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EMS XL Service Manual

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1. Ch 18 3 mA 3 mSec 3 volt 7 18 EMS XL Service Manual 0 Appendix 1 Final Test Procedure Appendix A Mennen Medical EMS XL P N 965 100 115 230 Test Data Sheet Page 4 of 5 Serial No Measured Result Subject Description Specifications value Pass Fail Ch 19 3 mA 3 mSec 3 volt Ch 20 3 mA 3 mSec 3 volt Ch21 3 mA 3 mSec 3 volt Ch 22 3 mA 3 mSec 3 volt Ch 23 3 mA 3 mSec 3 volt Ch 24 3 mA 3 mSec 3 volt BP Test Simulator DNI217A the main board should be calibrated According to the BP Calibration procedure BP1 Simulator at Atm Zero BP1 Simulator at 100 mmHg 100 mmHg display Simulator Arterial ART WF display BP2 Simulator at Atm Zero BP1 Simulator at 100 mmHg 100 mmHg display Simulator Arterial ART WF display EMS XL Service Manual 7 19 Install applications from install directory Appendix A Mennen Medical EMS XL P N 965 100 115 230 Test Data Sheet Page 5 of 5 SenalNo Subject Description Specifications Measured Result value Pass Fail Functional Test On note panel add two Notes notes Print page with patient Print 12L name and time Print page with patient Print RT screen name and time Copy RT to NRT screen Same WF display Timer Start Stop timer Connect ablation Ablation simulator and show parameters Store fi
2. 2000 Watts pick load 20 differential inputs PC 250 Watts Laser Printer 800 Watts 20 TFT LCD display 100 Watts per screen Modem and Video line driver 15 Watts Temperature Range 5 C to 40 C 41 F to 104 F Humidity 10 to 95 non condensing HVAC load 6000 BTU Hr max total system EMS XL Service Manual 1 4 2 Amplifier Stimulator Stimulator Built in Channels all channels provided with RF Filter Total Intra cardiac ECG Surface ECG Additional Channels Blood Pressure Filters High Pass Unipolar Bipolar High Pass Bipolar Low Pass Notch Acquisition Gain 1 1 1 2 1 4 1 8 2 1 Extra Stimuli S1 S2 Increment decrement 1 4 3 Vital Signs Chapter 1 Introduction 2 channels 32 channel or 64 optional 18 50 optional 12 0 05 0 2 40 80 Hz 40 Hz or 80 Hz 500 Hz 50 60 Hz Conversion sec 0 1 to 25 5 in respect to ImV cm S1 to S5 Manual or automatic Pulse range 0 3 25 mA 40V Pulse width 0 1 9 9 msec ECG Number of leads Twelve Analog Frequency Response Input Impedance 0 05 to 100 Hz 3 dB Typical 20 MQ minimum greater than 5 MQ differential DC to 10 Hz 2 5 MO differential 10 Hz to 100 Hz Greater than 3 MO differential at 10 Hz Common Mode Rejection At least 120 dB at 50 60 Hz 80 dB grounded with 5 KO in balance Input Dynamic Range EMS XL Service Manual 5 mV p p offset by up to 600 mVdc 1 7 System Specification
3. New file will be displayed as Unknown until Save Save as operation besides a file name indicates modified data It is possible to display specific section or all sections by selecting the section from the combo box It is possible to sort the displayed list by specific column This operation can be performed by clicking the specific column header Clicking the column header once more will toggle between ascending and descending sort Status bar displayes the sorting column and sort order Inserting Editing text done only in the translation column This operation can be done by selecting specific row by mouse or keyboard and pressing F2 or another mouse click Clicking the right mouse button on a selected row will popup menu that allows renaming Paste Clear Copy the English Text It is possible to find a text in the displayed list by find next button or F3 Search startes from the selected item to the End of displayed list Search operation is done within a specific column During translation don t forget to save the file every several minutes This operation can be done from the file menu or by CTRL S key F1 will display the current version of this utility 4 12 EMS XL Service Manual Chapter 4 Operation Lang Editor JI File Edit Help Find fALLSECTIONS vi Translation x jg F Match Case Translation Engkeg Section Key 1 ls ATRIUM DLG IS Auto Snapshot AUTO SNA
4. model 601PRO or similar Auto test 60601 1 5 1 Safety test N O K Add the strip result 5 2 AC Hi Pot test 1 5KV AC 10sec O K 5 3 Defibrillator test 300 Watt x Sec O K 6 ECG Test Simulator DNI217A or similar Connect 12 leads ECG y 6 1 cable with Siamilatopy Display 12 leads ECG O K Connect all IECG inputs to 6 2 CATI onsimulater Channels 13 25 O K 6 3 Channels 26 32 O K 6 4 For 64 channels Channels 33 44 O K 6 5 Channels 45 56 O K 6 6 Channels 57 64 O K EMS XL Service Manual 7 17 Install applications from install directory Appendix A Mennen Medical EMS XL P N 965 100 115 230 Test Data Sheet Page 3 of 5 SenalNo o Subject Description Specifications Measured Result value Pass Fail Stimulator Test Oscilloscope measurement on 1000 Ohm Atrial stimulation 2 mA 2 mSec 2 volt Ch 13 2 mA 2 mSec 2 volt Ch 14 2 mA 2 mSec 2 volt Ch 15 2 mA 2 mSec 2 volt Ch 16 2 mA 2 mSec 2 volt Ch 17 2 mA 2 mSec 2 volt Ch 18 2 mA 2 mSec 2 volt Ch 19 2 mA 2 mSec 2 volt Ch 20 2 mA 2 mSec 2 volt Ch21 2 mA 2 mSec 2 volt Ch 22 2 mA 2 mSec 2 volt Ch 23 2 mA 2 mSec 2 volt Ch 24 2 mA 2 mSec 2 volt Ventricular stimulation 3 mA 3 mSec 3 volt Ch 13 3 mA 3 mSec 3 volt Ch 14 3 mA 3 mSec 3 volt Ch 15 3 mA 3 mSec 3 volt Ch 16 3 mA 3 mSec 3 volt Ch 17 3 mA 3 mSec 3 volt
5. pin H Surface ECG cia e O Intracardiac Signal PC DET ga 1 I 965 304 000 i TEM z PC AUX 4 I et Ur Spin 94303 00012 965 205 020 I 38 PC DI 2 EMS PC INTERFACE I 5 6 m 9pin 25 pin H l ss ag 965 305 000 _ i Parallel iB rum gt pi 3 8 9 pin PC COMM 5 pin Com 2 El USB USB 25 pin RJ45 MB B Ventricle Acin N C N C HASP N C ee 200 und Surface ECG BUS N C 965 200 081 Intracardiac Signal l Laser Printer He dd 146 030 x00 To TFT Display To TFT Display l Accessory l Ac Li 551306 810 10lead ECG cable I 551 306 011 Single BP cable I 965 302 000 Patient Connection cable A I 965 030 020 Patient Conn Box 5 Power Unit A H M CART 965 060 115 230 Acin Console 965 160 122 AC Hospital Ground 1 3 Functional Description 1 3 1 PC The central console consists of a mobile cart that houses the following devices Central Computer PC Two local 20 LCD displays Basic Amplifier stimulator For 32 channel version um Expansion Amplifier For 64 channel version AC Power Unit Laser printer Patient Connection box Video Board Modem Standard keyboard and mouse The PC is used to display store and measure the incoming signals from the amplifier The PC supplies the power to the amplifier via a special Mennen interface board which also controls the stimulator in the amplifier box The main processor of
6. Chapter 4 Operation e Study list e Technician list e Fellow list e Faculty list 4 6 9 Word Template files Template File rtpl rtf can be translated to the target language Template File rtpl rtf can be renamed to target language 4 6 10 Printer The standard reports printed in PCL format we need a printer that support this format in specific language HP 3005 or equivalent have several PCL language support 4 6 11 Known items that not translated e Icons e Text inside stimulation Area e Ablation units results inside BP Area e Special caliper labels SR CL A H H V QRS QT e MS Dialogs Save Snapshot Font Dialog in Text mode e Word application e Windows XP 4 7 EMS XL Archive utility The main features that are supported by this utility are e Store Patient dataon CD R DVD R media e Erase CD RW and DVD RW media e Compress patient data to reduce disk space e Archive patient data on a network disk e Search for old case and restore it e Mark online case as already archived EMS XL Service Manual 4 15 Shutting Down the EMS XL System 4 7 1 Configuration e tis possible to configure the target archive devices that will be supported by this utility e tis possible to configure up to 2 archive devices as target archive DVD drives and disk location one of them or both e DVD drives is only for burn purpose not Nero INCDA disc format This Drive is the default selection e Disk location can be selec
7. Driver eese 2 3 Figure 2 5 Video Line Driver Back Panel ees edet ss NG 2 4 Figure 2 6 Amplifier Front and rear panels ennen enne onee onvenevensenncenseeneen 2 6 Figure 2 7 Amplifier Front and rear panels es nnaman uman 2 7 Figure 3 1 EMS XL Interconnections Diagram maana 32 Figure 3 2 Grounding Test Setup LSA EET 3 8 Figure 4 1 EMS Real Time RT Screen vs ORG 4 3 Figure 4 2 EMS Non Real Time NRT Screen sess 4 3 iv EMS XL Service Manual CHAPTER 1 INTRODUCTION 1 1 Scope This Service Manual provides information and procedures for maintaining troubleshooting and returning to service of the EMS XL Electrophysiology Measurement System known in short as the EMS XL 1 2 Overview The EMS XL is a computerized Electrophysiology Measurement System that monitors measures stores and reports surface and intra cardiac electrocardiograms signals The acquisition of patient signals and physical patient interfacing is done only through the amplifier stimulator box The EMS XL is intended for use in a hospital or clinic under the direct supervision of a physician and nurse Specific locations for the EMS XL monitor are Cardiac Catheterization Lab Units The following are examples of intended clinical applications Adult catheterization Pediatric and Neonatal catheterizations EMS XL Service Manual 1 1 Functional Description mennen Var medi Fig
