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PageWriter Trim I, II, III, Rx Cardiograph Service Manual, Edition 4

1. 4 11 Barcode Reader 4 11 Compact Flash Archive 4 12 Fax Modem Test 4 Linee MD es phe gee nee Me Bes GA 4 12 Keyboard Vest un sda chelation ee ri 4 12 Onboard Flash Testes een ERR eb en 4 13 PC Card PCMCIA Storage 4 14 Printer 2 2 222 2 BAL ROY SON Gls ete de e tms 4 14 Network Ping hen 4 14 Screen Test a dS a tat ee NET Ee a poten 4 14 PageWriter Trim Cardiograph Service Manual Contents 3 Contents Serial Loopback 2 dados 0 EORR REIR AL 4 15 Suspend Button Test csore rrian eenia ete tenet m 4 16 Trim Knob Test u IE E RE dx Es RS 4 16 Self Tests zc cuu a heed tele Ran age ad USE I Te EE 4 16 Trim Diagnostic and Performance Verification 4 17 Launching the Trim Biomed Service 4 17 Diagnostic Tests in the Trim Biomed Service Program 4 18 Battery Test heed En wee p IE dee Pies 4 19 Keyboard Test mans ans 4 19 LED Screen Test se essen ee ue er ee 4 19 Onboard Flash Test 0 0 eee ete eee Ie 4 20 Options Tester i RE ee ns se en ana 4 20 PIM Testi iuc eni a E er ew deni a gue BE pa ee 4 20 Printer Test og are
2. nee eeeneeee 2 5 PCMCIA LAN Card an Me WAL o a Re o o a ona 2 5 PCMCIA Wireless LAN 0 20 ce eee ce entre eee teen tent en eens 2 6 PEMGIA Modent Card eei ertet tme aceti art br Ae sacs 2 6 High Level ECG Data Flow and 2 6 Internal Main Archive 1 2 0 n E e E ec ce I III 2 8 Internal Remote Archive 0 eee eee ce II 2 8 External PC Card Archives 0 0 ce eee eee eee n 2 8 External USB Flash Memory Stick 2 9 Rendered ECG Report Prints 2 9 Fax Rendered ECG Report 2 10 Power System Overview 2 0 cee cece eee eee eee hh 2 11 Battery testo cleo si oe oles sue a ERES Uode dene Sete la Mite act sty als 2 11 Power Labels WS nern A eee nt 2 12 WU oho cC ea 2 12 VB _T Battery 2 12 MON GR redu tei ee ie ERE Rr eva ed ears ep pu 2 12 T3 3 Loo RE RE GUM TS espada Bente ce pa d ia d Ses 2 13 eA A nI nen en PC 2 13 VDD ers rest news 2 13 Vcore 1 86V llo nee een dern en eh 2 13 TSVP rs EU ENDE ee 2 13 OSB VGC ae EIER IR AR a 2 13 MPH sucht ee en 2 13 Power Management u a une De ERI tale dhs deal 2 14 Battery Charging Logic 0 cee eee eee ne
3. K Reset button O Battery door L AC power cord connector P PIM connector M Equipotential post Q Serial connector not supported N Fuse door WARNING Do not connect a LAN cable connector to the PIM connector Do not plug a telephone connector into the PIM connector PageWriter Trim Cardiograph Service Manual 1 13 Introduction Tour of PageWriter Trim Cardiographs PageWriter Trim Ill and Rx Cardiographs The following section shows front and rear views of the PageWriter Trim II III and Rx cardiographs Figure 1 3 PageWriter Trim Il Ill and Rx Cardiograph and Cart Front View A Keyboard G Wheel positioners B Printer paper drawer H Display screen C Slide out shelf Trim Knob D Printer paper report storage slot J Patient Interface Module PIM E Optional barcode reader in holder K Wheel brake F Storage bin 1 14 PageWriter Trim Cardiograph Service Manual Introduction Tour of PageWriter Trim Cardiographs CAUTION Always lock the wheel brake K when the cart is not in use Press down on the wheel brake to set or to release the wheel brake Figure 1 4 PageWriter Trim Il and Rx Cardiograph Rear View Reset button PC card eject button PC card slot AC power connector Equipotential post ovoz avr Fuse door lt coi nan Battery door PIM connector Smart Card Reader or USB memory stick connector Barcode reader or magnetic card reader
4. 1 26 PageWriter Trim Cardiograph Learning Product Part Numbers 1 27 Contacting a Philips Response 1 32 North America Response 1 32 South America Response 1 32 Europe Response 1 32 Asia Response 1 33 Airica and Middle East es o a RUP ER Ie Ge eles day 1 34 Contents 1 Contents Chapter 2 Theory of Operation Contents 2 OVERVIEW EE 2 1 Hardware Logical View cee ee ence Rh hm he 2 1 Main Control Board enced oh Sear an qe ru e RR RR de eek ues 2 1 Displays en RE nw Rb A ee ee eee ad 2 4 Patient Interface Module PIM 2 4 Printer Control USB 22 2 mdp uie a DE eee a 2 4 Battery Lead Acid ss acs reda ar 2 4 Keyboard Trim Knob PS 2 0 2 cece cece cece I 2 4 Magnetic Card Reader 2 2 4 Barcode Reader PS 2 0 2 2 eee e eee ee E ee eee eee eet 2 5 Smart Card Reader E 2 5 USB Memory Stick Fenriri rtas koe RET CREE X EGER URS Pi 2 5 PCMCIA Storage
5. F 4 Magnetic Card Reader F 4 EEG Storage dial tats Wal Wis ea AE e Re es RR ORC CR F 4 ECG Pile Formats ne ee a ead teehee ee iets Cave ie F 4 Power and Environment ss sess rer cee cece cee eh hs F 4 Line POWER cent ret hae F 4 Environmental Operating Conditions F 5 Environmental Storage Conditions F 5 Cardiograph Dimensions 0 cece cece Ie F 5 PageWriter Trim 15 occ de Fea Er IR F 5 PageWriter Trim IMI Rx llle F 5 Cardiograph Weight 3 22 4202 22 ere ER p nte ne F 5 PageWriter Trim 1 2 RR Ia emet ee E e be F 5 PageWriter Trim IVIM Rx llle M F 5 Cardiograph Shipping Container F 5 Cardiograph Shipping Container F 5 Cardiograph Cart F 5 Cardiograph Cart Weight F 6 Fully Assembled Cardiograph Cart Shipping Container Dimensions F 6 Partially Assembled Cardiograph Cart Shipping Container Dimensions F 6 Fully Assembled Cardiograph Cart Shipping Container Weight F 6 Partially Assembled Cardiograph Cart Shipping Container Weight F
6. 1 10 Capabilities toras terakt gets hom wale alten doles nO e HE etate dra 1 11 Tour of PageWriter Trim Cardiographs 1 12 PageWriter Trim 1 12 PageWriter Trim Il Ill and Rx Cardiographs 1 14 Using the Cart Wheel Positioners and 1 15 Patient Interface Module PIM 1 17 General Service Informationins user 1 17 Installation reed Sto e aS Nec oat ace Rar Rhee ee NE 1 17 Upgrades and Accessories 1 18 PageWriter Trim Il Ill and Rx Token 1 19 Managing Token 1 20 Supplies and Ordering 1 20 Special Note about Welsh Bulb 1 21 Preventive Maintenances 1 23 Repair Philosophy ess asiosio RII e 1 23 Country Region Options nioso cece eh 1 23 Philips 12 Lead ECG XML Information and 1 26 Using the Philips InCenter 1 26 About Adobe Acrobat Versions
7. Table 1 23 Polish Learning Product Part Numbers Part Number Title Language M4992 91192 PageWriter Trim I II III Quick Help Card Polish M4992 91175 PageWriter Trim I II III User s Guide Polish Table 1 24 Portuguese Learning Product Part Numbers Part Number Title Language 453564087221 PageWriter Trim I IL III Quick Help Card Portuguese M4992 91169 Getting Started Guide Portuguese M5000 91006 Philips 12 Lead Algorithm Physician s Guide Portuguese M4992 91163 PageWriter Trim I II III Instructions for Use Portuguese Table 1 25 Romanian Learning Product Part Numbers Part Number Title Language M4992 91961 PageWriter Trim I II III Quick Help Card Romanian M4992 91962 PageWriter Trim I II III User s Guide Romanian Table 1 26 Russian Learning Product Part Numbers Part Number Title Language M4992 91194 PageWriter Trim I II III Quick Help Card Russian M4992 91176 PageWriter Trim I II III User s Guide Russian Table 1 27 Part Number 453564078871 Title PageWriter Trim I II III Quick Help Card Simplified Chinese Learning Product Part Numbers Language Simplified Chinese M5000 91135 Philips 12 Lead Algorithm Physician s Guide Simplified Chinese M4992 91956 PageWriter Trim I II III Instructions for Use Simplified Chinese Table 1 28 Part Number M4992 91196 PageWriter Trim I II III Quick Help Card Slovak Learning Product Part Numbers
8. Equipotential grounding post Equipotential grounding post used for establishing common ground between instruments Fuse Input Cardiograph contains a 1 5 amp 250V time delay fuse The connector near this symbol receives an incoming signal Serial Number The number next to this symbol is the serial number of the cardiograph ENEROJ p Product model number The number next to this symbol is the product model number of the cardiograph Entry of liquids The cardiograph is not protected against splashing IPXO water Entry of liquids The PIM Patient Interface Module is protected IPX4 against splashing water Water splashed against the PIM from any direction shall have no harmful effect e AC power indicator light When lit indicates that AC power is on The battery is AC charging when inserted into the cardiograph PageWriter Trim Cardiograph Service Manual 1 3 Introduction Safety Summary Safety Symbols Marked on the Cardiograph continea Symbol Name Description Global Medical Device Global Medical Device Nomenclature Code is a 5 digit Nomenclature Code code providing a brief description of the device as defined by EN ISO 15225 Safety Symbols Marked on the Cardiograph Packaging Symbol Description Keep dry o o a o d Ambient temperature range of 0 C 329 P to 50 C 122 F non condensing for transport and storage 1014hPa O
9. 1 Upgrade Kit Installation 2 0 22 eee ce RR E 2 PageWriter Trim Cardiograph Service Manual Contents Appendix F Specifications Technical Specifications 0 0 eee cee cece een tenet hn F 1 EGG Acquisition nnne lA IW es ehr EDU ET he F 1 Keyboard 46k exe xu a RE SOW Md Er ae F 1 Screen Display 4 2 2 2c eic a here ee ety ety ete ey UU F 1 Patient Interface Module F 1 C rdiograph Cart Ra RII ee en erlebe F 2 Signal Processing Acquisition 0 cee cee eee teen eee nee ennn F 2 Sampling Rate eller ee a nie Ae bbe een Dan F 2 Auto Frequency F 2 Rhythm Frequency F 2 Filters tes Chee as COR SANS Os ee F 2 Printer 22 od esee eeu sd ere Spa ota St Lue oA A Ae us F 2 Printer Resolution 6 cate shee re as nn a ees Wye eels F 2 Report Formats s evita RIA ee aed a a Rex pde F 3 Battery Operation RPG UE en a ee eed F 3 Capacity s vea E RE EIER HIPS Ved edes F 3 usns an Hs Wn os Cb p orn F 3 Network Connection 2a eso Ee COUCHES e ORO RR RU a IRR OR ERST ef F 3 FAX Capability F 3 Modem optional for USA and Canada F 4 Barcode Reader
10. If this test fails it may indicate a problem with the PIM or with the PIM patient data cable To perform the PIM Test 1 Press the Tab key 8 or turn Trim Knob to highlight Test button under Diagnostics ES 2 Press the space bar or the Trim Knob to select the button The message Accessing PIM appears The PIM Test Result window appears and indicates that the PIM Test has passed or that the cardiograph is unable to communicate with the PIM 3 Ifthe message PIM Test Passed appears the PIM is communicating properly with the cardiograph The OK button is highlighted Push the Trim Knob to close the window 4 Ifthe message Please Check the Patient Interface Module appears check that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph If the error message persists contact Philips Medical Systems for assistance see Contacting a Philips Response Center on page 1 32 Barcode Reader Test You must attach the barcode reader to the port on the rear of the cardiograph before powering on the cardiograph The Barcode Reader Test is used with the optional barcode reader This test can be used to confirm that the barcode reader is accurately scanning barcode data Ensure that the barcode reader is securely attached to the barcode reader port on the rear of the cardiograph before performing the test To perform the barcode reader test 1 Press the Tab key amp or turn the
11. Language PageWriter Trim Cardiograph Service Manual Introduction Table 1 28 Part Number M4992 91177 PageWriter Trim I III User s Guide PageWriter Trim Cardiograph Learning Product Part Numbers Slovak Learning Product Part Numbers continued Language Slovak Table 1 29 Spanish Learning Product Part Numbers Part Number Title Language 453564083051 PageWriter Trim I II III Quick Help Card Spanish M4992 91158 Getting Started Guide Spanish M5000 91004 Philips 12 Lead Algorithm Physician s Guide Spanish M4992 91154 PageWriter Trim I II III Instructions for Use Spanish Table 1 30 Swedish Learning Product Part Numbers Part Number Title Language M4992 91198 PageWriter Trim I II III Quick Help Card Swedish M4992 91966 PageWriter Trim I II IH Instructions for Use Swedish Table 1 31 Traditional Chinese Learning Product Part Numbers Part Number Title Language M4992 91199 PageWriter Trim I II III Quick Help Card Traditional Chinese M4992 91171 Getting Started Guide Traditional Chinese M4992 91136 Philips 12 Lead Algorithm Physician s Guide Traditional Chinese M4992 91162 PageWriter Trim I II III Instructions for Use Traditional Chinese Table 1 32 Turkish Learning Product Part Numbers Part Number Title Language 453564086371 PageWriter Trim I II III User s Guide Turkish 453564086381 PageWriter Tr
12. PageWriter Trim Cardiograph Service Manual Troubleshooting Wireless Troubleshooting 9 Ping the TraceMasterVue server from the cardiograph Follow the procedure in Table 5 Table 5 16 Pinging the TraceMasterVue server from the cardiograph To ping the TraceMasterVue server from the PageWriter Trim cardiograph 1 Ifthe cardiograph is in active use press the On Standby button for three seconds then release it to shut down the cardiograph 2 Connect a USB mouse to the USB port amp gt on the rear cardiograph if not previously connected 3 Press the On Standby button to restart the cardiograph When the PageWriter Trim software identification screen appears press Ctrl Shift e p the Trim Knob at the same time Note The software identification screen disappears after five seconds If the key sequence is not entered in time restart the cardiograph Figure 5 20 PageWriter Trim Software Identification Screen PHILIPS PageWriter Trim Ill 4 Access Code window appears If the Access Code window does not appear try the left CTRL SHIFT Trim Knob sequence again 5 Type in 1573 The Service Utility screen appears 6 Click on the pull down menu under Diagnostic Tests Press the up or down arrow key on keyboard to select Network Ping 7 Click the Start button The Ping Test window appears 8 Type in the IP address of the TraceMasterVue server Click the Ping button If the test succeeds en
13. Action Press the rear restart button see page 5 33 PageWriter Trim II III Rx Printer Issues continued Confirmation The cardiograph restarts and boots correctly Paper stops feeding Troubleshooting Cardiograph Issues Solution Occasional printer controller status errors can occur when opening the paper drawer during printing The message Printer Door is Open appears and the cardiograph is not responding Application error Action Press the rear restart button see page 5 33 The cardiograph restarts and boots correctly It has been observed that on rare occasions a Printer Door Open message cannot be dismissed because of overlapping simultaneous error status reporting The message Check Printer appears with no apparent printer problem present Printer controller error Action Open and close printer paper drawer Message does not reoccur Infrequently the printer controller may indicate a printer mechanism status error when no error exists This has been noted specifically when A4 paper is in use Printed report looks too small or compressed Printer controller error Action Press the rear restart button see page 5 33 Cardiograph restarts and boots correctly Reports print correctly On very rare occasions reports with A4 paper show a compressed image Restart the cardiograph to resolve the issue After opening and closing the paper drawer
14. PHILIPS PageWriter Trim Cardiograph Wireless LAN Installation Select a button below Configure Wireless LAN Card Reset Cardiograph Shut Down Cardiograph 9 The Aironet Client Utility window appears The Profiles tab is selected Click on the Edit button PageWriter Trim Cardiograph Service Manual C 5 Wireless LAN Installation Instructions Installing the Wireless LAN Card 10 The Profile Properties window appears Specify the wireless network settings applicable for your facility Table C 2 describes the available settings Table C 2 Setting SSID Wireless LAN Card Settings Description The Service Set Identifier Philips Recommended Default Setting Consult your network administrator for more information on this setting Note If the SSID field is left blank the cardiograph can associate with any access point on the network that is configured to accept broadcast SSIDs Client Name Defining a name for the specific cardiograph enables an administrator to determine what devices are connected to the network The client name is limited to 16 characters in length Consult your network administrator for more information on this setting Infrastructure Mode This setting specifies the type of network in which the cardiograph is being installed Yes Note The PageWriter Trim cardiograph does not support ad hoc or peer to peer communication Power Save Mode This s
15. Results when Applicable Shut Down Info Start Stop Clear Print 3 3V 3 22 3 00 3 60 Unit Info 7 Serial Number us40400162 1 86 1 83 1 58 1 93 VDDX p 3 20 3 00 3 60 Battery Info vo F 17 72 10 00 18 90 Battery Status FULL Battery vin P 17 99 17 10 18 90 Voltage 13 30 10 00 14 80 Diagnostic Tests in the Biomed Service Utility Keyboard US ENGLISH NOTE For ease of navigation connect a USB mouse to the rear of the cardiograph when using the Biomed Service Utility The following tests are available on the Diagnostic Tests menu Select the desired test using the Up and Down arrows on the keyboard or using a mouse Select the Start button to start the test Table 4 36 Diagnostic Tests in Biomed Service Utility Test Page Audio Test 4 10 Smart Card Reader 4 10 Magnetic Card Reader 4 11 Barcode Reader 4 11 Compact Flash 4 12 4 8 PageWriter Trim Cardiograph Service Manual Maintenance Tests Trim II III Rx Diagnostic and Performance Verification Tests Table 4 36 Diagnostic Tests in Biomed Service Utility continued Test Page Fax Modem 4 12 Keyboard 4 12 Onboard Flash 4 13 PC Card PCMCIA Storage 4 14 Printer 4 14 Network Ping 4 14 Screen 4 14 Serial Loopback t not supported Suspend Button 4 16 Trim Knob 4 16 Self Tests 4 22 Working with the Diagnostic Tests
16. 13 Next the printer performs a self test and the cardiograph prints out the printer test page Inspect the printer test page using the test points explained in Table B 4 If the printer test page matches the printer test points as described in Table B 4 the cardiograph has passed B 12 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim Il IIl and Rx Software Verifying the Software Upgrade the printer test If the printer test page does not match the printer test points the cardiograph has failed the print test Table B 4 Printer Test Page Description Test Point Description A The stepped bars are sharp edged and printed cleanly without distortion or missing segments B The spacing between the vertical lines is 25 mm with a discrepancy of no more or less than 2 C The diagonal lines should be straight and printed cleanly without distortion or breaks in the lines D The character set is printed cleanly without distortion or missing characters and all characters are clearly legible PageWriter Trim Cardiograph Service Manual B 13 Installing PageWriter Trim Il and Rx Software Verifying the Software Upgrade B 14 Figure B 23 Printer Test Page 25 mm sec Firmware build date Jun 25 2003 ABCDEFGHIJKLMNOP QRSTUVWXYZ NV aaamce diiiis fioo600 guu ypy 123456789 lt gt 8 nsus N 14 Click the OK button i
17. 4 Characters scroll past on the screen Verify that they appear correctly on the screen Press Patient ID to pass the test and Stop to fail PageWriter Trim Cardiograph Service Manual 4 19 Maintenance Tests Trim Diagnostic and Performance Verification Tests 4 20 5 Ifyou pressed Patient ID to pass the test now press Patient ID to print a report or Stop to return to the previous screen If the screen test fails try it again Onboard Flash Test Verifies that the Onboard Flash is working properly To test the Onboard Flash 1 From the Biomed Service Program turn the Trim Knob to highlight Test and push to select it 2 Turn the Trim Knob to highlight Test Flash and push to select it 3 Turn the Trim Knob to highlight Start and push to select it 4 The test results display on the screen Press Patient ID to print a report or Stop to return to the previous screen If the onboard flash card fails the test try the test again Options Test This test verifies that the localization options including the Kernel and Application language the paper size A or A4 and the lead standard AAMI or IEC are consistent and are properly configured To perform the Options test 1 From the Biomed Service Program turn the Trim Knob to highlight Test and push to select it 2 Turn the Trim Knob to highlight Test Options and push to select it 3 Turn the Trim Knob to highlight Start and push to select it 4 Thetestresults display on t
18. PAGEWRITER TRIM I SERVICE DIAGNOSTICS UNIT STATUS and TEST RESULTS REVISIONS A 01 01 Loader Rev 1 03 12 SELF TEST RESULTS Kernel Rev K 03 01 ENU Application Rev TrimI A 08 01 01 ENU FLASH Test Pass PIM Kernel Rev D 008 PIM Test Pass Printer Rev Jun 25 2003 Keyboard Test Pass Country Options ABA LCD Test Pass Paper Size A Printer Test Pass Lead Set AAMI Options Test Pass Version Test Pass STORAGE RAM Test Pass Voltage Test Pass RAM MB Load 48 55 Battery Test Pass VOLTAGE STATISTICS 3 3V Reg 3 26 3 00 a3 P 5 0V Reg 5 00 4 60 5 25 P RELEASE VERSION A 01 01 PASS A 1 86V Reg 1 84 1 58 1 93 Country Options ABA USB voc 5 02 4 60 5 25 P VDDX voc 3 25 3 00 3 60 P Vin vec 7 91 17 10 18 90 vo 17 57 10 00 18 90 BATTERY STATUS Battery Status FULL Battery Battery Voltage 14 15 10 00 14 80 P DEVICE STATUS PIM Status Connected CH 12 No Error Debug Port Internal Printer Status OK Total Pages 61 Tester PHILIPS A Release Version and Localization Option Information A 12 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim I Software Verifying the Software Installation Figure A 11 Software Version A 01 03 Self Test Report PAGEWRITER TRIM I SERVICE DIAGNOSTICS UNIT STATUS an4 TEST RESULTS REVISIONS A 01 03 Loader Rev L 03 12 SELF TEST RESULTS Kernel Rev K 03 01 ENU Application Rev TrimI A 08 03 01 ENU FLASH Test Pass
19. Software Installation Issues Table 5 11 Symptom An error message appears during software installation that an incorrect model incorrect token or invalid token key is being installed Software Installation Issues Possible Cause amp Investigation Step The PC card used for software installation is not fully inserted into the PC card slot before the cardiograph was powered up The software installation files contained on the PC card are for the incorrect product model The token key is invalid The cardiograph serial number is invalid Wireless Troubleshooting Possible Solutions Ensure that the PC card contains the necessary files and is not defective Ensure that the PC card is fully inserted into the slot on the cardiograph before the On Standby button is pressed Check the PC card slot to ensure that there are no broken pins on the mainboard connector Click the Refresh from Source button on the Software Installation screen If no proposed revisions are found the PC card was not fully inserted into the slot before On Standby button was pressed The Software Application files saved to the PC card are not for the correct product model For example you can only install PageWriter Trim III software on a PageWriter Trim III cardiograph Download from InCenter the correct software files applicable for your cardiograph model On the Please Input Serial Number and Token screen ens
20. 2 cece eee eee eee eee e 7 1 Removing and Replacing the Battery 7 2 Removing the 7 2 Replacing the 7 3 Removing and Replacing the AC 7 3 Removing and Replacing the Paper 7 4 Removing the Paper 7 4 Replacing the Paper 7 4 Chapter 8 Parts and Accessories Ordering Replacement Parts 8 1 Ordering Supplies and Accessories 8 1 Patient Interface Module PIM Assembly and Parts 8 2 Cart Assembly and Parts 0 2 cece eee eee ene ene nent e 8 3 Appendix A Installing PageWriter Trim I Software software Upgrades ic Lese ee ve RE PARE ELI ELE T A 1 Upgrading Legacy Software A 1 Special Note about Japanese Localization A 1 Software Revision Information lisse ne A 2 Obtaining Software crecer prete E Hee ale aes Rae oleate s ea A 2 Downloading Software Files from Philips A 2 Installing the Softw
21. 466hPa Atmospheric pressure range of 466 hPa to 1014 hPa for transport and storage 90 RH 15 RH Relative humidity range of 15 to 90 non condensing for transport and storage Move and store packaging this end up Fragile Sila gt LX Sealed lead acid battery Do not dispose of in trash Follow local regulations for disposing of as small chemical waste 1 4 PageWriter Trim Cardiograph Service Manual Introduction Important Patient and Safety Information Safety Symbols Marked on the Cardiograph Packaging o Symbol X Description Dispose of in accordance with the requirements of your country This product consists of devices that may contain mercury which must be recycled or disposed of in accordance with local state or federal laws Within this system the backlight lamps in the monitor display contain mercury Safety and Regulatory Symbols Marked on the Cart Symbol fe Name Description Cart Transport Use care when moving the cardiograph cart Pushing the cart over bumps without holding onto the cardiograph may cause the cart to tip lt 3kg lt 6 6 Ib Cart Storage Bin Do not place more than 3 kilograms or 6 6 pounds of weight Weight Limit into the cart storage bin Important Patient and Safety Information WARNING The PageWriter Trim cardiograph isolates all connections to the patient from electrical ground
22. External repairs where the cardiograph case or PIM are not opened but involving the patient module or patient lead set Perform Visual Inspection Power On test ECG simulation test and functional tests specific to the components repaired Repairs Internal repairs where the cardiograph case is opened Perform Visual Inspection Power On test ECG simulation test safety tests S1 S2 or S3 plus functional tests specific to the components repaired PageWriter Trim Cardiograph Service Manual Performance Verification and Safety Tests Table 6 1 Tests Required continued Service Event PIM Repair Internal repairs where the PIM case is opened Upgrades Software upgrades via external PCMCIA slot Test and Inspection Matrix safety test S3 Test Blocks Required Perform Visual Inspection Power On test ECG simulation test and Perform Power On test Hardware upgrades Perform Power On test and functional tests specific to the components repaired Test and Inspection Matrix The following Test and Inspection Matrix describes the various test blocks expected test results and what you need to document on the service record Test Block Name Test or Inspection to Perform Expected Passing Test Results What to Record on a Service Record Visual Inspection V Perform visual inspection If there is no apparent V P pass wear damage or VF fail corrosion
23. PIM Kernel Rev D 008 PIM Test Pass Printer Rev Jun 25 2003 Keyboard Test Pass Country Options ABA LCD Test Pass Paper Size DA Printer Test Pass Lead Set AAMI Options Test Pass Version Test Pass STORAGE RAM Test Pass Voltage Test Pass RAM MB Load 48 5 Battery Test Pass VOLTAGE STATISTICS 3 3V Reg 3 25 3 00 3 60 i oey mes ie Due 199 41 86V Reg 1 94 1 58 1 93 P Country Options ABA USB vec 4 93 4 60 5 25 P VDDX VCC 3 22 3 00 3 60 Vin vec 3 17 97 17 10 18 90 P vo t 17 73 10 00 18 90 P BATTERY STATUS Battery Status FULL Battery Battery Voltage 14 52 10 00 15 20 DEVICE STATUS PIM Status Connected CH 12 No Error Debug Port Internal Printer Status OK Total Pages 30 Tester nILi P A Release Version and Localization Option Information If an incorrect software revision level or incorrect localization option appears on the Self Test Report reinstall the software following the same procedure If an incorrect revision level or localization option appears again on the report or if the cardiograph fails any portion of the Self Test contact the nearest Philips Response Center for further assistance See Contacting a Philips Response Center on page 1 32 Software Version A 01 03 PIM Kernel Revision For software version A 01 03 the PIM Kernel Revision Level may appear on the Self Test Report as either D 008 as shown above in Figu
24. Press the rear restart button see page 5 33 Check seating of main harness assembly Replace if necessary contact Philips Medical Systems for further assistance page 1 32 Replace the printer control board contact Philips Medical Systems for further assistance page 1 32 m Press the rear restart button a Replace the TOF sensor assembly contact Philips Medical Systems for further assistance page 1 32 a Replace the printer gearbox assembly contact Philips Medical Systems for further assistance page 1 32 5 22 PageWriter Trim Cardiograph Service Manual Troubleshooting Table 5 9 Symptom Paper does not tear off cleanly or paper stops at the wrong spot Possible Cause amp Investigation Step Wrong paper size setting Wrong method is being used to tear off paper PageWriter Trim II III Rx Printer Issues continued Confirmation Paper tears cleanly and advances correctly Troubleshooting Cardiograph Issues Solution Check that paper size is correctly set in the cardiograph configuration Refer to the PageWriter Trim Instructions for Use for proper method for tearing paper Blank pages printed after ECG report On Chinese cardiograph test report is missing Chinese characters All other errors Wrong paper size setting Only the Chinese application is updated on an English language option cardiograph Unknown error No blank
25. SmartCard reader 4 10 suspend button 4 16 trim knob 4 16 display diagnostic test 4 14 troubleshooting 5 6 disposal cardiograph and accessories 3 9 E ECG data flow and storage 2 6 electrodes cleaning 3 2 3 3 disposable part number 1 22 reusable part numbers 1 22 Welsh bulb warning 1 21 equipotential post 1 15 F fax diagnostic test 4 12 troubleshooting 5 15 features and capabilities 1 10 G general service information 1 17 H hardware logical view 2 1 IEC 60601 2 51 1 9 InCenter web site document errors 1 26 downloading Trim I software A 2 downloading Trim II II Rx software B 4 errors opening PDF documents 1 26 using Adobe Acrobat 1 26 interactive training program CD part number 1 18 K keyboard diagnostic test 4 12 troubleshooting 5 8 L LAN Card enabling option E 1 part number 1 18 troubleshooting 5 15 lead wires cleaning 3 2 replacing 3 8 M magnetic card reader diagnostic test 4 3 4 11 part number 1 18 main control board 2 1 main controller 2 1 maintenance tests 3 14 modem diagnostic test 4 12 Index 1 N network diagnostic ping test 4 14 diagnostic test 4 6 enabling option E 1 onboard flash diagnostic test 4 13 ordering replacement parts 8 1 supplies and accessories 1 20 P PageWriter Trim I Biomed Service Program 4 17 front view 1 12 installing software A 1 rear view 1 13 PageWriter Trim II II Rx Biomed Service Utility 4 7 front view 1 14 installing softw
26. Typical external repairs include PIM m Patient leads Labels Battery m Paper tray m AC power cord Fuses a PCMCIA card For Trim IVIIVRx only a PCMCIA network LAN card For Trim II III Rx only 6 1 Performance Verification and Safety Tests a Barcode reader For Trim II II Rx only Smart Card reader For Trim II III Rx only m Magnetic card reader For Trim II II Rx only Modem card For Trim W IIVRx only a USB memory stick For Trim II II Rx only Shielded LAN cable Cart m External cables Internal Repairs Refer to Table 6 1 for the required test blocks that must be performed after any external repair occurs Internal Repairs If the case was opened regardless of the repair you must perform additional Performance Verification Tests Refer to Table 6 1 for the required test blocks that must be performed after any internal repair Upgrades 6 2 Most PageWriter Trim upgrades are installed by the user and are not considered service events The only exceptions are upgrades for the software and for the Magnetic Card Reader Refer to Table 6 1 for the required test blocks that must performed after these upgrades Table 6 1 Tests Required Service Event Repairs External repairs not involving the patient module such as battery fuses labels cart etc Test Blocks Required Perform Visual Inspection Power On test and functional tests specific to the components repaired
27. encryption The PageWriter Trim cardiograph does not support dynamic WEP keys Note The index of the WEP transmit key must match the index of the client adapter For example the first WEP key on the access point must match the first key on the wireless adapter Authentication Type This setting defines how the wireless adapter will attempt to authenticate to an access point Open User Name This setting is only used with LEAP Consult your network administrator for more information on this setting User Password This setting is only used with LEAP Consult your network administrator for more information on this setting User Domain This setting is only used with LEAP Consult your network administrator for more information on this setting Mixed Mode This setting indicates if the wireless adapter can associate to an access point that allows both WEP and non WEP associations Consult your network administrator for more information on this setting PAC Provisioning Mode This setting is only used with EAP FAST and is not supported on the PageWriter Trim cardiograph PageWriter Trim Cardiograph Service Manual C 7 Wireless LAN Installation Instructions C 8 Installing the Wireless LAN Card Table C 2 Wireless LAN Card Settings continued Setting PAC Authority Description This setting is only used with EAP FAST and is not supported on the PageWr
28. the visual inspection passes Power On PO Power on the unit Watch display for If the display shows PO P pass error codes See Troubleshooting the PageWriter Trim PO F fail on page 5 1 for a list of codes software identification screen followed by the R T ECG screen the Power On test passes ECG Simulation Connect a 12 lead patient simulator If there is trace ECG P pass ECG to the lead set and print a 12 lead activity in all 12 leads ECG F fail ECG Visually analyze the printout See page 6 6 with no notable distortion or noise and cal pulses of proper duration and amplitude then the ECG Simulation passes PageWriter Trim Cardiograph Service Manual 6 3 Performance Verification and Safety Tests Test Equipment Expected Passi What to Record Test Block Name Test or Inspection to Perform xpecced Passing on a Service Test Results Record Safety S1 Earth leakage current NC NC Maximum Example normal condition leakage current S1 P 100 200 Earth leakage current SF 300 uA UL Single Fault 500uA IEC xl See page 6 7 SF Maximum leakage current 1000 uA x2 Safety S2 Protective earth resistance Maximum impedance Example See page 6 7 200 milli 52 100 Q x1 Safety S3 Leads leakage current Example m Source Normal condition 10uA xl S3 P 5 20 20 Source Single Fault condition lt 500 2 With Mains on applied part 50 uA 3 Single Fault Conditi
29. turn the Trim Knob to highlight Test and push to select it 2 Turn the Trim Knob to highlight Test Battery and push to select it 3 Turn the Trim Knob to highlight Start and push to select it The test results display on the screen 4 Press Patient ID to print out a report of the test results or Stop to return to the main menu Keyboard Test In a successful keyboard test each key is properly recognized when pressed To perform the keyboard test 1 From the Biomed Service Program turn the Trim Knob to highlight Test and push to select it 2 Turn the Trim Knob to highlight Test Keyboard and push to select it 3 Turn the Trim Knob to highlight Start and push to select it The Keyboard Test window appears 4 Press each key on the keyboard Push the Trim Knob then turn it clockwise twice and counterclockwise once to complete the test A numeral appears to represent each key 5 After the numbers 0 8 all are displayed the test is successful Press Patient ID to pass the test or Stop to fail the test The test is not successful if any keys are not recognized when you press them LCD Screen Test The LCD Screen Test is used to verify that the display is working correctly To perform the Screen Test 1 From the Biomed Service Program turn the Trim Knob to highlight Test and push to select it 2 Turn the Trim Knob to highlight Test LCD and push to select it 3 Turn the Trim Knob to highlight Start and push to select it
30. 5 1 Rebooting the Cardiograph Trim II III Rx Restart button Gentle pressure only Figure 5 2 Rebooting the Cardiograph Trim I Restart button Gentle pressure only PageWriter Trim Cardiograph Service Manual 5 33 5 34 PageWriter Trim Cardiograph Service Manual Performance Verification and Safety Tests This chapter describes the tests and inspections required to verify performance of the PageWriter Trim cardiograph following a service event Required Testing Levels NOTE The Performance Verification Tests verify proper operation of the PageWriter Trim cardiograph following a service event The level of testing required corresponds to the type of service performed Installation and preventive maintenance are not considered service events since the cardiograph is designed to be installed and maintained by the user Service events are divided into two categories repairs and upgrades Repairs are then further divided into external repairs and internal repairs External Repairs External repairs consist of the repair or replacement of one or more items when the repair or replacement does not require you to open the cardiograph case Therefore only a limited number of tests are necessary to verify performance after a repair External repairs that involve the PIM and PIM lead set require an ECG simulation test to verify proper ECG signal path
