD contrast voltage and the LCD backlight voltage Theory of Operation Frontend Board M1350 66517 Cardio Comb Theory of Operation ECG US Seria Quiet Interface pus es Fe Socket DECG1 MECGH Tt LP 200 Hz Gain al AD Lee LP 500 Hz HA gt congo Transmit usi 4 Mod Receiver Sl b LP 500 He G a r 3 p AD ain Contro D result TOCO Socket FMP fo floating Gain Control Exotaton Sense MUX lt 2 4 kHz TOCO IE Trans mit US2 a 4 e LP 50
121. ew CPU firmware EPROM 5 configure and test monitor C04 maternal parameters to e installed new base assembly transfer original cover recorder power supply and IX e new CPU firmware 4 ROM board to new base assembly EPROM 85 upgrade ROM board with new CPU firmware configure and test monitor C30 maternal parameters to e new display use original base assembly an XM O without e NIBP sale fit new display q SpO gt boar connect NIBP and SpO gt and fit both boards maternal capabilit 2 2 pase e new CPU firmware 4 upgrade ROM board with new CPU firmware EPROM 5 configure and test monitor C31 FSpO only no e installed he base assembly oceans oak eee supply and e new CPU firmware ROM board to new base assembly ne ee eae upgrade ROM board with new CPU firmware an IX configure and test monitor C32 FSpO gt to an XM that e new display use original base assembly already has maternal e FSpO gt board fit display assembly capabilit e new CPU firmware 4 Fit FSpO 2 board y EPROM 85 upgrade ROM board with new CPU firmware configure and test monitor C33 maternal parameters and installed new base assembly transfer original cover recorder power supply and FSpO 5 to an IX e new CPU firmware 4 ROM board to new base assembly EPROM 5 upgrade ROM board with new CPU firmware configure and test monitor C34 FSpO gt only to an XM e FSpO only display use original base assembly without maternal FSpO board fit FSpO 2 board capability e new CPU firmware
122. f signals from the photo diode isin four discrete phases 1 Dark Phase N either red nor infra red LEDs are lit O nly ambient light is measured 2 Red Phase Thered LED islit and the light conductivity measured 3 InfraRed Phase T he infra red LED slit and conductivity measured 4 Pleh Phase Infra red LED islit and conductivity measured Theory of Operation 107 The Transducer LEDs 108 Consecutive frames composed of these four phases are repeated 375 times per second Both the lighting of the LEDs and the sampling of the signal from the photo diode is sequenced by atime multiplexor governed by the microprocessor T he function of the floating section of the board is twofold 1 To enable accurate reading of light conductivity by removing noise and compensating for ambient light in the pulse train 2 Todrivethetwo LEDs The outstream from the photo diode is amplified by variable amplifier T his is software controlled and monitored by comparator which checks for wave clipping A series of switched low pass filters is used to separate the four phases within each frame of the pulse train and compensate for the effects of ambient light and for noise rejection As well asthe connections to the transducer relating to the LED sand photo diode two more wires are used to check the transducer itself T hese are connected to resistor R2 within the transducer and enable monitoring to show That thetransducer is properly c
123. f the monitor 5 Replace the screws and tighten securely 6 Stick the label 3 provided with the new EPROM S onto the board as shown 7 Perform the appropriate safety tests and initiate the monitor s self test before allowing the monitor to be used on a patient Upgrades 87 8 Carefully attach the new label with the additional holes for the NIBP and SpO 5 connectors to the front panel If your S01 upgrade includes a new ROM for the NIBP board follow these instructions d b Remove the NIBP board from the monitor T here is no need to remove the cover U ndo the screws at the top and bottom of the NIBP board which isin Slots 4 and 5 at the rear of the monitor c Movethelever upwards and pull the board out of the rear of the monitor d Disconnect the part of the NIBP tubing that leads to the display panel at the front of the monitor 1 e Remove screws 2 and 3 from the NIBP tubing board and gently ease the board forwards so you can access the N IBP board beneath 2 3 NIBP tubing board gee NIBP tubing NIBP Board wee l f LevertheNIBP EPROM gently off the board using a flat bladed screwdriver and reolace it with the upgrade EPROM NIBP Board g ReplacetheNIBP tubing board and tighten the screws h Reconnect the NIBP tubing that leads to the display panel Slide the NIBP board into the rear of the monitor and refasten the screws U pgrades Instruction 9 Reconfiguring the Monitor W hen you excha
124. gs on the side plates 8 Fit washer 1 over the pillar on the side panel and fit the end of the paper table spring 2 over the pillar Attach screw 1 9 Attach eect adapter 46 212 Recorder Assembly and Disassembly Recorder Settings W hen you have re assembled the recorder and installed it into the monitor it may be necessary to adjust the recorder print offset and or the recorder thermal head for trace density Before doing this it is recommended that you first connect one of the transducers and perform a Parameter Test see Parameter Test on page 118 T his will enable you to check the offset of the printed test trace and the density of the print as described in Quick Test on page 119 Recorder Assembly and Disassembly 213 Replaceable Parts 214 T he figure id numbers refer to the callouts in 14 2 14 4 and 14 5 Screws and washers which go together are listed together Table 14 1 Replaceable Parts AS Description Size eta i Qty T hermal Line Printer Assembly Complete Exchange M 1350 69602 1 Recorder Assembly 8 ESD shield TLP cover M 1350 04151 1 6 7 ESD cover screws M3x8 0515 0897 4 13 TLP head 1810 1421 1 13a TLP body M 1350 67751 1 12 TLP arm M 1350 45051 2 11 Arm screw M 3x12 0515 1110 2 11 Arm washer 3050 0891 2 3 Springs T LPH M 1350 29151 2 Front Assembly 19 Left side plate M 1350 64151 1 25 Right side plate M 1350 64152 1 28 Paper de fold center M 1350 23252 1 20 21 26 27 Si
125. hance 6 Removethe label from the front end connector area Score carefully around the connectors in the area with a flat bladed knife D o not allow any adhesive to remain on the front panel Item 12 shows the error LED which is red until the monitor successfully passes its self test Replacement is a reversal of the above procedure Removal and Replacement Procedures 181 Display Assembly To remove the display assembly you must first remove the frontend board and then the digital interface board Removing the Monitors with serial numbers greater than 3545G 01115 havea factory fitted clip that secures the Maternal tiltable maternal display panel M onitors with numbers below have no factory fitted securing Display Panel device H owever it is possible that a spring and spacer arrangement may have been fitted by a Customer Engineer Before removing the display assembly you must first remove the clip or spring and spacer Removing the Clip A oh PES clip hpg 1 Gently slide the top of the clip from the slot located at the top and middle of the display panel 1 T ake care not to bend the clip so far that it does not spring back to its original shape 2 Removethe smaller end of the clip from the slot in the protruding tab on the edge of the display assembly Reversethis procedure to replace the clip 182 Removal and Replacement
126. he ON OFF switch on the front of the monitor as this can be dislodged while inserting the power supply If you have trouble locating the power supply into the rear of the monitor remove and check that the pins connecting the supply to the backplane are not bent Reinsert the supply Reusing D epending on the configuration of the original monitor you may have to swap up to three other Boards boards from the original monitor into the new one T he technique for removal and replacement is the same for all of the boards T hese boards are Upgrades T elemetry interface D ual serial interface OBM S interface Undo screws 1 and 2 at the top and bottom of the board 79 2 Movelever 2 upwards and pull the board out of the rear of the monitor de Y sona ha o o a a OH 5 pd psm23sca tif 3 Put the new board s into the appropriate slot s e Telemetry interface remains in Slot 3 e Dual serial interface put into Slot 7 e OBMS interface put into Slot 8 4 Replace and tighten the screws U pgrades Using the To swap the existing recorder to anew unit follow the instructions in the section on Recorder Existing Assembly on page 12 176 Recorder 1 e o i i PTS Y ora e psm26sca tif Then replace the cover on the monitor using the four screws you reserved earlier Labeling 1 Stick the option indicator label wh
127. he appropriate error code is displayed Thesignal processing software is stored as programs which perform discrete functions for example depth selection or auto correlation The D SP CPU generates a list of programs it wants and passes the name of the first program to the CPU board which transfers the program to the DSPII program RAM byDMA TheDSP CPU 68000 transfers the program from its 68000 RAM to the program RAM of the appropriate signal processor The DSP CPU deletes the program name from the list when it receives the program W hen the list is empty the CPU board passes control to the DSP CPU 68000 which starts normal processing TheARCH IM EDES signal processors receive latched resets from the DSP CPU 68000 to allow the system to start tidily W hen the system boots the U S processing software is loaded by default If an ECG transducer is connected the change in transducer is detected and DECG software is booted from ROM to replace the U S software T he following self tests are performed while the system is running TheDSP CPU checksums the signal processing software approximately every minute and the CPU board checksumstheRO M board at approximately the same interval If the checks fail the system is reset and rebooted An ASIC ts fed patterns by the CPU board 68000 every 300 ms If it doesn t receive a pattern it resets the system 97 Hardware This section contains brief functional descriptions of some of the boar
128. he fast response mode because it requires fewer samples allows you to see sudden changes in output more easily Fast response mode is indicated on thetraceby Configuring the Monitor Table 4 3 Service Setting C10 Options DSIF Configuration O ptions Connector 1 9pin Connector 2 25 pin C10 Option See Table Table 4 4 Dinamap 1846 8100 N ellcor N 200 Colin BP 8800 N ellcor N 200 o 78352 4C N ellcor N 200 s Accutorr Accutorr allmodds modes Nalcor N 20 200 men fe Philips 26 24 Series a S UE Philips CMS N ellcor N 400 15 Philips 26 24 Series 1 T he service setting C10 0 ensures the compatibility of older monitors with external devices and will not normally be needed with the M 1350B and M 1350C Table 4 4 Service Setting C10 0 DIP Switch Settings on the DSIF Board Connector 1 Connector 2 nein iene MERA Dinamap 1846 N ellcor N 200 S S S S S X IX X 600Bd 2400Bd Philips CM S and N ellcor N 200 Philips 26 24 Series 2400 Bd 9600Bd Accutorr N ellcor N 200 9600Bd 2400Bd Colin BP 8800 N alcor N 200 4800Bd 2400Bd 78352 4C N ellcor N 200 X X X 9600Bd 2400Bd Configuring the Monitor 29 Table 4 5 Service Setting C12 Options 4 default 5 Japan Printing and To print or clear the error log Clearing the Error Log 1 Disconnect all transducers from the monitor and disconnect or switch off T elemetry 2 Makesurethe recorder Is on 3 While pressing
129. ich indicates whether the monitor has FM P and or twin capability beneath the remote event marker socket 2 Placethe upgrade serial number label on the righthand side of the cover so that it can be easily seen U pgrades 81 Instruction 5 Removing the Display Assembly To remove the display panel you need first to remove the front end board and then the digital interface board T his applies to upgrades to XM and XMO monitors Options Requiring this Procedure A Removing See Frontend Board on page 12 178 for instructions on how to remove the frontend board the Front End Board B Removing the Digital Interface Board an e difboard hpg 1 Disconnect all the cables e loudspeaker cable 1 e power LED connector 2 e recorder switch board connector 3 e recorder sensing board connector 5 Unlock the flex layer connector by pulling it Slightly forwards 82 U pgrades C Removing the Maternal Display Panel Next Step Upgrades gt gt UNLOCK CONNECTOR REMOVE FLEX e recorder stepper motor 6 e frontend board connector 7 e backplane flat cable 13 2 Disconnect the recorder print head 4 from the recorder assembly 3 Removethetwo screws 8 and 11 that hold the board in place 4 Slidethe digital interface D IF board towards the rear of the monitor before lifting the
130. ieas EIS 119 Table 10 2 M1350A B C When to perform safety test blocks 0 ees 124 Table 10 3 M1350A B C Test and Inspection Matrix 0 0 cect teens 125 Table11 1 Noninvasive Blood Pressure ccc eee eee eee eee 138 Taneli PULOMA ria ii 139 Table11 3 Service Error Messages ooocoococococonrrn tee tenet n tent nnnees 140 Table11 4 Power Supply Board Output from Connector PINS 1 ee ees 144 EPA UGS cect tse bia st tec ses ob felts hes feds che Sh st lie Selec Sa ede sank Sah fe esa ee Hele dns 172 Tabell Parts Lille A BOR ase ws was bed Meas ae eS 189 Table 13 2 Replacement Pants LIE eeri tiaten erdei eee tenet a aa aaia 190 Table 13 3 Display Assembly nnn dee a ne GER A Ce hak eae AEA Dee COD A baa aes 192 Table 13 4 Replacement Parts Transducer Connectors n a ee ee teen eee 192 Table 1555 Pat NUMER Sanar dR IKE OP eae a eta a ees 194 Table 4 1 Replaceaple aitS cana daw DEAD Kena aaa ew do mew adware ade a 214 MaDe lads Cable CONNECUON ae cora hee Rare Sad OEE Oe eas 221 Table 15 2 DECO Trance Parts Listy saws dia 221 Table 15 3 Cable ConneconGr a awiriat aaa hare Oia A E eye Geek OAD eeioh ees 223 Table 15 4 MECG Transducer Parts List cio Vigesa ev ei ieee ad 223 Table 15 5 US MECG Transducer Cable Connections 0 cece eee eee teens 226 Table 15 6 US MECG Combi Transducer Parts List ccc tet 226 EAT AAA 230 List of Figures XV xvi List of Figures 1 General Information