8. Export data elements table paragraph 4 4 3 3 Or copy and modify an existing report file Use Copy and paste to get the file shape you wish Use Tools gt gt Options gt gt View to show or not show bookmarks 4 8 EMS XL Service Manual 4 4 3 Export data elements Bookmark Chapter 4 Operation Bookmark Name Description Range DEMOG 2 lines of standard demographic data IRx SNRT result Intrinsic Rate x is 1 to 10 CLx SNRT result Pacing CL x is 1 to 10 BEATSx SNRT result Actual beats x is I to 10 SNRTx SNRT result SNRT value xis 1 to 10 exceeds normal range CSNRTx SNRT result corrected SNRT xis 1 to 10 value exceeds normal range SRCLx SR CL interval xis 1 to 5 AHx A H interval xis 1 to 5 HVx H V interval xis 1 to 5 QRSx QRS interval xis 1 to 5 QTx QT interval xis 1 to 5 NOTES All notes with time stamp EVENTS All Events sorted by chronological order STIMS All Stimulations details sorted by chronological order STIMS EVENTS All Stimulations Events sorted by chronological order BEGIN Start position of cursor when Report open 4 4 4 Repot templates in EMS XL Pressing the Report button on the Commands dialog will popup a menu with the following options Open old report Build templatel Build template2 Build template3 Build template4 Build template5 Close Where templatel template2 are the actual names
9. Ltd The text and drawings herein are for the purposes of illustration and reference only The specifications on which they are based are subject to change without notice Trademarks EMS XL is a registered trademark of Mennen Medical Ltd Other company and brand product and service names are for identification purposes only and may be trademarks or registered trademarks of their respective holders Data is subject to change without notice Responsibility of Manufacturer Mennen Medical Ltd considers itself responsible for the effects on safety reliability and performance of the equipment only if Maintenance and repairs are carried out only by personnel authorized by Mennen Medical Electrical installation of the room in which the system is installed complies with all aspects of the relevant internationally recognized electrical safety standards as well as specific hospital requirements The equipment is used in accordance with instructions for use Contents Chapter IFWOOUGHON ee 1 1 El AA A alat 1 1 1 2 Overview es M 1 1 1 3 Funcional Decius 1 2 LEN NE eT 1 4 1 3 2 Two Local LCD Displays nai 1 4 13 3 AMP En SOIL ia 1 5 1 34 AC Power Unit aaa Aa ed 1 5 AA pO di errno h e A a T cta ack al 1 5 1 3 6 Patient Connection box 20 differential channels anne enne erven 1 5 130 Video spiler 1 5 1 3 8 MOUSE erneer 1 5 1 4 System Specifications S oho e er NS SS 1 6 1 4 1 Mechanical and Envir
10. O OO O Combine EP SE Installation Instruction The system will arrive with the SUN computer and the EMS XL PC in separate boxes Take out the computers and accessories from the packages and put the SUN into the table console and the PC on the side of the consol DO NOT use the two video cables that are attached to the power cable of the display 6 2 1 ONT BO bos ka NO 00 o o N N e cure eot Eos esu 11 12 13 14 15 16 17 0 Installation sequence Insert the SUN computer into its housing Right side of table Viewed from the back The back panel to the center of the table Viewed from the back Insert the round black pole into it socket Use force At the top of the pole connect the horizontal arms for the displays Connect the displays to the horizontal arms Put the PC on the side of the consol Put the Basic Amplifier and the Expansion amplifier as near as possible to the patient s bed Connect the CFE to the left side on the table Front View Put the switchbox on the table at a point you can access Put the Printer somewhere It serves the EP amp WS Cable connections Power Connect 90 degree power cable for the Sun computer Connect Printer and Displays to the transformer The Switch does not need power The PC should be connected to the mains via the transformer Power to CFE from the transformer Video and Switch SUN Connect the left yellow Video cable to V1 on the SUN Connect th
11. amp vertical sync when pressed or horizontal sync only when released at the H HV SYNC connector 4 BNC OUT EQ Controls cable equalization of the BNC video outputs knob 5 BNC OUT Level Controls video level of the BNC video outputs knob 6 Termination switch When released allows for looping When pressed in looping cannot be used i T Labas Figure 2 4 Video Line Driver Back Panel VP 103 Rear Panel Features Feature Function 7 VGA XGA LOOP Provides VGA XGA looping capability to increase the HD15F connector number of outputs 8 VGA XGA input The VGA XGA input connector HD15F connector 9 11 RED GREEN and Two sets of amplified and buffered RED GREEN amp BLUE BNC BLUE signal outputs connectors 12 CS Hs SYNC BNC Amplified and buffered horizontal sync when Hs Cs connector pushbutton is pressed or Composite sync only when Hs Cs pushbutton is released 13 Vs SYNC BNC Amplified and buffered vertical sync output connector 14 DC Power supply A DC connector allows power 12VDC to be supplied connector to the unit For a more information see XGA Line Amplifier amp Converter model VP 103 User Manual 2 4 EMS XL Service Manual Chapter 2 System Description 2 2 5 AC Power Unit The AC power unit consists on an isolation transformer inrush current limiter and AC female connectors Two options are available according to the voltage regulations in your country A 220V model and an 110V model La
12. be performed in case a faulty part is detected A faulty part must be replaced with a serviceable part that is approved by Mennen Medical or by the original manufacturer 5 2 Preventive Maintenance Perform the following preventive maintenance procedures periodically once a year Visual Inspection Cleaning Directives Functional Tests Grounding Test During performing any maintenance activities observe all safety warnings and cautions as described in the EMS XL User s Manual 5 2 1 Periodic Visual Inspection Once a year visually inspect the system main components back panel connectors and cables Check for loose connectors cables screws and fasteners EMS XL Service Manual 5 1 Troubleshooting 5 2 2 Periodic Cleaning Directives Once a year clean the exterior surfaces front panels and back panels of the system from dust and loose dirt For detailed instructions see Chapter 4 Care and Maintenance in the EMS XL User s Guide 5 2 3 Periodic Functional Tests Once a year perform functional tests as described in Appendix 1 Final Test Procedure 5 3 Troubleshooting This section provides guidelines for performing corrective actions to isolate malfunctioning parts when a problem symptom occurs These symptoms may occur during normal operation or when performing acceptance tests The symptoms are divided according to the relevant part that may be malfunctioning as follows Power problems
13. e 115 Vac 10 60 Hz 1 single phase 25A 3 prong dual outlet 2 wire plus ground NEMA 5 20R Hospital Grade Current con or e 220 Vac 10 50 Hz 1 single phase 15A 3 prong dual outlet 2 wire plus ground NEMA 5 20R Hospital Grade A maximum deviation of 10 of nominal voltage for 0 1 seconds occurring no more than once every 10 seconds A maximum of 300 V spike with a rise time of 0 1 ms or slower lasting no more that 10 ms for the total duration A maximum harmonic content of 5 RMS with no more than 3 RMS for any single harmonic It is recommended to connect the EMS XL system to a power line that is connected to emergency AC power system Normal changeover to emergency power will not affect EMS XL C operation To check the AC power disturbance measure the AC power for at least 24 hours using a power line analyzer 3 1 3 Grounding Requirements A proper grounding is essential for any patient monitoring system to establish a safe electrical environment for patients and hospital personnel Before installing the EMS XL make sure that the room where the central console is placed contains the Hospital ground connection This ground must NOT service locations other than the monitoring area such as other floors or equipment with high power loads 3 2 Unpacking Before unpacking the EMS XL packages verify that the received packages comply with the manufacturer s delivery documents and all packages are unda
