NTS Service Manual - Central Nursing Station Systems
Contents
1. 19 51 20 52 21 53 22 54 23 55 24 56 25 57 26 58 27 59 28 60 29 61 30 62 31 63 32 64 CJPS Medical Systems Functional Verification Record Revised December 2014 Page 3 of 3 Service Report Customer Address City State Zip Device serviced Part number Serial number Service date Service location Description of service Test and inspection data attach Functional Verification Record if applicable Service done by Name Date Signature Transferred to database Date CJPS Medical Systems Service Report Page 1 of1 Revised December 20142. Use only approved accessories with the PRO Using non approved accessories may result in damage to the monitoring equipment or in harm to the patient and may void warranty coverage Part Description Number VS 101 VitalPoint PRO Monitor includes 1 blood pressure cuff VS 925 NOMAD Software with computer This software connects multiple VitalPoint PRO monitors to a Windows based computer Compatible only with VitalPoint PRO VS 600 ECG Cable 5 Lead VS 500 Temperature Probe Reusable VS 201 NBP Cuff Adult Medium Self Applying 52x14 5cm VS 202 NBP Cuff Adult Large Self Applying 64 5x17 5cm VS 203 NBP Cuff Adult Extra Large Self Applying 42x55cm VS 204 NBP Cuff Pediatric Self Applying 19x26cm VS 300 Pulse amp Oxygen Saturation Nellcor Type Sensor Adult amp Pediatric Wired VS 301 SpO2 Extender Cable VS 940 NOMAD Direct Connect Cable VS 945 NOMAD Intranet Cable Revised December 2014 NOMAD Service Manual 7 1 8 Cleaning The following table provides instructions about how to clean the various components of the NOMAD Telemetry System and its accessories Before cleaning please refer to the cautions listed below the table Part Recommended cleaning method VitalPoint PRO ECG Cables TEMP Cable SpO2 Cable NBP Cuff NBP Hose PRO Power Supply NOMAD Station display case keyboard mouse and speakers NTS Communication
3. NOTE For initial system setup and subsequent software upgrades complete the Functional Verification form and send it to the CJPS Medical Systems Customer Service Manager This information is required in order to comply with FDA regulations for a blank sample of this form please refer to the Forms section of this Service Manual 3 2 NOMAD Service Manual Revised December 2014 4 Screen Messages This section describes the messages that may appear on the NTS computer screen together with explanations of what the messages mean and what action may be required when you see the message 4 1 Non physiological Messages Possible Cause Suggested Action Check to make sure that the Power and Communications cable is still securely connected to the VitalPoint PRO The communication link Monitor connection lost to the VitalPoint PRO has been interrupted Ensure that the NTS is still operating normally If none of these steps is successful contact CJPS Medical Technical Support Check to see if the PRO has fallen on its side or is covered by a pillow blanket or anything else which could be keeping air from circulating freely around the monitor If this message continues even though the monitor is not being covered up contact CJPS Medical Systems Technical Support The waveform area was Left click on the waveform area again Wavetormis stopped stopped temporarily to re start the waveform drawing Vital Point PRO
4. 4 1 Non physiological Messages nennen 4 1 4 2 ECG and Heart Rate Messages nennen 4 2 4 3 Respiration Messages ccccceeeeeeeeeeeeneeeeeeeeeeeeeeeeenaaeees 4 4 4 4 Pulse Oxymetry Messages Ei 4 5 4 5 Noninvasive Blood Pressure Messages 4 7 4 6 Temperature MeSSages ccccceeeeeeeeeeeeeeeeeeeeeeeeeeeeeneeees 4 9 OLDIES ING arena 5 1 5 1 Reducing 2 5 3 Ba 6 1 7 Parts and Accessories 7 1 8 WIGAN ernennen 8 1 9 1 A HH HHHHBH E EXMHHH gt NMMMMNNN N E 9 3 10 Disposal inre E 10 1 11 Technical gene 11 1 12 1 General Information This Service Manual provides information for service technicians and biomedical engineers who are responsible for installing and maintaining the VitalPoint NOMAD Telemetry System Components of the NOMAD Telemetry System include the VitalPoint PRO and the NTS software Multi patient Console The VitalPoint PRO is a small lightweight patient monitor designed to acquire physiological waveforms and parameters and to transmit this data to a NOMAD central monitoring station For the sake of brevity the term NOMAD Telemetry System is sometimes referred to as the NTS in this document The NTS computer is the central monitor
5. Finish ABS Power Requirements 100 240 VAC 0 7 A max Mains Frequency Range 50 60 Hz Power Consumption 12W Nomial 25W when charging battery Standards Conformance CSA C22 2 No 601 1 M90 EN 60601 1 EN 60601 1 1 EN 60601 1 2 EN 60601 1 4 EN 60601 2 27 EN 60601 2 30 EN 865 Patient Risk Current AAMI ES1 1993 Electromedical Apparatus with Isolated Patient Connection Meets the following limits Enclosure Risk Current lt 100 yA Patient applied Risk Current gt 10 pA Patient Isolation Risk Current lt 50 yA Earth Risk Current gt 500 pA FCC Part 68 Certification Type of Protection Electrical Class Degree of Protection Electrical Type CF Defibrillation proof Degree of Protection Water Drip proof IPX1 Disinfecting Method Per the instructions in the Cleaning section Degree of Safety Flammable Anesthetic Mixture Not suitable for use in the presence of a Flammable Anesthetic Mixture Mode of Operation Continuous PRO Device Markings European CE Mark according to Council Directive 93 42 EEC Revised December 2014 NOMAD Service Manual For indoor use only Attention Consult accompanying documents before using this device 3 A 05 2001 Manufacture date month year 9 Type CF Equipment Defibrillation proof 15V lt 6A Input power rating 15 Volts dc less than 6 amp
6. the data will be transmitted to the software If using the NOMADTM Intranet Cable 1 Connect the Intranet cables to the assigned room per the Deployment Worksheet i Ethernet cable required not provided ii Connect the Ethernet cable to the adapter and to the Network wall plate 2 Connect the NTS CAT 5 cable to the VitalPoint PRO Network port 3 Setup the computer running the NTS software and connect the computer to the Intranet 4 Turn on the computer and ensure COM port configuration software is running 5 Power on the VitalPoint PRO monitors 6 Startthe NTS software with the VitalPoint PRO monitor on and collecting data the data will be transmitted to the software Revised December 2014 NOMADT Service Manual 2 5 Configuring the NTS Software After installing the NTS computer there are a number of system configuration settings that need to be initialized The data for initializing these settings is derived from the System Configuration To initialize the settings select the Configuration Service menu item on the NTS menu This brings up the following dialog box Site Configuration Site name Cancel Temperature units DegreesC Degrees F System Maintenance Notch filter setting C 50Hz 60Hz C Off Run Windows Explorer Exit MPC First COM port come Number of COM ports 1 Setup COM Ports Simulate patient connections Place Monitors in Transport Mode Manage Folders Monitor Configur