31. ANALYSIS info 01 QRSD 104 QT 360 QTc 415 QRS 54 BORDERLINE ECG T 55 Unconfirmed Diagnosis I gl ua 12 IH aur UE Speed 25 mm sec Limb 10 mm m Chest 10 0 mmm 60 0 15 150 Ha PHOSQA P Fax Rendered ECG Report Print A fax rendered ECG report print is equivalent to the rendered ECG report print as described in the previous section except it has been adjusted to comply with fax transmission and resolution device requirements When the user starts a fax transfer the ECG report is rendered and transmitted to a remote receiving fax machine that has been pre configured on the cardiograph using the optional fax and modem PC card The fax rendered ECG report print may be stored on the received system end as an electronic file and not actually used to produce a printed copy NOTE No guarantee is made as to the suitability of the faxed 12 lead ECG for any particular purpose due to the variability inherent in fax technology WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient 2 10 PageWriter Trim Cardiograph Service Manual Power System Overview Theory of Operation Power System Overview The PageWriter Trim cardiograph power system consists of m 65 watt AC DC medical grade power module One 12 volt 2 9 amp hour lead acid rechargeable battery power supply board which includes battery charging circuitry various voltage regulators and log
32. Archive PASS Keyboard Test Pass Fax Modem PASS Screen Test Pass Keyboard PASS Printer Test Pass Onboard Flash PASS PCCard PCMCIA Storage PASS Printer PASS Network Ping PASS Screen PASS Serial Loopback PASS Suspend Button Trim Knob 0 0 0 1 0 1 1 0 1 0 1 0 1 1 Audio Test Tests whether the cardiograph is emitting sounds To test audio 1 From within the Biomed Service Utility select Audio from the list and select Start The test emits an audible beeping tone 2 Select Stop to stop the tone 3 Select Yes when the see the message Did you hear the audio beeps The result is printed on the Test Results report Smart Card Reader Test Verifies that the Smart Card reader is working properly The optional Smart Card reader option must be connected to the cardiograph before performing the test To test the Smart Card reader 1 From within the Biomed Service Utility select Smart Card Reader from the list and select Start 2 Insert the Smart Card into the slot with the magnetic stripe facing down then remove it The Smart Card data appears 3 Review the data to ensure that it is correct 4 Select OK if the data is displayed correctly Select Fail if the data is not displayed correctly PageWriter Trim Cardiograph Service Manual Maintenance Tests Trim II II Rx Diagnostic and Performance Verification Tests NOTE NOTE 5 Ift
33. CRC check failure Application software is damaged Cardiograph stops at the software identification copyright screen and a warning message appears that states CRC failed Reinstall software application see page A 1 or see page B 1 Confirm successful software installation see page A 9 or see page B 10 A dialog shows software version information with a black background File system is destroyed The cardiograph remains on the black screen A dialog shows software version information including the loader and kernel version and the PCMCIA storage card status Wait 2 minutes and perform full software installation again see page A 1 or see page B 1 Confirm successful software installation see page A 1 or see page B 1 PageWriter Trim Cardiograph Service Manual 5 7 Troubleshooting Keyboard Trim Knob Dedicated Key Issues Troubleshooting Cardiograph Issues Table 5 2 Keyboard Trim Knob Dedicated Key Issues Possible Cause amp Symptom Investigation Step Confirmation Solution Keyboard is Keyboard controller Unable to enter Service The cardiograph must unresponsive subsystem has failed mode after restart be serviced to inspect Action restart cardiograph Keyboard is still and possibly replace using rear button see page unresponsive the keyboard cabling 5 33 and launch the or main controller Service Utility Perform deir ers the Keyboard Test me ica
34. Check the status LEDs on the wireless adapter If the LEDs are still not illuminated contact the Philips Response Center for further assistance Red LED blinking quickly Green LED off or blinking slowly The wireless adapter is associated to an access point Go to Step 2 in this procedure 2 Press the On Standby button for three seconds then release it to shut down the cardiograph 3 Connect a USB mouse to the USB port wc on the rear of the cardiograph 4 Press the On Standby button 5 When the software identification screen appears press the Ctrl s Shift mmy 6 keys at the same time PageWriter Trim Cardiograph Service Manual 5 31 Figure 5 21 PageWriter Trim Software Identification Screen PHILIPS PageWriter Trim Ill 6 The PageWriter Trim Wireless LAN Installation screen appears Click on the Configure Wireless LAN Card button Figure 5 22 PageWriter Trim Wireless LAN Installation screen PHILIPS PageWriter Trim Cardiograph Wireless LAN Installation Select a button below Configure Wireless LAN Card Reset Cardiograph Shut Down Cardiograph 7 The Aironet Client Utility ACU window appears Ensure that the correct profile is selected in the Select Active Profile drop down list 8 Ensure that the message 350 Series Radio is Associated appears on the ACU window If it does not proceed to step 9 9 Ensure that the access point is turned on and is operating 10 If the
35. Error Debug Port Internal Printer Status OK Total Pages 30 Tester Version Test The Version Test verifies that the version levels of the Application Kernel Loader PIM Kernel and Lead Set AAMI or IEC are consistent To perform the Version Test 1 From the Biomed Service Program turn the Trim Knob to highlight Test and push to select it 2 Turn the Trim Knob to highlight Test Version and push to select it 3 Turn the Trim Knob to highlight Start and push to select it 4 22 PageWriter Trim Cardiograph Service Manual Maintenance Tests Trim Diagnostic and Performance Verification Tests 4 The test results display on the screen Press Patient ID to print a report or Stop to return to the previous screen NOTE The Version Test will fail if the PIM is not connected to the cardiograph Voltage Test The Voltage Test verifies that the cardiograph is operating within acceptable voltage limits To perform the Voltage Test 1 From the Biomed Service Program turn the Trim Knob to highlight Test and push to select it 2 Turn the Trim Knob to highlight Test Voltage and push to select it 3 Turn the Trim Knob to highlight Start and push to select it 4 The test results display on the screen Press Patient ID to print a report or Stop to return to the previous screen PageWriter Trim Cardiograph Service Manual 4 23 4 24 PageWriter Trim Cardiograph Service Manual Troubleshooting This chapter provides inform
36. Internal ECG Storage 150 ECGs PageWriter Trim Rx Internal ECG Storage a 200 ECGs ECG File Formats PageWriter Trim II III Rx XML XML SVG Power and Environment Class I continuous operation Line Power 100 240 Vac 50 60 Hz 65 VA max F 4 PageWriter Trim Cardiograph Service Manual Specifications Technical Specifications Environmental Operating Conditions 10 to 40 C 50 to 104 F m 15 to 80 relative humidity non condensing Upto 4 550 m 15 000 ft altitude Environmental Storage Conditions 0 to 50 C 32 to 122 F 15 to 90 relative humidity non condensing Upto 4 550 m 15 000 ft altitude Cardiograph Dimensions PageWriter Trim I 310 mm width x 388 mm depth x 106 mm height 12 2 x 15 3 x 4 2 inches PageWriter Trim II III Rx 310 mm width x 388 mm depth x 176 mm height 12 2 x 15 3 x 6 9 inches Cardiograph Weight PageWriter Trim 6 95 Kilograms 15 3 pounds PageWriter Trim II III Rx 7 38 Kilograms 16 3 pounds Cardiograph Shipping Container Dimensions 603 2 mm width x 1016 mm depth x 742 95 mm height 23 74 x 40 x 29 25 inches Cardiograph Shipping Container Weight 6 325 Kilograms 14 pounds Cardiograph Cart Dimensions 992 mm height x 412 mm width x 700 mm length 39 05 x 16 2 x 27 5 inches PageWriter Trim Cardiograph Service Manual F 5 Specifications Safety and Performance Cardiograph Cart Weight a 20 3
37. Issues Troubleshooting Cardiograph Issues The troubleshooting information in this section will help you to localize a fault and to correct it The following charts list symptoms and the steps to follow to investigate and solve the problem Several failure mode symptoms may actually be hardware induced or triggered and may require board replacement or opening of the cardiograph for inspection please contact the Philips Response Center for further assistance See Contacting a Philips Response Center on page 1 32 Display Issues Table 5 1 Display Issues Symptom Screen is dark and shows no image Possible Cause amp Investigation Step Cardiograph is in standby Action Press the On Standby button on the front display Confirmation Confirm the cardiograph wakes up Solution User training on proper use of Standby Contrast has been Confirm there is faint Push Ctrl and down adjusted to the lowest image in the LCD arrow key degree simultaneously to adjust contrast high enough Screen is dark and Power issue AC cord AC is applied but AC Ensure AC cord is not shows no image Action Inspect AC power Power On indicator LED damaged and is plugged is dark into appropriate live AC connections power socket Power issue Battery Action Open battery compartment door and inspect battery condition AC is not attached and the battery is inserted into the cardiograph Push the On Standby
38. Others Spanish AAMI A Spanish ARO Japan Japanese Japanese IEC A4 Kanji AR2 English English IEC A4 Greece ARF English English IEC A4 Hungary 11 Turn the Trim Knob to highlight the arrow icon then press the Trim Knob to return to the main menu 12 Turn the Trim Knob to highlight Upgrade then press the Trim Knob to select it PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim I Software Verifying the Software Installation 13 Turn the Trim Knob to highlight Upgrade All and then press the Trim Knob to select this installation option 14 Turn the Trim Knob to highlight Start then press the Trim Knob to select it Information 15 on the status of the upgrade installation appears on the screen When the installation is complete the cardiograph automatically shuts down Remove the PC card from the cardiograph Go to the next procedure to verify that the new software revision has been successfully installed Verifying the Software Installation Complete the following procedure to verify that the software application has been successfully installed To verify the software installation is complete 1 2 3 10 Ensure that the PC card is removed from the cardiograph Press the On Off button to turn on the cardiograph When the five triangles 44 A A 4 4 appear on the screen press the Patient ID and Auto buttons at the same time Press the following buttons in sequence Patient I
39. PageWriter Trim II v v PageWriter Trim v dk v v PageWriter Trim Rx v v v Optional feature Optional cart with convenient storage areas for supplies Capabilities a Downloads patient data from HIS with a barcode magnetic card swipe or Smart Card swipe m Stores ECGs on a removable PCMCIA card or USB memory stick a Transmits ECGs by FAX PCMCIA modem LAN or wireless LAN PageWriter Trim Cardiograph Service Manual 1 11 Introduction Tour of PageWriter Trim Cardiographs Tour of PageWriter Trim Cardiographs This section gives an overview of the exterior of the cardiograph as well as the Patient Interface Module PIM For more information see the PageWriter Trim Instructions for Use PageWriter Trim I Cardiograph The following section shows front and rear views of the PageWriter Trim I cardiograph Figure 1 1 PageWriter Trim I Cardiograph and Cart Front View A Printer paper drawer F Wheel positioners B Slide out shelf G Control panel C Printer paper report storage slot H Trim Knob D Optional barcode reader in holder Patient Interface Module PIM E Storage bin J Wheel brake 1 12 PageWriter Trim Cardiograph Service Manual Introduction Tour of PageWriter Trim Cardiographs CAUTION Always lock the wheel brake J when the cart is not in use Press down on the wheel brake to set or to release the wheel brake Figure 1 2 PageWriter Trim I Cardiograph Rear View
40. Setup button to view the Destination MAC address information If LEAP credentials user name user password user domain are required in order to associate with an access point follow the procedure Enabling LEAP Credentials on page C 10 PageWriter Trim Cardiograph Service Manual Wireless LAN Installation Instructions Installing the Wireless LAN Card CONFIG 13 15 16 17 18 Click the OK button upper right corner of screen to close the Aironet Client Utility The PageWriter Trim Wireless LAN Installation screen appears Click the Reset Cardiograph button The cardiograph automatically restarts When the R T real time ECG screen appears press the Tab key to highlight the Config button on the Command Toolbar Press the space bar to select the button The Configuration screens appear Press and hold the Alt key and then press the N key to select the Network tab On the Network Configuration screen press the Alt key and then press the E key to select the Wireless Network tab Select Obtain IP Address Automatically or Specify IP Address and enter all relevant information Consult your network administrator for more information on configuring IP address settings Press the Enter key when done The Configuration Management window appears Press the Enter key to select the Yes button and to save the settings Select No to close the window and return to the Wireless LAN Network screen The R T ECG screen appear
41. Software Version 01 01 B 17 Special Note about Software Version 01 01 Self Test Report B 17 Special Note for Software Version 01 03 B 18 Special Note about PIM B 18 Appendix C Wireless LAN Installation Instructions OVervieW c ee en en Ba Oe nee ere eee aes CRORE A C 1 Wireless LAN FAQS sot Crete Reb rte ee he a db d nes 2 Installing the Wireless LAN C 3 Enabling LEAP Credentials llle C 10 Configuring a TraceMasterVue Remote C 10 Appendix D Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Cart 2 223 ga a ah he D 2 Attaching the Cardiograph to the D 4 Using the Cart Wheel Positioners and Brake D 5 Connecting the Patient Data Cable Bracket D 6 Connecting the PIM the D 7 Placing the PIM in the Holder D 7 Assembling the Patient Cable D 8 Appendix E Upgrade Kits Contents 6 Upgrade Kit 5 85 5
42. Taiwan Traditional English US AAMI 8120 A Chinese English 5429 AB2 China Simplified Chinese US IEC 8120 A4 Chinese English 8376 AB4 Singapore English English US AAMI 8120 A4 amp Hong English 1351 Kong 9 Portugal Portu Portu European IEC 8120 A4 guese guese 1689 Brazilian PageWriter Trim Cardiograph Service Manual 1 23 Introduction 1 24 Country Region Options Table 1 11 PageWriter Trim I Il HI and Rx Country and Region Options continued Option Country User Lead Keyboard PIM Power Default Code Region Interface Standard Lead Cord Paper Version Opt Size ABA USA English English US AAMI 8120 A Canada English 5429 English ABB European English English European IEC 8120 A4 English English 1689 ABB Romania English English European IEC 8120 A4 English English 1689 ABC Canada French French European AAMI 8120 A French 5429 ABD Germany German German European IEC 8120 A4 1689 ABE Spain Spanish Spanish European IEC 8120 A4 1689 ABF France French French French IEC 8120 A4 1689 ABG Australia English English US AAMI 8120 A4 English 4475 ABH Nether Dutch Dutch US IEC 8120 A4 lands English 1689 ABM Latin Spanish Spanish European AAMI 8120 A American 5429 ABN Norway Norwegian Norwe European IEC 8120 A4 gian 1689 ABS Sweden Swedish Swedish European IEC 8120 A4 1689 ABU UK English E
43. Test Results Software Version Option Test Compact Flash Test Onboard Flash Test Audio Test 1 Suspend Button Test Trimknob Test Keyboard Test Screen Test PIM Test Printer Test Installed Options Standard Wired LAN Standard Interpretation C42 Wireless LAN RELEASE VERSION A 01 03 PASS Country Option ABA Trim I Diagnostic and Performance Verification Tests Diagnostic tests are included in the Biomed Service Program and are used to identify and to troubleshoot a technical problem with the PageWriter Trim I cardiograph CAUTION NOTE Ensure that the AC power cord is plugged into the rear of the cardiograph and into a grounded electrical outlet before using the Biomed Service Program If the cardiograph is powered by battery power only while using the Biomed Service Program the battery will fail and will not recover Launching the Trim I Biomed Service Program To launch the Biomed Service Program 1 Turn off the cardiograph Entering the Service Utility requires a full restart of the cardiograph Any unsaved patient data will be lost 2 Press the On Off button to power on the unit After approximately 20 seconds the PageWriter Trim I screen appears followed by a screen showing five triangles PageWriter Trim Cardiograph Service Manual 4 17 Maintenance Tests 3 NOTE NOTE Trim Diagnostic and Performance Verification Tests Quickly while the screen showing five triangles is displayed
44. The following options are available when working with diagnostic tests m Repeat Count Print Results when Applicable To repeat a particular test or all Self Tests sequentially select the Repeat check box and type the desired number of repetitions in the Count field The count number decrements by one each time the test is completed pass or fail To print test results check the Print Results when Applicable box To interrupt or stop testing press Stop between tests m Tester Info Enter tester name and date m Start Starts the selected test m Stop Stops or interrupts the selected test m Print The results of all the diagnostic tests you have run are stored To print them select Print See Figure 4 7 Trim IVIIVRx Service Diagnostics Test Results on page 4 10 The test results are stored until you either exit the Biomed Service Utility or select Clear Results PageWriter Trim Cardiograph Service Manual 4 9 Maintenance Tests Trim II III Rx Diagnostic and Performance Verification Tests 4 10 wm Clear Results Clears the Test Results Figure 4 7 Trim II III Rx Service Diagnostics Test Results Specific Results for Auto Tests Service Diagnostics Test Results Unit Serial Number 0540400162 Compact Flash Test Pass Audio 1 PASS Onboard Flash Test Pass Smart Card Reader PASS Audio Test Pass MagCard Reader PASS Suspend Button Test Pass Barcode Scanner PASS Trimknob Test Pass Compact Flash
45. USDO300010 Token j Enable Token Software Option M Interpretation Ordervue v Wired LAN Wireless LAN A Enter token number here B Current installed options 10 11 Enter the token number in the Token field Press the Tab key or turn the Trim Knob to highlight the Enable Token button Press the space bar or the Trim Knob to select the button The option is enabled Remove the paper drawer Locate the existing token label inside the paper drawer compartment Remove the existing label Affix the new token label to the same location For more information on token labels see page 1 19 For information on configuring the wireless LAN option see page C 1 For information on configuring the Ethernet LAN or interpretation option see Chapter 2 Configuration of the PageWriter Trim Cardiograph Instructions for Use this document may be downloaded from the Philips InCenter site See Using the Philips InCenter Site on page 1 26 PageWriter Trim Cardiograph Repair Manual E 3 E 4 PageWriter Trim Cardiograph Repair Manual Technical Specifications ECG Acquisition PageWriter Trim I m Auto 12 leads a Rhythm 3 or 6 leads PageWriter Trim II III Rx m Auto 12 leads Rhythm up to 12 leads a Disclose 1 lead Keyboard PageWriter Trim II III Rx Full alphanumeric capability Screen Display PageWriter Trim I 40 character LCD display PageWriter Trim II III Rx m 640 x 480 pixel resolut
46. be a medical system It is the responsibility of the operator to comply with IEC 60601 1 1 and test the medical system according to the requirements For additional information contact Philips Medical Systems WARNING Do not use non medical peripherals within 1 83 meters or 6 feet of a patient unless the non medical peripherals receive power from the cardiograph or from an isolation transformer that meets medical safety standards WARNING Always clean and disinfect reusable electrodes before patient use Failure to properly clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients CAUTION The Welsh bulb electrodes contain natural rubber latex which may cause allergic reactions m When operating the cardiograph on AC power ensure that the cardiograph and all other electrical equipment connected to or near the patient are effectively grounded Use only grounded power cords three wire power cords with grounded plugs and grounded electrical outlets Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong Use the equipotential post when redundant earth ground is necessary according to IEC 60601 1 1 m safe ground connection is not ensured operate the cardiograph on battery power only 6 PageWriter Trim Cardiograph Service Manual Introduction Important Patient and Safety Information The use of equipment that app
47. communicates with the TraceMaster or TraceMasterVue ECG Management System through the PCMCIA LAN Card PageWriter Trim Cardiograph Service Manual 2 5 Theory of Operation High Level ECG Data Flow and Storage PCMCIA Wireless LAN Card A PCMCIA wireless LAN Card is available as an option for the PageWriter Trim III and Rx model cardiographs only It connects through the PCMCIA slot and provides standard LAN capability and is compatible with the 802 11b wireless standard The PageWriter Trim cardiograph communicates with the TraceMaster or TraceMasterVue ECG Management System through the wireless PCMCIA LAN Card For information on configuring the wireless LAN card see Wireless LAN Installation Instructions on page C 1 PCMCIA Modem Card A PCMCIA modem card is available as an option for all product models except the PageWriter Trim I It connects through the PCMCIA slot and provides standard modem capability The PageWriter Trim cardiograph faxes ECG data to remote receivers or communicates with a TraceMaster or TraceMasterVue ECG Management System through the PCMCIA modem card WARNING Do not connect the modem card to a phone line when the cardiograph is connected to a patient High Level ECG Data Flow and Storage NOTE General ECG data flow begins with acquisition by the Patient Interface Module PIM from electrodes placed on a patient Data is streamed real time to the main control board where it is received into the app
48. d Out of paper or paper loaded ee incorrectly 2 Open the printer drawer and check to Ramen make sure that the paper is properly z inserted and aligned 3 Follow the procedure to restart the cardiograph see page 5 33 4 It has been observed that on rare occasions a Printer Door Open message cannot be dismissed because of overlapping simultaneous error status reporting 0204 Paper jam 1 Open and firmly close the printer d m Paper is not loaded correctly INR 2 Open the printer drawer and check to m Defective TOF sensor assembly make sure that the paper is properly Defective paper tray assembly inserted and aligned 3 Replace TOF sensor assembly contact Philips Medical Systems for further assistance page 1 32 4 Replace paper tray assembly 0205 No paper is in drawer Insert paper into drawer 5 18 PageWriter Trim Cardiograph Service Manual Troubleshooting Troubleshooting Cardiograph Issues Table 5 7 PageWriter Trim I Printer Issues Software Version A 00 03 and lower continued Error Code Possible Cause amp Investigation Step Solution 0206 Temperature shutdown the 1 Shutdown cardiograph and wait 20 temperature of the print head is too minutes high 2 Iferror persists send cardiograph for repair contact Philips Medical Systems for further assistance page 1 32 0207 Unknown error 1 Shutdown cardiograph 2 Remove battery 3 Reinsert battery and press On Standb
49. five seconds If the software identification screen disappears before the buttons are pressed press and hold the On Standby button to shut down the cardiograph Press the On Standby button again and repeat the procedure PageWriter Trim Cardiograph Service Manual B 7 Installing PageWriter Trim Il and Rx Software Installing the Software Upgrade 9 The Software Installation Utility screen appears Figure B 19 Software Installation Utility screen Software Installation Utility Current Revisions Proposed Revisions Loader Rev 03 12 Loader Rev Kernel Rev K 03 00 ENU Kernel Rev Application Rev TRIM3 4 08 00 02 ENU Application Rev PIM Kernel Rev 0 008 PIM Kernel Rev PIM Kernel CRC 70518514 Printer SW Date PIM Boot Rev 1 009 Boot CRC 094450AB Printer SW Date Jun 25 2003 Refresh from Source Model onto T Install Operation All except Kernel w Start Installation Quit fes 10 Ensure that the correct localization option is selected next to the Option field on the Software Installation Utility screen See Table B 7 Software Localization Options on page B 8 for a complete listing of all available localization options Table B 7 Software Localization Options Localization Description Language Lead Standard Paper Size Option Code ABO Taiwan Traditional AAMI A Chinese AB2 China Simplified I
50. inserted into the paper tray 3 4 PageWriter Trim Cardiograph Service Manual Cardiograph Care and Maintenance Replacing Printer Paper 5 Drape the entire first sheet over the roller Lower the paper bar Ensure that the perforated edge of the paper aligns with the edge of the paper drawer and that the paper bar is pulled down completely Do not close the paper drawer with the paper bar in an upright position 7 Press the Page button on the right side of the cardiograph to advance the paper to the beginning of a sheet PageWriter Trim Cardiograph Service Manual 3 5 Cardiograph Care and Maintenance Battery Maintenance and Care 8 Tear off the first sheet as shown Battery Maintenance and Care CAUTION 3 6 NOTE Caring for the Battery The battery must be installed for proper operation of the cardiograph The cardiograph cannot print an ECG report without the battery even if it is plugged into AC power The sealed lead acid battery used in the PageWriter Trim cardiographs will provide optimal longevity when the batteries are fully charged after each use A depleted battery requires sixteen hours of continuous charge time to fully recharge Because it is not always possible to allow a full charge cycle between uses the cardiograph was designed to charge a depleted battery to 90 of its capacity in approximately eight hours Repeated undercharging of the battery will damage the battery and reduce overall battery lif
51. pages print after changing paper size ECG report print correctly after the software application is reinstalled Check that paper size is correctly set in the cardiograph configuration Reinstall the software application and kernel using the Install All option see page B 1 Contact Philips Medical Systems for further assistance see page 1 32 PC Card USB Memory Stick Issues Table 5 10 Symptom Occasionally copying ECGs from archive to a PC card USB Memory Stick fails Possible Cause amp Investigation Step PC card or USB memory stick subsystem time out failure Action Retry the transfer operation PC Card USB Memory Stick Issues Confirmation Operation succeeds without error Solution Write operations occasionally fail for PC card USB memory stick If this condition reoccurs persistently replace the PC card USB Memory Stick Modem is unavailable after removing and reinserting the PC card or reconnecting USB Memory Stick into the cardiograph Main controller error Action Press the On Standby button to put the cardiograph into Standby Then press the restart button see page 5 33 Modem is now available Hot swapping the modem after system boot is not supported You must restart the cardiograph when reinserting the modem PC card or reconnecting the USB Memory Stick PageWriter Trim Cardiograph Service Manual 5 23 Troubleshooting
52. passed the printer test If the printer test page does not match the printer test points the cardiograph has failed the print test Table A 3 Printer Test Page Description Test Point Description A The stepped bars are sharp edged and printed cleanly without distortion or missing segments B The spacing between the vertical lines is 25 mm with a discrepancy of no more or less than 2 C The diagonal lines should be straight and printed cleanly without distortion or breaks in the lines D The character set is printed cleanly without distortion or missing characters and all characters are clearly legible A 10 PageWriter Trim Cardiograph Service Manual Figure A 9 Printer Test Page prd IP I gt 11 Press the Patient ID button if the cardiograph passed the printer test 12 When the Self Test is complete press the Patient ID button on the cardiograph to print out a report of the test results PageWriter Trim Cardiograph Service Manual A 11 Installing PageWriter Trim I Software Verifying the Software Installation 13 On the printed test report check the software revision level next to Release Version lower right side of report The revision level should read A 01 01 Figure A 10 on page A 12 or A 01 03 Figure A 11 on page A 13 Check that the correct localization option appears next to Country Options see Table A 3 on page A 7 Figure A 10 Software Version A 01 01 Self Test Report
53. possibly replace keyboard cabling or controller board Contact Philips Medical Systems for assistance see page 1 32 During a software Try to upgrade the Reinstall the software installation procedure the user selects an incorrect localization option that causes the wrong keyboard version to be selected Registry is lost software kernel with the correct localization option Try to upgrade the software application with the correct localization option kernel and application and ensure that the correct localization option is selected see page B 8 PageWriter Trim Cardiograph Service Manual 5 9 Troubleshooting 5 10 Troubleshooting Cardiograph Issues Signal Acquisition Issues Before attempting to troubleshoot a signal acquisition error as a mechanical issue ensure that the following patient preparation and basic troubleshooting techniques have first been followed Always follow good skin and patient preparation techniques prior to taking an ECG Proper skin preparation helps to ensure a good quality ECG Skin is a poor conductor of electricity and frequently creates artifact that distorts the ECG signal To prepare the patient for an ECG 1 2 3 NOTE Shave hair from electrode sites if necessary excessive hair prevents a good connection Wash the skin thoroughly with soap and water Dry the skin vigorously to increase capillary blood flow to the tissues and to remove the dead dry
54. press the Patient ID and Auto buttons at the same time The screen showing five triangles disappears after five seconds If you miss it you must restart the cardiograph again An Access Code window appears If the Access Code window does not appear restart the cardiograph Follow steps 1 to 3 again Enter the access code by pressing the following buttons in sequence Patient ID Auto Rhythm Copy Page Press the Stop button to delete your last input if it is wrong The Biomed Service Program Main Menu appears as shown in Figure 4 12 Figure 4 12 Service Utility Main Menu Trim I MAIN MENU Settings Upgrade Test Diagnostic Tests in the Trim I Biomed Service Program The following tests may be completed in one session or may be individually selected and executed The Self Test option will conduct all of the tests listed in the following table with an option to print out the test results Table 4 38 Biomed Service Program Diagnostic Tests Test Page Battery 4 19 Keyboard 4 19 LCD Screen 4 19 Onboard Flash 4 20 Options 4 20 PIM 4 20 Printer 4 21 RAM 4 21 Self Test 4 23 Version 4 22 Voltage 4 23 4 18 PageWriter Trim Cardiograph Service Manual Maintenance Tests Trim Diagnostic and Performance Verification Tests Battery Test This test analyzes if the battery voltage is below or above the voltage limits To perform the keyboard test 1 From the Biomed Service Program
55. procedure must be completed in order to enable LEAP credentials used with LEAP authentication This procedure must be completed when transmitting ECGs from the Archive for the first time m the wireless LAN card is inserted or removed from the cardiograph while the cardiograph is in active use not in Standby m the cardiograph is returned to active use after a full power shut down and the wireless LAN card is fully inserted into the PC card slot on the rear of the cardiograph when the cardiograph is restarted To enable LEAP credentials 1 After specifying LEAP settings in the Aironet Client Utility ACU restart the cardiograph 2 When the R T real time ECG screen appears press the Tab key to highlight the Archive button on the Command Toolbar Press the space bar to select the button The Archive screen appears 3 Press the Tab key to highlight the Login WLAN button bottom left corner of screen Press the space bar to select the button No information is entered LEAP credentials are enabled by merely selecting the Login WLAN button 4 Press the Esc key 8 to exit the Archive screen 5 Press the Tab key m to highlight the Config button on the Command Toolbar Press the space bar to select the button The Configuration screens appear 6 Press and hold the Alt key and then press the S key to select the System tab On the System screen under Diagnostics right side of screen press the Tab key to highlight the Ne
56. scheduled preventive maintenance Preventive maintenance and periodic operational checks are intended to be performed by the user Both topics are covered in the Cardiograph Care and Maintenance chapter of the PageWriter Trim Instructions for Use and this service manual If further technical assistance is required contact the nearest Philips Response Center See Contacting a Philips Response Center on page 1 32 Repair Philosophy The repair philosophy of the PageWriter Trim cardiograph and Patient Interface Module PIM is subassembly replacement Examples of subassemblies are print head assembly LCD the main Processor Circuit Assembly PCA the power supply board the power module the PIM PCA sets and the printer drawer CAUTION Only Philips authorized personnel can repair this product Repairs by users that involve replacing subassemblies and components are not supported or authorized and attempting to perform internal repairs on the cardiograph may void conditions of the product warranty Country Region Options Country and region options include the appropriate keyboard power cord printer paper patient leads and language The following table lists the configuration options for specific countries and regions Table 1 11 PageWriter Trim I Il Ill and Rx Country and Region Options Option Country User Lead Keyboard PIM Power Default Code Region Interface Standard Lead Cord Paper Version Opt Size ABO
57. the following differences when printed Algorithm version appears as HPxxx on TraceMaster and PH on PageWriter Trim m Pacer tick marks are not present on PageWriter Trim printout Frank lead system generates 3 rhythm traces with flat line and no lead label on PageWriter Trim printout Custom lead names do not appear on PageWriter Trim printout m PageWriter Trim prints full interpretations regardless of original Xli ECG settings Configuration Screen Issues Table 5 6 Configuration Screen Issues Symptom Possible Cause g Confirmation Solution Can not enter the configuration window Investigation Step Forgot password Contact Philips Medical Systems for further assistance page 1 32 PageWriter Trim Cardiograph Service Manual 5 17 Troubleshooting Printer Issues Table 5 7 Troubleshooting Cardiograph Issues PageW riter Trim I Printer Issues Software Version A 00 03 and lower Error Code Possible Cause amp Investigation Step Solution 0201 No battery or dead battery 1 Replace battery 2 Replace motherboard contact Philips Medical Systems for further assistance page 1 32 3 Replace power supply cord 0202 UPR running a new print job has Follow the procedure to restart the been sent to the printer and the printer cardiograph see page 5 33 cannot accept a new print job 0203 m Paper drawer is not fully closed 1 Open and firmly close the printer
58. the cable connector on the card Only use the shielded LAN cable provided with the PageWriter Trim cardiograph Philips part number 989803138021 Do not use LAN cables with the cardiograph that have not been approved by Philips Medical Systems To perform the network test 1 Press the Tab key or turn the Trim Knob to highlight the Network button 2 Press the space bar or the Trim Knob to select the button The Network Connection window appears The configured network information for the cardiograph appears on the window 3 Review the network data to ensure that it is correct The Retry button is highlighted If the network data does not display press the Trim Knob again 4 Ifthe network data displays correctly turn the Trim Knob to highlight the Close button Push the Trim Knob to select the button Trim Il III Rx Diagnostic and Performance Verification Tests CAUTION More comprehensive diagnostic tests and operating statistics are provided in the Biomed Service Utility These tests and utilities are used to identify and to troubleshoot a technical problem with the cardiograph Ensure that the AC power cord is plugged into the rear of the cardiograph and into a grounded electrical outlet before using the Biomed Service Utility If the cardiograph is powered by battery power only while using the Biomed Service Utility che battery will fail and will not recover About the Trim II III Rx Biomed Service Utility The Biomed Se