14. the languish Channels 32 Ch f 64 Ch Select Channels to select either the 32 or 64 channels options Select the Panic Button to select between Override and Burst 4 3 1 User Interface Basic Test The EMS XL user interface includes a keyboard and a mouse To test the user interface 1 Select the icons on the RT Real time display and check that they are functional 2 Select the icons on the NRT None Real time display and check that they are functional 3 Check that the printer is printing from both the RT and NRT record icons 4 3 2 Software Version Validation Validate that the software versions by opening the Help panel EMS XL Service Manual 4 7 Prepare Report formats 4 4 Prepare Report formats 4 4 1 General The EMS XL supports up to 5 Word report forms The report form has to be created using an offline procedure In the Word Document each data element has to receive a unique name Use Bookmark to cause the EMS XL data to enter to the Report Word document 4 4 2 Create a report template The templates of the reports will be prepare in the computer and will be stored as rtpl rtf files The file names can be set by the user or by Mennen Use the Word bookmark tool to insert data and events from the EP procedure into the report 1 Open an empty word file named rtpl rtf 2 Use Insert gt gt Bookmark gt gt and insert one bookmark after the other from the list in the
15. translation key is related to a specific section or dialog in the EMS XL application Text strings that are common for several dialogs will be located in a common section called GENERAL This section contains commonly used texts like OK Close Each language translation should be stored in different dictionary file XXXX dic This file should be located in EP Data directory This file format is ANSI and not Unicode The target Dictionary file name should be configured in Registry Entry EP LANG Itis possible to insert a new line character by In two characters and n It is possible to insert tab character by X two characters and t A special utility generated to create edit this file is called LangEditor see description below The EMS XL application loads the dictionary file during startup So any change in dictionary file will become effective on the next EMS XL application startup 4 6 3 LangEditor utility V1 0 l New offline utility was inserted to allow editing the translation dictionary files xxx dic This utility needs NET framework 1 1 installed by Dotnetfx exe Ji SetupLangEditor zip file contains installation for this utility 3 The user should open the dictionary file before starting the translation This operation can be done from file menu by New or Open Option EMS XL Service Manual 4 11 Multi Language support 10 11 12 Title bar will display the current opened file name
16. uV mmHg 10 Vde 5 to 5V 10 to 250 mmHg I mmHg 300 600 Q Better than 1 of full scale 80 dB minimum reference to chassis 50 60Hz DC to 12 Hz DC to 40 Hz optional 1 4 4 Central Computer PC Enclosure Desktop style system enclosure or mini tower Power supply 250 Watts CPU IP 4GV122 Socket 478 PC133 CPU Card with LVDS Flat Panel CRT SVGA Fast Ethernet AC97 3D Audio ATA 133IDE and DOC Interface Pentium 4 2 4GHz 512MB with 4 Eisa slots Hard drive 40 or higher gigabyte 7 200 RPM with ATA 133 interface Diskette drive 1 44 MB manual eject Optical drive Built in DVD R W drive EMS XL Service Manual 1 9 System Specifications Audio PCI connectors Video cards On board 3D Audio 33 MHz 32 bit peripheral component interconnect PCI Two long PCI connectors accept both long and short PCI cards PCI SLOT Matrox G450 DualHead DDR Adapter from DVI Serial ports One serial port on the chassis back panel One serial port on the riser card requires one PCI slot to access the connector Parallel port One parallel port Ethernet On board 10 100MB sec Firewire Two IEEE 1394 ports USB ports Four USB ports two are required for keyboard and mouse Modem PCI modem to support via Pc anywhere Multi serials For system with 64 channels serial no 3 Hasp One key for each system Keyboard Standard with Mennen Medical dedicated keys in color Mouse Standard Design and sp
17. 0 220 Vac power to all devices in the central console and to the two display screens 1 3 5 Laser Printer The laser printer model is a Hewlett Packard Laser Jet 3005 The printer is subject to change according to the available model in the market and performance requirements The laser printer enables printing of catheterization procedures catheterization reports and textual graphical summaries of all patient data 1 3 6 Patient Connection box 20 differential channels 1 3 7 Video Splitter Option The video splitter line driver model KRAMER VP 103or compatible is used to drive one of the output video to a remote display The distance of the remote display can be up to 30 meters 1 3 8 Modem The modem is a standard or compatible internal modem that enables remote communications with Mennen Medical for technical support and software upgrade EMS XL Service Manual 1 5 System Specifications 1 4 System Specifications 1 4 1 Mechanical and Environmental Specifications Cart Dimensions Table Dimensions Dimensions of PC chassis desk top Power Requirements Total Power Consumption Patient Connection Box Detailed Power Consumption Environmental Height 143 cm 56 2 Width 85 cm 33 4 Depth 60 cm 23 6 Height 122 cm 48 Width 88 cm 34 67 Depth 80 cm 31 47 Height 19 cm 7 487 Width 38 cm 14 967 Depth 45 cm 17 717 108 130 VAC 60 Hz or 180 250 VAC 50 Hz
18. 965 100 115 230 Test Data Sheet Page 1 of 5 Unit P N 965 060 Date 965 965 Par Subject Description Specifications Measured Result value Pass Fail UUT 104 010 020 S N Serial Number Tested By 103 015 S N S W Ver 32 64 Channels 965 103 025 S N 1 Visual Inspection Check all connectors O K Sockets screws Connect the UUT to the main power and to display only 2 Main power testing Connect main power 2 1 cable and switch on the van LED on amplifiers O K in green unit Check displays 2 2 Working O K Icons on real time 23 Computer monitor ich O K 3 Tests 3 1 EMX XL Software installation O K Both real time and non 3 2 Start EMS XL program real time monitor shows O K GUI 3 2 Start case All Icons active O K Report opens with 3 3 Display Report demographics O K 7 16 EMS XL Service Manual 0 Appendix 1 Final Test Procedure Appendix A Mennen Medical EMS XL P N 965 100 115 230 Test Data Sheet Page 2 of 5 Serial No Par Subject Description Specifications Measured Result value Pass Fail 4 Software Version 4 1 Check SW version Software Version V 4 2 Check 32 64 setting Setting correct 32 or 64 Ablation 4 9 Ablation interface Sends parameters models 5 Leakage Test Safety Analyzer BIO TEK
19. Computer problems Amplifier and accessories problems Follow the guidelines carefully and if the problem persists contact Mennen Medical using the Appendix 2 Service Call Form provided at the end of this manual 5 3 1 Power Problems Table 5 1 Troubleshooting Power Problems Symptom Possible Cause Corrective Action The system does No power from the Perform the following in the suggested order HOPE OG hospital outlet Check the power of the hospital outlet Ke rer switch y Check the power indicator on the main switch If Tatang har Off check the input and output power on the main Power switch Replace the switch if required disconnections Check power connections Repair if required pun Check the output voltage from the AC Power INA une non Unit If no voltage presents check the Inrush Current Limiter replace if required Else replace the AC Power Unit 5 2 EMS XL Service Manual Chapter 5 Maintenance amp Troubleshooting 5 3 2 Computer Problems Table 5 2 Troubleshooting Computer Problems Symptom Possible Cause Corrective Action No display on the Local display Perform the following in the suggested order local screen disconnection Check the display connections Local display Check the display Replace if necessary malfunction m Replace the computer Motherboard malfunction No display on the Remote display Perform the following in the suggested order remote screen disconnec
20. Description 2 2 1 Cart Description The cart houses the central console devices which are safely secured inside the internal locked cabinet The cart includes four wheels that provide easy mobility The cart contains openings for ventilation Figure 2 1 Cart 2 2 2 EMS XL Computer Description The computer contains one hard drive of at least 40GB The hard drive contains the EMS Software Windows XP Nero software and the PC Anyware program EMS XL Service Manual 2 1 Cart Description The System components are housed in a desktop style enclosure or in a mini tower System electronics are contained on a single plug in printed circuit board motherboard The motherboard contains the CPU memory modules system control application specific integrated circuits ASIC and I O ASICs The motherboard plugs into a riser board that provides the system power and integrated drive electronics IDE hard drive data interface The figure below shows the PC system front and back panels HASP amp Printer Vi M H C AN ideo Main oo oO Video W F E El Modem N C COM 2 PC AUX2 PCI 2 PCI 1 PC AUX1 eed 9 p Figure 2 2 PC Front and Back Panels 2 2 EMS XL Service Manual Chapter 2 System Description Graphic card Matox G450 Dual head 2 2 3 Local LCD Displays