131. ies e To set the day in N orth America or the month in other countries e To set the year 6 Press and release to return to the normal display You can also change the format of the time and date using the optional Barcode Reader and the feature setting barcodes supplied with it Getting Started Basic Considerations and O peration 45 Changing the To change from 12 hour to 24 hour format enter Time Format TIME FORMAT 24H MILITARY from the feature setting sheet To change from 24 hour to 12 hour format enter TIME FORMAT AM PM from the feature setting sheet To change from D ay M onth Year to M onth D ay Year format enter DATE FORMAT NORTH AMERICAN from the feature setting sheet To change from M onth D ay Year to D ay M onth Year format enter DATE FORMAT EUROPEAN from the feature setting sheet If the batteries are not changed when they become low or empty of charge the settings will return to their default values the date is set to 04 04 44 and the time is set to either 00 00 European Format or 12 00A US Format Setting Paper Speed and Scale Setting the T he paper speed can be 1 2 or 3 cm min T he default for N orth America is 3 cm min the default Paper Speed for other countriesis 2 cm min A changein paper speed will result in a change in the appearance of an FHR trace care must be taken to ensure ALL monitorsin your institution are consistently set at the same speed TheACOG technical bulletin on FH R monitoring
132. ing Error 500 General Failure Troubleshooting Warning T he following task requires that the power be on while the cover is removed Proceed with extreme caution Failure to do so can result in serious injury Check Power Supply PCB connector pins Remove following PCBs all interfaces type A and B DSP Digital PCB Switch On RED LEDs ON after power on ROM PCB CPU PCB ON Switch OFF ON Y Green LED must stay ON NO Fix power supply if needed Check backplane PCB and Power Supply Exchange either ROM PCB OR CPU PCB for 1sec repeating Ensure batteries are fully charged Connect A FE PCB Failure to do so may cause system Digital PCB hang ups and check batteries Are RED LEDs on ROM PCB CPU PCB D PCB A FE PCB NO Y Exchange relevant OFF D PCB OR A FE PCB i OR Backplane PCB OR Reassemble according Power Supply to EXIT procedure Are RED LEDs on ROM PCB or CPU PCB or D FE PCB or A FE PCB OFF 2 Reassemble according Failure might be to EXIT procedure found Figure 11 4 Troubleshooting Error 500 OR Backplane PCB OR Power Supply Switch ON Green LED must stay ON N o for 1sec repeating YES Reassemble according to Ex
133. ions at ambient temperatures between 0 and 55 C Ambient temperatures that exceed these limits can affect the accuracy of the monitor and cause damage to the components and circuits O nly products that fulfil the necessary safety and electrical standards should be used in conjunction with the monitor contact your local resoonse center for details Allow at least 5cm 2in clearance around the monitor for proper air circulation If the monitor is mounted in acabinet allow sufficient space at the front for operation and at the rear for servicing with the cabinet door open spillage W hen the maternal display isin atilted position take additional care to prevent spillage of liquid If liquid enters the monitor through the maternal display recess you must cease using the monitor immediately Contact an authorized engineer for a safety inspection 235 Electromagnetic Compatibility EMC Testing 236 T he electromagnetic compatibility EM C validation includes testing performed according to the international standard for EM C with medical devices See the M anufacturer s D eclaration for details D uring the test program the monitor was subjected to international standard and Philips proprietary EM C tests D uring most of the testing no anomalies were observed Some reduced performance was observed with the IEC 801 3 Radiated Immunity and IEC 801 4 Fast Transient Bursts Immunity tests IEC 801 3 specifies that the product must
134. ips 78352C and Philips 78354C COLIN BP 8800 Baudrate Startbit D atabits Stopbits Cable Port Baudrate Startbit D atabits Stopbits Cable Port Baudrate Startbit D atabits Stopbits Cable 9600 1 Parity None 8 TX RX High Low 1 C omputer On M 1350 61609 only Any port may be used but ensure the above settings are stored to the Philips CM S in configuration mode 9600 Switches SW 5 Open 1 SW 6 Closed 8 Parity None 1 M 1350 61609 Only port B sometimes referred to as port 2 can be used if the Philips 78352C or 78354C is configured to 9600 Baud 4800 1 8 Parity Even 1 Supplied by the COLIN Corporation System Interfaces Dinamap 1846 8100 Datascope Accutorr Nellcor N 200 and N 400 Philips 26 24 System Interfaces Baudrate Startbit D atabits Stopbits Cable Baudrate Startbit D atabits Stopbits Cable Baudrate Startbit D atabits Stopbits Cable Baudrate Startbit D atabits Stopbits Cable 600 1 8 1 M 1350 61609 9600 1 8 1 M 1350 61609 2400 1 8 1 M 1350 61609 9600 1 8 1 M 1353 61614 Parity Parity Parity Parity T X RX Computer None None None N one H igh Low On 67 External Maternal Measurement on the FHR Trace Annotations on the trace of measurements made by external devices are always prefixed with an asterisk M aternal measureme
135. iquid on the monitor or allow any to enter the monitor case Although the monitor is chemically resistant to most common hospital cleaners and non caustic detergents alternative cleaners are not recommended and may stain the monitor Take extra care when cleaning the display surfaces these are more sensitive to rough handling scratches and breakage than the other external surfaces of the monitor Many cleaning agents must be diluted before use Follow the manufacturer s directions carefully to avoid damaging the instrument Never use an abrasive material such as steel wool or metal polish Safety Maintenance and Calibration 117 Wipe around the NIBP connector socket not over it to ensure that no water or cleaning solution enters the NBP input connector The Instructions for Use for this monitor contains more details about how to care for the monitor and the accessories Performance Assurance Tests Self Test Parameter Test 118 The monitor automatically performs a basic level self test when you switch it on There are two possible types of error that you might see A fatal error prevents the monitor from functioning A non fatal error allows you to continue to work but warns you of a problem that must be resolved swiftly e Ifa non fatal error occurs for example if the batteries are low An error message is displayed for ten seconds Err xxx A time and date are printed on the paper after ten seconds and the
136. it is necessary Remove the three base plate screws 43 T he screws have rubber retaining O rings not shown take care when removing the screws Recorder Assembly and Disassembly 207 Full Re assembly Paper Eject Mechanism and Base Assembly Left Side Plate and Platen 208 See 14 5 1 Theright eect lever fits on the end of the eect rod with the longer machining M ake sure the lever is the right way round before fitting 2 Fit theright eect lever 41 on to the rod 40 being careful not to break or weaken the built in retaining clip Slide the eject rod 40 into the base plate Fit the left eect lever 39 onto the free end of the eject rod 3 4 5 Replace the screw and washer 38 on the end of the eject rod 6 Replacethe spring 16 using a spring hook 7 Fit the three base plate screws 43 and the rubber O rings not shown 8 It is easier to attach the flex layer 10b to the base plate before the paper box Is fitted H owever this can make it more difficult to assemble the T LP assembly later Attach the flex layer 10b to the base plate with screw and washer 5 if you want to do so at this stage Be careful of the flex layer as it is easily torn at the junction of the Y It is easier to use a magnetic screwdriver See 14 4 1 Put the left side plate face down on the bench 2 Fit shaft 42 and attach screw and spring adapter 22b 3 Locate the left platen spacer onto the left side plate 4 Position the washe
137. it procedure failure might be found 141 Error 502 Power Supply Warning T he following task requires that the power be on while the cover is removed Proceed with extreme caution Failure to do so can result in serious injury Error 502 Check 5V 12V on frontend PCB Are 5V SETA See figure 4 7 correct PCBs from the mainframe i Remove Power Supply check all voltages on PCB Are voltages on PCB connector correct NO YES Exchange PSU PCB Remove all backplane E Assemble one after the other CPU PCB ROM PCB DSP PCB Interfaces type B Interfaces type A Check after each PCB replacement the 5V 412V on power supply test points 5WV 12V after board NO placement correct Exchange Backplane PCB OR Digital PCB OR Frontend PCB Error Corrected gt Exchange relevant PCB ErrsOZap tif Figure 11 5 Troubleshooting Error 502 Troubleshooting Warning Electrical current is dangerous You must use extreme caution when performing the two following procedures Checking Output 1 Removethe monitor top cover see Removing the T op Cover on page 169 from the 2 Connect the monitor to line voltage and switch on Frontend Board Checking Output 1 Removethe power supply from the monitor see Rear
138. ity designated by Philips Portable products battery powered and products purchased under Philipss international prices can be returned to the closest authorized Philips repair depot worldwide All other products with return to Philips warranty must be returned to one of the authorized repair depots within the country of original purchase Customer shall prepay shipping charges and shall prepay all duty and taxes for products returned to Philips for warranty service Except for products returned to Customer from another country Philips shall pay for return of products to Customer Installation and on site warranty services outside the country of initial purchase are included in Philipss product price only if Customer pays Philips international prices defined as destination local currency price or Export price Service outside the country of initial purchase is subject to the conditions regarding Philips service travel areas and initial installation point described above 3 Limitation of Warranty T he foregoing warranty shall not apply to defects resulting from Improper or Inadequate maintenance by Customer Customer supplied software or interfacing Unauthorized modification or misuse O peration outside of the environmental specifications for the product or Improper site preparation and maintenance DODJTa TO THE EXTENT ALLOWED BY LOCAL LAW THE WARRANTY SET FORTH ABOVE ISEXCLUSIVE AND NO OTHER WARRANTY WHETHER WRITTEN OR ORAL IS
139. l This symbol identifies the terminal for connection to an external protective earth General Information Initial Inspection The monitor and any supporting options ordered are supplied packed in protective shipping cartons Before unpacking visually check the packaging and ensure that there are no signs of mishandling or damage Claims for If the shipping cartons show signs of having been mishandled contact the carrier and arrange for Damage his agent to make an inspection If any of the equipment supplied is damaged you should contact both the carrier and your local Philips Service O rganization Arrangements will then be made for repair or replacement as appropriate Repacking You are advised to retain the original packing carton and material You will find it useful if it becomes necessary to return a piece of equipment to Philips for service If you need to repack the equipment but cannot locate the original packing materials Philips can advise you on alternatives General Information 3 Unpacking and Checking the Shipment O pen the package carefully and remove the instrument and accessories Accessories are packed In recesses in the base of the box A cardboard cover separates the base from the main instrument packing Ensure that you remove the contents of the base before you dispose of the packing W hen the instrument has been unpacked check that the contents are complete and that the correct options and accessories hav
140. l ground HRI Mode nic nic nic nic nic HR1 Valid TOCO Status RS42 out nic HRZ T he following table lists the pin numbers the signals at each pin and the signal details If a Telemetry System Interface M 1350 66536 is connected at the same time you should check the correct setting of C13 See Chapter 5 for the correct setting System Interfaces 59 Table 6 2 System Interface Pin Connections CI ee ee Toco external N o Toco L IUP H Digital Signal IE a PO E A AA O E A i 11 H R1 M ode 10V Output US 0 6V AECG 5V DECG 6 7V INO P 8 5V Ground Analog Signal Ground 13 Toco 10V 1 V 10 T oco units 100mv R_out 100Q H R2 M ode 10V Output US 0 6V MECG 5V DECG 6 7V INOP 8 5V 5 16 Pulse H gt 100ms D igital Signal i a 19 Instrument ON OFF O pen PNP Collector R_i 22kQ ON Conducting 20 External M arker OV 0 n Output 214 FHR1 Analog O utput 1V 100bpm 30mV R_out 100Q 22 External T est Input W hen input is low external test is on Internal Pullup 5kQ Instrument ID 2 5V Regulated R_i 100Q Chassis G round Chassis ground 1 In the event of a paper end or an FH R coincidence condition an analog signal is applied to Pin 21 FH R 1 output T his lasts approximately 600msec and is repeated every minute while the condition remains T he exact output voltage values are shown in the following table System Interfaces Table 6 3 Pin 21 Out
141. l with FSpO M 1350 69206 1 M 1350C Fetal and maternal and FSpO gt M 1350 69205 1 Table 13 4 Replacement Parts Transducer Connectors com cts M 1355A 1251 6887 08030 41701 0698 4443 M 1356A 1252 4830 08030 41701 0698 3511 M 1350B Fetal only M 1350 69203 M 1357A 1252 4830 08030 41701 0698 4443 M 1358A 1252 4830 08030 41701 0698 3511 M 1359A 1252 4830 08030 41701 0698 3519 1 of each Parts Lists exploded tif Figure 13 1 Parts Diagram Parts Lists 193 194 Table 13 5 Part Numbers Item Description Part Number Qty 1 M onitor T op Cover M 1350 05202 1 2 Screws Top Cover M3x6 0515 0890 4 3 M ounting Cam 5041 4284 1 4 M ounting Screw Cam M3 x8 0515 0897 1 5 Foot 5041 4264 4 6 M ounting Screw Foot M 3 x8 0515 0897 4 7 Front Panel without label M 1350 40202 1 8 M ounting Screws Front Panel M 3 x 4 0515 1508 4 10 H older Front Panel Left M 1350 02311 1 13 H older Front panel Front End Board middle M 1350 02315 1 11 H older Front Panel Right M 1350 02312 1 11 M ounting Screws H older Front Panel M 3 x 16 0515 1111 4 12 M ounting Screws DIF Board Support M 3 x 4 0515 1508 2 14 Front Panel Label Kit XM M 1350 60606 1 Front Panel Label Kit XM O M 1350 60607 1 29 Chassis FE Board M 1350 02314 1 15 Paper Eject K ey M 1350 47402 1 16 Spring Paper Eject K ey 1460 2250 1 17 Power ON OFF Key 5041 1203 1 18 Power ON OFF Shaft 5040 9317 1 20 Loudspeaker Assembly 9164 0710 1 23 LED Ass