59. to assemble the optional cardiograph cart and optional patient cable arm for the cardiograph cart For information on ordering the cardiograph cart or patient cable arm see Upgrades and Accessories on page 1 18 Figure D 1 The PageWriter Trim Cardiograph Cart D 1 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Cart Assembling the Cart Follow this procedure to assemble the cardiograph cart To assemble the cart 1 Insert the beam into the cart base 3 D 2 PageWriter Trim Cardiograph Service Manual Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Cart 4 Attach the bolt screws and tighten using the provided wrench 5 Turn the cart upright 6 Attach the bin to the cart beam e 7 Insert the bin dividers PageWriter Trim Cardiograph Service Manual D 3 Assembling the Cardiograph Cart and Patient Cable Arm Attaching the Cardiograph to the Cart 8 Pull the tray out from the top shelf Attach the top shelf to the beam using the provided bolts Tighten the bolts Attaching the Cardiograph to the Cart CAUTION Follow the procedure below to ensure that the cardiograph is securely fastened to the cart before use To attach the cardiograph to the cart 1 Align the front feet of the cardiograph with the front locking holes on the cart Align the rear feet of the cardiograph with the rear screw holes on the cart Lower the cardiograph onto the cart and sn
60. version that is currently installed on the unit Philips recommends that all cardiographs be upgraded to software version A 01 03 for optimal performance See Table A 1 for more information on the appropriate upgrade path Table A 1 PageWriter Trim I Software Upgrade Path isi Lowest Software Version Cardiograph Model Available Software Revision Required for Upgrade Trim I 4 01 03 recommended A 01 01 Trim I A 01 01 A 00 02 See Upgrading Legacy Software below for important information on upgrading from legacy software version A 00 02 to software version A 01 01 or higher Philips recommends upgrading all PageWriter Trim cardiographs to software version A 01 03 for optimal performance Upgrading Legacy Software Legacy software is defined as any PageWriter Trim I software version that is lower than A 01 01 Upgrading legacy software to the Philips recommended software version A 01 03 requires performing two sequential software upgrades First upgrade the cardiograph software from A 00 02 to A 01 01 and then upgrade from software version A 01 01 to version A 01 03 Special Note about Japanese Localization Option The Japanese ARO option for the PageWriter Trim I cardiograph is no longer available The supported software revision level for all Japanese option cardiographs is legacy software version A 00 03 There is no software upgrade path for the Japanese localization option Installing PageWriter Trim I Software Obta
61. 1 for more information 7 Onthe following software download screen click on the PageWriter Trim A 01 03 or A 01 01 link NOTE The Documentation link contains all user documentation instructions for use quick reference cards for the selected software version PageWriter Trim Cardiograph Service Manual A 3 Installing PageWriter Trim I Software Obtaining Software A 4 8 The InCenter software download license agreement appears If you agree to the terms of the agreement click I agree NOTE A message may appear that the Download Manager application needs to be installed Click as indicated to install the ActiveX control in order to continue with the software download See the InCenter main page for more information on installing and using ActiveX controls with the InCenter site 9 Select a file destination and then click Save The Philips Download Manager dialog appears The software files are saved to the specified destination After the files are saved click Launch The WinZip Self Extractor dialog appears 10 Select a destination for the files and then click Unzip The files are saved to the specified destination If the save operation is successful the top level directory structure should appear as shown in Figure A 4 NOTE The top level directory structure is identical for software version A 01 01 and version A 01 03 and appears for both software versions as shown in Figure A 4 Figure A 4 Trim I PC Card Directory Ele
62. 119 5MB 124 9MB PCMCIA Storage Free Total 13 7MB 124 8MB VOLTAGE 3 3V Reg 5 0V Reg 1 86V Reg 3 22 3 00 3 60 4 95 4 60 5 25 1 83 1 58 1 93 VDDX vec Vin vo 3 22 3 00 3 60 17 73 17 10 18 90 1 17 41 10 00 18 90 P P P USB voc 4 68 4 60 5 25 DEVICE STATUS PIM Status Present CH 12 No Flags Printer Status OK Total Pages 146 BATTERY INFO Battery Status FULL Battery Voltage 13 36 10 00 15 20 Tester A 01 03 install PHILIPS A PIM Kernel Revision Level Information Self Test Results Software Version Option Test Compact Flash Test Onboard Flash Test Audio Test Suspend Button Test Trimknob Test Keyboard Test Screen Test PIM Test Printer Test Installed Options Standard Wired LAN Standard Interpretation C42 Wireless LAN RELEASE VERSION A 01 03 PASS Country Option ABA B Software Revision Level and Localization Option Information If an incorrect software revision level or incorrect localization option appears on the Self Test Report reinstall the software following the same procedure If an incorrect revision level or localization option appears again on the report or if the cardiograph fails any portion of the Self Test contact the nearest Philips Response Center for further assistance See Contacting a Philips Response Center on page 1 32 Software Version A 01 03 PIM Kernel Revision For software ve
63. 2 4 11 part number 1 18 removing the carriage return 3 11 battery long term storage 3 7 maintenance and care 3 6 power gauge 2 14 remove and replace 7 2 Biomed Service Utility overview 4 6 Trim I 4 17 Trim II IIL Rx 4 7 cables cleaning 3 2 3 3 cardiograph disposal 3 9 external PC card archive 2 8 2 9 external remote archive 2 8 internal main archive 2 8 locating serial number 1 26 main control board 2 1 main controller 2 1 maintenance tests 3 14 power gauge 2 14 power management 2 14 power system overview 2 8 2 0 print controller 2 1 replacing lead wires and PIM 3 8 safety tests 6 7 setting the date and time 3 9 specifications F 1 test and inspection matrix 6 3 Trim I parts 1 12 Trim II IH Rx parts 1 14 troubleshooting 5 6 cart assembly and replacement parts 8 3 overview 1 12 using wheel positioners and brake 1 15 cart assembly D 1 attaching cardiograph to cart D 4 attaching the patient data cable bracket D 6 parts list 8 3 patient cable arm D 8 cleaning cables 3 2 3 3 electrodes 3 2 3 3 patient cable 3 2 printhead 3 2 3 3 CompactFlash diagnostic test 4 12 configuration screen troubleshooting 5 17 customer service telephone numbers 1 32 D diagnostic test audio 4 10 barcode reader 4 2 4 11 CompactFlash 4 12 fax and modem 4 12 keyboard 4 12 magnetic card reader 4 3 4 11 network 4 6 onboard flash 4 13 PCMCIA card 4 14 ping test 4 14 printer 4 3 4 14 screen test 4 14 self tests 4 16
64. 2 kilograms 44 8 pounds with single bin and counterweight installed Fully Assembled Cardiograph Cart Shipping Container Dimensions m 547 mm height x 827 mm width x 1107 mm length 21 5 x 32 5 x 43 5 inches Partially Assembled Cardiograph Cart Shipping Container Dimensions 229 mm height x 534 mm width x 1234 mm length 9 x 21 x 48 5 inches Fully Fully Assembled Cardiograph Cart Shipping Container Weight 11 34 kilograms 25 pounds Partially Assembled Cardiograph Cart Shipping Container Weight m 4 98 kilograms 11 pounds Safety and Performance Meets or exceeds the following requirements for safety and performance 60601 1 1988 A1 1991 A2 1995 General Requirements for Safety including all National Deviations 60601 1 2 2001 General Requirements for Safety Electromagnetic Compatibility 60601 2 25 1993 A1 1999 Safety Of Electrocardiographs CISPR 11 1997 Radio Frequency disturbance Limits and Methods of Test a AAMI ECII 1991 Diagnostic Electrocardiographic Devices JIST 1202 1998 Japanese Industrial Standard for Electrocardiographs Electromagnetic Compatibility EMC Electromagnetic compatibility with surrounding devices should be assessed when using the PageWriter Trim cardiograph An electronic device can either generate or receive electromagnetic interference Testing for electromagnetic compatibility EMC has been performed on the PageWriter Trim F 6 PageWr
65. 3 10 Setting the Paper Size and Lead Settings 3 10 Calibrating the Barcode 3 11 Removing the Carriage Return 3 13 Maintenance Tests for Trim Il Il and 3 14 Chapter 4 Maintenance Tests Maintenance Tests Trim II III Rx only 4 1 Patient Interface Module PIM 4 2 Barcode Reader Test uet pe ehesten ei Da 4 2 Magnetic Card Reader 4 3 Printer Testa u ei ete aay OE WR EE Be a 4 3 2 sere ls ELI a atl x seek e e ERA uA 4 6 Trim II III Rx Diagnostic and Performance Verification 4 6 About the Trim II III Rx Biomed Service Utility 4 6 Using the Biomed Service Utility for Trim Il Ill 4 7 Launching the Biomed Service Utility for Trim Il Ill Rx 4 7 Diagnostic Tests in the Biomed Service 4 8 Working with the Diagnostic 4 9 Audio Test nde e ovine Ie Riera edente 4 10 Smart Card Reader 4 10 Magnetic Card Reader
66. 6 Safety and Performance 0 2 0 eee eee eee ce eect eee hn F 6 Electromagnetic Compatibility EMC F 6 Reducing Electromagnetic F 7 PageWriter Trim Cardiograph Service Manual Contents 7 Contents 8 PageWriter Trim Cardiograph Service Manual Introduction This PageWriter Trim I II III Rx Cardiograph Service Manual provides the information you need to successfully service the PageWriter Trim cardiographs with software version A 01 03 and higher The PageWriter Trim Cardiograph product family includes the following four product models as described in Table 1 1 Table 1 1 PageWriter Trim Product Model Information PageWriter Trim model Philips Part Number PageWriter Trim III 860286 PageWriter Trim II 860288 PageWriter Trim I 860290 PageWriter Trim Rx 860297 This Service Manual includes information on a Theory of operation Maintenance procedures m Performance verification and safety testing m Repairs a Ordering parts and supplies m Specifications m Maintenance tests m Software Installation m Wireless LAN Installation a Upgrade Kit Installation Before servicing the PageWriter Trim cardiographs review the PageWriter Trim Instructions for Use located on the User Documentation CD shipped with the cardiograph or download the file from the Philips InCenter site incenter medical philips com For informat
67. 810 835 624 Germany 0180 5 47 5000 Greece 31 40 2781619 MCR Response Center located in The Netherlands Hungary MCR Response Center located in The Netherlands 3 40 2781619 Italy 0800 232100 Netherlands 3 40 27 211 27 Norway 47 800 84 080 Poland 3 40 2781619 MCR Response Center located in The Netherlands Rumania MCR Response Center located in The Netherlands 3 40 2781619 Russia MCR Response Center located in The Netherlands 3 40 2781619 Slovak Republic 3 40 2781619 MCR Response Center located in The Netherlands Spain 34 90 230 4050 Sweden 46 200 81 00 10 Switzerland 0800 80 3000 German 0800 80 3001 French Asia Response Centers Country Telephone Number Australia 1800 251 400 China 800 810 0038 Hong Kong 852 2876 7578 India 1600 112 444 Indonesia 62 21 7910040 ext 8610 Japan 81 0 120 095 205 PageWriter Trim Cardiograph Service Manual 1 33 Introduction Contacting a Philips Response Center Asia Response Centers continued Country Telephone Number Korea 82 0 2 3445 9010 Malaysia 1800 886 188 New Zealand 0800 251 400 Philippines 63 2 8162617 ext 875 Singapore 1800 Philips Taiwan 0800 005 616 Thailand 66 0 2 614 3569 Africa and Middle East Telephone Number Country 31 40 2781619 All countries MCR Response Center located in The Netherlands 1 34 Pa
68. 89803145331 USB Memory Stick 989803149571 Patient Cable Arm for Cardiograph Cart 989803127461 Modem Card USA and Canada only 989803138021 LAN Cable Table 1 5 PageWriter Trim Cardiograph Upgrades Part Number Option Description 860320 PageWriter Trim Cardiograph Cart 860302 PageWriter Trim II Cardiograph Upgrade Options Interpretation Upgrade Option B02 LAN Connectivity Upgrade Option 860303 PageWriter Trim III Cardiograph Upgrade Options B02 LAN Connectivity Upgrade Option B03 Wireless LAN Connectivity Options 802 11b compliant 860299 PageWriter Trim Rx Cardiograph Upgrade Options B02 LAN Connectivity Upgrade Options 1 18 PageWriter Trim Cardiograph Service Manual Introduction PageWriter Trim Il Ill and Rx Token Label Table 1 5 PageWriter Trim Cardiograph Upgrades continued Part Number Option Description B03 Wireless LAN Connectivity Options 802 11b compliant 860304 PageWriter Trim Cardiograph External Battery Charger AXX Localization Code refer to Table 1 11 PageWriter Trim I II III and Rx Country and Region Options on page 1 23 for the correct localization option code for your country or region B01 Additional Battery for the PageWriter Trim Cardiograph any model Consult your sales representative dealer or distributor for the latest details PageWriter Trim Il Ill and Rx Token Label NOTE Each cardiograph manufactured aft
69. AAMI A Traditional AB2 Chinese Simplified Chinese IEC A4 Simplified AB4 Singapore amp Hong English AAMI A Kong English AB9 Portugal Portuguese IEC A4 Portuguese ABA U S A Canada English AAMI A English ABB European English English IEC A4 ABC Canadian French French AAMI A ABD European German German IEC A4 ABE European Spanish Spanish IEC A4 ABF European French French IEC A4 ABG Australian English English AAMI A4 ABH European Dutch Dutch IEC A4 ABM Latin American Spanish AAMI A Spanish ABN Norway English IEC A4 English ABS Sweden English IEC A4 English PageWriter Trim Cardiograph Service Manual A 7 Installing PageWriter Trim I Software A 8 Installing the Software Upgrade Table A 3 Software Localization Options continued Localization Paper Option Code Description Language Lead Standard Size ABU United Kingdom English IEC A4 English ABX Finland English IEC A4 English ABZ European Italian Italian IEC A4 ACA Brazil Portuguese Portuguese AAMI A AC6 South Korea English AAMI A4 English AC8 Argentina Spanish Spanish AAMI A ACB Russia English IEC A4 English ACE European English IEC A4 Denmark amp Faroe Islands ACJ India English English IEC A4 AKB English English IEC A4 Czech Republic AKD English English IEC A4 Poland AKJ Israel amp Gaza English IEC A4 Strip English AKR English English IEC A4 Slovak Republic AKV Chile amp
70. D Auto Rhythm Copy Page Press the Stop button to delete your last input if it is wrong The Biomed Service Program screen appears On the Main Menu screen turn the Trim Knob to highlight Test then press the Trim Knob to select it Press the Trim Knob and then turn the Trim Knob to highlight Self Test Press the Trim Knob to select it Turn the Trim Knob to highlight Start then press the Trim Knob to select it Directions to complete the Self Test appear on the screen When indicated touch each button on the cardiograph except the On Off button The numbers 0 8 begin to appear on the screen Continue the test by pushing the Trim Knob then turn it clockwise once and counterclockwise once to complete the test The numbers 0 6 should appear on the screen when the test is complete Press the Patient ID button if all 6 numbers appear on the screen Next a series of characters appear on the screen Verify that the characters appear correctly on the screen Press the Patient ID button if the characters appear correctly on the screen Next the printer performs a self test and the cardiograph prints out the printer test page Inspect the printer test page using the test points explained in Table A 3 If the printer test page matches the printer test points as described in Figure A 9 on page A 11 the PageWriter Trim Cardiograph Service Manual A 9 Installing PageWriter Trim I Software Verifying the Software Installation cardiograph has
71. EC A4 Chinese AB4 Singapore amp English AAMI A4 Hong Kong AB9 Portugal Portuguese IEC A4 Brazilian ABA USA Canada English AAMI A English ABB European English IEC A4 English ABB Romania English IEC A4 English ABC Canada French French AAMI A ABD Germany German IEC A4 ABE Spain Spanish IEC A4 ABF France French IEC A4 B 8 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim Il 1 and Rx Software Installing the Software Upgrade Table B 7 Software Localization Options continued Localization Description Language Lead Standard Paper Size Option Code ABG Australia English AAMI A4 ABH Netherlands Dutch IEC A4 ABM Latin American Spanish AAMI A ABN Norway Norwegian IEC A4 ABS Sweden Swedish IEC A4 ABU UK English IEC A4 ABX Finland Finnish IEC A4 ABZ Italy Italian IEC A4 AC4 Brazil Portuguese AAMI A AC6 South Korea English AAMI A4 AC8 Argentina Spanish AAMI A ACB Russia English IEC A4 ACE Denmark amp Danish IEC A4 Faroe Islands ACJ India English IEC A4 AKB Czech Republic English IEC A4 AKD Poland English IEC A4 AKJ Israel amp Gaza English IEC A4 Strip AKR Slovak Republic English IEC A4 AKV Chile amp others Spanish AAMI A 4 AR2 Greece English IEC AA ARF Hungary English IEC AA The Japanese ARO option is no longer available The supported software revision level for this lo
72. EDs on the wireless adapter See Table 5 15 for further steps Table 5 15 LED Indicators LED Indicators Recommended Solution Red LED blinking Move the cardiograph to an area with a strong wireless quickly signal The green LED should then blink slowly or turn off Green LED blinking completely indicating that the wireless adapter is quickly associated with an access point Ifthe green LED continues to blink quickly indicating that the wireless adapter is still not associated to an access point follow the steps in the procedure Checking the Wireless Adapter Association to an Access Point on page 5 31 Red LED off Ensure that the wireless adapter is securely inserted into Green LED off the PC card slot on the rear of the cardiograph Push the On Standby button to put the cardiograph into Standby Push the On Standby button again Check the status LEDs on the wireless adapter If the LEDs are still not illuminated contact the Philips Response Center for further assistance Red LED blinking The wireless adapter is associated to an access point Go to quickly Step 2 in this procedure Green LED off or blinking slowly 2 Press the On Standby button for three seconds then release it to shut down the cardiograph 3 Connect a USB mouse to the USB port lt gt on the rear of the cardiograph 4 Press the On Standby button PageWriter Trim Cardiograph Service Manual 5 27 5 28 5 Whe
73. Edit view Favorites Tools aw Bak P Search Folders Address DA v Go Firmware Images File and Folder Tasks 2 kernel loader DIRUBYAPP QJ Make a new folder Publish this Folder to the Web Share this folder 11 Remove the PC card from the computer or other device and proceed to the next section PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim I Software Installing the Software Upgrade Installing the Software Upgrade To install the software upgrade 1 Peel off the protective covering from the rear panel of the cardiograph to expose the PC card slot Figure A 5 Removing the protective cover 2 To protect against static discharge touch the PC card with memory card inserted into the adapter to the grounding post on the rear of the cardiograph Figure A 6 Grounding post on rear of cardiograph A Grounding post PageWriter Trim Cardiograph Service Manual A 5 Installing the Software Upgrade Installing PageWriter Trim I Software Ensure that the Patient Interface Module PIM is securely attached to the connector on the rear of the cardiograph Figure A 7 Connecting the PIM to the cardiograph SSS N SSS 4 Insert the PC card into the PC card slot Figure A 8 Inserting the PC Card Coe WS 7 Se A PC card eject button Connect the cardiograph to AC power Verify that the green LED on the fr
74. FT LCD with backlight All display functions are handled by the main control board using the S1D13506 EPSON graphics accelerator chip The PageWriter Trim I display is a 40 x 2 line character LCD with cursor Its function is driven directly by SA1110 Patient Interface Module PIM The PIM is a SA1110 based WinCE subsystem that is connected by USB to the main control board It provides real time data acquisition of ECG signals from electrodes connected to the patient Printer Control USB All data printing is handled by the Main Board The printer control is a Motorola Coldfire processor based control circuit It provides ECG waveform rendering and basic bitmap imaging operations and uses a PCL like control language API for page description and feed control Battery Lead Acid The battery is a lead acid 12 volt unit providing 2 9 Amp Hours of current when fully charged Keyboard Trim Knob PS 2 The PageWriter Trim II III and Rx cardiographs include a laptop format PS 2 sealed full key action keyboard Also included is a Trim Knob that is used as a pointing device for easy navigation and six dedicated function keys located on the right side of the cardiograph This assembly also includes a keyboard matrix Trim Knob decoder and daughter board The daughter board provides language specific keyboard support and decoding via PS 2 with standard WinCE device drivers for key and Trim Knob input into the cardiograph It is power
75. Manual Cardiograph Care and Maintenance Cardiograph and Accessory Disposal 4 Reattach the patient data cable to the RJ 11 receptacle rear of cardiograph LA KK WARNING To ensure safety and prevent damage to the system only connect the patient data cable to the correct PIM connector on the rear of the cardiograph Cardiograph and Accessory Disposal When the cardiograph has reached the end of its product life dispose of it according to local ordinances When any of the cardiograph accessories reach the end of their product life dispose of these items in accordance with manufacturer instructions and local ordinances Setting the Date and Time PageWriter Trim Il Ill and Rx To change the date and time Press the Tab key or turn the Trim Knob to highlight the displayed date and time on the Command Toolbar 7 26 08 11 56 57 PM 2 Press the space bar or the Trim Knob to select it The Date and Time Settings window appears 3 The month drop down list is highlighted Press the space bar or the Trim Knob to display the drop down list 4 Presstheup f or down arrow key or turn the Trim Knob to highlight the current month Press the space bar or the Trim Knob to select it PageWriter Trim Cardiograph Service Manual 3 9 Cardiograph Care and Maintenance Setting 3 10 5 6 Setting the Paper Size and Lead Settings Repeat the procedure to select the current year date and time When done press t
76. Office or your authorized Philips Medical Systems Dealer or Distributor You can also visit our web site at http shop medical philips com 8 1 Parts and Accessories Patient Interface Module PIM Assembly and Parts Patient Interface Module PIM Assembly and Parts Figure 8 1 Patient Interface Module PIM Assembly Parts Table 8 1 Patient Interface Module PIM Assembly Parts Part Number Patient Data Cable Replacement Kit 453564034571 2 Patient Interface Module PIM PCA Set 453564044081 8 2 PageWriter Trim Cardiograph Service Manual Parts and Accessories Cart Assembly and Parts Figure 8 2 Cart Assembly Table 8 2 Cart Assembly Parts List Cart Assembly and Parts Reference Number Description Part Number 1 Rear Handle Kit 453564054341 2 Swivel Caster Kit 453564050721 3 Locking Caster Kit 453564054301 4 Directional Locking Caster Kit 453564054291 5 Cart Base Kit includes all four casters shown 453564054311 6 Front Handle Kit 453564054331 7 Cart Upper Housing Kit 453564054321 Not shown Complete Unassembled Replacement Cart 453564050691 PageWriter Trim Cardiograph Service Manual 8 3 8 4 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim I Software A software installation procedure takes approximately fifteen minutes to complete Software Upgrades The upgrade path for a specific cardiograph is dependent upon the software
77. PHILIPS PageWriter Trim 11 Ill Rx SERVICE MANUAL Notice About This Edition Published by Philips Medical Systems Publication number 453564007071 Edition History Edition 1 May 2004 Software Revision A 00 00 and higher Edition 2 June 2005 Software Revision A 00 02 and higher Edition 3 May 2006 Software Revision A 01 01 and higher Edition 4 May 2008 Software Revision A 01 03 and higher Warranty Philips Medical Systems reserves the right to make changes to both this Service Manual and to the product that it describes Product specifications are subject to change without notice Nothing contained within this Service Manual is intended as any offer warranty promise or contractual condition and must not be taken as such Copyright 2004 2008 Koninklijke Philips Electronics N V All rights are reserved All other product names are the property of their respective owners Reproduction in whole or in part in any form or by any means elec trical mechanical or otherwise is prohibited without the written consent of the copyright holder Philips Medical Systems 3000 Minuteman Road Andover MA 01810 USA 978 687 1501 Unauthorized copying of this publi cation may not only infringe copy right laws but may also reduce the ability of Philips Medical Systems to provide accurate and current information to users Compliance The Philips Medical Systems Page Writer Trim cardio
78. Trim Knob to highlight the Barcode Test button under Diagnostics 2 Press the space bar or the Trim Knob to select the button The Barcode Reader test window appears 3 Hold the barcode reader at a 45 angle and scan a test barcode 4 The barcode data appears next to the Patient ID field Review the barcode data to ensure that it is accurate The OK button is highlighted If the barcode data is accurate press the space bar or the Trim Knob to select the OK button Turn the Trim Knob to highlight the Cancel button if the barcode data is incorrect 5 If the test fails perform a barcode reader calibration and try the test again See Calibrating the Barcode Reader on page 3 11 PageWriter Trim Cardiograph Service Manual Maintenance Tests Maintenance Tests Trim II III Rx only NOTE Magnetic Card Reader Test You must attach the magnetic card reader to the port on the rear of the cardiograph before powering on the unit The Magnetic Card Reader Test is used with the optional magnetic card reader This test can be used to confirm that the magnetic card reader is correctly reading data from a magnetic card Ensure that the magnetic card reader is securely attached to the magnetic card reader connector on the rear of the cardiograph before performing the test To perform the magnetic reader test 1 Pressthe Tab key Ep or turn the Trim Knob to highlight the Magcard Test button 2 Press the space bar or the Trim Knob to select the but
79. Writer Trim Cardiograph Service Manual Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm 2 Place a protective cloth on the floor and turn over the cart 3 Remove the bolt screws grounding strap and counterweight as shown using the tools provided in the kit PageWriter Trim Cardiograph Service Manual D 9 4 Remove the cart base D 10 PageWriter Trim Cardiograph Service Manual 6 Remove the front casters from the base as shown 7 PageWriter Trim Cardiograph Service Manual 8 Attach the caster base to the cart base as shown Tighten the screws with a Philips head Screw driver D 12 PageWriter Trim Cardiograph Service Manual Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm 10 Reattach the bottom base to the cart beam as shown PageWriter Trim Cardiograph Service Manual D 13 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm 12 Connect the patient cable arm holder onto the rear of the beam as shown Ensure that the bolt holes are properly aligned Tighten the screws 13 Insert the patient cable arm into the holder and insert the mounting screw Tighten the screw D 14 PageWriter Trim Cardiograph Service Manual 14 Remove the screws from the Patient Interface Module PIM holder PageWriter Trim Cardiograph Service Manual D 15 16 Secure the PIM holde
80. actor dialog appears Select a destination for the files and then click Unzip The files are saved to the specified destination If the save operation is successful the top level directory structure should appear as shown in B 15 The top level directory structure is identical for software version A 01 01 and version A 01 03 and appears for both software versions as shown in Figure B 15 The ENU folder will appear as SCN for Simplified Chinese or TCN for Traditional Chinese Figure B 15 Trim II III Rx PC Card Directory BENU DFirmware_Images C RUBYAPP Ensure that the software files are saved to the PC card Remove the PC card from the computer or other device and proceed to the next section PageWriter Trim Cardiograph Service Manual B 5 Installing PageWriter Trim Il and Rx Software Installing the Software Upgrade Installing the Software Upgrade B 6 For ease of navigation on the installation screens connect a USB mouse to the USB connector on the rear of the cardiograph If a USB mouse is not available use the Tab key and the Enter key on the keyboard to navigate on the software installation screens To install the software upgrade 1 Connect a USB mouse to the USB connector e on the rear of the cardiograph 2 To protect against static discharge touch the PC card with memory card inserted into the adapter to the grounding post on the rear of the cardiograph Figure B 16 Grounding post on rear of cardiog
81. ageWriter Trim boot screen appears PageWriter Trim software ID copyright screen appears PageWriter rim identification lead placement screen appears Main waveform display appears Printer gearbox clicking is heard PageWriter Trim Cardiograph Service Manual 5 3 Troubleshooting Figure 5 16 Trim I Power Off Sequence On Off button is pressed or Auto shutdown A square fl flashes at the top left corner of the LCD Display shuts off Figure 5 17 Trim II III Rx Power Off Sequence On Standby button is pressed for longer than 2 seconds or Auto shutdown Shut down progress bar appears Display shuts off 5 4 PageWriter Trim Cardiograph Service Manual Power On and Power Off Sequence Troubleshooting Power On and Power Off Sequence NOTE Special Note About Software Version A 01 03 Please note that the power up sequence for software version A 01 03 may differ from the process described in Figure 5 14 and in Figure 5 15 There are circumstances where the power up sequence can be delayed by up to a maximum of 50 seconds This can occur with installed software version A 01 03 when the PIM is not connected to the cardiograph or a defective PIM is connected to the cardiograph and AC power is applied to the cardiograph Always ensure that the Patient Interface Module PIM is connected to the cardiograph before pressing the On Off button and returning the cardiograph to active use PageWriter Trim Pow
82. ageWriter Trim Cardiograph Service Manual 7 3 Removing and Replacing Cardiograph Components Removing and Replacing the Paper Tray Removing and Replacing the Paper Tray The paper tray is the same for all PageWriter Trim models Removing the Paper Tray To remove the paper tray 1 Pull out the paper tray until it stops 2 Remove any unused paper 3 Carefully lift tray and pull it out completely Replacing the Paper Tray To replace the paper tray 1 Insert the paper tray into the opening 2 Replace the paper see page 3 3 3 Close the paper tray 7 4 PageWriter Trim Cardiograph Service Manual Parts and Accessories This chapter provides information on ordering replacement parts that are intended for installation by the customer and other supplies and accessories for the PageWriter Trim cardiographs It shows illustrated detailed views of each of the PageWriter Trim subassemblies together with each element s part number to facilitate part ordering Ordering Replacement Parts To order replacement parts use prefix number 45 In the US call 877 447 7278 Outside the US contact your local Philips Medical Systems Response Center See Contacting a Philips Response Center on page 1 32 Ordering Supplies and Accessories To order medical supplies for the cardiograph see Supplies and Ordering Information on page 1 20 In the US call 1 800 225 0230 Outside the US contact your local Philips Medical Systems Sales
83. al 4 3 Maintenance Tests Maintenance Tests Trim II III Rx only Table 4 35 Printer Test Page Description continued Test Description Point C The diagonal lines should be straight and printed cleanly without distortion or breaks in the lines D The character set is printed cleanly without distortion or missing characters and all characters are clearly legible 4 4 PageWriter Trim Cardiograph Service Manual Figure 4 4 Printer Test Page om mor ra 0 P 3 FE i 4 E 4 Ifthe printer test page matches the printer test points as described in Table 4 35 Printer Test Page Description on page 4 3 the cardiograph has passed the printer test If the printer test page does not match the printer test points the cardiograph has failed the print test PageWriter Trim Cardiograph Service Manual 4 5 Maintenance Tests Trim II II Rx Diagnostic and Performance Verification Tests CAUTION Network Test The Network Test displays the configured network information for the cardiograph All cardiograph network configuration is completed on the Network screen From any Configuration screen press and hold down the Alt key on the keyboard and then press the N key to select the Network tab and to open the Network screen Before performing the Network test ensure that the LAN card is fully inserted into the PC Card slot on the rear of the cardiograph and that the LAN cable is fully inserted into
84. ally replace the defective RL lead Once the RL R lead is operable proceed to replace any other leads that display as leads off Ifthe RL R lead still displays leads off the cardiograph will require internal repair contact Philips Medical Systems for further assistance see page 1 32 PageWriter Trim Cardiograph Service Manual 5 11 Troubleshooting Table 5 3 Symptom One or more leads show leads off red dashed line periodically Signal Acquisition Issues continued Possible Cause amp Investigation Step Improper or incomplete patient and skin preparation techniques Improperly attached electrodes or lead wires Troubleshooting Cardiograph Issues Solution Ensure that good patient preparation and skin preparation techniques have been followed as described on page 5 10 Ensure that the lead adapters are clean and have a tight fit expired disposable gel Ensure that the electrodes are within their shelf life and electrodes are firmly attached to the patient Defib or high noise The PIM performs an automatic ranging action when event input signals vary significantly If this behavior persists Action Observe frequency and recovery behavior in the absence of electrode movement or defib events the cardiograph should be serviced to inspect and possibly replace the PIM or lead cables Contact Philips Medical Systems for further assistance see page 1 32 5 12 PageWriter Trim Cardio
85. anagement system is busy Action Retry TraceMaster operation Confirmation Operation succeeds on subsequent try Solution Transfer operations use network and server resource which may occasionally be unable to service the requests After attempting an Archive screen operation an error message appears Requested Function Failed Network or modem phone line was interrupted during operation Action Retry operation Inspect cabling to network or analog phone line Operation succeeds on subsequent try or damaged cabling or intermittent connection found Transfer or query operations require reliable access to the network transport Selected removable media PC card USB memory stick was not fully inserted into the slot on the cardiograph Action Verify that selected removable media PC card USB memory stick is inserted correctly Removable media PC card USB memory stick is not fully inserted or is not operational Attempting to save ECGs to removable media PC card USB memory stick that is not accessible will result in an error message Retry the operation with fully functioning removable media that is fully inserted into the applicable slot on the cardiograph An attempt to transfer an unsupported ECG report type was made to TraceMaster Action Inspect ECG that failed the requested operation for selected format report type Format is Pan 12 or 12x1 Ce
86. and all other conductive circuits in the cardiograph This reduces the possibility of hazardous currents passing from the cardiograph through the patient s heart to ground and from other equipment connected to the patient passing through the leads into the cardiograph to ground Failure to follow these warnings could affect both patient and operator safety PageWriter Trim Cardiograph Service Manual 1 5 Introduction Important Patient and Safety Information WARNING The Welsh bulb electrodes available as an accessory for the cardiograph do not meet the requirements of IEC 60601 2 25 for defibrillation recovery time and cannot be reliably used for immediate patient diagnosis following defibrillation WARNING The PageWriter Trim I cardiograph is not recommended for diagnostic cardiograph use during defibrillation It does not provide real time data in less than 10 seconds Reusable electrodes should not be used during defibrillation for diagnostic purposes as ECG recovery will be greater than ten seconds WARNING Do not touch accessible connector pins and the patient simultaneously Electrical shock hazard Keep cardiograph Patient Interface Module PIM and all cardiograph accessories away from liquids Do not immerse cardiograph PIM or other accessories in any liquids WARNING When using additional peripheral equipment powered from an electrical source other than the cardiograph the combination is considered to