21. EMS XL Service Manual Chapter 3 System Installation Site Preparation To prepare the site consult with the Hospital Biomedical Engineer and Facilities Engineer and verify that the physician s room and the control room comply with the following requirements Environmental Requirements Power Requirements Grounding Requirements 3 1 1 Environmental Requirements The environmental requirements are Clean air atmosphere No direct sunlight Antistatic floor Operating Temperature Range 10 C to 32 C 50 F to 90 F Temp Rate of Change 3 6 F hr 2 C hr Humidity 30 to 95 non condensing Humidity Rate of Change 2 hr The system Heat Ventilation Air Conditioning HVAC thermal load is up to 6000 BTU Hr Consider this additional heat and confirm with the Hospital Plant Engineering Department or the Biochemical Engineering Department that the HVAC System can manage the additional heat without exceeding the operating temperature range Space required for the standard size cart 143x85x60 cm H W D Space required for the table 122x88x80 cm H W D Verify passage width of at least 85 cm or 88 cm accordingly Space for cable ducts running from the central console to the Amplifires and optional remote display EMS XL Service Manual 3 3 Unpacking 3 1 2 Power Requirements The power line must meet the following requirements One of the following voltage requirements according to the EMS XL model
22. MACARG AC Sava a Do 57 64 del SOUND 5 56 de CARDIAC AMPLIFIER EMS mennenmedca BEFORE CHANGING AG AMPLIFIER STIMI Pc com Bus AUXLIARY bus He EE He lEs en Figure 2 6 Amplifier Front and rear panels 2 3 1 Analog board The analog board 2 3 2 Front End Processor Board The digital board 2 7 EMS XL Service Manual CHAPTER3 SYSTEM INSTALLATION 3 1 Overview Two installation options are available for the EMS XL Install the central console inside the physician s room close to the amplifier Therefore a remote display is not necessarily required This type of installation is simple and rapid since you do not need to route long cables between the amplifier and the central console Install the central console in a control room and the amplifier in the physician s room This type of installation requires you to route cables from the control room to the physician s room between the amplifier and the central console In addition a remote display is required including its cable connections to the central console The system installation consists on the following main stages Site preparation This includes verifying that the site complies with the environmental requirements power requirements and grounding requirements Unpacking This includes verifying the content of the packages
23. P DLG ALTO SNAP Locetioninmm AUTO_SNAP_DLG LOCATION SweepinSpeed AUTO_SNAP_DLG SWEEP_SPEEO Delay afterinstimulation AUTO_SNAP_DLG DELAY AFTER Scale BP_DLG SCALE Calibration Factor BP DLG CALIBRATION FACTOR BP BP DLG BP Mo BP BP DLG NO BP zero BP DLG ZERO No Grid BP DLG NO GRID Grid 8P DLG GRID Zero in progress AP MESSAGE DLG ZERO IN PROGRESS Zero has succeeded BP MESSAGE DLG ZERO SUCC Zero hos failed BP MESSAGE DLG ZERO FAILED No BP channel is selected f BP MESSAGE DLG NO CH SELECTED ALL Channels CH SELECT 64 DLG ALL CH Unselect All CH SELECT B4 DLG UNSELECT ALL Clear All CH SELECT 54 DLG CLEAR ALL v ATRIUM DLG IS Section ACS 414 Dictionary file not open 4 6 4 Related files EMS XL lang This file contains All language keys that are supported by EMS XL We need this file for LangEditor utility This file should be located in EP Data directory Dotnetfx exe Install NET Framework 1 1 for LangEditor utility SetupLangEditor zip Install LangEditor Execute Setup exe will insert LangEditor Entry into Windows startup Menu 4 6 5 Special Stimulation Files Translate In the EMS XL application we have 8 predefined stimulation files that related to special procedure Default prg Stimulation loaded during startup Cont A 600 prg F9 Cont V 600 prg CTRL F9 Basic A prg F10 Basic V prg CTRL F10 SNRT prg Loaded during SNRT Procedure Burst A prg Loaded during atrial Burst Procedure Burs
24. TY mennen 47 EMS XL Electrophysiology System SERVICE MANUAL fT EN i E i me quel m 14 T gt S y vow tt v v Ctt t AN h aec P vv 3 mennen 7 965 OPT 112 January 2007 0473 Conformity according to the Council Directive 93 42 EEC concerning Medical Devices Manufacturer Name Mennen Medical Ltd 4 Ha Yarden Street Yavne 81228 P O Box 102 Rehovot 76100 Israel Tel 972 8 9323333 Fax 972 8 9328510 European Representative Charter Kontron Limited Unit 18 Avant Business Centre 12 Denbigh Road Milton Keynes MK1 1DT England Tel 44 01908 646070 Fax 44 01908 646030 Publication No FBE 965 001 REV A Revision Jan 2007 Copyright O Mennen Medical Ltd 2003 All RIGHTS RESERVED Trademarks are the Proprietary of their respective holders Important Notice This document is delivered subject to the following conditions and restrictions The EMS XL Service Manual contains proprietary information of Mennen Medical Ltd This information is supplied solely for the purpose of assisting authorized technicians of Mennen Medical Ltd products The instructions presented in this manual should in no way supersede established medical protocol concerning patient care No part of the contents hereof may be used for any other purposes disclosed to any person or firm or reproduced by any means without the express prior written permission of Mennen Medical
25. The local displays are 20 TFT LCD color computer display that supports resolution 1600 x 1200 pixels For more information refer to manufacturer documentation according to the model installed in your EMS XL system 2 2 4 Video Line Driver The video line driver KRAMER VP 103 provides a simple solution for converting a computer video signal to a selected analog format for interfacing with incompatible display devices There are a wide variety of computers video cards data monitors and large screen displays When a computer image is displayed on large monitors or projectors the computer is not always compatible with these devices The VP 103 helps resolve this incompatibility The VP 103 amplifies a computer video signal and converts the sync portion to a selected format It does not change the scan rate or resolution of the video signal Figure 2 3 illustrates the front panel of the video line driver Q POWER Cable EQ LEVEL Q ca Mes O O Tem 1 HZ 9 XGA Line Amp Corwerter VP 103 9 Figure 2 3 Front Panel of the Video Line Driver VP 103 Front Panel Features Feature Function 1 Power switch Illuminated Switch supplies power to the unit 2 S G GREEN Select either Sync Green or Green at the GREEN BNC pushbutton connector Sync Green pressed EMS XL Service Manual 2 3 Cart Description 3 H V H pushbutton Selects horizontal
26. according to the packaging list Placing and preparing cables This includes placement and preparation of cables that their length depends on the distance of the amplifier and the optional remote display from the central console Installing the amplifier This includes mounting the amplifier and connecting its cables Installing the central console This includes mounting the EMS XL computer keyboard mouse local LCD displays laser printer and their cable connections Installing the remote display optional This includes mounting the display and connecting its cables in the physician s room remote display is required if the central console is located outside the physician s room Settings before first time operation This includes checking cable connections and grounding test EMS XL Service Manual 3 1 Overview below illustrates the interconnections between the EMS XL devices and shows the cables in red or bold print that you must place on site according to the location of the amplifier and the optional remote display while installing the system and prepare the connectors Figure 3 1 also presents the devices that are packaged separately gray and are part of the central console These devices include the computer and laser printer which you mount and connect inside the central console and the local LCD displays mouse and keyboard which you mount and connect on the central console EMS XL 965 100 030 32c
27. ce the electrode according to the ECG leads that are missing If the problem persists replace the ECG cable adaptor Perform the following in the suggested order m Replace the surface ECG cable Check the cables between the basic amplifier and the computer Perform the following in the suggested order 2 Set the Notch filter to ON Check all the ground connections Repair as necessary 5 4 EMS XL Service Manual Chapter 5 Maintenance amp Troubleshooting 5 4 Parts Replacement 5 4 1 Introduction This section provides disassembly assembly procedures that refer to the replaceable parts of the EMS XL System Perform these procedures in case of a faulty part unit board cable connector etc must be replaced A Warning Only an authorized and qualified technician is allowed to perform disassembly assembly of any part in the system The technician must hold an authorization certificate issued by Mennen Medical A basic replacement procedure consists on the following main steps Before disassembling a suspected faulty part turn OFF the main power switch and disconnect the main power plug from the hospital power outlet Make sure that all connecting cables are serviceable and the connectors are clean and have straight pins Verify that a serviceable replacement part is available in stock See section 5 4 1 1 Replaceable Parts List Disassemble the faulty part as described later in this chapter Assembl