142. mbimod tif Description Both patient modules have a 7 pin ECG connector into which you can plug either DECG cable M 1362A or M ECG cable M 1363A The FSpO 5 combined patient module also has a 9 pin connector for the fetal oxygen sensor Specifications M1364A Patient O verall length 2706mm 30 100mm Module Length of free cable 2618mm 30 100mm W eight 120 grams Size 88x42x30mm Red Socket DECG or MECG connection M1365A Patient O verall length 2706mm 30 100mm Module Length of free cable 2618mm 30 100mm W eight 145 grams Size 88x42x30mm Blue Socket FSpO 5 connection Red Socket DECG or MECG connection 228 Transducers and Patient Modules DECG Cable M1362A MECG Cable M1363A M1364A M1365A With DECG Cable M1362A For red connector on M 1365A and M 1364A patient modules Cable weight 22 grams Cable Length 666 30mm For red connector on M 1365A and M 1364A patient modules Cable weight 16 grams Cable Length 606mm 30mm Patient Leakage C urrent 120V at 60H z 10uA rms Patient Auxiliary C urrent lt 0 1uA dc D electric strength 1500V rms spark gap protected Input Impedance gt 10M Q CMRR with patient cable 51 5kQ 0 047uF imbalance at line frequency gt 110dB N oise referred to input with 25kQ lt 4uVp Contact Potential Difference 500mV Input Voltage Range 20uV p to 3mVp Transducers and Patient Modules 229 M1364A M1365A Patient Leakage C urrent 12
143. mercial identification numbers and also to be indicated as being manufactured by Philips T hese components have been selected to meet specific operational criteria T he use of these components purchased through normal commercial channels may result in degradation of the Operation performance or reliability of the unit To order a replacement part address your order or inquiry to the local Philips Sales Service O ffice giving the Philips part number of the item from the list To order a part not listed in a table provide the following information 1 Model number of the instrument 2 Complete serial number of the instrument 3 Description of the part including function and location Table 13 1 Parts List Index Parts List Table T able 13 2 for Parts and Exchange Parts N umbers Exploded System View 13 1 R ecorder See Chapter 14 T ransducers See Chapter 15 Board Positions and type See Rear Panel on page 1 15 Parts Lists 189 Replacement Parts Table 13 2 Replacement Parts List presare E TT II EI ft EI E O E EIC LE A CN EI LEC O CN ECC LE A E ECO 0 A CIS LEC A E E E A CN II E Conn Pneumatic 1 Cable Assembly SpO 5 Display Assembly T able 13 3 Display Assembly on page 192 Switch Board T elemetry System Interface Board NIBP Assembly M 1350 69535 M aternal SpO 5 Assembly M 1350 69534 Fetal SpO gt Board M 1350 69540 System Interface Board M 1350 66532 90 Parts Lists Table 13 2 Replacemen
144. monitor off then on Read the TEST OK 5 barcode 22 Installing the Monitor tt CaN Default Configuration TEST OK 5 Figure 3 4 Test Barcodes Ll TEST OK 5 should be written on the recorder paper Figure 3 5 Test Annotation on the Recorder Paper 4 Ifthe above test does not work turn the monitor OFF and ON and repeat the test 5 Ifthe problem remains connect a new Barcode Reader Installing the Monitor Installing the Monitor 4 Configuring the Monitor Introduction T his chapter describes the tasks you must carry out to configure the monitor T his involves the following service tasks Configure the monitor Configure the recorder Print and clear the error log Set thetimeand date format to the local standard Some configuration tasks can be completed by connecting aPC to the monitor some by using pushbuttons on the monitor itself M ost can be performed using whichever method is more convenient for you see Table Table 4 1 for a list of tasks and methods To find out how to set the time date and paper speed see Chapter 5 Configuring the Monitor 25 Configuration T asks T he following table snows you which configuration actions can be carried out
145. mum of pressure when doing up the screws Excess force can damage the display assembly Removal and Replacement Procedures SpO gt Cable and NIBP Connector Tubing O ee 7 ie J AA Ue nn it SpO gt NIBP Figure 12 11Removing the SpO gt Cable and NIBP Connector Tubing gt a Mr 5 6 Turn the system off disconnect the power cable and all transducers Remove the monitor top cover Remove screws 1 and 2 from the SpO 5 and or N IBP connector Slide the NIBP board and or SpO 5 board slightly out of the unit Do not remove them completely Disconnect the N IBP tubing and or SpO 5 cable from the boards Release the cable and tubing from where it is fixed to the metal chassis Replacement is a reversal of the above procedure Perform the Instrument Safety Test see page 126 after working on the maternal SpO gt board Removal and Replacement Procedures Front Panel Assembly Ak remfesca tif Figure 12 12Removing the Front Panel Assembly Turn the system off disconnect the power cable and all transducers Remove the M onitor top cover Remove the Recorder Assembly as described in Recorder Assembly on page 176 Remove the FE board as described in Frontend Board on page 178 Remove the DIF board as described in D igital Interface Board on page 180 Remove the power switch extension jig Remove
146. n every ten minutes xxx is the number of the error message Switch the monitor off and then on If the error occurs again try to solve the problem or if you cannot contact your Philips Service Engineer or Response Center If the recorder is not on when the monitor is switched on Err xxx A time and date are printed when it is switched on subsequently e Ifa fatal error occurs for example if a board is defective An error message is displayed for ten seconds After ten seconds the monitor tries to restart If the error occurs again contact your Philips Service Engineer or Response Center T he parameter test tests the processing of the signal to and from the transducer but not the transducers themselves To perform the parameter test Switch on the monitor and the recorder Connect the transducers for the channels to be tested to the correct sockets m Press Test The monitor produces an artificial signal for each transducer connected and the signals are processed You will see that the test signal is displayed and the mode symbols light You will also hear asound specific for the type of transducer connected T he following table snows the values recorded when the different transducers are correctly connected Ensure that the recorder is switched on If an error occurs it is displayed for ten seconds and then Err N isprinted by the recorder together with the time date annotation After this time Err
147. nalog to digital conversion section digital clock and control circuits and a section for calibration and self test T he features of the Telemetry Interface board are Analog Signal Filter Section An analog input for FH R US LF or DECG with low pass filter and variable gain amplifier An analog input for maternal heart rate M ECG with low pass filter and variable gain amplifier An analog input for TO CO IUP with low pass filter An analog input for an external parameter with low pass filter and variable gain amplifier Analog to Digital Conversion Section A 12 bit digital to analog converter with build in voltage reference An ADEM UX conversion controller chip An analog four channel input multiplexer A sample and hold circuit A precision comparator Digital Clock and Control Sections Board ID latch Status input lines Control latch Bus control and clock circuits Theory of Operation N ote Theory of Operation a Calibration and Self T est Section e Calibration and reference circuits e System controlled test signal generation e Analog switches to apply reference voltages and test signals to the telemetry inputs m RS232 Socket If an OBM S board M 1350 66532 is connected at the same time as the M 1350 66536 the RS232 facility is switched off as default You can overwrite this setting See Chapter 5 113 OBMS Interface Board M1350 66532 N ote 114 Board ID Revision
148. nd Toco CnanneS 925 45 caridad iaa risa 10 Mi EE Vc PANN CLS ral o a at Paula hdi 12 RECO ts sd ADA AR A aa eae 13 SOR ri daa dai a os ari 14 o a E 15 4 Pre nstallation Cnecks cortar AA AA AA A AN 17 Poner SOURCE Requirements rise rt dd E oa a dd 17 SEUNG Me Required WOIGIC 4 mir a A des da 18 SINAN Ne MONO ira ee he Re RT REO eee es 19 MOMENT ENGI ONTON es mires miso rada abe Bude a Genta an bes arte eases oR Sa ane Greed oad ened ea aoe 19 SU Ma ce MOURI O errar Ricoto awa aw Hee eae ea ka ASS a 19 CEM OUNEN OO e E OS O aa Taian Yates ah ate ean Serta hehe sp ade nee 19 TO De IMI SOUNMELING wished SiG Goel Ss ara ca ada cad 19 ENT ENE Paper Wace UO Elsa a ria Guna foes ae 20 Aoc ae ne IC Ae ae decd ieee 21 Barcode eres apa adria idea asas 22 Attaching the Reda AO ta A A AA A AE 22 C ONNECUNO te Reale ose curras prorrata ed 22 FENNI NERGA a A AAA di 22 6 Configuring Me MONITO rra ARAS ARANA 25 LVEF OCUCEI Oscura A A AA AA cs Ss a de 25 CONTIGUMACION ASS cota aaa aia 26 Configuring the M onitor Using PushbuttonS 1 ccc teen tent e tent n teens 21 Printing and Clearing the Error LOG cece eet een tee ete n tenn ennees 30 Contents iii Changno the time Format 24 AA Hana ee ee aes ae ees 33 Co nfigunng teM onito UGNOGPG ers rar Ri Ghee are eae BD 33 lnSaliliG the Service Proga uaa cts dd Gada eae ha ete ie oes hee hk ok ee 34 Connecting thePC totheMonitor ccc eee tent eet e teen e beeen nn nnnes 35 LO
149. necting the sensors 1 Freethe base plate end of the flex layer by removing screw and washer 5 T ake care not to lose the washer It is easier to use a magnetic screwdriver 2 RemovetheTLP assembly The assembly must be rotated slightly to get it off the pins on the base plate 3 Removethetwo ESD shield screws and earthing straps 6 4 Removethetwo ESD shield screws 7 5 Remove the electrostatic discharge ESD shield 8 6 Removethethermal line unit 13 7 Remove the screw and washer 9 to free the flex layer and optical sensor assembly 10a It is easier to use a magnetic screwdriver 8 Removethetwo TLP bracket screws and washers only one shown 11 T he brackets can be removed only one shown 12 See 14 3 1 Pivot the front assembly forward Remove the paper box links only one shown 14 Slide the paper box 15 forward off the slides T urn the paper box upside down EN re OO Lift the free end of the paper eject lever 44 slightly to get it over the lip on the paper box and rotate it 90 degrees anti clockwise to remove it It is best to remove the motor next though it can be left on the side plate if it isn t to be worked on Recorder Assembly and Disassembly Figure 14 4 Motor and Side Plates Motor See 14 4 1 Remove screw and washer 17 and cable clip 18 from the base plate 2 Remove screw 33 and screw and washer 34 from the left side plate 3 Lift the motor 37 away from the side plate T he idle
150. nge EPROM son theROM board you must rewrite the new serial number and restore the original options configuration Twins FPM FM P Alerting Options Requiring this Procedure C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 SO1 J10 J12 J13 1 If you have not yet done so print the error log see Printing and Clearing the Error Log on page 4 30 T his will serve as a useful record of the current monitor configuration 2 Enter thenew serial number from the serial number labels included in this upgrade kit This must be done using the service software see W riting the Serial N umber on page 4 42 for instructions A serial number can be written only once to the exchanged board If you accidentally confirm an incorrect serial number you can reset it using an access code obtainable from your Philips Response C enter or from the Philips T echnical M arketing Intranet page Softserver 3 You will be prompted for the option configuration You can set all the option settings using the pushbuttons as described in W riting the Serial N umber on page 4 42 Using the error log you printed previously ensure that you restore only those options that the customer had before you commenced the upgrade 4 Double check the settings carefully the configuration is irreversible 5 Step back to the main menu of the service program and select Configuration T asks to set the paper speed time format and s
151. nitors Dinamap monitors are products of Critikon Incorporated Press M ate monitors are products of COLIN Corporation Datascope monitors are products of D atascope Corporation NELLCOR monitors are products of Tyco H ealthcare W arranty Philips hardware products are warranted against defects in materials and workmanship If Philips receives notice of such defects during the warranty period Philips shall at its option either repair or replace hardware products which prove to be defective Some newly manufactured products may contain selected remanufactured parts equivalent to new in performance Philips software and firmware products which are designated by Philips for use with a hardware product when properly installed on that hardware product are warranted not to fail to execute their programming instructions due to defects in materials and workmanship If Philips receives notice of such defects during the warranty period Philips shall repair or reolace software media and firmware which do not execute their programming instructions due to such defects Philips does not warrant that the operation of the software firmware or hardware shall be uninterrupted or error free If Philips is unable within a reasonable time to repair or replace any product to a condition as warranted Customer shall be entitled to a refund of the purchase price upon return of the product to Philips 1 Duration and Commencement of W arran
152. nt from those shown Configuring the Monitor 37 Adjusting the The Recorder H eat Adjust is to compensate for different tolerances in the paper Recorder Recorder Heat Adjust Actual Value is Selected Value is Recorder Zero Adjust Actual Value is Selected Value is Left Right Return to Main Menu MESSAGE Select with gt cursor keys lt or gt E S D X lt then press lt ENTER gt to execute To change a setting 1 Using the appropriate keys move the cursor to the new value you require 2 Press Enter To return to the M ain M enu 1 Movethecursor to Return to Main Menu 2 Press Enter Example On the screen above the actual value of the recorder zero adjust is Left To change this to Right movethe cursor to Right in the Selected Value is column and press The program will adjust the recorder accordingly T he values shown on your monitor may be different from those shown 38 Configuring the Monitor Service Menu To select an item from the menu move the cursor to the item you require and press Note Before you select Cyclic Test you must connect ultrasound Toco and DECG transducers to the monitor The serial number and software revision of your monitor may be different from those shown Serial Number 2948G00010 Software Revision A 02 03 Cyclic Test Read options Read ErrorLog Clear ErrorLog Write Ser nr Set Options Fetal Heart Rate Alerting Return to Main Menu M