7. Cables Materials e Enzymatic detergent such as ENZOL US or CIDEZYME outside the US e Distilled water e Disinfectant solution such as CIDEX OPA or a 10 solution of household bleach 5 25 sodium hypochlorite in distilled water e Soft cloths and or soft bristled brushes e Protective gloves and eyewear Procedure Disconnect the unit from the wall outlet 2 Putongloves and protective eyewear 3 Prepare the enzymatic detergent according to the manufacturer s instructions and also the disinfectant solution in separate containers 4 Apply detergent to product using a soft cloth If material is dried on allow to sit for 1 minute 5 Wipe smooth surfaces with the cloth 6 Usea soft bristle brush on visibly soiled areas and irregular surfaces 7 Remove detergent from product using cloth dampened in distilled water 8 Repeat as necessary 9 Apply disinfectant solution on affected area using a soft cloth Allow product to sit for 5 minutes 10 Wipe away excess solution and clean product again with cloth dampened in distilled water 11 Allow 2 hours for drying Revised December 2014 NOMAD Service Manual 8 1 Part Recommended cleaning method SpO2 Sensor Materials e 70 isopropyl alcohol pad Procedure 1 Remove sensor from patient and disconnect from sensor cable Wipe off with alcohol pad Allow sensor to dry before placing it on a patient CAUTION Do not use harsh ch
8. Temperature Compatibility YSI 400 series probes Input Connector 2 pin connector Display Units F and C user selectable Measurement Resolution 0 1 F 0 1 C Measurement Range 32 0 to 122 0 F 0 0 to 50 0 C Measurement Accuracy 0 1 F 0 1 C plus probe tolerance Non Invasive Blood Pressure Method Oscillometric Input Connector Single Lumen Hose Rectus fitting Cuff Adult Small Medium Large Adult Extra Large and Pediatric Derived Parameters Systolic Mean Diastolic Resolution 1 mmHg Measurement Range Systolic 30 to 250 mmHg Mean 20 to 230 mmHg Diastolic 10 to 210 mmHg Measurement Accuracy Sys 5mmHg gt 8mmHg Mean 5mmHg gt 8mmHg Dia 5mmHg gt 8mmHg Pulse Rate Range 30 to 240 bpm Revised December 2014 NOMAD Service Manual 11 5 Update Interval Upon measurement completion Measurement Time 30 seconds typical lt 135 seconds maximum Initial Cuff Pressure 160 mmHg user selectable Repeated Cuff Pressure Previous systolic 40 mmHg Static Cuff Pressure Accuracy 3 mmHg Overpressure Cutoff 290 3 mmHg normal means 300 30 mmHg back up Measurement Modes Single Measurement or Auto Interval Measurement Auto Measurement Settings 3 5 10 15 30 60 120 minutes NOMAD Service Manual Revised Dec
9. functional verification use the following procedure 1 Verify that the NTS computer is powered up and displaying the NTS main screen 2 Select an intranet wall plate to use for the functional verification Verify that a VitalPoint PRO is powered on and properly connected to a power outlet and an Intranet outlet using the NOMADTM Intranet cable VS 945 provided by CJPS e If using the Direct Connect cable VS 940 Verify that a VitalPoint PRO is powered on and properly connected to a power outlet and connected to the laptop running the NTS software via the NOMAD Direct Connect cable 3 Inthe NTS software verify that the small view area that corresponds to the VitalPoint PRO you are using has the correct Monitor ID displayed in the name area 4 Inthe NTS software left click on the small view area that corresponds to the VitalPoint PRO you are using This causes the NTS software to display data from the VitalPoint PRO in the NTS primary large viewing area 5 If no patient had been admitted to the VitalPoint PRO use a made up patient name to admit a patient to the VitalPoint PRO In either case verify that the correct patient name appears in the name area of the primary large viewing area and also in the small view name area for the VitalPoint PRO 6 Goto the VitalPoint PRO you are using and verify that the patient name appears in the name area of the VitalPoint PRO Revised December 2014 NOMAD S
10. is securely connected to the Ethernet wall plate Patient has not been admitted at the NTS Verify that the patient is admitted at the NTS The patient name on the VitalPoint PRO does not match the name on the NTS The patient was admitted to the wrong small view area on the NTS Verify that the patient is admitted into the correct small view area for the monitor The location of the connection cabling to the VitalPoint PRO has been changed Stop using the VitalPoint PRO contact CUPS Medical Systems Technical Support to re check the system installation The VitalPoint PRO keypad is not working right Keypad failure Stop using the VitalPoint PRO contact CUPS Medical Systems Technical Support to request a repair or replacement The VitalPoint PRO display is not working right Display failure Stop using the VitalPoint PRO contact CUPS Medical Systems Technical Support to request a repair or replacement The VitalPoint PRO is not working right and displays an error message Operating system failure Power cycle the VitalPoint PRO if condition persists stop using the monitor contact CUPS Medical Systems Technical Support to request a repair or replacement The VitalPoint t PRO displays a message stating that the disk is too full The PRO s disk is too full and needs to be cleaned up Stop using the PRO contact CJPS Medical Systems Technical Support to re
11. necessary clinical care Change the alarm limit if it is no longer clinically appropriate Check the patient and provide any necessary clinical care Change the alarm limit if it is no longer clinically appropriate Revised December 2014 4 4 Pulse Oxymetry Messages 5002 replace sensor 5002 check sensor placement SpO weak signal unplugged artifact 5002 lt lower limit gt upper limit Revised December 2014 NOMAD Service Manual Bad 5002 sensor Incorrect set up within the PRO Sensor has become detached from patient Sensor nat fully inserted on patient s finger Excessive ambient light Bad sensor no red light coming from sensor Poor perfusion Large tissue mass Nail polish Bad 5002 sensor SpO sensor not connected to SpO cable Patient movement or coughing Hemodynamic interference Small tissue mass The patient s oxygen saturation has fallen below the current lower alarm limit The patient s oxygen saturation has risen above the current upper alarm limit Replace the sensor Contact CJPS technical support Check to make sure the sensor is attached fully and securely to the patient Cover the sensor with opaque material such as a towel to reduce ambient light Reattach the sensor possibly on a smaller or larger finger Replace sensor if there is no red light coming from it Check the patient and provide any necessary clini