28. e is provided which must be followed carefully before performing any service or maintenance procedures 4 2 Initializing the EMS XL System l The EMS XL System contains a main switch on the right side of the central console that activates the Power Unit The Power Unit provides the power for all the devices in the central console and the optional remote display Before turning on the main power switch turn on and verify that the power switch of each of the EMS XL devices is ON These include the workstation HASP local display laser printer and the optional remote display if installed To initialize the EMS XL System Turn on the system main switch The main switch green light turns on 2 Double click on the User icon EMS XL Service Manual 4 1 Initializing the EMS XL System 3 Verify that the RT and NRT displays are shown Mat Thang Zene weep speed Taa tes tmm OM mn uS kol n Tone Du Tael p Non 4 i wem A r maaga Pia far m er onm res tvm a 3 and el uod spun py Dus a SENS hs Recording Paya 4 Figure 4 1 4 2 EMS XL Service Manual Chapter 4 Operation ia BENT Recording Wars Figure 4 1 EMS Real Time RT Screen MS Seonag Chumupa Shet Claas 5 Bet Tee Post sedes Pama ma Free BT Mehl payo Figure 4 2 EMS Non Real Time NRT Screen EMS XL Service Manual 4 3 Configuring the EMS XL 4 3 Configuring the EMS XL This EMS XL Co
29. e left green Video cable to V2 on the SUN Connect the USB connector attached to the V2 Video cable to the USB socket on the SUN Connect the LAN cable to the socket for the Hub Connect the cable from the Hub to the LAN input of the CFE Video and Switch PC On the PC at V2 insert adapter attached to the top of the PC On the Printer connector attach the HUSP adapter Connect the right yellow cable to V1 on the PC Connect the right green cable to V2 on the PC EMS XL Service Manual 6 9 Starting the system 18 19 20 21 22 23 24 o w ON SND 15 16 Connect the USB connected to the to the V2 Video cable to the USB socket on the PC Amplifiers Connect the Basic amplifier cables to COM1 B PC DI B AUX B sockets on the PC Connect the Expansion amplifier cables to COM2 E PC DI E AUX E sockets on the PC Mouse Keyboard and Printer Connect the Mouse to the central USB on the switch Connect the and Keyboard to the right USB on the switch 25 26 2T Connect the Printer cable to the parallel socket above the HUSP Displays Connect the Black display cables to the Switch Starting the system Power on Cathlab and the PC Connect the DNI simulator to Power Turn the Switch to Horizon SE Wait for about 5 minutes On the log in panel type ON lt enter gt lt enter gt The Horizon SE panels will be displayed Connect 5 lead ECG cable to the CFE ECG socket Turn the Switch to EMS XL Double click on us
30. e the replacement part in reverse order of disassembling EMS XL Service Manual 5 5 Parts Replacement Atthe completion of part replacement to verify that the replacement module functions properly perform the relevant functional test as described in section 0 KN Rat Teme Even as al sou Li El miu CNET El mos Pa o JA EY tex Tros BT Madge paper Nato ipost BI seem gy TEE zE i ws EXO FIT Tom Normal OM LE got tante re lt OF Nake NBN pee pr um Z a E VESIE EAEI EE E Figure 4 2 EMS Non Real Time NRT Screen Configuring the EMS XL A Warning Before starting any disassembling and assembling procedure turn OFF the main AC power and then disconnect the main AC power plug from the hospital power outlet 5 4 1 1 Replaceable Parts List The following tables provide a list of replaceable parts for the EMS XL Computer Table 5 4 EMS XL Replaceable Parts List Mennen P N Description 965 104 010 Computer for EMS XL 32 channel 965 104 020 Computer for EMS XL 64 channel 5 6 EMS XL Service Manual Mennen P N 965 103 015 Description Amplifier Stimulator 32 channel 965 103 025 965 030 020 965 302 000 935 823 X20 146 030 168 960 202 121 960 211 032 960 ISO 230 960 ISO 115 Amplifier Stimulator 64 channel Patient connection box Patient connection cable 20 Flat LCD Display screens Printer laser jet B amp W 230V Video line driver Inter
31. ecifications are subject to change without notice 1 4 5 Patient Connection Box 20 differential 2 for 32 channel version 5 for 64 channel version Number of channels Number of connection boxes 1 10 EMS XL Service Manual Chapter 1 Introduction 1 4 6 Video Line Splitter Physical Specifications Input Signal Analog RGB HV RGBS RGsB RsGsBs Connectors 1 HD 15 Female Video Impedance 75Q Video Level 0 3 1 2 Vpp Sync Level Analog TTL 0 3 Vpp Sync Polarity Output Signal Analog RGBHV RGBS RGsB RsGsBs Connectors 12 BNC Female 1 HD 15 Female Video Impedance 75Q Video Level Analog TTL 0 3 Vpp Sync impedance 220 Sync Polarity Analog 0 77 Vpp Bandwidth 350 MHz Dimensions Height 24 5 cm 9 6 Width 18 6 cm 7 Depth 4 5 cm 1 8 Enclosure Aluminum texture finish Weight 0 1 1 Kg 2 4 lbs Power input 12 Volt DC power supply Power consumption 12 Watts 1 4 7 Modem Standard internal PCI Modem EMS XL Service Manual System Specifications 1 4 8 Display screen monitors Characteristic Two 20 Display screens NEC or compatible Resolution Horizontal Max 1600 dots Vertical Max 1200 lines Design and specifications are subject to change without notice 1 12 EMS XL Service Manual CHAPTER2 SYSTEM DESCRIPTION 2 1 Introduction This chapter describes the following topics Cart description Amplifier principle of operation 2 2 Cart
32. en the console s ground stud and the hospital ground Verify that the resistance does not exceed 100 mA 0 10 3 Using the Leakage Tester measure the leakage current to the main ground in the following options e Normal polarity with connected ground e Normal polarity with disconnected ground e Reverse polarity with connected ground e Reverse polarity with disconnected ground Verify that the leakage current does not exceed 100uA for 110V system or 500uA for 220V system 4 Turn off the console main power switch 5 Disconnect the Grounding Test Setup 3 8 EMS XL Service Manual Chapter 3 System Installation 3 6 3 Connecting the Central Console to Hospital Power and Ground To connect the central console to hospital power 1 Connect a power connector to the power cable according to the hospital requirements 2 Plug the power connector the hospital main power outlet 3 Reconnect the grounding cable of the central console to the Hospital mains grounding connection EMS XL Service Manual 3 9 CHAPTER4 OPERATION 4 1 Introduction This chapter provides instructions for returning to service after servicing the EMS XL system For complete operating instructions please refer to the EMS XL User s Guide The operation instructions include the following nitializing the EMS XL system Performing setup and acceptance tests In addition to the operating instructions in this chapter a shutdown procedur
33. eneral installation e pe opm type IA Install standard Windows XP professional Install Matrox G400 G450 drivers Windows Display properties gt gt Settings Set 2 Display to 1600 X 1200 Windows Display properties gt gt Settings gt gt Advanced 120 DPI Windows Display properties gt gt Appearance gt gt Windows And buttons Windows classic Windows Display properties gt gt Appearance gt gt Font size Large Windows Display properties gt gt Screen saver None 8 Windows Display properties gt gt Screen saver gt gt power gt gt power schemes Always On All items Never 3 6 EMS XL Service Manual 9 10 11 12 Chapter 3 System Installation Windows Control panel gt gt Regional and language Options gt gt Customize gt gt Date gt gt Short date format dd MMM yyyy Install MS Word 2003 Install Nero package tested with V6 6 0 18 ultra edition upgrade from web Install printer Install applications from install directory 13 14 15 16 17 18 19 Install HASP Open HASP zip file and click hdd32 exe Install HASP Open HASP zip file and click hdd32 exe Install NET Fraimwork V1 1 click dotnetfx exe Install EMS XL Open Setup EMS XL Install xxx zip and click Setup exe Install Configuration utility Open EMS XL Config xxx zip and click Setup exe Install Archive utility Open EMS XL Archive Install xxx zip and click Setup exe Install Lang Edit