153. nts made by the 50 XM XM O monitor itself have higher priority than maternal measurements made by a device externally connected to it Table 6 6 External Maternal Measurement Frequency Measurement Printout Parameter Interval Each measurement M ECG Waveform Not available Temperature N ot available 5 minutes 1 If you are using automatic mode to measure maternal blood pressure with a short interval between repetitions not all measurements will be recorded on the paper If you monitor maternal N IBP only an M H R measurement is printed at the same time as the NIBP measurement If you monitor SpO 5 an M H R measurement is printed at the same time as the maternal SpO measurement every 5 minutes If you set the N IBP monitor to automatic mode you must leave a minimum time interval between each measurement T his time interval depends upon the paper speed setting Paper Speed Minimum Time Interval 68 System Interfaces Troubleshooting You can use the following tables for solving general application problems and product specific problems that may occur For solving general technical problems refer to the troubleshooting flowcharts O em a O N ot all maternal NIBP measurements are printed The time interval between each measurement is Set the minimum time interval according to on the trace and the N IBP M onitor isin too short paper speed See previous pages in this C hapter automatic mode Incorrect SpO
154. o forth or perform the self tests or read the error log You will find detailed instructions for all these tasks in Chapter 4 Configuring the M onitor Restoring Using the data from the error log you must now restore the customer s original service settings O f Service course if you have added new functionality you should ensure that default settings for the new Settings Using parameter s are satisfactory for the customer and if not change them See Configuring the Pushbuttons Monitor Using Pushbuttons on page 4 27 for instructions on changing the settings Upgrades 89 Instruction 10 Upgrade Key T his section tells you how to use an upgrade key to upgrade the software of the Philips Series 50 XM and XM O fetal monitors 1 Disconnect all transducers and telemetry from the monitor 2 Switch on the monitor 3 Plug the upgrade key into the service socket see Figure 1 1 on page 9 on your monitor if applicable first remove the little plastic cap on the service socket e The start upgrade tone sounds two short beeps when the upgrade begins e After about 45 seconds the fetal monitor display should change to 8 Within 7 minutes the display counts down to 0 4 Attheend of the procedure you will hear the upgrade successful tone a continuous beep lasting two seconds T he monitor display shows 0 U nplug the upgrade key from the monitor If you don t hear the start upgr
155. ollow the instructions in the section Unpacking and Checking the Shipment on page 1 4 if the Damage shipping cartons show signs of damage W hat You Need U pgrading a monitor requires simple tools pozidrive screwdriver size 1 Safety test equipment PC for configuration Configuration software pegserv exe Cableto link PC to fetal monitor Before You Start Warning Disconnect the electrical power to the monitor before you remove any component Follow the necessary electrostatic discharge ESD procedures throughout the upgrade process 76 U pgrades Instruction 1 Verifying Monitor for Upgrade Before you start the upgrade process ensure that you are upgrading the correct monitor and that it is working properly Options Requiring this Procedure 1 Check the monitor s serial number as described in the section on Instrument Identification on page 1 6 W hen you have upgraded the monitor remove the old serial number labels from the monitor and replace them with the new labels supplied in the upgrade pack 2 Ensurethat the monitor you are about to upgrade works correctly Perform a Q uick T est and a Parameter T est on the monitor T hese are detailed in Chapter 10 Safety M aintenance and Calibration If the monitor does not successfully complete its service tests do not upgrade It M ake appropriate arrangements for its repair It is more expensive in time and money to troubleshoot after
156. on to paper sensor Does error stil occur 7 NO gt Error corrected Check white label at bottom of paper tray Does NO error still gt Error corrected occur Check as for Err 500 Papsensp tif Figure 11 30T roubleshooting Recorder Paper Sensing Caution The use of recorder paper that is not approved by Philips can damage the M onitor This type of damage will not be covered by warranty Troubleshooting 165 FSpO gt If the N ellcor FSpO gt monitor has two power switches a mains switch at the rear of the unit and a Monitor standby switch at the front of the unit take care to switch them off and on in the correct order Failure to follow this prescribed sequence can cause the unit to appear to malfunction by displaying data erratically or not at all Switching O ff 1 Turn front switch on standby mode to standby 2 Turn rear switch mains power switch to off Switching O n 1 Turn rear switch mains power to on 2 Turn front switch on standby mode to on If the unit behaves erratically switch it off exactly as detailed above wait for five seconds then switch it on again W hen using the FSpO 5 monitor regularly it is recommended to keep the rear switch in the on position and use the front switch to change from on to standby mode 166 Troubleshooting 12 Removal and Replacement Procedures Introduction T hi
157. onnect a monitor to an obstetrical system such as Philips OB TraceVue you must perform the System Test T he System Test consists of the Enclosure Leakage Current tests normal and single fault condition as described on page 127 You must run this test when connecting either anew or repaired monitor 126 Safety Maintenance and Calibration S 2 Protective Earth Test S 3 Patient Leakage Current Test AC S 4 Enclosure Leakage Current Test Normal Condition NC S 5 Enclosure Leakage Current Test Single Fault Condition SFC Open Supply S 6 Enclosure Leakage Current Single Fault Condition Open Earth Ground Safety Maintenance and Calibration T est to perform T he protective earth test measures impedance of Protective Earth PE terminal to all exposed metal parts of Instrument under Test IU T which are connected to the Protective Earth PE for safety reasons N ormally it includes the wiring in the mains cable max 200 mO hm A test current of 25 Amps is applied for 5 to 10 seconds It is recommended to flex the main cable during the test to identify potential bad contact or damage to the earth wire Safety tet according to IEC 60601 1 Clause 18 Report the highest value T est to perform T he patient leakage current test measures patient leakage current from the applied part to the earth caused by external main voltage on the applied part Each polarity combination possible must be t
158. onnected Transducer type TheLEDsare driven by controlled current source Two demands must be met LEDsmust belit in their correct sequence to produce the four phases of the pulse frame LEDsmust belit to an ideal intensity T his is dependent upon the light absorption at the transducer site T he grounded section of the maternal SpO gt board is completely digital It is essentially a dedicated microcomputer and amongst other tasks performs the following m Calculation of the maternal SpO 5 saturation percentage Control of the user determined alarms Control of the N O P alarms Input is via the optocoupler shared with the floating section of the board T he board has its own RAM as working area and its own EPROM holding the software Theory of Operation External Blood Pressure NIBP Board M1350 66535 Pressure Sensor Amplifier Filter Release Valve Imas Oscillation Overpressure se Lee Safety Circuit Cuff and Switch Pump Contro lt ON O a Pump ee E Processor N Watchdog RAM ROM Figure 99 External Blood Pressure Board Communication with Instrument NIBPba tif The measurement of the blood pressure is based on the oscillometric method in which an inflated
159. onnectors that allow connection of two electrode cables M 1531B from the maternal ECG electrodes 40493D Caution Using ultrasound gel that is not approved by Philips may reduce signal quality and may damage the transducer T his type of damage will not be covered by warranty 224 Transducers and Patient Modules Specifications Ultrasound System Pulsed D oppler Transducer O scillator Frequency 998 4 kH z Ultrasound Intensity lt 1 5mW cm Dimensions 75mm diameter 21 5mm depth T ransducer weight with C able 185 grams Cable Length 2 5m 8 2ft Temperature Storage Range 40 C to 60 C W atertight to a depth of 0 5m MECG Input Impedance gt 10M Q ere CMRR with patient cable 51 5kQ 0 047uF imbalance at line frequency gt 90dB N oise referred to input with 25kQ lt 4uVp Contact Potential D ifference 500mV Input Voltage Range 80uV p to 4mV p Patient Leakage C urrent 120V at 60H z 10uA rms Patient Auxiliary Current lt 0 1uA dc D electric strength 1500V rms spark gap protected Dimensions T ransducer W eight with Cable 175 grams Cable Length 2 5m 8ft 2in Transducers and Patient Modules 225 Parts List Table 15 5 US MECG Transducer Cable Connections Pin Cable Color Bridged by Code Resistor 665Q 0698 3511 Table 15 6 US MECG Combi Transducer Parts List a rot Combi T ransducer U S M 1358 60001 Combi T ransducer M ECG M 1358 60002 Combi Cable Assy US M 1358 61681 Cable Boot 08
160. peat the tests with another transducer If this does not solve the problem refer to Chapter 11 Troubleshooting The transducers are sealed and are NOT repairable but the connectors can be exchanged TOCO Transducer Visual Check Ensure that the transducer housing is sound that the cable is not cracked or broken and that there are no cracks on the connector plug Electrical Check 1 Connect the T oco transducer to the T oco socket Both the connector and socket are brown and keyed so that they mate in only one position Ensure that theToco display shows 20 e when the recorder is switched on the date time mode and paper speed are printed on the recorder trace Press the transducer button firmly and look for a deflection on the display and recorder T he external T oco display maximum is 100 units Lay the transducer face up on a flat surface for a few seconds Press the T oco Baseline K ey to readjust the T oco display to 20 T urn the transducer over so that the button is face down on the flat surface H old the cable at a point 25 cm from the transducer and ensure that the transducer touches the flat surface only with the button and that the transducer is parallel to the flat surface TheToco display should read between 40 to 50 units Toco display 20 Toco display iO 50
161. per that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty 157 Error 602 Incorrect T ype of Paper Err 602 DISPLAYED Is correct NO Replace with paper loaded correct paper TES Change paper format Remove all B type settings on the monitor Err602p tif Figure 11 21T roubleshooting Error 602 Caution T he use of recorder paper that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty Ultrasound Parameter ULTRASOUND PARAMETER TEST Test NOT AS OUTLINED Y Y Y Y No Sound No mode detection or Missing No information printed Wrong mode detection Heart Rate Display on recorder E Y Y Replace Transducer Y Check recorder On try other Cardio socket Replace transducer or Replace Transducer Press Recorder keys Y Y or Function Keys Repeat test Replace Check paper loaded Display PCB Y Y Still noAvrong mode detection Check cable to thermal printer Click from NO check for error code displayed Louesneaket Replace Loudspeaker p Replace Frontend PCB Y YES Run Thorough Instrument Test No Error code displayed Still no Replace Frontend PCB a Replac
162. pital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards 2002 Philips M edizinsysteme Boblingen GmbH All rights are reserved Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder Contents DFO OS ri na a ae RT AR a Ra eR race xi Die AON AAA AA XV 3 General Niormationines6 466081060 rriet neninn ere AE 1 Hho te A E O ea ee CT eta re ere 1 PO OUR US HUNG Siem tering d thee dede a in dane chemin dng 1 WDO TA G WdE FOE ersen aa a ah T as anes te ard atop atc ae apa eae nde 1 nn II II II toe Satan aie te 1 MONOS Wa we pie 0b O gt ia A miata ar eras eae tea iaa ee 2 CONVENTIONS U Sed WA TAISG UGS Erin a aca dica 2 O en ca ek shah Mase Wl aaa Sudan Ra ae eg Ree Aas 2 LAVAS CCU Oe wastewater Gia hasta acd et acne anton bee ee ea dew erica ee Re aa Stale BGR eee ater 3 ASA PP haem ate he eee pO eee eae 3 A E ON 3 Unpacking and Checking theShipment ooooccocccccccr tee ten tee tee tent e nen eens 4 OP anal ACOSO NICS sary eau ina pant tae wba egy AE Qo 6 SERIE dena ses sisted AA AE AAA EA eh tae AA 6 Mes ve 0 ODIN S ecceri nine aid dred dl a aa tel deta asia andtal de ee ave aint eae ad due 6 a A O 7 O verview of the Service Tess ina rias oh bPu dade Card id i ADOUC TOE MONO NS ad oaths Sot eed 8a Sa 8 OVENIGN OF Te MONO idear dnd oa ds naa ge oe eG 9 Cardio a
163. placing specific items Disassembling and reassembling the entire recorder a Parts list This chapter provides detailed information on the complete disassembly of the recorder but it is not necessary to do this for most service tasks You should only disassemble the recorder as far as you need to replace an item Caution The use of recorder paper that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty Warning Do not grease or oil any axle or bearing in the recorder system M ost of the time it is easier to work from the rear of the recorder and even easier with the rear of the base plate held in a vice H owever these instructions always describe the recorder as viewed from the front For example right refers to the right side when the recorder is viewed from the Recorder Assembly and Disassembly 199 front T he following figure illustrates this and also shows the three major assemblies referred to Some items such as the paper box have not been shown Left Front f Base Thermal Line Assembly Right Assembly Assembly pegoview tif T heinstructions refer to Figures 9 2 9 3 9 4 and 9 5 14 1 isan exploded drawing of the recorder with some parts named T he callouts in the figures are referred to by bold numbers in the instructions For example soring 3 Tools T he following tools are needed to s