87. ap into place D 4 PageWriter Trim Cardiograph Service Manual Assembling the Cardiograph Cart and Patient Cable Arm Using the Cart Wheel Positioners and Brake 2 Insert the screws through the bottom of the cart and through the screw holes Tighten the screws with a Phillips head screwdriver Using the Cart Wheel Positioners and Brake The cart includes one wheel brake and two wheel positioners Lock the wheel positioners at all times when using the cart The wheel positioners keep the cart straight when moving forward or backward or when turning corners The wheel positioners also help the cart maneuver in tight spaces To use the cart wheel positioners and brake 1 Align the front wheels so that they are straight Step on both wheel positioners Move the cart forward until the wheels lock into position The cart will move forward or backward in a straight line PageWriter Trim Cardiograph Service Manual D 5 Assembling the Cardiograph Cart and Patient Cable Arm Connecting the Patient Data Cable Bracket 2 Step on the gray rear wheel brake to lock the cart wheels The cart will not move Step on the wheel brake again to unlock the wheels Connecting the Patient Data Cable Bracket To connect the patient data cable bracket 1 Insert patient data cable into the bracket 2 Attach the patient data cable bracket to the mounting hole located on the rear of the cardiograph as shown Tighten the screw with a Philips head s
88. are B 1 maintenance tests 4 1 rear view 1 15 token number information 1 19 paper tray remove and replace 7 4 token label location 1 19 part numbers replacement parts 8 1 upgrades 1 18 patient cable autoclave 3 2 cleaning 3 2 patient cable arm assembly D 8 part number 1 18 Patient Interface Module PIM placing in holder D 7 storage D 7 PC card diagnostic test 4 14 part number 1 18 troubleshooting 5 23 pediatric tab electrodes 1 22 performance verification tests 6 4 Philips InCenter web site document errors 1 26 errors opening PDF documents 1 26 Philips Response Center telephone numbers 1 32 Index 2 PIM Action button location 1 17 assembly and replacement parts 8 2 cleaning 3 2 diagnostic test 4 2 replacing 3 8 ping test 4 14 ping TraceMasterVue server 5 29 power gauge 2 14 power management 2 14 power on sequence of events 5 1 power system overview 2 8 2 9 2 11 preventative maintenance 1 23 print controller 2 1 printed report red stripe appears 3 3 printer diagnostic test 4 3 4 14 printer issues troubleshooting on Trim I 5 18 troubleshooting on Trim 5 20 printer paper part number and ordering informa tion 1 22 replacing 3 3 printhead cleaning 3 2 3 3 R real time screen display troubleshooting 5 14 rebooting the cardiograph 5 33 repair philosophy 1 23 replacement parts ordering 8 1 replacing printer paper 3 3 reusable electrodes cleaning 3 3 S safety tests 6 7 screen test 4 14 self
89. are Upgrade A 5 Verifying the Software Installation A 9 Software Version A 01 03 PIM Kernel Revision A 13 Special Note for Software Version 01 01 A 14 PageWriter Trim Cardiograph Service Manual Contents 5 Contents Special Note about Software Version 01 01 Self Test Report A 14 Special Note for Software Version 01 03 A 15 Special Note about PIM A 15 Appendix B Installing PageWriter Trim Il Ill and Rx Software Software Upgradesin ic iit lette Eo wine owes ee dad B 1 Upgrading Legacy Software B 1 Special Note about Japanese Localization B 2 Saving Custom Settings Software version A 00 03 and lower B 2 Obtaining 8 B 4 Downloading Software Files from Philips InCenter B 4 Installing the Software B 6 Verifying the Software B 10 Software Version A 01 03 PIM Kernel Revision B 16 Special Note for
90. assistance with any of the maintenance tests described in this section contact the nearest Philips Response Center See Contacting a Philips Response Center on page 1 32 To open the Diagnostics Maintenance Test screen 1 Press the Tab key qu or turn the Trim Knob to highlight the Config button on the Command Toolbar 2 Press the space bar or the Trim Knob to select the button The Configuration screen appears 3 Select the System tab by holding down the Alt key on keyboard and then pressing the S key The Diagnostics section of the screen lists the five maintenance tests Appendix 4 Maintenance Tests provides instructions for each test Refer to the page numbers in the table below to locate a specific test Table 3 33 Diagnostic and Maintenace Tests available in Configuration Test Page PIM Test 4 2 Barcode Test 4 2 Magcard Test 4 3 Printer Test 4 3 Network Test 4 6 3 14 PageWriter Trim Cardiograph Service Manual Maintenance Tests This appendix provides instructions for performing maintenance tests on the PageWriter Trim IVIIVRx cardiograph from the normal cardiograph operating mode and includes instructions for using the Biomed Service Utility Using the Biomed Service Utility requires a full restart of the cardiograph This appendix also includes instructions on using the PageWriter Trim I cardiograph Biomed Service Utility The tests contained in this appendix help you to identify specific technical i
91. ation for localizing cardiograph problems to the subassembly level This information is designed for use with the cardiograph s diagnostic self tests to help you efficiently repair the cardiograph with a minimum of equipment Contacting a Philips Response Center The Philips Response Center can assist with product troubleshooting and provide technical expertise to help with any issue with the PageWriter Trim cardiograph or any of its accessories For a full listing of contact phone numbers see Contacting a Philips Response Center on page 1 32 Power On and Power Off Sequence The following sequence of events occur during a normal warm or cold cardiograph boot 5 1 Troubleshooting Figure 5 14 Trim I Power On Sequence Warm or cold reboot lt 1 Second Printer gearbox clicking is heard a row of squares appear on the top line of the LCD screen 2 Seconds Philips PageWriter Trim I text appears on the LCD screen 4 Seconds Printer gearbox clicking is heard 6 Seconds Printer gearbox clicking is heard 3 Seconds Five triangles then squares appear at the top left of the LCD screen 8 Seconds PageWriter Trim main screen appears 5 2 PageWriter Trim Cardiograph Service Manual Power On and Power Off Sequence Troubleshooting Power On and Power Off Sequence Figure 5 15 Trim Power On Sequence Warm or cold reboot lt 1 Second Printer gearbox clicking is heard P
92. ations for Use The cardiograph is to be used where the clinician decides to evaluate the electrocardiogram of adult and pediatric patients as part of decisions regarding possible diagnosis potential treatment effectiveness of treatment or to rule out causes for symptoms The Philips 12 Lead Algorithm The PageWriter Trim Cardiograph software uses the Philips 12 Lead Algorithm The algorithm in the software analyzes the morphology and rhythm on each of the 12 leads and summarizes the results The set of summarized measurements is then analyzed by the clinically proven ECG Analysis Program 12 lead Reports may include or exclude ECG measurements reasons or analysis statements Intended Use The intended use of the Philips 12 Lead Algorithm is to analyze multi channel ECG signals from adult and pediatric patients with algorithms that provide measurements data presentations graphical presentations and interpretations for review by the user The interpreted ECG with measurements and interpretive statements is offered to the clinician on an advisory basis only It is to be used in conjunction with the clinician s knowledge of the patient the results of the physical examination the ECG tracings and other clinical findings A qualified physician is asked to overread and validate or change the computer generated ECG interpretation Indications for Use The Philips 12 Lead Algorithm is to be used where the clinician decides to evaluate th
93. button The screen remains dark Replace battery Power issue Supply AC is applied but AC Power On indicator light is not lit AC cord and connection are verified and are good Cardiograph must be serviced to replace power supply contact Philips Medical Systems see page 1 32 Power off mode failure With battery plugged in the printer is making a clicking sound every 6 seconds Press rear restart button to reset the cardiograph see page 5 33 5 6 PageWriter Trim Cardiograph Service Manual Troubleshooting Table 5 1 Symptom Screen is dark and shows no image Display Issues continued Possible Cause amp Troubleshooting Cardiograph Issues Investigation Step Confirmation Solution LCD panel failure Replace with anew LCD Replace witha new LCD panel to see if it functions panel Contact Philips normally Medical Systems see page 1 32 LCD backlight board Replace with a new Replace the LCD failure backlight board to see if backlight board Contact the LCD functions normally Philips Medical Systems see page 1 32 Main controller board failure With the battery plugged in the printer is making a clicking sound every 6 seconds Pressing the restart button rear or cardiograph page 5 33 does not reset the cardiograph Cardiograph must be serviced to replace main controller board contact Philips Medical Systems see page 1 32 Screen shows
94. calization option is A 00 03 There is no software upgrade path for this localization option 11 Press the Tab key to highlight the Install Operation drop down menu or click on the menu with the mouse PageWriter Trim Cardiograph Service Manual B 9 Installing PageWriter Trim Il and Rx Software Verifying the Software Upgrade 12 13 CAUTION Fr 15 C NOTE 16 17 Press the Tab key to highlight the Install Operations menu or click on the menu with the mouse For software version A 01 01 only press the down arrow key to select Kernel Do not select Kernel if installing software version A 01 03 Go to step 16 Click on the Start Installation button or press Tab to highlight the button and then press the Enter key The kernel installation takes several minutes to complete and the cardiograph automatically restarts After about forty seconds the cardiograph beeps and the PageWriter Trim software identification screen appears As soon as the software identification screen appears press the Copy and Page buttons at the same time The software identification screen only appears for five seconds If the software identification screen disappears before the buttons are pressed press and hold the On Standby button to shut down the cardiograph Press the On Standby button again and repeat the procedure The Software Installation Utility screen is displayed For all software versions press the down arrow key to
95. cardiograph can help to prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the PageWriter Trim cardiograph as recommended below according to the maximum output power of the communications equipment Rated Maximum Output or Transmitter Separation Distance According to Frequency of Transmitter m 150 KHz to 800 KHz 800 MHz to 2 5 GHz eat d 1 2 JP 4 2 3 JP 0 1m 0 2m 0 1 0 4 m 0 7 m 1 1 2 m 2 3m 10 4 0 7 0 100 12 0 23 0 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by the absorption and reflection from structures objects and people F 12 PageWriter Trim Cardiograph Service Manual A AC fuses remove and replace 7 3 accessories enabling E 1 Action button location on Patient Interface Module PIM 1 17 Aironet Client Utility ACU error messages 5 25 archive troubleshooting 5 15 barcode reader calibrating 3 11 diagnostic test 4
96. ce occur only when in close proximity to certain medical devices m Does the ECG signal quality change dramatically when the AC power cord is unplugged Once the source of the interference is located attempt to attenuate the EMC coupling path by distancing the cardiograph from the source of the interference as much as possible If further assistance is needed contact the Philips Response Center nearest you Guidance and Manufacturer s Declaration Electromagentic Emissions The PageWriter Trim cardiograph is intended for use in the electromagnetic environment specified in the table below The customer or the user of the PageWriter Trim cardiograph should assure that it is used in such an environment Emissions Test Compliance Electromagnetic Environment guidance RF Emissions Group 1 The PageWriter Trim cardiograph uses RF energy only for CISPR 11 its internal function Therefore its RF emissions are very low are not likely to cause any interference in nearby electronic equipment PageWriter Trim Cardiograph Service Manual F 7 Specifications Table F 1 Electromagnetic Compatibility EMC Guidance and Manufacturer s Declaration Electromagentic Emissions The PageWriter Trim cardiograph is intended for use in the electromagnetic environment specified in the table below The customer or the user of the PageWriter Trim cardiograph should assure that it is used in such an environment Emissions Test Compliance Electr
97. ce the precordial lead s fall leads report as leads off replace the RL R lead with a lead that known to function normally If the new lead connected to the RL R connector functions normally replace the defective RL lead Once the RL R lead is operable proceed to replace any other leads that display as leads off Ifthe RL R lead still displays leads off the cardiograph will require internal repair contact Philips Medical Systems for further assistance see page 1 32 PageWriter Trim Cardiograph Service Manual 5 13 Troubleshooting Table 5 3 Signal Acquisition Issues continued Symptom One or more leads show leads off red dashed line periodically Possible Cause amp Investigation Step Troubleshooting Cardiograph Issues Solution 6 Ifreplacing the lead wires does not resolve signal quality issues check the PIM Kernel Revision field in the Service Utility see page 4 7 Ifthe PIM Kernel version is G 001 upgrade the cardiograph software to version A 01 03 If the signal quality issues persist with software version A 01 03 installed replace the PIM PCA sets Contact Philips Medical Systems for further assistance see page 1 32 Ifthe PIM Kernel version is D 008 and the cardiograph passes the PIM Test page 4 1 or page 4 17 replace the PIM PCA sets Contact Philips Medical Systems for further assistance see page 1 32 After PIM PCA set replacement upgrade the cardiog
98. connector Serial connector not supported WARNING Do not connect the LAN cable connector into the PIM connector Do not plug a telephone connector into the PIM connector Using the Cart Wheel Positioners and Brake The cart includes one wheel brake and two wheel positioners Lock the wheel positioners at all times when using the cart The wheel positioners keep the cart straight when moving forward or backward or when turning corners The wheel positioners also help the cart maneuver in tight spaces PageWriter Trim Cardiograph Service Manual 1 15 Introduction Tour of PageWriter Trim Cardiographs To use the cart wheel positioners and brake 1 Align the front wheels so that they are straight Step on both wheel positioners Move the cart forward until the wheels lock into position The cart will move forward or backward in a straight line 2 Step on the gray rear wheel brake to lock the cart wheels The cart will not move Step on the wheel brake again to unlock the wheels 1 16 PageWriter Trim Cardiograph Service Manual Introduction General Service Information Patient Interface Module PIM The Patient Interface Module PIM is a hand held device that connects to the cardiograph The lead wires on the PIM attach to the electrodes placed on the patient The exterior of the PIM is labeled for quick and easy lead identification The PIM connects to the patient data cable and to the lead wires attached to the pat
99. crewdriver D 6 PageWriter Trim Cardiograph Service Manual Assembling the Cardiograph Cart and Patient Cable Arm Connecting the PIM the Cardiograph Connecting the PIM the Cardiograph Connect the patient data cable on the PIM to the PIM connector port on the rear panel of the cardiograph To connect the PIM to the cardiograph gt Connect the patient data cable to the PIM connector port on the rear of the cardiograph WARNING To ensure safety and prevent damage to the system only connect the patient data cable to the PIM connector port on the rear of the cardiograph Placing the PIM in the Holder Place the PIM in the holder when not in use Ensure that the patient data cable rests in the recessed section of the PIM holder Figure D 2 Inserting the PIM into the holder CAUTION Ensure that the PIM patient data cable and lead wires do not drag on the ground or become tangled in the cart wheels PageWriter Trim Cardiograph Service Manual D 7 Assembling the Cardiograph Cart and Patient Cable Arm Assembling the Patient Cable Arm Assembling the Patient Cable Arm Follow this procedure to assemble the optional patient cable arm that attaches to the cardiograph cart For information on ordering the optional patient cable arm see Upgrades and Accessories on page 1 18 Figure D 3 The Patient Cable Arm Assembly Kit To assemble the cart 1 Remove the bin dividers from the storage bin D 8 Page
100. ction Important Patient and Safety Information Portable medical equipment such as X rays and MRI may produce electromagnetic interference that produces noise in the ECG signal Move the cardiograph away from these potential sources of electromagnetic interference Do not pull on the paper while an ECG report is being printed This can cause distortion of the waveform and can lead to potential misdiagnosis Only use the Philips Medical Systems AC power cord supplied with the cardiograph Periodically inspect the AC power cord and AC power connector rear of cardiograph see page 1 15 to ensure that both are in a safe and operable condition If the AC power cord or AC power connector is not in a safe or operable condition operate the cardiograph on battery power and contact Philips Medical Systems for service The cardiograph has been safety tested with the recommended accessories peripherals and leads and no hazard was found when the cardiograph is operated with cardiac pacemakers or other stimulators Do not connect any equipment or accessories to the cardiograph that are not manufactured or approved by Philips Medical Systems or that are not IEC 60601 1 approved The operation or use of non approved equipment or accessories with the cardiograph is not tested or supported and cardiograph operation and safety are not guaranteed The list of cables and other accessories with which Philips claims compliance with the emissions and immunity
101. d by absorption and reflection from surfaces objects and people F 10 PageWriter Trim Cardiograph Service Manual Specifications Electromagnetic Compatibility EMC a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios am ateur radios AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the elec tromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the PageWriter Trim cardiograph is used exceeds the applicable RF compliance level above the PageWriter Trim cardiograph should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the PageWriter Trim cardiograph b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m PageWriter Trim Cardiograph Service Manual F 11 Specifications Electromagnetic Compatibility EMC Table F 4 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the PageWriter Trim Cardiograph for equipment and systems that are not life supporting The PageWriter Trim cardiograph is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the PageWriter Trim
102. del II or Rx The PageWriter Trim software download screen appears 6 Click the PageWriter Trim A 01 01 or A 01 03 link If upgrading a cardiograph from legacy software A 00 03 or lower to software version A 01 03 the cardiograph must first be upgraded to software version A 01 01 See Upgrading Legacy Software on page B 1 for more information 7 On the following software download screen click on the applicable software version for your language PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim II Ill and Rx Software Obtaining Software NOTES NOTE NOTES 10 11 The US English and European software link includes all supported European languages The Documentation link contains all user documentation instructions for use quick reference cards for the selected software version The InCenter software download license agreement appears If you agree to the terms of the agreement click I agree A message may appear that the Download Manager application needs to be installed Click as indicated to install the ActiveX control in order to continue with the software download See the InCenter main page for more information on installing and using ActiveX controls with the InCenter site Select a file destination and then click Save The Philips Download Manager dialog appears The software files are saved to the specified destination After the files are saved click Launch The WinZip Self Extr
103. displayed correctly Select No if the image on the screen did not display correctly A message appears confirming that the Screen Test failed or passed 7 Select OK If the cardiograph failed the Screen Test try it again Serial Loopback Test Not available in this release PageWriter Trim Cardiograph Service Manual 4 15 Maintenance Tests Trim II II Rx Diagnostic and Performance Verification Tests Suspend Button Test With this test you can test the Standby button functionality independently of the software application To test the Suspend Button 1 From within the Biomed Service Utility select Suspend Button from the list and select Start 2 Press the On Standby button A message appears to confirm that the Suspend Button passed the test Trim Knob Test The Trim Knob Test is used to verify that the Trim Knob is working properly To test the Trim Knob 1 From within the Biomed Service Utility select Trim Knob from the list and select Start 2 Move the Trim Knob to match the display 3 Select Pass if the Trim Knob moves correctly Select Fail if the Trim Knob does not move correctly Self Tests Self Test performs several individual functional tests Refer to the following table for details for an individual test NOTE sure the correct paper size is selected before performing the self tests See Chapter 2 Configuration of the PageWriter Trim Cardiograph Instructions for Use Table 4 37 Service Mod
104. door tab 3 Pull open the battery tab and pull out the battery Figure 7 3 Removing the battery 7 2 PageWriter Trim Cardiograph Service Manual Removing and Replacing Cardiograph Components Removing and Replacing the AC Fuses WARNING Properly dispose or recycle any depleted batteries according to local regulations Do not disassemble puncture or incinerate the batteries Replacing the Battery To replace the battery 1 Insertthe new battery into the battery slot and push it in until it clicks into place 2 Recattach the battery door Removing and Replacing the AC Fuses The AC fuse needs to be replaced when the cardiograph is plugged into AC power but the green AC power indicator light on the front of the cardiograph does not illuminate Only use replacement AC fuses with Philips part number 453564000371 or use a 1 5 amp 250V time delay fuse the same size and configuration as the original fuse Figure 7 4 Replacing the AC Fuse To replace the AC fuse 1 Unplug the cardiograph from AC power Pull out the AC power cord from the AC power connector on the rear of the cardiograph Locate the AC fuse which is directly below the AC power connector Push down on the center tab on the fuse and pull out the fuse from the fuse holder slot A WwW N Insert the new fuse using the same orientation with the center tab facing up 5 Push the fuse all the way into the fuse holder slot The fuse snaps into place P
105. e Philips recommends that the cardiograph be plugged into AC power whenever possible to maximize battery life Battery life varies depending on frequency of use and maintenance and environmental conditions when the battery is used or stored For improved battery life keep the cardiograph plugged in when not in use If the battery has been fully charged and requires recharging after a few ECGs consider replacing it For optimal battery performance Only use Philips Medical Systems lead acid battery Philips part number 989803130151 with the cardiograph Keep the cardiograph plugged into AC power at all times when not in use PageWriter Trim Cardiograph Service Manual Cardiograph Care and Maintenance Battery Maintenance and Care NOTE If the battery has been fully charged and requires recharging after a few ECGs consider replacing it The use of cardiograph accessories barcode reader magnetic card reader PC card modem will deplete battery power at a faster rate The battery will require more frequent charging if these accessories are used with the cardiograph The battery should be removed and placed in storage if the cardiograph will not be used for more than thirty days Storing the Battery Remove the battery from the cardiograph if it will be stored for more than thirty days without use While in storage the battery will require a full recharge every six months Charge the battery for at least sixteen hours to
106. e electrocardiogram of adult and pediatric patients as part of decisions regarding possible diagnosis potential treatment effectiveness of treatment or to rule out causes for symptoms Features and Capabilities The Philips PageWriter Trim family of cardiographs includes four product models PageWriter Trim Rx PageWriter Trim III PageWriter Trim II and PageWriter Trim I Each cardiograph is designed to be economical interpretive and lightweight and includes a remote digital patient module The cardiograph contains the controls the printer and all the processing circuitry The features of the PageWriter Trim cardiographs include Battery or AC operated a Remote digital acquisition module with replaceable patient leads Capability for up to 12 leads 1 10 PageWriter Trim Cardiograph Service Manual Introduction Features and Capabilities Color or monochrome display as described in Table 1 2 Table 1 2 PageWriter Trim Cardiograph Display by model Model Display PageWriter Trim I 40 x 2 character LCD PageWriter Trim II 640 x 480 monochrome LCD PageWriter Trim III 640 x 480 color LCD PageWriter Trim Rx 640 x 480 color LCD Export and import of ECG data in XML format to a TraceMasterVue ECG Management System by modem transmission or by LAN or wireless LAN connection as described in Table 1 3 Table 1 3 PageWriter Trim ECG data transmission options by model Model Modem LAN WLAN PageWriter Trim I
107. e 1 32 5 Replace paper tray assembly 0207 No PIM or defective PIM is If software version A 01 03 is installed connected to cardiograph when powered up with software version A 01 03 installed or some other unknown error software version A 01 02 or lower follow the directions on page 5 5 If software version A 01 02 or lower is installed perform the following steps 1 Shut down cardiograph 2 Remove battery 3 Reinsert battery and press On Standby button 4 If error persists contact Philips Medical Systems for further assistance see page 1 32 All other errors Unknown error Contact Philips Medical Systems for further assistance see page 1 32 Table 5 9 Symptom After the paper drawer was opened during printing the print image was corrupted or incorrect PageWriter Trim II III Rx Printer Issues Possible Cause amp Investigation Step Printer controller error Action None expected Confirmation Printing continued on second page when only one page was Solution Occasional printer controller status errors can occur when opening the paper drawer during printing 5 20 PageWriter Trim Cardiograph Service Manual Troubleshooting Table 5 9 Symptom After the paper drawer was opened during printing the print image was corrupted or incorrect and the paper does not stop feeding Possible Cause amp Investigation Step Printer controller error
108. e Center on page 1 32 PageWriter Trim Cardiograph Service Manual 4 21 Maintenance Tests Trim Diagnostic and Performance Verification Tests Self Test The Self Test option will run all of the tests listed in Table 4 37 For information on any specific test see the page number referenced in the table To run the self test 1 Select Test from the Main Menu 2 Select Self Test and then select Start to start the self test program 3 conclusion of the Self Test press the Patient ID button to print out a report of all test results Figure 4 13 Trim I Service Diagnostics Status Report PAGEWRITER TRIM I SERVICE DIAGNOSTICS UNIT STATUS ani TEST RESULTS REVISIONS A 01 03 Loader Rev L 03 12 SELF TEST RESULTS Kernel Rev K 03 01 ENU Application Rev TrimI A 08 03 01 ENU FLASH Test Pass PIM Kernel Rev D 008 PIM Test Pass Printer Rev Jun 25 2003 Keyboard Test Pass Country Options ABA LCD Test Pass Paper Size DA Printer Test Pass Lead Set AAMI Options Test Pass Version Test Pass STORAGE RAM Test Pass Voltage Test Pass RAM MB Load 48 5 Battery Test Pass VOLTAGE STATISTICS 3 3V Reg 3 25 5 0V Reg 4 95 t RELEASE VERSION A 01 03 PASS 1 86V Reg 84 Country Options ABA USB vec 93 voox vec 22 1 4 3 Vin vec 17 97 17 vo 73 BATTERY STATUS Battery Status FULL Battery Battery Voltage 14 52 10 00 15 20 DEVICE STATUS PIM Status Connected CH 12 No
109. e PageWriter Trim cardiograph Table 2 4 Maximum Number of ECGs Stored External USB Flash Memory Stick Model Maximum Number of ECGs Stored All models except Rx 150 Trim Rx 200 When you add or delete compatible ECG XML files from a memory stick not using the cardiograph it is recommended that you delete all CDB files prior to reconnecting the memory stick to the cardiograph In the absence of an index file the cardiograph automatically regenerates the index based on the XML files on the memory stick Rendered ECG Report Prints A rendered ECG report print is a hard copy representation of the ECG data This includes a high resolution print of the signal data and may include configured patient demographics acquisition information and other non signal data elements The PageWriter Trim allows the user to customize the fields on an ECG report print The report print may consist of one or more continuous pages on perforated thermal media from the printer PageWriter Trim Cardiograph Service Manual 2 9 Theory of Operation High Level ECG Data Flow and Storage Figure 2 3 Rendered ECG Report Print Sample 00235777 11 4 03 2 18 26 PM Smithee Alan J 45 Years Hale Race White BP Dept Room Oper 5 OINUS RHYLBM 2 202 472 andis Senn ana end eat normal P axis V rate 50 99 Rate 0 BORDERLINE T ABNORMALITIES ADS T flat neg I aVL V2 V6 tester qwelker PR 168 LEAD S aUL WERE NOT USED FOR MORPHOLOGY
110. e Self Tests Service Mode Self Tests Page Compact Flash Test 4 12 Onboard Flash Test 4 13 Audio Test 4 10 Suspend On Standby Button Test 4 16 Trim Knob Test 4 16 Keyboard Test 4 12 Screen Test 4 14 Printer Test 4 21 Test Results Report 4 17 4 16 PageWriter Trim Cardiograph Service Manual Maintenance Tests Trim Diagnostic and Performance Verification Tests When the self tests are completed a status report is printed automatically Figure 4 11 on page 4 17 shows a sample report Figure 4 11 Self Test Report PageWriter Trim II III Rx Service Diagnostics UNIT SERIAL NUMBER 0500300010 REVISIONS A 01 03 BootLoader Rev 1 03 12 Kernel Rev K 03 01 ENU Application Rev TRIM3 A 08 03 01 ENU PIM Kernel Rev D 008 PIM Boot Rev 1 009 Printer Revision Jun 25 2003 Option ABA Keyboard Setting English Paper Size DA Lead Set TET STORAGE RAM MB Load 44 78 Archive Storage Free Total 119 5MB 124 94B PCMCIA Storage Free Total 13 7MB 124 9MB VOLTAGE 3 3V Reg P 3 22 3 00 3 60 P 4 95 4 60 5 25 1 83 1 58 1 93 114 88 4 60 5 25 13 22 3 00 3 60 17 73 17 10 18 90 vo P j17 41 10 00 18 90 DEVICE STATUS PIM Status i Present CH 12 No Flags Printer Status OK Total Pages 146 BATTERY INFO Battery Status FULL Battery Voltage 18 36 10 00 15 20 Teste r A 01 03 install PHILIPS Self
111. e following checks to verify if the modem is compatible with the cardiograph Modem recognition ROM and Firmware verification The test is not successful if the modem is not properly recognized or if the ROM or firmware verification fails Keyboard Test A successful Keyboard test is one in which each key is properly recognized when pressed 1 From the Biomed Service Utility select Keyboard from the list then select Start The Keyboard Test window appears PageWriter Trim Cardiograph Service Manual Maintenance Tests Trim II III Rx Diagnostic and Performance Verification Tests Figure 4 8 Keyboard Test window To perform test 1 Press each key press will be indicated on image of keyboard Module 2 Check the Done box when you wish to exit the test ee English 3 Tap the OK button Patient ID Auto Rhythm Copy Page Stop nez 2 Press each key on the keyboard If a key is highlighted the key is registered Figure 4 9 Keyboard Test window with highlighted keys Keyboard Test To perform test 1 Press each key press will be indicated on image of keyboard Module 2 Check the Done box when you wish to exit the test Be 3 Tap the OK button 3 After all the keys are highlighted the Done check box is automatically selected Press the Enter key on keyboard to finish the test The test is not successful if any keys are not recognized when you press them Onboard Flash Test Verifie
112. e following security options Table C 1 PageWriter Trim Supported Security Options PageWriter Trim Access Point Setting Wireless Adapter Setting No Security No Security Static WEP WEP with Static Keys LEAP LEAP and WEP LEAP and WEP with Per Packet Keying For more detailed information on wireless security options and features see the Cisco Aironet Wireless LAN Client Adapters Installation and Configuration Guide for Windows CE available for download from www cisco com For information on troubleshooting wireless connectivity on the cardiograph see Wireless Troubleshooting on page 5 24 The following topics are covered in these installation instructions Topic Page Number Wireless LAN FAQs page C 2 Installing the Wireless LAN Card page C 3 Configuring a TraceMasterVue Remote Site page C 10 C 1 Wireless LAN Installation Instructions Wireless LAN FAQs Wireless LAN FAQs Question Does the cardiograph always need to be reset after making changes to the Aironet Client Utility Answer Yes the cardiograph must always be reset in order to permanently save changes to the Aironet Client Utility If No is selected the changes will only be in effect until the next time that the cardiograph is reset Is WEP Wired Equivalency Privacy encryption supported Yes Static WEP keys are supported at both the 40 bit and 128 bit encryption levels Is Dynamic WEP encryption No suppor
113. e use not in Standby mode 4 Press the Reset button on the rear panel of the An unsupported wireless cardiograph For more adapter was inserted into the information see Chapter 7 cardiograph ofthe PageWriter Trim Cardiograph Instructions for Use Table 5 14 _ PageWriter Trim Cardiograph ECG Transmission Error Messages Error Message No Reply Received From Remote Site Server Possible Cause a The wireless connection to the access point does not exist m The network connection to the TraceMasterVue Remote Site server does not exist or is not configured properly a The cardiograph did not receive a response from the TraceMasterVue Remote Site server within a specified period of time Recommended Solution Follow the steps in the procedure Checking the Remote Site Server Connection on page 5 27 Unexpected Reply Received from Remote Site 5 26 A connection to the TraceMasterVue Remote Site server exists but the server is not properly acknowledging receipt of the packet data PageWriter Trim Cardiograph Service Manual Follow the steps in the procedure Resolving an Unexplained Reply Received from the Remote Site on page 5 30 Troubleshooting Wireless Troubleshooting Checking the Remote Site Server Connection Use the following procedure to check that the wireless adapter is communicating with a TraceMasterVue Remote Site To check the remote site server connection 1 Check the L
114. earning Product Part Numbers Part Number Title Language 453564087201 PageWriter Trim I II III Quick Help Card German M4992 91167 Getting Started Guide German M5000 91001 Philips 12 Lead Algorithm Physician s Guide German M4992 91151 PageWriter Trim I II III Instructions for Use German Table 1 19 Greek Learning Product Part Numbers Part Number Title Language M4992 91188 PageWriter Trim I II III Quick Help Card Greek M4992 91173 User s Guide Greek Table 1 20 Hungarian Learning Product Part Numbers Part Number Title Language M4992 91189 PageWriter 2 I II III Quick Help Card Hungarian M4992 91174 User s Guide Hungarian Table 1 21 Italian Learning Product Part Numbers Part Number Title Language 453564087211 PageWriter Trim I II III Quick Help Card Italian M4992 91168 Getting Started Guide Italian M5000 91005 Philips 12 Lead Algorithm Physician s Guide Italian M4992 91155 PageWriter Trim I II III Instructions for Use Italian Table 1 22 Norwegian Learning Product Part Numbers Part Number Language M4992 91191 PageWriter Trim I II III Quick Help Card Norwegian PageWriter Trim Cardiograph Service Manual 1 29 Table 1 22 Part Number M4992 91965 PageWriter Trim Cardiograph Learning Product Part Numbers PageWriter Trim I II III Instructions for Use Norwegian Norwegian Learning Product Part Numbers continued Language
115. echnical Specifications Report Formats PageWriter Trim I 3x4 IR m 6x2 Cabrera lead sequence only 3 and 6 lead Rhythm report PageWriter Trim IIH Rx m 3x4 IR Standard Cabrera m 6x2 Standard Cabrera m Panoramic 12 Cabrera m 12x1 Standard Cabrera a Rhythm up to 12 selected leads a 12 Lead Extended Measurements a Disclose 1 minute of continuous waveform data for 1 selected lead Battery Operation Capacity Typically 30 ECGs on a single charge or 30 minutes of continuous rhythm recording a No fail operation during ECG printing Recharge a Eight hours to full capacity Network Connection PageWriter Trim II III Rx 10 Base T IEEE 802 3 Ethernet LAN FAX Capability optional PageWriter Trim II III Rx Group 3 Class 1 or 2 fax modem protocol Support for PCMCIA fax modem PageWriter Trim Cardiograph Service Manual F 3 Specifications Technical Specifications Modem optional for USA and Canada PageWriter Trim Il II Rx wm V0 K56flex enhanced V 34 V 32bis V 32 V 22 bis and below Barcode Reader optional PageWriter Trim Il IIM Rx Reads Code 39 standard and full ASCII Symbology Magnetic Card Reader optional PageWriter Trim II II Rx a Reads cards adhering to ISO 7810 7811 1 2 3 4 5 and JIS X 6301 and X6302 ECG Storage m 150 ECGs typical for the optional PCMCIA storage card PageWriter Trim II Internal ECG Storage a 50ECGs PageWriter Trim III