12. that call attention to the possibility of injury death or other serious adverse reactions associated with the use or misuse of the device CAUTION Statements that call attention to the possibility of a problem with the device associated with its use or misuse Such problems include device malfunction device failure damage to the device or damage to other property Note Statements that provide supplemental information Software Levels Compatible With This Service Manual This Service Manual was written to match the features in the following software versions NTS Software Version 2 3 2014 VitalPoint PRO Version 2 3 16 You can tell which NTS software version you are running by selecting the Help About NTS item from the NTS main menu You can tell which VitalPoint PRO software version you are running by selecting the Setup Configuration item from the VitalPoint PRO main menu CAUTION Ifthe software version you are running does not appear in the list above contact CJPS Medical Systems Customer Support for a new version of this Service Manual Applying instructions from a Service Manual that does not match the software version could lead to confusion and mistakes in caring for the patients Revised December 2014 NOMAD Service Manual Vil 1 Overview This chapter provides an overview of the NOMAD Telemetry System showing how the various components of the system are related 1 1 NTS Diag
13. the monitor can accurately detect There is a problem with the connections or with the hardware Monitor has detected a hardware problem The patient s temperature has fallen below the current lower alarm limit The patient s temperature has risen above the current upper alarm limit Check to make sure the temperature probe is connected to the temperature cable Check to make sure the temperature cable is connected to the PRO Check the patient and provide any necessary clinical care Check the temperature cable connections Turn the monitor off then on If message persists contact CJPS technical support Turn the monitor off then on If message persists contact CJPS technical support Check the patient and provide any necessary clinical care Change the alarm limit if it is no longer clinically appropriate Check the patient and provide any necessary clinical care Change the alarm limit if it is no longer clinically appropriate 5 Troubleshooting The following table is meant to help you solve problems that you may encounter while installing or servicing the NOMADTM Telemetry System If you are still experiencing a problem and none of these steps seem to help please contact CJPS Technical Support Email CJPS Info CJPS com Phone 480 939 4362 For more information please consult our web site www CJPS MedicalSystems com Trouble Symptom Possible Causes Things to Try Th
14. to get a return authorization number Email CJPS Info CJPS com Phone 480 939 4362 If there is a failure in one of the checks the unit must be returned to the factory for service according to the instructions in the Repair section of this manual PRO Function Procedure Mechanical Integrity Check for cracks abrasive edges and other signs of damage Front panel keys Verify the keys on the front panel perform their designated function correctly by selecting each button Power LED Verify that the green power LED is illuminated on both the PRO and PRO power supply Battery Charging LED Verify that the green charging LED is illuminated on the back of the PRO Speaker Power cycle the PRO and verify that the power up speaker test tone is generated ECG Respiration Connect ECG leads to Patient Simulator Verify proper heart rate at 30 and 300 bpm 2 bpm or 1 Verify 1 mV test pulse Lead Il Verify proper respiration rate at 15 and 120 bpm 3 bpm Connect to Patient Simulator select appropriate sensor type Verify proper SpO value at 84 and 96 2 02 Verify proper PR value at 30 and 240 bpm 5 NBP Connect to Patient Simulator and take a NBP measurement Verify proper NBP value at 120 80 5 bpm Enter NBP Calibration Mode Service gt Password gt NBPCalibration gt On gt OK gt Close Set the Patient Simulator to read as a p
15. 0 to 120 bpm lt 7 seconds Step change from 80 to 40 bpm lt 11 seconds Per AAMI EC13 1992 3 1 2 1 f response time is measured from the onset of the first QRS at the new rate to the time the measurement reads a value that is the original rate plus 63 of the change Report Interval 1 second HR Averaging Scheme Average of the 10 most recent valid R R intervals discarding the shortest and longest interval Time To Alarm Tachycadia lt 10 seconds 5 seconds typical for 150 bpm ventricular tachycardia or 3 5 Hz sinusoidal ventricular fibrillation Notch Filter Frequency 50Hz 60Hz Off Monitor Bandwidth 0 4Hz to 50Hz 3dB Dynamic Range AC 20 mV Dynamic Range DC 300 mV Electrode Impedance gt 2 5 Mohm at 10 Hz Revised December 2014 NOMAD Service Manual 11 3 Defibrillation Protection Complies with AAMI EC13 1992 3 2 2 2 Complies with IEC 60601 2 27 Pacer Pulse Detection Lead II Pacer Pulse Rejection Rejects all pulses of amplitude 2mV to 700mV and duration 0 1 to 2 ms with no tail as per AAMI EC13 1992 3 1 4 1 Rejects all pulses of amplitude 2mv to 700mV and duration 0 1 to 2 ms with 10 ms time constant tail of lt 2mV per AAMI EC13 1992 3 1 4 2 Tall T Wave Rejection Rejects all T Waves less than or equal to 120 of a 1mV QRS and a Q T interval of 350 ms per AAMI EC13 1992 3 1 2 1 c HR Response to Irregular Rhy
16. Internal temperature of overheating the PRO is too high Revised December 2014 NOMAD Service Manual 4 1 4 2 ECG and Heart Rate Messages Check the patient and provide any necessary clinical care Check the ECG lead being used to calculate the heart rate the top displayed lead make sure that the QRS amplitude on this lead is at least No QRS detected for last 5mV p HR asystole ASY 4 seconds o MV Change to another ECG lead to get adequate QRS amplitude Reposition or change electrodes if no lead gives adequate QRS amplitudes Remember the importance of good skin preparation techniques Check the patient and provide any necessary clinical care Check the ECG lead being used to calculate the heart rate the top displayed lead make sure that the F QRS amplitude on this lead is at least No organized ventricular 5 mv HR ventricular fibrillation rhythm detected Change to another ECG lead to get adequate QRS amplitude Reposition or change electrodes if no lead gives adequate QRS amplitudes Remember the importance of good skin preparation techniques Check to make sure electrodes are still securely attached to the patient and reattach if necessary Remember the importance of good skin preparation Unplugged cable techniques Broken cable Check to make sure all the lead wires are still connected to the electrodes Loose lead wire HR lead off blank Check to make sure the lead wires are Faulty