164. pressure gauge and if the manometer tolerance is gt L mmH g calibration cannot be done within Philips specifications To enter NIBP calibration mode l 4 Disconnect all transducers from the monitor and disconnect or switch off T elemetry M ake sure the recorder is on While pressing press Test e COI isshown in the US1 US display e QOorlisshown in theT oco display Press again to select the Function M enu e AO1 Print the Error Log isshown in the U S1 US display Press repeatedly to select service setting A04 To calibrate NIBP T his test mode does not use the monitor s internal pump Pressure xm__nibp tif Rubber bellows or other gauge xm_nibp tif Figure 10 5 Connecting the Pressure Gauge Connect a pressure gauge 0 320 mmH g to the parameter input socket of the monitor via the cuff tubing Press Yes to switch the monitor into calibration mode T his allows you to apply pressure through the NIBP connector and view the current measurement Apply an exact pressure of 220 mmH g W ait ten seconds for the measurement to stabilize Safety Maintenance and Calibration 133 NIBP Overpressure Test 4 Press Store Cal Both the old and the new calibration values are shown in the display T hen the monitor reboots and releases the pressure automatically If the NIBP calibration fails FAILED is shown in the display
165. program 34 247 instrument identification 6 Instrument safety test 126 IUP formatting 33 setting scale 27 IUP transducer specifications 227 testing 131 L labelling 81 LCD display board error 526 flowchart 150 leakage current 233 LED Display board error 525 and 527 flowchart 149 loading the service program 35 M maintenance regular 128 manufacturer s responsibility 239 maternal display clip removing 182 maternal parameters external devices 61 maternal SpO2 board 107 maternal SpO2 board error 534 flowchart 153 maternal SpO2 parameter test 161 maximum input output voltages 233 measurement priority 62 MECG parameter test 159 MECG transducer M1365A cable connections 223 specifications 222 mechanical inspection 128 Metron contact address 124 monitor cart mounting 19 cleaning 117 configuring using a PC 33 configuring using pushbuttons 27 description 8 installing 19 overview 9 settings 45 top mounting 19 mounting 19 on carts 21 MRI 232 N N 400 N 200 DIP switches 64 NIBP calibration 133 NIBP capability adding 84 NIBP connector tubing removing 185 NIBP monitors 61 NIBP overpressure test 134 NIBP parameter test 163 noninvasive blood pressure warning messages 138 Noninvasive Blood Pressure Board functional description 109 notes 2 248 O OBMS interface board a functional description 114 operator error messages 137 ordering parts 189 Overview
166. put Voltage Values FHR fa Coincidence A a Bit ray nge 3500 3650 500 3 650 MEN 575 A o o ICI ICI IEC CI o p o ICI ICI CE A a RS232 Dual Serial Interface O ption J13 The Dual Serial Interface board provides data communication between the Philips monitor and external devices A model 8801 adapter is required from Critikon before the Dinamap 8100 can be connected to the interface socket on the Philips monitor External parameters are transmitted printed only if the monitor has no internal parameters installed A External Devices External Maternal Parameters ir M 1165A 1166A 1175A 1176A CM S V 24 V 26 Philips 78352C 78354C Compact Yes Yes Yes Yes Configurable M onitor CCM EEC IC wo ve Re EC te Ro wo Ye Re E fs fe fe fre fe seroma ve re fo fve fe N ellcor O xiFirst Fetal O xygen Saturation No No monitor N 400 1 An MHR measurement is provided in conjunction with maternal N IBP or SpO 2 monitoring System Interfaces 61 2 Only if this parameter is installed on the external device M easurement Priority M easurements made by internal maternal parameters SpO 5 N IPB and M HR take precedence above the same measurements made by an externally connected device TheM HR measurement obtained from the SpO measurement has higher priority than theMHR obtained from the NIBP measurement Connecting External Devices T he supported external devices are connected to the monitor via th
167. r you can reset it using an access code obtainable from your Philips Response C enter or from the Philips Technical M arketing Intranet page Softserver NOTE resetting the Serial Number is protected by Access Code Serial Number 3151G00026 Type in 4 digit code from factory TME and press lt ENTER gt gt lt MESSAGE To write the serial number 1 Using the keyboard type in the serial number of the monitor T his is printed on the side and on the bottom of the monitor 2 Press Enter A confirmation message asks if the serial number is correct e Press Y if itis OR e Press N and retype the serial number You then go to the Set O ptions Screen to reset the options for the monitor Configuring the Monitor Actual Setting is Selection C 01 TWIN OFF OFF ON C 02 FMP OFF OFF ON Write Options MESSAGE Select with gt cursor keys lt or gt E S D X lt then press lt ENTER gt to execute To select an option 1 Using the appropriate keys move the cursor to the selection you require 2 Press Enter To write the options to the monitor and return to the M ain M enu 1 Movethecursor to Write Options 2 Press Enter A confirmation message asks if the selected options are correct Configuring the Monitor Enabling T his screen enables you to enable or disable the fetal heart rate alerting To change this Disabling FHR configuration you must enter an access code which
168. r 31 over the hole in the platen bearing It is essential that the correct washer is used 0 15 mm thick 8 mm external diameter hardened 5 Fit the drive belt 45 on the cog on the right end of the platen and locate the pin of the platen in the hole in the pressed bearing M ake sure the drive belt goes through the two slots in the right hand platen spacer 6 Hold theplaten in position and slide the black extrusion 28 into place 7 Turn the assembly over holding the components together and fit screws 26 and 27 to secure the side plate to the extrusion 8 Slide the shaft 42 into the base plate 9 Fittheright platen spacer 30 making sure washer 31 isin place between the end of the platen and the side plate It is essential that the correct washer is used 0 15 mm thick 8 am external diameter hardened 10 Slide washer 24 onto the end of the shaft 42 It is essential that the correct washer is used 0 2 mm thick 12 mm external diameter hardened 11 Put washer 23 on the free end of the platen drive shaft Recorder Assembly and Disassembly 12 Fit the right side plate making sure the washer 24 is correctly seated Pressed Brass Bearing Base Plate Rod pegwashr tif 13 Fit screw and spring adapter 22a and screws 20 and 21 to secure the right side plate 14 Check the assemblies pivot freely If they don t washer 24 is probably not seated correctly 15 Attach rubber stop and screw 36
169. r Off Disconnect frontend System Bus Connector connect new Digital Interface PCB Frontend PCB Leave original frontend assy attached to the monitor Switch Monitor On gt Exchange relevant PCB Switch Monitor Off Disassemble frontend assy Exchange frontend PCB for new one Switch Monitor On Are NO ae gt Exchange relevant PCB YES Error corrected Errdieap tif Figure 11 11T roubleshooting Error 516 or 517 Troubleshooting Error 525 or 527 LED DisplayBoard Error 525 or 527 DISPLAYED Switch Monitor Off Connect replacement LED PCB to DIF board Switch Monitor On Is ehh O2 5 0r S21 displayed 7 NO Replace LED display PCB Switch Monitor Off Replace DIF PCB Switch Monitor On Is Err 506 NO displayed Replace DIF PCB TEG Check as for Err 500 Err525ap tif Figure 11 12T roubleshooting Error 525 or 527 Troubleshooting Error 526 LCD Display Board Error 526 DISPLAYED Switch Monitor Off Unplug LCD display from DIF PCB Switch Monitor On Is Err 526 displayed NO a Replace LCD display assy Switch Monitor Off Replace DIF PCB Switch Monitor On Is Err 526 displayed YES NO gt Replace DIF PC
170. r cog shown in the figure is fixed to the left side plate and is not removable Recorder Assembly and Disassembly 205 Right Side Plate Left Side Plate 206 See 14 4 1 Removescrews 20 and 21 from the right side plate 2 Removethe screw and spring adapter 22a from the right side plate 3 Pull the right side plate 19 away from the assembly Be careful of the platen washer 23 and washer 24 4 Slide the front assembly off the rod See 14 4 1 Removethe screw and rubber stop 36 from the left side plate for ease of working 2 Removethe screw and spring adapter 22b from the left side plate the shaft 42 can now be removed Be careful of washer 24a 3 Remove screws 26 and 27 from the left side plate 4 Put the left side plate face down on the bench and slide the black extrusion 28 away from it 5 Removethe platen 29 and the left platen spacer 30 Be careful of platen washer 31 Recorder Assembly and Disassembly Eject Mechanism and Base Assembly Figure 14 5 Eject Mechanism and Base Assembly See 14 5 k S ES Disconnect spring 16 from the eject lever Remove the screw and washer 38 from the end of the paper eject rod Remove the left eect lever 39 Slide out rod 40 Only perform this step if the right eect lever is damaged and has to be replaced Remove the right paper eject lever 41 by carefully levering the built in clip Be careful the clip is fragile and may break Only perform this step if
171. r organized storage and retrieval of patient records If you wish to use paper with a different FH R scale for example 50 210 bpm instead of 30 240 bpm you can change the paper scale settings 1 Using the service software see U sing the Service Program on page 4 36 2 Using pushbuttons see C onfiguring the M onitor U sing Pushbuttons on page 4 27 Getting Started Basic Considerations and O peration 47 Switching Logic Off and On T he default setting for arrhythmia logic is on To change the setting do the following Connect aDECG transducer to the Cardio 1 Combi or Cardio 2 socket Press repeatedly until LUL is displayed T he Signal Q uality Indicator shows e RED if logicisOFF e GREEN iflogicisON Press 2 or to change the setting Press repeatedly to return to the normal display You also return to the normal display automatically if you do not press a key for a few seconds Separating FHR Traces Twins Offset Using Keys To help with the interpretation of traces with similar baselines you can separate them Connect two fetal heart rate transducers to the Cardio 1 C ombi and Cardio 2 sockets 37 Press repeatedly to display Cure T he Signal Q uality Indicator shows e RED ifthetraces areN OT SEPARATED e GREEN If thetraces are SEPARATED Press L2 or to change the setting Press repeatedly to return to the normal display You also return to the normal display automati
172. ration 95 Booting and Self T est T he system tests itself when it is turned on T here are two types of check programs that check the hardware on each board and programs that perform checksums on the individual portions of code that are loaded from the ROM board Boards with processors check themselves boards without processors are checked by the CPU board All error LED s are lit at the start of the checks and the boards are then checked in sequence If a hardware error is detected on a board its error LED stays lit and the error code for the board is shown on the display the error code is the last three digits of the board s part number If any element in the display chain is not working the errors may not be displayed If a board passes its check the LED is extinguished and the next board in the sequence is checked The system also tests itself while it is running W hen the system is turned on the initial reset generated by the power supply is fed to the CPU board where it is latched and passed to the other boards Each board latches the reset to light its error LED TheLED can only be turned off by the CPU board delatching It T he processor on the CPU board runs a small self test program from the ROM board The program tests certain functions of the CPU and ROM boards If the tests are successful the LED s on the two boards are extinguished If either board fails its test the LED is left on and the appropriate error code
173. rd M1350 66533 Cie hardshabe Centigurali n me ASSa2 AS 22 dor example Mellcor N 2001 Cinamap 12 44 Figure 9 13 Dual Serial Interface Board T he RS232 RS422 dual serial interface board uses both RS232 and RS422 standard voltage levels to interface between the monitor and external devices Currently the monitor supports communication with the following external devices Theory of O peration Philips M 1165A 1166A 1175A 1176A CM S with appropriate options abbreviated to Philips CM S Philips 78352C and Philips 78354C Compact Configurable monitors with appropriate options Philips 26 24 monitors Dinamap 1846 and 8100 NIBP monitors D atascope Accutorr 3 and Accutorr 4 NIBP monitors D atascope Accutorr 3SAT 4SAT NIBP and SpO 5 monitors Press M ate Listmini M odel BP 8800 abbreviated to BP 8800 N ellcor O xiFirst O xygen Saturation monitor N 200 N ellcor O xiFirst Fetal O xygen Saturation monitor N 400 115 116 T he interface board has two independent ports one 9 pin connector and one 25 pin connector The 9 pin port can be used for RS232 data transmission and the 25 pin port for both RS232 and RS422 data transmission The RS232 standard is suitable for distances up to 15m 50 feet and the RS422 standard for up to 300 m 1000 feet T he RS232 RS422 interface board consists of the following major components 80C 51 M icrocontroller U 1 ASIC Chip U 2 e Multiplexer e DMA Con
174. repeat the calibration ensuring that you apply an exact and stable pressure of 220 mmH g If it fails repeatedly you must exchange the NIBP module You can test the proper functioning of the NIBP overpressure safety mechanism as follows 1 Manually pump up a blood pressure cuff and connect it to the NIBP input socket using the cuff tubing 2 Exercise pressure on the cuff T he ventilation valves should release pressure in the cuff immediately T he valves operate mechanically and should function whether the monitor is switched on or off They do not function when the monitor isin calibration mode or in NIBP measurement mode TheN IBP acoustic alarm in contrast functions only when the monitor is switched on As the actual overpressure safety mechanism consists of the ventilation valves it is not necessary to test the NIBP alarm function See M aternal External Blood Pressure on page 242 for details of the maternal NIBP alarm limits Safety Maintenance and Calibration 11 Troubleshooting Introduction T he foundation for troubleshooting is the interpretation of error messages written on the display and in the systems error log which you can print For details of how to do this and of how to clear the contents of the error log see Printing and Clearing the Error Log on page 30 If no error message occurs you may need to look at the troubleshooting flowchart for the system in 11 1 T his directs you towards the probl