116. ectrodes with all models of the PageWriter Trim cardiograph WARNING The Welsh bulb electrodes available as an accessory for the cardiograph do not meet the requirements of IEC 60601 2 25 for defibrillation recovery time and cannot be reliably used for immediate patient diagnosis following defibrillation WARNING Always clean and disinfect reusable electrodes before patient use Failure to properly clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients CAUTION The Welsh bulb electrodes contain natural rubber latex which may cause allergic reactions Use the part numbers listed in this section for reference to ensure that the correct supplies are ordered Table 1 6 Complete Lead Sets Part Number Description 989803129161 Complete Lead Set AAMI 989803129191 Complete Lead Set IEC Table 1 7 Replacement Lead Sets and Accessories Part Number Description 989803129141 Limb Lead Set 99 cm 39 in AAMI 989803129151 Chest Lead Set 61 cm 24 in AAMI 989803129171 Limb Lead Set 99 cm 39 in IEC 989803129181 Chest Lead Set 61 cm 24 in IEC PageWriter Trim Cardiograph Service Manual 1 21 Introduction Supplies and Ordering Information Table 1 7 Replacement Lead Sets and Accessories continued Part Number Description 989803129201 Long Limb Lead Set 137 cm 54 in IEC 989803129211 L
117. ed before installing the software upgrade Network settings must be manually reentered on the cardiograph after the software installation procedure is complete Ensure that all custom settings specified on the configuration screens are accurate and complete before saving the custom settings file To save custom settings 1 Insert a PC card into the PC card slot on the rear of the cardiograph Ensure that the PC card is fully inserted into the slot 2 Press the Tab key 8 or turn Trim Knob to highlight the Config button on the Command Toolbar 3 Press the space bar or the Trim Knob to select the button The Configuration screens appear B 2 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim Il Ill and Rx Software Saving Custom Settings Software version A 00 03 and lower only NOTE NOTE 10 11 Press and hold the Alt key on the keyboard and then press the N key to select the Network tab All configured cardiograph Network settings appear on the screen Record all network settings as indicated in the following steps Under Network ID right side of screen write down the Computer Name exactly as it appears in the field The Computer Name is case sensitive upper and lower case letters and is limited to 15 characters Computer Name Write down all of the networking information listed on the screen in the table below if necessary Keep this information in a safe place This informatio
118. ed by MCF5272 PageWriter Trim Cardiograph Service Manual 2 13 Theory of Operation Power Management Power Management 2 14 NOTE Battery Charging Logic The system host processor controls several functions of the power system These include m Activating sleep mode if no activity is detected for a preset period of time Restricting the user from printing when the charge capacity reaches preset levels Alerting the user when maintenance is needed for the battery Battery Gauge The battery gauge on the PageWriter Trim II III and Rx cardiographs consists of four segments When the battery is fully charged all four segments are displayed The battery gauge on the PageWriter Trim I LCD display consists of two icons It appears in the upper right corner of the LCD The battery gauge may not always accurately reflect the true charge state of the battery due to the age of the battery or due to failure to perform specified battery maintenance Table 2 5 and Table 2 6 describe the different battery level indicators for all models of the PageWriter Trim cardiograph PageWriter Trim Cardiograph Service Manual Power Management Theory of Operation Table 2 5 PageWriter Trim I Battery Status Indicator Battery Level Fully Charged Battery Status Indicator 5046 power capacity Low Battery Power A Low Battery Alert a No or Dead Battery Battery is charging Table 2 6 Tri
119. ed by a PS 2 connection The PageWriter Trim I cardiograph includes six dedicated function keys and a Trim Knob The dedicated function keys and the Trim Knob interface to the Main Board through the PS 2 port Magnetic Card Reader PS 2 A magnetic card reader is available as an option for all product models except the PageWriter Trim I It connects through an external PS 2 connector and provides ISO and standard encoded magnetic strip support Manual removal and insertion is required The PS 2 port is not a plug and play port You must attach the magnetic card reader to the port before powering on the cardiograph PageWriter Trim Cardiograph Service Manual Hardware Logical View Theory of Operation NOTE CAUTION CAUTION Barcode Reader PS 2 A barcode reader is available as an option for all product models except the PageWriter Trim I It connects through an external PS 2 connector and provides standard barcode scanning capability It emulates a keyboard allowing scanned codes to be presented to the PageWriter Trim cardiograph as if they had been typed on the standard keyboard powered by a PS 2 connection The barcode reader can be configured using special barcodes The PS 2 port is not a plug and play port You must attach the barcode reader to the port before powering on the cardiograph Smart Card Reader A Smart Card Reader is available as an option for all product models except the PageWriter Trim I It connects throug
120. ening documents with these applications Acrobat Reader 8 0 must be installed in addition to Acrobat Professional or Acrobat Elements Follow this procedure when accessing documents on the Philips InCenter site To access documents on the Philips InCenter site 1 Exit Acrobat Professional or Acrobat Elements if open 2 Start Acrobat Reader 8 0 3 Open Internet Explorer and go to the Philips InCenter site Keep Acrobat Reader 8 0 open the entire time while accessing the InCenter site PageWriter Trim Cardiograph Learning Product Part Numbers NOTE The following tables list all of the PageWriter Trim Cardiograph Learning Product part numbers by language for the I II and Rx model cardiographs All of the following Learning Products are available for download from the Philips InCenter web site at http incenter medical philips com Users must register with the InCenter web site before accessing materials on the site Information on registering for the site is found on the InCenter homepage For more information on using the Philips InCenter site see page 1 26 Learning Products may also be downloaded from the Philips Medical Systems Documentation amp Downloads site at http www medical philips com goto productdocumentation Select Cardiology from the Product Downloads menu top of screen The Cardiology Documentation amp Downloads screen appears Select the applicable product from the left menu bar This web site is availab
121. ensure that the battery does not completely discharge while in storage Battery life will be prolonged when stored in cooler temperatures but will be damaged if stored below freezing 0 C 32 F Store the battery at a temperature of 40 C 104 F or lower The recommended ideal battery storage temperature is 25 C 77 F To store the battery 1 Charge the battery for sixteen hours before removing it from the cardiograph Ensure that the AC power cord is connected to the cardiograph and is plugged into a grounded AC power outlet Check that the green AC power indicator light on the front of the cardiograph is lit After charging is complete remove the battery from the cardiograph and store it in a cool dry location For information about removing or replacing the battery see Chapter 7 Removing and Replacing Cardiograph Components Recharge the battery for sixteen hours every six months while battery is in storage PageWriter Trim Cardiograph Service Manual 3 7 Cardiograph Care and Maintenance Replacing the Lead Wires in the PIM Replacing the Lead Wires in the PIM To replace the lead wires 1 Disconnect the PIM from the RJ 11 receptacle rear of cardiograph SY 2 Remove the lead wire s by pulling the connector up 3 Match the lead wire labeling on lead with the same lead wire connector on the PIM Replace the lead wire by snapping it into the connector 3 8 PageWriter Trim Cardiograph Service
122. eory of Operation Figure 2 1 Devices and Interfaces for the Main Control Board ONBOARD FLASH 4 MB WinCE 4 1 Kernel Boot Leader MODEM PC CARD ETHERNET LAN CARD WIRELESS LAN CARD PATIENT INTERFACE MODULE PIM SA1110 16MB RAM PCMCIA MAIN CONTROLLER BOARD SLOT ONBOARD FLASH 16 32 MB EXTERNAL gt RS232 DB9 WinCE 4 1 Kernel RUBY APPLICATION MAG CARD READER POWER SUPPLY COMPACT FLASH BOARD 128 256 MB POWER non user removable Battery Charger SUPPLY and Regulator ECG Data Storage 5 V 26 V 3 3 V ur ud DISPLAY AUDIO AND PS 20 640 x 480 LCD DISPLAY 16 BIT COLOR ACTIVE LITHIUM ION BARCODE MATRIX LCD DISPLAY BATTERY READER PRINTER CONTROLLER MCF5272 8 MB RAM ONBOARD CHARACTER LCD it teva Se TRIM KNOB FLASH 512 K CONNECTOR MONITOR OS DEDICATED Boot Loader DEDICATED KEYS C CD C5 c5 c5 c5 KEY CONNECTOR SPEAKER CONNECTOR KEYBOARD DECODER THERMAL PRINTER The board presents a backplane through the rear of the PageWriter Trim case This allows the user to access interfaces shown as external in Figure 2 1 Other external interfaces include the PCMCIA slot USB connector and the PS 2 connection for a barcode reader device PageWriter Trim Cardiograph Service Manual 2 3 Theory of Operation Hardware Logical View 2 4 NOTE Display The PageWriter Trim II III and Rx cardiograph display is 640 x 480 pixels up to 64 color T
123. er January of 2006 has a token number assigned to it and is shipped from the factory with a token label installed on the unit See Figure 1 7 on page 1 20 for the location of the token label on the cardiograph And any cardiograph with installed software version A 01 00 or higher regardless of manufacture date must have an active token number assigned to it in order to operate If upgrading from software version A 00 03 to A 01 01 or higher or following a repair that necessitates upgrading the cardiograph software to version A 01 01 or higher a token number is required in order to complete the software upgrade or repair procedure For information on obtaining a token number in order to complete a software upgrade procedure contact the nearest Philips Response Center See Contacting a Philips Response Center on page 1 32 for a listing of contact telephone numbers The token label contains the unique token number assigned to the cardiograph and is affixed to the inside of the paper tray To locate the token label remove the paper tray from the cardiograph The label is located on the far right side of the metal housing Always ensure that the current token label is affixed to the cardiograph to help facilitate the servicing or troubleshooting of the unit There are no token numbers assigned to the PageWriter Trim cardiograph Figure 1 6 PageWriter Trim Il Rx Cardiograph Token Label 1234567890 ELE PageWriter Trim Cardiograph S
124. er Sequence To return the cardiograph to active use if the PIM is not connected or a defective PIM is connected 1 If the Patient Interface Module PIM is not connected to the cardiograph or a defective PIM is connected press the On Off button Five squares will appear at the upper left corner of the display The display will then go blank for approximately 50 seconds A Ww N The error code 0207 will appear on the display 5 Press any key other than the On Off key to return the cardiograph to active ECG mode use 6 Connect the PIM or replace the defective PIM 7 The cardiograph will operate normally and requires no further intervention PageWriter Trim II III Rx Power Sequence To return the cardiograph to active use if the PIM is not connected or a defective PIM is connected 1 If the Patient Interface Module PIM is not connected to the cardiograph or a defective PIM is connected press the On Off button The power up sequence can take up to 50 seconds to complete 2 The message PIM test results Please check the patient interface module connection will appear 3 Turn the Trim Knob to highlight OK and then press the Trim Knob to select it The cardiograph can be returned to active ECG mode use 4 Connect the PIM or replace the defective PIM 5 The cardiograph will operate normally and requires no further intervention PageWriter Trim Cardiograph Service Manual 5 5 Troubleshooting Troubleshooting Cardiograph
125. ervice Manual 1 19 Introduction Supplies and Ordering Information Figure 1 7 Location of Token Label on Cardiograph Managing Token Labels Each upgrade option available for purchase is enabled by a unique token number that is provided with the upgrade kit Each time that a new option is purchased for the cardiograph the new token number must be entered on the cardiograph and the new token label must be affixed to the cardiograph in the specified location to facilitate future servicing and troubleshooting For information on enabling and installing an optional upgrade see Upgrade Kit Installation on page E 2 Supplies and Ordering Information The part numbers for all supplies for the PageWriter Trim I II III Rx cardiographs are listed in this section You can order all supplies on the World Wide Web at http shop medical philips com 1 20 PageWriter Trim Cardiograph Service Manual Introduction Supplies and Ordering Information Special Note about Welsh Bulb Electrodes Figure 1 8 Welsh Bulb Electrode uA Welsh Bulb electrodes are offered as an optional supply part with all models of the PageWriter Trim cardiograph Special care is necessary when using these electrodes Pay special attention to all warnings associated with these electrodes For information on cleaning the reusable Welsh Bulb electrodes see Reusable Electrode Cleaning on page 3 3 Philips Medical Systems recommends the use of disposable el
126. ess any key other than the On Off key to return the cardiograph to active ECG mode use 6 Connect the PIM or replace the defective PIM 7 The cardiograph will operate normally and requires no further intervention Note about PIM Repairs If a Patient Interface Module PIM used with a PageWriter Trim I cardiograph with installed software version A 01 03 requires repair or replacement ensure that following the repair or replacement that the cardiograph has installed PIM software version G 003 For further assistance contact the nearest Philips Response Center See Contacting a Philips Response Center on page 1 32 PageWriter Trim Cardiograph Service Manual A 15 A 16 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim II IIl and Rx Software A software installation procedure takes approximately twenty minutes to complete Software Upgrades The upgrade path for a specific cardiograph is dependent upon the software version that is currently installed on the unit Philips recommends that all cardiographs be upgraded to software version A 01 03 for optimal performance See Table B 5 for more information for the appropriate upgrade path Table B 5 PageWriter Trim II III Rx Software Upgrade Path T Lowest Software Version Cardiograph Model Available Software Revision Required for Upgrade Trim WIIVRx 4 01 03 recommended A 01 01 Trim II II Rx A 01 01 A 00 02 See Upgrading Legacy Software below
127. etting defines the power consumption level for the wireless adapter Fast PSP Power Save Mode Notes Fast PSP is a power saving mode that automatically adjusts battery consumption based upon the amount of network traffic For example during periods of low network activity less power is consumed CAM Constantly Awake Mode is not recommended for use due to high power consumption The Max PSP Max Power Savings setting is not recommended due to the low level of data throughput For more information see the Cisco Aironet Wireless LAN Client Adapters Installation and Configuration Guide for Windows CE C 6 PageWriter Trim Cardiograph Service Manual Table C 2 Setting Network Security Type Wireless LAN Installation Instructions Description This setting specifies the type of 802 11b authentication that the wireless adapter will use Installing the Wireless LAN Card Wireless LAN Card Settings continued Philips Recommended Default Setting None or LEAP Consult your network administrator for more information on this setting Note The PageWriter Trim cardiograph does not support EAP FAST authentication WEP This setting specifies the type of Wired Equivalency Privacy WEP that the wireless adapter will use None or Static WEP Consult your network administrator for more information on this setting Note the wireless adapter allows up to four static WEP keys with 40 bit or 128 bit
128. eturn the cardiograph to active use Press and hold the On Standby button for three seconds then release it to shut down the cardiograph PageWriter Trim Cardiograph Service Manual C 3 Wireless LAN Installation Instructions Installing the Wireless LAN Card 3 Insert the wireless LAN card into the PC card slot on the rear of the cardiograph Ensure that the card is fully inserted into the slot NOTE Only insert the wireless LAN card into the PC card slot when the cardiograph is shut down or the card will not be recognized by the cardiograph 4 Press the On Standby button The green Status indicator on the front of the card illuminates when the card is properly inserted Pd A Green Status indicator Red Activity indicator C 4 PageWriter Trim Cardiograph Service Manual 5 When the software identification screen appears press the Ctrl s Shift 6 keys at the same time Figure C 2 PageWriter Trim Software Identification Screen ageWriter Trim III 6 The Cisco License Agreement appears Review the license agreement information To agree to the terms of the license agreement click on I agree to all terms of this agreement 7 Click the OK button 8 The PageWriter Trim Wireless LAN Installation screen appears Click the Configure Wireless LAN Card button NOTE This button will not be enabled if the Cisco License Agreement is not accepted Figure C 3 PageWriter Trim Wireless LAN Installation screen
129. ext in the Test Info field to identify the specific test date or test operator Figure B 21 The Service Utility main screen PageWriter Trim II TII Rx Service Utility v 4 01 03 Revision Device Statu Rev K 03 01 ENU PIM Status Present CH 12 No Flag Application Rev 3 4 08 03 01 ENU fee OK Total Pages Option Printed 1151 8 Retos jpam Standard Wired LAN Lead Set a Installed Standard Interpretation Paper Size Options C42 Wireless LAN Print Status PIM Kernel Rev 0 008 Printer SW Date un 25 2003 Storage Diagnostic Tests RAM MB Load 44 9 pss 7 Archive Storage 9 48 124 8 Reset Unit nn Repeat Count o Free Tota 108 88 124 Lim Results when Applicable mm Voltage Info use vec P 4 90 4 60 5 25 sov 195 160 825 stop Gear Print 3 3V P 3 22 3 00 3 60 Unit Info Serial Number 2500300010 1 86V 1 83 1 58 1 93 VDDX 3 20 3 00 3 60 rn Keyboard US ENGLISH vo F 17 57 10 00 18 90 Battery Status 7 vin 17 83 17 10 18 90 Voltage 13 36 10 00 15 20 7 Click Start A progress indicator appears at the lower right corner of the screen Follow the instructions on the screen to complete each portion of the Self Test 8 For the Trim Knob test turn the Trim Knob in a clockwise direction for four full rotations and then turn the Trim Knob in a countercloc
130. f the cardiograph passed the printer test 15 When the Self Test is complete the cardiograph prints out a Self Test Report On the printed test report check the software revision level next to Release Version lower right side of report The revision level should read A 01 01 Figure B 24 on page B 15 or A 01 03 Figure B 25 on page B 16 Check that the correct localization option appears next to Country Options see Table B 7 on page B 8 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim Il IIl and Rx Software Verifying the Software Upgrade Figure B 24 Software Version A 01 01 Self Test Report K 03 01 EM TRIMRx A 08 01 00 STORAGE RAM MB L orage Free Total rage Freo Total Total Pages BATTERY INFO Battery Status Battery A Software Revision Level and Localization Option Information PageWriter Trim Cardiograph Service Manual B 15 Installing PageWriter Trim Il IIl and Rx Software B 16 Verifying the Software Upgrade Figure B 25 Software Version A 01 03 Self Test Report PageWriter Trim II III Rx Service Diagnostics UNIT SERIAL NUMBER USD0300010 REVISIONS A 01 03 BootLoader Rev 1 03 12 Kernel Rev K 03 01 ENU plication Rev TRIM3 A 08 03 01 ENU PIM Kernel _ D 008_ PIM Boot Rev 1 009 Printer Revision Jun 25 2003 Option ABA Keyboard Setting English Paper Size LA Lead Set 1 AAMI STORAGE RAM MB Load 44 7 Archive Storage Free Total
131. features Use of any other patient data cable may compromise defibrillation protection degrade cardiograph performance and may result in distorted ECG data Only qualified personnel may service the cardiograph or may open the cardiograph housing to access internal cardiograph components Do not open any covers on the cardiograph There are no internal cardiograph components that are serviced by the operator Do not use this cardiograph near flammable anesthetics It is not intended for use in explosive environments or in operating rooms Do not touch the patient the patient data cable any unused patient leads or the cardiograph during defibrillation Death or injury may occur from the electrical shock delivered by the defibrillator Always use electrode gel with reusable electrodes during defibrillation as ECG recovery will be greater than 10 seconds Philips Medical Systems recommends the use of disposable electrodes at all times Ensure that the electrodes or lead wires do not come in contact with any other conductive materials including earth grounded materials especially when connecting or disconnecting electrodes to or from a patient Connecting multiple medical electrical equipment to the same patient may pose a safety hazard due to the summation of leakage currents Any combination of instruments should be evaluated by local safety personnel before being put into service PageWriter Trim Cardiograph Service Manual 1 7 Introdu
132. for important information on upgrading from legacy software version A 00 02 to software version A 01 01 or higher Philips recommends upgrading all PageWriter Trim II III Rx cardiographs to software version A 01 03 for optimal performance Upgrading Legacy Software Legacy software is defined as any PageWriter Trim II III Rx software version that is lower than A 01 01 Upgrading legacy software to the Philips recommended software version A 01 03 requires performing two sequential software upgrades First upgrade the cardiograph software from A 00 02 to A 01 01 and then upgrade from software version A 01 01 to version A 01 03 A token number and token label are required if upgrading from legacy software version A 00 03 to A 01 01 or higher A token number is an identification number that is assigned to a specific cardiograph and that is cross referenced to the serial number of the same cardiograph A token number is required in order to complete any legacy software upgrade For information on obtaining a token number and token label in order to complete a legacy software upgrade procedure contact the nearest Philips Response Center See Contacting a Philips Response Center on page 1 32 for a listing of contact telephone numbers For information on applying the token label to the cardiograph or managing token numbers see PageWriter Trim and Rx Token Label on page 1 19 B 1 Installing PageWriter Trim Il Ill and Rx Software Sav
133. for obtaining a login and password are located on the right side of the main InCenter home page PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim I Software Obtaining Software To load the software upgrade files to the PC card 1 Insert the memory card into the PC card adapter as shown B A PC card adapter B Memory card 2 Insert the PC card into a compatible slot on a computer or other device 3 Goto the InCenter site incenter medical philips com and enter your login information NOTE For information on registering for the InCenter site see Using the Philips InCenter Site on page 1 26 4 On the top menu bar top of screen click on Service From the drop down menu select Software Software Downloads and then Diagnostic ECG The Diagnostic ECG Software Downloads screen appears Figure A 3 InCenter Service Menu Service Sales amp Marketing Q amp R Help Products amp Solutions Software Software Downloads Defibrillators Software Vulnerability Diagnostic ECG Patient Monitoring 5 Select PageWriter from the side menu left side of screen Then select PageWriter Trim I The PageWriter Trim I software download screen appears 6 Click the PageWriter Trim I A 01 01 or A 01 03 link NOTE If upgrading a cardiograph from legacy software A 00 03 or lower to software version A 01 03 the cardiograph must first be upgraded to software version A 01 01 See Upgrading Legacy Software on page A
134. ge Requested Function Failure appears after fax ECG transmission has completed Fax application time out Action Close the Fax dialog box after transmission completes by touching OK Message no longer appears after FAX ECG transmission The FAX application requires the user to close the dialog box after successful transmission Otherwise the operation times out and indicates a failure Transfer of ECGs to an external PC card or USB memory stick fails and there are still less than 200 ECGs on the removable media device PC card or USB memory stick file system limitation Action Delete extra non ECG files from the PC card or USB memory stick ECGs can now be transferred Delete unwanted files from the PC card or USB memory stick 5 16 PageWriter Trim Cardiograph Service Manual Troubleshooting Table 5 5 Symptom Some ECGs retrieved from TraceMaster and printed on the cardiograph look different from TraceMaster prints or XLi printouts Archive Screen Issues continued Possible Cause amp Investigation Step Older or non PageWriter Trim source ECG files were retrieved Action Inspect the printed report date and information Confirmation ECG was not created by a PageWriter Trim cardiograph Troubleshooting Cardiograph Issues Solution Retrieving and printing older ECG files that were not sourced by the PageWriter Trim cardiograph can have
135. geWriter Trim Cardiograph Service Manual Theory of Operation Overview At a system level the PageWriter Trim cardiograph performs acquisition analysis printing storage and transfer of ECG waveforms and other patient clinical data The PageWriter Trim cardiograph consists of three major subsystems a Main controller An Intel StrongArm base single board computer SBC with extensive I O facilities running Windows CE 4 1 The PageWriter Trim application software runs on the main controller which includes the display and user input subsystems m Print controller A Motorola Coldfire based control circuit embedded in the main controller board that provides all the real time management of the printer The print controller communicates with the main controller through USB m Patient Interface Module PIM An Intel StrongArm based controller running Windows CE 4 1 coupled with a signal acquisition board employing Philips proprietary mixed signal ASIC technology for ECG acquisition The PIM communicates with the main controller through USB Hardware Logical View Control of the PageWriter Trim cardiograph is provided by application software running on the main control board interacting with numerous hardware and software subsystems The following are high level descriptions of these various subsystems Main Control Board The main control board contains loader software and the Windows CE kernel image in its internal flash memor
136. graph Service Manual Troubleshooting Table 5 3 Signal Acquisition Issues continued Symptom One or more leads show leads off red dashed line periodically Possible Cause amp Investigation Step PIM communications have been lost due to USB patient data cable connection failure or defective leads are connected to the PIM Troubleshooting Cardiograph Issues Solution 1 Check that PIM patient data cable is firmly seated to the PIM connector on the rear of the cardiograph 2 If the PIM is firmly attached perform the PIM test as described in Maintenance Tests Trim II II Rx only on page 4 1 or for the Trim I as described in Trim I Diagnostic and Performance Verification Tests on page 4 17 If the PIM Test fails replace the patient data cable If the PIM Test continues to fail with a new patient data cable attached replace the entire PIM PCA Set Contact Philips Medical Systems for further assistance see page 1 32 3 If the PIM test passes ensure that all lead wires are fully seated in the PIM lead connectors 4 Ensure that all lead wires are intact and that there are no visible cracks in the lead wires 5 Connect all of the lead wires to a metallic conductive surface or to a shortening bar Check the Leads off indicator on the Status Bar Ensure that no leads are being reported as leads off If any of the precordial leads report as leads off with all limb leads connected repla
137. graph complies with all relevant international and national standards and laws Infor mation on compliance will be supplied on request by a local Philips Medical Systems represen tative or by the manufacturer Intended Use of this Service Manual This Philips product is intended to be operated only in accordance with the safety procedures and operating instructions provided in this Service Manual and in accordance with the purposes for which it was designed Installation use and operation of this product is subject to the laws in effect in the jurisdiction s in which the product is being used Users must only install use and operate this product in such a manner that does not conflict with applicable laws or regulations that have the force of law Use of this product for purposes other than the express intended purpose provided by the manufacturer or incorrect use and operation may relieve the manufac turer or agent from all or some responsibility for resultant non compliance damage or injury United States federal law restricts this device to use by or on the order of a physician THIS PRODUCT IS NOT INTENDED FOR HOME USE Training Users of this product must receive adequate clinical training on its safe and effective use before attempting to operate the product as described in this Service Manual Training requirements vary by country Users must ensure that they receive adequate clinical training in acc
138. h an external USB connector and provides standard Smart Card reading capability The PageWriter Trim cardiograph uses the Smart Card Reader to obtain patient information USB Memory Stick A USB memory stick is available as an option for all product models except the PageWriter Trim I It connects through the USB connector located on the rear panel of the cardiograph The USB memory stick can be used to store and transfer ECGs and orders between the cardiograph and a TraceMaster or TraceMasterVue ECG Management System Do not insert a USB memory stick into the cardiograph or remove a USB memory stick from the cardiograph when the cardiograph is acquiring ECG data from a patient Only use the USB memory stick to transfer data between the cardiograph and a computer Do not use the USB memory stick with other devices PCMCIA Storage Card A PCMCIA Storage Card is available as an option for all product models except the PageWriter Trim I It connects through the PCMCIA slot located on the rear of the cardiograph The PCMCIA storage card can be used to store and transfer ECGs and orders between the cardiograph and a TraceMaster or TraceMasterVue ECG Management System or can be used to store custom configured cardiograph settings PCMCIA LAN Card A PCMCIA LAN Card is available as an option for all product models except the PageWriter Trim I It connects through the PCMCIA slot and provides standard LAN capability The PageWriter Trim cardiograph
139. h ground intact 10 uA Single Fault Condition with separate open neutral and open earth each in turn 50 uA Sink Single Fault Condition with AC Mains voltage on Applied Parts both AC line connections and earth ground intact 50 uA 6 8 PageWriter Trim Cardiograph Service Manual Removing and Replacing Cardiograph Components This chapter contains information on removing and replacing the PageWriter Trim cardiograph battery fuses and paper tray If you require further technical assistance contact the nearest Philips Response Center See Contacting a Philips Response Center on page 1 32 About the Cardiograph Components The cardiograph includes the following customer installable components Battery compartment m AC fuses m Paper tray 7 1 Removing and Replacing Cardiograph Components Removing and Replacing the Battery Removing and Replacing the Battery All of the PageWriter Trim cardiograph models use the same single battery part number 989803130051 Removal and replacement procedures are the same for all models Removing the Battery To remove the battery 1 Unplug the AC power cord Make sure the green AC power indicator light is not illuminated Figure 7 1 AC power light For an overview of cardiograph components see Tour of PageWriter Trim Cardiographs on page 1 12 2 Pull up on the battery door tab and remove the door Figure 7 2 Removing the battery door Battery
140. he Enter key to save the new date and time settings The new date and time appears on the Command Toolbar PageWriter Trim I To change the date and time 1 2 3 4 QA Turn the Trim Knob until the date on the LCD display is highlighted Push the Trim Knob A screen appears showing the current date and time settings Turn the Trim Knob until the field to be changed is highlighted Push the Trim Knob to select the field Turn the Trim Knob to scroll through the options for that field Push the Trim Knob to select a setting Repeat the procedure to set the current Month Day Year Hour Minute and Second When all settings are complete turn the Trim Knob to highlight the arrow icon Push the Trim Knob to save the settings and to exit the screen the Paper Size and Lead Settings To set the paper size and lead settings 1 2 3 Select the Config button Press Alt S to select the System tab Set the Paper Size A A4 and Lead Name AAMI IEC settings For more information on localization option settings for paper size and lead standards see Table B 7 Software Localization Options on page B 8 The optional barcode reader is shipped with configured settings that provide optimal use with the cardiograph If the barcode reader operates with errors or missed data follow the procedure Calibrating the Barcode Reader on page 3 11 If the barcode reader incorrectly scans data into fields on
141. he PC card Currently the internal main archive is limited to storing the following maximum number of ECGs The PageWriter Trim cardiograph does not provide internal storage Table 2 2 Maximum Number of ECGs Stored Internal Main Archive Model Maximum Number of ECGs Stored Trim I No storage capability 0 Trim Rx 200 Trim III 150 Trim II 50 Internal Remote Archive The internal remote archive resides on the internal CompactFlash CF card much like the internal main archive All XML files retrieved from remote sites such as the TraceMasterVue ECG Management System reside in this archive until deleted ECG XML files and related index files are stored in the RubyArchiveRemote directory Currently the internal remote archive is limited to a maximum of 100 ECGs The PageWriter Trim cardiograph does not provide an internal remote archive External PC Card Archives The external PC card archives reside on a compatible PC card inserted into the PC card slot Files may then be transferred to inserted cards using the Archive feature of the application software and are stored in XML format An index file is created and maintained on each PC card when CDB files are transferred or copied from the card The PageWriter Trim cardiograph does not offer an external storage option Currently an external PC card archive is limited to storing the following maximum number of ECGs Table 2 3 Maximum Number of ECGs Stored Ex
142. he Smart Card reader fails the test try the test again The result is printed on the Test Results report Magnetic Card Reader Test You must attach the magnetic card reader to the port on the rear of the cardiograph before powering on the cardiograph Verifies that the magnetic card reader is working properly The optional magnetic card reader must be connected to the cardiograph before performing the test To test the magnetic card reader 1 From within the Biomed Service Utility select MagCard Reader from the list and select Start 2 Insert the magnetic card into the slot on the front of the cardiograph with the magnetic stripe facing down then remove it The magnetic card data appears next to Magcard Track 1 3 Review the data to ensure that it is correct 4 Select Done 5 The message Did the Read field show the correct information appears Select Yes if the data is displayed correctly Select No if the data is not displayed correctly 6 Ifthe magnetic card reader fails the test try the test again The result is printed on the Test Results report Barcode Reader Test You must attach the barcode reader to the port on the rear of the cardiograph before powering on the cardiograph In order to properly perform the Barcode Reader Test the optional barcode reader must be connected to the cardiograph before performing the test To test the barcode reader 1 From within Service Mode select Barcode Reader from the lis