34. er and wait for the displays to appear Double click on EMS XL icon Connect the wires of the black shorted 25 pin cable to LA and RA on the DNI simulator Connect the wires from the shorted patient box to LA and RA on the DNI simulator Tighten the black and white screws so that the snap connectors of the 12 lead ECG cable stick Connect the 12 lead cable to the DNI simulator and to the ECG socket of the Basic amplifier Connect the patient box to the 13 24 socket on the Basic amplifier Connect the black shorted cable to the 45 56 connector on the Expansion amplifier GOOD LUCK 6 10 EMS XL Service Manual Chapter 7 Software Loading CHAPTER7 SOFTWARE LOADING 16 FEB 2006 EMS XL V1 32 Installation from scratch 7 1 General installation Install standard Windows XP professional Install Matrox G400 G450 drivers Windows Display properties gt gt Settings Set 2 Display to 1600 X 1200 Windows Display properties gt gt Settings gt gt Advanced 120 DPI Windows Display properties gt gt Appearance gt gt Windows And buttons Windows classic type Windows Display properties gt gt Appearance gt gt Font size Large Windows Display properties gt gt Screen saver None 8 Windows Display properties gt gt Screen saver gt gt power gt gt power schemes Always On All items Never 9 Windows Control panel gt gt Regional and language Options gt gt Customize gt gt Date gt gt Shor
35. h BLOCK DIAGRAM 935 823 X20 935 823 X20 20 LCD Display 20 LCD Display Keyboard NG in ideo in Video in Ac in ee 2p L 2 d L a I 965 305 000 spin ibpi in Spi Pas Spin 15pin x in in en 44 6 P 11 Dualhead Video Card i 09 C omst 146 040 330 546 am BUS N C 1 i 3 G450 i I acd AA a eeen O Atrum 2 on i Main Computer I a pin 44 965 205 010 B Ventricle 965 304 000 EMS PC INTERFACE 965 104 010 PC AUX 5 i Surface ECG 9pin 25 pin i i 965 303 000 1 l Intracardiac Signal PC DI 1 I I I Parallel 15pin l Com 2 USB USB 25 pin RJ45 MB x Acin NC N C Hase N C Vigo N C 965 200 081 TET dE I I I Laser Printer l Ac out Ac out l To TFT Display To TFT Display 146 030 0 I AES l Ac Di 551306 810 10lead ECG cable 551 306 011 Single BP cable I 965 302 000 Patient Connection cable i 965 030 020 Patient Conn Box 2 Power Unit LUJ I I PO I I T 965 060 115 2 Ac in nsole 160 122 l I 0 AC Hospital Ground 3 2
36. ifier and Accessory Problema es eet 5 3 54 Parts Replacement sisten ti eee lts 5 5 DUET Troens Th m e tu ce aos 5 5 Chapter b Combo OplOn nerede 6 8 6 1 Combined Horizon SE amp EMS XL configuration ooooonocononoconnnonnnonnncnnncconoconn cono ncnnncnns 6 8 GTA Contro E ROOM arees eot ee deb tonite da ee Dude RR 6 8 5 1 2 Interconnection Caples c oie e ete pnto ose aeq el 6 8 6 1 3 Procedure ROOM 25 15 naren tuque atout metuat t cie uus 6 8 6 2 Combine EP SE Installation Instruction enne 6 9 62 Installation sere ve 6 9 022 Cable CONNECTIONS soca ei ee malal en 6 9 5 Se bes nad aaa aa alakdan AA 6 10 Chapter 7 Software Loading eee 7 11 Ta Gea saaan Na fet vat ded RSS 7 1 7 2 Install applications from install directory essen 7 11 Appendix 1 Final Test Procedure 7 12 1 Totroduc Oti snno ee p Des be PAA ia 7 14 2 Me A AN arta 7 14 3 Test Equipment RE SN 7 14 4 Software Loading asses da 7 14 5 Functional Testing of the EMS XL nA ANG NATA GARA 7 14 6 Invasive Blood pressure calibrating essere 7 15 EMS XL Service Manual iii List of Figures List of Figures Figure 1 1 EMS XL General View seeds dece des 1 2 Figure 1 2 EMS XL System Block Diagram Error Bookmark not defined Ergure es NS 2 1 Figure 2 5 PC Front and Back Pires 2 2 Figure 2 4 Front Panel of the Video Line
37. le to DVD and play it back Store to DVD Report should show patient demographics Report Events Measurements Tested by Date 7 20 EMS XL Service Manual
38. maged Unpack the packages and make sure that all the parts listed in the packaging list exist and are undamaged Notify Mennen Medical regarding any damage or missing parts Lists the packages content of a basic EMS XL system The actual list may vary according to the Hospital order Table 3 1 System Packaging List 3 4 EMS XL Service Manual Part Number 965 100 030 965 100 031 965 100 035 965 100 036 965 100 040 965 100 040 965 100 045 965 100 046 965 104 010 965 104 020 965 103 015 965 103 025 965 030 020 965 302 000 935 829 520 935 823 X20 146 030 XXX 960 202 121 960 211 032 960 ISO 230 960 ISO 115 965 060 230 Chapter 3 System Installation Description Remarks EMS XL 32 Ch Mobile System 230V EMS XL 32 Ch Console System 230V EMS XL 32 Ch Mobile System 115V EMS XL 32 Ch Console System 115V EMS XL 64 Ch Mobile System 230V EMS XL 64 Ch Console System 230V EMS XL 64 Ch Mobile System 115V EMS XL 64 Ch Console System 115V Computer for EMS XL 32 channel Computer for EMS XL 64 channel Amplifier Stimulator 32 channel Amplifier Stimulator 64 channel Patient connection box Patient connection cable Two 20 Flat LCD Display screens 20 Remote display option Printer laser jet B amp W 230V Video line driver double Internal modem Transformer 230 Volt Transformer 115 Volt Cart for EMS XL 3 3 Placing and Preparing the Cables for consol Table 3 2 lists
39. nal modem Transformer 230 Volt Transformer 115 Volt EMS XL Service Manual 5 7 Combined Horizon SE amp EMS XL configuration CHAPTER6 COMBO OPTION 6 1 Combined Horizon SE amp EMS XL configuration 6 1 1 6 8 Control Room Console with two computers Printer Keyboard Mouse 2 Flat screens 20 High resolution 1200 x 1600 Switch for devices Keyboard Mouse 2 screens between the two computers Connection to slave monitor RT of EP or Waves for Horizon SE Connection to slave monitor NRT of EP OPTIONAL Switch for Remote EP operator control in the procedure room OPTIONAL Interconnection Cables CFE network cable Slave display cable RT Slave display cable NRT OPTIONAL EP Amplifier interface cables Order per length up to 15 meters Check to confirm length o 2xPC DI 965 303 000 o 2x Auxiliary 965 304 000 o 2xPC COM 965 305 000 Procedure Room Flat screen RT of EP or Waves for Horizon SE 2 Flat Screen NRT for EP OPTIONAL CFE Basic EP amplifier Expansion EP Amplifier Box to hold the CFE 2 Amplifiers Device to hold 2 patient boxes horizontally Italy with slope on the rail 32 channel system Additional Device to hold 3 patient boxes horizontally Italy with slope on the rail 64 channel system Remote EP operator control in the procedure room OPTIONAL consisting of EMS XL Service Manual 6 2 Chapter 6 Combo Option 2 Flat Screens Keyboard Mouse Printer
40. nfiguration utility needs NET framework 1 1 installed by Dotnetfx exe The following categories are supported by the Configuration utility Hospital Name Predefined Notes Predefined Events Study list Technician list Fellow list Faculty list Ablation Language To configure the EMS XL double click on the Config icon EK File Heb Category Value APP EMS XL LICE FAD01C3007678329 COUNTRY CUSTID SN DEV ID 00046152FECE Panic Buttan Edit This will open the EMS XL configuration panel Select Application to view license details 4 4 EMS XL Service Manual Chapter 4 Operation Select Hospital to insert the Hospital name EMS XL Configuration plx Select Notes to view Mennen default notes and or to modify the notes list Select Events to view Mennen default event list and or to modify the event list EMS XL Service Manual 4 5 Configuring the EMS XL A EMS XL Configuration Select Study to view Mennen default study list and or to modify the study list Select Technician to insert technician or technicians names Select Fellow to insert fellow name or names Select Faculty to insert faculty name or names NONE 4 6 EMS XL Service Manual Chapter 4 Operation Select Ablation to set the ablation device you wish to interface The ablation device supported to date Nov 2006 are Irvin IBI 1500T Stockert Maestro 3000 Select Languish to select
41. nsoli eene rt ce e etate decis 3 5 3 4 1 Placing the and Preparing Remote Display Cables optional 3 6 3 5 Installing the Remote Display optional eese 3 6 3 6 EMS XL V1 35 Installation from scratch nanos eerneeenneenneerseeesneeenseensenn 3 6 3 7 Pre operation aene oe tiec AR 3 7 Sul System Check ee NA 3 7 3 7 2 Performing Grounding Test nA e ot RS 3 8 3 7 3 Connecting the Central Console to Hospital Power and Ground 3 9 Chapter Opera on rn sentire iii 4 1 Al A eso ee 4 1 42 Initializing the EMS XL SySUe ee 4 1 43 Configuring the EMS XI sitio iria i 4 4 4 3 1 User Interface Basic estela et be drei SG 4 7 4 3 2 Software Version Validation ue aloe erret I bladerde 4 7 AA Prepare Report dv 4 8 AAT emerald T stant ntt 4 8 4 RADIO IC ACE VIe an RE A 4 10 4 6 MultilanouaccsopDoit aci diment eta etc A 4 10 AT EMS AL Abels voss 4 15 48 Shutting Down the EMS XL System iei ecrire ici 4 16 ii EMS XL Service Manual Contents Chapter 5 Maintenance amp Troubleshooting 5 1 md ee eee pa red dca a Tea or Aas dde uet los 5 1 52 Preventive Maintenances NNN 5 1 5 21 P nodie Visual Inspector naren laan Co EOD t ms 5 1 5 2 2 Periodic Cleaning Dieter 5 2 5 2 3 Periodic Functional Tests encens tele 5 2 A MA Ce A aA ED 5 2 SJ A A Ple e bU Da E ee 5 2 53 2 Computer Problems AA a ur dee PA ee OY doa A d Hebe 5 3 5 3 3 Ampl