175. replacing the Power Supply assembly hold the O N O FF switch situated on the front of the monitor as this can be dislodged whilst inserting the Power Supply DO NOT force the Power Supply into the rear of the monitor If it will not locate remove and check that the pins connecting the supply to the Backplane are not bent Reinsert the supply Perform the Instrument Safety Test see page 126 after you have worked on the power supply Removal and Replacement Procedures 171 172 Fuses 1 Removethe Power Supply board as previously described 2 Thelocation of the fuses is shown below 5V 24V sense GND H2V 32 OOODOO JD J900 0DODOD ODO OoooOo OU U D0O0Q0CAOCO0OO0DaADaDAaODO JOD DOUDDOU 01 Pegsm2Za tif pegsm22a tif Figure 12 4 Output Voltage from Power Supply board 3 Toremove the fuses pull them out Table 12 1 Fuses Removal and Replacement Procedures Boards To remove a board from the monitor 1 Turn the system off and disconnect the power cable 2 Undo screws 1 at the top and bottom of the board you want to remove 3 Move lever 2 upwards of the monitor NIPB and SPO Boards Only Slide the board out for a few centimeters until you can easily disconnect the N IPB tubing or
176. ror log see page 30 for instructions on how to print the error log Read the error messages and system error log to determine whether the fault lies in the hardware or firmware T hese problems can be repaired by board replacement or unit exchange Do not attempt component level board repair Overview of The system contains resident tests to enable monitoring of system status and errors that occur the Service T A General Information Power On Self T est see page 96 T his is invoked whenever the system is switched on Performance Assurance T ests e Parameter T est see page 118 T his checks the processing of the signal from the transducers e Quick T est seepage 119 T his checks the display recorder and complete instrument hardware and software Service T ests T hese are invoked by connecting the monitor to aPC and using a software service tool to assess test and configure the system e Cyclic T est see page 121 e Permanent T est see page 121 Safety T ests T hese test the electrical safety of the monitoring system and must be carried out after upgrades and repairs You must use a Safety testing tool e Instrument Safety T est see page 126 e System T est see page 126 e Safety T est Blocks see page 125 About the Monitor T he monitor has five color and mechanically coded input sockets Cardio 1 Combi for fetal heart rate FH R and fetal oxygen saturation FSpO gt Cardio 2 for fetal heart rate
177. rt Table 3 1 Philips Carts Specifications Carts Specifications W idth mm 514 614 614 D epth mm 625 625 625 H eight mm 805 989 1117 Table 3 2 Philips Carts Replacement Parts Parts M1323A M1324A M1325A mem e CEC CN CAM Mounting 5061 8340 Y Arm Kit M ountingKitlUP 80310 68701 Y Y Pole Infusion Pole 5061 8364 Y Y M ount Mounting Rail Kit 5061 8365 Installing the Monitor 21 Barcode Reader T his section tells you how to connect and test the barcode reader H BSW 8200 Attaching the To attach the barcode reader holder to the monitor Reader Holder Clean the surface of the monitor where you will attach the barcode reader holder thoroughly using ethanol 2 Peel off the backing from the adhesive strip on the holder and press the holder firmly into place 3 Allow 24 hours before using the holder Connecting 1 Plug the barcode reader into the monitor and secure by turning the two thumb screws the Reader 050 de O 0 O pin15sca tif Figure 3 3 Connecting the Barcode Reader Testing the After installing the barcode reader you must check that it is correctly connected to the monitor and Reader that the monitor is configured to read the barcodes You can do this using the barcodes printed below or from your barcode booklet kit To do this 1 Besurethat both the monitor and recorder are turned on 2 ReadtheDefault Configuration barcode 3 Switch the
178. s call service personnel A tubing 138 Troubleshooting Table 11 2 Pulse Oximetry E Paramet pelle er a Possible Cause W hat to Do essage Display N one Transducer or adapter Connect transducer or cable disconnected cable A SpO gt no pulse Yes Pulsation too weak or Check patient s pulse if alarming is no pulsation Reposition transducer an detectable Transducer Ensure transducer isnot incorrectly positioned on same limb as NIBP cuff Patient wearing Remove nail polish colored nail polish Photodetector not Reposition transducer opposite light emitter Patient wearing Remove nail polish colored nail polish A light source is so Remove strong light high that the SpO 5 source or cover transducer cannot transducer with Opaque measure SpO or HR material Aso light interference Irregular pulse Restrain patient patterns detected possibly arising from patient movement l N ormal W eak signal SpO gt Reposition transducer or A SpO low signal display less accurate try a different site W rong transducer U se correct transducer selected T ransducer incorrectly Reapply transducer applied Troubleshooting 139 Service Errors If one of these service error message appears on the display consult the appropriate page in this manual for the procedure you should follow Table 11 3 Service Error Messages Error Message Error Location CPU Board Smartwand 140 Troubleshoot
179. s encountered there are a number of things that can be done to mitigate the problem K Eliminate the source Possible sources of EM can be turned off or moved away to reduce their strength Attenuate the coupling If the coupling path is through the patient cables the interference may be reduced by moving and or rearranging the cables to a different location of the monitor If the coupling path is through the power cord plugging the monitor into a different mains circuit may help Connect the equipotential terminal of the monitor to the corresponding terminal of your mains installation Add external attenuators If EM becomes an unusually difficult problem external devices such as an isolation transformer or a transient suppressor may help A Philips customer engineer can assist you in determining the need for external devices 237 238 E Manufacturer s Information Manufacturer s Responsibility Philips only considers itself responsible for any effects on safety reliability and performance of the equipment if assembly operations extensions re adjustments modifications or repairs are carried out by persons authorized by Philips and the electrical installation of the relevant room complies with national standards and the instrument is used in accordance with the instructions for use Manufacturers This book refers to monitors made by manufacturers other than Philips T hese are of Interfacing Mo
180. s not covered by warranty Visual Check Ensure there are no cracks in the transducer dome that the cable is not cracked or broken and that there are no cracks on the connector plug Electrical Check 1 Connect the transducer to either the Cardio 1 C ombi or Cardio 2 socket Both the 128 connector and socket are red and keyed so that they mate in only one position Ensure that e Thesignal quality indicator is red e TheFHR numerical display is blank e When the recorder is switched on the date time mode and paper speed are printed on the recorder trace 2 Turn the loudspeaker volume up to an audible level 3 Theultrasound transducer contains seven piezoelectric crystals Basic functioning of each can be verified by holding a flat bottomed pencil or similar above each crystal and moving it up and down as shown Safety Maintenance and Calibration psm 18sca tif Figure 10 2 Testing an Ultrasound Transducer using a Pen A sound should be heard for each crystal tested The pen should be held 2 to 3 cm from the transducer surface when the test is carried out ustrancs hpg Figure 10 3 Position of Crystals in an Ultrasound Transducer 4 A sound should also be heard when the transducer is moved back and forth over a solid surface or the hand as shown below pop21sca tif Figure 10 4 Checking an Ultrasound Transducer Safety Maintenance and Calibration 129 If the tests are not as outlined above re
181. s section provides detailed information on the removal and replacement of components but it is not necessary to do this for most service tasks You should only disassemble the monitor as far as you need to replace an item In order to help with the descriptions the monitor is divided into three sections T hese are 1 TheRear Assembly e Power Supply e Boards e Backplane e Batteries 2 TheRecorder Assembly 3 TheFront Assembly e Front Cover e Frontend Board e Loudspeaker e Digital Interface Board e Display Board e Function Switches e Recorder Keys e LCD Display Board e Tilt Mechanism e Display Assembly Asno components on the boards are replaceable the removal procedures will only go down as far as removal and replacement of the boards themselves Removal and Replacement Procedures 167 T est Inspection and Safety Procedures It is very important to perform the test inspection and safety tests detailed in Chapter 10 Safety M aintenance and Calibration whenever you connect a monitor to an OB system or have worked on individual monitor components Tools T he following tools are needed to dismantle the monitor pozidrive screwdriver size 1 Safety test equipment PC for configuration Configuration software pegserv exe Cableto link PC to fetal monitor 168 Removal and Replacement Procedures Removing the Top Cover N ote Warning Electrical power is dangerous Prior to attempting to remov
182. sing Toco Display No information printed wrong mode detection on recorder Y Y Replace Transducer Replace transducer Check recorder On Y Repeat test Replace Check paper loaded ispl t display segments display PCB Y YES Y Still no wrong mode detection Check cable to thermal printer check for error code displayed Y Replace frontend PCB Y Y Run thorough instrument test No Error code displayed Y replace Frontend PCB Still no heart rate displayed replace digital PCB Y If test fails replace Thermal Printer Repeat test If test fails replace Tocotest tif Digital PCB Figure 11 25T roubleshooting Toco Parameter T est 160 Troubleshooting Parameter Test SpOz PARAMETER TEST NOT AS OUTLINED No SpO information printed on recorder Transducer not detected or no SpO value on LCD Check recorder On Replace transducer Repeat test Still no transducer detection Check paper loaded Check cable to thermal printer No transducer detection Run thorough Instrument test replace SpO PCB If test fails replace printer assembly Replace SpOz cable Repeat test If test fails check Spo2tst2 tif DIF and SpO board Figure 11 26T roubleshooting Maternal SpO gt Parameter Test Internal maternal parameters contained within the monitor override external maternal parameters Troubleshooting 161 Fetal SpO 2 Parameter Test FSpOz PARAMETER TEST NOT AS OUTLINED Pa
183. st blocks see T able T able 10 3 Perform visual power on and performance test blocks see T able T able 10 3 Safety Maintenance and Calibration Howto Carry K to Table Table 10 3 P Pass F Fail X test result value to be recorded Out the Safety Tests Table 10 3 M1350A B C Test and Inspection Matrix W hat to Record Test or Inspection to be on Service Test Block Performed Expected T est Results Record Philips Personnel only Visual Inspect the unit transducers and cables for any damage Are they free of damage If Yes Visual test is passed Power On Power on the unit D oes the self test complete successfully If Yes Power On test is passed PO P or PO F Performance Perform the quick test and parameter test as described on page 119 and page 118 V P or V F If Yes Performance T est is respectively passed D o these tests complete without errors P P or P F Safety Perform Safety T est 2 Protective Earth W ith mains cable S P X lor M aximum impedance X1 S F X1 lt 200 mO hms Perform Safety T est 4 Enclosure Leakage W ith mains cable S P X 20r Current Normal Condition M aximum leakage current X2 S F X2 lt 100UA Perform Safety T est 5 Enclosure Leakage W ith mains cable S P X 30r Current Single Fault Current O pen M aximum leakage current X3 S F X3 Supply lt 500UA N ote maximum leakage current in the US 300A Perform Safety T e
184. st 6 Enclosure Leakage W ith mains cable S P X 4or Current Single Fault Current O pen Earth Maximum leakage current X4 S F X4 lt 500UA N ote maximum leakage current in the US 300A Safety T est 3 Patient Leakage C urrent M 1350B and Single Fault Current M ains on Applied Part With mains cable ONLY TOCO input tested M etron M aximum Leakage current X Testconn order 19528 or equivalent lt 50UA 250V or required lt 204A 120V ONLY maternal SpO 5 input tested M etron M aximum Leakage current X T estconn M etron order 19524 and lt 50UA 250V or Philips Adapter M 1940A or equivalent lt 20UA 120V required Safety Maintenance and Calibration 125 Instrument You must perform the instrument safety test every time you exchange repair upgrade or in any Safety Test other way work on the front end board the power supply the power inlet or the maternal SpO 5 board and cable If you intend to connect the monitor to an OB monitoring system such as Philips OB TraceVue you must perform the instrument safety test with the monitor as a standalone unit before reconnecting it to the system The instrument safety test is made up of four separate tests see page 127 Protective Earth T est Enclosure Leakage Current N ormal Condition Enclosure Leakage Current Single Fault Condition m Patient Leakage Current Single Fault Condition System Test Whenever you c
185. st of Figures Ma PES hich nna abate AA OAKS do 9 Cardio aNd OCO CNANNGIS espiral 10 Maternal Rar IMSS iros ara dic id 12 SA NA 13 SEUNG CVS OS ei dci 14 o aea de dhal Geet alee aceeedoiaach E ts gece aban Mod ek wanes oboe netics 15 System Voltage and Fuse Values on the Rear Panel cece cette 17 ODINGTNER Gar PANG irradia EN 18 Voltage Selector Removal and Replacement nunnana naaa cette 18 Attaching the Mounting Plate unaua ccc cee ete os 20 Paper TakeUO TT oasis 20 Connecting the Barcode Reader o ooocoocccccccconc eet eee e ne enes 22 TCS B codes tt aros 23 Test Annotation on the Recorder Paper oo aaaea 23 Cable for an Industry Standard compatible PC 6 tee 33 VICO SOCKET a iutebe cas Get op lares diarreas tia 35 SettingtheTimeand Date 1 ccc tet ete e tent e eens 45 Sockets for Peripheral DEVICES tc AAA 51 Telemetry Input Signal Allocations 2 ccc ccc teen os 52 External Paramete Denton sidra 56 External Parameter Definition 2 0 ccc ct eet e tenet n teens 56 External Parameter Definition 3 2 0 ccc ccc teen eee eee etree ee nes 57 External Parameter Definition 4 oo ccc cee teeter ent n eens 57 Telemetry Interface RS232 System Connector oo ete 58 system Interface Connections iia c tient rar dhe teed Rae HTM Be ODE Re AAA 59 Interface Cable M 1350 61609 coocococcocncr eee nes 63 COLIN Interace Cale er ta eis aint ies 63 D ual Serial Interface 9 Pin and 25 PIN octet tent e ees 65 M