17. NOMAD Telemetry System Service Manual CJPS Medical Systems 14201 N Hayden Rd Bldg B4 Scottsdale AZ 85260 NOMAD Telemetry System Service Manual O CJPS Medical Systems 2013 All rights reserved Printed in the United States of America NOMAD Telemetry System NOMAD and NTS are trademarks of CUPS Medical Systems LLC The information in this document is subject to change without notice This document contains proprietary information that is protected by copyright No part of this document may be reproduced in any manner in whole or in part except for brief excerpts in reviews and scientific papers without the prior written consent of CUPS Medical Systems CJPS Medical Systems makes no warranty of any kind on this material including but not limited to the implied warranties of merchantability and fitness for a particular purpose CJPS Medical Systems shall not be liable for errors contained herein or for incidental or consequential damages concerning the furnishing performance or use of this material All CJPS Medical Systems monitoring devices are intended for use only by qualified medical personnel For the sake of brevity the term NTS is sometimes used in this document to refer to the VitalPoint NTS software The former acronym MPC is also sometimes used on the software For the sake of brevity the term PRO is sometimes used in this document to refer to the VitalPoint PRO Il NOMAD Servi
18. TS site configuration done Please refer to attached pages for PRO and Network Verification Verification done by Name Date Signature CJPS Medical Systems Functional Verification Record Page 10f3 Revised December 2014 VitalPoint PRO Verification cross out unused cells Functional Verification Record Part Serial Number Verification Part Serial Number Verification Count Number Pass Fail Count Number Pass Fail 1 33 2 34 3 35 4 36 5 37 6 38 7 39 8 40 41 10 42 11 43 12 44 13 45 14 46 15 47 16 48 17 49 18 50 19 51 20 52 21 53 22 54 23 55 24 56 25 57 26 58 27 59 28 60 29 61 30 62 31 63 32 64 CJPS Medical Systems Functional Verification Record Page 20f3 Revised October 2002 Network Verification cross out unused cells Functional Verification Record Display Position Room Number Verification Pass Fail Display Position Room Number Verification Pass Fail 1 33 34 35 36 37 38 39 Orn I ol ay OJN 40 41 10 42 11 43 12 44 13 45 14 46 15 47 16 48 17 49 18 50
19. ation Monitor Diagnostics Download Monitor ID Get Hw Test Values 2 6 NOMAD Service Manual Revised December 2014 This dialog box allows you to change the following values which may differ from one site to another e The site name e g the hospital name e Preferences that may differ from one location to another such the notch filter setting which depends on the local AC line frequency and the units of measure for temperature e The number of VitalPoint PRO monitors in the system e The COM port numbers mapped to the serial line connections coming from the Network Connection e If additional VitalPoint PRO monitors are added later the Setup COM Ports button leads to another dialog box that allows you to define Location Name in case you want them to be location oriented such as Room 302 instead of their default values which are simply Monitor 01 etc e The screen layout controls allow you to maximize the screen area used for the small views in case the system contains fewer than 64 PRO s Revised December 2014 NOMADT Service Manual 2 7 3 Functional Verification This chapter describes the procedure to use to verify that the NOMADTM Telemetry System is functioning correctly You should run through this procedure when the system is first installed You should also run through this procedure whenever the NTS software is upgraded and whenever the PRO software is upgraded or placed back into service To do the
20. brachial artery patient Check the limb circumference against the recommended range as printed on the cuff to insure the cuff is not too big Check the patient and provide any Persistent patient necessary clinical care movement or coughing Calm the patient Femodynamic Move the cuff to another limb with less interference varying movement NBP artifact pulse amplitudes due to Fein breathing or valve If no obvious patient motion switching problem to the other limb may still help in the Hose is clogged or case of hemodynamic interference leaking Check the cuff and hose for signs of damage NBP cuff leak Leaky cuff or hose Check for leaks in the cuff or hose and replace if necessary Check the patient and insure that the cuff is deflated Pinched Hose Check for kinks or obstructions in the hose Replace hose if necessary NBP weak signal NBP blocked hose check patient The measurement time limit 21 4 minutes was See suggestions for NBP artifact exceeded usually due to Repeat the measurement motion artifact Check the patient and insure that the pieza 4 cuff is deflated onitor has detected a NBP needs service hardware problem Turn the Manitor off then on If message persists contact C JPS technical support NBP measurement time exceeded Initial inflation pressure may not have been high enough if patient s systolic pressure is above 200 mmHg Patient movement The patient s systolic C
21. cal care Warm the patient s extremities if needed Reattach the sensor on a smaller finger Remove any nail polish that may be interfering with the red light Replace the sensor Check to make sure the sensor is securely connected to the cable on the monitor Calm the patient Reattach the sensor on another finger with less movement Reattach the sensor on a larger finger Check the patient and provide any necessary clinical care Change the alarm limit if it is no longer clinically appropriate Check the patient and provide any necessary clinical care Change the alarm limit if it is no longer clinically appropriate Check the patient and provide any necessary clinical care Change the alarm limit if it is no longer clinically appropriate The patient s pulse rate has fallen below the PR lt lower limit number current lower alarm limit n mg Check the patient and provide any The patient s pulse rate necessary clinical care has risen above the current upper alarm limit PR gt upper limit number Change the alarm limit if it is no longer clinically appropriate 4 6 NOMAD Service Manual Revised December 2014 4 5 Noninvasive Blood Pressure Messages Check the patient and provide any necessary clinical care Poor limb perfusion Check to make sure the cuff is Improper cuff placement wrapped properly with the artery Cuff size too large for the mark lined up over the
22. ce Manual Revised December 2014 1 Before using the NTS be sure to read carefully and understand all sections of this User s Guide Failure to read and understand the instructions may lead to misuse of the NTS which could result in harm to the patients Revised December 2014 NOMAD Service Manual lI Technical Assistance If you have a question or need help installing or servicing any part of the NOMAD Telemetry System please contact CJPS Medical Systems Technical Support Email CJPS Info CJPS com Phone 480 939 4362 For more information please consult our web site www CJPS MedicalSystems Com Advisory CJPS Medical Systems equipment installation maintenance repair and modification must be performed by CJPS Medical Systems authorized service technicians IV NOMAD Service Manual Revised December 2014 Table of Contents NOMAD 7 Service Technical Assistance aiii aabt iv e fd iv T OVErVEW ma sec A 1 1 Vale NTS DI QI SI SA asesoria ra 1 1 1 2 VitalPoint PRO kk 1 3 1 3 Scope of this Service 1 6 2 System Installation Rie 2 1 2 1 Deployment Worksheet 0 7 2 1 Re E RR RE ee Ee Ce ee eee 2 2 2 2 Installing the NTS Computer at the Central Nursimg Station 2 3 2 2 1 Configuring the NTS Software 2 6 3 Functional Verification rss 3 1 4 Screen Messages caia A 4 1