143. he battery The initial charge is approximately 580mA in bulk charger status When the voltage is up to approximately 14 6V the current is slowly reduced to approximately 100mA over time as it enters floating charging Battery Information Battery information is sent from the battery charger UC3909 This information is then sent up to the host processor via BSR and can be viewed from the Biomed Service Utility screen For more information see About the Trim II IIIRx Biomed Service Utility on page 4 6 PageWriter Trim Cardiograph Service Manual Cardiograph Care and Maintenance This chapter contains information on basic cardiograph care and periodic maintenance If further technical assistance is required contact the nearest Philips Response Center For more information see Contacting a Philips Response Center on page 1 32 The PageWriter Trim cardiograph does not require scheduled preventive maintenance Cleaning the Cardiograph CAUTION CAUTION To clean the cardiograph 1 Unplug the AC power cord 2 Wipe the external surfaces of the cardiograph with a soft cloth dampened in any of the approved cleaning solutions listed below When cleaning avoid the lead wire connectors and patient data cable connectors Approved Cleaning Solutions a Mild soap and water Isopropyl alcohol Do not use strong solvents or abrasive cleaning materials Do not spill liquids on the surface of the cardiograph Do not use any of the f
144. he screen Press Patient ID to print a report or Stop to return to the previous screen PIM Test Use this test to confirm that the Patient Interface Module PIM is communicating with the cardiograph This test can be performed when the cardiograph displays PIM error messages or when the cardiograph is unable to acquire data from the PIM Be sure that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph before performing the test If this test fails it may indicate a problem with the PIM or with the PIM patient data cable To perform the PIM Test 1 From the Biomed Service Program turn the Trim Knob to highlight Test and push to select it 2 Turn the Trim Knob to highlight Test PIM and push to select it PageWriter Trim Cardiograph Service Manual Maintenance Tests Trim Diagnostic and Performance Verification Tests Turn the Trim Knob to highlight Start and push to select it The test results display on the screen Press Patient ID to print a report or Stop to return to the previous screen If the PIM test fails try it again If the failure persists contact the nearest Philips Response Center for further assistance see Contacting a Philips Response Center on page 1 32 Printer Test To perform the Printer Test 1 From the Biomed Service Program turn the Trim Knob to highlight Test and push to select it 2 Turn the Trim Knob to highlight Test Printer and push to select i
145. hilips using part number 453563479701 The following procedure describes how to download the cardiograph software files to the PC card If the PC card with the applicable software is available proceed to page B 6 Downloading Software Files from Philips InCenter Site All software upgrade files may be downloaded from the Philips InCenter web site found at www incenter medical philips com The InCenter site requires an active login and password Instructions for obtaining a login and password are located on the right side of the main InCenter home page For more information on registering for the InCenter site see Using the Philips InCenter Site on page 1 26 To load the software upgrade files to the PC card 1 Insert the CompactFlash CF card into the PC card adapter 2 Insert the PC card into the card reader on a computer or other device 3 Go to the InCenter site incenter medical philips com and enter your login information 4 On the top menu bar top of screen click on Service From the drop down menu select Software Software Downloads and then Diagnostic ECG The Diagnostic ECG Software Downloads screen appears Figure B 14 InCenter Service Menu Service Sales amp Marketing Q amp R Help Products amp Solutions Software Software Downloads Software Vulnerability Diagnostic ECG Patient Monitoring 5 Select PageWriter from the side menu left side of screen Then select the applicable cardiograph mo
146. ic circuitry to provide for battery operation The PageWriter Trim cardiograph is designed to run primarily on battery power using AC power for the purpose of recharging the battery The power board contains a battery charging chip that controls battery charging The main board has an A D converter that monitors the voltage of the power supply and a Board Status Register BSR that monitors the battery charging status The major power draws within the PageWriter Trim cardiograph are the LCD display backlights which can draw up to 4 watts and the thermal printer which can draw approximately 48 watts Provisions have been incorporated into the PageWriter Trim cardiograph that allow the user to adjust the display brightness To extend battery life set the display brightness to the low or medium setting Also activate the power save mode dims the screen to further extend battery life The printer control board is current limited for normal printing However if print demand is too high the current limiter will not print the output resulting in a faded page For more information on configuring power saving options on the cardiograph see Chapter 2 Configuration of the PageWriter Trim Cardiograph Instructions for Use available for download from the Philips InCenter site incenter medical philips com Battery The 12V recharged sealed lead acid battery provides power to the PageWriter Trim cardiograph The battery provides a high current discha
147. ication screen PageWriter Trim Ill 3 Quickly while the software identification screen is displayed hold down the left CTRL and SHIFT keys together and press the Trim Knob PageWriter Trim Cardiograph Service Manual 4 7 Maintenance Tests Trim II III Rx Diagnostic and Performance Verification Tests NOTE The software identification screen disappears after five seconds If you miss it you must restart the cardiograph again An Access Code window appears If the Access Code window does not appear try the left CTRL SHIFT TrimKnob sequence again 4 Type the access code The factory default code is 1573 The Biomed Service Utility screen appears as shown in Figure 4 6 Figure 4 6 Biomed Service Utility Screen for II Ill and Rx PageWriter Trim II III Rx Service Utility v 4 07 02 01 Revision Device Status Software Kernel Rev K 02 20 ENU PIM Status not found un en Application Rev 07 02 01 Printer obl ok Total Pages Option Printed 8 Refresh Lead Set natat Paper Size 8 Print Status PIM Kernel Rev not found Printer SW Date lun 25 2003 Clear All Test Storage Diagnostic Tests 4 RAM MB Load 45 9 Archive Storage Free Total 124 1MB 124 1MB PO ois 124 018 7124 108 Voltage usp vec 4 97 4 6045 25 5 0 4 98 4 60 5 25 Self Test v Repeat Count U
148. ient See Figure 1 5 on the following page For details about connecting the lead wires to the PIM see the PageWriter Trim Instructions for Use Figure 1 5 Patient Interface Module A Lead wire labeling C Limb lead wires B Patient data cable D Precordial chest lead wires General Service Information Keep the following points in mind when servicing this product Installation The PageWriter Trim cardiographs do not require installation by Philips field personnel The cardiograph can be installed by the customer See Chapter 1 Getting Started and 2 Configuration of the PageWriter Trim Instructions for Use or the PageWriter Trim Rx PageWriter Trim Cardiograph Service Manual 1 17 Introduction Upgrades and Accessories Instructions for Use for information on the proper setup and configuration of the cardiograph and cart system NOTE There are no configurable features for the PageWriter Trim cardiograph Upgrades and Accessories Upgrades and cardiograph accessories are available to add specific functionality to the device The standard upgrades and available accessories are listed in Table 1 4 and in Table 1 5 Table 1 4 PageWriter Trim Il Ill and Rx Cardiograph Accessories Part Number Description 989803129931 Barcode Reader 989803129941 Magnetic Card Reader 989803127331 PC Card 989803129961 Smart Card Reader 989803142041 Wireless LAN Card 989803129951 LAN PCMCIA Network Card 9
149. im I II III Quick Help Booklet Turkish PageWriter Trim Cardiograph Service Manual 1 31 Introduction Contacting a Philips Response Center Contacting a Philips Response Center The Philips Response Center can assist with product troubleshooting and provide technical expertise to help with any issue with the PageWriter Trim cardiograph or any of its accessories For more information on the Philips Response Center go to www medical philips com main services response center North America Response Centers Country Canada Telephone Number 800 323 2280 Mexico 01 800 710 8128 Puerto Rico 1 787 754 6811 United States 800 722 9377 South America Response Centers Country Argentina Telephone Number 54 11 4546 7698 Brazil 0800 701 7789 Chile 0800 22 3003 Columbia 01 8000 11 10 10 Peru 51 1 620 6440 Europe Response Centers Country United Kingdom Telephone Number 44 0870 532 9741 Fax 44 01737 23 0550 Austria 43 1 60101 820 Belgium 32 2 525 7102 French 32 2 525 7103 Flemish Czech Republic MCR Response Center located in The Netherlands 31 40 2781619 Denmark 45 80 30 30 35 Finland 358 615 80 400 1 32 PageWriter Trim Cardiograph Service Manual Introduction Europe Response Centers continued Contacting a Philips Response Center Country Telephone Number France 0
150. ing 0 cece eee ete III 5 24 Checking the Remote Site Server 5 27 Resolving an Unexplained Reply Received from the Remote Site 5 30 Checking the Wireless Adapter Association to an Access 5 31 Restarting the Cardiograph 2 cee cece cece eee eee hh 5 33 PageWriter Trim Cardiograph Service Manual Contents Chapter 6 Performance Verification and Safety Tests Required Testing 6 1 External Repairs CRS SSAA aes DER MW 6 1 Initerrial Repairs u un eet estilo dale dat tede liches t tee Leu 6 2 Upsrades bat eR Ia SE a eS 6 2 Test and Inspection Matrix llle eee eee eee rren 6 3 BI By ERA ens 6 4 Performance Verification Tests 6 4 Visual Inspectiom V 2 eren met en 6 4 POWER Oni Testirani a Er 6 5 ECG Simulation a nee Bee EON A aa 6 6 Safety Tests ose essen werner a be inet en sl 6 7 Safety Test 51 Earth 6 7 Safety Test S2 Protective Earth 6 7 Safety Test 53 Leads Leakage 6 7 Chapter 7 Removing and Replacing Cardiograph Components About the Cardiograph Components
151. ing Custom Settings Software version A 00 03 and lower only Special Note about Japanese Localization Option The Japanese ARO option for the PageWriter Trim II and III model cardiographs is no longer available The supported software revision level for all Japanese option cardiographs is legacy software version A 00 03 There is no software upgrade path for the Japanese localization option Table B 6 provides detailed software revision information Table B 6 Software Version Number Information Component A 00 03 A 01 00 A 01 01 A 01 03 Loader L 03 12 L 03 12 L 03 12 L 03 12 Kernel K 02 22 K 03 00 K 03 01 K 03 01 Application A 07 02 02 A 08 00 02 A 08 01 01 A 08 03 02 PIM Loader 1 009 1 009 1 009 PIM Kernel D 008 D 008 D 008 G 003 or D 008 See Software Version A 01 03 PIM Kernel Revision on page B 16 for more information Follow the same procedure to upgrade the software in an existing working unit or to install software on a new system Saving Custom Settings Software version A 00 03 and lower only NOTE NOTE Software version A 01 01 and higher automatically saves custom settings Only follow this procedure when upgrading from legacy software version A 00 03 and lower to software version A 01 01 Custom settings excluding all network settings must be saved to a PC card before installing the software upgrade All network settings must be recorded on these instructions in the spaces indicat
152. ining Software Software Revision Information Table A 2 provides detailed software revision information Table A 2 Software Version Number Information Component A 00 02 A 00 03 A 01 00 A 01 001 A 01 03 Kernel K 02 20 K 02 20 K 03 00 K 03 01 K 03 01 Application A 07 02 01 A 07 02 02 A 08 00 02 A 08 01 01 A 08 03 01 PIM Loader 1 009 1 009 1 009 1 009 1 009 PIM Kernel D 008 D 008 D 008 D 008 D 008 or G 003 See Software Version A 01 03 PIM Kernel Revision on page A 13 for more information Follow the same procedure to upgrade the software in an existing working unit or to install software on a new system Obtaining Software A 2 The software installation procedure requires the use of a computer with a compatible PCMCIA card slot and internet access The procedure also requires the use of a blank CompactFlash CF memory card and a PC card adapter The memory card and adapter referred to as a PC card may be purchased from Philips using part number 453563479701 The following procedure describes how to download the cardiograph software files to the PC card If the PC card with the applicable software is available proceed to page A 5 Downloading Software Files from Philips InCenter All software upgrade files may be downloaded from the Philips InCenter web site found at www incenter medical philips com The InCenter site requires an active login and password Instructions
153. intenance 5 6 7 8 Calibrating the Barcode Reader Configuration Code 3 58162700 Configuration Code 4 816680 Configuration Code 5 28188100 Exit program mode 2999999 Removing the Carriage Return Scan the following barcode when the barcode reader incorrectly scans data in any field on the Patient ID screen The following procedure removes a carriage return from the end of a data scan that can cause errors when entering Patient ID information PageWriter Trim Cardiograph Service Manual 3 13 Cardiograph Care and Maintenance Maintenance Tests for Trim Il Ill and Rx To calibrate the barcode reader 1 Hold the barcode reader at a 45 angle and push the button top of scanner Scan the barcode in Figure 3 3 Three beeps are heard Figure 3 3 Barcode scan to remove the automatic carriage return 0 3 6 2 Perform the Barcode Test see page 4 2 to verify performance Maintenance Tests for Trim Il Ill and Rx CONFIG Use the diagnostic utilities and maintenance tests to verify or to optimize cardiograph performance The following tests can be executed during active normal cardiograph use and may be helpful in identifying a technical problem For information on maintenance tests that are available through the Biomed Service Utility see About the Trim II II Rx Biomed Service Utility on page 4 6 Using the Biomed Service Utility requires a full restart of the cardiograph For further
154. ion Color TFT display Patient Interface Module a Remote microprocessor controlled module Specifications F 1 Specifications Technical Specifications Cardiograph Cart m The cardiograph cart optional accessory has been tested for stability using the IEC 60601 1 test protocol The IEC 60601 1 protocol calls for the cardiograph cart to not tip over using a 10 degree angle of incline in any direction It is possible to exceed this amount of incline when the cardiograph and cart are moved over a roadside curb or some other small but steep incline Use care when moving the cardiograph cart Always remove the patient cable arm before transporting Install the cart counterbalance prior to the installation of the Patient Cable Arm Signal Processing Acquisition Sampling Rate 2 000 samples per second per electrode lead m 24 bit A D conversion provides 5p V resolution Auto Frequency Response 0 05 150 Hz 0 15 150 Hz 0 5 100 Hz 0 05 100 Hz 0 15 100 Hz 0 5 100 Hz 0 05 40 Hz 0 15 40 0 5 40 Hz Rhythm Frequency Response 0 05 150 Hz 0 15 150 Hz 0 05 150 Hz 0 15 100 Hz 0 05 40 Hz 0 15 40 Hz Filters m AC noise Baseline Wander m Artifact High and Low Pass Frequency Printer Printer Resolution a High resolution digital array printer using thermal sensitive paper 200 dpi at 25 mm sec voltage axis by 500 dpi time axis F 2 PageWriter Trim Cardiograph Service Manual Specifications T
155. ion Electromagentic Immunity The PageWriter Trim cardiograph is intended for use in the electromagnetic environment specified below The customer or the user of the PageWriter Trim cardiograph should assure that it is used in such an environment Emissions Test Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 IEC 60601 Test Level 3 Vrms 150 kHz to 80 MHz 3 Vrms 80 MHz to 2 5 GHz Compliance Level Complies Complies Electromagnetic Environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the PageWriter Trim including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance a 25 p 3 Vrms Xx 3V m FEM EAN 3V m Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol t Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affecte
156. ion on accessing the InCenter site see Using the Philips InCenter Site on page 1 26 This service manual assumes you are familiar with the controls basic cardiograph operations and capabilities of the device as described in these documents 1 1 Introduction Who Should Use this Manual Who Should Use this Manual This manual is intended for users who handle preventive maintenance periodic operational checks and basic troubleshooting for PageWriter Trim cardiographs Before attempting to service the cardiographs you must review the following documentation and training materials a PageWriter Trim Instructions for Use a PageWriter Trim Cardiograph Interactive Training Program m This Service Manual This PageWriter Trim Cardiograph Service Manual is intended to assist users in the safe and effective use of the product Before attempting to operate this product read this Service Manual and note and strictly observe all Warning and Cautions as described in this document Pay special attention to all of the safety information provided in the Safety Summary section For more information see page 1 5 The following conventions are used in this document WARNING Warning statements describe conditions or actions that may result in a potentially serious outcome adverse event or a safety hazard Failure to follow a Warning may result in death or serious injury to the user or to the patient CAUTION Caution statements de
157. ions for Use English Table 1 13 Czech Learning Product Part Numbers M4992 91182 PageWriter Trim I III Quick Help Card Czech M4992 91172 PageWriter Trim I User s Guide Czech Table 1 14 Danish Learning Product Part Numbers Part Number Title Language M4992 91183 PageWriter Trim I III Quick Help Card Danish M4992 91963 PageWriter Trim I II III Instructions for Use Danish Table 1 15 Dutch Learning Product Part Numbers Part Number Title Language 453564087181 PageWriter Trim I II III Quick Help Card Dutch M4992 91165 Getting Started Guide Dutch M4992 91153 PageWriter Trim I II III Instructions for Use Dutch M5000 91003 Philips 12 Lead Algorithm Physician s Guide Dutch Table 1 16 Finnish Learning Product Part Numbers Part Number Title Language M4992 91185 PageWriter Trim I II III Quick Help Card Finnish M4992 91964 PageWriter Trim I II III Instructions for Use Finnish 1 28 PageWriter Trim Cardiograph Service Manual PageWriter Trim Cardiograph Learning Product Part Numbers Table 1 17 French Learning Product Part Numbers Part Number Title Language 453564087191 PageWriter Trim I II III Quick Help Card French M4992 91166 Getting Started Guide French M5000 91001 Philips 12 Lead Algorithm Physician s Guide French M4992 91151 PageWriter Trim I II III Instructions for Use French Table 1 18 German L
158. iter Trim cardiograph Philips Recommended Default Setting World Mode Data Rate Transmit Power This setting allows the wireless adapter to automatically adjust to the maximum power level and frequency range of access points in different regions of the world This setting specifies the rate at which the wireless adapter should transmit or receive packets to or from the access point This setting defines the power level at which the wireless adapter transmits to the access point Disabled Note For more information on this setting see the Cisco Aironet Wireless LAN Client Adapters Installation and Configuration Guide for Windows CE Auto Max Offline Channel Scan This setting enables the wireless adapter to periodically scan for a better access point with the same SSID if the signal strength falls below 50 Enabled 11 After making all selections click the OK button The Aironet Client Utility main screen appears The Profile tab is selected The configured settings are automatically saved to a profile Rename the profile if necessary This profile is automatically selected as the active profile in the Select Active Profile drop down list 12 Click on the Status or the Survey tab to view information about the wireless LAN card signal quality and signal strength and if the wireless LAN card has successfully associated to the access point NOTES Select the Survey tab then click the
159. iter Trim Cardiograph Service Manual Specifications Table F 1 Electromagnetic Compatibility EMC cardiograph according to the international standard for EMC for medical devices IEC 60601 1 2 This IEC standard has been adopted in Europe as the European Norm EN 60601 1 2 The PageWriter Trim cardiograph should not be used adjacent to or stacked on top of other equipment If the PageWriter Trim cardiograph must be used adjacent to or stacked on top of other equipment verify that the cardiograph operates in an acceptable manner in the configuration in which it will be used The cardiograph will not malfunction when used with electrosurgical equipment Fixed portable and mobile radio frequency communications equipment can affect the performance of medical equipment See Table F 4 on page F 12 For more information on troubleshooting see Troubleshooting on page 5 1 Reducing Electromagnetic Interference The PageWriter Trim cardiograph and accessories may become sensitive to interference from other RF energy sources including power lines RF energy sources include other medical devices wireless devices information technology equipment and radio television transmission Should interference be encountered as demonstrated by artifact on the ECG trace attempt to locate the source by assessing Whether the interference is intermittent or constant a Does the interference occur only in certain locations Does the interferen
160. kwise direction for four full rotations Press the Trim Knob Verify that the Trim Knob graphic on the screen represents the actual position of the Trim Knob when turning Click the Pass button if the graphic on the screen and the Trim Knob are consistent PageWriter Trim Cardiograph Service Manual B 11 Installing PageWriter Trim Il Rx Software Verifying the Software Upgrade 9 Forthe Screen Test a blank screen appears with the buttons Color and Pattern at the bottom of the screen Click both buttons to display the test image NOTE The color gradations in the image on the cardiograph display will be more gradual and smoother than those shown in Figure B 22 Figure B 22 Screen Test Image 10 Look for the following details in the test image appearing on the screen The progression of shading from light to dark in the red green and blue bars should be smooth and without breaks The gray lines on top of color bars should be straight and intersect the cross hairs at five points on the screen If the screen does not look similar to the test image in Figure B 22 the screen display failed the Screen Test 11 After examining the image click the Close button The Test Result Confirmation window appears 12 Select Yes if the image on the screen is displayed correctly Select No if the image on the screen did not display correctly A message appears confirming that the Screen Test failed or passed
161. l Systems for assistance see page 1 32 Keyboard is typing Keyboard controller Keyboard is now Occasionalrecoverable incorrect characters subsystem has failed Action Restart cardiograph using rear button and launch Service Utility see page 4 7 Run the Keyboard Test functional keyboard failures have been observed If failures persist cardiograph must be serviced to inspect and possibly replace keyboard cabling or controller board Contact Philips Medical Systems for assistance see page 1 32 Keyboard is typing incorrect characters Keyboard has Caps Lock enabled Action Inspect the incorrect typed characters on the display If only the case of the characters is incorrect press the Caps Lock key Do the characters now appear correctly User training on Caps Lock use 5 8 PageWriter Trim Cardiograph Service Manual Troubleshooting Table 5 2 Symptom Keyboard is typing incorrect characters Possible Cause amp Investigation Step Keyboard controller Troubleshooting Cardiograph Issues Keyboard Trim Knob Dedicated Key Issues continued Confirmation Keyboard is now Solution Occasional recoverable subsystem has failed functional keyboard failures have Action restart cardiograph been observed It using rear button and failures persist launch Service Utility see cardiograph must be page 4 7 Run the serviced to inspect and Keyboard Test
162. le B 8 PageWriter Trim Cardiograph A 01 01 Valid Software Revision Information on page B 17 If the information on the Self Test and the information in Table B 8 are identical the A 01 01 software installation is complete and the cardiograph may be returned to active use If the information is not identical reinstall the software and run the test again Table B 8 PageWriter Trim II III Rx Cardiograph A 01 01 Valid Software Revision Information Software Element Loader Kernel Application PageWriter Trim L 03 12 K 03 01 A 08 01 01 A 01 01 Software PIM Software 1 009 D 008 Not applicable PageWriter Trim Cardiograph Service Manual B 17 Installing PageWriter Trim Il IIl and Rx Software Special Note for Software Version A 01 03 Special Note for Software Version A 01 03 NOTE Always ensure that the Patient Interface Module PIM is connected to the cardiograph before pressing the On Off button and returning the cardiograph to active use Figure 3 Connecting the PIM to the cardiograph Please note that the following sequence of events may occur if the PIM is not connected to the cardiograph or a defective PIM is connected to the cardiograph when it is returned to active use with installed software version A 01 03 To return the cardiograph to active use if the PIM is not connected or a defective PIM is connected 1 Ifthe Patient Interface Module PIM is not connected to the cardiograph o
163. le to all customers The PageWriter Trim Interactive Training Program is only available in English for the PageWriter Trim 1 Il and III model cardiographs and is only available for download from the Philips InCenter site Table 1 12 English Learning Product Part Numbers Part Number Title Language M4992 91903 PageWriter Trim I II III Interactive Training English Program M4992 91181 PageWriter Trim I II III Quick Help Card English M4992 91164 PageWriter Trim I II III Getting Started Guide English M4992 91150 Edition 4 PageWriter Trim I II III Instructions for Use English 453564065311 PageWriter Trim I II III Rx Product Update English Addendum PageWriter Trim Cardiograph Service Manual 1 27 Introduction PageWriter Trim Cardiograph Learning Product Part Numbers Table 1 12 English Learning Product Part Numbers continued Part Number Title Language M5000 91000 Philips 12 lead Algorithm Physicians Guide English M4994 91120 Edition 2 PageWriter Trim Rx Quick Help Card English M4994 91100 PageWriter Trim Rx Instructions for Use English M4994 91140 PageWriter Trim Rx Getting Started Guide English 453564051211 Installing TraceMasterVue and Configuring English Cardiograph Communication 453564038681 Edition 2 Using OrderVue with PageWriter Cardiographs English 453564057671 OrderVue Web Select Utility Quick Help Card English 453564034061 XML Utility Suite Instruct
164. lication buffers in RAM These buffers are used to present the signal data on the real time screen When the user initiates an Auto ECG print the corresponding 10 second segments of the signal data are then copied to the temporary ECG storage memory in RAM These 10 second segments are named ECG reports that can be previewed and printed In the case of Auto mode the ECG report may be configured to automatically print An ECG report contains signal data analysis information patient demographics and acquisition information along with operator and device information See the XML Utility Suite Instructions for Use available on the Philips InCenter site incenter medical philips com for a complete description of the contents of the ECG data record For information on using the InCenter site see page 1 26 If the Automatic Save After Print option is enabled on the cardiograph the ECG report is saved in XML format to the internal main archive This archive is non volatile and resides on the internal CompactFlash CF card Index files with a CDB extension are also maintained in this archive From the internal main archive the ECG XML data format files can be copied deleted previewed printed and transferred to other devices The internal main archive cannot receive ECG XML files from external devices Retrieved ECG file storage is limited to the internal remote archive PageWriter Trim generated ECG XML files comply with the Philips Medical Sy
165. lies high frequency voltages to the patient including electrosurgical equipment and some respiration transducers is not supported and may produce undesired results Disconnect the patient data cable from the cardiograph or detach the leads from the patient prior to performing any procedure that uses high frequency surgical equipment Do not perform ST analysis on the R T ECG screen display or on Rhythm reports when the 0 5 Hz Baseline Wander filter is applied If abnormal ECG data appears on the printed report and the abnormal data does not have a physiological origin perform the printer diagnostic test to assess printer performance When printing a Rhythm report there may be a slight delay before the Rhythm report begins to print on the cardiograph Rhythm printing is not completed in real time Pace pulse tick marks will not print on an Auto ECG that uses simultaneous acquisition Periodically inspect the patient data cable lead wires and AC power cord for any worn or cracked insulation to ensure that no inner conductive material is exposed Discard worn accessories and replace them only with Philips Medical Systems accessories see page 1 20 Keep the patient data cable away from power cords and any other electrical equipment Failure to do so can result in AC power line frequency interference on the ECG trace The Philips Medical Systems patient data cable supplied with cardiograph is an integral part of the cardiograph safety
166. m II II Rx Battery Status Readings Battery Level Fully Charged Battery Status Indicator 0 75 power capacity i 50 power capacity Low Battery Power Low Battery Alert alternate icons flashing N ELEM No or Dead Battery MI PageWriter Trim Cardiograph Service Manual Theory of Operation Power Management 2 16 NOTE Table 2 6 Trim Battery Status Readings continued Battery Level Status Indicator Battery is charging rr moving bars L Fan Battery Discharging When the battery is discharged to the 30 level the PageWriter Trim cardiograph disables high demand printing and continues to allow the battery to be discharged to a 20 level When the 20 level is reached the PageWriter Trim cardiograph disables printing and warns the user to plug in the AC power cord If the AC power cord is not plugged in within three minutes the PageWriter Trim cardiograph automatically shuts down The battery will continue to discharge when the cardiograph is not in use or if the battery is stored outside of the cardiograph Battery Charging When the AC power cord is plugged in the battery begins to charge Check the charging status on the Board Status Register BSR Charge Current When the cardiograph is in active operating mode the charge current is 580mA When the cardiograph is in Standby power save mode the charge current depends on t
167. n the software identification screen appears press the Ctrl Shift mm 6 8 keys at same time Figure 5 18 PageWriter Trim Software Identification Screen PHILIPS PageWriter Trim Ill 6 The PageWriter Trim Wireless LAN Installation screen appears Click on the Configure Wireless LAN Card button Figure 5 19 PageWriter Trim Wireless LAN Installation screen PHILIPS PageWriter Trim Cardiograph Wireless LAN Installation Select a button below Configure Wireless LAN Card Reset Cardiograph Shut Down Cardiograph The Aironet Client Utility ACU window appears Click the Status tab If green or yellow bars appear on the Signal Strength or Signal Quality fields this indicates an active connection If the bars are red try moving the cardiograph to an area with a stronger wireless signal For information on performing additional diagnostic tests from the Status tab see the Cisco Aironet Wireless LAN Client Adapters Installation and Configuration Guide for Windows CE available for download from www cisco com Verify that the IP address information on the cardiograph network screen is correct DHCP or Static IP and that the computer name is also correct The DHCP IP address is displayed on the ACU screen If DHCP is being used the DHCP lease may have expired To reacquire an IP address press the On Standby button on the cardiograph to enter Standby then press the button again to return the cardiograph to active use
168. n will be manually entered on the same screen after the software installation is complete All cardiograph networking configuration information is deleted when the software upgrade is installed This information is not saved with the custom settings file IP Address Subnet Mask Default Gateway Secondary WINS Server Press and hold the Alt key on the keyboard and then press the S key to select the System tab Turn the Trim Knob to highlight the Save Configuration File button under Configuration Management then push the Trim Knob to select the button The Input Configuration file name window appears Type in a name for the custom settings file Record the file name in the space below Custom Settings File Name Press the Enter key on the keyboard The Custom Settings file is saved to the PC card A message appears that the file has been successfully saved Remove the PC card from the PC card slot Proceed to install the software upgrade PageWriter Trim Cardiograph Service Manual B 3 Installing PageWriter Trim Il IIl and Rx Software Obtaining Software Obtaining Software B 4 NOTE NOTE The software installation procedure requires the use of a computer with a compatible PCMCIA card slot and internet access The procedure also requires the use of a blank CompactFlash CF memory card and a PC card adapter The memory card and adapter referred to as a PC card may be purchased from P
169. na ein ORTI od 4 21 RAM Test reves e a Eu xeu uel e ah REA as 4 21 Sel Test an rs are EURO dU ee aote deb tob tee pin d 4 22 Version Testi Lii eh odo eet aate goto Pte ben duce 4 22 Voltage Testi i d Re kenn ee her nes RA PLE ES 4 23 Chapter 5 Troubleshooting Contents 4 Contacting a Philips Response 5 1 Power On and Power Off Sequence 5 1 Special Note About Software Version 01 03 5 5 PageWriter Trim Power 5 5 PageWriter Trim II III Rx Power 5 5 Troubleshooting Cardiograph 5 5 5 6 Display Issues as Re AA HER a RR eg Serpe Re E 5 6 Keyboard Trim Knob Dedicated Key Issues 5 8 Signal Acquisition 55 5 10 Real Time Screen sues eus RE aa 5 14 Archive Screen 5 5 15 Configuration Screen 5 5 5 17 Printer ISSUES ee uio outer ote Re pou eget ipee dar 5 18 PC Card USB Memory Stick 5 5 23 Software Installation Issues Hi fees ay Shin hae ee MES TERT Sa es 5 24 Wireless Troubleshoot
170. nglish US IEC 8120 A4 English 1351 ABX Finland Finnish Finnish European IEC 8120 A4 1689 ABZ Italy Italian Italian European IEC 8120 A4 6978 AC4 Brazil Portuguese Portu European AAMI 8120 A guese 5429 PageWriter Trim Cardiograph Service Manual Country Region Options Table 1 11 PageWriter Trim I Il HI and Rx Country and Region Options continued Option Country User Lead Keyboard PIM Power Default Code Region Interface Standard Lead Cord Paper Version Opt Size AC6 South English Korean US AAMI A4 Korea English AC8 Argentina Spanish Spanish European AAMI 8120 A 6869 ACB Russia English English European IEC 8120 A4 1689 ACE Denmark Danish Danish European IEC 8120 A4 amp Faroe 4933 Islands ACJ India English English US IEC 8120 A4 English 4211 AKB Czech English English European IEC 8120 A4 Republic 1689 AKD Poland English English European IEC 8120 A4 1689 AKJ Israel amp English English US IEC 8120 A4 Gaza Strip English 5182 AKR Slovak English English European IEC 8120 A4 Republic 1689 AKV Chile amp Spanish Spanish European AAMI 8120 A others 6978 8120 4 5429 2 Greece English English European IEC 8120 A4 1689 ARF Hungary English English European IEC 8120 A4 1689 The Japanese ARO option i
171. nn 2 14 Battery Gauge ns ewes XR So RE RERBA HM ae 2 14 Battery Discharging 00 cece eee cece IH 2 15 Battery Ch rging 2 un ar Nee EIER NEUE ERR Ba 2 16 Charge Current sse ree RARE ea ee ERE 2 16 Battery Information 0 eee eee ee eee I 2 16 PageWriter Trim Cardiograph Service Manual Contents Chapter 3 Cardiograph Care and Maintenance Cleaning the Cardiograph 0 2 0 cece cece eee eee eect teen teenies 3 1 Approved Cleaning Solutions 0 cece cece eee e 3 1 Cleaning the PIM Patient Data Cable and Lead 3 2 Cleaning the Print Head 2 2 ek eee eee ee tee II 3 2 Reusable Electrode 1 3 3 Replacing Printer 3 3 Battery Maintenance and 3 6 Caring for the Battery E eee eee e 3 6 Storing the Battery o gates a eee ai ae ed ims 3 7 Replacing the Lead Wires in the 3 8 Cardiograph and Accessory 3 9 Setting the Date and Time 3 9 PageWriter Trim Il 6 3 9 PageWriter Trim lu ee a S aa be