186. states that accurate pattern recognition is difficult if not impossible at 1 cm min and that 1 cm min is only recommended for more economic screening When FH R abnormalities arise the faster paper speeds will enhance FH R pattern recognition Usethe Paper Speed K ey to display the current paper speed and to return to the normal display You also return to the normal display automatically if you don t press any key for a few seconds W hen you return to the normal display the new paper speed is set and the time date speed and monitoring modes are printed on the paper To set the paper speed 1 Press and release to display the current speed 2 Press J or to set the speed 3 Press and release to return to the normal display 46 Getting Started Basic Considerations and O peration Setting the All chart paper available for the monitor is 2 channel chem thermal paper containing 150 FHR Paper numbered pages per pack Each page is 100mm long and 151mm wide Several configurations are Scale available each with a 0 100 labor scale Table 5 1 Typesof Trace Paper Available M 19104 30 240 M 19114 50 210 M1913A 50 210 Caution Using recorder paper that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty Some monitor configurations come with a fetal monitoring record FM R management system Included in the FM R system are labels that facilitate a total management system fo
187. t Parts List Description ire aig D ual Serial Interface Board Recorder Assembly complete i M 1350 69602 O verlay Kit multi language XM O verlay Kit multi language XM O Primary Line Assembly Blank ROM Board EPROM Kit Rom Board M 1350 6802x EPROM Kit NIBP Board M 1350 6835x EPROM Kit FSpO gt Board M 1350 6840x1 T ransducers Toco T ransducer complete 2 5m 8ft 2in cable M 1355 60011 M 1355 69011 Toco Transducer complete 70 cm 28in cable M 1355 60013 M 1355 69013 US Transducer complete 2 5m 8ft 2in cable M 1356 60011 M 1356 69011 US Transducer complete 70 cm 28in cable M 1356 60013 M 1356 69013 DECG Transducer M 1357 60001 3 MECG Transducer M 1359 60001 US M ECG Combi Transducer U S M 1358 60011 M 1358 69011 US M ECG Combi Transducer M ECG M 1358 60002 Patient M odules and cables FSpO 5 ECG Combined Patient M odule M 1365 60001 M 1365 69001 DECG Patient M odule 2 5m 8ft 2in cable M 1364 60001 M 1364 69001 DECG Patient M odule 70 cm 28in cable M 1364 60003 M 1364 69003 MECG cable M 1363A DECG Legplate adapter cable M 1362B DECG adapter M1347A 1 Where x changes with the latest software revision See the CPL for the latest revision For upgrading order M 1360B C option 801 to receive the latest software together with the appropriate documentation pues Parts Lists 19 192 Table 13 3 Display Assembly vest rts E M 1350B Fetal with maternal M 1350 69201 1 M 1350C Feta
188. taining two 1 5 V batteries For further information see Appendix B Electrical Safety The monitor should only be used by or under the direct supervision of a licensed physician or other health care practitioner who is trained in the use of fetal and maternal heart rate monitors and in the interpretation of fetal and maternal heart rate traces US law restricts this device to sale by or on the order of aphysician The monitor is designed to fulfil safety requirements according to IEC 601 1 EN 60601 1 Class UL 2601 1 CSA C 22 2 No 601 1 M 90 231 It complies with the essential requirements of the M edical D evice Directive 93 42 EEC The monitor is classed ORDINARY EQUIPMENT Enclosed equipment protected against ingress of water CONTINUOUS OPERATION Can be operated continuously The Philips Series 50 XMO and the Philips Series 50 XM are not ECG Monitors are not defibrillator protected and are not designed for direct cardiac application eater eaten oman External T oco transducer Patient Connector is electrically isolated Connecting M 1355A CF Y the transducer to the T oco channel results in CF condition IU P quartz transducer 1290C BA Patient Connector is electrically isolated Connecting the transducer to the T oco channel results in CF IU P pressure transducer ton C PJ 840 5 Ultrasound transducer M 1356A BA Connecting the transducer to a Cardio channel results in a B condition DECG transduc
189. te that the error counter uses hexadecimal notation 3 Thedate and timethe error first occurred For example 98 09 14 11 27 4 Thedate and timethe error last occurred For example 98 09 14 16 23 Theremaining lines in section 1 if any beneath the factory information code FIC are not errors Take no action Section 2 All built in options in the fetal monitor are written For example Fet Alert indicates fetal alerting Section 3 This shows information about the monitor itself Current date Software revision Product number and monitor serial number 1 This is taken from the monitor s internal clock Section 4 T hefinal three digits of all boards connected into the fetal monitor For examplein Pos 05 is board M 1350 66536 Section 5 T he complete configuration made using the monitor s push buttons is listed for easy validation and documentation Section 6 T herevision number of the FSpO gt software Section 7 T he error code occurrences and times and dates thereof are shown specifically for the FSpO gt board in exactly the same way as other boards are displayed in Section 1 of the error log Configuring the Monitor Changing the To change the time format from AM PM format to 24 hour format do the following Time Format 1 Disconnect all transducers from the M onitor and disconnect or switch off T elemetry 2 Whilepressing F A press Uest 3 Press I to change the setting to 1 4 Press Test to
190. terface M ake sure that the serial interface configuration on the PC is set up as follows Connection D atacom C onfiguration Parameter Serial Transmission Rate BPS 9600 W ord Length bits 8 Stop Bits 1 Parity None WON OFF Pacing O ff CTS Line Regard DSR Line Regard DCD Line Ignore Power to Interface O ff Configuring the Monitor Connecting Connect the cable from the PC to the service socket 1 If you are using an HP PC use only the the PC tothe COM1 port Monitor 1000 ext E SEPE TAr EY peo E TE a E Ea COSA Al HAHH EB Line xmofull1 gif Figure 4 2 Service Socket Loading the 1 Switch on both the monitor and the PC Service 2 Now load the program Program If you are using the PC in DOS mode do one of the following e f the program files are contained in a directory change to that directory and enter pegserv e If you want to load the program from drive A or another drive i Insert the program disk into drive A or other ll Select DOS Commands and press iii AttheDOS prompt typeA and press Enter iv Typepegserv and press If you are using Windows 95 98 N T e Start the service program by double clicking on the pegserv con or on the filename pegserv exe 3 The program is now loaded and ready for use Configuring the Monitor 35 Using the Service Program W hen the program has been loaded onto your PC the main menu is displa
191. the cable to the Philips Series 50 XM or XM O monitor Connect the 25 pin end of the cable to the external device Secure the interface cable by the screws at the cable connectors Connector 1 Connector 2 25 61 9 pin Din PIN wo oie S 4 os gt Oe cA D J Gea a am Figure 6 9 Interface Cable M1350 61609 COLIN BP To connecta COLIN BP 8800 M onitor to a Philips Series50 XM or XMO monitor 8800 U se the interface cable supplied by the COLIN Corporation with the NIBP monitor Connect the 9 pin end of the cable to the Philips Series 50 XM or XMO monitor Connect the 15 pin end of the cable to the COLIN Secure the interface cable by the screws at the cable connectors Connector 1 Connector 2 9 pin 15 pin PIN Pin e 3 3 a a Figure 6 10 COLIN Interface Cable System Interfaces Nellcor N 200 or N 400 Monitor Philips V24 V26 To connect a N ellcor N 200 or N 400 monitor to the Philips Series 50 XM or XMO monitor m Usethe interface cable M 1350 61609 Connect the 25 pin end of the cable to the Philips Series 50 XM or XMO monitor Connect the 9 pin end of the cable to the N ellcor N 200 or N 400 Secure the interface cable by the screws at the cable connectors m Set the dip switches on the rear panel of the N ellcor N 400 fetal SpO gt monitor to e Up 4 8 e Down 3 6 7 T his selects a baud rate of 2400 and an output format of
192. the following checks listed below l 2 3 5 6 Ensure you have loaded some paper and connected the power cord Turn the monitor on Check that the paper speed and time and date are configured With no transducers connected press You should see the following DISPLAY All parts of the display are lit followed by all mode symbols T hese will flash alternately for about 10 seconds RECORDER During the test the recorder speed will automatically set to 3cm min and a test pattern will be printed on the recorder paper to verify the condition of the thermal print head and if the printer is correctly configured See Figure 10 1 Recorder T est Pattern for a sample recorder test pattern Perform the Parameter T est as described in Parameter T est on page 118 Check the Barcode Reader is correctly connected as outlined in Chapter 3 T he previous checks should verify the operation of the monitor M ore complete tests such as transducer tests are given later in this book Quick Installation Checks 71 72 Quick Installation Checks U pgrades Introduction T his chapter tells you how to upgrade the monitors which options require which steps and how to restore the monitor s original configuration M any of the upgrade options especially those whose option number begins with C require very similar steps to upgrade them as you will see from the tables Overview of Upgrade O ptions T here are man
193. tient medule net detected No FSpOz information E or no pulse detection Check recorder On Check paper loaded Replace patient module Repeat test Check cable to thermal printer Still no sensor detection replace patient module Run Quick Test If test fails replace printer assembly Figure 11 27T roubleshooting Fetal SpO gt Parameter Test 162 Troubleshooting NIBP Parameter Test Troubleshooting NIBP PARAMETER NOT FUNCTIONING No measurement No information printed displayed on LCD on recorder Check recorder On Remove cuff and tubing and start NIBP measurement Y Check paper loaded Pump is running Replace NIBP assy 66535 Y Check cable to thermal printer Y Connect cuff and tubing back start NIBP measurement Run thorough instrument test Y If test fails replace printer assy NO Check and replace NBP tubing and Conn Pneumatic YES Y Repeat test Exchange NIBP assembly If test fails check NIBPtst2 tif DIF and NBP board Figure 11 28T roubleshooting NIBP Parameter Test Internal maternal parameters contained within the monitor override external maternal parameters 163 External Maternal Parameters No manual measurements are printed on the trace Is Err
194. tif Figure 6 4 External Parameter Definition 2 HR Channel 1 V 100 bpm TOCO Channel 1 V 100 units System Interfaces DEFINITION 3 INPUT VOLTAGE INPUT VOLTAGE a EORERRRERRRS ER SE SC O E DIANA v RE E E Sl me HE EM ian o 0 a PUES es psm13sca tif Figure 6 5 External Parameter Definition 3 DEFINITION 4 INPUT VOLTAGE INPUT VOLTAGE 0 2 UN LL ee Y AS LITT TTT Ts pla LTP tte ot PEL TTT TT TTT Tr TTT i ESA 30 t a eee eee a J Oo TaToToTEe Ardo ds pe psm13sca tif Figure 6 6 External Parameter Definition 4 W hen the paper scaling limits are exceeded the external parameter is recorded as a straight line on the limit Pin 10 S6 Cardio Channel L External parameter will be printed on the Cardio Channel Pin 11 S7 Toco Channel L External parameter will be printed on the Toco channel One and only one of either S6 or S7 has to be selected otherwise E 7 4 is displayed on the right hand Cardio 2 display System Interfaces 57 Pin 16 External Parameter Input Ri gt 10 kQ Uin max 5 V See external parameter code definition pin 8 pin 9 T he external parameter is recorded but does not appear at the display and system interface output T he digital serial interface can provide the external parameter signal RS232 System Interface The9 pin RS232 Telemetry interface system connector provides a digital interface protocol to permit connec
195. ting the Required Voltage on page 2 18 Pre Installation C hecks 17 Setting the 1 Using a flat blade screwdriver open the panel on the rear of the monitor Required Voltage 13 S ee Sr E CRIAS 3 TA A ae OnO TELE EXT Pag A ROROZ Z Ye CS rs Q Q TERTE ERLE DEOPO 8 EFE OY go pinisca tif we 20 52h O a go A a 4 2 a E Figure 2 2 O pening the Rear Panel 2 Removethe voltage selector drum turn it to the voltage required and replace it Gee CATS Ne bl El E o i E OPa Le ass EI Figure 2 3 Voltage Selector Removal and Replacement 3 Closethe rear panel and check that the correct voltage setting is shown see 2 1 18 Pre Installation Checks 3 Installing the Monitor Mounting the Monitor Surface Mounting Cart Mounting Top Mounting You must carry out the pre installation checks described in Chapter 2 before installing the monitor T he Series 50 XM XM O Monitor can be mounted in a number of ways for example Surface mounted Cart mounted Top mounted TheXM XM O can be rested on but not fixed to an existing surface There are three mobile carts CL CX and CM on which you can mount the Series 50 XM XM O M onitor All offer a combined storage and transport unit for the monitor plus accessories and ancillary equipment See page 21 for carts specifications
196. tion to a Philips Series 50 OB TraceVue system or an IBM compatible PC Case chassis for cable shield connection 50 R5232 Gnd 4 Data Terminal Ready Transmit Data Internally to an Ext Device Shorted Recelve Data from Ext Device 10 Carrier Detect 15232843 tif rs232sys hpg Figure6 7 Telemetry Interface RS232 System Connector N ote If an OBM S Board M 1350 66532 is plugged in at the same time as the Combined Telemetry D igital System Interface Board M 1350 66536 the digital interface on the Telemetry Board is switched off as per default See Chapter 5 for information on how to activate RS232 If the Software Revision installed is earlier than A 04 01 the RS232 system interface will remain Inactive 58 System Interfaces System Interface O ption J12 The system interface is provided for connection to the O bstetrical D isplay Information System O DIS and the O bstetrical Information M anagement System O BM S Central Stations Thepin allocations for the various signals are shown below chassis ground Instr IB ext test D FHR1 external Marker Instrument ON OFF RS422 in RS422 in Flash RS42 out HR2 Mode 24 12 23 22 14 13 2 1 Figure 6 8 System Interface Connections signa