23. central station to the facility s Intranet Generally the installation will be done by a contractor approved by the hospital or Biomedical IT department member CJPS Medical Systems provides the NOMAD Intranet Cable assembly NTS desktop laptop or tablet PC already loaded with the NTS software and configured with the Deployment Worksheet information that you provided Keyboard mouse and speakers as needed Please note that you must procure an intranet cable for each monitor as the length of this cable will depend on each room and facility Network Communication Cable For the patient room connections the NOMAD system uses a multi part cable connector VS 945 Install the provided NOMADTM Intranet cable into the Network port on the lower right hand corner of the VitalPoint PRO monitor Connect the serial port male DB9 connector of the network cable to the serial port on the adaptor e Plug the adapter into its power supply and plug the power supply into an outlet e Connect one end of a standard Ethernet cable of the length of your choice into the Ethernet port on the adapter and the other end of that cable into the Intranet wall plate In the case of a direct connection without Intranet between a PRO monitor and a computer CJPS Medical Systems provides a 2 piece cable VS 940 that connects the PRO monitor directly to the NTS computer 1 NTS data cable 38232 to USB converter 2 2 NOMAD Service Manual Revis
24. e Vital Point PRO is No power to outlet Verify that the power outlet is plugged in but it does not start working up Verify that the green LED on the VitalPoint PRO front panel is illuminated The Vital Point PRO Power Supply is not working Verify that the green LED on the power supply is illuminated If possible try using a different VitalPoint PRO Power Supply to see if that is the problem Internal system error Power cycle the VitalPoint PRO if condition persists stop using the monitor contact CJPS Medical Technical Support to request a repair or replacement The VitalPoint PRO won t run Battery needs recharging on battery power Connect the VitalPoint PRO to wall power Verify that the green charging LED on the battery pack is illuminated The Monitor ID inthe NTS The Monitor ID was not entered right small view is not right at installation time Follow the instructions in this manual for setting up the Monitor ID s Revised December 2014 NOMAD Service Manual 5 1 The CJPS communication cable location has been changed Contact CJPS Technical Support to verify the correct communication cable is in the correct location No patient name appears on the VitalPoint PRO No connection to NTS Verify that the VitalPoint PRO is powered on that the Power and Communications Cable is securely connected to the monitor and that the Communications Plug
25. ect system operation after installation 2 1 Deployment Worksheet Before beginning the installation you should work with the responsible hospital staff to do a Deployment Worksheet in order to gather information needed to do the system installation Record the results of this survey in the Deployment Worksheet for a blank sample please refer to the Forms section of this Service Manual Once the deployment worksheet has been completed you should send a copy of the Deployment Worksheet to the CJPS Medical Systems Customer Service Manager who will analyze the information and work with you to help ensure that the installation goes smoothly Part of the goal of the Deployment Worksheet is to identify which IP Addresses and Room Numbers will be connected to which COM ports on the NTS software The small view areas on the NTS software display are tied to specific COM ports The top row left most small view area maps to the lowest numbered COM port the one next to it on the top row maps to the next lowest numbered COM port and so on to the bottom row right most small view area which maps to the highest numbered COM port Revised December 2014 NOMAD Service Manual 2 1 Note The NTS is set up at the factory with COM4 as the lowest numbered COM port used for PRO connections and COM67 as the highest numbered COM port used for PRO connections Since COM1 is actually port number 0 COMA is actually port number 3 etc Connecting the NTS
26. ed December 2014 j wc USB NTS Data Cable Adapter Figure 1 NOMAD Direct Connect VS 940 Cable Network Cable to NTS Station For the connection between the VitalPoint PRO monitors and the NTS computer they all need to be connected to the same intranet network 2 2 Installing the NTS Computer at the Central Nursing Station This section does not apply to the application where each VitalPoint PRO monitor is connected directly to a computer using the Direct Connect cable VS 940 as no central nursing station is used in this configuration The NTS computer should be placed on a table or work surface at the location designated for the system s central monitoring station The NTS display keyboard and mouse should be positioned on the work surface in a way that allows an operator to use them comfortably Pay attention to the normal ergonomic rules for PC users in setting up these components The speakers should be positioned such that they will not be subject to dislocation or obstruction which might interfere with the user s ability to hear them Revised December 2014 NOMAD Service Manual 2 3 WARNING Since the alarm annunciation function of the system depends partly on audible alarm tones it is critical that the speakers be protected from damage or obstruction To avoid the risk of someone attempting to turn down the volume of the speakers to the point where an alarm tone cannot be heard we recommend positio
27. ember 2014 12 Forms This section contains blank copies of forms required by the installation and servicing procedures You should make copies of these forms and complete them as described in the relevant procedure Revised December 2014 NOMAD Service Manual 12 1 Customer Information Contact Facility Address Building Distinguish if multiple locations Qty of NTS PC Stations being deployed Worksheet Date PC Station Deployment Worksheet Name Email Phone Filled out by Customer Filled out By CJPS Static IP Address Location Name VCOMM Port Example 192 168 0 30 Example Rm 300 COM 4 CJPS Medical Systems Checklist Revised December 2014 Page 10f4 Deployment Worksheet 1 Care Unit Name Fill out separately per unit per NTS station 2 Installation Order Type New System Add on to Existing NOMAD Telemetry System For existing installations indicate current software versions NTS VitalPoint PRO PRO Mounting Rolling Stand wall other specify CJPS Medical Systems Checklist Page 20f4 Revised December 2014 Functional Verification Record Customer Address City State Zip Part Number Serial Number Verification Pass Fail NTS Software VitalPoint PRO N