42. of the templates stored in the EP Data files directory template order is alphabetic EMS XL Service Manual 4 9 Ablation Interface V1 35 4 5 Ablation Interface V1 35 1 Inthis version the following Ablation Generation is supported by the EMS XL software IBI 1500T STOCKRET Maestro 3000 2 Special serial communication input is required for communication with this device For 64 EMS XL channels we need a new serial communication hardware COM3 or COMA For EMS XL 32 channels we can use COM2 3 Inthe EP ABLATION Registry Entry we should define the type of ablation ABLATION TYPE and serial communication port ABLATION COM 2 or 3 or 4 This operation done by config utility Related files AblTest exe Simulator application for IBI1500T ablation Generator This simulator application should be executed from other computer The serial communication output of the simulator application is fixed to COM2 The input serial communication of EMS XL defined in the Registry entry The cable type for this communication is 3 wire connections Tx Rx ground 4 6 Multi Language support It is possible to translate the EMS XL to other languages output and input Since the application is non Unicode The application can support simultaneous only two languages English amp target language Data that is created by none English language EMS XL system cannot be viewed properly on a system configured to another lang
43. onmental Specifications sss 1 6 LAZO AXmplitierostinmulatof aeuo ta 1 7 1 453 VASS Di Pede EN 1 7 144 Central Computer PC ac aai oii dee Eie o a Gad e Ve abr ecd Rin 1 9 LAOS Patient Connection BOX o cass coto erg eet ebd ute a a Vr en M ERR ES 1 10 146 Video Eme Splitter aid Eee 1 11 147 Mod hadeeth 1 11 1 4 8 Display screen monitores aura 1 12 Chapter 2 System Description aanne eneen 2 1 a Introduction St Cas CA 2 1 22 Cart DeSeriptlotia esisiini in e napkin 2 22 1 Cart Description ed os e Set dte y utem ee en Pol A 2 2 2 2 EMS XL Computer Description vs idas 2 223 Local ECO DP o etd eO es ebd EO Ea reditus 2 3 2 224 Video me DAVE sas pe traits stt tad oia 2 3 225 ANC Power tii idas 2 5 PAPA MM MOER E PE 2 5 22 Amalita 2 6 EMS XL Service Manual Contents 2 2 8 Front End Processor Board usc n 2 6 2 2 0 Stimulator Board a e Maene tn Pe and nd 2 6 2 3 Expansion Amplifier Block Diagram Description 2 7 2 2 Analog board iis da eol utro tne decir et ume a qn ttum utis iuda 2 7 23 2 Front End Processor BOM oe ede ctt Anes doa ear ide 2 7 Chapter 3 System Installation 3 1 A NNN 3 1 312 Site Preparation anu tuse b ud pee pue beate en 3 3 3 2 1 Environmental Requirements caede opi e RA Os t aU tas 3 3 3 2 2 Power Ryen 3 4 3 2 3 Grounding Requirements nr unranked 3 4 So NST 3 4 34 Placing and Preparing the Cables for Co
44. or utility Open SetUpLAngEditor zip and click Setup exe 3 6 Pre operation procedures Perform the following procedures at the completion of system installation before operating the EMS XL for the first time System check Performing grounding test Connecting the central console to hospital power outlet and ground 3 6 1 System Check To check the system before first time operation 1 Visually check that all devices are properly installed in the system 2 Visually check that the ground wires are properly connected and secured 3 Visually check that all cables are properly connected and secured 4 Turn On the power switch of each device of the system except for the main AC switch on the cart side These switches must always remain in ON position EMS XL Service Manual 3 7 Pre operation procedures 3 6 2 Performing Grounding Test Perform this test at the completion of the system installation and also after servicing the AC Power Unit or any other power related items such as power plugs Maximum resistance 100mQ 0 10 Maximum leakage current 100pA for 110V system or 500uA for 220V system Hospital AC Power Outlet Leakage A Central Tester Console Hospital Ground Disconnect from Hospital Ground Figure 3 1 Grounding Test Setup To test the grounding 1 Set the system as shown in Figure 3 1 Grounding Test Setup 2 Using the Leakage Tester measure the resistance betwe
45. s Gain Noise Defibrillator Protection Heart Rate Range Accuracy QRS Detection ICECG Intra Cardiac ECG Number of channels Sampling rate Analog Frequency Response Input Impedance Common Mode Rejection Input Dynamic Range Gain electrode differential Manual selection of 0 to 255 where 10 1mV cm Less than 40V p p referenced to input Up to 5 KV Amplifier recovery time Defibrillator pulse less than 3 seconds 20 to 255 bpm RR intervals in mSec resolution 0 25 to 5 0 mV 70 120 msec width In 32 channel Version 18 ICECG channels In 64 channel Version 50 ICECG channels 1000 sampling per second 0 05 to 500 Hz Typical 20 MQ minimum greater than 5 MQ differential DC to 10 Hz 2 5 MQ differential 10 Hz to 100 Hz Greater than 3 MO differential at 10 Hz At least 120 dB at 50 60 Hz 80 dB grounded with 5 KQ in balance 5 mV p p offset by up to 600 mVdc electrode differential Manual selection of 0 to 255 where 10 1mV cm EMS XL Service Manual Noise Defibrillator Protection Blood Pressure Channels Input Sensitivity Transducer Excitation Ranges Zero Accuracy Transducer Load Impedance Linearity Common Mode Rejection Frequency Response Chapter 1 Introduction Less than 40HV p p referenced to input Up to 5 KV Amplifier recovery time Defibrillator pulse less than 3 seconds Two 5
46. ser Printer The laser printer model is HP 3005 or higher that allows fast printing in a resolution of 1200DPI For more information refer to HP documentation 2 2 6 Modem The modem is a standard internal 56K modem Basic Amplifier Stimulator Block Diagram Description The Amplifier consists of the following sub assemblies Analog board Digital board Stimulator board veas oo seem At Y MTSACARCUC AL omm eme side INTRACARDMC SPINAL 1432 49 13 24 del roret kJ medica CARDIAC AMPLIFIER ANO STIMULATOR EMS EMS XL Service Manual 2 5 Cart Description 2 2 7 Analog board The analog board ma mn seem o r Che o m 32 49 sl muc eg wg Face El i INTsACARDMC SENAL SEFESECE nur o Barra KO QD 132 49 3 24 d me mennen medica CARDIAC AMPLIFIER AND STIMULATOR EMS REAR WARNIN BEFORE CHANGING CARDIAC AMPLIFIER Gp pe oo Dux AND STIMULATOR Do o o Ha 12V 1A SV 100 Figure 2 5 Amplifier Front and rear panels 2 2 8 Front End Processor Board The digital board 2 2 9 Stimulator Board The stimulator board 2 6 EMS XL Service Manual Chapter 2 System Description 2 3 Expansion Amplifier Block Diagram Description The Amplifier consists of the following sub assemblies Analog board Digital board WI
47. t V prg Loaded during Ventricular Burst Procedure EMS XL Service Manual 4 13 Multi Language support If we don t want to see these English file names in stimulation file list it is possible to rename these files located in EP Data directory to the translated language In additional we should change this file names in the STIM FILES section SFN DEFAULT Default prg SFN CONT A Cont A 600 prg SFN CONT V Cont V 600 prg SFN BASIC A Basic A prg SFN BASIC V Basic V prg SEN SNRT SNRT prg SEN BURST A Burst A prg SEN BURST V Burst V prg It is also needed to translate the F keys for these functions in HELP DLG section 4 6 6 Default Configuration Files Special Default configuration files loaded during startup If we don t want to see Default Entry in configuration file list we can translate all Default Configuration file names Default cfg Default xfg Default 64cfg Default 64xfg In Additional we should change this file name in the STIM FILES section CFN DEFAULT Default 4 6 7 Special Event Name It is possible to modify the special Event titles during special event The following keys defined in MARK EVENT DLG Section EVENT CAT EVENT TACHY CAT Tachy SNRT CAT SNRT START ABLATION CAT Start Ablation END ABLATION CAT End Ablation 4 6 8 Registry Entry The Following Items defined in the Registry can be translated e Hospital Name e Predefined Notes e Predefined Events 4 14 EMS XL Service Manual
48. t date format dd MMM yy 10 Install MS Word 2003 11 Install Nero package tested with V6 6 0 18 ultra edition upgrade from web 12 Install printer pode ue poor SUR 7 2 Install applications from install directory Install HASP Open HASP zip file and click hdd32 exe Install NET Fraimwork V1 1 click dotnetfx exe Install EMS XL Open Setup EM XL zip and click Setup exe Install Configuration utility Open EMS XL Config Install zip and click Setup exe Install Archive utility Open EMS XL Archive Install zip and click Setup exe Install Lang Editor utility Open SetUpLAngEditor zip and click Setup exe Ore DES EMS XL Service Manual 7 11 7 12 0 Appendix 1 Final Test Procedure Table of Contents 1 LAW OOU GUO ons mils 7 14 2 MENN eee 7 14 3 Test Equipment Required annen neen eneen 7 14 4 Software LOT ici 7 14 5 Functional Testing of the EMS XL 7 14 6 Invasive Blood pressure Calibrating 7 15 Abbreviations FTP Final Test Procedure EMS XL Electrophysiology system UU Unit Under Testing SW Software HW Hardware Basic Basic Amplifier EXPAN Expansion Amplifier EMS XL Service Manual 7 13 Install applications from install directory Introduction This document provides a procedure for testing the EMS XL and for the functional testing of the EMS XL Amplifiers S