197. troller e Signal Input O utput SIO 32KB SRAM U3 Comparator U 4 Switchblock SW 1 T he available baud rates are 9 pin 9600 Baud Philips CM S 9600 Baud Philips 7835xC 600 Baud Dinamap 1846 8100 9600 Baud Accutorr 4800 Baud BP 8800 25 pin 2400 Baud N ellcor N 200 N 400 Theory of Operation 10 Safety Maintenance and Calibration Introduction This chapter contains maintenance and safety information for the Series 50 XM XMO monitors and accessories All checks that require the instrument to be opened must be made by qualified service personne Contact your local Philips reoresentative if you wish safety and maintenance checks to be carried out by Philips personnel To ensure proper functioning of your monitor you must adhere to the standards described in this Guide for Cleaning Performance assurance checks self test parameter test quick test Safety tests safety test blocks instrument safety test system test Service tests cyclic test permanent test m Accessory testing transducer checks patient module checks Caution Failure on the part of the responsible individual hospital or institution using this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards Cleaning the Monitor Keep the outside surfaces of the monitor clean and free of dust and dirt Use soap and water or Ethanol 70 Do not pour l
198. try 2 While pressing press The display shows C01 in the U S1 U S display and O or 1 in the T oco display 3 Togglethrough the menu by pressing or until you arrive at the menu item you want to change T he menu items and their settings are shown in T able T able 4 2 4 Press to change the setting 0 or 1 5 Press to store the new settings If yo do not press any keys for about 15 seconds the settings will be automatically stored Table 4 2 Configuration O ptions Time Format 0 AM PM 1 24 hour D ate Format 0 U S month day year 1 Europe day month year IU P Format 0 mmH g 1 kPa Paper Format 0 S 30 240 1 Europe 50 210 Recorder Print O ffset 1 O right 0 to 11 11 eft Recorder H eat Adjust 0 minimum 0 to 11 11 maximum Language O ption 1 U S International 2 French 3 G erman 4 D utch 5 Spanish 6 talian 105 apanese 13 C hinese simplified 17 Russian Recorder M arker O normal 1 ystem acknowledge N ote O utput to System O transmission off Roman 8 1 transmission on D SIF Refer to Table Table 4 3 Configuring the Monitor 27 28 Table 4 2 Configuration Options em samo Onis at Cll External Toco gain 0 100 External Toco gain 130 Refer to Table Table 4 5 OBM S and Telemetry 0 5422 System Interface on O BM S System boards board active 135232 System Interface on Telemetry System board active C14 Analog fetal movements O off 1 0n C16 N IBP paper save mode O off 1 0n E
199. tware is installed and checked Please refer to the nstructionsfor U sefor information on necessary performance assurance Repeat steps 1 to 7 for each monitor to be upgraded W hen the upgrade key has performed as many upgrades as it was programmed to perform return it to Philips for recycling Please contact your nearest Philips Service Center for details U pgrades 91 Instruction 11 Test Inspection and Safety Procedures Whenever you upgrade a monitor there are some tests you must run before the upgrade 1s complete Exactly which tests you must perform depend on the upgrade you are performing Options Requiring this Procedure Test Type C01 C02 C03 C04 C30 C31 C32 C33 C34 C35 SOL J10 J12 J13 1 Instrument x V V V v V v V V x x x x Safety Test see page 138 2 Parameter s2 I V V V V V Y Y Y Y Y v Test see page 134 3 Quick Test V V V v V v V v v Y v V V V see page 135 4 System Test Y see page 141 LR E gt E k A E E E E 1 Perform parameter test with both Cardiol and Cardio2 connected 2 Plugin U S transducer to either socket Press Function key and check if FM P can be enabled 92 U pgrades Introduction 9 Theory of Operation T his chapter contains an overview of the system boot sequence and system self tests as well as brief functional descriptions of individual boards T he following boards are described in this chapter
200. ty Period 239 USA Law T he warranty period for each product is one year depending upon the warranty classification code of the product at time of order T he applicable warranty code shall be specified on the Philips Price List The warranty period begins either on the date of delivery or where the purchase price includes installation by Philips on the date of installation If Customer schedules or delays installation more than thirty 30 days after delivery the warranty period begins on the thirty first 31st day from the date of delivery 2 Place of Performance Within Philips service travel areas warranty and installation services for products installed by Philips and certain other products designated by Philips will be performed at Customer s facility at no charge O utside Philips service travel areas warranty and installation services will be performed at Customer s facility only upon Philips prior agreement and Customer shall pay Philipss round trip travel expenses and applicable additional expenses for such services O n site warranty services are provided only at the initial installation point If products eligible for on site warranty and installation services are moved from the initial installation point the warranty will remain in effect only if Customer purchases additional inspection or installation services at the new site For product warranties requiring return to Philips products must be returned to a service facil
201. ucers and Patient Modules 219 DECG Transducer M1357A psmscn03 tif Figure 15 3 DECG Transducer Description TheM 1357A Direct ECG Transducer has two spring loaded clamp type connectors for connection to the 15133D EU or 15133E USA spiral scalp electrodes Specifications Input Impedance gt 10M Q CMRR with patient cable 51 5kQ 0 047uF imbalance at line frequency gt 110dB N oise referred to input with 25kQ lt 4uVp Contact Potential Difference 500mV Input Voltage Range 20uV p to 3mVp Patient Leakage Current 120V at 60H z 10uA rms Patient Auxiliary C urrent lt 0 1uA dc D electric strength 1500V rms spark gap protected T ransducer W eight with C able 185 grams Cable Length 2 5m 8ft 2in 220 Transducers and Patient Modules Parts List Table 15 1 Cable Connections Pin Cable Color 2 Pa Bridged by Code Resistor 4 53 KQ 0698 4443 Table 15 2 DECG Transducer Parts List oten pecinan ponmi oy Complete T ransducer M 1357 60001 Connector Rose 1252 4830 Cable Boot 08030 41701 Troubleshooting T he functional checks that can be carried out on the M 1357A DECG Transducer are those outlined in Chapter 10 Safety M aintenance and Calibration Transducers and Patient Modules 221 MECG Transducer M1359A Figure 15 4 MECG Transducer Description TheM 1359A M ECG Transducer has two press fit type connectors that allow connection of two electrode cables from the maternal E
202. uides for M etron products contact M eron AS T ravbaneveien 1 N 7044 T rondheim N orway T el 47 73 82 85 00 Fax 47 73 91 70 09 E mail sales metron no support metron no www http www metron biomed com T his table tells you when to perform specific safety tests See page 125ff for test details Table 10 2 M1350A B C W hen to perform safety test blocks Service Event Installation T he product is customer installed For installation instructions refer to the Installation and Service G uide for your monitor Preventive M aintenance Preventive maintenance is the responsibility of the customer For preventive maintenance see page 128 R epair This Installation and Service Guide contains repair instructions for the XM and XM O monitors Upgrade For upgrade information refer to Chapter 8 U pgrades All other service events Test Block s Required Perform visual power on and performance test blocks see T able T able 10 3 Perform visual test block see T able T able 10 3 Perform visual power on and performance test blocks see T able T able 10 3 and e when power supply is replaced perform S Safety test block e when Frontend Board is replaced perform Safety 3 test block M1350B and M1350C only when frontend board is replaced perform S3 T test block when M at Sp02 bd or cable is replaced perform S3 S safety tests Perform visual power on performance and safety te
203. using pushbuttons on the monitor and which can be carried out using aPC connected to the service socket Table 4 1 Configuring the Monitor y O lt Configure the time format lt Configure the date format lt Configure the IU P format lt Configure the paper format Configure the recorder print offset lt Configure the recorder heat adjust lt TN Alert acknowledgment at marker button Run the cyclic test Read the options installed Read the Error Log Print the Error Log N Clear the Error Log lt R Write the serial number and set the options lt Configure the language option lt Enable alert acknowledgement lt N ote O utput to System NIBP paper save mode lt M ECG trigger click volume lt FSpO response time lt FSpO Inop alarm lt lt lt 2 2 2 oe lt x x z xl xl lt x lt x lt x lt T FSpO alarm volume 1 H owever you can run the Permanent Test which is similar See Printing and Clearing the Error Log on page 30 2 See Printing and Clearing the Error Log on page 30 26 Configuring the Monitor Configuring the Monitor Using Pushbuttons You can set the time format date format IU P scale paper format recorder scale offset recorder heat and language option using pushbuttons To change a setting 1 Disconnect all transducers from the M onitor and disconnect or switch off T eleme
204. y different upgrades possible T he following table shows you the upgrade option numbers upgrade option and part numbers are prefixed with M 1360 and gives a brief description of their function Existing Configuration Series 50 XMO without maternal maternal maternal parameters parameters parameters FSpO 5 and maternal parameters not a not gt latest software release RS232 Interface for Philips OB TraceVue J EM not C not O not a or Telemetry Interface Combined analog digital system interface for OBMS and ODIS M aternal parameter interface to connect J13 J13 J13 J13 external patient monitor Upgrades 73 Work l Each upgrade is described in a series of work instructions N ot all upgrades require all the work Instructions at instructions T he following table shows you exactly which instructions you must follow for the a Glance upgrade you are performing W ork Instruction 74 U pgrades Options at a Glance T he following table gives you an overview of what is involved in each upgrade option All C xx upgrades include a mandatory CPU firmware upgrade for the ROM board second U S C ardio e upgrade key channel Fetal M ovement Profile Factory ships C03 maternal parameters to e new display use original base assembly an XM without maternal NIBP board fit new display capability SpO gt board connect NIBP and SpO and fit both boards e new CPU firmware 4 upgrade ROM board with n
205. yed If the menu is not displayed an error message is displayed along the bottom of the screen Main Menu Configuration Settings Recorder Adjustments Service Menu Exit MESSAGE Select with gt cursor keys lt or gt E S D X lt then press lt ENTER gt to execute To select an item from the menu move the cursor to the item you require and press Usethearrowkeys A V dd gt keyson thekeypad or theE S D or X keys to move the cursor M essages are displayed along the bottom of the screen while the Service Program is working for example Reading Recorder Adjustments from the Monitor Reading Serial Number from the Monitor Clearing the Error Log 36 Configuring the Monitor Configuring the Monitor Function Actual Setting is Select Paper Scale US US Time Format AM PM AM PM Date Format US US IUP Scale mmHg mmHG MESSAGE Select with gt cursor keys lt or gt E S D X lt then press lt ENTER gt to execute To change a setting 1 Using the appropriate keys move the cursor to the selection you require 2 Press Enter To return to the M ain M enu 1 Movethecursor to Return to Main Menu 2 Press Enter Example On the screen above the actual setting of the paper scale is us To change this to EU move the cursor to EU in the Select column and press T he program will reconfigure the monitor for the European paper scale The settings on your monitor may be differe
206. ystem boards DMA circuits to allow DM A access via the system bus Interrupt logic to provide for local and system wide interrupts with different priority levels A crystal quartz oscillator and related circuitry provide several local and bus clock frequencies Theory of Operation DSPII Board ID Revision os ae Clock Error and Data Circuit Reset RAM Hardware 68000 Processor Signal DMA processor Sy stem bus DMA Hard from CPU Logic ware Data Signal Program processor RAM Program ea Pegblk04 tif RAM Figure 9 4 DSPIl Board T he Digital Signal Processor D SPI board contains the following main functional elements 68000 CPU and RAM 2 signal processors and RAM DMA control logic and hardware m Clock circuits The 68000 CPU has overall control of system signal processing It controls the on board signal processors T he majority of the signal processing takes place in the ARCH IM ED ES proprietary Philips signal processors Two ARCH IM ED ES are used One processes DECG1 MECG1 USI and fetal movement detection T he second processes DEC G2 M EC G2 or US2 depending on the software loaded M aternal SpO 5 fetal SpO 5 and N IPB measurements are all processed completely on their corresponding PC board T he signal processing software is
207. ystem power supply D isconnect the system bus connector 1 from the D igital nterface board Removethe three screws 2 connecting the Backplane to the monitor chassis SS AO RS ES Gently pull the Backplane out of the side of the monitor Replacement is a reversal of the above procedure 174 Removal and Replacement Procedures Batteries T he monitor s clock is powered by two batteries located in the rear panel of the monitor The average life span of these batteries is one year W hen the battery charge is low the message EF BAE is displayed and XX is printed on the recorder trace W hen this happens the batteries should be changed as soon as possible If the batteries are not changed the specific settings will return to their default values and will have to be reset each time the monitor is switched on For example the date is set to 4 4 44 Replace the batteries with two alkaline 1 5 Volt size N batteries recommended type M N 9100 To replace the batteries 1 Switch off the monitor If you don t XX will continue to be printed on the recorder trace Contact Spring 5021 3671 uig g ry holder 45611 40019 V Spring 1400 0967 Mr not shown AP oe

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