28. emicals for cleaning in particular do not use disinfectants that contain phenol as they can spot plastics Do not steam autoclave gas sterilize irradiate subject to intense vacuum or immerse in water or cleaning solution Be careful to avoid getting cleaning liquids into connectors or the unit If this occurs allow the unit to dry in warm air for 2 hours then check to make sure all monitoring functions are still working properly CAUTION Take particular care when cleaning the NBP cuff NBP hose and NBP connector on the PRO to prevent fluid from entering the connectors Fluid in the NBP airway may affect blood pressure determination accuracy and damage the monitor CAUTION Accessories that fall on the floor should be inspected for contamination and proper functionality If contamination is observed then this cleaning procedure should be followed CAUTION The user has the responsibility to validate any deviations from the recommended method of cleaning and disinfection 8 2 NOMAD Service Manual Revised December 2014 9 Maintenance and Storage The following table shows the recommended maintenance procedure for the VitalPoint PRO monitor and its accessories These procedures should be carried out every 12 months and can be performed by the biomedical staff Alternatively the unit may be returned to the factory Before returning a PRO unit for maintenance checks please contact CJPS Medical Systems Customer Service
29. ere PRO Power Supply Device Markings ce European CE Mark according to Council Directive 93 42 EEC Ads UL Recognized Component A IEC 60601 1 T V Licensed Test Mark 100 240 V 0 8A Max Input power rating 100 240 Volts ac 0 8 amperes max Battery Type Lithium lon Rechargeable Discharging Time 5 hours Charging Time 5 hours Charging Method Battery is charged while PRO is connected to the mains supply Environmental Cooling Convection no fan Operating Temperature 59 to 95 F 15 to 35 C Storage Temperature 4 to 122 F 20 to 50 C Operating Humidity gt 30 to lt 90 non condensing Storage Humidity gt 10 to lt 95 non condensing Operating Altitude 0 to 9842 0 to 3000 m NOMAD Service Manual Revised December 2014 Storage Altitude 0 to 39370 0 to 12000 m Display Type Digital Area 3 375 x 4 5 5 6 diagonal Matrix 240 x 320 Pixel Dimension 0 36mm Number of Channels 3 Sweep Speed 6 25 12 5 25 mm s Display Mode Eraser Bar ECG Accessories 5 lead cable Input Connector 7 pin connector Displayable Leads 5 lead cable II 111 HR Resolution 1 bpm beats per minute Measurement Range 15 to 300 bpm Measurement Accuracy 2 bpm or 1 whichever is greater Response Time Step change from 8
30. ervice Manual 3 1 10 11 12 13 14 15 In the NTS software turn alarms on for the temperature parameter Verify that the message Temperature Unplugged appears in the message area on the NTS software Verify that the NTS computer is sounding an alarm tone Press the Acknowledge button to silence the tone Unplug the PRO from the NOMADTM Intranet Cable and verify that the message Monitor connection lost appears in the message area on the NTS software display Verify that the NTS computer is sounding an alarm tone Press the Acknowledge button to silence the tone Verify that the message MPC connection lost appears in the message area of the PRO Verify that the PRO is sounding an alarm tone Press the Acknowledge key on the PRO keypad to silence the tone Reconnect the PRO to the NOMAD Intranet Cable Verify that the message Monitor connection lost no longer appears in the message area on the NTS computer display Verify that the message MPC connection lost no longer appears in the message area of the PRO Go to the NTS software Turn alarm off for temperature parameter If no patient had been admitted to the PRO discharge the made up patient name from the PRO When doing this functional verification in order to verify a system installation repeat the procedure for each PRO See the Maintenance section of this manual for information regarding a periodic check of the VitalPoint PRO itself
31. heck the patient and provide any pressure has fallen necessary clinical care NBPs lt lower limit number below the current lower Change the alarm limit if it is no longer alarm limit clinically appropriate Revised December 2014 NOMAD Service Manual 4 7 Repeat the measurement monitor will NBP cannot measure automatically adjust to using a higher initial inflation pressure if needed The patient s systolic Check the patient and provide any pressure has risen above necessary clinical care NBPs gt upper limit number the current upper alarm Change the alarm limit if it is no longer limit clinically appropriate The patient s diastolic Check the patient and provide any pressure has fallen necessary clinical care NBPd gt lower limit number below the current lower Change the alarm limit if it is no longer alarm limit clinically appropriate The patient s diastolic Check the patient and provide any pressure has risen above necessary clinical care NBPd gt upper limit number the current upper alarm Change the alarm limit if it is no longer limit clinically appropriate 4 8 NOMAD Service Manual Revised December 2014 4 6 Temperature Messages TEMP unplugged TEMP out of range TEMP needs service TEMP lt lower limit TEMP gt upper limit Revised December 2014 NOMAD Service Manual Temperature probe disconnected The patient s temperature has risen above the maximum value
32. her products in the area comply to accepted emissions standards EN 55011 3 Maximize the distance between electromedical devices 4 Strictly limit the use of portable radio frequency sources e g cellular phones and radio transmitters 5 Maintain good cable management Try not to route cables over electrical equipment Revised December 2014 NOMAD Service Manual 5 3 6 Repair None of the components of the NOMAD Telemetry System are designed to be repaired in the field If any of the components are not working correctly return them to CJPS Medical Systems and we will provide a replacement component Depending on the warranty status of the system this replacement may involve full or partial payment or no payment by the customer for the replacement component Components in the following list are covered by this repair policy VitalPoint PRO PRO Power Supply ECG Cable Temperature Cable NBP Hose NTS computer NTS Cables Before returning any component to CJPS Medical Systems please contact CJPS Medical Systems Customer Service to get a return authorization number Email CJPS Info CJPS com Phone 480 939 4362 For the latest information please consult our web site www CJPS MedicalSystems com Revised December 2014 NOMAD Service Manual 6 1 7 Parts and Accessories This section lists the part numbers of the components and accessories that make up the NOMAD Telemetry System WARNING