172. nt head lightly with a foam swab dipped in 90 alcohol 4 Allow the print head to dry Reusable Electrode Cleaning To clean reusable electrodes 1 Dampen a soft cloth with one of the disinfectants or cleaning agents listed below Cidex Ortho Phthaladehyde a Cetylcide ms Vesphene 2 Aqueous Phenolic Germicidal Agent CAUTION Do not m Use isopropyl alcohol m Autoclave the reusable electrodes or use ultrasonic cleaners m Use abrasive materials 2 Wiring excess moisture from the cloth before cleaning Replacing Printer Paper Replace the printer paper when a red stripe appears on the printed ECG report Only use Philips Medical Systems replacement printer paper For part number and ordering information see page 1 20 a Always load less than 100 sheets of printer paper into the paper tray Ensure that the entire first page of the new paper roll is fully draped over the roller before closing the printer door PageWriter Trim IL III and Rx a Ensure that the paper size configured for the cardiograph is the same size paper being loaded into the paper drawer To change the printer paper 1 Open the paper drawer on the front of the cardiograph and remove any remaining sheets 2 Lift up the paper bar PageWriter Trim Cardiograph Service Manual 3 3 Cardiograph Care and Maintenance Replacing Printer Paper 3 Insert a new pack of printer paper with the printed side facing up Ensure that no more than 100 sheets are being
173. ollowing to clean the cardiograph m Acetone m lodine based cleaners m Phenol based cleaners m Ethylene oxide sterilization m Chlorine bleach m Ammonia based cleaners The cardiograph or PIM should not be autoclaved ultrasonically cleaned or immersed 3 1 Cardiograph Care and Maintenance Cleaning the PIM Patient Data Cable and Lead Wires Cleaning the PIM Patient Data Cable and Lead Wires CAUTION Do not m Use isopropyl alcohol m Autoclave the patient data cable or lead wires or use ultrasonic cleaners m Immerse m Use abrasive materials m Wet the connectors To clean the PIM patient data cable and lead wires 1 Dampen a soft cloth with soapy water or with one of the disinfectants or cleaning agents listed below Clean patient data cable and lead wires with any of the following Cidex Ortho Phthaladehyde Cetylcide Vesphene 2 Aqueous Phenolic Germicidal Agent 2 Wiring excess moisture from the cloth before cleaning Cleaning the Print Head A dirty print head may cause poor or uneven print quality TIP Clean the print head more frequently when printing large volumes of ECGs Figure 3 1 Paper Drawer and Print Head A Print head 3 2 PageWriter Trim Cardiograph Service Manual Cardiograph Care and Maintenance Reusable Electrode Cleaning To clean the print head 1 Pull the paper drawer completely out from the front of the cardiograph 2 Turn the unit over 3 Wipe the pri
174. omagnetic Environment guidance The PageWriter Trim cardiograph is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes RF Emissions Class B CISPR 11 Harmonic Emissions Class A IEC 61000 3 2 Voltage fluctuations Complies flicker emissions IEC 61000 3 3 Table F 2 Guidance and Manufacturer s Declaration Electromagnetic Immunity The PageWriter Trim cardiograph is intended for use in the electromagnetic environment specified below The customer or the user of the PageWriter Trim cardiograph should assure that it is used in such an environment Emissions Test Electrostatic Discharge ESD IEC 61000 4 2 Electrical Fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Compliance 6 kV contact 8 kV air 2 kV for power supply line 1 kV for input output lines 1 differential mode 2 kV common mode Compliance Electromagnetic Environment guidance Level Complies Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Complies Mains power quality should be that of a typical commercial or hospital environment Complies Mains power quality should be that of a typical commercial or hospital environment F 8 PageWrite
175. on Sc t See page 6 7 Test Equipment The following test equipment is required to perform the complete set of Performance Verification tests a ECG Simulator a Electrical Safety Tester m Software Support Kit CF Card with PCMCIA Adapter Order part number 453563479701 through your Philips authorized service parts supplier Performance Verification Tests Visual Inspection V 1 Before beginning the inspection press the On Standby button to put the cardiograph in Off mode and unplug the power cord from the wall outlet 2 Inspect the cardiograph external surfaces for the following Worn or damaged power cord Loose or missing hardware 6 4 PageWriter Trim Cardiograph Service Manual Performance Verification and Safety Tests Performance Verification Tests Mechanical damage Evidence of liquid spill Worn printer drive gear Worn printer roller Corroded or damaged reusable electrodes if present Damaged patient leads Dirt paper residue on the thermal print head Frayed or damaged wiring Visible LCD display damage Replace any damaged or missing items Clean the patient leads as necessary See Cleaning the PIM Patient Data Cable and Lead Wires on page 3 2 for cleaning instructions Power On Test To process a completed Power On test you must restart the cardiograph To restart the cardiograph 1 2 3 Press the On Standby button for 2 3 seconds
176. ong Chest Lead Set 99 cm 39 in IEC 989803129221 Long Complete Lead Set IEC 989803129231 Alligator Clips for Disposable Tab Electrodes AAMI 989803129241 Alligator Clips for Disposable Tab Electrodes IEC Table 1 8 Electrodes and Connectors Part Number Description 989803101361 Alligator Clip Extender for Disposable Tab Electrodes 10 total per pack AAMI 989803101371 Alligator Clip Extender for Disposable Tab Electrodes 10 total in pack IEC 989803106061 Wide Disposable Tab Electrode Connector 10 total per pack AAMVIEC 989803101691 Adult Limb Clamp Electrode 4 total in pack AAMVIEC 989803100441 Disposable cardiography electrode resting diagnostic ECG 989803106051 Disposable electrode adult resting ECG not available in Japan 989803149901 Pediatric disposable tab electrode 989803100461 Wet Gel Foam Electrode resting ECG 989803101311 15 mm diameter Welsh Bulb Electrode AAMI 989803101651 15 mm diameter Welsh Bulb Electrode IEC with banana plug adapter Table 1 9 Printer Paper Part Number Description M3707A Thermal Paper 100 sheets A size 8 5 x 11 in 21 6 x 28 cm M3708A Thermal Paper 100 sheets A4 size 8 27 x 11 69 in 21 x 29 69 cm Table 1 10 Battery Part Number 989803130151 Description Battery 1 22 PageWriter Trim Cardiograph Service Manual Introduction Preventive Maintenance Preventive Maintenance The PageWriter Trim cardiograph does not require
177. ont of the 5 cardiograph is lit WARNING Always connect the cardiograph to AC power when performing the software upgrade If the cardiograph is not connected to AC power when performing the software upgrade it may be damaged 6 Press the On Off button to turn on the cardiograph 7 When the five triangles 444 4 4 appear on the screen press the Patient ID and Auto buttons at the same time Press the buttons within two seconds of the triangles A 6 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim I Software Installing the Software Upgrade appearing on the screen If the buttons are not pressed in time press the On Off button to turn off the cardiograph Press the On Off button again and repeat the procedure 8 A prompt appears to enter a password Press the following keys in sequence Patient ID Auto Rhythm Copy Page Press the Stop key to delete your last input if it is wrong The Biomed Service Program screen appears 9 Turn the Trim Knob to highlight Settings then press the Trim Knob to select it 10 Ensure that the correct localization option is selected see Table A 3 Software Localization Options on page A 7 for a complete listing of all available localization options Table A 3 Software Localization Options Localization Paper Option Code Description Language Lead Standard Size ABO Chinese Traditional Chinese
178. ordance with local laws or regulations For further information on available training on the use of this product please contact a Philips Medical Systems representative or the manufacturer Medical Device Directive The PageWriter Trim Cardiograph complies with the requirements of the Medical Device Directive 93 42 EEC and carries the C mark accordingly Authorized EU representative Philips Medizin Systeme B blingen GmbH Hewlett Packard Str 2 71034 B blingen Germany Chapter 1 Introduction Who Should Use this Manual 0 2 rag A RE a E RC REQUE an 1 2 Safety Summary seep ll Rege cR Ave hg pel b dh ka b REG a ee eee 1 3 Safety Symbols Marked on the 1 3 Safety Symbols Marked on the Cardiograph 1 4 Safety and Regulatory Symbols Marked on the 1 5 Important Patient and Safety Information 1 5 The PageWriter Trim 1 9 Intended Usei us a etat b e Nh ca Ne Dee 1 9 Indications for Use 5 oss eerte a a Oke 1 10 The Philips 12 Lead 1 10 Intended Use exea u t Rr REIR a 1 10 Indications dor USO ces ore ees oH eX se Ue 1 10 Features and Capabilities
179. orrect m An arrhythmia simulator is not an acceptable tool for verifying computerized ECG analysis The analysis software is biased to process human ECG data m Noise may be an artifact of poor connections to the simulator or position of the cables If noise appears check the connectors or adjust the cable drape Safety Tests This section explains tests of the cardiograph and PIM electrical safety a Use the procedures called out by the manufacturer of the safety analyzer in use Test both Normal and Reverse polarity line connections for each test and record the worst case value Ifa ground reference point is needed for the testing use the metal grounding stud on the back of the cardiograph Safety Test S1 Earth Leakage To check for leaks in the ground wire for the AC power cord Normal Condition with both AC line connections intact lt 300 uA UL 120 VAC 500 uA IEC 240 VAC Single Fault Condition with one AC line connection open lt 1000 u A Safety Test S2 Protective Earth Resistance Impedance of protective earth ground lt 200 mQ Safety Test S3 Leads Leakage Current Leakage from Source or into Sink patient leads Applied Parts This test is also used for the Patient Interface Module PIM Source PageWriter Trim Cardiograph Service Manual 6 7 Performance Verification and Safety Tests Performance Verification Tests Normal Condition with both AC line connections and eart
180. pecified user Press and hold down the Alt key on keyboard Press the Z key The Net Connect screen appears Press the Tab key to highlight Always Connected connection Press the space bar to select the setting At the top of the screen a check mark and the word Modified appears Press the Tab key to highlight the Add New button PageWriter Trim Cardiograph Service Manual C 11 Wireless LAN Installation Instructions Configuring a TraceMasterVue Remote Site 14 Press the space bar The Add New Remote Site window appears Type in name for this Remote Site Press the Tab key to highlight the OK button Press the space bar to select the button The Remote Site appears in the Remote Sites Archive drop down list top of screen and may be selected in the Archive Press the Enter key on keyboard to save the changes and to exit the Configuration screen The new changes are applied For information on using the Archive to transfer ECGs to a TraceMasterVue ECG Management System see Chapter 4 Orders and Archive of the PageWriter Trim Cardiograph Instructions for Use available on the User Documentation CD or download the file from the Philips InCenter web site incenter medical philips com For information on troubleshooting wireless connectivity see Wireless Troubleshooting on page 5 24 C 12 PageWriter Trim Cardiograph Service Manual Assembling the Cardiograph Cart and Patient Cable Arm This Appendix includes information on how
181. r WEP key indicated the invalid key m 40 bit keys must have 10 total characters WEP Key X Must An invalid number of 1 Select OK to close the error Be 26 Hex Digits characters or an incorrect message character was entered for the 3 Reenterthe chaiact rs for WEP key indicated the invalid key 128 bit keys must have 26 characters You must enter a A WEP key was not entered 1 Select OK to close the error WEP Key WEP keys window message 2 Entera WEP key in the WEP Keys window 350 Series Radio The wireless adapter is not m There are several reasons 1s Not Associated associated to an access point why the wireless adapter may not be associated to an access point Follow the steps in the procedure Checking the Wireless Adapter Association to an Access Point on page 5 31 PageWriter Trim Cardiograph Service Manual 5 25 Troubleshooting Table 5 13 Error Message Possible Cause Wireless Troubleshooting PageWriter Trim Cardiograph Wireless Error Messages Recommended Solution Unidentified PC The wireless adapter is 1 Press the Esc key to close card Adapter inserted incorrectly into the PC the dialog AD Dee card slot on the cardiograph 2 Pressthe On Standby button the PC card driver Driver The wireless adapter was on the cardiograph name inserted into the cardiograph 3 Insert the wireless adapter when the cardiograph was in card into the PC card slot activ
182. r 989803138021 Do not use any other LAN cables with the PageWriter Trim cardiograph Use of unapproved LAN cables may result in radiated emissions that exceed the limit specified by CISPR11 Class 1 8 PageWriter Trim Cardiograph Service Manual Introduction The PageWriter Trim Cardiograph a The combined maximum weight that can be placed on the cardiograph cart shelf and the top surface of the cart cannot exceed 20 kg 44 Ibs Do not place more than the specified weight on the cardiograph top surface and shelf m Do not connect any device to the RS 232 port on the rear of the cardiograph when the patient data cable is connected to a patient a There are no cardiograph parts that can be sterilized The cardiograph is not intended for direct or invasive cardiac monitoring purposes m Excessive repetitive use of the cardiograph keyboard and the cardiograph Trim Knob may result in a risk of developing carpal tunnel syndrome Ensure that the patient data cable is tucked away from the cardiograph cart wheels when transporting the cardiograph Ensure that the patient data cable does not present a hazard when pushing the cardiograph cart For information on the standard IEC 60601 2 51 please see the document on the PageWriter Trim Cardiograph User Documentation CD or go to the Philips InCenter web site incenter medical philips com For information on using the Philips InCenter site see page 1 26 a The combined maximum weigh
183. r Trim Cardiograph Service Manual Specifications Table F 2 Electromagnetic Compatibility EMC Guidance and Manufacturer s Declaration Electromagnetic Immunity continued The PageWriter Trim cardiograph is intended for use in the electromagnetic environment specified below The customer or the user of the PageWriter Trim cardiograph should assure that it is used in such an environment Emissions Test Compliance Compliance Level Electromagnetic Environment guidance Voltage dips short lt 5 UT Complies Mains power quality should be that of a interruptions and gt 95 dip in typical commercial or hospital environment If voltage variations for 0 5 cycle the PageWriter Trim cardiograph requires on power supply continuous operation during power mains input lines interruptions it is recommended that the IEC 61000 4 11 40 Ur PageWriter Trim be powered from an 60 dip in Ur uninterruptable power supply or a battery for 5 cycles 70 Ur for 25 cycles lt 5 Ur for 5 seconds Power frequency 3 A m Complies Power frequency magnetic fields should be at 50 60 Hz magnetic field levels characteristic of a typical location in a typical commercial or hospital environment Note Uris the a c mains voltage prior to application of the test level PageWriter Trim Cardiograph Service Manual F 9 Specifications Electromagnetic Compatibility EMC Table F 3 Guidance and Manufacturer s Declarat
184. r a defective PIM is connected press the On Off button The power up sequence can take up to 50 seconds to complete 2 The message PIM test results Please check the patient interface module connection will appear 3 Turn the Trim Knob to highlight OK and then press the Trim Knob to select it The cardiograph can be returned to active ECG mode use 4 Connect the PIM or replace the defective PIM 5 Thecardiograph will operate normally and requires no further intervention Special Note about PIM Repairs If a Patient Interface Module PIM used with a PageWriter Trim cardiograph with installed software version A 01 03 requires repair or replacement ensure that following the repair or replacement that the cardiograph has installed PIM software version G 003 For further assistance contact the nearest Philips Response Center See Contacting a Philips Response Center on page 1 32 B 18 PageWriter Trim Cardiograph Service Manual Wireless LAN Installation Instructions Overview The PageWriter Trim cardiograph supports the Cisco Aironet Wireless LAN card and is compatible with the 802 11b wireless standard This Appendix describes how to install and configure the Cisco Aironet Wireless LAN card with the PageWriter Trim cardiograph running software version A 01 00 or higher The Cisco Aironet Client Utility ACU driver is included in the PageWriter Trim cardiograph software The wireless adapter may be configured to support th
185. r housing as shown Tighten the screws 17 Attach the cable holders to the arm as shown D 16 PageWriter Trim Cardiograph Service Manual 18 Loosen the elbow hinge after fully assembling the patient cable arm CAUTION Loosen hinge carefully Patient cable arm will open suddenly PageWriter Trim Cardiograph Service Manual D 17 D 18 PageWriter Trim Cardiograph Service Manual Upgrade Kits The following upgrade kits are available for the PageWriter Trim II III and Rx model cardiographs Interpretation m Wireless LAN m Ethernet LAN For more information on ordering the upgrade kits see Upgrades and Accessories on page 1 18 NOTE There are no upgrades available for the PageWriter Trim cardiograph Upgrade Kit Contents Each upgrade kit includes the following items as described in Table E 1 Table E 1 Upgrade Kit Contents Interpretation Wireless LAN Ethernet LAN Upgrade Kit Upgrade Kit Upgrade Kit m Token information and m Token information and m Token information and label label label m User Documentation m User Documentation m User Documentation CD CD CD a Wireless LAN card Ethernet LAN card m Ethernet LAN cable E 1 Upgrade Kits Upgrade Kit Installation Figure E 1 The Upgrade Kit Contents A User Documentation CD B Wireless LAN Card C Ethernet LAN Card and Cable D Token Information and Token label Upgrade Kit Installation Each upgrade kit is provided with a set of in
186. raph e gt oo A A Grounding post 3 Insert the PC card into the PC card slot on the rear of the cardiograph Ensure that the PC card is fully inserted into the slot 4 Ensure that the Patient Interface Module PIM is securely attached to the connector on the rear of the cardiograph Figure B 17 Connecting the PIM to the cardiograph PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim II IIl and Rx Software Installing the Software Upgrade 5 Connect the cardiograph to AC power Ensure that the green AC power indicator light is lit WARNING Always connect the cardiograph to AC power when performing the software upgrade If the cardiograph is not connected to AC power when performing the software upgrade it may be damaged 6 Ensure that the cardiograph is shut down screen is black and that the Standby light is not lit If necessary press and hold the On Standby button to exit Standby Then press and hold the On Standby button to shut down the cardiograph 7 Press the On Standby button After about twenty seconds the cardiograph beeps and the PageWriter Trim software identification screen appears Figure B 18 The Software Identification Screen PageWriter Trim Ill Page 8 As soon as the software identification screen appears press the Copy and Page buttons CD right side of cardiograph at the same time NOTE The software identification screen only appears for
187. raph to software version A 0 1 03 that includes PIM Kernel version G 003 Real Time Screen Issues Table 5 4 Real Time Screen Issues Symptom Waveform display is no longer updating system is unresponsive Possible Cause amp Investigation Step Main controller board failure Action Wait for 2 minutes or longer The cardiograph will restart automatically or you can restart it by pushing the Confirmation Solution Restart the cardiographto The cardiograph must be see if the cardiograph can serviced to inspect and operate normally possibly upgrade kernel and application or replace main controller board Contact Philips Medical Systems for further assistance see restart button page 5 page 1 32 33 System seems to Duplicate static IP IP was already in use It has been observed that be running slowly after boot up configured for network Action Confirm that the static IP assigned is not already in use on LAN boot up and operation can initially be slower when the PageWriter Trim is configured for an IP address that is already in use on the network 5 14 PageWriter Trim Cardiograph Service Manual Troubleshooting Troubleshooting Cardiograph Issues Archive Screen Issues Table 5 5 Archive Screen Issues Symptom After attempting an Archive screen operation an error message appears Command timed out Possible Cause amp Investigation Step The TraceMaster ECG M
188. rapidly many times the cardiograph was unresponsive Printer controller error Action Press the rear restart button see page 5 33 Cardiograph restarts and boots correctly Reports print correctly A rapid and sustained repeating open and close action on the paper drawer can cause an application error related to printer status handling PageWriter Trim Cardiograph Service Manual 5 21 Troubleshooting Table 5 9 Symptom Printer Error Out of Paper Paper Jam Door Open Possible Cause amp Investigation Step m Paper drawer is not fully closed Out of paper or paper loaded incorrectly m Defective TOF sensor assembly a Defective paper tray assembly PageWriter Trim II III Rx Printer Issues continued Confirmation Error does not occur again Troubleshooting Cardiograph Issues Solution Open and firmly close the paper drawer Open paper drawer and check to make sure paper is aligned correctly m Replace TOF sensor assembly contact Philips Medical Systems for further assistance page 1 32 Replace paper tray assembly Printer not detected message Paper does not advance Application error m Unseated or defective main harness assembly m Defective printer control board Application error m Defective TOF sensor assembly m Defective printer gearbox assembly Message no longer appears Paper advances correctly
189. re A 11 or as version G 003 Both PIM Kernel versions are valid for software version A 01 03 PageWriter Trim Cardiograph Service Manual A 13 Installing PageWriter Trim Software Special Note for Software Version A 01 01 Special Note for Software Version A 01 01 A 14 The following section provides additional information about software version A 01 01 Special Note about Software Version A 01 01 Self Test Report Figure A 12 Software Version A 01 01 Self Test Report with Failed Version Test SELF TEST RESULTS FLASH Test Pass PIM Test Pass Keyboard Test Pass LCD Test Pass Printer Test Pass Options Test Pass Version Test Fai A RAM Test Pass Voltage Test Pass Battery Test Pass Country Options ABA TEST FAILURE REPORT Software Version A Failed Version Test Field B Failed Self Test Information If the cardiograph fails the Self Test check the Version Test field under Self Test Results upper right side of report If this is the only field that fails the Self Test and the Self Test reports the failure as Software Version shown as B in Figure A 12 confirm that software revision information is exactly the same as the information shown in Table A 4 PageWriter Trim I Cardiograph A 01 01 Valid Software Revision Information on page A 14 If the information on the Self Test and the information in Table A 4 are identical the A 01 01 software installation is complete If the information is no
190. regulator This switching regulator will supply 3 3V at up to 4 25A of current This voltage is monitored 3 3VB_P Output from U111 power board regulator an MIC5233 for the real timer and power sequence circuit The voltage level is 3 3V and can provide up to 100mA of current This voltage is not monitored VDDX Output from 3 3V through filter which is the primary power for the main system processors and memory The voltage level is 3 3V This voltage is monitored Vcore 1 86V Output from the U105 power board circuit an LTC1627 which is 1 86V core power for the main system processor The input to this regulator is from the 3 3V supply and can supply up to 500mA of current This voltage is monitored 5VP Output from the U101 power board circuit an LTC1374 which supplies all the 5 00V power to the system Input is from VO and output is 5 00V with a maximum current of 4A This voltage is monitored USB VCC Output from the U303 main board circuit an MIC2503 which supplies the barcode reader and other external USB device Input is from 5V and output is 5V with maximum current of 500mA This voltage is monitored VPH Output from the U108 power board circuit an LM2588 which supplies 26V power to the printhead It is controlled by printer MCU MCF5272 which is located on main board VPH provides power only when a print session starts Otherwise VPH does not provide power This voltage is monitor
191. requirements of IEC standard 60601 1 2 are listed in Supplies and Ordering Information on page 1 20 Only install Philips Medical Systems software on the cardiograph The installation or use of software not approved by Philips Medical Systems is strictly prohibited and cardiograph safety and performance are not guaranteed Only use Philips Medical Systems replacement parts and supplies with the cardiograph The use of non approved replacement parts and supplies with the cardiograph is strictly prohibited Cardiograph safety and performance are not guaranteed when non approved replacement parts and supplies are used with the cardiograph Manual measurements of ECG intervals and magnitudes should be performed on printed ECG reports only Do not make manual measurements of ECG intervals and magnitudes on the R T ECG display since these ECG representations are scaled Only use patient electrodes that are approved by Philips Medical Systems The use of non approved patient electrodes may degrade cardiograph performance The Philips Medical Systems warranty is applicable only if you use Philips Medical Systems approved accessories and replacement parts See Supplies and Ordering Information on page 1 20 for more information Before using the Patient Cable Arm with the cardiograph cart properly install the counter weight on the cardiograph base Only use the shielded LAN cable provided with the PageWriter Trim cardiograph Philips part numbe
192. rge as needed for thermal printing Built in protection circuitry in each pack prevents damage to the battery by overcharging over discharging over current and over temperature PageWriter Trim Cardiograph Service Manual 2 11 Theory of Operation Power System Overview Figure 2 4 Power System Block Diagram p Q O lt Battery Pack Main Board A D monitor AC DC Power Supply Con gt 5 aoa E g gt O S 3 He 3 e as So 8 e 9 5VP amp Charger z Charger o E Status 3 37 du 13 3 Power Board VB P Vcore 1 86v VPH 26V Power Labels The following represent the various power labels used on the PageWriter Trim cardiograph Vin The DC voltage direct from the AC power The voltage level is between 17 10V and 18 90V with a maximum power output of 65 watts This voltage is monitored VB _T Battery information The battery voltage range is between 10 0V and 14 8V Discharge current is limited to a continuous 2 9 amps with a 4 0 amp limit for short periods This voltage is monitored vo The voltage will be supplied by Vin and battery Its range is between 10 0V to 18 90V The voltage is monitored 2 12 PageWriter Trim Cardiograph Service Manual Power System Overview Theory of Operation 3 3V Output from the U113 power board
193. rsion A 01 03 the PIM Kernel Revision Level may appear on the Self Test Report as either D 008 as shown above in Figure B 25 or as version G 003 Both PIM Kernel versions are valid for software version A 01 03 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim II Ill and Rx Software Special Note for Software Version A 01 01 Special Note for Software Version A 01 01 The following section provides additional information about software version A 01 01 Special Note about Software Version A 01 01 Self Test Report Figure B 26 Self Test Report with Failed Software Version Seir Tesr Kesuits Software Version Fail A Option Test Pass Compact Flash Test Pass Onboard Flash Test Pass Audio Test Pass Suspend Button Test Pass Trimknob Test Pass Keyboard Test Pass Screen Test Pass PIM Test Pass Printer Test Pass Installed Options Standard Wired LAN Standard Interpretation C42 Wireless LAN Country Option ABA TEST FAILURE REPORT B SelfTest Software Versions A Failed Software Version Field B Failed Self Test Information If the cardiograph fails the Self Test check the Software Version field under Self Test Results upper right side of report If this is the only field that fails the Self Test and the Self Test reports the failure as Software Versions shown as B in Figure B 26 confirm that software revision information is exactly the same as the information shown in Tab
194. rtain ECG report types are not supported by and will be rejected by the TraceMaster ECG Management System A wireless LAN connection is being used to transfer ECGs to TraceMaster and LEAP credentials are not enabled LEAP credentials are enabled and the ECG transfer subsequently completes See Enabling LEAP Credentials on page C 10 PageWriter Trim Cardiograph Service Manual 5 15 Troubleshooting Table 5 5 Symptom When an error occurs during transfer of multiple ECGs to a TraceMaster system the transfer process does not continue and transferred files are not deleted Archive Screen Issues continued Possible Cause amp Investigation Step Application limitation Action None Confirmation Current system limitation Troubleshooting Cardiograph Issues Solution The current PageWriter Trim operations fail in a known safe manner when multiple ECG transfer operations are interrupted Retry the transfer for the remaining ECGs After pressing the Archive button it takes longer than 40 seconds before the Archive list 1s displayed when the main archive has more than 130 ECGs stored System slow down from full ECG database Action Save or delete ECGs from the Main Archive Entry into the Archive Screen is faster There is a known system performance impact when the near maximum number of ECGs have been stored in the main archive area The messa
195. rvice Utility screen displays important information and statistics about the cardiograph and is a valuable diagnostic tool when troubleshooting the cardiograph Using the Biomed Service Utility you can Check important unit status m Check the current software revisions 4 6 PageWriter Trim Cardiograph Service Manual Maintenance Tests Trim II III Rx Diagnostic and Performance Verification Tests Install new software Check the amount of ECG storage remaining Confirm DC voltages Examine battery statistics Run diagnostic tests Extract system log files for analysis by Philips personnel Print a cardiograph status report Using the Biomed Service Utility for Trim Il 111 Rx CAUTION Ensure that the AC power cord is plugged into the rear of the cardiograph and into a grounded electrical outlet before using the Biomed Service Utility If the cardiograph is powered by battery power only while using the Biomed Service Utility the battery will fail and will not recover Launching the Biomed Service Utility for Trim II IIl Rx To launch the Biomed Service Utility 1 Place the cardiograph in Off mode NOTE Entering the Biomed Service Utility will require a full restart of cardiograph Any unsaved patient data will be lost 2 Press the On Standby button to power on the unit After approximately 20 seconds the PageWriter Trim software identification screen appears followed by an audible beep Figure 4 5 Software identif
196. s Press the On Standby button for three seconds then release it to shut down the cardiograph Press the On Standby button again to restart the cardiograph The new network setting are applied To configure a TraceMasterVue Remote Site for the purpose of transmitting ECGs see Configuring a TraceMasterVue Remote Site on page C 10 For information on the Status indicators on the wireless adapter see Table C 3 below Table C 3 Wireless Adapter LED Indicators Green LED Status Amber LED Status What LEDs indicate Blinking quickly Blinking quickly Wireless adapter is not associated to an every 0 5 seconds access point Off Blinking quickly Wireless adapter is associated to an access point with Power Save Mode set to default Fast PSP Off Off Wireless adapter is not receiving power or an error has occurred Blinking slowly Blinking quickly Wireless adapter is associated to an every 1 5 seconds access point with Power Save Mode set to CAM not recommended due to increased power consumption PageWriter Trim Cardiograph Service Manual C 9 Wireless LAN Installation Instructions Enabling LEAP Credentials Enabling LEAP Credentials 3 ARCHIVE NOTE Follow this procedure after entering the user name user password and user domain settings used with LEAP in the Aironet Client Utility ACU For information on entering settings in the ACU see Installing the Wireless LAN Card on page C 3 The following
197. s no longer available The supported software revision level for this localization option is A 00 03 There is no software upgrade path for this localization option PageWriter Trim Cardiograph Service Manual 1 25 Introduction Philips 12 Lead ECG XML Information and Tools Philips 12 Lead ECG XML Information and Tools The PageWriter Trim II and Rx model cardiographs export 12 lead ECG data in XML Extensible Markup Language format The XML schema for the Philips 12 lead ECG files and a complementary suite of XML utilities and tools are available for download from the Philips InCenter web site An XML Utility Suite Instructions for Use is also available for download This Instructions for Use describes how to install and configure the XML utilities Check the InCenter site regularly for documentation updates and for further information and updates to the XML Utility Suite NOTE The PageWriter Trim cardiograph does not support exporting ECG data Using the Philips InCenter Site The Philips InCenter site provides frequent updates to all Philips Cardiac Systems product documentation and product software including the PageWriter Trim cardiographs The Philips InCenter site requires an active registration and password To register go to the InCenter site at incenter medical philips com and click on the Need help link on the main page On the following E Support page click the Click here for access to software updates and documenta
198. s that the Onboard Flash is working properly To test the Onboard Flash 1 From within the Biomed Service Utility select Onboard Flash Archive from the list and select Start 2 message lets you know if the Onboard Flash passed the test Select OK If the onboard flash card fails the test try the test again The result is printed on the Test Results report PageWriter Trim Cardiograph Service Manual 4 13 Maintenance Tests Trim II II Rx Diagnostic and Performance Verification Tests 4 14 NOTE PC Card PCMCIA Storage Test Reports the external PC card or PCMCIA card size in bytes if installed and whether any error was reported when the media was polled To perform the PC Card Test 1 Insert a blank PCMCIA card with PCMCIA adapter in the PCMCIA slot located in the back of the cardiograph 2 Fromthe Biomed Service Utility select PC Card Test from the list then select Start The cardiograph will detect and report the media size of the card If the test fails the message PC Card Test failed appears Printer Test To perform the Printer Test 1 From the Biomed Service Utility select Printer Test from the list The Printer Test window appears with the message Printing Test Page The printer test page prints 2 Complete steps 3 and 4 of Printer Test on page 4 3 Network Ping Test Determines whether a particular device system is accessible over the network To perform the Network Ping 1 From within
199. scribe when special care is necessary for the safe and effective use of the NOTE TIP product Failure to follow a caution may result in minor to moderate personal injury or damage to the product or other property a remote risk of more serious injury or may cause environmental pollution Notes contain additional important information about a topic A Tip contains suggested information on using a particular feature Menu items and button names appear in bold no serif font Example Touch the Config button Internal software components or file directories appear in regular no serif font Example ECGs are stored to the RubyArchivelnternal directory PageWriter Trim Cardiograph Service Manual Introduction Safety Summary Safety Summary Safety Symbols Marked on the Cardiograph Symbol Name Description Attention See PageWriter Trim Instructions for Use for information Type CF ECG physio isolation is type CF defibrillator proof Electrical leakage current is suitable for all patient applications including direct cardiac application gt 2 gt Alternating current On Standby Electrostatic Discharge Indicates that the cardiograph is receiving alternating currents Pressing the button with this symbol on it turns on the cardiograph or puts the cardiograph into Standby power saving mode Do not touch exposed pins Touching exposed pins can cause electrostatic discharge that can damage the cardiograph