49. ted by Edit button e Apply button will save the current configuration for next time e tis recommended to define a special network drive for disk archive target This operation can be done once from Windows XP OS Windows Explorer v5 Tools gt gt Map Network drive 4 7 2 Special remarks e User should leave enough disk space for CD DVD temporary data storage in the local disk before burn e The CD DVD burn operations are using the NeroCom V1 6 0 0 SDK e According to Nero documents NeroCom will only work with a fully installed Nero version e The Nero package works fine with the Nero OEM version 6 0 after free upgrade from Nero web site e There is no need to install the InCD4 Nero package 4 8 Shutting Down the EMS XL System The EMS XL system must be shutdown using the following procedure Usethe File icon to reach the Exit key Click on Exit Use Start key to Turn Off the Computer 4 16 EMS XL Service Manual CHAPTER5 MAINTENANCE amp TROUBLESHOOTING 5 1 Overview This chapter provides the following information Preventive Maintenance Preventive maintenance includes procedures include periodic visual inspection cleaning directives and tests that assure extended operational periods with full performance of the EMS XL System Troubleshooting Unplanned maintenance that includes troubleshooting procedures for isolating faulty units or modules Parts Replacement Disassembly assembly procedures to
50. the PC is Pentium 4 or higher The PC has a standard ISA Bus connector The PC runs the EMS XL on a Windows XP operating system The PC has an interface board with two output connectors one 9 pin connector pc aux for communication with the EMS amplifier via a 9 pin flat cable and one 25 pin connector pc di for communication with the EMS amplifier via a 9 pin flat cable An special dual head video board is located on the BUS for the support of two displays 1 3 2 Two Local LCD Displays The local display consists of two 20 TFT LCD color computer displays that support a resolution of 1600 x 1200 pixels One monitor displays real time multi lead surface ECG and intracardiac signals and the second monitor called Non real time display is used for system controls interval measurements and data entry Additional one or two slave monitors can be used for procedure room EMS XL Service Manual Chapter 1 Introduction 1 3 3 Amplifier stimulator The amplifier box acquires and digitizes the patient signals and sends them to the PC for display and storage The amplifier is also responsible for activation of the signals gain filters calibration etc In fact the amplifier works as an independent unit The stimulator creates electrical impulses that can enter the desired areas of the heart via the electrodes of the catheter 1 3 4 AC Power Unit The AC Power Unit consists a transformer that supplies isolated 11
51. the contents of the Installation Kit package which includes the cables connectors and attaching parts required for placing and preparing the following cables Table 3 2 Installation Kit Parts List Part Number Description Purpose QTY Length 965 303 000 PC DI cable 1 2 for 64 channel option 75 ft EMS XL Service Manual 3 5 Installing the Remote Display optional Part Number 965 304 000 965 305 000 105 020 075 551 306 219 960 327 090 Description PC AUX COM Power Cable for remote display option 12 lead ECG cable Remote display cables Purpose 1 2 for 64 channel option 1 2 for 64 channel option 1 1 1 optional QTY Length 75 ft 75 ft 75 ft 40 90 fi Video 15 pin to 5 BNC 3 3 1 Placing the and Preparing Remote Display Cables optional The remote display cables include the video 5 BNC to 15 pin video The AC power cable arrives without connectors allowing you to determine the cables length according to the distance between the remote monitor and the central console The remote monitor placement is usually near the X ray equipment 3 4 Installing the Remote Display optional The optional remote display can be mounted using different styles of wall and ceiling mounts according to the hospital requirements You can separately order wall and ceiling mounts from Mennen Medical with instructions for proper attachment 3 5 EMS XL V1 35 Installation from scratch G
52. timulator Affectivity EMS XL systems and amplifiers Test Equipment Required e DNI 217A or similar e Oscilloscope e 1000 Ohm resistor on oscilloscope inputs e 12 leads ECG cable e BP interface cable between the simulator and the amplifier input e BIO TEK 601 PRO XL Inspect the U U T for defects in workmanship scratches missing hardware and labels etc Check that all required paperwork is attached and signed 4 Software Loading Software will be loaded as per the software loading procedure The software prepared by Engineering with the release of each version of the software will be transferred to the Operations Department for storage and tooling on the following media Tooling Disk The full system will be tested for both safety and performance Functional Testing of the EMS XL 4 ECG amplifier 5 IECG amplifiers 6 BP amplifier 7 Stimulator 7 14 EMS XL Service Manual 0 Appendix 1 Final Test Procedure 6 Invasive Blood pressure calibrating On the EMS XL activate the pressure channel Confirm that the calibration factor is 1 000 Set the simulator to zero Zero BP on the EMS XL Set the simulator to 100 mmHg Confirm that the display shows 100 mmHg If not change the calibration factor and repeat steps 3 to 6 Repeat the test on BP1 and BP2 poo cu JONG ED opo AS EMS XL Service Manual 7 15 Install applications from install directory Appendix A Mennen Medical EMS XL P N
53. tion Video line driver malfunction Remote display malfunction Check the connections to the remote display m Check the display Replace if necessary 5 3 3 Amplifier and Accessory Problems It is assumed that the amplifier is connected according to the installation instructions prior to turning on the system Symptom No waveforms appear although the local display is functional BP measurement does not appear Table 5 3 Troubleshooting Amplifier and Accessory Problems Possible Cause Amplifier disconnected m Workstation malfunction IBP transducer or cable adaptor malfunction Corrective Action Perform the following in the suggested order Check the Amplifier connections Repair as necessary m Replace the Computer Perform the following in the suggested order m Replace the IBP transducer and or its cable adaptor EMS XL Service Manual 5 3 Troubleshooting Symptom One or more of the surface ECG traces does not appear All of the ECG traces do not appear 5 12 leads ECG waveforms not clean noisy Possible Cause One of the electrodes is not properly attached or malfunctions 2 Surface ECG Cable fault Cable between amplifier and computer disconnected of wrongly connected The notch filter 50 60Hz is not properly set Grounding disconnection Corrective Action Perform the following in the suggested order Repla
54. uage Windows XP OS can be configured to support other language in additional to English 4 6 1 The following operation should be performed before translation Changing the input language can be done by the standard windows keys ALT Shift Windows XP OS Setup 6 1 From the Control Panel open the regional and language options 6 2 Regional option tab 6 3 Standards and formats Select target language short date should be DD MM Y Y Y Y 6 4 Location Select your location 4 10 EMS XL Service Manual 10 11 Chapter 4 Operation 7 Advanced Tab Language for none Unicode programs Select target language 8 Restart the computer 9 After restart Languages Tab Text services and Input language Details button Set the default input language Install Services confirm that two languages are displayed English and target language 4 6 2 Dictionary file The main translation effort is to translate about 400 Text strings that appear in the EMS XL application Each Text have is own special key Each key can be translated to the target language Note that these keys are fixed and predefined Key that will not be translated will be displayed by EMS XL in the English Version Since the original space for each Text is prepared for English the translation is also limited to this original space Each translation string should be verified manually to fit to this space In order to make the translation easier each
55. ure 1 1 EMS XL General View 1 3 Functional Description The main parts of the EMS XL system are a mobile central console pedestal and the following devices Central Computer PC Acquisition module amplifier and stimulator Printer Two display screens Surface ECG cable and interconnecting cables Patient connection boxes ON ncm o DER See the block diagram in Figure 2 below da EMS XL Service Manual EMS XL Service Manual EMS XL Chapter 1 Introduction 100 04 4ch BLOCK DIAGRAM 935 823 X20 935 823 X20 20 LCD Display 20 LCD Display Keyboard Ac in ideo in Video in 5 Ac in Poo 4 l 4 5 965 305 000 spin l X PC COMM H 15pin i ibp1 in 9 pin t 9 pin ibpzin lt Q P naa 4 Dualhead Video Card i 575 Q BUS N C i 146 040 330 aq i Arum Z gt x Main Computer pin lt t 9 pin 965 205 010 Ventricle 965 304 000 EMS PC INTERFACE 965 104 020 PC AUX 1 55 EE

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