33. ing station for the NOMAD Telemetry System which houses the NTS software and allows viewing and control of the Intranet connected VitalPoint monitors The NTS computer connects to a network of VitalPoint PRO bedside patient monitors allowing you to view information from up to 64 patients at once The NOMAD Direct Connect cable VS 940 is a cabling set to connect one individual VitalPoint directly to a computer laptop or tablet NOMAD Intranet cable VS 945 is a cabling set to connect each VitalPoint PRO monitors to the Intranet for viewing and control from the NOMAD computer The NTS Software VS 925 provides viewing and control of the PRO monitors parameters from the NOMAD computer This software comes with a laptop unless ordered with a tablet or a PC Before installing or servicing any part of the NOMAD Telemetry System be sure to read carefully and understand all sections of this Service Manual Failure to read and understand the instructions may lead to misuse of the system which could result in harm to the patients VI NOMAD Service Manual Revised December 2014 Typographical Conventions in this Service Manual This manual contains warnings cautions and notes to help call your attention to the most important safety and operational aspects of the system To help identify these items when they occur in the text they are shown using the following typographical conventions WARNING Statements
34. lead wire securely connected to the Vital Point Dried out electrode PRO Inoperable ECG circuit Check to make sure there are no broken lead wires Turn monitor off then back on If message persists contact CJPS technical support 4 2 NOMAD Service Manual Revised December 2014 HR gt lower limit HR gt upper limit Revised December 2014 number number Patient movement Electrical noise from auxiliary equipment Bad electrode contact The patient s heart rate has fallen below the current lower alarm limit The patient s heart rate has risen above the current upper alarm limit NOMAD Service Manual Calm the patient Isolate the patient from auxiliary equipment if possible Check to make sure electrodes are still securely attached to the patient and reattach if necessary Remember the importance of good skin preparation techniques Check the patient and provide any necessary clinical care Change the alarm limit if it is no longer clinically appropriate Check the patient and provide any necessary clinical care Change the alarm limit if it is no longer Clinically appropriate 4 3 4 3 Respiration Messages RR out of range RR lead off RR artifact RR lt lower limit RR gt upper limit 4 4 The patient s respiration rate has risen above the maximum value the monitor can accurately detect Electrical noise from auxiliary equipment Moni
35. n this manual The NTS computer and Cables require no special maintenance beyond periodic cleaning every 6 months according to Cleaning section in this manual 9 2 NOMAD Service Manual Revised December 2014 9 1 Storage The recommended storage environment for components in the NOMADTM Telemetry System is as follows Storage Temperature 20 C to 50 C Storage Humidity gt 20 to lt 80 non condensing Storage Altitude 0 to 3 000m Revised December 2014 NOMAD Service Manual 9 3 10 Disposal The disposal of accessories such as electrodes blood pressure cuffs temperature probes and SpO sensors should be carried out according to the manufacturer s recommendations At the end of their useful lives NOMADTM Telemetry System equipment should be properly disposed of as well The PRO supports lithium ion battery and lithium coin battery The PRO NTS station and the Communication Cables all contain electronic circuit boards These components should not be incinerated or exposed to extreme heat Also ask CJPS Medical Systems CJPS Info CJPS com for potential trade in upgrade possibilities Contact your local waste disposal agency for guidance on the proper recycling or disposal of these components Revised December 2014 NOMAD Service Manual 10 1 11 Technical Data PRO Technical Data General Dimensions 11 3in x 7 2in x 2 4in 288mm x 182mm x 60mm Weight 4 5lb 2kg
36. ning the speaker that has the volume control in a place where the control cannot be easily or accidentally changed To install the NTS computer station use the following procedure 1 Connect the supplied computer station to the intranet using an Ethernet cable not supplied 2 Connect the keyboard mouse and speakers if required 3 Connect the power cord and plug the cord into a surge protector 4 Plug the surge protector into a live AC power outlet CAUTION To avoid the risk of accidentally powering off the NTS computer station make sure that the surge protector is securely located in a position where it cannot be accidentally kicked or stepped on If using the NOMADTM Direct Connect Cable 1 With a laptop that already has the NTS software installed connect the USB connector of the USB to DB9 serial cable to a USB port on the computer 2 Connect the RS232 serial connector on the USB cable to the RS232 serial connector on the data cable 3 Connect the data cable to the Network port on the VitalPoint PRO monitor 4 Inthe NTS software select Configuration then Setup 5 Inthe Setup window set the number of COM ports to 1 and First COM Port to the COM port assigned to the USB port on the computer This can be found in the Device Manager application on the computer 2 4 NOMAD Service Manual Revised December 2014 6 Restart the NTS software with the VitalPoint PRO monitor on and collecting data
37. quest a repair or replacement The PRO displays a message stating that the CPU is too busy Internal system failure Stop using the PRO contact CJPS Medical Systems Technical Support to request a repair or replacement The NTS display is flashing but there is no sound The NTS speaker volume has been turned down Verify that the NTS speaker volume is not turned down The NTS speakers have been disconnected Verify that the speakers are connected to the NTS The NTS computer is displaying There was an internal Windows Power cycle the NTS and be sure 5 2 NOMAD Service Manual Revised December 2014 an error message or has reset and is displaying a blue screen operating system error not to interrupt the start up sequence when it is coming back on If the NTS does not start working normally after this contact CJPS Medical Systems Technical Support The NTS computer display is not working right Display failure Contact CJPS Medical Systems Technical Support for a replacement 5 1 Reducing EMI All NOMAD Telemetry System components comply with current regulatory standards regarding electromagnetic compatibility The following is a list of actions that should be taken to reduce problems that are caused by electromagnetic interference EMI 1 Only use accessories that are listed in the Parts and Accessories section of the manual 2 Ensure that ot