200. select All Except Kernel Click on the Start Installation button or press the Tab key to highlight the button then press Enter It takes several minutes to upgrade the application and then the cardiograph automatically shuts down Remove the PC card from the cardiograph Go to the next procedure to verify that the software installation is complete Verifying the Software Upgrade Complete the following procedure to verify that the software installation procedure on the PageWriter Trim IL or Rx model cardiographs is complete To verify that the software installation is complete 1 2 Ensure that the installation PC card is removed from the cardiograph Press the On Standby button After about forty seconds the cardiograph beeps and the PageWriter Trim software identification screen appears B 10 PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim II IIl and Rx Software Verifying the Software Upgrade Figure B 20 The Software Identification Screen 3 Assoon as the software identification screen appears press the left Ctrl Shift Trim Knob at the same time 4 The Access Code window appears If it does not appear press the left Ctrl Shift Trim Knob sequence again 5 Type in 1573 and then press the Enter key 6 The Service Utility screen appears Under Diagnostic Tests center of screen select Self Test from the menu Ensure that the Print Results When Applicable check box is selected Enter t
201. skin cells and oil Do not use alcohol to clean the skin because it dries the skin If there is no time rub the electrode sites with gauze to remove the dead dry skin and to increase capillary flow Always use disposable electrodes and ensure that the disposable electrodes have not expired Place the electrodes on flat fleshy parts of the arms and legs and place all limb electrodes equal distance from the heart at the same position on each limb If a limb site is not available amputation injury place the electrodes closer to the torso For female patients always place the electrodes on top of the breast not underneath the breast tissue Ensure that all electrodes are firmly attached and that the lead wires are not pulling on the electrodes If the electrodes can be moved easily the electrode connection is too loose Reassure the patient and make sure that the patient is comfortable If the patient has tremors attach the limb electrodes higher on the patient closer to the torso and assist with limiting patient moving while taking the ECG PageWriter Trim Cardiograph Service Manual Troubleshooting Troubleshooting Cardiograph Issues After ensuring that proper patient preparation techniques are being followed and that fresh electrodes are being applied to the patient review the following table for further assistance Table 5 3 Signal Acquisition Issues Symptom All leads show leads off red dashed line continuousl
202. ss and hold down the Alt key on the keyboard and then press the R key The Remote Sites screen appears Press the Tab key to highlight the Network button left side of screen Press the space bar select the setting Press the 7ab key to highlight the settings Receive Query or Copy Transfer left side of screen Press the space bar to select the check box Selecting the Receive Query check box enables the user to search the Remote Site in the Archive for ECG files to print on the cardiograph Selecting the Copy Transfer check box enables the user to transfer ECGs from the Archive to a TraceMasterVue ECG Management System Under the Network tab right of screen press the Tab key to select the Server URL field The cursor appears in the field Type in the URL address of the Remote Site server The Server URL is the TraceMasterVue file server URL The Server URL must be entered in the following format http computername EMSCOMM Computername is the TraceMasterVue file server computer name or IP address Examples of valid URLs include http tracemaster EMSCOMM or http 10 101 2 42 EMSCOMM Press the Tab key to highlight the User Name field The cursor appears in the field Type in the user name The specified user name must be a member of a TraceMaster group that has View privileges to TraceMasterVue Press the 7ab key to highlight the Password field The cursor appears in the field Type in the password assigned to the s
203. ssues with the cardiograph Maintenance Tests Trim II III Rx only You can use the maintenance tests and diagnostic utilities in the normal cardiograph operating mode to verify or to optimize cardiograph performance These tests can be used as the first step in identifying a technical problem with the cardiograph To open the Maintenance Test screen 1 Pressthe Tab key 8 or turn the Trim Knob to highlight the Config button on the Command Toolbar Access to Configuration may be password controlled 2 Press the space bar or the Trim Knob to select the button The Configuration screen appears 3 Select System S by holding down the Alt key on the keyboard then pressing the S key The System screen appears The Diagnostics section of the screen lists the five configuration maintenance tests Table 4 34 Maintenance Tests Test Page PIM Test 4 2 Barcode Test 4 2 Magcard Test 4 3 Printer Test 4 3 Network Test 4 6 4 1 Maintenance Tests Maintenance Tests Trim II III Rx only 42 NOTE Patient Interface Module PIM Test This test is used to confirm that the Patient Interface Module PIM is communicating with the cardiograph This test can be performed when the cardiograph displays PIM error messages or when the cardiograph is unable to acquire data from the PIM Be sure that the PIM patient data cable is securely attached to the PIM connector on the rear of the cardiograph before performing the test
204. stems ECG XML Schema version They incorporate an embedded CRC32 value which is used to ensure the data integrity of the file PageWriter Trim Cardiograph Service Manual High Level ECG Data Flow and Storage Theory of Operation Figure 2 2 ECG Flow and Storage EXTERNAL FAX RENDERED ECG REPORT REMOTE ARCHIVE id TraceMasterVue ECG MANAGEMENT SYSTEM EXTERNAL PC CARD gt ARCHIVE ECG DATA XML id EXTERNAL PC CARD PCMCIA ETHERNET H WIRELESS FLASH CARD 128 or 256 MB PC CARD SOCKET CF SOCKET non user accessible INTERNAL MAIN ARCHIVE amp REMOTE RETRIEVED ARCHIVE APPLICATION INTERNAL BUFFERS amp COMPACT FLASH TEMPORARY 128 256 or 512 MB ECG STORAGE ECG MEMORY RAM SIGNAL DATA PageWriter Trim INTERNAL THERMAL PRINTER PATIENT INTERFACE MODULE PIM RENDERED ECG REPORT PRINT PATIENT SIGNAL DATA PageWriter Trim Cardiograph Service Manual 2 7 Theory of Operation High Level ECG Data Flow and Storage NOTE NOTE NOTE Internal Main Archive The internal main archive resides on the internal CompactFlash CF card and is used as the primary ECG data repository This archive is referred to as the Main Archive in the software application ECG XML files and related index files are stored here in the RubyArchivelnternal directory All stored ECG files transition through this archive prior to transfer or copying to other devices such as t
205. structions that describe how to enter the token number information Entering the token number activates the software option on the cardiograph The following instructions must be completed before configuring the specific features of the upgrade option For more information on token numbers and where to affix the token label to the cardiograph see PageWriter Trim II III and Rx Token Label on page 1 19 NOTE Installation of an upgrade option requires software version A 01 03 or higher If software version A 01 03 is not installed on the cardiograph perform the software upgrade procedure first See Installing PageWriter Trim Il Ill and Rx Software on page B 1 To install the upgrade kit 1 Return the cardiograph to active use Press the On Standby button if necessary c EU G Press the Tab key E or turn the Trim Knob to highlight the Config button 3 Press the space bar or the Trim Knob to select the button The Configuration screens appear 4 Press and hold the Alt key and then press the S key to select the System tab 5 Press the Tab key or turn the Trim Knob to highlight the Enable Token button under Software Upgrade Option bottom of screen 6 Press the space bar or the Trim Knob to select the button The Please Input Token window appears E 2 PageWriter Trim Cardiograph Repair Manual Upgrade Kits Upgrade Kit Installation Figure E 2 The Please Input Token window Please Input Token Serial Number
206. sure that you can ping the cardiograph from the server as described next Then retest ECG transmission If the test fails ping the access point Consult your network administrator for information on pinging the access point PageWriter Trim Cardiograph Service Manual 5 29 Troubleshooting Wireless Troubleshooting Table 5 16 Pinging the TraceMasterVue server from the cardiograph To ping the cardiograph from the server Before proceeding have available the IP address of the target cardiograph 1 TraceMasterVue server select Start gt Run and type cmd in the Run dialog box 2 Inthe Command shell type the following ping lt cardiograph IP address For example ping 161 99 23 55 16 10 If the access point ping test fails most likely there is an IP configuration issue Consult your network administrator for further assistance It may be helpful to connect the cardiograph to a hardwired Ethernet connection for further IP configuration troubleshooting Resolving an Unexplained Reply Received from the Remote Site Use the following procedure if the error message Unexpected Reply received from Remote Site appears when transmitting ECGs to a TraceMasterVue ECG Management System To resolve an unexplained reply received from the remote site 1 On the Configuration screen under the Remote Sites tab check that the Remote Site server URL is in the correct format Ensure that the Remote Site Server URL incl
207. t 3 Turn the Trim Knob to highlight Start and push to select it The Printer Test window appears with the message Testing Printer 4 The cardiograph prints out the printer test page Inspect the printer test page using the test points explained in Printer Test on page 4 3 If the printer test page matches the printer test points as described in Figure 4 35 Printer Test Page Description the cardiograph has passed the printer test If the printer test page does not match the printer test points the cardiograph has failed the print test 5 Press Patient ID to print a report or Stop to return to the previous screen If the printer fails the test try the test again If the failure persists contact the nearest Philips Response Center for further assistance see Contacting a Philips Response Center on page 1 32 RAM Test The RAM Test verifies that the internal storage is operational and is not corrupt To perform the RAM Test 1 From the Biomed Service Program turn the Trim Knob to highlight Test and push to select it Turn the Trim Knob to highlight Test RAM and push to select it Turn the Trim Knob to highlight Start and push to select it The test results display on the screen Press Patient ID to print a report or Stop to return to the previous screen If the RAM fails the test try the test again If the failure persists contact the nearest Philips Response Center for further assistance see Contacting a Philips Respons
208. t and select Start The Barcode Test window appears 2 Hold the barcode reader at a 45 angle and scan the barcode The barcode data appears next to Bar Code Field 3 Review the barcode data to ensure that it is correct 4 Select Done 5 The message Did the Read field show the correct information appears Select Yes if the data is displayed correctly Select No if the data is not displayed correctly PageWriter Trim Cardiograph Service Manual 4 11 Maintenance Tests Trim II II Rx Diagnostic and Performance Verification Tests 4 12 6 If the barcode reader fails the test perform a barcode reader calibration and try the test again See Calibrating the Barcode Reader on page 3 11 Compact Flash Archive Test Verifies that the Compact Flash is working properly To test the Compact Flash 1 From within the Biomed Service Utility select Compact Flash Archive from the list and select Start 2 Amessage lets you know if the Compact Flash passed the test Select OK If the compact flash card fails the test try the test again The result is printed on the Test Results report Fax Modem Test This test verifies that a fax modem card is present in the PC card slot and that it responds correctly to AT commands To test the Fax Modem 1 Insert an approved Modem card in the slot in the back of the cardiograph 2 Fromthe Biomed Service Utility select Fax Modem Test from the list then select Start The Modem Test performs th
209. t identical reinstall the software and run the test again For further assistance contact the Philips Response Center see page 1 32 Table A 4 PageWriter Trim I Cardiograph A 01 01 Valid Software Revision Information Software Element Loader Kernel Application PageWriter Trim I A 01 01 Software 1 03 12 K 03 01 A 08 01 01 PIM Software 1 009 D 008 Not applicable PageWriter Trim Cardiograph Service Manual Installing PageWriter Trim I Software Special Note for Software Version A 01 03 Special NOTE Special Note for Software Version A 01 03 Always ensure that the Patient Interface Module PIM is connected to the cardiograph before pressing the On Off button and returning the cardiograph to active use Figure A 13 Connecting the PIM to the cardiograph Please note that the following sequence of events may occur if the PIM is not connected to the cardiograph or a defective PIM is connected to the cardiograph when it is returned to active use with installed software version A 01 03 To return the cardiograph to active use if the PIM is not connected or a defective PIM is connected 1 Ifthe Patient Interface Module PIM is not connected to the cardiograph or a defective PIM is connected press the On Off button Five squares will appear at the upper left corner of the display The display will then go blank for approximately 50 seconds A W N The error code 0207 will appear on the display 5 Pr
210. t that can be placed on the cardiograph cart shelf and the top surface of the cart cannot exceed 20 kilograms 44 pounds Do not place more than the specified weight on the cardiograph top surface and shelf m Ensure that the patient data cable is tucked away from the cardiograph cart wheels when transporting the cardiograph Ensure that the patient data cable does not present a hazard when pushing the cardiograph cart The PageWriter Trim Cardiograph Intended Use The intended use of the cardiograph is to acquire multi channel ECG signals from adult and pediatric patients from body surface ECG electrodes and to record display analyze and store these ECG signals for review by the user The cardiograph is to be used in healthcare facilities by trained healthcare professionals Analysis of the ECG signals is accomplished with algorithms that provide measurements data presentations graphical presentations and interpretations for review by the user The interpreted ECG with measurements and interpretive statements is offered to the clinician on an advisory basis only It is to be used in conjunction with the clinician s knowledge of the patient the results of the physical examination the ECG tracings and other clinical findings A qualified physician is asked to overread and validate or change the computer generated ECG interpretation PageWriter Trim Cardiograph Service Manual 1 9 Introduction The Philips 12 Lead Algorithm Indic
211. ted Is WPA Wireless Protected No Access encryption supported Is TKIP Temporal Key Integrity No Protocol encryption supported Is EAP Extensible No Authentication Protocol with TLS PEAP Protected EAP encryption supported Is EAP FAST encryption No supported Is there a limit to the number of wireless cardiographs which can be associated to an access point This is a function of the access point Consult your network administrator Does the wireless card utilize DHSS Direct Sequence Spread Sequence or FHSS Frequency Hopping Spread Sequence Only DHSS is supported What is the expected transmission rate of the 11 Mbps It is 6 Mbps effective PageWriter Trim Cardiograph Service Manual Wireless LAN Installation Instructions Installing the Wireless LAN Card Installing the Wireless LAN Card Figure C 1 The Wireless LAN Card A B A Red Activity indicator B Green Status indicator For ease of navigation on the wireless LAN installation screens connect a USB mouse to the USB port on the rear of the cardiograph To install and configure the wireless LAN card 1 Insert the USB mouse into the USB connector port e amp on the rear of the cardiograph 2 Ensure that the cardiograph is shut down screen is black and Standby indicator light on front of cardiograph is not lit If the cardiograph is in Standby press the On Standby button on the front of the cardiograph to r
212. ternal PC card Maximum Number of ECGs Stored All models but Rx PageWriter Trim Cardiograph Service Manual High Level ECG Data Flow and Storage Theory of Operation NOTE NOTE NOTE Table 2 3 Maximum Number of ECGs Stored External PC card continued Maximum Number of ECGs Stored Trim Rx When you add or delete compatible ECG XML files from a PC card not using the PageWriter Trim it is recommended that you delete all CDB files prior to reinserting the PC card into the cardiograph In the absence of an index file the cardiograph automatically regenerates the index based on the XML files on the PC card External USB Flash Memory Stick Archives The external USB flash memory stick archives reside on a compatible memory stick connected to the USB port Files can then be transferred to a connected memory stick using the Archive feature of the application software and are stored in XML format An index file is created and maintained on each compatible memory stick when CDB files are transferred or copied from the stick Currently an external memory stick archive is limited to storing the following maximum number of ECGs as listed in Table 2 4 The PageWriter Trim cardiograph only supports the USB memory stick that is shipped with the cardiograph or that is available for purchase as an optional accessory from Philips Medical Systems Philips does not guarantee that other USB memory sticks are compatible with th
213. tests 4 16 serial connector 1 15 serial loopback 4 15 serial number locating on cardiograph 1 26 service utility launching 4 7 setting the date and time 3 9 SmartCard reader diagnostic test 4 10 part number 1 18 software Trim I upgrade A 1 Trim II II Rx upgrade B 1 suspend button diagnostic test 4 16 T technical specifications F 1 test and inspection matrix 6 3 test equipment 6 4 token label 1 19 D 6 token number entering E 2 Trim I parts 1 12 Trim W IIVRx parts 1 14 trim knob diagnostic test 4 16 troubleshooting 5 8 troubleshooting archive 5 15 configuration screen 5 17 display 5 6 keyboard 5 8 Philips Response Center phone numbers 1 32 pinging TraceMasterVue server printer issues on Trim I 5 18 printer issues on Trim 5 20 real time screen display 5 14 rebooting the cardiograph 5 33 red stripe on printed report 3 3 trim knob 5 8 wireless LAN 5 24 U upgrade Trim I software A 1 Trim W IIVRx software B 1 user documentation CD part number 1 18 W welsh bulb electrodes 1 21 cleaning 3 3 wireless LAN adapter associating to an access point 5 31 ping TraceMasterVue server 5 29 troubleshooting 5 24 troubleshooting Remote Site connection 5 27 PHILIPS Philips Medical Systems 3000 Minuteman Road Andover MA 01810 USA PageWriter Trim I II III Rx Cardiograph Service Manual 453564007071 Edition 4
214. the Biomed Service Utility select Network Ping from the list and select Start 2 Enter the IP Address to Ping A message reports if the ping was successful Screen Test The Screen Test is used to verify the quality of the color displayed on the LCD screen To perform the Screen Test 1 From the Biomed Service Utility select Screen Test from the list then select Start A blank gray screen appears 2 Select Color at the lower left of the screen 3 Select Pattern on the bottom of the screen An image similar to that shown in Figure 4 10 Screen Test Image on page 4 15 should appear The color gradations in the image on the cardiograph display will be more gradual and smoother than those shown in Figure 4 10 PageWriter Trim Cardiograph Service Manual Maintenance Tests Trim II III Rx Diagnostic and Performance Verification Tests Figure 4 10 Screen Test Image 4 Look for the following details in the image appearing on the screen The progression of shading from light to dark in the red green and blue bars should be smooth and without breaks The gray lines on top of color bars should be straight and intersect the cross hairs at five points on the screen If the screen does not look similar to the image in Figure the screen display failed the Screen Test 5 After examining the image Select Close The Test Result Confirmation dialog appears 6 Select Yes if the image on the screen is
215. the Patient ID screen follow the procedure Removing the Carriage Return on page 3 13 PageWriter Trim Cardiograph Service Manual Cardiograph Care and Maintenance Calibrating the Barcode Reader Calibrating the Barcode Reader The optional barcode reader is shipped with configured settings that provide optimal use with the cardiograph If the barcode reader operates with errors or missed data follow the procedure below If the barcode reader incorrectly scans data into fields on the Patient ID screen follow the procedure Removing the Carriage Return on page 3 13 The barcodes must be scanned in order from top to bottom in one session To calibrate the barcode reader 1 Hold the barcode reader at a 45 angle and push the button top of scanner Scan the barcode labeled 1 in Figure 3 2 Three beeps are heard 2 Scan the barcodes labeled 2 8 in Figure 3 2 A single beep is heard after each barcode is scanned 3 After barcode 8 is scanned three beeps are heard Calibration is complete Perform the Barcode Test see page 4 2 to verify performance PageWriter Trim Cardiograph Service Manual 3 11 Cardiograph Care and Maintenance Calibrating the Barcode Reader Figure 3 2 Barcode Calibration Sequence Enter program mode 2999999 Load Keyboard Wedge Defaults 2999994 Configuration Code 1 280022110 Configuration Code 2 381551200 3 12 PageWriter Trim Cardiograph Service Manual Cardiograph Care and Ma
216. tion for cardiology products link located on the right side of the page The Cardiac Systems InCenter Registration page appears Complete all of the information fields on the page to receive a login and password for the InCenter site Registration for the InCenter site requires the serial number s for all PageWriter Trim cardiographs in active use at your facility The serial number is found on the product identification label The product identification label is located on the rear panel of the cardiograph below the battery door The serial number is listed next to the text SN Figure 1 9 Serial Number on Product Identification Label sNjusDossssss REF 860286 J About Adobe Acrobat Versions Adobe Acrobat Reader version 8 0 must be installed on the PC that is used to access the Philips InCenter site Previous versions of Acrobat Reader are not compatible with the Philips 1 26 PageWriter Trim Cardiograph Service Manual Introduction PageWriter Trim Cardiograph Learning Product Part Numbers InCenter site and attempting to access InCenter with a previous version of Acrobat Reader will result in error messages when opening documents Uninstall all previous versions of Acrobat Reader and then proceed for a free install of Acrobat Reader 8 0 at www adobe com Any version of Adobe Acrobat Professional or Acrobat Elements are also not compatible with the Philips InCenter site and error messages will appear when op
217. to shut down the cardiograph Press the On Standby button again to power on the cardiograph If steps 1 and 2 do not work press the Reset button rear of cardiograph To perform a soft reset gently press the Reset button located next to the serial port on the back of the cardiograph See Figure 6 1 and Figure 6 2 After approximately 20 seconds the PageWriter Trim II III Rx software identification screen appears followed by an audible beep For the PageWriter Trim I the screen with five triangles appears Figure 6 1 Rebooting the Cardiograph Trim II III Rx Reset button Gentle pressure only PageWriter Trim Cardiograph Service Manual 6 5 Performance Verification and Safety Tests Performance Verification Tests 6 6 Figure 6 2 Rebooting the Cardiograph Trim I Reset button Gentle pressure only n s ee The following self tests are automatically performed during reboot RAM m Software CRC Test a Flash Memory onboard CompactFlash CF m PIM Status m Battery Voltage Test m Printer Status ECG Simulation ECG Taking an ECG using a 12 lead ECG simulator allows you to verify areas of operation that the extended self test cannot check Integrity of the patient leads Accuracy of the paper speed not available on all simulators Accuracy of the gain settings not available on all simulators Trace differences may res
218. ton The Magnetic Card Reader window appears 3 Insert the magnetic card into the slot 4 Leave the magnetic card in the slot for five seconds and then pull it out 5 The magnetic card data appears next to the Patient ID field 6 Review the data to ensure that it is correct The OK button is highlighted If the magnetic card data is accurate push the Trim Knob to select the OK button Turn the Trim Knob to highlight the Cancel button if the magnetic card data is incorrect and push to select it 7 If the test fails try it again Printer Test The Printer Test is used to verify that the cardiograph printer is able to correctly print the test page Use this test to verify proper printer performance or when reports appear to have print quality errors To perform the print test 1 Press the Tab key amp or turn the Trim Knob to highlight the Printer Test button under Diagnostics 2 Press the space bar or the Trim Knob to select the button The message Printing Test Page appears and the test page prints out 3 Review the printer test page at points A B and D as shown on Figure 4 4 Printer Test Page on page 4 5 Table 4 35 Printer Test Page Description Test Description Point A The stepped bars are sharp edged and printed cleanly without distortion or missing segments B The spacing between the vertical lines is 25 mm with a discrepancy of no more or less than 296 PageWriter Trim Cardiograph Service Manu
219. twork button Press the space bar to select the button The Network connection window appears The networking information for the cardiograph appears To configure a TraceMasterVue Remote Site for the purpose of transmitting ECGs see Configuring a TraceMasterVue Remote Site on page C 10 Configuring a TraceMasterVue Remote Site C 10 The Remote Site settings on the cardiograph are used to define specific TraceMasterVue ECG Management Systems that receive ECGs from the PageWriter Trim cardiograph For more comprehensive information on configuring the PageWriter Trim cardiograph with a TraceMasterVue ECG Management System see the Installing TraceMasterVue and Configuring Communication Guide available for download from the Philips InCenter web site incenter medical philips com Registration is required to access materials on the site For PageWriter Trim Cardiograph Service Manual Wireless LAN Installation Instructions oe CONFIG NOTE NOTE Configuring a TraceMasterVue Remote Site information on registering to use the InCenter site see Using the Philips InCenter Site on page 1 26 The guide is updated on a regular basis check for updates at the Philips InCenter web site 1 10 11 12 13 To configure a Remote Site with the wireless network connection Press the Tab key on the keyboard to highlight the Config button Press the space bar to select the button The Configuration screens appear Pre
220. udes a forward slash at the end of the URL An example of a valid URL is http 192 168 0 1 EMSCOMM 2 Ifthe URL is correct consult the TraceMasterVue system administrator for more information The TraceMasterVue server may need to be reset 5 30 PageWriter Trim Cardiograph Service Manual Troubleshooting Wireless Troubleshooting Checking the Wireless Adapter Association to an Access Point Use the following procedure when a wireless adapter is not associating with an access point 1 Check the LEDs on the wireless adapter See Table 5 17 for further steps Table 5 17 LED Indicators LED Indicators Red LED blinking quickly Green LED blinking quickly Recommended Solution 1 Move the cardiograph to an area with a strong wireless signal The green LED should then blink slowly or turn off completely indicating that the wireless adapter is associated with an access point If the green LED continues to blink quickly indicating that the wireless adapter is still not associated to an access point go to step 2 in this procedure If LEAP authentication is used ensure that the LEAP credentials are enabled For more information See Enabling LEAP Credentials on page C 10 Red LED off Green LED off Ensure that the wireless adapter is securely inserted into the PC card slot on the rear of the cardiograph Press the On Standby button to put the cardiograph into Standby Press the On Standby button again
221. ult from difference in simulators simulators settings and from differences in configuration and control settings on the cardiograph To perform the ECG Simulation Test 1 Connect the PIM lead wires to the simulator 2 Verify that all lead wires are connected by observing the display for Flat lines or leads off information for Trim II III Rx Leads off indicator for Trim I 3 Firmly pull each lead wire tight and then look for excessive noise on the display may be indicated by yellow or orange waveforms 4 Pressthe Auto button to start an Auto 12 Lead recording Depending on the cardiograph s configuration the ECG may be printed automatically at this point or it may only be previewed on the display PageWriter Trim Cardiograph Service Manual Performance Verification and Safety Tests Performance Verification Tests NOTES 5 Ifthe ECG does not automatically print press the Enter key to start printing Verify the following when printing is complete Trace activity for all 12 leads Confirms integrity for all patient electrodes and leadwires Noise should measure less than one 1 mm with no baseline wander No gross distortion of complexes or calibration pulses no overshoot for example Duration for calibration pulses for correct paper speed With cardiograph set to record at 25 mm sec the calibration pulse should measure 5mm calibration pulse duration is 200 ms Calibration pulse amplitude is c
222. ure that the entered information is accurate If the displayed serial number is not identical to the serial number of the cardiograph displayed on the rear label next to the SN text contact Philips Medical Systems for further assistance see page 1 32 Wireless Troubleshooting 5 24 All wireless LAN troubleshooting topics are included in this section For further assistance with configuring the cardiograph for wireless transmission to a TraceMasterVue ECG Management System see the Installing TraceMasterVue and Configuring Communication Guide available for download from the Philips InCenter web site incenter medical philips com PageWriter Trim Cardiograph Service Manual Troubleshooting Table 5 12 Aironet Client Utility ACU Error Messages Error Message Possible Cause Wireless Troubleshooting Recommended Solution Cisco The Aironet Client Utility was 1 Select OK to close the error Wireless LAN launched without the wireless message Adapter Not adapter being inserted into 2 Press the On Standby button Found cardiograph on the cardiograph Client The wireless adapter was 3 Insert the wireless adapter Adapter Not ejected from the cardiograph into the PC slot Found 4 Press the On Standby button WEP Key X Must An invalid number of 1 Select OK to close the error Be 10 Hex Digits characters or an incorrect message character was entered for the 3 Radhistihechatsctersdo
223. wireless adapter still cannot associate with the access point contact your network administrator to ensure that all settings are correct for both the wireless adapter and for the access point If MAC or IP filtering is enabled at the access point ensure that the wireless adapter MAC address or IP address is added to the list 5 32 PageWriter Trim Cardiograph Service Manual Troubleshooting Restarting the Cardiograph If multiple static WEP keys are being used the transmit key must be configured as the first WEP key On the access point the first WEP key must match the first key on the wireless adapter If LEAP authentication is used ensure that LEAP credentials are enabled For more information See Enabling LEAP Credentials on page C 10 For further information see the Cisco Aironet Wireless LAN Client Adapters Installation and Configuration Guide for Windows CE available for download from www cisco com Restarting the Cardiograph To restart the cardiograph 1 Press the On Standby button for 2 3 seconds to shut down the cardiograph 2 Press the On Standby button again to power on the cardiograph 3 Ifsteps 1 and 2 do not work press the restart button rear of cardiograph See Figure 5 1 and Figure 5 2 After approximately 20 seconds the PageWriter Trim II III Rx software identification screen appears followed by an audible beep For the PageWriter Trim I the screen with five triangles appears Figure
224. y Possible Cause amp Investigation Step PIM communications have been lost due to USB patient data cable connection failure or defective leads are connected to the PIM Solution 1 Check that PIM patient data cable is firmly seated to the PIM connector on the rear of the cardiograph 2 Ifthe PIM is firmly attached perform the PIM test as described in Maintenance Tests Trim II II Rx only on page 4 1 or for the Trim I as described in Trim I Diagnostic and Performance Verification Tests on page 4 17 If the PIM Test fails replace the patient data cable If the PIM Test continues to fail with a new patient data cable attached replace the entire PIM PCA Set Contact Philips Medical Systems for further assistance see page 1 32 3 If the PIM test passes ensure that all lead wires are fully seated in the PIM lead connectors 4 Ensure that all lead wires are intact and that there are no cracks visible in any of the lead wires 5 Connect all of the lead wires to a metallic conductive surface or to a shortening bar Check the Leads off indicator on the Status Bar Ensure that no leads are being reported as leads off If any of the precordial leads report as leads off with all limb leads connected replace the precordial lead s fall leads report as leads off replace the RL R lead with a lead that known to function normally If the new lead connected to the RL R connector functions norm
225. y 32 MB for PageWriter Trim II Rx 16 MB for PageWriter Trim I At system boot a system RAM test is performed by the loader onboard RAM is 64 MB and then the Windows CE kernel loads When Win CE loads the application launcher runs verifying system and executable images before loading the main application For PageWriter Trim all interaction with the operator is through the Ruby300 APP application For PageWriter Trim I all interaction with the operator is through the Ruby100 APP application The application software is stored in internal Flash memory 2 1 Theory of Operation NOTE Hardware Logical View The PageWriter Trim II III and Rx cardiographs each have an internal ECG archive that consists of a CompactFlash CF card installed on the main control board The number of ECGs that can be stored to this internal memory varies by cardiograph model as shown in the following table The PageWriter Trim cardiograph does not provide internal storage Table 2 1 ECG Storage Capacity Model ECG Storage Capacity PageWriter Trim II 50 PageWriter Trim III 150 PageWriter Trim Rx 200 ECG storage capacity is not dependent upon the size of the in ternal CF card The ECG storage capacity is controlled by the cardiograph software application Figure 2 1 illustrates the devices and interfaces provided by the main control board PageWriter Trim Cardiograph Service Manual Hardware Logical View Th
226. y button 4 If error persists contact Philips Medical Systems for further assistance see page 1 32 Table 5 8 PageWriter Trim I Printer Issues Software Version A 01 00 and higher Error Code Possible Cause amp Investigation Step Solution 0101 Start Up CRC Failure Reinstall the cardiograph software see page A 1 0201 USB printer No USB connection Restart the cardiograph 0202 USB printer running busy Restart the cardiograph 0203 USB printer door open 1 Open and firmly close the printer drawer 2 Open the printer drawer and check to make sure that the paper is properly inserted and aligned 3 Follow the procedure to restart the cardiograph see page 5 33 4 It has been observed that on rare occasions a Printer Door Open message cannot be dismissed because of overlapping simultaneous error status reporting PageWriter Trim Cardiograph Service Manual 5 19 Troubleshooting Table 5 8 Error Code Possible Cause amp Investigation Step Troubleshooting Cardiograph Issues PageWriter Trim I Printer Issues Software Version A 01 00 and higher continued Solution 0204 USB printer paper jam or out of 1 Open and firmly close the printer paper drawer 2 Insert paper into drawer if necessary 3 Open the printer drawer and check to make sure that the paper is properly inserted and aligned 4 Replace TOF sensor assembly contact Philips Medical Systems for further assistance pag

PageWriter Trim I, II, III, Rx Cardiograph Service Manual, Edition 4

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