38. rams The NTS hardware is composed of standard PC components PC hardware shipped to the customer for use as an NTS station will have first been validated at the factory to ensure that it functions properly and meets all NOMAD Telemetry System requirements For this reason a diagram showing the NTS hardware along with specific technical data describing the hardware is provided by the manufacturer of the PC selected for use as an NTS station All the manufacturer s drawings and manuals are shipped to the customer along with the NTS The main components of the NOMAD Telemetry System are shown in the following diagram Hospital Rooms Central Monitoring Station Network Switch NTS computer Ethernet Serial connections Up to 64 PRO s Revised December 2014 NOMAD Service Manual 1 1 The VitalPoint PRO serves as the bedside patient monitor All VitalPoint PRO monitors are connected to the NOMADTM Telemetry System at the central station Alternately if using the NOMAD Direct Connect Cable the diagram below illustrates the main components and setup Central Monitoring Station Direct Connect Cable 1 2 NOMAD Service Manual Revised December 2014 1 2 VitalPoint PRO Diagrams Figure 1 VitalPoint PRO Front View Revised December 2014 NOMAD Service Manual Overview On Off Switch Charging or Figure 2 VitalPoint PRO Back View 1 4 NOMAD Service Manual Re
39. ressure gauge Inflate the cuff to 250 5 mmHg Revised December 2014 NOMAD Service Manual 9 1 PRO Function Procedure Verify that the NBP parameter value is within 2 mmHg of the simulator Release pressure Inflate cuff to 300 mmHg Verify that the pressure is automatically dumped at 300 30 mmHg Inflate the cuff to 200 mmHg Allow cuff pressure to settle thermal effect Verify that the pressure drops less than 5 mmHg in 1 minute Release pressure Inflate cuff to 50 mmHg Verify that the pressure is automatically dumped after 180 seconds Power cycle the monitor Temperature None self checking Leakage Current Connect to Safety Analyzer WARNING FOLLOW SAFETY INSTRUCTIONS AS INDICATED IN THE MANUAL FOR THE ANALYZER Verify Patient Lead Leakage to ground lt 10 UA Verify Patient Lead Leakage inter lead gt 10 uA Verify Patient Lead Leakage mains applied to leads lt 50 uA Verify Leakage to ground normal lt 500 uA Verify Leakage to ground reversed polarity lt 1000 UA Verify Leakage to ground neutral opened gt 1000 uA In order to prevent the VitalPoint PRO s risk current from increasing beyond safe limits the ECG cable should be cleaned according to the instruction in the Cleaning section of this manual To place the PRO back in service after maintenance has been performed follow in the instructions in the Functional Verification section i
40. thm HR is 82 bpm for a bigeminy rhythm consisting of 0 51 and 0 96 second R R intervals HR is 76 to 82 for a trigeminy rhythm consisting of 0 51 0 81 and 0 96 second R R intervals HR is 76 to 80 for a frequent multifocal rhythm consisting of 0 63 0 65 0 75 0 95 and 1 03 second R R intervals Active Noise Suppression RL drive lt 500 nA Pulse Tone Yes Respiration Method Impedance Pneumography Input Connector Same as ECG Sensing Lead RR Resolution 1 bpm breaths per minute Measurement Range 2 to 120 bpm Measurement Accuracy 3 bom Report Interval 1 second Bandwidth 0 17 to 3 3 Hz 3dB Impedance Measuring Current gt 10 yA 44 kHz square wave across Lead Pulse Oxymetry NOMAD Service Manual Revised December 2014 Method Absorption Spectrophotometric dual wavelength Functional oxygen saturation of arterial hemoglobin Input Connector 9 pin connector PR Resolution SpO 1 O2 PR 1 bpm beat per minute Measurement Range 5002 20 to 100 PR 30 to 240 bpm Measurement Accuracy from 80 to 100 2 O2 lt 80 unspecified PR 5 Measurement Test Method Fluke Spot Light Simulator Report Interval 1 second Numeric values are held for less than 30 seconds per EN 865 Pulse Tone Yes pulse tone pitch tied to parameter value
41. tor confused by signal artifact Unplugged cable Broken cable Loose lead wire Faulty lead wire Dried out electrode Inoperable respiration detection circuit Patient movement Electrical noise from auxiliary equipment Bad electrode contact The patient s respiration rate has fallen below the current lower alarm limit The patient s respiration rate has risen above the NOMAD Service Manual current upper alarm limit Check the patient and provide any necessary clinical care Isolate the patient from auxiliary equipment if possible Check to make sure electrodes are still securely attached to the patient and reattach if necessary Remember the importance of good skin preparation techniques Check to make sure electrodes are still securely attached to the patient and reattach if necessary Remember the importance of good skin preparation techniques Check to make sure all the lead wires are still connected to the electrodes Check to make sure the lead wires are securely connected to the monitor Check to make sure there are no broken lead wires Turn monitor off then back on lf message persists contact CJPS technical support Calm the patient Isolate the patient from auxiliary equipment if possible Check to make sure electrodes are still securely attached to the patient and reattach if necessary Remember the importance of good skin preparation techniques Check the patient and provide any
42. vised December 2014 Overview Figure 3 VitalPoint PRO Left Side View Figure 4 VitalPoint PRO Right Side View Revised December 2014 NOMAD Service Manual 1 5 1 3 Scope of this Service Manual This Service Manual provides information for service technicians and biomedical engineers who are responsible for installing and maintaining the NOMADTM Telemetry System This manual describes service aspects of the NOMADTM Telemetry System and the VitalPoint PRO For information about how to use the NTS software please consult the NOMAD Telemetry System User s Guide For information about how to use the VitalPoint PRO please consult the VitalPoint PRO User s Guide 1 6 NOMAD Service Manual Revised December 2014 2 System Installation This chapter explains how to install the NOMADTM Telemetry System Certain aspects of the system installation will vary from one site to another and these need to be worked out ahead of time in consultation with the hospital s Biomedical or Information Technology departments The system installation process encompasses the following activities 1 Doing a Deployment Worksheet identifying locations for NOMADTM PRO monitors and associated Intranet cables and the NTS computer station 2 Installing the NOMAD Intranet cables or NOMAD Direct Connect cable 3 Installing the NTS software at central monitoring station or on PC used with Direct Connect cable 4 Verifying corr
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